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3350 Rolling Hills Dr íü ðø þýýüûúÿú ÿ ùüüýýððô÷ýþ ãÿä ã þý ÿþýüû ù÷àúÿýüû ùýüûù÷à ø÷àêûõ ûÿ úÿúîî äÿûü Þ ôÿë õûæõóóõôÿõþõè å÷÷ûååõ ý ûèúååûåè úþõçôÿþü÷åõüóõè ëéâéííè í èî í öù ÿó Ýÿéâéè ð èð Ýÿ è õó òñ ûû ê÷òóùú ð ê êæòøòø î ñáïáî îããã óþü÷ó óæóûûóóåõõûü÷óûûþ åò ÿúüåäè ûûà õ ÿ ÿü ÿ WeMficate of C"ancC 644 Of " 2*00rtwent of Sa"We aalevedwn 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/GAR 20642 Use Classification: Bldg. Permit No. 0aeapaacy Type R-3 M-1 zoning DC ct R-1 CO Vn Buifdio. PIRTSCB BLDRS INC -9543-MBE Lt .+ DQUWLLB 55044 Owner- of Adducat 3350 ROLLING RI R LZI, s Building Address Locality Q 4 , ? tlt4Y'ifs; 1993 DL?-it uau: B' tg Official POST IN A CONSPICUOUS PLACE • r CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS• INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: t I? T. ? l li l 01 k ?l (_INi, till I ti IIFp. PERMIT SUBTYPE: APPLICANT: TYPE OF WORK: flit 1 1 1) 1 NF, IbI/i"!f9:3 INSPECTION TYPE .DATE INSPTR INSPECTION TYPE DATE INSPTR. . i y, MARK"1 r S 16 W I " i 1AV MA I I iii W DAN l# t F11 F3li PRI Permit Ho. Permh Holder Date ToMphone III S/W PLUMBING ?? 93 .f?c,?3 jJjv HVAC 1 ,-//4 7 ; 57 ELECTRIC ELECTRIC Inspection Date htsp. Comments Footings 1 Foundation Framing j 3 Roofing Rough Plbg. G Rough Htg. 30 i J Isul. S/ % Fireplace Final Htg. n ?rr.y Orsat Test Final Pibg. ?S Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final ? 9 3 S Deck Fig. Deck Final Well Pr. Disp. } jK4 GP OF 4,' ; s 0- 6563 J o 00 a? kx Req st Date Fire No. Rougf) -In Inspection Requiretl - ' n Then Rough-In (VOO must call inspects when tly) Now ? Will Nouly Inspector &R ? Yes o a i ? icen contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route N City Section No . q Township Name or No. Range No. County Occup t PRINT) If Phone) , Power Supplier Address Electrical cto mparry a ) e No Con; cm's Lic7ns / / ? !/ Malin dress (Conir c t or or Owpef M mmgg Installation)) T ? l/ ?,? ?VV Auth Signet nVactor/Owner Making Installation) ne Number ICm N I n v n II II ( II I II I I I l I I ? 1 ll T F 18 21 U liversity A e., St . Paul, MN 55 06 I' UN L SS PROPER INSPEC ION EE IS PMne 16121 "2-0soh I G REQUE*TFOR ELECTRICAL INSPECTION E"B--00001-09 I D,t Nor Bee instructions for completing this torch on back of yellow copy e+4/9(* W" Below Work Covered by This Request T Ne Add p. Type of Building Apprpr ? ired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer _ Load Management Comm./Industrial Fur a Other (Specify) Farm Ir 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 0 to 100 Amps -" Transformers Above 200 Amps Above 100 Am s Signs inspector's use only. TOTAL Irrigation Booms Special Inspection C Alarm/Communication RDISCONNECTED THIS INSTALLATION MAY BE OR IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby certify that the above inspection has been made. Rough-in Final Date OFFICE USE ONLY This request void 18 months from Request D;le Fire No. RougF?in Inspection Requir es C No ?Reetly NggLBVPIIfFlotity Inspector When Ready? _Icensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street. Box or Routs ?NS] City Section No, Township Name or No. Range No. Coun Occupa I RIryTI 14 Phone No. Power p tier Address actric ICOm0any mel rector's License No. Mailing AUdres IConnactor or Owner Making lc) 7 8. Authorized naWre IConlram1,Ow er Making In calls on) Phone mbar I MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT GHggs-Mltlway Bldg. - Room 5173 BE ACCEPTED BY THE STATE BOARD 1021 University Ave.. 5t. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 6420600 ENCLOSED. y,A7 REQUEST FOR ELECTRICAL INSPECTION ji, Sae instructions for completing this farm on back of yellow copy. 'k" Below Work Covered by This Request e Add Rep. Type of Building Applianceswired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other Ispec,t l contraclor8 Remarks: Compute Inspection Fee Below: ++ Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs Inspectors Use Only: TOTAL rrigation Booms I 0;760C,) Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee A COMPLETED WITHIN 18 MON S. I, the Electrical Inspector, hereby if h Rough-in / Date I y t cert at the above inspection has been made. Final Data OFFICE USE ONLY This request void 18 months Irom Address : 3350 ROLLING HILLS DR Zip 5512 Lot 27 BIk 2 Sub BUR OAK HILLS 2ND THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 5/27/93 Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway t/ 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 shutoff of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN b S 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq. ff. of lot, sq. ft. of house: and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window saes; poured found design, etc.) 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 711/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE Va"//D?' SITE ADDRESS 3350 U I?G f'() l I 'Dr. MULTI-FAMILY BLDG _Y XN TYPE OF WORKQQ7) FIREPLACE(S) _ 0 _ 1 -2 APPLICANT- f\UUQ1 rVLL? l STREET ADDRESS99-91P pL CITY vt? STATE i Irv ZIP J?5 TELEPHONE # a CELL PHONE # -l AX # PROPERTY OWNER 1.U/)14hic rt TeAnW 17tFhn;ss TELEPHONE# 6,57-W-00 COMPLETE FOR KNEW" 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 # I hereby acknowledge that I have read this application, state that the information with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant to OFFICE USE ONLY Water Softener Water Heater No. of Baths Remodel/Repair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate ft tome served by septic system for additions _ Phone # Lawn Sprinkler No. of R.I. Baths Air Conditioning Heat Recovery System VALUATION 50? Fee: $90.00 Fee: $70.00 Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ 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 EM. Alt - Multi ? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 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) _ 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 Cash Receipt Receipt Date 10/5/00 Time Printed 14:56:28 Receipt Number 1151 CEDAR VALLEY HEATING 8 AIR 3350 ROLLING HILLS DR 9801.2195 S0 8P 43160 9001.4085 60.00 8P 43160 Total Receipt Amount 60.50 User HNCGRAH 13160 160.50 1?v 2000 FIREPLACE PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD - 55122 651 681-4675 Date: 10/3/00 Description of Work: _ Construct new fireplace x Gas -Masonry Alterations to existing Install ras insert only Install pas line only Other Job address: 3350 Rolling Hills Drive Lot: -;Z 7 Block: I Subdivision/P.I.D. #: h I'J U Y U ??? I ?hd Applicant (circle one only): Owner Contractor Permit Fee. $60.50 Name: Furniss, Perry Phone#:683-1908 PROPERTY Last First OWNER Street Address: 3350 Rolling Hills Drive City Eagan State: MN Zip: 55121 Company:- Phone #: (area code) FIREPLACE INSTALLER Street Address: 9601 Jefferson Trait West City Inver Grove Heights. State: MN Zip:55077 Company: Cedar Valley Htg & Air Phone#: 454-8666 (area code) GAS LINE INSTALLER Street Address: 9601 JEfferson Trial West City Inver Grove Hts State: MN Zip35077 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. 1 Signature ???J J u OFFICE USE ONLY BUILDING PERMIT TYPE ? 16 Fireplace WORK TYPE ? 31 New ? 33 Alterations ? 39 Gas Line ? 32 Addition ? 34 Repair ? 40 Gas Insert GENERAL INFORMATION Census Code 434 SAC Code 01 REMARKS Chimney/flue must be inspected before concealing. ? 41 Wood Stove CITY OF EAGAN 3830`Pilot Knob Road Eagan„Minnesota 55123 `(612) 681-4675 PERMIT ?2 0? y; c? s PERMIT TYPE: y r l ,? Permit Number: Date Issued: SITE ADDRESS: Y 1 . 11 . . ' 0 ! h!, 0 . 7 0 0 ' t_or ?, r,l.ucl;: DESCRIPTION: UWL, ''t•'??i I;ti,,??.. 6 tor'I; hypo Pll?ld Y' R -ort nn, - ?? !.-1 i REMARKS: .< Ih %L r:2 I9 .11 ,III I)Ai.i s L:, p1.8 FEE SUMMARY: U•,;li, ry,., II (. ;S9. EfG 1,0 0(h IL 0 0 I'. I, , 9 1 CONTRACTOR: - OWNER: p I I I SCll RI.)PS ' ILt: 10., 13;;:+I ¢t9Z ZJ(iR PI T`:C:. l !'.i<-V1, t L Ill I\1 b547fl 9 I Flh`Vlt l-I II v Li Y . Oo I I tw-4 8I A IICANT/PERMITE SIGNATURE ISSUED 8!. SIGNATURE REACTIVATE _ PERMIT1 4 26L4 0 CITY OF EAGAN 1993 BUILDING PERMIT 681-4675 APPLICATION k3 MAR 2 6 RECD rr, Nei, GQ 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. / 93 Valuation of work Lla d`c3? Oo Date 3 / _ n?"" N I (I S 0 eta I ( 3350 K c LrL ? U Site Address: STREET SUITE / Tenant Name: (commercial only) LOT a? BLOCK Z SUBD:aut ©cLK$24 L b not . P.I.D. N Description of work: The applicant is: ? Owner ? Contractor ? Other (Describe) Name Phone Property LAST FIRST . Owner Address STREET STE N City State Zip Company P i e tSC 4` (? ?clc S ?tnC • Phone LW- Contractor Addressgs'43 "-l-, LO,? License # x356 Exp.313+k4- City ?iC U?AQ). State Mh) Zip 55041- Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber IIJU.e b 14U41, b Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with al applicable State of Minnesota Statutes and City of Eagan Ordinances. c / ?- C? Signature of Applicant: ? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 9 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch . ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add11. ? 15 Deck WORK TYPE 131 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION -&1.6 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish Const. (Actual) Y- N Basement sq. ft. MWCC System Yes (Allowable) _ N 1st F1. sq. ft. City Water YES UBC Occupancy R-3 rn-I 2nd F1. sq. ft. PRV Required YE5 Zoning R-1 Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth 5-0 On-site sewage SAC Code DI APPROVALS Planning Building Assessments Engineering Variance REQUIRED IN SPECTION S ? Site ? Footing ? Framing ? Insul ation ? Wallboard ? Final ? Draintile ? Fireplace Permit Fee Veiuntim: g (08 000 '- Surcharge Plan Review .1 faf ?2x24=52$ X/?. 84y8 License MWCC SAC &SmT; City SAC Water Conn. 3y'/Z •?c 30 : (o3S Water Meter Acct. Deposit I y X a44z= 3U3 S/W Permit 1"2 K I$'/2 = 2`S S/W Surcharge Treatment P1. 7? b = 02) Road Unit Park Ded. 139 X /1 57.7- OP 10 - Trails Ded. (ST FL-""e Copies Other ?` 1394 Total: 2X r i4 2512 q,(,_ 38 _ SAC % SAC Units iYyio X SN = '7So? `? ?07UL12' kh, . -? CdPrttfir?tP .af 3uruP? lava &W*tka prepared for: LOT 27, BLOCK 2, PIETSCH BURR OAK HILLS 2ND ADDITION according to the recorded plat thereof. B UILDERS, INC. DAKOTA COUNTY, MINNESOTA ROLLING HILLS DRIVE c CONCRETE C. & G. Yroj4d AQO?mana: SURFACE - 3350 j A&ng. j(1u& Or", ?-? e ss s ?_ rn ? V ?A 52 ?" T' PdF' N 89°38'13" E 86.13 , Tp ?l^b..- - ---- --Q Elev.-86298 S I [] R 5, R 1 I es4 • )51P:;0 n5s.1 1 so• FWff sEr-a4cvr LWE --- --- p - S I 0dA`?- _ 11.90 zt.o° 52.13 rAt Cn SF.o) I p by F?tel ?D f I g GARACE+ ?° e5S.5 ?D , 8,4 Q I Ofap 9.671 8.00` 14.33 22.13 2 1 { B.OOGe'? t•(i ( .00 2.00 O SCALE : 1" = 30' '}00 PROPOSED s ~ HOUSE I N 25.50 18.50 I . ..................... F 9. LOT 26 0g5; ...L...._........ 45so ,9,5- ...22.13..1... o LOT 26 I o I o ? I I { ?, LOT 27 [Po a?a R[E ?v",( l?J t llC?? DRAINAGE do UTILRY -?`?---'r 5 1l w 5' > EASEMENT PER PLAT 19 ?? c ??GtJ 'f 1 ? ?k t - k ?6CJ ` J /J6'r y6oPAt o ??"` - - - - BENCHMARK Sep Ce,.c. C.4 ° T6 Aa,J C. .tot 27 . 96.06962.68 & ..t /w.n RuG ® za 30) Wrstrrgren & Assuritttrs, 3nr. - - - - LAND SURVEYORS ---- 8500 210TH STREET WEST LAKEVILLE, MINNESOTA 55044 PHONE : (612) 469-1899 Fax : 469-1899 NOTE VMUF'Y ELEVATIUNS & r o Denotes Iron. ,p9`5- xFb Denotes existi 99 _1Pf) Denotes prop< ® Denotes Off-! qS(SO = Top of bloc (g5*S,SS ) = Top of. fin; qS3 - S/qt 46.03 = Top of bus ?-- Indicates direcW l hereby certify that this is a true and correct repres®htof as shown and described hereon. A p ared by me on this 26th doy of Field Hoot 07 72 4'k(0&5 V ^ ^ ': Winesbfa 7 Job NO. ?1188 drop 9qn, Dan R. IWefvrgp 'RfOR TO ?. c E t r h$ A?4? Y'?::. Ali f l; i? 0 VID BAD Bl'D Y LOT s4RvEY MCELIET FOR REiIDENTIAL r •ys 761?!r '5//(/V 0 Registered land surveyor signature and oompanY D building Permit Applicant D Legal description 0 Address 0 North arrow and bar scale 0 house type. (rambler, walkout, split w/o, split entry, lookout, etc.) D Directional drainage arrows with slope/gradient It. 0 Proposed/existing sewer and water services 0 Street name D Driveway DAD 0 • Sewer service ' • Lot corners 0 EE 0 Top of curb at the driveway F 0 Elevations of any existing adjacent boats ?/. proposed D D ? 0 Garage floor D D 0 First floor D ' D Lowest exposed elevation (walkout/window) D D D D Property corne rs 0 Front and rear of home at the foundation PONDING ARTAS fif appliesblel 0 G Easement lint N'h:L D Lr 0 K L D D Pond # designation D D 0 Emergency Overflow si•vation DI!!LNS IONS ' D 0 Lot lines 0 D Right-of-way and street width (to back of curb) 0 D Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) V/ D D Show all easements of record and any City utilities within those easements D D Setbacks of proposed structure and setback of adjacent existing homes D ?D Retain 1 re aments, if any Reviewed:. x? i n. . FXXTERTOR ENVELOPE AVERAGE "U" COMPUTATION OWNER: {?[7E?15?? IcE?+IPFV(r- SITE ADDRESS: CONTRACTOR: DACE: "?-i i' ;;/Z. DETERMINE WORKING SQUARE FOOTAGE OF EACH: 1. TQ TAL, EXPOSED WALL AREA 2&)7.1) SQ. FT. X r '1 1 = ???rg 2. TOTAL ROOF/C:EII,ING AREA j-+Y2r0 SQ. FT. X (C)Zb 3. TOTAL EXPOSED WALL, AREA CM,CUI,ATIONS: '.Cotal exposed wall area above floor [[ a) '.Total wall window area q `ir 7 SQ.F`.C. X y "U" b) Total door area ? 7 a'i! SQ. FT. X "U" 07 = 2,? C) Total sliding glass door area 04010 SQ.F',P. X "U" ?r7?- d) 'Dotal fi.ireplace wall are a SQ. FT. X "U" r = L e) `Cotal wall frami.nq area SQ.F'C. X "U" ,0 = ?'f( (average 10%) f) Total net wall area abov / e ??Cr7 SQ.F..C. X "U" p door (insulated) g) '.-ctal rim joist area 140.0 SQ. FT. X "U" ld S Total foundation area 2-,D SQ. FT. (exposed) h) Total foundation window area C,) SQ.F'.C. X "U" = O i.) Total net foundation area pp 19Z'D SQ.F:C. X "U" 117 = (3,1 above grade TOTAL a) through i.) If item #3 is the same as, or less than item #1, you have met the intent of 2 MCAR 1.16008 A and O. Z(4.8 G Z?aO PAGE 1 4. TOTAL EXPOSED ROOF/C:EIT ING (:Aid:ULATION S: Total exposed roof/ (n 0 SQ.FT. ceili.ng area j) 't'otal skyli.(Iht area SQ.PT, X "till _ k) Total roof/cei.li.nq 4t [) SOFT. X "U" I () _ frami.ng area (average 10%) > / 1) Total net insulated SQ.F'P. X "U" ,'Z-L = 2€?,?? roof/cei.ii.nq area 4• TOTAL j) through 1) If total of #4 is the same as, or less than #2, you have met the intent of 2 MCAR 1.16008 A and 0. AI.,TERNA:PE BUILDING ENVELOPE DESIGN To uti.li.ze the total envelope system method, the values established by the sum of #3 and #4 shall not be greater than the sum of i.tems #1 and #2. 1. 3. +2- +4. CERTIFICATION I hereby certi.fy that I have calculated the "U" factors and "R" values herein and that the bui.ldi.ng here described meets or exceeds the State of Mi.nnesota Energy Gonservati.on Act. ate PAGE 2 2 v 6 Studs ' '. CONSTRUCTION MALL FRAMING SECTION: A MALL SECTION (INSULATED) RIM JOIST SECTIMI: - 0 Interior uk I/It - _,n U a 1/R - .043 FOUNDATION INSULATION REQUIRED: Min. R-5 on entire wall OR °$ 1/R cf4 o.0•:,4 Min. R-10 down to frost depth D _ FOUNDATION SECTION: °' • A' 1 Interior air 111m O,Afl a.A• 2 33 Wood & 34 Insul tt.on 11.00 ' 4 Exterior PT-Mm e• TOTAL R =12.9 6 U ' 1/R ' • Og SLAB ON GRACE ? ? - ? ? •e .- - - off- ?.C V t ..d Ads A Unheated Slabs: Minimum R . 6.2 CEILIaa sECT16A iln;utnithl: I Interlor air fllm 0.61 2 S?' 56- 7 Insul. 44, 0- Lx air m (still) 0. 1 TOTAL R ¦4?35 I G 3 4 5 H CEILING FRAMING SECTION- 1 Interlor Air fil j na at dti? ti nter or a r'-Vri S Inches so U • 1/R • ?^2 e,bl 56 dm 1/R•j.Q-26 R CEILING SECTION (INSULATED)- P Interior alr film 0.61 2 Exterior air film (still) TOTAL R U • 1/R • CEILINn FRAMING SECTION: 1• Interior sir film 0.61 2 2 1 Etter or a r m st S nche so t wood TOTAL R • I U- 1/R• 1... 1, nside atr.fi lm n.Ft 3 M S Outside air m TOTAL R U¦ 1/R• VENTED MAY-03-1993 1121 SUPERIOR TRLSS ENRINBS91Np al'Itiri'IDILCA6 S6xyAC6s,INC. t STRUCTURAL ENGINE 630ADSM10FA DUANE D. BOICE P.E., PRESIDENT TO: -, 6 P. 002/002 Subject: z ? ?+? Date: q3 1 hereby sartlly I tills-pen, a Iflaallon, or raport wall prepared by u y d nAl tluplrvielon and that I am a duly re to prate nSinaer under the hills of the state of ? r I am camp to prepare this docume Slonmu IPat 36S• a MM5 2 9 2pp /1 DJ, oj,< A;(Is "-.cR 4ntE5zve *NO 6d N.'r_Tr.-s ?!z a I< STMUC-Aw postft'"brand faxtransmittalmemo?M aotpgwo I piem R C& cm f -ar a?. all a FAR DESIGNED BY: _ nV 0 CHECKED BY: DATE: TOTRL P.002 R=97% 05-03-93 11:25AM P002 #10 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 -62, 1 ?? FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU ?6.0?0 GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) hoL cy (3?A ? -f . "o ADD-ON/REMODEL (ExisTING coNSTRUCTION) tr U $ 15.00 STATE SURCHARGE .50 TOTAL , I J 4 SITE ADDRESS: 33SD q, a" " a OWNER NAIVIE7: ? O(.rA ?,T,EL?d /EPH1ONE #: INSTALLER:gI.ILtIC?/Yl? °&t ¢ at l) 4/ r (V)G s CITY: TELEPHONE #: MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PRAT KNOB RD EAGAN MN 55122 (612) 6814675 i STATE: ZIP CODE: MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRIAL 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: CONTRACT PRICE: $ FEES 1% OF FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE. . .. .. . TOTAL $ SIT E ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: TELEPHONE STATE: ZIP CODE: SIGNATURE OF PERMITTEE CITY INSPECTOR PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES EACH l SHOWER 3.00 -3. 00 WATER CLOSET 3.00 3 . 20 ? BATH TUB 3.00 '6 LAVATORY 3.00 b . 0 ° 1 KITCHEN SINK 3.00 o0 ?- LAUNDRY TRAY 3.00 3 • ° HOT TUB/SPA 3.00 WATER HEATER 3.00 3 ?- FLOOR DRAIN 3.00 3 • ° ° -? GAS PIPING OUTLET minimum . 3.00 ROUGH OPENINGS 1.50 u WATER SOFTENER 5.00 PRIVATE DISP. • Dakcty. tic. 15.00 U.G. SPRINKLER • home under coast. 3.00 ALTERATIONS • to a&ting 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: SITE ADDRESS: 335 D Ro l? th gk.-I1-s OWNER NAME: INSTALLER: F1 ???s ?0.ti?? 15 ADDRESS: tS1 ? S Cr>_ a s vl J o, STATE: V--k^ ZIP CODE: SSy6 PHONE #: (k?,12-) 41-'> - 3'r 3 u 1993 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIALANDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS 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 "" 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 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 CITY USE ONLY L a 7 BL o2. RECEIPT SUBD. Ayr- ? /J& aha DATE: 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on furnace Auci-or, air CC,iiitiV-niiiy AiJJd-o 1-1 air a XxC161 y'ar, i.aa.. V ca+',3G ayStcrn, ctc. MN 55044 STATE: ZIP: Date: March 1996 FEES ? Minimum Fee. Add-on Remodel (existing residence only) $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 820.50 SITE ADDRESS: 3350 Rolling Hills Drive OWNER NAME: Perry Fuerniss PHONE #: 683-1908 INSTALLER NAME: Apple-Lake Heating & Air Conditioning STREET ADDRESS: 17100 Hamilton Drive CITY: Lakeville .51UNATURE: Ul- PER'"y PHONE #: ( ) 431-4328 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 commercial/industrial buildings. ? multi-family buildings when separate permits are DM required for each dwelling unit. T W TL,-. . CON T RAk:'v I" i .i1 . PPI T IViCE. WORK TYPE: NEW CONSTRUCTION DESCRIPTION OF WORK: INTERIOR IMPROVEMENT FEES: $25.00 minimum fee Qr 1% of contract price, whichever is greater. + Processed piping - $25.00 + State surcharge of $.50 per $1,000 of permit 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 Permit #: 3 7 I Permit Fee: I Date Received: a I Staff: 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Tenant: Suite #: RESIDENT I OWNER Name: ike r 1 Phone: 6:20-722- ? 206 Address / CityI Zip: cir /- C - 5f'31 a CONTRACTOR ?/ d Name: License #: L (/ 7O -2&,,? champion Address: 651 3Ag 3670 Dodd Rd #10 . 0 City: Eagag MA.''1;$123-1339 State: Zip: Phone: Contact Person: TYPE OF WORK _ New )- Replacement - Repair _Rebuild _ Modify Space - Work in R.O.W. Description of work: - PERMIT TYPE RESIDENTIAL W ater Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ 1 _ PVB) Main _ Lower Level) _ Septic System -Water Turnaround _ New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround` (includes $.50 State Surcharge) `Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) ?II,, TOTAL FEES $?Jl? I hereby acknowledge that this information is complete and accurate; mat me work will oe in conrormance wnn the ordi Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a accordance with the approved plan in the case of work which requires a review and approval of plans. I,v . gam x , X Applicant's Printed Name Applicant's 5i ture.? and wucc di u,c ?Izy f 9 T 0 T --" 2008 2y3i3 C!ty of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink L For Office Use Permit #: Permit Fee: Date Received: Staff: pi 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION �' '3-2-)1__ . Date: , J L � � Site Address: Tenant: ResidentlOwner Contractor Type of Work Permit Type Name: \--.6'iM 01/4 C 1j\,, 7:)v Address / City / Zip ��1� Icy Phone4:-a% Thtsoi Suite #: Name: v + V 1 -61‘t /\1 ?,1 D 11, Ztense #: VIC\C\--)L0 Address: Dtt `t:Cl)(1 Pst-L City: ,at State: Zip: D\ i () Phone: \ J Contact: Email: _ New yReplacement Repair _ Rebuild Modify Space Work in R.O.W. Description of work: RESIDENTIAL Water Heater Lawn Irrigation (RPZ / — PVB) Septic System New Abandonment yWater Softener Add Plumbing Fixtures ( Main / RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ V 0 CALL BEFORE YOU DIG. Call Gopher State One CaII 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.aopherstateonecall.orq 1 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 nota 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 pla Applicant's Printed Name x Appllo is Signature (547 FOR OFFICE USE Date: Final Reviewed By: Required Inspections: _,_Under Ground _Rough -In Air Test _Gas Test PERMIT City of Eagan Permit Type:Building Permit Number:EA164695 Date Issued:10/06/2020 Permit Category:ePermit Site Address: 3350 Rolling Hills Dr Lot:27 Block: 2 Addition: Bur Oak Hills 2nd PID:10-15501-02-270 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael W & Lynn M Carlson 3350 Rolling Hills Dr Eagan MN 55121--234 Lifetime Construction & Restoration 21 Century Ave S St. Paul MN 55119 (651) 464-9920 Applicant/Permitee: Signature Issued By: Signature