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3346 Rolling Hills DrCity of Eapil 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink 1E0- HaNg Permit Permit Fee: 55, Q b Date Received: Staff: 2011 RESIDENTIAL PLUMBING PERM T PLICATION Date:OS-66411 Site Address: e_3(.(1,/�j (co /✓ /(';: �� Tenant: Suite #: J RESIDENT / OWNER Name: g0I1 R Phone:6 (7.-66 66? (1� Address / / Zip: CONTRACTOR /City / Name: 08/9- P(1.1 m L i • ivy „ri7c License #: (91:51,/?v,.? — P/27Address:: 6 T , 7 Fe/v-N e. (. City:! (1 State: /L 0 Zip: `(�? Phone: ,P -g.2. -g2(4$442 /2— ,P -g.2.- 'O3' , ,A/ Contact: % -C 611.44-/-e-t/Email: (�Q ps$ f% tam 64vcNg e g /Y441s7 C.&/7 TYPE OF WORK _ New _ Replacement Repair Rebuild Modify Space Work in R.O.W. _ _ Description of work: PERMIT TYPE RESIDENTIAL Water Softener Water Heater Add Plumbing Fixtures ( Main / Level) Lawn Irrigation ( RPZ / _Lower PVB) _ l Water Turnaround Septic System New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation $55.00 Add Plumbing *Water Turnaround $105.00 Septic System $95.00 Fire Repair (replace (includes $5.00 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) (add $166.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ 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.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 •ermit; that the work will be in accordance with the approved plan in the case of work which requires a review and approv. (f plans. (42- Applicant's Printed Name nature FOR OFFICE USE Date: Required Inspections: Under Ground > Rough -In Air Test Gas Test Final City otEaQau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 PEAR ? 2 2011 Use BLUE or BLACK Ink Permit #: X55 7/ Permit Fee: �f '7 64 Date Received: Staff: �/ 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 93/Z -if 10 "S -SL -1 I Site Address: J -S `6 ZOL..LZ 14IL L -S IVE. Unit #: RESIDENT / OWNER Name: KD R: 4 iZ 1s phone: 65t "OS -OCYZ5 7 Address / City / Zip: 33416 ko L_I t/I LL -S D RJ` V E Applicant is: Owner Contractor TYPE OF WORK Description of work: rag/ )4It P1-004- G/� PP4iO Co 1Uj 51;7/04 fl'v tic M. I4/J Av PIAJ Construction Cost: Multi -Family Building: (Yes / No ) 7'co / T 2Nta Company: Awl C CfDl •1 E ob'VE.F) contact: /Qo 4a© Y Address: Zs% T- /4-J 1LS IR_ City: State: m i' V Zip: 5S(Z ( Phone: (D! Z —tomC -6556 CCe-16 License #: ---_� Lead Certificate #: 4'4 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 1217. 6 CbNST-Co 72 O ,F e,L ) x'70 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: 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.aooherstateonecall.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 plan x g6:;) i3 6k/IIM) Applicant's Printed Name x Applicant's Signdture Page 1 of 3 • • 3-3y(.0 --o111�D�- DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace Garage Deck Lower Level y Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition \f Alteration _! ' Replace _ Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% 70 Census Code # of Units # of Buildings Type of Construction Porch (3 -Season) _ _ Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous s o 0 I _ Interior Improvement _ Move Building Fire Repair Repair V REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final Framing Fireplace: Rough In y Air Test Insulation Sheathing Sheetrock Reviewed By: Occupancy Code Edition Zoning Stories Square Feet Length Width Final 72 Siding Reroof Windows Egress Window Demolish Building _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings _Air/Gas Siding: _Stucco Lath Windows Retaining Wall: _ Footings Radon Control Erosion Control , Building Inspector T-sts Final Brick Backfill Final RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 3,ov o 5,roa-i-- -5,0470 1301,./3 f Oa vn 3/ 000 ,&:4:)-7-1,11-4:0v /5--y / ' - 9 ?O %-2 c,v' '5 L!'L✓�"w� Sia � � 7" ,/ k aage2of3 ( y aavdaf S RiauDNOD H0VIHf1S Sf1ONINif1ZIH 0 5' c o D m It W 0 00 o II®I2l•O 0 03 •P 00 w S Toole •9 L Puo g L o (0 rn CIC CD ( D o rn N rn -o X to o 5. 0 C lD • ( 0 0 t8i co °'- .P � �`‹pcn X854.1 x852.0 —r 851.1x 10 '' v 01 �D O v 851.2\)6.3N3 KZ x 01 u, CO co zO OX �I CO OD wx-0R0 rn CO GI C3) c Z 01 io0 1 t0 �S-C i<o / X 8.31 (!..1 O gji -i --C r i,. C) 6, 'O_CANT. N3 I --Ji mp 0, l t QQ S.4 ti010.0 •C , i (D X t • 1 UP O N 's IO 10 , \\ Si 1 /"\ T - 7 L_\..l I z_ / 73 z> Ul EXISTING HOUSE \„ J �{�CO r * w Zr-Zco (2N CO CO 0 . . CO N CO 1 xr_ 150.60 S00°13'02"E 852.4 30 --13- C 17- 03 N 851.2 rnx850.8 1 10 851.1 \\30.0 1\4"PROPO \ SIDEWAU( ._ _PROPOSED 1 PORCH „ I PROPOSED 11 . ADDITION // 10 �_ s.o15.9_':J (n 848.6 10.8- EGRESS x x rr \ 848.3 848.2 847.9 // 150.60 S00°13'02"E, trA 848.4. co*711 ` EXISTING, 3 \, HOUSE. L_\J I L v PJ• 0 cn M ZO cia 3 M M CO M M Z Z ZH0"t1 o a rC)z x d a ed r "CRMO c'rri H o p' p 'a[Pd > �Ml7tri moo° 00 t33a rJ Q 00 0 O 02 c4 Y r� 34 II VA o S --13-- C 17--•- 30-- o P a ry CI z-' 0.iIllkis.) P':glr : :r- : - 0 • o 0 d o opc- on oto o p 2P 0 V) d Q o 0 a. OCI 0f7 ro a. A 0 0 m 0 r Z 0 r .ri NOI1 DDS1a A.LUadO2Id D AO N 0 Z 0 N18D 0 iD 0 0 0 a D 0. m c 1) oD 0 CERTIFICATE OF SURVEY FOR Michelo G rally Lot 28, Block 2, BUR OAK HILLS 2ND ADDITION, Dakota County, MN. rjJames R. Hill, Inc. PLANNERS / ENGINEERS / SURVEYORS 2500 W. Cn Ra 42, SURE 120, BUR/rswi , MN 55337 PHONE: (952)890-6044 FAX: (952)890-6244 777 6TY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS• INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: r rel. I fNG Ili I I f.1R PERMIT SUBTYPE: I 4 APPLICANT: TYPE OF WORK: fill) 1111N1 0"01414/ NF./ 1. 1 /9. INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR. !r .r,l ;? r , r;r! I I rrr,l r i r: r ; R1 MARV1,1t `i b IA III ftl L At I.F.Y V1 H PRV Permit No. Permit Holder Date Telephone # S/W PLUMBING i goo HVAC ELECTRIC M 9- ELECTRIC Inspection Date Insp. Comments Footings I S-13 93 bS Foundation Framing 7 q ' ?/ ! p y? i S? '?d v= ?j4 ? ge- Roofing Rough Plbg. !P A3 ??YY < ©r c d /G ?3 D S' Rough Hlg. O,v r Isul. 3 G!/? Fireplace Final Htg. -, Orsat Test ?C Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final '7 d p Deck Ftg. Deck Final Well Pr. Disp. / ?L t/ werNficat¢ of cccupanc? CM4 of Wagan wevartmeat of 13ai[iing aadpectwo 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 con SF DWG Use Classification OceaPancy Type Zoning District HMS BY MAM Owner of Building A B*Wirig Address d Building Official rtruction or use. For the following: 20687 ---- RT Bldg. Permit No. TYM ? NAWV= ddress w l.TY RD a WK w 111115 21U POST IN A CONSPICUOUS PLACE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: I I .,11 It 1.11,11 I :,I j. I „t 1 1141) fI (1 t S Ilk 13111111 OAlc 11-11 1 1 ', IN111 PERMIT SUBTYPE: APPLICANT: TYPE OF WORK: wi f 1 u i Nc 0., t 14 It 06/.:H/`a4 tat kAt 11 %I if VA I 1,11,t INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. ft;tll?,li f fJ I' I t;1, - I i ,J 111 r f:1 14ANK',?i %F-PARA1 t PI-PI1 I '• ARt RIFIQU I R1 ff I -(If? ANY PI 11JMFI I N11, OR Ft 111 11,111 At HOPI F Permit No. Permit Holder Date Telephone # S/W PLUMBING HVAC ELECTRI OO ?P ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing T Roofing Rough Plbg. ?! Q? Rough Hg. Isul. 'ell Fireplace // ? ? /.'M,-?G VI Final Htg. ? 4 Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final ?- Deck Ftg. Deck Final Well Pr. Disp. 6b r INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ""' I Itl ar' 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: '''l (612) 681-4675 SITE ADDRESS: APPLICANT: i r , I : .' 1-t 1+ 1 t o o 1;11 IN11 Hill'. lik 1-1 not ,_l}: ijnt. I: , ! I , ?NI) t F-t .' , ; 1 W 'Jiii F L PERMIT SUBTYPE: TYPE OF WORK: t,t k i;11 t, I $fir: (OA7FH0 )i (DECK Permit No. Permit Holder Date Telephone / ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. _CK DECK FINAL /7/?L Address 3346 ROLLING xrrr.S DRIVE Zip 5512 1 Lot , 28. Blk 2 Sub Bret aax HTr.r.s 2Nrt THESE MS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. D e: Yes No Inspector: D Final de " 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. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy, Pink - Contractor Copy 2 8 5 9 5 / ,L 8 Request Date c-? Fire No. Rough-in Inspection Required? ? Ready Nowi jMill Notify Inspector When Ready? es G No I >Oicensed contractor O owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.I ?104F14C?- 17,17%/s City, Section No. Township Name or No. Range No. County Occupant lPRINTI Phone No. 9 S- S3 3 Power Supplier f /0P A!y Address 3uoo .r? N oz Electrical Contractor (Company me) n AXe6yn E& t? G c Contractors License No. (}? O /30 Maibng Address (Contractor or Owner Making Installation) 4// &-S- n n V-4 Qua is 533?0? AUthoriietl Sig N ICOntractOHOwner Making Inslallatmn) Ph ne Number 7a V?- .5-d C MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0600 ENCLOSED. eaoooot-oe IJn? REQUEST FOR ELECTRICAL INSPECTION 4T " It See instructions for completing this form on back of yellow copy. 5 9 5 X' BelowWoik eovered by This Request ??.ka• No Add Rep. Type of Building Appliances Wired Equipment Wired Home ange Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps At_npS 5S, Transformers Above 200 _ Amps a 100 Amps Sign Inspectors Use Only: ?„? OTAL Irrigation Booms 70 Special Inspection Alarm/Communication CONNECTED IF NOT THIS INSTALLATION MAY BE ORDE EO DIS Other Fee I COMPLETED WITHIN 1 THS I, the Electrical Inspector, hereby certity that the above inspection has been made. Rough-in 3 Final Date OFFICE USE ONLY This request voio 18 months from •r /rW REQUEST FOR ELECTRICAL INSPECTION A ,kk A5it"1 o1-0e W ? See insiructiJns for completing this form on OaCk Ot yeibw COPY 7 X" 8e/ow Work Covered by This Request ? `? / V Nev, Atld Rep. Typeof Building ApptiancesWired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractors Remarks: My n Ist+. ,`_ Compute Inspection Fee Below: s .' 1 O # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps L Transformers Above 200 Amps Above 100 -Amps Signs Inspectors Use Only: 7p7AL- Irrigation Booms ? Ci? `l Special Inspection O Alarm/Communication THIS INSTALLATION MAY BE DERE D CQNNECTED IF NOT Other Fee COMPLETED WITHIN 18 S. I, the Electrical Inspector, hereby tif h h Rough-in y t cer at t e above inspection has been made. Fria, 41 421 o -lU-j , OFFICE USE ONLY This request void 18 months from M ys /5 ssss,/??C/lf?'9 n ?SFs?/^ This requnl void le months from wlidafion date printed in` 1,09AR, .!i6 -, a 7Yj 40 Request Dat? Vt O ?? ' ire NO. I Rough-In lppsepbn Required (Vag 1(ysFysll call metal whe when don n ready) Yes ? No Ins ection Other Th ugh-In Ready Now Jj6kfflill Notify Inspector Date Ready I ?'licensed contractor owner hereby request inspection of above electrical work at: Jab Address t5spee). Box or use /s 33(T/(Jp o r n i ? r. city Sedmn Np. Township Name or No. Range No. County Occ r` (PRINT( ? rm f`/mil' ? I / s Phone No. Power Suppker Annals Electrical nV Ior (Company Name) ovnp o wnet? Conlracior's License No. Mailing Adaress (COIltractor or Owner Making Inslallasbn) J Aut Signature Camr t wn aking Inslallalion) _-- ? Phone Number -003 M NNESOTA STATEARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway B Room S-173 BE ACCEPTED BY THE STATE BOARD 1871 Unlversay v 51. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (617) 61 0 ENCLOSED. VIII III IIII VIII REQUEST FOR ELECTRICAL INSPECTION6?a FF 1K Minnesota State Board of Electricity 1821 University Ave., Rm. 128, t. Paul, MN 55104 404 * 0 2 4 5 5 9 0 5 * Phone (,512) 642-0800 Home Duplex Apt. Bldg. Other: Now- Idn Commercial Industrial Farm Remod Re it Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other: Dryer Ran a Elec. Heat Tem . Senrice °k' above the work covered by this request. Enter remarks in this space and on the back of the white copy only. Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee # Service Entrance Sae Fee Grcuils/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 10 to 100 Amps Street Ug./Troffic Sig. Above 200 Amps ve 100 Amps Transformer/Generator INSPECTOR'S USE ONLY TOTAL l Sign/Outline Ltg. Xfmr. A?/,J, O?0 Alarm/Remote Control v Swimming Pool i here ce.fi »,aI i m: eded Me eletlncal inemllofion deeaibed harem on the dmea salad Irrigation Boom Ro.gh-In DnM Special Inspection Investigative Fee Final ocA ?. THIS INSTALLATION MAYBE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. I l k ) 1 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 o, New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas 2 copies of plan Cert of Survey Reod _ Y _ N (20% maximum lot coverage allowed) t set of Energy Calculations for healed additions Tree Pros Plan Recd _ Y _ N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required - Y _ N 1 set of Energy Calculations Addition - indicate if ar-site septic system On-site Septic System _Y _ N 3 copies of Tree Preservation Plan if lot plafted after 71193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date A2 / od?/ 5 Construction Cost U 90 - ( - Si Add .x 5 II 11 U it/St # ress te n e S J ' C Description of Work l? ( t ,e. r ?(f(s IJ r / ? , ?? f ' Multi-Family Bldg _ - 1 ( ?} ? / 1 1 N Fireplace(s) - 0 - 1 - 2 Y ?j Property Owner '[1( / 1>i<] !rj C1? Telephone #,LdS[ M3 - 6 Q 3 RENEWAL BY ANDERSEN Contractor 1920 COUNTY RD. "C" W. Address I ROSEVILLE, MN 55113 City State 651-264-4777 Telephone # ( ) LICENSE #20130983 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category I Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y - N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( J Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information lis_Qompleteand-accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan' and, the take of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start lwithout a permit; that the work will be in accordance with the approved plan in the case of work which i'equires-a review and appr al of plans. -f Gt? ,mss cm?__ i6j_? 0+1 Applicant's Printed Name Appli is Signature OFFIa USE ONLY Sub Types ? 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 (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolition (Entire Bld g) - Give PCA handout to applicant Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) - Final/C.O. Footings (deck) _ Final/No C.O. - Footings (addition) _ Plumbing _ Foundation _ 14VAC Drain Tile Other _ Ice & Water Roof Final _ Pool _ Ftgs _ Air/Gas T ests _ Final _ _ Framing _ _ Siding _ Stucco - Stone _ Brick R.I. Air Test Final _ Fireplace Windows _ - Insulation - _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector vo. ve. s?•.? ".u sa. ao rna. too 011 44*0 - ?Pif4t1'hLlSS1°?dYUti{f.7ffH suna T 2W] city Of Eagan 3836 Pilot $noli Road Pagan, MN 55122 To Whom It May Cone, : El lder Jones der Jones is authorized to pull building permits forRenewal by At[dersan Ptease stllaw date eyort 6/m6p10ro2: vide this s esvzce for us in Eagan. `iltis andiorilatOn 1.1 valid for any eaty- until a 5+a! by Andersen manMM expressly revokes it in writing t I request this antliorization be a our building permits any further. a pedidously, a9 to not delay in the pro&xWjg of contacted at 753-502-47U6 E'Icasa can me If there am any gv=Jgns.. I aaa bo Your Itm9diaoattention toAft matcr is aLAi arm 9 , Sincaialy, - . and R 12au ostailation Manager Renewal by Andersen CoForativn C'c.: Kmn-h7rier7?ne? - ?x a s ca^'°arw^ y?? zoa, t woo Ro"'Vod Time Jun- 7. 117PU i " 5235 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN ?C 2 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 It 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 cPIaCj 02`- SITE ADC TYPE OF WORK( APPLICANT W STREET ADDRESS TELEPHONE # K ELL PHONE # ULTI-FAMILY BLDG Y V N FIREPLACE(S) _ 0 _ 1 _ 2 ,LA--ISTATE1uK) ZIP 551 t9 FAX # ba -O9O5 PROPERTY OWNER JQ U YJJC "V r TELEPHONE 451- 45a -CU3 I ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (J 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 --------------------------------------------------------------°----------°----------- ---------------- I hereby acknowledge that I have read this application, state that the informatio Boizecf,?nd with all applicable State of Minnesota Statutes and City of Eag rdinances. Signature of Applica ---------------___ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Water Softener Water Heater No. of Baths RemodellReoair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate if home served by septic system for additions VALUATION O1 V V V Phone # Iawn Sprinkler No. of R.I. Baths Air Conditioning Heat Recovery System Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 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)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolition (Entire B ldg 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 IN SPECTIONS - Footings (new bldg) Final/C.O. - Footings (deck) _ Final/No C.O. - Footings (addition) _ _ plumbing - Foundation HVAC - Drain Tile _ Other Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final - Framing _ _ _ Siding Stucco Stone _ - Fireplace _ R.I. -Air Test - Final _ _ _ Windows (new/replacement) - Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector CITY OF EAGAN 830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 3346 ROLLING HILLS DR LOT: 28 BLOCK: 2 BUR OAK HILLS 2ND SITE ADDRESS: P.I.N.: 10-15501-280-02 DESCRIPTION: Building-Permit Type SF DWG ,Building Work Type NEW ' UBC Occupancy-, R-3 M-1 Construction Type V-N Zoning R-1 j/ Building Length 54 Building Width ? 48 L'; Li REMARKS: S & W PLBR - VALLEY PLBG FEE SUMMARY- Base Fee Plan Review Surcharge SAC SAC SAC Units Subtotal PERMIT PERMIT TYPE: BuILDI G Permit Number: 0 2 0 8 8 7 Date Issued: 05/11/93 PRV VALUATION $617.00 $401.05 $47.50 $750.00 100 1 $1,815.55 $95,000 MISCELLANEOUS $1,744.50 COPY $.50 Total Fee $3,560.55 CONTRACTOR: - Applicant - ST. LIC HOMES BY CHASE 18955337 0001619 2500 W COUNTY ROAD 42 260 BURNSVILLE MN 55337 (612) 895-5337 OWNER: HOMES BY CHASE 2500 W COUNTY ROAD 42 BURNSVILLE MN 55337 (612)895-5337 I hereby acknowledge that I have read this information is correct and agree to comply Statut and City of Eagan Ordinances. iPll ? yL?' APPL ANT "T« SIGNATURE application and state that the with all applicable State of Mn. I n? ISSUED Y: IGN fU REACTIVATE. ((;????® CITY OF EAGAN PER?4`T MAY 1 5 1993 1993 681-4875 PERMIT APPLICATION s,54?0 g MW-9 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date / / X93 Valuation of work A)/ moo Site Address: ?3 dZZe STREET SUITE t Tenant Name: (commercial only) LOT BLOCK SUBDI?/? aStt?f Y.I.D. N rd Description of work: The applicant is: ? Own r ontractor ? Other (Describe) PR51 33 7 Ph one Name Property LAST FIRST Owner Address I-re7S od W . fP? V14 STREET STE 1 City _'gz /L/?o State ZipS'l36x 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 ea has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY r- I O` BUILDING PERMIT TYPE 71 ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? ' 16 B'dseili"ent inief w (ff 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add11. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE P 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INF ORMATION Const. (Actual) V-N Basement sq. ft. 14WCC System Yr=, (Allowable) V_ N 1st F1. sq. ft. City Water UBC Occupancy R_s M _I 2nd F1. sq. ft. PRV Required yOC5 Zoning R-1 Sq. Ft. total Booster Pump N of Stories Footprint Sq. ft. Fire Sprinkler Length SST On-site well Census Code Depth On-site sewage C Code APPROVALS dwo 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 P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % I aD SAC Units -L velu.cim: $95000' Qs MT 4114 2G II`!?-I l0xLl_ Nu GARAGE; 1l1?O X6 32 XZ2%hpy ZX12- Czy) CST PLW)2 ; G 80 x l6 e5'r`T = 11.6 o .501'12YW0= !S' 24x1'/2= ? I!zX 7?i-? I Z22 X J?y? t?400 I /0; 900 9?1? ZG.r3 3URVE' 0W8 CERTIFICATE (a 4 s_4? X50 I W (I 01 J. J m 15146Z In 10 847.1 w r Mn I xn' Exl T. HO 9E e4s.5 so I j16.06 15.94^: 1 1 6 I e: - I b Q I . mig\ I a e L_' I S00013'02E I 847.5 o- I^ I I p, 1 v HOMES BY C - N 0K Jm 10 I -------hr848.3 1.I'OL- 1($50.0) I ARM, HEMMED NOTE: 4U?llIHO OQWJENSI' 0115 4iHOAWN ARE A N OF Ste' ATIIISTW ft mq s raINeATION olwtlaleNS. i DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FOUND X000.0 DENOTES EXISTING ELEVATION (000.0) DENOTES PROPOSED ELEVATION 10 W r M NOTE No SPECIFIC SOL$ INVESTIGATION HAS BEEN WWLVW ON THIS LOT BY THE SURVEYOR. THE ??w6cm HOUSE MPO? IS NOT THE IMIPONSBILITY OF THE SURVEYOR. SCALE:1 INCH - 30 FEET PROPOSED GARAGE FLOOR - 149.3 FEET PROPOSED LOWEST FLOOR - 141. (o FEET PROPOSED TOP OF BLOCK- 849.7 FEET WE HERESY CERTIFY TO HOMES BY CHASE THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: 1-026, Block 2 , BURR OAKS HILLS 2ND ADDITION, according to the recorded plat therbtI Dokotd Colliity, Mirmosolo. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 2ND DAY OF MAY 1993. SIGN D: JA EBB. HILL. INC. `'mot C JOHN C. LARSON, LAN SURVEYOR MINNESOTA LICENSE NUMBER 19828 Jaynes R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 2500 W. CTY. RD. 42 4 BURNSVILLE, MN. 55337 i 812-890-6044 PROPOSED d9AOEtJ *NOiN)i, WERE TAKEN FROM THt ONADINO b bEVCLOPMRNT 10 PLAN PNOV100 gY MEINLA 6 A8§oCIATE3, INC. 153.4': 48.33 850 ^01z ?n911C .?•? . U• LOT SURVEY CHECKLIST FOR RESIDENTIAL W BUILDING RMIT APPLICATION M < m J > ¢ PROPERTY LEGAL: d m -? W < y ? Date of Survey: ? Z M DOCUMENT STANDARDS -- // Gl ? Registered Land Surveyor signature and company L?1' ? ? Building Permit Applicant V ? ? Legal description 0 ? ? Address - G'? ? North arrow and bar scale B' ? ? House type (rambler, walkout, split w/o, split entry, - / ` lookout, etc.) ?8 ? Directional drainage arrows with slope/gradient ?. D ? Proposed/existing sewer and water services ? Street name ? ? Driveway ELEVATIONS Existing ? 0 Sewer service 0 0 Lot corners 0 ? Top of curb at the driveway 0 0 Elevations of any existing adjacent homes Proposed H 0 ? Garage floor Er ? 0 First floor ? ? Lowest exposed elevation (walkout/window) ? ? Property corners 0 ? Front and rear of home at the foundation PONDING AREAS (if applicable) ? ? Easement line ? ? NWL ? ?? ? HWL ? C? ? Pond # designation ? ?/ ? Emergency Overflow Elevation DIMENSIONS al 0 0 Lot lines 8 ? ? Right-of-way and street width (to back of curb) ? ? Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all -/ structures requiring permanent footings) i i E ? ? Show all easements of record and any City utilities w th n those easements ? ? Setbacks of pro osed structure and setb ack of adjacent / existing ho ? /? ? Retainin al i,p ents, if any , Reviewed: October 1992 OIJIII[ II! stir AtI cnnlnnr.loR: ___`;?'?Il untrl S urtrnrunr.lJ01tI:111t1 SQUAIIE roolArr Or EACH! I.. IOIAL rXl'OSE0 IIALL AREA ........ sfl rt x .IVIUI z. TOTAL Ro Or/CrILIPIC AREA........' i?r l 1. TOTAL tXPOSro IIALL AlitA CALCULAI"It11151 Total exposed Wall nren above floor;,,,„ 1 1. ,.:• _;1?3U SII rt , n) Total wall WlrldoW areal l?l glazed glnzetl ...... sry rt x 1'UI. « b) lotnt door area .. sit ft x 1'U'1 ...... c) • Total sII(Ilrill Illass?door 'areal' ) glazed.:.... 3J sq ft x IIUII i V 27 ^ /y' 7G7G sq, ft x IIUn d) Total flreplnce Well area sit ft x "U'1 r) Total Wall frplnlnq area (Average lob)... •" •• sit ft x ••U" F ) Totnl net Wall area above floor (Insulated) ...... Sit ft x r'Un !I) Total Elm Jolst.area ...... A 15 sit ft x "U'! Total founllatlon area (Exposed)......... Sit ft 1.) Totnl foundation wlndola area............ sq ft x 1) Total net foundation" ' area above .gradc+........ sq rt x "U11 0 9D S TOTAL a) thru t) ^ If"Item p.l Is thr. sans- asr or less than Item pl1 you have met the Intent of S.II.C. Section f.006 (c) 2 , r?..'•?'' r.w'r1S?.r? iurlil/CLILIIIC CALCULAII(III SI r' ~ 'Total r,xposcd ' roof /ccllIts If area.....,.. 4& 6 s ft 1 ir J) Total skyllal+t. area.'...... s ft 1•1 114 r +; q x , p Ic) Total roof/ce11116 framGq area (Aver-ace 109), l•? ? + ...-f?- Sq r t x nU•r ? p I) lotal net Insulated roof/cClllnq orea.....,, $r ft x n / 4+ U p TOTAL J) thru I) fj? r' total of N11 Is the same as, or lugs than 02, y C. Section 66(6 ( ou Irave met the Intent f , . ''+ c) I. o • .r , AL1EIMAJE OU?LIMir. EIIVELOIE OES16I1 + utilize the total envelope system method, the f Items P) and FII shall b values. estoblished by the B not e greater than the I sum of Items dl and b2, urn. ' + 7.. p + I • r r p rER1IF,IC!ATIn11 hereby certlfy'that 1 have calculated lire "It" factors and rrltrr values herein Mist that lire hulldlnq here described meets or exceerls the Stole of 111r,nesota Enerny Conservatlon Act. r ignatuic) CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-15501-280-02 PERMIT 3346 ROLLING LOT: 28 BLOCK: BUR OAK HILLS 2ND PERMIT TYPE: Permit Number: Date Issued: HILLS DR 2 ?k ti 12LI BUILDING 023924 06/20/94 DESCRIPTION: Building Permit Type 'Building Work Type BASEMENT FINISH ALTERATION V, REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Total Fee $35.50 CONTRACTOR: OWNER: - Applicant - B@RMAN GERALD 3346 ROLLING HILLS DR EAGAN MN 55121 (612)228-5883 I hereby acknowledge that I have read this information is correct and agree to comply L Statutes and City of Eagan Ordinances. APPL NT ERMITEE SIGNATURE application and state that the with all applicable State of Mn. J ISSUED Sr. SIGNATURE "? 2A414 CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 $9K.'`D SINGLE & MULTI-FAMILY 2 sets of plans, 3 registe a sT ®1 copy of energy calcs. 11 5 1994 COMMERCIAL 2 sets of architectural & tructural plans, 1 set of specifications, 1 copy of ---- 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 zone- / / f9gy Valuation of work ,APeroi. ?6iooo Site Address: 33?}(o Ro ((Irlq N i IIS -Pr. STREET SUITE # Tenant Name: (commercial only) LOT BLOCK SUBD.?ur Oak III IIS K N P.I.D. 0 Description of work: ft ba e e 1 1 n'tS The applicant is: IFf Owner ? Contractor ? Other (Describe) Boy olrmari . Gerald av,d AIlcia. Pho r4T ?a-003/ Property LAST FIRST W, Agoo--S'993 Owner 33`f? 4/"// 6111' Add Ar 7 ) ress . 4 . 1 S STREET STE # City ? ti State 1gA) Zip 6S1,11 Company Phone Contractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. "°' Signature of Applicant: - OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./lodging ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck WORK TYPE ? 31 New 0 33 Alterations 5 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 Y Final 0 Framing ? Draintile b- 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 Pg. Road Unit Park Ded. Trails Ded. Copies Other Total: Valuation: $ r?Jr e M .I - '5?r16 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 y y SAC Code Census Bldg i Census Unit o Assessments SAC % SAC Units CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: Permit Number: Date Issued: 3346 ROLLING HILLS DR LOT: 28 BLOCK: 2 BUR OAK HILLS 2ND P.I.N.: 10-15501-280-02 DESCRIPTION: f --,. (GAZEBO & DECK) Building,.Permit Type SF (MISC.) ;Building Wa.rk Type NEW Census Coder ,4 434 ALT. RESIDENTIAL Y ., REMARKS: BUILDING 027286 04/15/96 FEE SUMMARY: Base Fee Surcharge Total Fee VALUATION $112.25 $3.00 $115.25 CONTRACTOR: c OWNER: - Applicant - BORMAN JAY 3346 ROLLING HILLS DR EAGAN MN 55121 (612)310-5883 I hereby acknowledge that I have read this information is correct and agree to comply Statutes and City of Eagan Ordinances. APP AN / RMITEE SIGNATURE $6,000 application and state that the with all applicable State of Mn. C ISSUED BY. CITY OF EAGAN,I? n 3830 PILOT KNOB RD - 55122 1J 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?{ 681-4675 C(i'.Q.?2t? Y z RemodellReoalr Reauirsments ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam 8 window sizes; poured fid. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan IT lot platted after 711/93 required: _ Yes _ No DATE: 4 -!E -2 CONSTRUCTION COST: DESCRIPTION OF WORK: 'Perk S a,nd 'creeli e d 6-Le-bo a STREET ADDRESS: 33 c4 6 Eo l li h i h4+ l l S Dr. L`,q. ^ n .rte- SL LOT BLOCK SUBD./P.I.D. PROPERTY Name: Yyl 0.h U aH OWNER ""r Street Address, 33 y to loo ('.rh q 4; l /? CONTRACTOR ARCHITECTI ENGINEER Phone #: 3(0 - S 8 8 3 City: 6Q a« P? State: /t'//j Zip: SS/ Z./ Company: S e- 1-2 Phone #: Street Address: City: State: Company: Si 1 t Name: License #• Phone Zip: Registration # Street Address* City: State: Zip: Sewer 8 water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the Information is co, ct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received Yes No Yes No RCENJEtt API? % 51"6 OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ?05 SF Misc. ? 10 _ plex WORK TYPE 15"2-r t,V < a ,d- 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning 1. 46. low ? 11 Apt./Lodging ? 16 Basement Finish ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 13 Garage/Accessory ? 20 Public Facility ? 14 Fireplace ? 21 Miscellaneous ? 15 Deck Cy?c?o ? 36 Move ? 37 Demolition _ Basement sq. ft. MC/WS 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 Variance D/ _a Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ !Q /OOO !17 Yr S ?° 37 ,?A 21, (30- 9?r 13 , % SAC SAC Units 5-V / x-17 " )70' 1\ CITY USE ONLY I'X,? RECEIPT #: 5 SGy L ?? BL ?/)/ ??,?, SUBD. ? JVAJ fJC 5" 2 DATE' G 1?a15 - SSo oO 1996 MECHANICAL PERMIT (RESIDENTIAL) 14 03CITY 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 New construction Add-on furnace r/Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: 3 .'f - yG F EM ? Minimum Fee: Add-on/Remodel (existing residence onlyk" $ 20.00. - ' ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @ $3.00 each) ? State Surcharge .50 TOTAL ?r SITE ADDRESS' 32-y6 /'dZ?LT YL - OWNER NAME: A, 101Z/ PHONE #: INSTALLER %MN 6645-on STREET ADDRESS: 612-82a2e CITY: STATE: ZIP: PHONE #: ( ) // SIGNAWKEUF?P'ER10fI I I CITY USE ONLY L BL SUBD. RECEIPT #: DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)681.4675 Please complete for all oommerciaUndustrial buildings. ? multi-family buildings when separate permits are W required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ? $25.00 minimum fee ar 1% of contract price, whichever is greater. ? Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of 2emid fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TENANT NAME: (IMPROVEMENTS ONLY) TELEPHONE #: INSTALLER: P ADDRESS: CITY: STATE:' , ,..ZIP• PHONE SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR LOT a"gl BLOCK SUBD. &r-W 1.4& 0 'd RECEIPT # CITY OF EAGAN UNDERGROUND SPRINKLER SYSTEM PERMIT 1993 Date: Commercial project Residential project Existing residence Area/address to be sprinklered: 33?f? ?OGG/?G S D,e Installer: 6G?4G? ?Y? p? P t,1A,J Street address: 4'3?IZ 611116' /?iccs' l7/?. City, state & zip: faC 4ti 60A) Ss'ia / 'Telephone #: 4607 - lff 3 / Owner name: SCI y1?ol/? Street address: City, state & zip: Phone #: ./ Irrigation contractor, if different: ? A Phone #: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable City of Eagan ordinances. gnature of ittee New service required Fee due: $ -3-a Calculated by: c/ --? l- `-3 0- K. `%e "('e ?- tva tom- ? V.B. CITY OF EAGAN UNDERGROUND SPRPgUXR SYSTEM PROCEDURE 1993 1. Plans must be submitted to the City's engineering department for approval before installing a lawn sprinkler system. If digging in the boulevard, a right-of-way permit may be required. 2. Once plan is approved, it will be presented to the City's plumbing inspector for sizing of the meter. 3. Jerry Wobschall, Finance Department, will calculate permit fees as follows: a. Commercial project. $ 25.50 plumbing permit. $ 50.50 water permit fee only if new service is installed. $100.00 per tap if installed by City. Please consult with engineering department regarding feasibility of City installation (City will only install taps up to 1"). b. Residential Project: $ 15.50 plumbing permit. $ 50.50 water permit fee if new service is installed. $695.00 per connection - WAC. $324.00 per connection - water treatment plant. c. Fisting residence: $15.50 plumbing permit - (not required if backflow preventor previously installed) however plan must still be presented for approval and an application must be filled out. 4. Once meter size is determined, building inspections clerk typist will contact utility billing clerk for cost and notify installer of all costs associated with project. If new service lines are not required, one check may be written for meter and permit costs. No meter will be sold before all sewer and water inspections are complete on a new service--(engineering department will advise utility billing clerk when meter can be sold). Receipt will be coded to 20-3716 (meter portion only) with pink copy forwarded to utility billing clerk. 5. The installer is to contact building inspections division at 681-4675 for inspection of the inside water line and backflow preventor. The public works department may be reached at 681-4300 for water tum-on and set and seal of meter. Inspection hours are 8:30 AM to 3:30 PM, Monday through Friday. Requests for AM inspections should be made on the preceding work day. Requests for PM inspections will be accepted until 12:00 noon that day. _- • /LOT ,-?J BLOCK ?-L-SUBD.- iTt,. RECEIPT # CITY OF EAGAN ::..: DERGROUND SPRINKLER SYSTEM PERMIT 1993 Date: 'y' ? - 93 Commercial project Residential project _ Existing residence ArWaddress to be sprinklered: ?3 ?Dl?/c/G ff/GLS j?e Installer: /t e q e-Z) 4,PMA.J Street address: 33V4 6 c c l le- tic 1-X 2P. City, state & zip: f_ar a G?itJ Ss?i?/ Telephone #: ' ISd - 003 / Owner name: Street address: City, state & zip: Phone #: Irrigation contractor, if different: N?4 Phone #: 141114 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable City of Eagan ordinances. ,"r1 7? gnature of ittee New service required Fee due: $ Calculated by: CITY OF EAGAN Page 1 of 5 PERMIT TO WORK WITHIN CITY PROPERTY/RIGHT-OF-WAY/EASEMENTS 1. Location 3 ?cO L I IJ(. 01?L-s -DRc-,&, N SS I Z 1 2. Nature of Work IAG-TALL GI-L-- 5-t-Riolif(s7p- 75-(5-to-4 3. Indicate below items to be affected and include a sketch or plan of work to be done. Curb & Gutter Street Surface Trail/Sidewalk Trees: Pond/Wetlands Public Traffic Control Devices/Signs Private Drainage Utilities Structures/Buildings Other 4. Method of Installation or Construction + sfjctAi - E `!0 `o2 To -y r lac 5. Work to start on or after:,F6 !3 and shall be completed by: y y3 unless an. extension.granted to: by: DATE STAFF/DATE 6. Will detouring of traffic be necessary? //0 If necessary to detour traffic, describe suggested route: DETOURS: The Director of Public Works shall be notified in writing at least 72 hours in advance of any detour being, established, changed or discontinued. NAME OF APPLICANT G-€p?a?a j .? vl Ahi PHONE z/SZ-OU / PLEASE PRINT ADDRESS :3-??SV6 A1141AI?- /FILLS ?e. 9-641, I A-IV aS/Z/ STREET CITY STATE ZIP NAME OF PARTY OR ORGANIZATION PERFORMING WORK G?PALb f. 1'-5z-,eA4l1J CONTACT PERSON: CEE!'??D ?m F?/??' EMERGENCY (24 HR.) PHONE #: X52 -o ADDRESS 33 `/G ?oGcn?L-ff tG.S Tjp. DAY PHONE? STREET CITY STATE ZIP The undersigned herewith accepts the terms and conditions of this permit by the City of Eagan as herein contained and agree to fully comply therewith to the satisfaction of the City of Eagan. Signed: % ----Title: DATE: 9-119 --------------------------------------------------------------------------------------------- FOR CITY USE ONLY FINANCIAL SECURITY: Fee: $ AUTHORIZATION OF PERMIT AMOUNT: TYPE: (Cash,bond,LOC,etc.) Receipt No. Permit No. In consideration of agreement to comply in all respects with the regulations of the City of Eagan covering such operations, and pursuant to authorization duly given by said City of Eagan; permission is hereby granted for the work to be done as described in the above application, said work to be done in accordance with special provisions as hereby stated: APPROVED BY: DEPT. OF PUBLIC WORKS BY: /DATE ALL LEGAL REQUIREMENTS SHOWN ON REVERSE SIDE AND ON ALL "SPECIAL PROVISIONS" TO BE COMPLIED WITH! THE DATE WHEN WORK IS COMPLETED MUST BE REPORTED TO THE EAGAN CITY ENGINEER. Permit No. Page 2 'of 5 PERTINENT REGULATIONS Safety 1. Traffic shall be allowed to pass and to be protected at all times. If it is not possible to allow traffic to pass, a suitable detour must be provided and plans submitted to the Director of Public Works 72 hours in advance. 2. Barricades shall be erected in a manner which will provide suitable visibility in all directions. All barricades shall be in good condition, and all signs shall be of such size and legibility to provide adequate warning to oncoming traffic. At least two 7" flashing amber lights shall be mounted on each end barricade with one on an advance warning sign. 3.- Excavations must be shored or sheeted when necessary to prevent under-mining of roadway, trailways, utilities, or for safety reasons. 4. Guys or stays shall not be attached to trees on right-of-way or private property without written permission. 5. Flagmen shall be furnished by the party or organization performing the work whenever the work being done creates a hazard either to the traffic using said road or the personnel engaged in the construction, or when directed to do so by the City. OPERATIONS 1. Permit on Job--Permits or copies shall be kept on the site of the work while it is in progress in the custody of the individual in charge, and shall be exhibited upon request made by any City official. 2. Provisions and Specifications--These general provisions, specifications and Std. Plate P-1 shall be considered as forming an integral part of each and every permit issued for operations within Eagan.. The work authorized by this permit shall be done at such time and in such manner as shall be consistent with the safety of the public and shall conform to all requirements and standards of the City. If at any time it shall be found by the City that the work is not being or has not been properly performed, the permittee, upon being notified by the City, shall immediately take the necessary steps, at his own expense, to place the work in condition to conform to said requirements or standards. 3. Execution--The permittee shall use diligence in the execution of the work authorized under this permit in order not to endanger or unnecessarily obstruct travel along any road or trailway. Operations shall be so conducted at all times as to permit safe and reasonable free travel over the roads and trailways within the limits of the work herein prescribed. All safety measures for the free movement of traffic shall be provided by the permittee at his own cost. 4. Conformity to laws--The installation shall be made in conformity with all applicable laws, regulations and codes covering said installations. All installations shall be made in conformity with regulations of governmental agencies for the protection of the public. a. The applicant shall furnish a bond or financial guarantee in the amount to be determined by the City which is required to ensure adequate 6 timely completion of repair. This bond or financial guarantee shall remain in effect for 2 years subsequent to completion of street repair. to protect the City from defects in material, workmanship or non-compliance with City Standards or specifications. Permit No. Page 3 of 5 b. The applicant shall furnish evidence of public liability insurance of not less than $100,000/300,000 and property damage of not less than $25,000 issued by an insurance company authorized to do business in the State of Minnesota on which the City is named as an additional insured party. C. Except for the negligent acts of the City, its agents and its employees, the permittee shall assume all liability for, and save the City, its agents and its employees, harmless and defend same at its sole cost and expense from any and all claims for damages, actions or causes of action arising out of the work to be done herein and the continuing uses by the permittee, including but not limited to the placing, constructing, and reconstructing, maintaining, protecting and use of said facility under this application and permit for construction. 5. Existing Facilities--The utility facility and installations shall not interfere with any existing utility facility on the City's right-of-way or easements. It is the responsibility of the applicant to call for necessary locations of existing utilities. (Gopher One 454-0002) 6. Private Property--The work permit or permit for construction as issued does not in any way imply an easement on private property. 7. Quality of Work--Finished surface, base and sub-base of road or trailway upon completion of work shall be at least equal to or better than specifications of originally provided road or trailway in accordance with City Standard Specifications. Surface shall be finished within 48 hours upon completion of backfill. 8. Cutting Trees--The permission herein granted does not confer upon the permittee the right to cut, remove or destroy trees or shrubbery within the legal limits of the right-of-way, easements that are not specifically identified on the plan attached to this permit or relieve permittee from obtaining any consent otherwise required from the owner of the property adjacent thereto. 9. Drainage--All waterways and lines of drainage shall remain operative. 10. Pole Anchors--Pole anchors, anchors, braces or other construction will be permitted within right-of-way or easements and will be approved on a case by case basis. 11. Driving Limitations. a. Driving or parking on City trails or sidewalks shall only be permitted for those operations requiring direct access to the boulevard area. b. Vehicles operating or parked within the right-of-way area shall utilize their warning flashers at all times. C. Vehicles driving on trails or sidewalks shall not operate in excess of 5 miles per hour. Vehicles shall operate at slower speeds when weather conditions, trail conditions, poor visibility, obstructed sightlines or other conditions require special precautions to ensure the safety of trail users and the general public. d. Driving shall not be permitted within those boulevard areas where damage to turf trailways or other infrastructure may occur. e. Vehicles shall not be parked on trails or sidewalks in such a manner as to unnecessarily impede the safe and efficient use of trailways by the general public. Permit No. Page 4 of 5 12. Vehicles or equipment traversing roads or trailway surfaces shall not utilize studded or chained tires, caterpillar traction, or any other form of traction which will result in damage to the surface. 13. Clean-Up--Street, trailways and affected right-of-way shall be scraped clean at the end of each work day and swept clean after construction is completed and left in a neat and presentable condition. 14. Trees and Vegetation-Burning or disking operations and/or the use of chemicals to control or destroy trees, brush and other vegetation is prohibited without prior approval from the City. ' 15. Replacement of Sod--Wherever top-soil and sod are disturbed, they shall be replaced and maintained satisfactorily until the turf is established. The undersigned hereby declares he/she has read and will comply with all the PERTINENT REGULATIONS as stated above and relevant City Ordinances. DATE: SIGNED: Revised 5/93 LTS#l-PERMIT.FM PAGE 5 OF 5 PROPERTY LINE SAME AS REMOVED (3" MINIMUM) SAME AS REMOVED (6" MINIMUM) 1. Curb and Gutter shall be removed only after saw cutting at joints and replaced according to specifications or Standard Plate. 2. Bituminous pavement area removed shall be'saw cut prior to patching. 3. Boulevard sod removed shall be replaced with minimum 4" of topsoil and cultured sod. 4. 2341 bituminous wear course shall be paved between May 1st and November 15th for permanent patch. Temporary cold mix patch should be used November 16th to April 20th (or as permitted by weather). 5. Class 5, 100% crushed aggregate base. 6. Roadway closures in accordance with Appendix B - Traffic Control for street or highway work zones - MnDOT/MUTCD. 7. Bituminous trailway closure requirements same as roadway in #6 above. 8. Backfill shall be thoroughly compacted by the "Specified Density Method" of compaction. All suitable backfill material placed below a depth of five (5) feet below the final pavement surface shall be placed in maximum lifts of twelve (12) to eighteen (18) inches and compacted to a minimum ninety-five (95%) percent of ASTM Specification D698- 64T (Standard Proctor Density), method "A". All suitable.backfill material placed within five (5) feet below the final pavement surface shall be placed in lifts not to exceed twelve (12) inches and compacted to a minimum of one-hundred (100%) percent of the above ASTM Specification. city of eagan PUBLIC WORKS a DEPARTME STREET AND BITUMINOUS TRAILWAY EXCAVATION/PATCH DETAIL TRAFFIC CONTROL REQUIREMENTS approved: standard plate # 5/93 P-1 TRAILWAY ì ý ùü þýüýû ÿþþ ýüûú ûúù øýýþþ è þÿ åùíýõ å ÿ ÿþõ úù ø÷ öó é á ùø÷ öø÷ öó é ô óéï ÷ý õù á ù íù÷ýø Üü úÞùý ì ÷â Þù ý æðý üóó÷ ü ûýððýü þ ÷ æáýððý ÷ ýð ýýæ áý ä ý Þù øýó ü ðýø æ ý çååæ åæå ôø úù ýü ý çæ ãæã Ûýùýûæ óò õñð ÷÷ý ï óý ï ÝÝýø ãáùøïýáö ïüõ ï þýüýòô ë è øýó ü ý ýâ ý ý÷÷ýý ý ý ðý ýýü ÷øó ýý÷÷ý úý ðò ýúýù ýáøðþýüýíý æ ÷÷ýé úüýù ù øúüýù PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA139569 Date Issued:10/28/2016 Permit Category:ePermit Site Address: 3346 Rolling Hills Dr Lot:28 Block: 2 Addition: Bur Oak Hills 2nd PID:10-15501-02-280 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Robert G Grady 3346 Rolling Hills Dr Eagan MN 55121 Dakota Water Treatment 17484 Goodland Path Lakeville MN 55044 (952) 953-4643 Applicant/Permitee: Signature Issued By: Signature cold -11 ,-.-, ;J\7ED For Office Use I light : " Permit#: / -� ----- -' E AGA N JAN 10 2019 �� .......• Permit Fee: ^1 Date Received: 1'1 b' 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinginspectionsacitvofeagan.com L 2019 RESIDENTIAL BUILDING PERMI APPLICATION Date: 10 Site Address: -33 -``-'' 1(i '1 J ,h i i(- Unit#: QQ(( ` fes ( 5( 225_5JZ Name:�dl�- ` ii 4 ADr O _ Phone: Owner Address/City/Zip: Applicant is: Owner Contractor Type:of Work Description of work: � Ifi '�v W' l I �OJ Construction Cost: 1 i C c Multi-Family Building:(Yes /No ) Company ,]• t� fk, /Vk. D2) hI 6 u, Contact: v` _ -- U toOl1tf�Ctor Address: �� o61 ttl ti 3 -7 Q LA j City: 12 -` 0t-ivC'� State:1 1 1 Zip:55361 Phone:l')'- 70 O 1 mail: 5 1 € 5 37k�(i 'LC '1 License#: U `> lJ�c Lead Certificate#: 2 CJ � isexemptfrom lead certification, please explain why: If the project p a p y 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: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that yolk submit are considered to be public infoneation. Portions of the information may be classified as non-public If you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeastan.com/subscribe. 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. CALL BEFORE YOU DIG. Call opher State One Call at(651)454-0002 for protection against underground utility da • •:. Call 48 hours before you intend to dig to receive loca/= • underground utilities. www.aopherstateonecall.orq I hereby acknowledge �F'��formation is complete and accurate;that the work will be in conformance w' : •rdinances and codes of the City of Eagan; that I and . this is not a permit, but only an application for a permit, and work is not to ,,•',ithout a 'I be in accordance wit` approved plan in •_ =- - • work which requires a review and approval of plans. x � s• x / . •pl' a rinted Na e •plic •ignature s- �d DO NOT WRITE BELOW THIS LINE S VL k//// (-; ; Ii 04 /.. , /2Z SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous — 01 of_Plex 44 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 ,Q OD Occupancy SAG —1 MCES System -- Plan Review Code Edition 2//1" SAC Units (25%_100% ✓) Zoning A-1 City Water -- Census Code li 34 Stories — Booster Pump #of Units / Square Feet PRV -- #of Buildings I Length _ Fire Suppression Required i Type of Construction 'D3 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) Final I No C.O. Required Foundation Foundation Before Backfill w' HVAC_Service Test Gas Line Air Test_Hood Roof: IceWater _Final Pool: Footings _Air/Gas Tests _Final Framing V 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding: _Stucco Lath Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: /"", '44 , Building Inspector RESIDENTIAL FEES it g-. eP a0 VI0 , -e a' Base Fee 1 9/ -j Surcharge Plan Review /et.lJ 4-4- MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies a e ,a1---€_,c .5a TOTAL Page 2 of 3