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3366 Rolling Hills Dr' r 1 ia' q Wertificate of CccupancV WU4 of Wagan Zeparhaext of Vaitbing 3n4pection 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: Use Classification: .SF = Bldg. Permit No. 722M Occupancy Type RIM I Zoning Disuict R1 Type Const. VN Owner of Building NTC HVTFIa1 HrWS Addttss 12354 IMIA[.lIQ. T l F. Building Addtcss 3366 RMTME HILLS DR Locality L23. B2a BUR OAK HMS 2ND i \ / _ Date: 1?/? I ?1 B.W* cmtc ap POST IN A CONSPICUOUS PLACE -CITY-OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: SITE ADDRESS. i 0I _ 1NG 1411-1 PERMIT SUBTYPE: 3 Ht III i APPLICANT: ? ri I .' I It ?.• ,.'.a. TYPE OF WORK: till I I if 1 Oft N...'HFi I F? f' MAM? PFtV E W III Hit - 1X141- Itf k P1 SQ Permit No. Permit Holder Date Telephone # Sm 00 PLUMBING a?S .3 5? ?•?T? HVAC ??/?/ (l (!/' ?q?I ELECT ? ?j ELECTRIC Inspection Data Insp. Comments Footings I &? / Foundation Framing /,? t e f? Roofing Rough Pibg. Rough Mg. 7?g3 Isul. Fireplace f /a Final Mg. r2, 03 S Orsat Test /Z -3L J3 dl? Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlen Bldg. Final 2 3(?lj j Deck Fig. Deck Final Well Pr. Disp. 3ma# /11 If 3 d F, r' 1NNFEUTION KLUOKI) CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road , Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: l s? I .• t Ht tl[ i i.i. ?,'il i. IN6 lilt I fit? "UP OAK 1i11 I S 2ND PERMIT SUBTYPE: L APPLICANT: (?? t ,' l fi f9 I TYPE OF WORK: 1143f1.hiNG 0:3:'1154 06/04/98 7 I Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL Address 3366 FaLING H MU DRIVE Zip 5512 2 Lot- • 23 Blk Sub BUR OAK HILLS 2ND THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: /A/rj?- Yes No Inspector: J Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway L/ Permanent gas _Lz Sod/Seeded grass Trail/curb damage Porch Basement finish Deck ?rdyfr 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 0 3 0 1 Lai l3a Requ7"1 S? - Fire No. Rough-in Inspection Re d? ou Must NOTICE: H A RoughC-iall Electrical inspectionlnspector .' yes ? No Is Required. I licensed contractor ? owner hereby request inspection of above electrical work at: Job Address/(Streetet, Box or Roouuts No.l // City, ?/4 eA Al Section No. Township Name or No. Range No. County y Occpan PRINT) u LLILV-M. G -V! CL? Phone No. 3 r/ Power Su Address _? ? /j?J d C. Eleciri nhaclor (Company Name) Contractor's License No. C'4 o Mailing Address (CO 4ac(or or Owner Mailing Installation) / 0 ydo -;E! O?e /J ?tJ L ? t?•c U?I?C /'?' IJT?Y/ Authorized Signature (Contractor/Owner Ming Installation) - Phone Number 4 ?? Z z ? l Z-c.?zti MINNESCITA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 UPlvereRy Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phomr(612) 6424800 ENCLOSED. ra?. REQUEST FOR ELECTRICAL INSPECTION / 7 d jl? See instructions for completing this form on back of yellow copy. M 0301 X'?Se/ow Work Covered by This Request e Adtl Rep. Type of Building Appliances Wired 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: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps • 00 0 to 100 Amps Transformers Above 200 _ Amps a 100 Amps Signs Inspector's Use Only: /D TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO I, the Electrical Inspector, hereby if h b Roug"m ? o cert y t at the a ove inspection has been made. Final t Daff? OFFICE USE ONLY This request void 18 months from 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 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 shoving beam & window sizes; poured found design, etc. I set of Energy Calculations 3 copies of Tree Preservation Plan If lot platted after 711/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) $-?-I.0" Remodel/Repair Requirements Office Use Only 2 copies of plan Ced of Survey Reed -Y -N l set of Energy Calculations for heated additions Tree Pres Plan Recd _Y _N 7 site survey for additions & decks Tree Pres Required _Y _N Addition - indicate i/on-site septic system On-stte Septic System -Y -N Date Construction Cost ??7V Site Address Unit/Ste # ?< tl Description of Work // Multi-Family Bldg _ Y V /N Fireplace(s) _ 0 _ 1 _ 2 Property Owner ami/ C Telephone # X/ Contractor /Q0mfNlC 17661vs0 Address 5:;ft c city State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Category I • Residential Ventilation Category 1 Worksheet (J submission type) Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan fee applies. , Licensed Plumber Mechanical Contractor Sewer/Water Contractor I hereby apply for a Residential Building Perni that the work will be in conformance with the A NEW BUILDING _ Minnesota Rules 7672 • New Energy Code Worksheet Submitted a similar plan? _ Y O Telephone #( Telephone #( Telephone #( N If so, 25% plan review wledge that the information is complete and accurate; and codes of the City of Eagan and the State of MN Statutes; 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 ork which requires a review and approval of plans. / oN?iNiG (r6;6o Applicant's Printed Name Applicant's Signature OFFICE 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 Ext. Alt - SF ? 04 02-plex ? 10 08-plex X 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_Yor_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding g 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 Bldg) - Give PCA handout to applicant Valuation ouo Occupancy MCES System Census Code U Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const _ Width _ Footings (new bldg) [ Footings (deck) Footings (addition) _ Foundation _ Drain Tile Roof _ Ice & Water _ Final Framing Fireplace _ R.I. - Air Test _ Final Insulation REQUIRED INSPECTIONS _ Final/C.O. Final/No C.O. Plumbing _ HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco -Stone -Brick Windows Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 0" --?? 1.Oo ,O' ?l vvq? o ?/7 0 i t , *29,"°93 ilre4 FROM tMTH STAR' MLLE To 3414eB2 FRM.COS TD35806o I-lie NO. I.xhibie PROPERTY' SKETCH, (This is not a survey) DOMINIC M. ALTONSo AND NANCY L- ALPONsO Q 3366 ROLLIGN HILLS DRIVE E.4CAN, MN Lot 23, Block 2, Bur Oak dills 2nd Addition +n- 0 ^o- w? / +o / ? LOT 2 R ?..? ?3Q 4 G r 2?, \ T \ JS o? ):r AR /C?y 1; i plc 3/3% y Z 1 / v Property Address 3366 ROLLING HILLS DRIVE EAGAN -The location of the improvamenls shown on this drawing are approximalo : Ad are bass d on a vista] inspection of the prerrrises. The lot danonsions are taken from the fecoried plat or county recd ds. Th s drawing is for informational purposes and should not bo used as a survey. it does not omstitule a liabilii y of We company and is inlendec for mortgage purposes only.' I a 3 3(P? ? 2004 RESIDENTIAL BUILDING PERNIIT APPLICATION City Of Eagan • 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 $tgA,jS > #4-0`f New Construction Requirements Remodel/Repair Requirements FOX eAnT 3 registered site surveys showing sq. fl, of lot sq. IL of house; and all roofed areas 2 copies of plan L`eR S w -? t!'1 'tq" ? p es o maximum lot plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks additions It 2 co N ??Syste -..?`"-'• l set of Energy calculations Addition - indicate if on-sire septic system 3 copies of Tree Preservation Pun ti lot platted after 711193 Rim Joist Detail options selection sheet (bldgs with 3 or less units Date , / -& / 0? / Site Address 3319(0 OP-O WAIA Ail,[ Construction Cost '2000 M. Unit/Ste # M w1 Description of Work 1 ? ! p J r d? Multi-Family Bldg _ Y Z N Fireplace(s) v/0 2 Property Owner -DoMfNIL AIG40 Telephone h ,n r Contractor lAmiMG A rDNso ?NE Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category . Residential ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. D no nn? Licensed Plumber Telephone #( AN 2 C 2004 Mechanical Contractor Telephone # Sewer/Water Contractor By Telephone #( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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. TofAINIC- 141ir7NS0 Applicant's Printed Name Appt cant's Signature OFFICE 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 Ed. 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 9 .d ? 34 Replacement *Demolition (Entire Bidg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories_ Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const -Kid Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. _ Footings (deck) Y Final/No C.O. Footings (addition) _ Plumbing LC Foundation _ HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Figs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco _ Stone - Brick _ Fireplace _ R.I. -Air Test -Final _ Windows t? Insulation _ Retaining Wall Approved By: I Building Inspector -------------------------------------- -- ----------------------------------------------------------------------------------- Base Fee 4 -- - LV( WL WILI Surcharge / aQ x Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ?qqo f Addition Specifications for 3366 Rolling Hills Drive Eagan, MN 8"x16" frost footings 8" block anchor bolts sill sealer 2" foam insulation in crawl space 5/8" sheetrock over foam poly vapor barrier 2x6 treated sill plate 2x8 floor joists 16" on center 3/4" plywood T&G flooring 2x6 walls 16" on center 2x10 headers at doors and windows '/s" OSB wall sheathing Engineered trusses match pitch and vaulted 24" on center %z" OSB Roof sheathing lee and water shield #30 roofing felt shingles to match house Aluminum soffit and fascia 1- Marvin CCM2460-4W 1- Marvin CCM2860-3 W Reinstall existing patio door. Tyvek house wrap Siding to match house INTERIOR Insulation R-19 Walls, R-38 ceilings WP-4 pine for wall paneling Pine casings L _29"'93 1 -04 FROM Fi]21H STAR°ILLS Ti] 3414882 FfiM.006 " TD35806o r11L No. r.xWbit PROPERTY `SKETCH t (This is not a survey) DOMINIC M. ALFONSO AND NANCY L. ALFONSO \ Q 3366 ROLLIGN HILLS DRIVE `< £AGAN, MN Lo[ 23, Block 2, Bur Oak Hills 2nd Addition 'O 70 0 ^o. d ? / 2 t AR /g 0 @ 1 LOT 2 3 ?8 / '/v y Property Address 3366 ROLLING HILLS DRIVE EAGAN "The location of the improvements shown on this drawing are approximalo : nd are bas, d on a visual inspection of r the promises. The lot dimensions are taken from the recoried plat or county recd ids. Ths drawing is for informational purposes and should not be used as a survey. 11 does not constitute a liability of tite company and is intender for mortgage purposes only.- RESIDENTIAL BUILDING PERMIT APPLICATION ?? Y CITY OF EAGAN 3830 PILOT KNOB RD, EAGA AGAN MN 55122 651-681-4675 New Construction Reouiremerds • 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 flan if lot platted after 7/1193 Rim Joist Dated Options selection sheet (bldgs with 3 or less units) DATE "? 11 ?1LJ? SITE ADDRESS, z TYPE OF WORK- APPLICANT STREET ADDRESS TELEPHONE # FIREPLACE(S) _ 0 _ 1 _ 2 /13.75 PROPERTY OWNER (X)m I n tC' Esc TELEPHONE #lLfi) "O - J°C7 i ---------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (d 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: Air Conditioning - Heat Recovery System Fee: $90.00 Phone # _777 r;?N ra r r J I- e: $7b!00- I' S=P 1 3 2002 u, 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 Eaga{I dinance . Signature of Applicant ............. ------........... --....... ----....... ..-.... _ ................... ..____......... -- OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 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 • Indicated home served by septic system for additions Phone # Lawn Sprinkler No. of R.I. Baths MULTI-FAMILY BLDG _Y v N VALUATION cL 0 0 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's ? 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 ITYOF EAGAN 830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT @1'2- 7 3 B ILDING 022288 10/25/93 SITE ADDRESS: P.I.N.: 10-15501-230-02 3366 ROLLING HILLS OR LOT: 23 BLOCK: 2 BUR OAK HILLS 2ND DESCRIPTION: B t:rildi iril Permit Type SF DWG _// Building -`Wrprk Type NEW ,-IUBC O-ccupan6y, R-3 M-1 Construction fy" V-N Zoning R-1 Building Length ) 40 Building Width ? 42 y r r O L ? a ui (g t9 4 REMARKS: PRV S & W PLBR - SCHERER PLBG FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC g SAC Units Subtotal VALUATION PERMIT TYPE: Permit Number: Date Issued: $93,000 $608.00 $395.20 $46.50 $750.00 100 1 $1,799.70 MISCELLANEOUS $1,744.50 Total Fee $3,544.20 CONTRACTOR: - Applicant - sT. LIC. OWNER: HIGHVIEW HOMES INC. 18923282 0005493 HIGHVIEW HOMES INC 17354 ITHECA CT 12354 ITHACA CT LAKEVILLE MN 55044 LAKEVILLE MN 55044 (612) 892-3282 (612)892-3282 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, --fiNa4 'APPLICANT/PERMITEE SIGNATURE ISSUED BY. SIGNATURE REACTIVATEy CsGj CITY OF EAGAN PERMIT 1993 BUILDING PERMIT APPLICATION It i_- A 681-0675 CP,0n't, 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. q 3 Valuation of wor f. C>o O Date / t7 / Jr- / 7 ? 7 , / ?( S V r /6 ? 3 3 A - a t t b b Site Address: STREET SUITE Y Tenant Name: (commercial only) LOT BLOCK Z suBD. kor ©4 6_- H"( fs- Y.I.D. Description of work: i 6f, I e ?r o The applicant is: ? Owner Contractor ? Other (Describe). Name Alt- " Phone - 8gz'3? Property LAST FIRST ?itZ ?v 1-3 z3 Owner Address f 7 3? « Q" _ STE Y STREET / ?V {n'1 Zip ° St t `L Ic a a e Litt' Company v 42 a v e Low- o w,= ate= Phone s ?6 Contractor Address -?? ?S Goo u P License N s c/ Exp.-7(? City State Zip Company _? ``' Phone X187-- 6 `l'S 2 Architect/ Engineer p Name 1`v_? Clo fd °w Registration Y a Address 1?0 -2 4c, City_ oz s ?_ State Zip /l ?• Sewer & water licensed plumber v YJi Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read thi application and state that the information is pp e State of Minnesota Statutes and City of correct and agree to comply all a is Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. ? 06 Duplex ? 07 4-Plex ? OB B-Plex ? 09 12-Plex ? 10 Multi. Add'l WORK TYPE ? 11 Apt:/Lodginj 6st Finish ? 12 Multi. Misc. 17 Swim Pool ? 13 Garage/Accessory ? IS Comm./Ind. ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish 32 Addition ? 34 Repair ? .36 Move GENERAL INF ORMATION Const. (Actual) lt- N Basement sq. ft. MWCC System (Allowable) UBC Occupancy v_oj R- 1 Ist Fl..sq. ft. 2nd F1. sq. ft. City Water PRY Required Zoning Sq. Ft. total Booster Pum p Y of Stories Footprint Sq. ft. Fire Sprink ler Length -4-07- On-site well Census Code /n/ Depth J 2T On-site sewage SAC Code APPROVALS j Planning Building Assessments Engineering Variance REQUIRED IN SPECTIONS ? Site ? Footing ? Framing ? Insulation ? Wallboard ? F inal ? Draintile ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % 100 SAC Units I VaLmtim: $ 5S1000- GARA4rEi ?yk21=Snt?x/4C? BoGy !b x3 rs= 5'76 !3x 2w,. 444 2x/y.' Z9 kzT wort k tt? c to 1bx3b=s?? I'fsvl2'?: 19 .50 ?yvtd 'bZy Zx)4? ZS 1?2?3x5N= /ovi'lgrs 1?6g0 G8?w2 !? ?l 2! N9b P SZHKER; SITE &DURES Out! . . Dk :.t ,Ot4Y'F,A?T? ? d>°termine u.. king square footage or each: 2 Total ex ez d ',call area ... r_42 as s sq. ft. x . it _ J I Total. I~oc uve Sling avers' s?, ?' x .D23 5 •? z "al £'n}iCr9£d wall area aboyj floor iota! Qor 3. iota: N;il5 area'?1•.: ara.2. ............•.........,.. Ta;%1 Gli.d i.n glass area .. ....... .... ............. _5 Total rireplacq wail Prea U Total wall framini wrap (average ............ ? 1. Tnt3; net wall area above floor .................. g. Total rim j6i st nrca ,.< .......................... Tntal tx>rx-)ed fo;:n(letf.x; 3r?=a C PoW fourdevi.on ;naow U"10.,,........ ,,. ;er j loyal. nPt• !mUnWinn area ahoy; grade,., ...... ?_? 6etgMne ':1' ,,;,tue or eaQh will segment: a, to P? i. 4 1'-f k i 1 3. .. + ... ..... ....................... , .................. If "'m PZ 18 the Mit it a iii, than Item pi, you have set the in`8nt of 5BC 6oW & 71, To::nY e>xpse.9 rewfJceiing area ? .1. To; 81 S':y l i eht rai'PE K. Total roof/coiji.ng framtnf Shea Average 101) ..... .1? i i. Tot& net insulated rcofice111ng area ........ ..... OVER CITY OF MAN EXTERIOR ENVELOPE AVERAGE. 'U' COKMATION Determine 'U' value for each roof/ceiling segment: x out C) C2 x 6> Y I U I 4. Total if total of A4 Is the same as or less than M2, you have met the intent of SSC 6006(c:)1. I Alternate Building Envelope Design i To utilize the total envelope system method, the values established by the sum of Items 03 and QL shall not he greater than the sum of Items 01 and d2. + 2. 112--12- + ?3• y7 3. ?r? 4. ? 5. 7 Z3S. .:? t1:t IP:D;i "L'" VALUE Amt R-FACTOR AT ROOF, WALL, RIM !u\D CONCRETE BLOU, Proviir immolation baffleg in eve-.-j ROOC I 4 ?----,-IL d ttaT??i ?? AIR (?) FILM . dp 05 (`?`1'ILL? Jj v (l(Z .air- T&TAL t ?- .,- :. _._ U r n nn: tS ----! i1.,) tt li SG?A,TyoN Sii'r 1Y 09 TOTAL. /``-'l?'\.ll fry., i'7 l"•?'? `•?)i'?l? is __ fJii?IrG, e b - 101 FlUl - 1 (R) iiirnl'!c> Att? r?u t . i(lt 0 '2? FIi<- t,tl'?t ?ts? /'7•2r1 3? Tc.i i? L kF- Flu7 . Ta rte (rt} = F1tiC F (tt?CVAi ILPI ?r - - 1 e 0. AM FiLm -.742 Floors e•:er unhceted spscca must have minimu:a R-factor of R--20 (tuck-undor garages). Floors ever outdoor air (overhangs) must have a Minimum R-factor of R-"l3. --------------------------------------------------------------------------- PREPARED FOR: HIGHVIEW HOMES 110BE ` IIS11IiIIIIr) IWIIII(t Sdunv4vons #s94s•o1 IBK )eNGINEf-RING • 198 COMf'f3PiY, fNC, rs.ao, vo 1000 EAST 148th STnEET, eunI1SVILLE, I1INIIES0IA 85337 PH 432 )000 CERTIFICATE OF SURVEY LA 4t ?JGJCT (tp?2C7L: Lot 23, Block 2, BUR OAK HIIJ;S 2ND ADDITION, Dakota County, Minnesota, according to the recorded plat thereof. A 100.00 foot easement for utility purposes over, under and across Lot 23, Block 2, BUR OAK HILLS 2ND ADDITION, Dakota County, Minnesota. The centerline of said easement is described as follows: Commencing at a point on the northerly line of said Lot 23 distant. 26.60 feet westerly of the northeast corner of said Lot 23 to a point on the westerly line of said Lot 23 distant 84.74 feet southerly of the northwest corner of said Lot 23. The side lines of said easement are prolonged or shortened to terminate on the northerly, westerly and easterly li of said Lot 23. SCALE=1'=30' l I0DILATC6 'DIRCLTI ?tJ /J? /// of °aaRFF>4GE D?y+?+L v /// m i L. vi Of pRo ?InEf r? 0 fr fA .i V o m o0 40 1 ?pO/ ' Nv P/ r / r rr c`ZN? ? ? q-. Pr-me No. n 1 6 ?t?4\P` A / / p ?_ 8j5?9 /7` 9 4v?a 8Z g8?g? ,gyp / ia.9; r NOTE: `s63a 382 CENTERLINE OF PROPOSED EASEMENT REFLECTS ACTIVE 12° PIPELINE AS LOCATED ? <" BY WILLIAMS PIPELINE CO. ON AUGUST 19TH, 1993.? r / r Ir r?/ / 1 Al ?/] X6.00 ??6 zg?t to i r GgRgGE 7 pRn j--. z .; d L t! I 1f r( / OU13 A43.o2 e.Nn HR?? Mr ? DEPT Cy444UE ft.6(EJ, - 0&4-so wr Ft. ag,),, _ Eq. 17 TY or OLOU<- 91.4i! . 872,40 4RA/NAGE AND o > UT/LirY 4'ASEMEN7 875. act of I `'hereby certify that this is a true and correct represti%tatiolT 01 A tr land as shown' arid described hereon- he(? r at)& d filara1„Ip?tk day of ?l E/?TE//9?G2 t 19 li o f9?1 r? ?S U ?j L?"`? /tlnn. Ash 110.14o$5 ra/r5/93 ' LOT SURVEY CHECKLIST FOR RESIDENTIAL M o W BUILDING ERMIT APPLICATION M -J > a: PROPERTY LEGAL• m m ? Date of Survey: -?T T! DOCUMENT STANDARDS 0' ? ? Registered Land Surveyor signature and company B?0 ? Building Permit Applicant 8?0 ? Legal description ? ?? Address H? D 0 North arrow and bar scale L7?? ? House type (rambler, walkout, split w/o, split entry, "? lookout, etc.) 6 6 ? Directional drainage arrows with slope/gradient ?. 0 V ? Proposed/existing sewer and water services 0 0 Street name LTA ? 0 Driveway ELEVATIONS Existing ? Sewer service L_Y/? [3 ?/ ? ? Lot corners Top of curb at the driveway ? C? ? Elevations of any existing adjacent homes Proposed 0/? ? Garage floor J2? ? ? First floor ? ? Lowest exposed elevation (walkout/window) ?D ? Property corners ? ? Front and rear of home at the foundation PONDING AREAS (if applicable) ? Q ? 0 Easement line l ? LJ ? NWL HWL 0 P Pond # designation ? O Emergency Overflow Elevation DIMENSIONS Ifi ? ? Lot lines 0 0 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) Q Q Show all easements of record and any city utilities within those easements Id 0 ? Setbacks of proposed structure and setback of adjacent existing Q 0 Retain' 4-1 a irements, if any Reviewed: 7 -7 October 1992 ?? ?!-??)N:??... it.il ??{%,;?:: rNi ?(?:? ?{hl i?ri:h^.r?).':).:J.Y.Y(>l')Ki?(iyMr..4 j•.. ?: i??:: CITY OF EAG(lN CASHIER! JS TERMINAL N0 C'.95 DATE: t Try i? 32 YO ' 001 3366 RO!..:_ING W '"O.q0 21.55 9001 3366 ROLLING 1-F_ C.50 rb4, l Rn...:.jpt; A!riew 50.50 W91330 I PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: BUILDING Permit Number: 032154 Date Issued: 06/04/98 SITE ADDRESS: P.I.N.: 10-15501-230-02 3366 ROLLING HILLS DR LOT: 23 BLOCK: 2 BUR OAK HILLS 2ND DESCRIPTION: Permit Type Gkork Type atensus Code F 3t' DECK NEW 434 ALT. RESIDENTIAL t ? NYT 3'1 1 3F`_e 10 :G REMARKS FEE SUMMARY: Base Fee $50.00 Surcharge _.5@ Total Fee $50.50 CONTRACTOR: A OWNER: - Appllcanc - ALFONSO DOMINIC 3366 ROLLING HILLS DR EAGAN MN 55121 (612)806-0566 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) r CITY OF EAGAN S H 3630 PILOT KNOB RD - 55122 681-4675 New Construction Requirements Remodel/Repair Requirements 3 • 3 registered site surveys ? 2 copies of plans (include beam 8 window saes; poured fnd. design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan if lot platted after 7/1193 required: _ Yes _ No DATE: ? 2 copies of plan ? 2 site surveys (exterior additions & decks) ? 1 energy calculations for heated additions CONSTRUCTION COST; DESCRIPTION OF WORK:-Pc-k' PcCK '/ 7OT ETnADDDRESS: J&(o A111 4 A//s DN-a!/ PO BLOCK: SUBD./P.I.D. #: r y o D e 41E 1a8F' 3;S 7r H - t yl Name: / / M/Nl - Phone #: ei, PROPERTY Last First -* FAQ - 0&&(a OWNER 33?(i KO?CinLt X7`1//1 i?? Street Address: City 0-116 AAI? State: MAJ Zip: 5-5-/ # Company: Phone : CONTRACTOR Street Address: License # City State: Zip: ARCHITECT/ ENGINEER Company: Phone #: Name: Registration #: Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. Penalty applies when address chang I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY 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-plex ? 05 SF Misc. ? 10 = plex WORK TYPE 31- New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ,4!?-'15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Permit Fee Surcharge Plan Review License MCIWS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. To Pt` MG Li (r, ri ?- 4 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Engineering Valuation: $ Variance ?3Y v/ v SAC _- ._..,.....;,: \C Units_. A . "Oon6QC ENGINE?(?ING COMI??r?`rF INC. IOOU U13T 14ar1 STREET, PREPARED FOR: HIGHVIEW HOMES 01 CDtIS111.TIIlU 4tIUIIIffRS #5948' ?011VEYOftS 46 le pL,11111ER1 and L110 198 pr :3. 4o, 6o eunusvILLE, IJIIIIIESOTA 50337 I'll 1!2-30007 CERTIFICATE OF SURVEY .L`R5z czj .Uc4c7- 'Lo2 2Cst: Lot 23, Block 2, BUR OAK HII.dS 2ND ADDITLON, Dakota County, Minnesota, according to the recorded plat thereof. A 100.00 foot easement for utility purposes over, under and across Lot 23, Block 2, BUR OAK HILLS 2ND AUDITION, Dakota County, Minnesota. The centerline of said easement is described as follows: Commencing at a point on the northerly line of said Lot 23 distant. 26.60 feet westerly of the northeast corner of said Lot 23 to a point on the westerly line of said Lot 23 distant 84.74 feet southerly of the northwest corner of said Lot 23. The side lines of said easement are prolonged or shortened to terminate on the northerly, westerly and easterly li of said Lot 23. ,?q ?s6 9 ?s r ?.e• .S' GGjy, Q? SCALE=1"=30' Ito `oTX363 q ? - 03 ?? 00 ? ?" TN E1-TNfAAK pI o??N1 G?1V? ` 4 ?Z n o of . 1 ; f-( F pi iiPr,1\.LTP`?,s N w?? O li lq?/ I r "a r?V,, iv &g?g3? '7 Pilo hous 33_9; ?Q z L / f ( ? NOTE: sr°9 o?.Yg?? CENTERLINE OF PROPOSED EASEMENT zi - r REFLECTS ACTIVE 12' PIPELINE AS LOCATED BY WILLIAMS PIPELINE CO. ON AUGUST 19TH, 1993- ` I beraby certify that this in A true land as shown' and described hereon.- 1 1993-- 5, ? -o i v? , i 14VI3' 43.0 2 Ag- -DEPT. IrMe. 6,6 fL, 6a1I, = 5&4.50 ay'e-mok fL, riEJ, Be64.17 W o r drat- CLrV = 872,40 I)RAINAGE A/VU UT/L/7/' EASEMENT -L • - -1 and correct represantattoll of a tract of Ae, prepared by fns on ithi?.•,/?,3,n! 'day of Y .?tf? )tine. AsS, po.16985 CITY USE ONLY L 5yo_ BL /t, d SUED. &,L? 1Q1 X? 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: sin le fami j dwellin ? townhomes and condos when permits are required for each unit _ New construction Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: &-z4-9eR 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 CO TOTAL SITE 115 1?- r ve_' 3 OWNER NAME: _Dz)rr) } l nso PHONE #: 6966--S2541 INSTALLER NAME: P_ STREET ADDRESS 30 N62 6t*-,eeZ CITY: &2 2Lt VQ Lte u STATE: ZIP: PHONE #: ((yJ2) X31- `)d 99 RECEIPT*. DATE: f? CITY USE ONLY L _ BL SUED. ,0,,. RECEIPT #: DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. ? all commerciaUndustrial buildings. ? multi-family buildings when separate permits are 1141 required for each dwelling unit. DATE: LONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ? $25.00 minimum fee 2E 1% of contract price, whichever is greater. Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of ilMMl fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADD R€:S"'i: -_--?-- OWNER NAME: TENANT NAME: (IMPROVEMENTS ONLY) TELEPHONE #: INSTALLER: ADDRESS: CITY: STATE: ZIP. PHONE #: SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR f 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 d ZZ - 9_2> HVAC: 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS (MINIMUM 1 C $3.00 EACH) ADD-ON/REMODEL (ExIS77NG CoNsmucrION) STATE SURCHARGE TOTAL SITE ADDRESS 3/,*/ OWNER INST H C_ FEES 24:00 0 $ 15.00 .50 3C.5 TELEPHONE #: 0 6? 9'8 ?h 5?? STATE: /41)/y ZIP CODE: TELEPHONE #: SlI- IZ77 1993 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 1993 MECHANICAL PERMIT (COMMERCIAL) . CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIA14INDUSTRIAL 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 1% OF CONTRACT FEE S PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 CONTRACT PRICE: STATE SURCHARGE $.50 FOR EACH $1,000 OF l'ERMT'X' FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) INST, ADDRESS: CITY: TELEPHONE #: STATE: ZIP CODE: SIGNATURE OF PERMITTEE ''TTY INSPECTOR PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES EACH TOTAL SHOWER 3.00 WATER CLOSET 3.00 3• a? I BATH TUB 3.00 3. a v t LAVATORY 3.00 3• ?? KITCHEN SINK 3.00 3, LAUNDRY TRAY 3.00 3. ?., HOT TUB/SPA 3.00 / WATER HEATER 3.00 3.00 t FLOOR DRAIN 3.00 3. a GAS PIPING OUTLET • minimum - t 3.00 3, 0 0 3 ROUGH OPENINGS 1.50 a, so WATER SOFTENER 5.00 PRIVATE DISP. • Daixty. tic. 15.00 U.G. SPRINKLER • home under coast. 3.00 ALTERATIONS • to existing 15.00 WATER TURN AROUND 15.00 Z0. $U STATE SURCHARGE 50 TC)TAT ?7 Dn y?? SITE OWNER NAME: 1? 41. \? e wl ?rScovnnS INST jai ADDRESS: `f, w ?) C z CITY: 10r ,'0 rJ e e STATE: 1021,m ? ZIP CODE: S 3 9 PHONE #: ((O,2) `r4 `7- LP-734- 1993 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 681-467S 1993 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UN 7 T. NEW CONSTRUCTION _ ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: lac OF CONTRACT FEE. STATE SURCHARGE: $.50 FOR EACH $1,000 OF pR11( FEE. MINIMUM FEE. S 25.00 CONTRACT PRICE X 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: PHONE #: STATE: ZII' CODE: FOR: CITY OF EAGAN APPLICANT P, qo bo 19,3,:2 (P 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 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) 1 Soils Report if proposed building is to be placed on disturbed soil 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Enemy Calculations 3 copies of Tree Preservation Plan N lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form RemgdeUfteoair Requirements 2 copies of plan showing footings, beams, joists 1 set of Energy calculations for heated addltigns 1 site survey for additions & decks Addition - indicate if on-site septic system go- ? Otfa 1se0n` _N CertofSurvey ecd Y'Y soils Report, Tree Pres Plai tecd Irma; PresRic red 'Y _N onsitiSepfic 0t6m =_Y.`, N Date / A7 13 Construction Cost aio _ - Site Address 3 _ 346 Ro lS 0) ?J Unit/Ste #- Description of Work T °0..A" UT-tr + tit' rC? Multi-Family Bldg _ Y X N Fireplace(s) - 0 - 1 - 2 Property Owner 62o M ylSS (n :5( Telephone # ( ) 1tvlllef' agl'd Contractor Address tr? City S?11&) State Zip ,36CF?2 Telephone#((p57) y31i- _L10 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDI AG - Minnesota Rules 7670 Category] Energy Code Category . Residential Ventilation Category 1 Worksheet (J submission type) Submitted . Energy Envelope Calculations Submitted _ Minnesota Rules 76 L • New Energy Code' orksheet 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 # ( Telephone # ( J I hereby apply for a Residential Building Permit and acknowledge that the information is coml that the work will be in conformance with the ordinances and codes of the City of Eagan ant' Statutes; I understand this is not a permit, but only an application for a permit, and work is no permit; that the work will be in accordance with the approved plan in the case of work which rec approval of plans. Applicant'Orinted Name Applicant' gnature etc and accurate; the State of MN to start without a ires a review and      ì  ý    ù  þýüýû ÿþþ ý üûú ûúù     øýýþþ   è þÿ ù íýõ    ÿ  ÿþõ  úù ø÷  öó é á  ùø÷  ö ø÷ öó é ô óéï ÷ý    õù á  ù íù÷ýø Üü úÞùý ì  ÷ â       Þù      ý   æðý üóó÷ ü ûýð ð ýü  þ  ÷ æáýð ðý ÷ ýð  ýýæ áý ä    ý  Þù  øýó ü ðýø  æ ý çååæ åæå ôø  úù  ý ü ý çæ ãæã Ûýùýûæ  óò õ ñð ÷÷ý ï  óý òð  ãáùøïýáö ïüõ  ï þýüýòô  ë è  øýó ü  ý ýâ  ý  ý÷÷ýý ý  ý ð ý  ýýü ÷øó ýý÷÷ý  úý  ðò ýúýù ýáøðþýüýí ý æ ÷÷ýé  úüýù  ù øúüýù PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA137783 Date Issued:07/21/2016 Permit Category:ePermit Site Address: 3366 Rolling Hills Dr Lot:23 Block: 2 Addition: Bur Oak Hills 2nd PID:10-15501-02-230 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Domonic M Alfonso 3366 Rolling Hills Dr Eagan MN 55121 St Paul Plumbing & Heating 640 Grand Ave St. Paul MN 55105 (651) 228-9200 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA163599 Date Issued:09/08/2020 Permit Category:ePermit Site Address: 3366 Rolling Hills Dr Lot:23 Block: 2 Addition: Bur Oak Hills 2nd PID:10-15501-02-230 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight 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 - Domonic M Alfonso 3366 Rolling Hills Dr Eagan MN 55121 (952) 200-9118 T. Dunham Construction 831 Ventnor Ave Eagan MN 55123 (612) 819-0480 Applicant/Permitee: Signature Issued By: Signature