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3341 Rolling Hills Dr     õöõ     ÷þ ÿþ ýüü  ûúù÷ú ùù     øüü ûûþùëüý üöïÞ    ýüõ  ýüûúùø  ÷üö Üöò ö õöúùø ß  öø÷üö Üöò ö Øü ö ÿöÿ  öø öîö ðüö î üû ö  ãö öþý   ö ø öþôäó  ü å ã  çìåìåå ôø  ýüööÿ ÷é çìäìä  óÿÿò õ ñð øø íõî áååõÿí ü ýüàÿÞö   ÿãß ôäóåáááá  ö ûù  ÿ  í ö øø  êöîöö ÿö îøù øøû ý  êã ýü òùê ÿïö ì øøë ü ùýÿüö INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: , „ I 11!, fit f1 r ,) i I? +l l I I N+, N 1 1. t `, OR H110 ()AF,' 11 1 t t t-. 'NO PERMIT SUBTYPE: Is??lil.?lr+lt q.'H:71't APPLICANT: fa 1 s ) 4.' i. .1 0 H h TYPE OF WORK: INSPECTION TYPE DATE INSPTR INSPECTION TYPE DATE INSPTR. . ? r? .?r1 r?T I ?,Pa I , ??;,; : ? { { ft7 3 ItFMAIt1{:,: & U PI.I+R - Pf. IW VtRA PRV Permit No. Permit Holder Date Telephone ft S/W 'PLUMBING HVAC 3 93 ?3 ELECTRI .3 j tQV? ELECTRIC Inspection Date Insp. Comments Footings I 3/3 /`3 z?)e Foundation Framing Roofing Rough Plbg. -3/ Rough Htg. _ Isul. 3 3 O ?h Fireplace Final Mg. Omat Test x_93 Final Plbg. T> qtr Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final 7,7J /3 DJ /L?D V 4 S 0 O vSQ_ ? - < 3 Deck Fig. Deck Final Well Pr. Disp. -ZS % C?;crt?catc Of CecuPanc? 20"Itnad of 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 20373 Use C1230ficanon BW PC®it No Occupancy Type PEDERSON 7? Mart 3511 3'0? W.. ROSE NT 55068 Owner of Building Ad&= BUR OAK HILLS D Building Add ew 3341 ROLLING HILLS ?7 , , t?d? I" - DOW MAY X, 1993 Building o k" POST IN A CONSPICUOUS PLACE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: " I I to 114 6 383 Pilot Knob Road o 6 Permit Number: H t Ea w, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: I I N . ' Its 1 `j 1 1 ?'? ?? APPLICANT: ! I I !,I ! IN(i HI1,1 ON I s{I ,{ N tln' 111 1:111; ll.lF. IIILL'? .'Nfl (t•!? y t. .'/ 41.s1S! PERMIT SUBTYPE: TYPE OF WORK: At II- I+AI I (IN INSPECTION i ! 'ihi ? Ids. INSPECTION TYPE , {{ .? • DATE INSPTR. 1?I{11?,{I 1(? i't ftt I (NA1 Rf MARV `3; .,;FI"AFt AFV fit'1<M11 It[OUTRFp VIIR ANY FI f- C TIR I I- At t pt UMii I Nil WiRF F 7 Permit No. Permit Holder Date Telephone M ELECTRIC, ?,3a7 7 (/ OZZA ?° PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING p b ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL V-a6 GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL /DIW* N awe DECK FTG DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: III 1,011,4(i 3830 Pilot Knob Road Permit Number: 3 H [t q Eagan, Minnesota 55123 Date Issued: / • r r q (612) 681-4675 SITE ADDRESS: lit APPLICANT: 1 I.1 1!. itl F I I r +t I I N' 1111 1" Ills 1 +11I r? IOAV 111 •.tt: Dili !i I ! ( 61f? t ., I ? ? '?'.? PERMIT SUBTYPE: TYPE OF WORK: J. ;;I 11 INSPECTION TYPE .DATE INSPTR. INSPECTION DATE INSPTR. c 7171 Permit No. Permit Holder Date Telephone # Sm PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Mg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. ale Deck Final z GCS /7 v e6c-T Well Pr. Disp. Address 3341 ROLLING HILLS DR Zip 5512_ Lot .15 Blk 5 Sub BUR OAK HILLS 2ND THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 5/24/93 Yes No Inspector: Final grade (6" from siding) / V/11 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. Contact engineering division at 681-4645 before working in fight-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy qw,73 L 99-9 2 REQUEST FOR ELECTRICAL INSPECTION I? See instructions for completing this loam on back of yellow copy. "X" Below Work Covered by This Request iF??_.Jkqs _ iYY £. L? ltl' New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range - Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./industrial Furnace Farm Air Conditioner ' Other Ispecifyl Contractors Remarks'. Compute Inspection Fee Below: # • Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps .00 0 tt!LO Amps 5&. Transformers Above 200 Amps ove Amps Signs Inspectors Use Only: TOTAL " ? Irrigation Booms U Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 M S. I, the Electrical Inspector, hereby certify that the above inspection has been made. Rough-in , Final oat oatr `7 OFFICE USE ONLY This request void to months from REQUEST FOR ELECTRICAL INS E ION nnes 11II II I'?? 8121 Un a siity Ave., Rmf 3 28,, St. qN 5104 0. * 0 2 7 3 2 7 8 * Phone (612) 6420800 Home Dup ex Apt. Bldg. Oth New do Commercial Industrial Farm $M '%75?" Remod Re air Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other: Dryer Range Elec. Heat em p. Service "X" above t/2e work covered by this request. Enter remarks in this space and on the back of the white copy only. ,L Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other - Fee # Service Entrance Ske Fee # CircutE/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Ltg./Traffic Sig. Above 200 Amps Ab O Amps Transformer/Generator INSPE_ CTOg'?USE ONLY '! d ^ TO Sign/Outline Ltg. Xfmr. /YiDt/L-lJ C/f/7 Alarm/Remote Control ?} ?p v I - I Swimming Pool I hereb mm thm I ins etled Poe electnml insMllmion demdbed herein on Aro dotes stated Irrigation Boom Rough-In Dote ecial Ins ection S p p Investigative Fee Finv Dvte??/ n i THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. 2 7 3 _ 278 © PLEASE PRINT OR TYPE OS LY This reque t void 18 man hs from validofion date printed in his boxy 7 Y/ Y/ TIJ I k.2 Request Dow 7 (? {Q Rough-in inspection required? Yes Q N. (You must call the inspector when ready) Inspection Other Than Rough-In: ? Ready N.wCE& l Call Dare Ready: I, ? licentiteeedd contractor owner hereby request inspection of the above electrical work at: Job Address (/ Cf„ Zip Cade Section No. Township Nome or No. Range No. Fire No. Coun„ ns ?j 0. u Phone No. Power upplier Address Eltrc m n r (Company Name) MBawner' Contractor license No. Master Dc. No. (Plant Elea. Only) Maili dress con tractor or Owner Perfuming lnswnation) OC/11 nawre (Contractor o CNmer Padormirg Inswllotionl Phone No. c? 8 (. - 086N,- EB-00001A-10 6/95 1 STATE BOARD COPY-SEE INSTRUCTIONS ON BACK OF YELLOWCOPY 7 2 nd X05 3 ? Rro esLOatE 3 - It Fire No. ougll-in Inspection Raquiretl? ? Ready Now, ill Re Inspector wh R d ? Yea ? No an en ea y I JKlicensed contractor O owner hereby request inspection of above electrical work at: Job Address ((Strtreet, Box or Roole N/0.1 335/ /Gol!%n ff???s ?/? City F???i}/y Section No. Township Name or No. Range No. County 0 4 e z .4 1 1 l Occupant (PRINT) P 1 Phone No. / - 0 A -c1f,S a'AL ng 1-6 b Power Suppliey j Address h9.4e 0 C Elenncal Contractor (Company Name) Q C G ? ?/ ? Contractors License No 44 its 4 0/ o ur . c ?° 0 0 Mailing Address IConlractor or Owner Making Installation) - c laY /'jc1+0V". " r? 6s° 2:1 yap 10 W4 r l - 1,,, 4 Authors d Sign • re (Contraclonowner Making Inst eboN Phone Number MINNESOTA STATE BOARD OF ELEC RICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-113 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS Phone (612) 602-0800 ENCLOSED. 5ztiis 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% 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 711M • Rim Joist Detail options selection sheet (bldgs with 3 or less units) DATE SITE ADDRESS TYPE OF WOR APPLICANT \.A1 STREET ADDRESS TELEPHONE # CELL PHONE # zip 55317 PROPERTYOWNER 0QU$fl Wi?I\I_ M5 TELEPHONE#65k6//6?6030 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ NIINNF.SOTA RLJLI:S 7670 CKI'P:GORY 1 _ MI.NNESO"1':1 RULES 7672 (q submission type) • Residential ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: ----- __- ----- ____----- _ __ Phone # Plumbing system includes: Water Soltener Lawn Sprinkler 00 Water Heater No. of'R.I. Baths 2 5 200L ) rJ No. of Badls Mechanical Contractor: Phone # Mechanical system includes: Air Conditioning Fee: , Heat Recowry System Sewer/Water Contractor: Phone # --------------------------------------------------------------------------------------------------°--------------------° 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 EaganyOrrdiin nc s.D Signature of Applicant C/ ? (lNh 1 OFFICE USE ONLY 20 0 '-? 5- RemodeURepair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions 8 decks • Indicate if home served by septic system for additions VALUATION ®333.51 iULTI-FAMILY BLDG Y N FIREPLACE(S) _ 0 _ 1 _ 2 Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 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)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ FinalJC.O. - Footings (deck) _ Final/No C.O. - Footings (addition) _ Plumbing Foundation _ HVAC Drain Tile Other Roof - Ice & Water _ Final _ Pool _ Ftgs Air/Gas Tests Final _ Framing _ _ Siding _ Stucco Stone _ _ Fireplace - R.I. -Air Test - Final _ _ Windows (new/replacement) Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector PERMIT -- CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: 3341 ROLLING LOT: 15 BLOCK: BUR OAK HILLS 2ND P.I.N.: 10-15501-150-05 PERMIT TYPE: Permit Number: Date Issued: HILLS DR 5 BUILDING 023954 06/23/94 c (012,31A DESCRIPTION: Building Permit Type DECK Building Work Type NEW REMARKS: FEE SUMMARY. Base Fee $30.00 Surcharge $.50 Total Fee ,;$30.50 CONTRACTOR: OWNER: - Applicant - CLAUSEN DAVID 3341 ROLLING HILLS DR EAGAN MN 55121 (612)379-2956 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. &A41CA<RMITEE ASIGNATURE n ks)eLI ISSUED 0 SIG IATURE J CITY OF EAGAN 13964 1994 BUILDING PERMIT APPLICATION d 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered s' A?QgMepy of energy calcs. .iUy 2 0 1994 COMMERCIAL 2 sets of architectural & struc ural plans, 1 set f specifications, 1 copy of energ ---------- Pena lty 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 L #i n f- l X20 / _199y Valuation of work Site Address: 334`/ /1,dr De, Ewa v.. ?171N "121 STREEIT' SUITE # Tenant Name: (commercial only) LOT J? BLOCK SUBD ; ? # I D p . 3 t / . . . 1 0 Description of work: The applicant is: Owner ? Contractor ? Other (Describe) Name Phone u? ti??6 0 9. Property LAST FIRST Owner Address 33y1 Rol% _ ,?lrl?s D/1, ST ET STE # City State '00VA1 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-flex ? 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. 1T 15 Deck WORK TYPE ® 31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? Site ? Wallboard Basement sq. ft. 1st F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance © Footing ? Final ? Framing ? Draintile /r 3y o? 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: valuatim: $ Air ? 16 Basement Finish ? 17• Swim Pool ? 18_Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Census Bldg Census Unit Assessments SAC % SAC Units Certificate of (louse Location For: Pederson Homes, Inc. Rosemount, MN 550Et3- DELMAR H. SCHWANZ LAND SURVEYORS, INC. RealeNr.d Und.r Us M YM Stab or Mlrnnob 14750 SOUTH ROBERT TRAIL ROSEMOUNT• MINNESOTA 55066 SURVEYOR'S CERTIFICATE /J 84,- S 1- 54 e ?2?1 loo. IZ_ pip I N?v? f 4 ' . " N 136/38 6121423.1769 ' Scale: 1 inch = 30 feet ,O Iron pipe monument • = Set spike at offset Existing spot elevation O = Proposed elevation BM: Top nut of hydrant between Lots 15 & 16, Block 5 or 848.75 13? 51'A' IT r) n ? R. i 7py"1'?- F 1',x•7,1 B D r 4/'. L1 k 'a "147 -zl I!,7 ,7 I 83'" ?J?nS Pr/ M /Voul B4,y n ' N 47•y _?a A IV? ko ?I = 838.3 In - ° 846.4 EX/47a?G 84,8 SPK. 7-10 849.5 B4?--9 ^/ g7 - 38'l3 E X46,2 gq?,p 844,8 D Q iv g- Proposed garage floor elev. ? Proposed top of block elev. A'?r? Proposed lowest level elev. f4t). Description: Lot 15, Block 5, BURR OAK HILLS 2ND ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. Also showing the locat?i,pn:lltnLlhproposed house as staked thereon. :'_?•i r• I hereby certify that this survey, plan. or report was prepared by me or under my direct supervision and j: DELP:W • that I am a duly Registered Land Surveyor under ( ; (:ViV`!f•`1: / yr //11 the laws of the State of Minnesota. /(.?/G ?• '? ?`? 1,02 df . <? •`. i - ? Delmar H. Schwartz '9e •'' Doled 02-19-93 Minnesota Registration No. 6625 %?q; t•,; .... ..? oV / 2 V CITYbF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: Buu ul.n! 00373 02/25/93 SITE ADDRESS: I' - I.N - a 1.0-15;01.-IS0-05 3341 ROLLING HILLS Oft LOTS 15 ULOCK> 5 BUR 0 A K Hlt LS 2N0 DESCRIPTION: BuiIdi'n-g P ermit Type SF OWG Buildiny'l,,lorl< Type IdFW UBC Ocoupan6y R-3 M-1 ConsCluction 1?vpe V-N mooning Building Long Lh e? Building Width 44 1 7J REMARKS: S F, W PLBFi -- F'E1IgF PL8(l PRV FEE SUMMARY- VALUATION Base Fee Plan Review 51.11,c11aI-ge SAC SAC SAC Llni'ts Subtotal $ciS8. y0 $:44'.53 .',:57.00 $750.010 100 $1,943.03 $114,000 °ILSCI::LI0NEUUS loCa i Fce? (t``? J' ° 7 i n n ?, (i $3.t?B7..53 CONTRACTOR: - Flppl.ic?nt - ST. LICOWNER: PEUERSON HOMES INC 14233086 0001466 PEDERSUN HOMES: l:P!C 3517 Iil3RO ST W 3511 :1.43R0 ST W ROSEMOUNT MN 55068 ROSEMOUNT MN 55068 (612) 423-302,6 (61.2)el 3086 i hereby acknowledge, that I have read this application and a'-at- Chat, the information is correct and agree to conply with all applic•?hla of Mn Statutes and Cityot Eagan 0rd.inances yo ly- I ? ? loin nI J71_ APPLICA ERMITEE SIGNATURE ISSUED : S GNAT RE REACTIVATE _ PERMIT i 1-0.31-3 CITY OF EAGAN 1993 BUILDING PERMIT APPLICATION 681-4675 FEB 2 3 RECD SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy talcs. 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 -Z- / Z3 Valuation of work `Q 3 6 y Site Address: 3 ? 41 f 0 LC./1lc, rr/LC,?5 V2.1 L,? STREET SUITE / Name: (commercial only) Tenant / LOT G 5 BLOCK 5 SUED. P.I.D. k Description of work: The applicant is: ? Owner Contractor ? Other (Describe) Name M 1) GLhWW ; 4( 5rA6Y 5--#tfL V Phone Property LAST FIRST . Owner Address 7 rL_of5t ~- kt?6 5a- STREET STE • City ,? (-07't-I1-/? 761^1 State Zip j?e ? , C Phone 4-Z3--30(94S Company ?'VE7250,1 #67 Contractor Address 5S/l 21-3" 57- Gy License #O60 1 6 Exp3- 1-7 City y f7 Q GU IV1- State Zip 5"'PGR Company ScS?C /?q. Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber ?E?r?GE L?l??/?? ??cA?//mil 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 ate of Minneso Statutes and City of Eagan Ordinances. ? Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation W02 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. WORK TYPE ? 11 Apt./Lodging (] IkJasemeoKofinish ? 12 Multi. Misc. ? 17 Swim Pool ? 13 Garage/Access ory ? 18 Comm./Ind. ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous tK 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) y- N Basement sq. ft. MWCC System X85 (Allowable) _V___Ft 1st F1. sq. ft. City Water YE5 UBC Occupancy P'S H 2nd F1. sq. ft. PRV Required Zoning -1 Sq. Ft. total Booster Pump N of Stories Footprint Sq. ft. Fire Sprinkler Length ?? On-site well Census Code - Depth q q, On-site sewage SAC Code ?neks b? ? APPROVALS ,?,-+ C?nSuS ? - _L.. Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site ? Wallboard ? Footing ? Final ? Framing ? Draintile ? Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % bo SAC Units Valuation: $ ?-I D 00 G.n_. R??_ 3 7- X 2 Z ?z= '12O Z IL Y, 10 ?SMT; ? 3'4KS2= I x768 2xg : ?I?) IZVlq? (228 1522. x 15= 1ST F?OnR.l ssm ?' : ? sa2, 2 `4117: (22) 15 x ??' /(, = il? /20 ZZt x Jo r7Cl o ?p Cerfificate of House Location For: Pederson, HomeSr Inc. Rosemount, MN 55068 DELMAR H. SCHWANZ LAND SURVEYORS, INC. R"WeneE Undo, LeMe of The Stale of Mlnnnota 14750 SOUTH ROBERT TRAIL ROSEMOUNT, MINNESOTA 55059 iJ Bre- 51- 54 E 08.0 loo. IZ - ..? ? ?p,?,ItiErIT ? ?? I Is W Tpr' N r T O N O - ?QB o -77- ExK7inIL' 6 4,1 e s K J fla 3ya 3q• 83y.9 11? Jai-??ose? I $ - ---- 6qB / 24 f? b I 6 /9Q/!?-? 47I a I ?; g4?? ) u o to 100,00 ,-g9-38-1,3 E X44' R0Lt_ING SURVEYOR'S CERTIFICATE 80-0 4NLt-s N 136/38 912/423-1799 Scale: 1 inch = 30 feet O = Iron pipe monument e = Set spike at offset x M.7= Existing spot elevation 0 = Proposed elevation BM: Top nut of hydrant between Lots 15 & 16, Block 5 = 848.75 7-0P ??. r N - 838.3 886.4 In $ O crrsn.)c ? GffR• g4?g 771QP SRK- Q ?OQ7.5/ M Proposed garage floor elev. NZO BQS•q Proposed top of block elev. j Proposed lowest level elevJ0013 DiZ IVE Y ?' • gyp" 9' f ?(f'H ?J- EdQ.GAN nrding 1 t 1 , HILLS 2ND ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. Also showing the I hereby certify that this survey. plan. or report was prepared by me or under my direct supervision and that I am a duly Registered Lend Surveyor under the laws of the State of Minnesota. Dated 02-19-93 house as staked thereon. DELMAR H. SCHWANZ -8625- m. .;?^' Delmer Schwartz ''? Minnesota Registration No. 8625 G DE"-' Date of Surveys C? 0 0 i'13 D [3'0 0' D-'D D 6'D 0 9--?D 0 D 0' 0 Z8 0 0 904 13 0 D 1) 13 D? D D LOT SURVEY CHECKLIST FOR REBIDENTIAL NVILDI PERMIT APPLICATION 6& DOCUMENT ST n s • Registered Land Surveyor signature and company • Building Permit Applicant • Legal description • Address • North arrow and bar scale House type (rambler, walkout, split w/o, split lookout, etc.) • Directional drainage arrows with slope/gradient =. • Proposed/existing sewer and water services • Street name • Driveway Existing • Sewer service • Lot corners • Top of curb at the driveway • Elevations of any existing adjacent homes Proposed / D D D Garage floor 0?13 D First floor f -E) D Lowest exposed elevation (walkout/window) D ? D Property corners D 0 D Front and rear of home at the foundation PONDING AREAS of applicable) D E?? Easement line D D (? 13 D WL H NW L 0 0? 0 Pond A designation D D Emergency overflow Elevation entry, DIMENSIONS 0% D Lot lines D D Right-of-way and street width (to back of curb) 0 0 Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) 0 ? Show all easements of record and any City utilities within those easements 0 ? Setbacks of proposed st ture and setback of adjacent existing home D D Retainin it nts, if any 9 n Reviewed: October 1992 Energy Conservation Supplement to Building Permit Application BUILDING AND SAFER DEFAMENT This supplement is provided to assist the applicant la;'Coopatinq the EXTERIOR ENVELOPE AVERAGE 'U' FACTOR INFORMATION. This information in required so the RUILOIBG OFFICIAL an determine that the submitted plans comply with the EAERGT COASERVATIOA DESIGN CRITERIA of the STATE BUILDING CODE (Section 6001). It is the APPLICAAT'S responsibility to accurately and complete, compote the data; reflect the proper DESIGN CRITERIA in the bans; submit product specification. as needed to support the R' and 'U' factors used; and to amsare that construction is accomplished per the approved plans. JOB LOCATION 3 3 4 1 D 2/445 OWNER(S) 174SV1 0 Lt..'wis?7! 5T/?cy 5c wk ( 06,a RE 4-88 -S 6 / Z CONTRACTOR Y E17TLS ()n/TYG1?3, I?YG. PROBE f z 3- D 8 h A. Determine the Total Exposed Ball Area as follows- 1. Total wall window area 2. Total door area 3. Total eliding glass door area 4. Total fireplace wall area 5. Total wall framing area (average 10%) 6. Total net wall area above floor 7. Total rim joist area Subtotal- Total exposed wall area above floor 8. Total foundation window area 9. Total net foundation area above grade Subtotal: Total erpoeed foundation area GRAND TOTAL EXPOSED WALL AREA E. Multiply the GRAND TOTAL EXPOSED WALL AREA X .11 C. Determine the Total Exposed Roof/Ceiling Area as follows: 10. Total skylight area 0. 11. Total roof/ceiling framing area (average 51) 12. Total net insulated roof/ceiling area Z Oq Z3 g3.3S les'Z4 6 /76.o Z 3 Zt, 0 ? 3;5-. ------------------------- 13-5-16,0 ------------------------- -Z, 4 56, Ob = ITEM I Z 0 /59, !f2 1,434o D GRAND TOTAL EXPOSED ROOF/cEILING AREA -------------------------- Multiply the GRAND TOTAL EXPOSED ROOF/CEILING AREA 1 .026 !5 F , 0,0 A 'etermipe.the 100 value of each segment (1-9) and multiply by the are an follove: j 1. w r MOa-uis Z09. Z3 I 'u• . ? Z. _ ?fLB 7 2. y6m?s 8 ?, 3S T N• , Z I J = 17, ?' 3. ?g 5 5 BLS I •u' _ 4. I •u• .r s LL t?i l$' i?• 1G S? ? , 6. L? 1C67./R I'u= D¢3 7I, 6g ADD 1-9 FOR TOTAL PALL SEGMENTS ITEM III ? Z l .Sr. Sr D Determine the 'U' value of each segment (10-12) and multiply by the area as follovs: 10. ?- I 'u' 'r = 11. DFA1?i inlS i5q. `?( •u• e 03 S S, 57 12. m 14?A // 1 ?3? n I •u• Z ADD 10-12 FOR TOTAL ROOF/CEILING SEGMENTS = ITEU IT 3 s. 6 G. If item No. III is the same as, or less than Item No. I, you have met the intent of State Building Code 6006(c)2. H. If item No. IV is the same as, or less than Item No. 77, you have met the Intent of State Building Code 6006(c)i. I. Add Item No. I 2 7 ?i l6 Item No. II 4-4 f'4-- = 3 J. Add Item No. III Z?S. 6-5 Item No. Iv K. If the SUM of Items III and IV are less than Items I and II, you have met the intent of the code for total envelope system. In addition to the above items you may have to add for such items as floors over unheated spaces, such as cantilevered areas, etc. To arrive at 'U' value divide the total of the R values for each segment (so above) into 1,000. Answer you have is the 'U' value for that segment. Example: A total •R' of 35.08 divided into 1.000 = .028 •U' C ? .p U p r ; 4:xE i , {? t r ? ? ?( ?5rp"ra 1 fk.. §, ( r ?? PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. ?- -T SITE ADDR] OWNER NA INSTALLER ADDRESS:- CITY:?c PHONE #: ( FIXTURES SHOWER WATER CLOSET BATH TUB LAVATORY KITCHEN SINK LAUNDRY TRAY HOT TUB/SPA WATER HEATER FLOOR DRAIN GAS PIPING OUTLET • minimum ROUGH OPENINGS WATER SOFTENER PRIVATE DISP. • naixty. ue. U.G. SPRINKLER • home under cont. ALTERATIONS • to existing WATER TURN AROUND STATE SURCHARGE TOTAL: .::?3 r ? C T TAL 3.00 3"&-v 3.00 3.00 3 -e-v 3.00 !a 3.00 v? 3. 3.00 3 • rn 3.00 3.00 3, oz7 3.00 3.00 1.50 sv 5.00 15.00 3.00 15.00 15.00 .50 df/ ------ ZIP CODE: .:;_- SIGNATURE 5'r? ? SIGNATURE O PERMITTEE 1993 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 1993 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIALANDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUP DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. NEW CONSTRUCTION _ ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1% OF CONTRACT FEE. STATE SURCHARGE: $.50 FOR EACH $1,000 OF pR]faj FEE MINIMUM FEE: $ 25.00 CONTRACT PRICE X 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY. PHONE #: STATE: ZIP CODE: FOR: CITY OF EAGAN APPLICANT 1993 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE -3 ~°? 1 23 HVAC: 0.100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (EXISTING CONSTRUCTION) STATE SURCHARGE TOTAL SITE ADDRESS: 3 3. T OWNER NAME: INSTALLER:, ADDRESS: 2p dZ? CITY:/ STATE: TELEPHONE #: ?f 3 7 9L3 Z FEES $ 24.00 6.00 3zr9 $ 15.00 .50 v/ ' S 05 TELEPHONE #: U/ Z ZIP CODE: rt? SIGNATURE OF PER E 1993 MECHANICAL PERMTP (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 681467S PLEASE COMPLETE FOR ALL COMMERCIAL JINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES CONTRACT PRICE: $ 1% OF CONTRACT FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF "MM FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE #: SIGNATURE OF PERMITTEE CITY INSPECTOR CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: BUILDING 028196 Date Issued: 07/10/96 SITE ADDRESS: P.I.N.: 10-15501-150-05 3341 ROLLING HILLS DR LOT: 15 BLOCK: 5 BUR OAK HILLS 2ND DESCRIPTION: ui.ldin, Bu iIdin Census- .r ,Permit Type Wor.,k Type ode ``_% BASEMENT FINISH ALTERATION 434 ALT. RESIDENTIAL I i ? t ( REMARKS: SEPARATE PERMITS REQUIRED FOR ANY ELECTRICAL OR PLUMBING WORK FEE SUMMARY: Base Fee Surcharge Total Fee $50.00 $50.50 CONTRACTOR: OWNER: - Applicant - CLAUSEN DAVID 3341 ROLLING HILLS DR EAGAN MN (612)627-0387 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. L_ Statutes and City of Eagan Ordinances. c ?APPL' "`' T ERMIIGNATURE CIS ED V. SIGNATURE CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 Remodel/Repair Requirements City: Company: Name: ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) 1 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan if lot platted after 711/93 required: _ Yes _ No DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: ST EETADDRESS: >>YL grd!//T!` LOT I I ? BLOCK r? SUBD./P.I.D. M State: / w,i? G27-038r! PROPERTY Name: Phone-#: OWNER MST Street Address City: State: ??/ Zip: ?Sl°z CONTRACTOR- Company: Phone #: Street Address: License #: ARCHITECTI ENGINEER 2 Phone SS TJ - Se Zip: Registration #• Street Address, City: Sewer & water licensed plumber: change are requested once permit is issued. State: Zip: Penalty applies when address change and Ict I hereby acknowledge that 1 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 I .I?.)IV. ? 7 1996 Certificates of Survey Received Yes No Tree Preservation Plan Received - Yes - No OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-piex ? 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New ,Uf?33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging _,a'-16 Basement Finish ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 13 Garage/Accessory ? 20 Public Facility ? 14 Fireplace ? 21 Miscellaneous ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. MCNVS System Main level sq. ft. City Water sq. ft. Fire Sprinklered sq. ft. PRV sq. ft. Booster Pump sq. ft. Census Code. Footprint sq. ft. SAC Code Census Bldg Census Unit Building Engineering t Variance o/ Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SAN Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC Valuation: $ SAC Units CITY USE ONLY ??d 8 L -.,15 BL S RECEIPT* SUBD. dd 61 DATE: 4 o2U195 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit New construction Add-on furnace X Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: '-1 - ;? Minimum Fee: Add-on/Remodel HVAC: 0-'00 M BTU Additional 50 M BTU Gas Outlets (minimum of 1 required @ $3.00 each) State Surcharge TOTAL 24.00 6.00 .50 ^'O sa SITE ADDRE: OWNER NAM INSTALLER N STREET ADD w.C - 3 -<795:E PHONE #: asys CITY: STATE: IM ZIP: PHONE #: (,'.? )?G l78 9? -, ?; zed.- do residence only) $ 20.00 l?; x-95 CITY USE ONLY L _ BL _ SUBD. RECEIPT #: DATE: 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commercialfindustrial buildings. multi-family buildings when separate permits are 1145 required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: w $25.00 minimum fee QI 1% of contract price, whichever is greater. W Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of go= fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS:_ CITY: PHONE #: TELEPHONE #: STATE: ZIP: SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR CITY USE ONLY L _412_ BL _5 SUBD. 6 . 4J ?.lc ?nd 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 RECEIPT #: iii _ DATE: Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH N? TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x _ Lavatory W S 3.00 x = Kitchen Sink ? 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x _ Gas Piping Outlet ' minimum -1 3.00 x _ Rough Openings 1.50 x _ Water Softener 5.00 x = Private Disposal ? Dakota Cty. license 65.00 = (new and refurbished systems) U.G. Sprinkler " home under const. 3.00 = Alterations ? to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 ?r? 5i TOTAL C? SITE .OWNER INSTALLER NAME: 11"Ire( 0? ?P ?- STREET CITY: ?2c)Gv? STATE: A7111 ZIP: PHONE #: ( (1,2 ?f16 -O?'/r? 51(3NAIURE`OF PEFZAfITT F-E L BL SUBD. OFFICE USE ONLY 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: all commerciallindustrial buildings. multi-family buildings when separate permits are nal required for each dwelling unit. DATE: WORK TYPE: NEW CONSTRUCTION DESCRIPTION OF WORK: CONTRACT PRICE: ADD ON REPAIR IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of pg m? fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: OWNER NAME: INSTALLER: ADDRESS: _ CITY: PHONE #: RECEIPT #: DATE: STE. # SIGNATURE: OFFICE USE ONLY METER SIZE: DATE: STATE: ZIP: APPLICANT _ INSPECTOR: RESIDENT OWNER Name: Prig( 1 E f DoN U)1 L- 4--114 11 Phone: (o 5 I 6Vo 6030 Address City Zip: f --0!-Li g l LLS A U 4 iif ii Applicant is: Owner Contractor TYPE OF WORK Description of work: Lt.) i )i))uY I k) EKt5p/ OPFiJ I kG-S Construction Cost: 015, 33 Multi- Family Building: (Yes No CONTRACTOR Name: II)bLTH OP/J17 A atti 4FQS -a License 0 769659 1 7i Address: 7qo b? 1) A VEiaw /UM. Thi City: TOPE State: i Zip: 5 LO 7 E 5 Phone7�3 5 33 -6/6(1 Contact Person: �4;t�c. /-717 ^7 COMPLETE In the last 12 months, has No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _Yes Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public in mation. Portionl3 o the information may be classified as non-public if you provide specific reasons that would permit the Ci to conclude that they are trade secrets. Date: ote City of Eaaau 1/ 4,t yov`i 1 Tenant: 3830 Pilot Knob Road Eagan MN 551 bio fog RY 2A7 Applicant's Printed ame Site Address: yeti— IvCT." H LLS o t1 UE x Applicant's Si 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Use BLUE or BLACK Ink Date Received: Staff: Suite CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 pJgns. Page 1 of 3 Use BLUE or BLACK Ink r For Office Use I Permit A~ City of EaIl~aa~ I Permit Fee: f I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: 675-5694 1 Staff: (651) G W 640 1--------------- ' 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 3 4// AW I, r z ! T ~r S ~r Unit Name: Phone: GAS / Resident/ 3 ~l f / Owner Address / City / Zip: o 1-f Applicant is: Y_ Owner Contractor Type of Work Description of work: /t/L C2 Pee Construction Cost: Multi-Family Building: (Yes / No ) Company: 1'* V O ~✓h Contact: Contractor Address: City: State: Zip: Phone: License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 1 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes -No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: 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 they are trade secrets. 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.-gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota`Sxate Building Code must be completed within 180 days of permit issuance. 00!! X fi ►L /7 Ua n- /i"4t-yl x fem. Applicant's Printed Name Ap icant's Signature Page 1 of 3 33 q I K'a I/ 'I F-h l I S Dr. DO NOT ~BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) Exterior Alteration (Single Family) Single Family Garage _ Porch (4-Season) Exterior Alteration (Multi) Multi 'X Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous 41 of _ Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair Windows _ Demolish Foundation Replace _ Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25% 100% ) Zoning- City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction ( (L Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee f Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 JII~~u DELMAR H. SCHWANZ LAND SURVEYORS. INC. ReOMtaed Undw Lowe of The Shte of Minnesota 14750 SOUTH ROBERT TRAIL ROSEMOUNT, MINNESOTA 5506tt 612/429-1709 SURVEYOR'S CERTIFICATE Scale: 1 inch 30 feet g~~r► NBoo t E ~B•~ p - Iron pipe monument • = Set spike at offset ~>~ri1 ` ~ k p3~~~ Existing spot elevation A(J £ Proposed elevation p~p.1N BM: Top -nut of hydrant between 4 Lots 15 & 16, Block 5 S 848.75 I t►~ ILI Zr s t` N = 838• N /mot-v~ose~ ' A CAM 248 I ? 49• g4~'b PyQ~ 849.E 7AP 5PK- ~ a o l ~ a - 847.h _ __J Proposed garage floor elev. 2 Proposed top of block elev. 2 100•C-~o Proposed lowest level elev. Ho /J - 38-/3 140' 90, 0 IZoLLIN ~ N~LI...~? p! iVl~- P, FkA&ip ~ • '1 : t~t i'~ ~ } A i ~y' i m,~ ~a ~ r-c ~ i t fll H1L16S 2ND ADDITION, according U&j to the recorded plat thereof, Dakota County, Minnesota- Also showing the loca,-. "yr~ roposed house as staked thereon. 1 hereby certify that this survey, plan, or report was prepared by me or under my direct supervision and that I am s duly Registered Land Surveyor under the laws of the State of Minnesota. = j 02-19-93 ~~d' k • Delmar H.hwanx bated ; { ? r~... : MMr►ssota Registration No. dd2S PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA164397 Date Issued:09/28/2020 Permit Category:ePermit Site Address: 3341 Rolling Hills Dr Lot:15 Block: 5 Addition: Bur Oak Hills 2nd PID:10-15501-05-150 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Donavan Williams 3341 Rolling Hills Dr Eagan MN 55121 (651) 785-6394 Hero Plumbing Heating & Cooling Inc 10900 Hampshire Ave S Minneapolis MN 55438 (612) 827-4674 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA174313 Date Issued:01/18/2022 Permit Category:ePermit Site Address: 3341 Rolling Hills Dr Lot:15 Block: 5 Addition: Bur Oak Hills 2nd PID:10-15501-05-150 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 - Donavan G & Rochelle Williams 3341 Rolling Hills Dr Saint Paul MN 55121--234 (651) 785-6546 Crossroad Construction 17121 Lincoln St NE Suite 100 Ham Lake MN 55304 (763) 434-0202 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA176061 Date Issued:04/28/2022 Permit Category:ePermit Site Address: 3341 Rolling Hills Dr Lot:15 Block: 5 Addition: Bur Oak Hills 2nd PID:10-15501-05-150 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. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. 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 - Donavan G & Rochelle Williams 3341 Rolling Hills Dr Saint Paul MN 55121--234 (651) 785-6394 Capital Construction LLC 501 W Travelers Trail Burnsville MN 55337 (952) 222-4004 Applicant/Permitee: Signature Issued By: Signature