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3325 Rolling Hills Dr
rtifira#t of (Orruponry Citp of Cagan lprvarwmd a# bWO Atoprrlim This Certij ate issued pursuant to the requirements of Section 306 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. Un q?- , S F DWG Bldg. Pamh Nm 1014 O-R-q T M R-3 M-1 Z,,,,;V ova R-1 7?7c. , V-N OWMorBoVAC GEROLD BROS CONST Adduce 1704 280TH ST W Mimie6Add= 3325 ROLLING HILLS DJ.W.LI I, B5. BUR OAK UIL S 2ND Date SEP 11, 1992 POST INSPECTION RECORD - CITY OF EAGAN MACMAM FOR »CC 07/27/93 PERMIT TYPE: 3830 Pilot Knob Road GEROLD BROS 758"2842 Permit Number. Eagan, Minnesota 55123 / Date Issued: (612) 681-4675 C) SITE ADDRESS: 101, It 1.3. G POL LINO HILLS OR BUR OAK H 1 L 1. S 2ND PERP417 %VPTYPE: Control No. 07 91 DO t .011Vn 041014 Ml/13/9? H1 APPLICANT: AE14OLD BROTHERS CONST (612) 446--.1171 TYPE OF WORK: N1?W ¦ kl'h1Akl '-, . PRV S iG W VON i FNA(. I OR - PAW ;0H PI HO Permit No. Permit Holder Date Telephone S/W PLUMBING _ col HVAC ! C?V?f' DI ELECTRI ?UP ELECTRIC inspection Dais k". Comments Footings I 7/G Foundation Framing ?y v Roofing Rough Plbg. Q bz Rough Mg. laul. Fireplace , . / Final Htg. ? ??,? f j fhsat Teat q Z /n ] l >!, /'+ Final Plbg. Z Plbg. inspector- Nottly Plumber Const. Meter FsgdPlan Bldg. FikW !l 9 Deck Ftg. Deck Final C>bG Pt /r ?-I i Well /filb Gfp OGF?,Tr ? /i/S Pr. Disp. '1 2 ?Y RESIDENTIAL B61LIPING PERMIT APPLICATION 1t/r DD CITY OF EAGAN I•II 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Requirements RemodelfReoalr Requirements • 3 registered site surveys showing sq. R of lot, sq. A. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window saes; poured found design, etc.) • 1 site survey for exterior additions & decks 1 set of Energy Calculations • indicate if home served by septic system for additions • 3 copies of Tree Preservation Wan d lot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE ?-/? _d/ / VALUATION ZS"OGO JOB SITE ADDRESS -?3Z5_ ?G ?7-'GCs '2)e-. IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER c?A?ES ?• ?`y=c[?? S' TYPE OF WORK C FIREPLACE(S) ?!! 0 _ 1 _ 2 APPLICANT ' Axe s- el e! rw S PHONE# 4?Sy- L-E- ADDRESS 33ag f?s/lr ZIP CODE PAGER # CELL PHONE #? FAX # I' NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Su nCEnergy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor. Plumbing System Includes: Mechanical Contractor: _ Mechanical`System Includes: Sewer/Water Contractor. Water Softener Water Heater _ No. of Baths Air Conditioning Heat Recovery System Phone # Phone # T I?l uu n Y r ? Tee: $90.00 Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the infgfm do is corre nd agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinanc Signature ofApplicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1101 _ Phone #: Lawn Sprinkler No. of R.I. Baths OFFICE USE ONLY O 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex I" 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage O 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt- Multi ? 33 Ext. Alt - SF ? 36 Multi ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)' ? 43 Reroof O 46 Windows/Doors 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation rZ/JD/??- Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const Occupancy P- "J MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width REQUIRED INSPECTIONS Footings (new bldg) - Footings (addition) Plumbing _ Foundation _ Drain Tile Roof _ Ice & Water _ Final Other Framing Fireplace _ R.I. - Air Test _ Final Insulation 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 ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage O 10 08-plex ? 18 Deck ? 11 10-plex V19 Lower Level ? 12 12-plex Plbg_Y Final/C.O. _ Final/C.O. (deck) ?p Final/No C.O. HVAC Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco _ Stone Windows (new/replacement) Address: 3325 ROLLING HILLS DRLot11 Blk 5 Sec/Sub BUR OAK HILLS 2ND These items were/were not complete at the time of the final inspection. Date: SEP 11, 1992 Yes No TnApPrtnr, Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway ' Permanent gas Sod/seeded grass Trail/curb damage Porch 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. M ewe?we White - City copy Yellow - Resident copy Pink.- Contractor copy ?2578 611 w i Request Date Fire No. Rough-i Inspection Requi ? Ready Naw Noby Inspector a es ? No When Ready? 1 nsecl contractor ? owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route N city ` it, J? a ? Section No. Township Name or No. Range M. Co Occupant (PRINT) Phone No. G'?-CLAl ? ?g - ?v Power Su tier Address Electrical Ca ac r IOOmpany Naomi Contractor's License No. G Mailing Ad " tractor Owner Maki Installation( ( ?J r Authorized 9 ature IContractoriOwn r aking Installation) hone Number MINNESOTA STATE BOARD OF ELECTRICRY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S173 BE ACCEPTED BY THE STATE BOARD 1621 University Ave., St. Paul, MN 55106 UNLESS PROPER INSPECTION FEE is Phone (612) 6624600 ENCLOSED. ,1,2- REQUEST FOR ELECTRICAL INSPECTION ee oooolae See insirudions for completing this torn on back of yellow copy. g'% U 10 X" Below Work Covered by This Request New A ep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specity) Comm./Industrial Furnace Farm Air Conditioner other (speofyl contractors Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps O to 700 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspectors use only: TOTAL Irrigation Booms d? 7"? Special Inspection O Alarm/Communication THIS INSTALLATION MAY BE ORDER ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. % I, the Electrical Inspector, hereby Rough-in - ,.. oat 7 r7 `oz' certify that the above inspection has been made. Final i / Date °?`-- OFFICE USE ONLY This request void 18 months from r'1 ?? I/I RESIDENTIAL S 1 a 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% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE ? n 106t- SITE ADC TYPE OF APPLICANT STREET ADDRESS TELEPHONE CELL PHONE # Lela- FAX # IP-5-1- eS PROPERTY OWNER TELEPHONE# fIX2- ?3T COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category (J submission type) Plumbing Contractor: MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing system includes Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor. Air Conditioning Heat Recovery System Phone # Phone ell LAUG 0 7 2002 I hereby acknowledge that I have read this application, state that the information i mply with all applicable State of Minnesota Statutes and City of Eagan Ordi n es. Signature of Applicant' -!` -? ---------------------------- - - --------- - - -- - - - - - - - - - - - - - -- ------------ - - --------- - - ----------- - - - - - - - - - - -- OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required Updated 4102 Phone # Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths No. of Baths 18L . a S RemodellReoair Reouirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & docks • Indicate if home served by septic system for additions VALUATION ? / ??.d0 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 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* 11 ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/IES, System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sp'! rinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. - Footings (deck) Final/No C.O. - Footings (addition) _ _ Plumbing i Foundation _ HVAC _ Drain Tile Other Roof - Ice & W ater _ Final Pool _ Ftgs _ Air/Gas Tests _ Final - Framing _ Siding _ Stucco Stone - Fireplace - R.I. - Air Test - _ Final _ _ Windows (new/replacement) - Insulation _ Retaining Wall Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total REACTaiATE X CITY OF EAGAN P SIIT-# VED 1993 BUILDING PERMIT APPLICATION USE 681-4675 1993 SINGLE & MUL - 444W 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 S -5 Valuation of work D Site Address: 5 ?a S RoLU1 L4 I.ls DrLua STREET SUITE K Tenant Name: (commercial only) LOT S ;C- ? . SIISD. ?trT bct i (? S P.I.D. N b1 ?•o A 2c?v? Description of work: W cc3? The applicant is: ? Owner Contractor ? Other (Describe) Name Phone Property ner O LAST FIRST S i w ?_yVS2 a ? Address ?le _ STREET- STEM I-' Zip City State Company vL? ?e z3s_ C?,?S b , Phone ?> Contractor ? ;address 11"6q zFb S-?. LO - License # tlrniu ? Exp. S l'? City -Lj9'jx?Lmc4u2_ State KA, - Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is tw!"ay-s-o`nce area has been approv`ed:- 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: CCu ?? ?? OFFICE USE ONLY T3UILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. WORK TYPE ?31 New 32 Addition ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add11. ? 33 Alterations ? 34 Repair GENERAL INFORMATION ? 11 Apt./ Lodging' ? 12 Multi,._Misc. ? 13 GaragejAcces! ? 14 Fireplace 7'S Deck ? 35 Tenant Finish ? 36 Move '? l6 basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish Const. (Actual) Basement sq. ft. MWC C System (Allowable) 1st F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Boo ster Pump # of Stories Footprint Sq. ft. Fir e Sprinkler Length Depth AD-L On-site well On-site sewage Cen SACI sus Code Code 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 Pg. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units Building Variance L I v.tuec;«c $ ? Footing ? Final Assessments ? Framing ? Draintile i? ? Insulation ? Fireplace CERT'IFICAT'E OF CgE E) DENOTES EXISTING ELEVATION (a(.%. s ) DENOTES PROPOSED ELEVATION ..Wr - INDICATES DIRECTION OF SURFACE DRAINAGE 070.33 = FINISMD GARAGE FLOOR ELEVATION 86Z.6Z = BASMAENT FLOOR ELEVATION 870,fifi = TOP OF FOUNDATION ELEVATION Al mo set 1-411,15 (876, 95,x rp-4d) (B53 ? ?; ? ? „, Q M HSd'. I i _ _ _ ? U3.6o f4v $60.Y9 P .:.., 1 ?9°38'13„ ch ?_w r?Ii i? ?D Exsz; i L,?p h7 F?['l[vT B!/lLP/N6 ,tE7BAC.t' L/.vE Rac/ti? ?? ? oeiuE J I hereby certify that thin is a true and correct representation of a tract land as shown and described hereon. As prepar8d by me this /ST day .ay 19 92 i Minn. Reg. No. oBS. g _ _ _ $ DRA/NAB' .4•V0 1177117Y 04-4CMeA/T ?rr,7 / 1 r" s- ILOT T 38.00 o ? o gE I 1? ? I (Si?ga) oa-5) Obl, 9) /B.ao ? 11 ?7oz_l?l { --- //.67 I1 (970- . --¢ - CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: Permit Number: Date Issued: 3325 ROLLING HILLS OR LOT: 11- BLOCK: 5 BUR OAK HILLS 2ND BUILDING 001014 07/13/92 DESCRIPTION: r°Rui1dA)ng Permit Type SF DWG Building,-,Work Type NEW UBC Occupancy R-3 M-1 Co-nstructiorr -Type V-N Zoning R-1 Building Length 68 Building Width 39 t, _Y- `z+? k . Il t, 7 tt _ *EMARKS: ?. D 1 PRV S & W CONTRACTOR - PARSON PLBG FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal VALUATION $797.00 $518.05 $72.50 $700.00 100 1 $2,087.55 $145,000.. MISCELLANEOUS $1.610.50 Total Fee $3,698.05 CONTRACTOR: - Applicant - ST. LICOWNER: GEROLD BROTHERS CONST 14453171 0001115 GEROLD BROS CONST 1704 280TH ST W 1704 280TH ST W NEW PRAGUE MN 56071 NEW PRAGUE MN 56071 (612) 445-3171 (612)445-3171 I hereby acknowledge that I have read this appiioation and state that the information is correct and agree to comply with all applicable State of MID. Statutes and City of Eagan Ordinances. L_ GLv? >fi ? o f PPLICANT/PERMITEE 51 ISSUE BY:-SIGNATURE Control No. 0791 PERMIT # CITY OF EAGAN $4 6 REA;TIVATE - 1014 1992 BUILDING PER. APPLICATION C44!,jr?q 681-4675 Ol O e ? 0-1)1.1 'i,.., v r Wu? SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered. site surveys, 1 copy of energy talcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, 1 copy of energy talcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot change is re guested once permit is issued. Date / 6 / `Zo2 Valuation of work 1 YS vo Site Address: 36 A tit&,i AiQQa STREET SUITE # Tenant Name: (commercial only) a LOT BLOCK SUBD.1JUPr-0CL 4L P.I.D. M Description of work: 1J•ew owv¢- CoN.S6cki,?>v,, The applicant is: ? Owner Contractor? Other (Describe) Name lC lea o? (? r ?S Cools(, . Phone Property LAST FIRST Owner Address 1-20 STREET STE OF City NAS 6 1??ac? State KklJ Zip S60 ? Company S? "Q Phone . Contractor Address License #bool(iS? Exp. City State Zip Company Ph Architect/ Engineer Name Registration # Address Ci State Zip Sewer & water licensed plumber ?xlS Processing time for sewer & water permits is two days once area has bee proved. I hereby acknowledge that I have read this application and state that the information is correct and agree to compl with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: _. BUILDING PERMIT TYPE ? 01 Foundation EW 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. WORK TYPE 10 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 GENERAL INFORMATION r ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory " ? 14 Fireplace ? 15 Deck ? 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 Const. (Actual) V- N ' Basement sq. ft. MWCC,System ES (Allowable) V- N Ist Fl. sq. ft. City Water yts UBC Occupancy X3 -l 2nd F1. sq. ft. PRY Required Y&5 Zoning ( Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler length leg On-site well Census Code Ib? Depth s _ On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance 11 REQUIRED INSPECTIONS ? Site ? Wallboard. ? Footing ? Final ? Framing ? Draintile ? Insulation ? Fireplace Permit Fee veluatfm: $ I LI S, OD 0 Surcharge Plan Review GARAG+'E 22x3a= License MWCC SAL City SAC 64QX16=1() 3194 Water Conn. ---? r Water Meter Acct. Deposit . Si3 _ ?8$ k S/W Permit 4 x 1'3 _ -52_ S/W Surcharge Treatment Pl. ?2aZ. t? 15s 18 b'.? Road Unit Park Ded. T (`'T FIa?R Trails Ded. ' Copies Other ?sr4>•? m as JJ'A i ? < _ Total: (s ) ZjiO ? 53 = io4? f?loC7 SAC % 100 SAC Units - ZNI> R-ODoz- ROB G ENGINEERS ROBE PLRNNERS and LRND fURVEVORS 0/ BK. 139 PIE NGINEERING COMPRNY, INC. P6' 7/ L 1000 EAST 14615 STREET, BURNSVILLE. MINNESOTA 55337 PH 432-3000 CERTIFICATE OF SURVEY Legal Description: z-oT // a?m s, BuRP.OAi! f?/ACS 2A10 M1 917XW P",Q7, J GaINI-Y1 /yl/N/?ESD 4 (8;E! ) DENOTES EXISTING ELEVATION (gros. 5) DENOTES PROPOSED ELEVATION ... INDICATES DIRECTION OF SURFACE DRAINAGE 8?0, b3 = FINISHED GARAGE FLOOR ELEVATION 86Z,6Z = BASEMENT FLOOR ELEVATION 870.6 6 = TOP OF FOUNDATION ELEVATION SCALE : i' = 30' a °) 95.00 0 0 -+? 5 ILOT I ll J,? ?`53^? i ?g1o2.3) ($GZ,3) \ I ? N 4 38.00--?--- , ?- - oQ M I o f1o D /8.00 $ 70,0) I 1 °. 1!7 ZlNSE. -J _/S.Gn 4/T _ _ _ lgy 3) 23.50 I CyAR?E I 565. SJ - - - a$. /y. 00 oo 12- 7o _7y Hie fiEV= `8.0) 870, 3 70 3) 860.77 .5 0 a AM, REOURED (e?sgi) r ,POLLIA16 N1/1-9 DONE By (876.4 (876.4) DR'41N46E AID U7/1-/Ty E95E/YlE1VT A- 4 1Q 1?\`, EX/5T, h , Ham. 10•.501 ?-? 33 NuB ELEV.. 87o.oS-? 'S 30 Fr. `,eDn/T Burtoi7v? 9ET9, 4evt' L/rl/E Dom" ? o xII-I'-Bt -f PFtra ?Rct of I hereby certify that this is a true and correct representati.'MZ' land as shown and described hereon. As prepared by me this /5T day of cJ?/ y , 19 9Z 95.00 1 n/ 89° 38' /3"E L? Minn. Reg. No. I &S.5* f, )WHE R: SITE ADDRESS: .ONTRACTOR: 5-a DETERMINE WORKING SQUARE FOOTAGE OF EACH: 10 T. TOTAL EXPOSED WALL AREA,,,,,,,, sq ft x "U" a,?? a?aJ y a3 TOTAL ROOF/CEILING AREA,,,,,,,, -I Loa sq ft x "U" * - 1. TOTAL EXPOSED WALL AREA CALCULATIONS: Total exposed wall area above floor,,, sq t ft Q a) Total wall window area: ?- DL ?? dazed...... sq ft x „U„ J a _ glazed..... sq ft x 1,1111 r--- -- ?- ---- )? b) Total door area ,,,,,,,,, sq ft x "U" 3 2 c) Total sliding glass door area: glazed...... sq ft x "U" 7 -0 - ' 1 J _?- CL ' :glazed...... sq ft x "U" 3 d) Total fireplace wall area -?-? sq ft x "U" - e) Total wall framing area (Av lot) s ft x "U" 0/06 ........... erage q . f) Total net wall area above floor (insulated)........ ;Lo34? sq ft x "U" • 0'/G g) Total rim joist area...... (off cj sq ft x "U" 6413 Total foundation area (Exposed).......... 13G sq ft h) Total foundation window area........... ?- sq ft x "U" 1) Total net foundation area above grade ! 36 sq ft x "U" • ?0 3 ? ? ........ TOTAL a) thru 1) a3? If Item 0; Is the same as, or less than item Al, you have met the Intent of 2 MCAR 1.16008 A and 0. EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION Page 1 4.:.-`TDTAL'EXPOSED ROOF/CEILING CALCULATIONS:. Total exposed roof/calling area........ (? Q sq ft J) Total skylight area....... sq ft x "U" ?- k) Total roof/cellinq framing C?`2 plus, Z 10 area (Average 1010...... _sq ft x s?- 1) Total net insulated psO l $ 7 roof/ceiling area....... \ sq ft x "U" b. TOTAL J) thru "Z If total of 04 Is the same as, or less than 02, you have met the inten of 2 HCAA 1.16008 A and 0. ALTERNATE BUILDING ENVELOPE DESIGN To utilize the total envelope system method, the values established by the sum of items /; and 04 shall not be greater than the sum of items 01 and 02. 1. + 2. 3, + 4. C E R T I F I C A T 1 0 N I hereby certify that I have calculated the "U" factors and "R" values herein and that the bulldlnq here described meets or exceeds the State of Minnesota Energy Conservation Act. x-10' Q Signature (Date) Page 2 7 7A?SE CALCULATIONS VALUE U VALUE WALL SECTION 2 q sm SECTION 2 d CJ 2ND WALL SECTI'0M1 g N 8124 JOIST Inside air film .68 Interior waU .46 (hall) 1: iasu;ativn 19 co e dy?0 Sheathing ' ?O Z Siding • del 3utside air film .17 RTOTAL Zf,53 Inside air film .68 Interior wall .45 4„ stud R. 6.30 (Framing) U . F 4,S7 Sheathing ,C.Z Siding (,( 10G Outside air film .17 a ."OPAL 9. Inside air film R• .68 Interior wall Insulation (Wall) = R • Sheathing . Exterior will covering Exterior air film F ..17 R TOTAL Interior air film 3= .68 i r ' ?I lrsulecion - IQ,bo 1 1§ inch soft wood R=1.88 (Rim U . ([ . Joist) Sheathing ?(oZ ' Exterior wall covering, j oj ' 6"/ 3 Exterior air film * .11. R TOTAL Z Z • 9?0 I Interior aIr film R° .6€ 5 +1 Insulatior. -7, I J Foundation 112% i (fdn.) U I? ¦ fl , Exterior air film R• .17 • ?03 F TOTAL q.Ia 3 !I ! ``` `Exposed 31uck pf& E 3 CEILIK WITH VENTED ATTIC SPACE ABOVE VALUE VALUE FRAMING CEILING F 0.61 Air Film 0.61 40 Insulation 502 4, 3S Joist ?Sfo Ceiling e_,0*0,,0 - O.EI Air Film 0.61 41, ! 3 Total R S 3 . 7A .0z1 Uall . 618 FLAT R00F OR CATHEDRAL CEILING a ue R VALUE FRAMING CEILING I 0.61 Paw MWOMMENEENINNEWES? t O.i7 Inside air film 0.61 Ceilingg Joist (stud Insulation Air space Roof decking Insulation Built-up roof Outside air film 0.17 Total R 1?U R Window infiltration .5 cfm/lineal foot of crack tesidential door infiltration 0.5 cfm/square foot or door and minicW code requirement ion-residential door infiltration 11.0 cfm/lineal foot of crack ib 12" concrete block no insulation = .47 A 2.1 ib 12" concrete block insulated cores a .26 R 3.8 ib 12: lightweioht block = .32 R 33.1 lb 12 lightweight block insulated cores J single glass - 1.13; with stom window .54 i double glass = S5 i triple glass - .41 All exterior walls and ceilings must have a vapor barrier (C.10 perm F:ax.). :apor barrier must be on the inside (heated side) of well. iaoor barriers of the polyethelene thin film have no R value. w pqz, E 4 GUIDELINE TO (R) FACTORS FROM ASHRAE MANUAL OF TYPICALLY USED PRODUCTS AI FILMS SHEATHING ?R] Interior Air Film Walls) 0.68 3/4" Mood Subfloor or Sheathing 0.94 Exterior Air Film Walls) 0.17 112" Plywood Sheathing D.62 Interior Air Film Vented Ceiling) 0.61 112" Particle Board 0:66 Exterior Air Film Vented Ceiling) 0.61 Gypsum or Plaster Board 3/8" 0.32 Interior Air Film Non Vented) 0.61 Gypsum or Plaster Board 1/2" 0.45 Exterior Air Film Non Vented) 0.17 Gypsum or Plaster Board 5/8" 0.56 Plywood 3/8" 0.47 Plywood 1/2" 0.62 BLOWING WOOLS Plywood 3/4" 0.93 x s Sheathing, Reg. Density 1/2" 1.32 Appro 3" 9.00 Sheathing, Reg. Density 25/32" 2.06 4 1/2" . Approx 2 13 p0 Nail-Base Sheathing 1/2 1.14 6 1/ Approx. " 19.00 Approx. 7 1/4" 24.00 Approx. T4" 30.00 ROOFS Approx. 18" 40.00 Built-up Roofs 0.33 All other insulation materials must Asbestos-Cement Shingles 0.21 be verified (R Factor) Asphalt Roll Roofing 0.13 Asphalt Shingles 0.44 INSULATION Insulation: 2-2 3/4" Fiberglass 7.00 SI B0 Insulation: 3 112" Fiberglass 11.00 Aluminum Siding 0.61 Insulation: 6" Fiberglass 19.00 Aluminum with Backer 1.82 Insulation: 3 5/8" Fiberglass 13.00 Aluminum with Backer 6 Foiled 2.96 Insulation: 9" Fiberglass 30.00 112 x 8 Lap Siding (Wood) 0.81 Insulation: 12" Fiberglass 38.00 7/16 x 12 Hardboard Siding 0.67 Insulation: 8" Cellulose 29.00 Asbestos Sidings 1/4 Lapped 0.21 Insulation: 10" Cellulose 37.00 Stucco (Brown and Finish Coat) ---- Insulation: 12" Cellulose 44.00 Insulation: 1 112" Thermax 12.00 Insulation: 2" Thermax 16.00 DOORS 1 3/4" Solid Core Door .46 WOODS w/Storm, Wood .31 Fir, Pine 8 Similar Soft Woods w/Storm, Metal 26 1 1/2" 1.89 Pease Steel Door Ins]/N/GL 7.45R .13 2 1/2" 3.12 Sliding Glass Door, Wood .65 3 1/2" 4.35 Metal .72 5 1/2" 6.87 CONCRETE BLOCK WINDOWS 8" Concrete Block (S E G Reg.) 1.11 All Windows (w/Storms IN to 4" Space) .56 (Filled with Vermiculite) 12" Concrete Block (S 6 G Reg.) . 1.93 1.28 Removal Double Glazing (ROG) " .55 , (Filled with Vermiculite) 3.15 Air Space Thermo or Welded 3/16 1/4" Air Space .69 .65 8" Light Weight 2.18 i/2" Air Space .58 (Filled with Vermiculite) 5.03 (Other windows specifically tested 12" Light Weight (Filled with Vermiculite) 2.48 5.82 can use better ratings) p? E 5 •4-' M f. T»r a-1 Ivft/tp Q-veIN kesi seat r 1978 life t.e arla sf11M" 0.64 or its "" Nlaiser tt Yalwa for Ceiling, pall. and lfpe A-i suildiags / NSA' 1964 colt IMff ale ewer/ rioer sectieas et Collings walls Floors windows sliding Glass bears -pop., {1) fee, see ': 18 30 rout Note t nee _ 20 Note i Slates to gaote • - , 111 Collings which Meant One of the feltevieg criteria satisfy this regulreunts A. A-38 throughout the entire calling. s. If • portion of the ceiling Is lase than R-38, the Insulation in the reaainder Of the piling mist be increased to yield ea overall Owrga thermal resistance of sot less than M-38 "log the following "Usti". Mr - IAe - Al) / I"I - Al/bl) whores Its, - It value of the Insulation In the reoainder of the piling. Ao - total area of the eetlhy,'te1.- A - Ores of the calling with less than R=30. ti - t value of the tolling which is less Chan it-31. C. Where she feet at the pert ater of the ceiling prevents Insteliatien of insulation to cull depth, the Insulation In the remainder of the ceiling must be increased to reduce the overall telling heat less to no scare ten If 111-311 bad been Installed throughout the entire eelllng. 121 For the Insulated cavity of epaQese wall and rim Deists, but not foundation calls. (1) For the Insulated cavity of More of heated spans over unheated spaces. (t) luxtum lass area oaf net exceed 11 pereent of the area of exterler va118 act iocludnp tonndatiom calls. All windows atoll be double slated or have store vledws. 18) staslumm lase Tres My me exceed too percent of the area of esteriot walls not Itecltd[ foundation walls, when a sliding plus door is Installed. All glass shall be double glazed or have stars windows. Is) A 1-214 Inch octal faced'deor system with an Insulated core. providing an t value "usl to or greater than 3.0 or a conventional door and store door. All primary doors must have 1 Foundation Wall tasulatfon. /Yhe 1904 code swtff- Ga - silly reewtres wndat *!-n-- Wa osrlatton owe floors Moe tst rov"etlof Ro p11 or. net Ieielat.tltaer the foundatloa must bowl 1-10 161040" • {J "plied from time tso of tbe foodatlon to the frost life or 1-5 lmvlattea A A ° e?slled ever the "tire Wall. note that tst 1 ulom gKlflod 1s IV tst y? Ifsvlatfon mtterlal only, •• • V ., • 11ab-on y.got floors. The rmtref thomt resistance of the tnerla• • lion arov- n?TMarlwter of stated aK vaheated floors era smilled to 'ter-- AUo 1.1. The Iasvlatlon R st late" dowward from the too of the slab to •• I An too frost I1ne or downward to the bottom of toe stab tie, hylssfblly b"eath it for oa ttvbAeat distaste. This rotwiraerat'So too It" code A , to Ideatical to tow 1971 tee. D Floors over unheated spaces Bust have winiaua R-factor of 1-20 (tuck-under Car:tcs). ! B! CITY OF EAGAN l/ut //• ?pd PLUMBING PERMIT SUBD. i(? (612) (612) 681-4675 RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------ _----------------------------• WORK DESCRIPTION NEW CONST ADD ON REPAIR OWNER NAME: l T BsP O e n SITE ADDRESS: ?.3o2??r C???AJfd f//??S f//Q INSTALLER: / Cif /'?SOr1/? Z 4 r4 ?j .?? O 12 ?S f SOcY 74 V ADDRESS: CITY: /"ID.LI?`1D// ZIP: PHONE --?a `7` - S? d CITY USE ONLY RECEIPT # 0©2 X01. ? DATE Rn/tea ALSO, FOR TOWNHOMES AND CONDOS COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL REPAIR/ADD ON 15.00 SHOWER 3.00 - WATER CLOSET 3.00 BATH TUB 3.00 .9 LAVATORY 3.00 A KITCHEN SINK 3.00 -„,-?- / LAUNDRY TRAY 3.00 ? 7 HOT TUB/SPA 3.00 _-=? WATER HEATER 3.00 ,2? FLOOR DRAIN 3.00 GAS PIPING OUT. L (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 /{ 50 OTHER _ _ WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 W. TURNAROUND 15.00 STATE SURCHARGE .50 TOTAL: . ?? COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: SITE ADDRESS: TENANT NAME: SUITE #: INSTALLER: ADDRESS: CITY: PHONE: FOR: CITY OF EAGAN CONTRACT PRICE: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE $ TOTAL: (SIGNATURE) CITY OF EAGAN MECHANICAL PERMIT SUBD. [La?Z (612) 681-4675 RESIDENTIAL RECEIPT # C 6 ao Asa DATE `> .3V/,? PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. OWNER: G?!CL ti?i4? FEES SITE ADDRESS: ADD ON/REMODEL (EXISTING CONSTRUCTION ONLY) $ 15.00; INSTALLER or HYAC 0.100 M _BTU 24.00 PHONE #: .s d ADDITIONAL 50 M BTU 6.00•• ADDRESS: l ao Is -vaa/ h GAS OUTLETS • MINIMUM 1 @ $3 EA. loJ e o E / ZIPLQ606 SURCHARGE: $ SO SGN ATURE : TOTAL: $,3(0 „j'O COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAIJINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTIFAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: CONTRACT PRICE: FEES 1% OF CONTRACT FEE. STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE. $ PROCESSED PIPING • $25.00 MINIMUM FEE • $25.00 OWNER. TOTAL: $ SITE ADDRESS: TENANT: SUITE INSTALLER: ADDRESS: CITY. ZIP: PHONE #: CITY SIGNATURE: SIGNATURE: JT,(A61 7 2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date Site Address •???? 't'\C>L?? nL Y? \\S ,??-- Unit # Property Owner a P E'4 ? 't'elephone # Contractor - - i \c-'e) Street Address l?-F tr7 ez f ty ? C State pn? Telephone fS Zip _ Bond l;: Expires: The Applicant is Owner Contractor Other Fire repair (replace burned out appliances, duchvork, etc.) $ . 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 furnace -Additional Replacement New air exchanger air condilioner heat pump other State Surcharge ?r ?7 S .50 D D $ Total I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Cagan and with the Mechanical Codes; that I understand this is not a pernit, but only an application for a permit, and work is not to start without a tat the work will be in accordance with the n approved plan in the case of work which requires a review and approval of pla e Applicant's Printed Name App cant's Sign Ire f _______________ I W j Permit #:? ? Permit Fee: ? Date Receive j I I 1 Staff: I _____-I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION r Date: Site Address: Tenant: (??J\fl W IQ 4V Suite #: RESIDENT / OWNER Phone:. N 12Z Name: f (AU f\ Iw A ?1 ??UYTN\ - / Address / City I Zip: ,I•]? M\\v r1V 1 y ? ? I I'tl ?tw' i n o T--))2 Applicant is: Owner Contractor TYPE OF WORK Description of work: Y'? L ?U(S( \AT) i \ Construction Cost: Multi-Family Buil lng: (Yes _I No Z--' CONTRACTOR Name: CPC License #: Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 _ Minnesota Rules 7670 Category 1 _ Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (4 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: NOTE: Pfans and sitpporting'documents that you submit are considered to bepubfic lnformatidn: Portions of the fnformatron may be classffied as non-public if you provide specific reas`o`ns that would permit the City to conclude that the aretradesecrets. - - 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 approval of pfans. X?Rw 16xwd? X Applicant' Printed Name App (cant's Signal re Page 1 of 3 ?G C-w37euV711W ERTIFICAT° F VEY -r f/ i3?G'K 5 (JE:O) DENOTES EXISTING ELEVATION ($?c. 5) DENOTES PROPOSED ELEVATION e8?o-. 2.a = FINISHED GARAGEIF OOR ELIEVATIONRAl16AGE $ 4,67- = SASEIMIENT FLOOR ELEVATION _8 0, bb = TOP OF FOUNDATION ELEVATION r 7 , ( f gbs.o) 95.00 r&?.1 r i7 ?" r ; y? ? UT/LITY'' E•9S?li1ENT r- co LOT I / .? I ?,,, - f w ail ` ?1 rasa a? II ?8ro ,3 `z.3.) ?? II = _ \ j w M ? ? ? PROF?SEp t8. a° $ ?70?0? iO 4 House a ( ` ` zl p t;wsr ,3 15.00 I ? y? ? hs?. / i°so ? [£N?4.3) d$-2B,So I CyARfIv?.E N ^v __ _ I/3.bn g "' l2.?33 F1u? $66U.? g70.bS ?,7y? Nu8f2?vc (87a.n (87oW3'y1 7,0,o G ?pA rzav7't3a1441A4- 8Go.rr 5 l o 5E7,5'dJC,f' 41AIE S hereby certify that this is a true and correct representation of a tract land as shown and des r bed hereon. 3?e prspar d by me this !57 day ve y , e ?_ Minn. Ravi. No. oBS. ----------------- N? ? Permit #: I I Permit Fee: I I Date Received: I ?, I I Staff: - -- l 2008 MECHANICAL PERMIT APPLICATION Date: 1f - ,;? 5 Site Address: Tenant: Suite #: Name: EL El, (, ;\ Ew Phone: RESIDENT I OWNER Zip: /? L C_ City if Address // CONTRACTOR p { Name: A. I0 . q?? ATI? License #: Address: 2 'z G ,4 U S T? V ST VE City: ;E-A-5 7-4 FT ELL State: 1A Al Zip: ? d Phone: ?ZiO 2 80 Contact Person: ,/j N TYPE OF WORK New _Replacement _Additional ,Alteration _ Demolition Description of work: " NOTE: 'Both roof mounted and ground mountedmechaWcal equipment is required to t the'Mechanical inspector or one of the bescreened ' by City Code.' Please contac _ Plannersforinformation on?ermittedscreening 'methods. RESIDENTIAL COMMERCIAL PERMIT TYPE New Construction Interior Improvement _ Furnace _ _ Air Conditioner _ Install Piping _ Processed _Air Exchanger _ Gas _ Exterior HVAC Unit Heat Pump _ Under / Above ground Tank (_ Install! _ Remove) ,. ' " When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTALFEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ X1% $50.50 Minimum (includes State Surcharge) =$ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each =$ State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). ? D t? TOTAL FEE $ ?J I hereny acrmowieage that tms mrornauon is compiete and accurate; mat me worK win oe in comormance wnn me urumamxa anu wuea vi me Uaq u, Gaya,,, u?ar 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 R A VP Y RAETF-.N x ,4 a, ?-o Applicant's Printed Name Applicant's S nature FOR-OFFICE USE v ' Reviewed By: Date. Required] ns. ectioUnder.Grotind Rough Int Alr Test Gas ServiceTest In floor Heat ` - Final - Exterior HVAC Screening Inspection` ïü ÷ þýýü û úûù øüüýý ÷÷ùö ëýþ þùå ß î þý ÿþýüû õ à ù ÷ ùþ üû ùüû õ à ù öõàëû ó ùû ß þ ÷ þ ÷ ìãìåþû ü Þ ÿòþ ùú óûù çó óùòþù ó ù ýù ó é æ ùõ õ û æ ùæù ó ý û é÷ æ ùæ û æ ù é ÷ ùý ó è ù ùùòþùýü õ æ óü ó é úêãÜêééì ôø ÿþù ù Ý þ êãÜêéïéîï Ý þ ã é óò ñð ûû ëõ ù õ÷Üù ïî÷ þ üë ÷ ããîë ß ù ë çñöã ñöîîãì ðâíîâìì ùýü õ çù ûû æ ùó ùù ù óûüõ ûû ýÿ æñ ÿ þ ÷ ü æ åù é ûû à þü ÿ þù !" #$%&'()' *+*, -./$%'"&0-1O3$2?$,+ -./$%'53/4-.1 6789889 =*%-'!>>3-?17:@77@:A7B -./$%'#*%-+(.&1- -./$% C$%-'6??.->>1''88:B'' (22$,+'S$22>'=.'' !!"# $% &&5'(() ) * &&"-A&+,%&B)##/&X*( 012 !34!553!4354!!3& 8/9 =->F.$0%$(,1 :-;&<=>9 @)*( Q/T2 A/N */ A-$ ) *&<=>9 @ A%&<=>9 ?9>#,$9 29/$A)> ) * <Q & A&C A9&@)*( Q/T2 A/ N9*/-/&N (9 767&4&+$$->,*$= ^ *)*G :P-,A9&R99 3 1F>A Y9F9* /& & L9&L F9&A9P-)A9&/F %9&(9 9$ A/&)*&,##&;9(A F/M&1.&,# 9A)*G&Q)*( Q& >9*)*G/& A&)*/ ,##)*G&",=& A&" Q& #(//-,%>1 Q)*( Q/`&$,##&. A&.A,F)*G&)*/>9$ ) *M&N,##&. A&.)*,#&)*/>9$ ) *&,. 9A&)*/ ,##, ) *M N,A; *&F * O)(9&(9 9$ A/&,A9&A9P-)A9(&Q) L)*&!3&.99 & .&,##&/#99>)*G&A F& >9*)*G/&)*&A9/)(9* ),#&L F9/&HC)**9/ ,&: , 9& " &4&",/9&R99&U7cU!36MX5&3W3!M73W5 G--'C3//*.&1 :-A$L,AG9&4&",/9(& *&b,#-, ) *&U7cUXM33&V33!MX!V5 b,#-, ) * &&7`333M33 "(%*21H7ABI:B' #(,%.*F%(.1JK,-.1 4&&'>>#)$,* &&4 ?9*9Q,#&'*(9A/9*Z(Q)*&N&c9##GA9* !VX3&N -* =&? ,(&N&@9/ 66X5&? ##)*G&B)##/&2A ? /9Y)##9&CE&&55!!6Z,G,*&CE&&55!X!44X67 HI5!J&XI747KKK 1&L9A9;=&,$%* Q#9(G9& L, &1&L,Y9&A9,(& L)/&,>>#)$, ) *&,*(&/ , 9& L, & L9&)*. AF, ) *&)/&$ AA9$ &,*(&,GA99& &$ F>#=&Q) L&,##&,>>#)$,;#9&: , 9& .&C)**9/ ,&: , - 9/&,*(&N) =& .&Z,G,*&+A()*,*$9/M '>>#)$,* T09AF) 99 &:)G*, -A91//-9(&"= &:)G*, -A9 Use BLUE or BLACK Ink r -+ For Office Use Permit#: l f 9,s City of Eaall .= ..._.. - Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Fax: (651)675-5694 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: 's 8 r� 7Name: Jrey, K '/4? /° , Phone: /, 'd(?z3®5e4 Resident/ � j , i Owner Address/City/Zip' ),:J ) r a/1//lc /- /i .g Pr q yi- I Applicant is: Owner Contractor i )=- Type of Work Description of work: �_ ? i°1Q I i Construction Cost: 10 Multi-Family Building: (Yes /No ) i Company: QO('f - . i8 i"U G Qoo1 /ic) Contact: J .41,1/ 7,pam. ...;; , / 7C � j 1 Address: , l� CJl City: //�J S' Contractor , r ) �? / l I State: i7 Zip: 6: i7,-3 Phone:6'/)--1 5/Email: I License#: , Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING t In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? I Yes No If yes,date and address of master plan: I Licensed Plumber: Phone: i Mechanical Contractor: Phone: I Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that theyare trade secrets. Frtl 1 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.qopherstateonecall.orq 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 approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. xd(,CG,Yl PO.014 5 L^ -F®f/r Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA173879 Date Issued:12/09/2021 Permit Category:ePermit Site Address: 3325 Rolling Hills Dr Lot:11 Block: 5 Addition: Bur Oak Hills 2nd PID:10-15501-05-110 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 - Edwin C & Mary E Kellgren 3325 Rolling Hills Dr Eagan MN 55121--234 (763) 203-9428 Crossroad Construction 17121 Lincoln St NE Suite 100 Ham Lake MN 55304 (763) 434-0202 Applicant/Permitee: Signature Issued By: Signature