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3333 Rolling Hills DrCity of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 !LIN 11 Pin Use BLUE or BLACK Ink Permit #: 1 L(q7 Permit Fee: Date Received: Staff: 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: (I/\ 8110 Site Address: 3 333 "40%\ 4f3 ,t5 Tenant: Suite #: RESIDENT / OWNER Name: 1-6,A,W, it Phone: (1951-4451-* 41,14r� 1 Address / City / Zip: 323 3 b 2°11. Still CONTRACTOR ,,, �1 - r -y _ . i —h Name: ���l�ll � S av k�,J) ' v tt nse#. �rly�Y��/4� Address: Y� .J� , `-LL City: 519546°1-' �y State: VW Zip: SP-- Phone: tLS' "Z c1 h Contact ` t Email: A TYPE OF WORK New Replacement Repair Rebuild Modify Space _ Work in R.O.W. _ _ _ _ Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Fixtures _ Lower Level) Lawn Irrigation Add Plumbing ( RPZ / PVB) ( Main _ Septic System Water Turnaround New _ Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) (includes $.50 State Surcharge) $.50 State Surcharge) $.50 State Surcharge) TOTAL FEES $ M' $30.50 Lawn Irrigation $50.50 Add Plumbing *Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace (includes $.50 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (add $166.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and burned out appliances, ductwork, etc.) (includes CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the rk will be in acQordance with the approved plan in the case of work which requires a review and appro of plans. Applicant's Printed Name FOR OFFICE USE. Required Inspections: _Under,Groun Reviewed By: Rough -In Date: =Air Test j _Gas Test . ? _Finai Control INSPECTION RECORD No. 767 CITY-OF EAGAN REACMAM FOR 0= 07/21/93 PERMIT TYPE: 3830 Pilot Knob Road JON WEAVER 452-464$ Permit Number: 6l?p "} t Eagan, Minnesota 55123 Date Issued: 6 y (612) 681-4675 SITE ADDRESS: LOT: 13 o L oC K , 5 APPLICANT: 3333 ROLL f"0 HILLS OF? "CDOMALO CONST INC OUR OAK "TILLS 2"0 (612) 688-7661 PERMIT. ,"RTYPE: TYPE OF WORK: NEW F011 I 1 Nti I N'-itl A T I r?N FIRE PI AtJ R!"MARIKSt RECEIPT • FRAMING FINAL sbw PLOR - STAR PLHB. "v Pemdt No. Permit Bolder Date Talwtone R S/W PLUMBING ?.- HVAC ELECTRIC ELECTRIC Inspection Data hap. Comments Footings[ Foundation 723 p` Framing ' ZO$t s ,4 t -,$7Z- Hough Pibg. - rough Mg. J 9 Z taus. ZQ ?Z Fireplace ?-?ag pS Final Htg. Omat rest r Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. 3 Deck Fibs .Z &e aim /T well .rrf Pr. Disp. ?y Q 71 id 00- R•• ?`-d E (Ur#tfiralt of (Orruvanry Citp of Cagan ]RIt trhand of ad[a v 3wrrum 77iis Certificate issued pursuant to the requirements of Section 306 of the Uniform Buifding Code ca * ft that at the time of issuance this structure mw in compliance with the y4rious ordinances of the Oly regulating building construction or use For the following: UM cLafimtk, SF DWG BIdLS. R =k N 931 O-va,-y 7hx R3A 1 Zwing DbUia R I TAX Cow VN O?worBadin MMMMD 0Xd.SiR1)MCN Add,= 1212 ffiJIEBILi. BAY RD. B' THE BadiK Adders 3333 ROELIW, KUS DRIVE Loam L13, B5, BUR OAK M 7 S 2ND - Dal, 4/22/42 BW'Ia?ofscr . ti Post M A CONSPICUOUS PLACE Address: 3333 ROLLIM HILLS DRIVE Lot 13 Blk 5 Sec/Sub BUR OA{ HILLS ZM These items were/were not complete at the time of the final inspection. Date: 9/22/92 Yes No Final grade (6" from siding) tl? Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass j/ Trail/curb damage Porch V 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. qx? .EC.ace.ue? White - City copy Yellow - Resident copy Pink.- Contractor copy INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 1 11! 1 Nri 3830 Pilot Knob Road Permit Number: : t1 s Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: 1111 I ! r1(i it l l l :, IrK i ?7'; :'f lt r rti !i<'. I Ni ni 7) I I 1 011 I tS t PERMIT SUBTYPE: TYPE OF WORK: i.. • , INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. ffii } Hfr { i - . r _ J Permit No. Permit Holder Date Telephone M S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Hg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Fig. Deck Final / C' Well Pr. Disp. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 1141111)1Ni, N.?•a/.' 1 04 /1 4 /':1/ SITE ADDRESS: N ' 10-16601 --1 36-OF) Lff T : 13 R(OCK 3 1.')f I I N6 111 1 1 PP Itlll: ii:til ;4 1 i ? P!I? PERMIT SUBTYPE: ,, 1,;: 11 : i ' '1 0 APPLICANT: MN TYPE OF WORK: Rf M1AIt KSi SIFPARATIE PIFR1411S ARIE Rf rllllRIF0 V P k Vi AU & ['1 U. CT111f:AI Of)RK Permit No. Permit Molder Date Telephone t ELECTRIC O OP PLUMBING p S 4V_ HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING 1 - - L!/ ..rat/" ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ! OMCE USE ONLY This requost void 18 months from mIidation dale panted in Ihij box. Illlll?llllllllillll ll IIIIIIIIIIIIIII?-.?? ' ?? -' Ik U 4 1 6 1 9 1 5* PLEASE PRINT OR TYPE Request D.I. Raugbin inapedbn required? Yes ? No IYou must mll the inspmwr when ready) Impection Olhm Than Roughln: ? Ready Now Will Call Dote Reody: I, ? licensed contractor owner hereby request inspection of the above electrical work at: Job Address (Street, Box, Rouse I 3333 a rt Ciys ?I z Code 5ection No. T.ship Nome or No. Rmge No. Fire Cwnry / Ohl No ?tlLlD P., Supplier Address Elec [ Contmcmr (Co.,, Nome) Contractor Ucense No. Master tic. No. (Plant Elect O^lyl Moiling A ress (Contractor or Owner Performing Inslolbfion) A orized tgnowna (Com7cor m Owner Pm6r i, Insmllotionl Phone 1415-11 7 416-191 REQUEST FOR ELECTRICAL INSPECTION 7O? MinResoWtate Board of Electricity eb xsity Ave., Rm. S-128, St. Paul, MN 55104 i hone-(8- t) 842-0800 Home Duplex Apt. eld Other: New Addn Commercial Industrial Farm Remod Repair Air Cond. Htg. Equip. Water Hh. Load Mgmt. Other: Dryer Range Elec. Heat Temp. Service -b? f "X" above the work covered by this request. E teq r remarks i i space and ore back of the white copy only. Calculate Inspection fee - This Inspection Request will not be accepted without the correct fee: Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Lig./Traffic Sig. Above 200_Am s Above 100 Amps Transformer/Generator INNS?PEECTOR'S USE ONLY / TOTAL n Sign/Outline Ltg. Xfmr. L?.•?C ??/5 ` I I 'T O °J V Alarm/Remote Control Swimming Pool I he cem 1bt ins Iho elecnicol insmllaeon dencdbed herein on the dotes smbd Irrigation Boom Roug - /J ADote S ecial Ins ection !?` cC., p p Investigative Fee Final core THIS INSTALLATION MAY RE ORDERE iEE&D 0 HIN 18 MONTHS. ?j? 90Y 9j?o19a 04 4 31, ? / ( ,/ ?d7? yEi 69"; f Cso ads Request Date I 2, Fire No. RougDi Inspection Requ d? es G No ? Reatly Now ill Notify Insypg¢r VqP Read I L; licensed contractor ? owner hereby request inspection of above elect al w Job A ress IStreet. Box or R le Na City Section No. Township Name or No. Range No. Coun 1 `IIT Occupant P N 1 Phan No. Power Supplier Address Electric ontractor ICOmpany Ni l I Conir tor' Licen Nps UD Mailing o s ICOnlracl r or Owner Making Inslallalionl ' Authonxe Signature IGpnlractonO ner along Inslallati0nl Phon u er MINNESOTA T OARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1621 University Ave., St. Paul. MN 5510,1 UNLESS PROPER INSPECTION FEE IS Phone (612) 15,12-0600 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ri "ltii EB-WW1-W ? See instructions for completing this form on back of yellow copy r _ 1 /w; J!l ,/ K 0 4 5 4 0 X" Below Work Covered by This Request i t ) D -7 e dtl Rep. Type of Building AppfiancesWired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial wf Furnace Farm Air Conditioner Other specify) Contractors Remarks'. zle?lu?- Compute Inspection Fee Below.: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps I RIM 111) 0 to 100 Amps Transformers Above 200 _ Amps Above 100 Amps 60 Signs Inspectors Use Only: TOTAL Irrigation Booms ./-? ?? 0(/ l Special Inspection IQ7/4'l? [p t__-o 60 Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCO NECT D'S[= NOT Other Fee COMPLETED WITHIN 18 MONT f I, the Electrical Inspector, hereby Rough-in certify that the above inspection has been made. Final ?f is OFFICE USE ONLY This reguest void 18 months from City of Eagan 3830 Pilot Knob Road Eagan MN 55122 r Phone: (651) 675-5675 Fax: (651) 6755694 ----------------- MAR `-t `? S 11AR 12 2009 1 !71:17 j I I I Permit Fee: I I I Date Received: I I I I Staff: I I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3191o9 Site Address: 3 3 33 Tenant: Suite #: RESIDENT I OWNER Phone: ID? I - Name: )(fir1 n Weaver Imo, Address/City/Zip: 37 3 K oI II n l R JIS h( Applicant is: _ Owner Contractor TYPE OF WORK door Description of work: H Q 1a (,e a3 W i nd o y1/ 1 toa h U Uoor Construction Cost: / 3, v C J Multi-Family Building: (Yes No CONTRACTOR ?U?t.SF? S G Name: 1 0 M0ca el-& ) ors- _ License #: abra ('C Pa(l e Address: [ -75tp tate:M/\J Zip: SS// 3 S Ci K Ul;U/11 c - ty: // ?? Phone: t45I4-I5'3UeU Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 _ Energy Code . Residential Ventilation Category I Worksheet New Energy Code Worksheet Category Submitted Submitted (J 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: '?iNOTE Plans a'nd supportmg'documenfs fhaf you submit aresconsidered+to be7publfc informaflon: °Portions,,of ;, 'ay be classdied as•non publlcff you pr60de sped Ic reasons that would permit the City to `». ;; :the ihformafion m . ., - ,conclude: that they are 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. x D aiii-ell e Van hlogCc- Applicant's Printed Name Its l-)vlv i i V aP1 ? CAL X. v......._.- - Applicant's Signature Page 1 of 3 JYAC 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 1 rt /0-1 bf Unit# Site Address VO- mk 2 - L-llO?is- Properrv Owner -el' -Alone # f (ps l ) s -?:c[nr ?n1 ,..,?,y ?CQ_ .?CC..-------- Streer =.ut.r ss c6tv \?T)llh.' State tVv ` zin ?iIIt. Telephone# f (pG?, \mr -- ::.aer =a?u _._ in;rnzd our ::n!?iimnces. :actwnr::. -etc.', fee applies wnen extens. e mecnanicai ;,da-mr )r niteration :o existing iweilin,_ am[ ' furnace _.Aaditional 4_:3epiacement _ New _ air exchanger air conditioner heat pump other State Surcharge Total $ . o •v-0 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 Eagan and with the Mechanical Codes; 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 app ved plan in the cas of work which requi s a review and approval f plans. Applicant's Printed Name Applicant's Signature .10 5391 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651.681-4675 New construction Reaulrements • 3 registered site surveys showing sq. It. of lot, sq. ft. of house; and L11 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 r lot platted after 711193 • Rim Joist Detail Options selection sheet (bidgs with 3 or less units) /?/ OZ DATE Water Softener Water Heater No. of Baths SITE ADDRESS MULTI-FAMILY BLDG -Y _N TYPE OF APPLICANT STREET ADDRESS TELEPHONE # 2j /f STATFV? ZIPS FAX # &!?94D11 PROPERTY OWNER IAJe4L. TELEPHONE# COMPLETE THIS SECTION FOR uNEWn RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (+I submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor. Phone # Phone # Fee: $90.00 Fee: $70.00 I hereby acknowledge that I have read this application, state that the information Is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY I8? - a-S RemodeVReoair Recruitments • 2 copies of plan • l set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate d home served by septic system for additions VALUATION ` ?4BO - c"' Phone # Lawn Sprinkler No. of R.I. Baths Air Conditioning Heat Recovery System Certificates of Survey Received - Tree Preservation Plan Received - Not Required _ Updated 4102 )RK StW io- I FIREPLACE(S) -0-1 -2 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? ) 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea. ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch(screened) ? 36 Mufti ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous ? 31 New ? 35 Int improvement ? 38 Demolish (interior) 11 ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC /ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldg$ 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 _ Figs _ 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 Copies Other Total Building Inspector CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT Control No. 0767 PERMIT TYPE: BUILDING Permit Number: 000931 Date Issued: 07/67/92 SITE ADDRESS: 3333 ROLLING HILLS DR LOT: 13 BLOCK: 5 BUR OAK HILLS 2ND DESCRIPTION: ,-Building Permit Type SF DWG Building Work Type NEW USC Occupancy R-3 M-1 Construction'Type VN Zoning R-1 Building Length 76 Building Width 34 REMARKS: RECEIPT M C C?I?? J S&W PLBR - STAR PLBG. PRV FEE SUMMARY Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal VALUATION $145,000 $797.00 $518.05 $72.50 $700.00 100 1 $2,087.55 MISC FEES $1,610.50 COPIES $1.00 Total Fee $3,699.05 CONTRACTOR: - Applicant - ST. LICOWNER: MCDONALD CONST INC 16887061 0002376 MCOONALD CONST INC 1212 BLUEBILL BAY RD 1212 BLUEBILL BAY RD BURNSVILLE MN 55337 BURNSVILLE MN 55337 (612) 688-7061 (612)688-7061 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan ordinances. L_ APPLICANT/PER aEEATURE n. no 6'0'4r, M. if ISSUECr BY. SIGNATUUF M. PERMIT # REACTIVATE CITY OF EAGAN "36 J /i 0 r 1992 BUILDING PERMIT APPLICATION 681-4675 UN 2 .: b9? 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 when typing of permit is requested, but not picked up by last working day of month in which re guest is made or lot change is requested once permit is issued. Da 6 / a'/ % f 2- Valuation of work $2 O`j 9OD ?L?CGLuB<NL? L-o< Site Address: 333'a> 1?0 Uikn G?5 L)k•r 11 w n .SSzz _k - STREET ?SUITE N Tenant Name: (commercial only) LOT BLOCK S SU11D.I3Ur @oK pf2`GlS p I'D' Description of work: The applicant is: ? Owner !8( Contractor ? Other (Describe) Name Phone Property LAST FIRST Owner Address STREET STE N City State . Zip Company 11hc „&)g LD CBw S7Z'I ? OAl, -T/V e. Phone 6 Contractor Address _12b2- &"e 3,[,L(-13 PC). License #A90Q76 Exp. City JLLL?? State All Zip X5337 Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber S'LA-2 ?(U M F}N!J 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. V Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation X 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. WORK TYPE 0?31 New ? 32 Addition ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'l. ? 33 Alterations ? 34 Repair ? 37 Demolish GENERAL INFORMATION ? 11 Apt./Lodging ? 16 Basement 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 ? 35 Tenant Finish II ? 36 Move I Const. (Actual) V - N ' Basement sq. ft. (Allowable) \/-N 1st F1, sq. ft. UBC Occupancy R-3 M-I 2nd F1. sq. ft. Zoning Sq. Ft. total / of Stories Footprint Sq. ft. Length On-site well Depth 3 y On-site sewage APPROVALS Planning Building Engineering Variance REQUIRED INSPECTIONS ? Site ? Wallboard MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code AsVsessments /c.>/ 61 ? Footing ? Framing ? I Insulation ? Final ? Draintile I I ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % 100 SAC Units _I vat mtiar. $1 `1.5 000 Ganac,e 34x24= -7uS= (3s) 2k ?2 ? (Zy) rn r751)n /L = l21/2 ?? ??:? = 1 jl? 6 to a I S T FLnoYL 126v'?'ns3= Z N 17 ?l.o a rl 4?4 `fg2 471//I'7 I'1 _i,_.=I 0I,I ii.__-I ii. _ LY-1_:_: I-. N.p * * * * Z'?'*j I0/ 2422 Enterprise Drive 7yyLnnp 9YnVE V°na•C1V1L Lr.G:NEErr6 Mendota Helghts_MN 55120 } PIONEER G_t r!r?O y eingineelring.. LAND eLANNEE AAE?• N? lTCCTS IV1C1 61-1914 T ?* 1• T Certificate of Survey for: MC DOAALD C0?1ST"C11ON? l NG• House Address: 3_3'2,5. Lim ills Drive IlE EQ?4r, M ^. Model Name: ?? X15°7,0 0 > ,tib sszt q' •$ g?z -""?~ v R_AINAGE 4 l)TIL- IT -I' t? AS1rMe NT r10C) 38'13"E. ?? I W Ul I I ?; rG fit N ON f to V\ 84z.Q o 1P %A 14.a 0atr• Ls.obl Io,D 4 0 19.0 a `LII° s a al tzc. IS M4 34.0 p L 0 t-roeoee I ° •; ah d1 HoL7Se C-10,Y. m 23.1'1 0 4 I Z,o I O 1Q,0 18.5 ? ?_ ci 22.3 ?. 10.0 t3 $Z .O I _ 01 GR\11EWpY a y M, - ?- - m I yA. e•S r o _ ; ey X00,0 ?' f? V /° 3?Jt 13`t E O M ROLLING N ILLS U'K =I Fr=-? A By Da EAGAN ENGIN ERING DEPT 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION 900. Denotes Proposed Elevation Lowest Floor Elevation: 4S.2 Denotes Drainage do Utility Easement ?-'" Denotes Drainage Flow Direction Top of Block Elevation: 853,3 -•o-- Denotes Monument Garage Slab Elevation: 82,3 ---9-- Denotes Offset Hub Bearings shown are assumed LOT 13 , BLOCK 5 , NK_0AK_H«l_s_ ZND ADD?T109 dAKd7A COUNTY, MINNESOTA DReC%m REUM R111=Z0 I hereby Certify that this turvey, plan or report wee repered by me or u?eTmp'd1RRiSVl3atvHlpn and that 1 am 'dvly-Re9lttwed-Lend Surveyor carder the laws of the Stare of Minnesota- Doted this 9?4l"dey of 0.. A.U. 18c. +?% ..I 1r., REu'. NO. 1x801 Scale: 1 inch=-50 feat. -- r4u 91113.22 HINNESVtn STATE F{NCx?('ODE CALCULATIONS BASED ON CHAPTER 5 OF THE MODEL ENERGY CODE - 1983 EDITION Adoption Effective • Owner 2?R Phone /1 bate Site Addres?oT 43 , ?B1Loc.k S D4t4 e /Al k X-C's 2vo Xbb/ 77onJ Contractor"-6 J/ 1P?G Phone Building Classification: Type Al (Single Family 6 Duplex) Type A2 (Residential, 3 stories or less) (Over 3 stories) (other) NOTES Complete wages 3 and 4 first. GENERAL. INFORMATION `.I? 1. Building Perimeter - 2. Wall height (ground to save) A ft. 3. 1. X 2. (above) gross wall area sq.ft. 4. Building dimensions (L)7 =x (W) m?sq.ft.roof & floor area 5. Sq. foot area of rim joist - 2E jqgs,? gaze {{2 X %O X (Perimeter).- sq.ft. T? 6. Doors - Area la l Z4 :/? Thickness in U. factor: Type of Construction Perimeter ft. Manufacturer 7. Total door's perimeters per. ft. 9. Windows., Ma;;y"cturer (I??CJ L i I State approved U factor t?'2(z:7 TYPE SIZE AREA (Sq.Ft.) NUMBER OF TOTAL A EACH UNITS SQ FEET 9. Total sq.ft. Glass 1o. Fireplace areas Width X Height X e sq.ft. 11. Exposed foundation: Freight X Petinleter TX? g q.ft. COMPLETION OF THIS FORM IS REQUIRED FOR ALL NEW CONSTRUCTION, MAJOR REMODELING AND BUILDINGS BEING MOVED WHERE ENERGY, OTHER THAN THE MINIMAL CODE ALLOWANCE, IS USED. -1- ll. Gross wall area bq;fti IVittdow'area A q.ft. U windows - X n1m joint area ?'Zq.ft. U rim joist- f1V 41 Door area A15L? (a _Sq.fL. U door area s-1l?//((? Other doors area ATt?q, ft. U ot(ier doors- t T?7 Exposed fndn A191_eq.ft. U foundation-i0 Framing area A"!?l.!sq.ft. U framing area-! net wall area Aq,ft. U uall- (138) TOTAL . . . . . . i UxA - 142 4 Uxh - J ! UxA - Ux1? - UxA - UxA - UxA?- INAI - 4. Groan wall area x 0.11 (A-1 single family 6 duplex) - allowebl (13. above) x 0.23 (A-2 other residential) x .23 (other buildings) x .2I9 (over y stories) A? x U code t`? .. "TUtl must,be larger than or same F. as 178 above !5. ceiling framing area (At) equals 101 of calling area 15A. Gross ceiling area - (L) -- x (N) -f sq.ft. 150. Joint area (At) - lot ceiling area - G 17 sq.ft. ' L- lac. list celling area (AC) (15A - 1SIi) ,• sq,ft. U ceiling x AC - LLx__t(_- 2 U framing x Af t5D. TOTAL U x A ............................ 16. Ceiling "red (15A) x 0.026 (A-1 single family duplex) allowable URA/Code x 0.031 (A-2 other residential) X 0.06 (other) A ?8TU11 must be'larger than or same (15A)x U Code - ore an ISO above IIOTEt Use U and A values obtained from pages It 9 and 4. CEl1C1l1?aTlo1(t 1 hereby certify that I have calculated the "U" factors and "n" values herein and that the building here described Monte or exceeds the state of 111nnenota Energy conservation Act. bete signature -2- f05 L 111 1 i 5kle- l . -7 i 4:3 t % .(400 z E . . s csoc?4w= ;It 46?2 l?6? tt-?' 1 WALL SECTION STUD SECTION A rnLUt U YALUE Inside air film 468 Interior wall 045 (Wall) U - n • Inside air film 1 68 Insulation 1900 Sheathing 2.0? b4? Siding .lo( 1 Outalde air film .17 R TOTAL O?j Interior wall to 4yP stud Sheathing Siding Outside •air film R TOTAL .45 R= 4WD (p !50(Eraming) U . k 1. ow • `0? . 09 5 (O.53 2ND WALL SECTION. Inside air film Rn .68 interior wall Insulation Sheathing Exterior will covering Exterior air film' R -.17 R TOTAL (Wall) U - R . z RIM JOIST Interior air film R- .68 Insulation Inch soft wood R=1.88 (Rim Joist) Sheathing Exterior wai l covering .(P7 Exterior air film W .17 R TOTAL 2- 4. 4co terfor air film R= .68 sulatton) FiL2,r=9&iLA* 19.00 z.o4 . Lg e f. terfor air film R= .17 R TOTAL 2-( • $GI posed Block Crade 3. 1 U , 041 1 (Fdn.) U 0 O?? R VALUE FRAMING R VALUE CEILING 0.61 AirFilm 0.6 lo•e Insulation 45.0 Window infiltration o.5 cfm/lineal Residential door infiltration 0.5 regvirement Non-residential door infiltration 4.38 deist ------- 0.56 ceiling 0. 6 0.61 AirFilm 0.61 4;,, - TotalR ?I x • 78 .[7Zzj Ual/R foot of crack cfm/square foot or door and minimum code 11.0 cfm/lineal foot of crack Ub 12" concrete block no insulation a .47 R 2.1 Ub 12" concrete block insulated cores a .26 R 3.8 Ub 12" lightweight block a .32 R 3.1 Ub 12" lightweight block insulated cores d .12 R 8.3 U single glass - 1.131 with storm window .54 U double glass - .55 U.triple glass - .41 All-exterior walls and ceilings must have a vapor barrier (0.10 perm Max.), Vapor barrier must be on.the inside (heated side) of wall. Vapor barriers of the pol$ethelens thin ftim have no R value. 1 -CCITY-EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT ?_? _vy PERMIT TYPE: BUILDING Permit Number: 023783 Date Issued: 06/03/94 SITE ADDRESS: 3333 ROLLING HILLS DR LOT: 13 BLOCK: 5 BUR OAK HILLS 2ND P.I.N.: 10-15501-130-05 DESCRIPTION: Building Permit Type DECK Building Work Type NEW cc= REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: - Applicant - ST. LIC. OWNER: TIMBERWORKS BLDRS INC 16860911 0006352 WEAVER JOHN 829 TROTTERS RIDGE RD 3333 ROLLING HILLS OR EAGAN MN 55123 EAGAN MN 55123 (612) 686-0911 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 IAn. Statutes and City of Eagan Ordinances. IL - APPLICA &' E SIGNA7U / ?n D a SIGNATURE CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site survey calcs. COMMERCIAL 2 sets of architectural & structural plan!, 1MsAevt ufi 1994 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 ?`? 2 9 / / 9 Valuation of work Site Address: 3333 ????*N? /?ut 1-??4? , /!7/?- SS/23 STREET SUITE # Tenant Name: (commercial only) LOT 13 BLCCK l SIIBD. Q?/ oG L li`./?S zA n II I C P.I.D. # /I&W _-r j¢? I OF Description of work: /?El_? The applicant is: ? Owner (;a-'C?ontractor ? Other (Describe) Name /i?F?J?f/L ?-rol,0 jp- 40,t1;vA Phone Property LAST FIRST Owner Address 5.4?r1E STREET STE 1# City State Zip Company /S4m446eS SidC- Phone 1686-0 y1/ Contractor Address B29 7/Za7E,,z5'. R/D64 /490 License # 006,332 Exp. 3 S City F 4G/r?? State /f9n/• Zip _,5-_57.z -3 Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber /V114 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 comp ly with all applicable State of Minnesota Statutes and City of Eagan Ordinances. l Signature of App icant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. l ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'l. 2- 15 Deck u WORK TYPE © 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 ? 35 Tenant Finish ? 36 Move i ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish Basement sq. ft. MWCC System 1st F1. sq. ft. City Water - 2nd F1. sq. ft. PRV Required Sq. Ft. total Booster Pump Footprint Sq. ft. Fire Sprinkler On-site well Census Code On-site sewage SAC Code Census Bldg Census Unit Building Assessments Variance N ® Footing q Final ? Framing ? Draintile a? i 0 ? 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 P1. Road Unit Park Ded. Trails Ded. Copies Other Total: valuanm. $ SAC % SAC Units e G Y ? t ra QD b-''a- 7' O• O'?'r^ ?, 1 ?? Ivy 2422 Enterprise 06e Mendole llalghts, MN 55120 LPnp °L,n V E Y?Ra • CIVIL L 'G111Cant _ - - - m ? n° s-er n g . Pte- AN ARCH rtCC__ LANG ?LANNCp9•LANOlCwPE PE wRCMTS VtL21 t6l 681-1914 ? ? Certificate of Sur vey for: Mc11Dc7NALD C0RSTKkKTICUPI1 (?JG. House Address: i Ca3,x M'.?r, Model rName: a1lo?ig 5C' `?'b? 1507 e5 C) C' - ? r vR_aINAGE 0 01 it- tTI rzASemE NT r109° 3x11>"E y ( 10 I r G I .A '? N U` N '? I 'T a o N 8'l Z.o V% ? N 19,6T - 9110 0? IOA ' 4 19.0 1Z C. 5'm{ 34.0 . o °sed a ° e . f r, eJ 11'a 0 1Z,o 2:•11 .3 ? 52O t K%Vr- lp r , Y a 9•S o O r "a N 89° 37' 11," r --- m % ' ROLLING N ILLS 4WVVic BY EAGAN ENGINI<EIfING D? E;T . apG.o Denotes Exl5ling Elevation PROPOSEU HOUSE EL yE ATION ooo. Denotes Proposed Elevation Lowest Floor Elevation: t(5.2_ Denotes Drainoge & Utility Easement ?- - --Denotes Drainage Flow Direction Top of Block Elevation: as3,_3 _ ---o-- Denotes Monument Garage Slab Elevation:-,b52.3 -e- Denotes Offset Hub Bearings shown are assumed LOT 13 , BLOCK , F?UP?.'r oAf? _ NILI S_ ZAD ADDITION DAKOTA COUNTY, MINNESOTA Cu. RX, R EQ U I I hereby certily thol this survey. plan or report v.., plepered by nle or_'tioder m4_ dif'eei'WofivIllon and that I ein duly Registered Lend Surveyor ender the laws of the Stare of Minnewta_ Dated thls _'•o `Cloy of A.D. 19 Scale: 1 Rbh ` -5O f00t. RDDE CI 555 n?4. r10 14591 1-4'71,1 91113.22- CITY OF EAGAN L__L3 B ! MECHANICAL PERbIIT RECEIPT* /D 1?Pga S SUBD. R , r r EL! L VAL\\c --aC (612)681-467S DATE RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. OWNER FEES ( SITE ADDRESS: ADD ON/REMODEL (EXISTING $ 15.00 ??33 CONSTRUCTION ONLY) . INSTALLER: HVAC: 0.100 M BTU 24.00 PHONE #: ADDITIONAL 50 M BTU .00 6 ` ADDRESS: L? . C. GAS O*LM_ XfS - MIN!2,fU+: 1 C $3.°A 6.^ 7 0? CITY. - ZII' SURCHARGE: $ .50 SIGNATURE: 4 ^c TOTAL• $ 3lD 5 6) COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCU14INDUSTRUL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTIFAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: N CONTRACT PRICE: I 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: SITE ADDRESS: TENANT: SUITE #: INSTALLER: ADDRESS: CITY. PHONE #: SIGNATURE: TOTAL: ZIP. CITY SIGNATURE: l? BL CITY OF EAGAN CITY USE ONLY lZ / `/S LL PLUMBING PERMIT L•??? ??? z o SUBD. .. (612) 681-4675 RECEIPT ? DATE RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------ ----- WORK DESCR TION -------------------- ----- ---------------------- COMPLETE THE FOLLOWING: ----- NO. . FIXTURES EA. TOTAL NEW CONST REPAIR/ADD ON 15.00 ADD ON SHOWER 3.00 =60 REPAIR WATER CLOSET 3.00 L?( 4 BATH TUB 3.00 N c - - LAVATORY 3.00 OWNER NAME: r" n n l c roc t KITCHEN SINK 3.00 - y w LAUNDRY TRAY 3.00 o SITE ADDRESS: :? d h f s HOT TUB/SPA 3.00 g aO WATER HEATER 3.00 3?6Q FLOOR DRAIN 3.00 `) 07 s-i ? ? GAS PIPING OUT. INSTALLER: Ve I r ? C• (MINIMUM - 1) 3.00 1 2 ROUGH OPENINGS 1.50 ADDRESS: - OTHER _ 16 WATER SOFTENER 5.00 CITY{ r f, 1) q ZIP: PRIVATE DISP. 15.00 J ll U.G. SPRINKLER URNAROUND 3.00 00 15 PHONE 6: W. T . i L 1 A STATE SURCHARGE .50 Q IGNATURE OF PERMITTEE TOTAL: 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) Cities Di ? Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. r 4 SAM S .r.=OWI a. Q vo. 69 .'Y.. 04/15/ 9' TP,"'°' Yw Euh ME! joy WEAVER 51 POA S130 IMLINS . Oo fit'' 1913 F^ C a' ". m 3333 R _ 7 (7 H1.1 `O. c", n 1 j Mo- "Sr. ? 7 L? l r i?lr l is on 11 rm ronownsf ?I .: CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: BUILDING Permit Number: 029721 Date Issued: 0 4 / 14 / 9 7 3333 ROLLING HILLS OR LOT- 13 BLOCK: 5 BUR OAK, HILLS 2NO P.I.N.- 10-15501-130-05 DESCRIPTION: rmit Type k Type NA Av, BASEMENT FINISH ALTERATION 434 ALT. RESIDENTIAL 0 0 ;iv 'r 11 M -Q& REMARKS: SEPARATE PERMITS ARE REQUIRED FOR PLBG & ELECTRICAL WORK FEE SUMMARY- Base Fee $5@.0@ Surcharge _ x,50 Total Fee $50.50 CONTRACTOR: OWNER: - Applicant - WEAVER JON 3333 ROLLING HILLS OR EAGAN MN 55121 (612)452-4648 Z her'eby' =ackn5)#'dg ,tYtat i informatl. n 3t°reCt-ario Statutessl arrd G-J t ?f Eagan,Dr APPLI ANT/PERMITEE SIGNATURE ae read' thz PS 1ic,at-dh,-an;d`$tat0 that' thIS .q ta' cgmp-j , W,1vh. all a'p,p1laa41 Sta a of M-n. O2Q &11A I 11 ED 13j: SIGNATURE ' 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ,SD. 50 CITY OF EAGAN 3830 PILOT KNOB RD • 55122 681-4675 New Construction Reaulremems Remodel/Repair Reauirements 3 registered she surveys 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) 1 energy calculations 3 copies of tree preservation plan if lot platted after 711/93 required: _Yes _ No L/ g 13-7 DATE: - CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: LOT BLOCK PROPERTY OWNER CONTRACTOR rli3A SUBD./P.I.D. # 2 copies of plan # 2 site surveys (exterior additions & decks) # 1 energy calculations for heated additions ?-C N° r Name: (J CCU ,5\r y,,, Phone #: Street w. RMf City: CL)s'?71I State: 184 Zip: Company: `? /?'?'??'?- Phone #: Street Address: License #: City: State: Zip: ARCHITECT/ Company: -? Phone #: ENGINEER Name: Registration Street Address: City: State: Zip: Sewer & water licensed plumber (new construction only): and lot change are requested once permit is issued. ./Opy 7o Suva Penalty applies when address change 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. r Signature of Applicant: OFFICE USE ONLY =BY:-?-L Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY _ . i BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging )9- 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim,PPoL, . ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 121 Miscellainet{us ? 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 Waterl UBC Occupancy sq. ft. Fin; Sprinklered Zoning sq. ft. PRV # of Stories Len th sq. ft. ft Booster Pump C Cod g sq. . ensus e. Depth Footprint sq . ft. SAC Codell 01 Census Bldg Census Unit 0 APPROVALS Planning Building r Engineering Variance Permit Fee Valuation: $ Surcharge - Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. ° Other Copies Total: % SAC SAC Units v CITY USE ONLY L BL RECEIPT SUBD.F z.c t?r ' RECEIPT D&E. 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: single family dwellings townhomes and condos when permits are required for each unit, backflow preventer for underground sprinkler system FIXTURES _ EACH N-Q? TOTAL',. Shower 3.00 x Water Closet 3.00 x; _ Bath Tub 3.00 x Lavatory 3.00 x = Kitchen Sink 3.00 x - Laundry Tray 3.00 x Hot Tub/Spa 3.00 x Water Heater 3.00 x = Floor Drain 3.00 x - Gas Piping Outlet ' minimum -1 3.00 x Rough Openings 1.50 xi = Water Softener " for dwellings under construction 5.00 x. Water Softener ` for existing dwelling 20.00 x U.G. Sprinkler `fordwelling'underconst. 3'.00 U.G. Sprinkler `forexisting dwelling 20.00 = Alfefations to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ` Dak Cry lic. 75.00 = (new and refurbished systems). ,. Private Disposal Systems ` Abandonment 20.00 = STATE SURCHARGE TOTAL LLf hereby acknowledge that I:haw: read this application,etate that the information incorrect, endagree to comply-with alllappl'icable City. of Eagan ordinances it is. the, applicants responsibility to notify the property owner that the City of Eagan a'ssume`s no,liab lity for any - damages caused by the City during its nomal'operational and maintenance activities to the faalitres constructed finder this peirn4'within - City property/right-of-wayleasement. SITE ADDRESS: 3 7 ' OWNER NAME:tn?nd ,tl U;r cc?? INSTALLER NAME: - TEL PHONE # ?15 C7 ? !' 33, STREET ADDRESS: 3 3 cJ f YtC i i CITY: ?R Y1 STATE: ZIP. -u SIGNATURE OF RERMITTEE` REACTIVATE _ PERMIT` # h4v) CITY OF EAGAN 1993 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, I 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 7 / C 67 Y 3_' Valuat iQ n 'of work ? ) Site Address: 3-?32 L h i /?i r ?J STREET SUITE N Tenant Name: (commercial only) TAT A BLACK 6Ak 1h S[TBJ/N M P I D _ w . . . , fpm " (, Description of work: Peck The applicant is: 0 Owner ? Contractor ? Other (Describe) Name LLj-e 1_U-e'? Jo v\ Phone Property LAST FIRST / . Owner 3333 OZX7 /??///L Address ? STREET ? STE k City 4 State 12167 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 Vii. all applicable State of Minnesota Statutes and City of Eagan Ordinances. Si //y?? f l gnature o App icant: l OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'l. ? 11 Apt./Lodging ? 12 Multi. Misc. II ? 13 Garage/Accessory ??( 14 Fireplace l 15 Deck ? 16 Baemen Finish ? 17 -Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous WORK TYPE I *431 New ? 33 Alterations ? 35 Tenant Fin ? 37 ish I Demolish to 32 Addition ? 34 Repair ? 36 Move I GENERAL INF ORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st F1. sq. ft. City Water UBC Occupancy ? 2nd F1. sq. ft. = PRY Required Zoning l+ ? Sq. Ft. total Booster Pum p ii of Stories Len th Footprint Sq. ft. On-site well Fire Sprinkl Census Code er g Depth On-site sewage SAC Code APPROVALS o Planning Building k essments Engineering Variance REQUIRED IN SPECTIONS ? Site Footing ? Framing ? Insulation ? Wallboard Final ? Draintile ? Fireplace Permit Fee vsluetion: S Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surchargge Treatment P1. Road Unit Park Ded. Trails Ded. Copies 1. 00 Other Total: SAC % SAC Units Ella IT. eat- I r.a 194*; _: F. L13 n 2422 Enterprise Drive PIONEER LIMO YLIRVE YOM$• CIVIL EHOINCER6 Mendota Heights, MN 55120 * encg?ine+ering.. 4ANDPLANNERS, EARr? .HITECTS (612) 681-1914 Certificate of Survey for: MCDONALD C 0 RS-T F19 CJ 10 9 l t4C- House Address: 3 KollinyJd ll?. D._riv? 03?,-W,e Model Nome: 9L-100 _ ?1t ?15oZ?I 01`? \ti?D?i Bsz? ?'•? r DR.A{n1A6E ?. k"'I.tTY 1A1EmeNT f N89° 325'4"E I to j to t/T N V\ N ?6e 84z.o ; 14,0 DAN ts.o? `u/o yL p N 0 19.0 Al c . 5w.? 34.0 I? 17 (?I L O ?r p?io Sp? 0 O 0 t? p . 2V1 ° 4 l t,o ei 22.3 t?t,0 18_S .11 $SZ.a 0I GR\YEWpY a m f? _ ? ? ..?..- _ N t x yflsT ? _ ? ; ?y°' 100.. O -?0 F;ULUNG N ILLS D RIVE 900.0 Denotes Existing Elevation PROPOSED HOUSE _ELEVATION eoo. Denotes Proposed Elevation Floor Elevation: $4 - 5. -- Denotes Drainage Fl Utility Easement Lowest Top of Block Elevation: 8 3,3 - Denotes Drainage Flow Direction -? Denotes Monument Garage Slab Elevation: f?52,3 -s _ Denotes Offset Hub Bearings shown are assumed LOT 13 1 BLOCK 5 , 50K _OAK WILL-5 ZND ADDIT(014 DAKOTA, COUNTY. MINNESOTA I hereby cartify thm this survey, plan or 1¢port was /prepared by me or under my dhecl Supervision and that 1 am duly Raaiste ed Lend Survpyo• under Ihs laws of 9m Stele of Minnesota. Dared this 2 day of A) A.D. 19.J? . Scale: ---1 incl, _ 5o Ra©E I 1 .ngG,NO. 14e9 1 ® 91115,n PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA143563 Date Issued:06/20/2017 Permit Category:ePermit Site Address: 3333 Rolling Hills Dr Lot:13 Block: 5 Addition: Bur Oak Hills 2nd PID:10-15501-05-130 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Jon S Weaver 3333 Rolling Hills Dr Eagan MN 55121 Bonfe's Plumbing & Heating 505 Randolph Ave St Paul MN 55102 (651) 228-9071 Applicant/Permitee: Signature Issued By: Signature