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3369 Rolling Hills Drcilry OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: t o 1 H t 00 L L f N6 14 It. l ti I' fi hill It I I I :'NIA PERMIT SUBTYPE: , APPLICANT: HC110NAI ?r I ONS I ANI I N I 1 ;,itH /411611 TYPE OF WORK: INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTH. I I t'l 4'' i,.i ' Rt NARVc - E: W P,1 fth t; 4 VI °:.1 X 4 1 tt<Ci '' PRV INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: fill I I It 1141. Permit No. Permit Holder Date Telephone M sm PLUMBING , HVAC ?? 9? AGO "lp? ELECTRIC #k/g3 OCR ELECTRIC Inspection oats Insp. Comments Footings I Foundation Framing 2c J Rooting Rough Plbg. Rough Htg. _ G r Isul. L?z'z i 3 S Fireplace yu 93 ?? -C - ?? Final Htg. Orsat Test t? rr Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final Deck Fig. Deck Final Well Pr. Disp. 11 i 4 6emlicate of cccupanC4 IVAN ?I i of V*"i*%3*#PeCfi0x 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 DWHG 20538 Use QassiSamao Bldg. Permit No. ,3 R1 VN Oc-pancy Type Zoning District Type Cont. ownerotBrrildittg M IC AM 00MT. Andress 1212 BLjIEB BAY Imo, B'VNE B " Address Locality 06/11 /93 Date: ' Bailig Of6oa1 1 POST IN A CONSPICUOUS PLACE Address 336() ki)O? RUES milt Zip 5512 1 Cot 12 Blk 4 Sub ag Qw Hum ?M THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 06/1 1q3 Yes No Inspector: Final grade (6" from siding) ? Permanent steps (garage) Permanent steps (main entry) Permanent driveway ? Permanent gas ? Sod/Seeded grass to, Trail/curb damage ? Porch V Basement finish Vol' 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 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: " 11 NIt 3830 Pilot Knob Road Permit Number: ir1lt' d Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: „ I : APPLICANT: kill I IN, 1111 1 `; ON 1111W Itf, 1s I 1 1 file I PERMIT SUBTYPE: TYPE OF WORK: ;I raI Lt Permit No. Permit Holder Date Telephone p Sw PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Pibg. Inspector- Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Fig. 10, Deck Final 6 Q J/?{ Well Pr. Disp. Address 3369 ROO.ING HILLS DRIVE Zip 5512 I Lot 12 Blk 4 Sub BUR oAK HILLS 24ID THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 06/11/93 Yes No Inspector: 0 Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) r/ Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch V Basement finish t? 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 RESIDENTIAL 01 S86-F3 BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New construction Requirements • 3 registered site surveys showing sq. Y. of lot, sq. 1. of house: and all mcfed areas i2li maximum lot roverage allowed) • 2 ropes of plan showing beam 3 window sizes: poured found design. etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (blogs with 3 or less units) DATE a I ) /M SITE ADDRESS.., TYPE OF WORK- r APPLICANTL STREET ADDRESS TELEPHONE 4&_ q b3 ?s RemodelfRegair 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 1&f STATI /V IP.?n w FAX PROPERTY OWNER 1 r TELEPHONE#CYJ/ fJD- (WL71 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ vjjNN1',S0r`A R[;LES 7670 C.VFF.GORY t _ %QwLSOTd Rt:LLS 7673 (v submission type) Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: ______ Phone # --- Plumbing system includes: Water Softener Lamm SID r? I lT 590.00 _ Water Heater _ No. of RI?U ?I' uJ No. of Baths I' G 0 12002 Mechanical Contractor: Nlccll mu il system includes: Sewer/Water Contractor: Air Conditioning Hcal. Recovery System ?5dOO i/ MULTI-FAMILY BLDG Y N FIREPLACE(S) Phone # 570.00 -------------------------------------------------------------------------------------------------------------------------- I hereby acknowledge that I have read this application, state that the information is corr ct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagary?gdinances? Signature of OFFICE USE ONLY Certificates of Survey Received - Tree Preservation Plan Received _ Not Required Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plea ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED 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 _ F inal Pool Figs Air/Gas Tests Final - Framing L _ _ _ 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 Building Inspector Total PERMIT C461; CITY OF EAGAN 3,' y ' 3 3830 Pilot Knob Road PERMIT TYPE: cut 11I r Eagan, Minnesota 55123 Permit Number: (612) 681-4675 Date Issued: SITE ADDRESS: 3.3'i9 Rol I tNIf N11 LS 0R 1_0T: L2 bLOCK: n if UR 011 P: IiILI,'s %h!o P.I.N,. 16-165111.-LZ0 -0!I DESCRIPTION: ({i:Idin4. tnnt. Typs Si- 13WG gCn m.:ncy\, H-3 hl-1 Conrntruc c i.cn I'yp&, v 11! n n i n? Li IJ`.. ;. b`. d _ny Ai.dLI1 12 i .? Z-/ REMARKS: - I & W P1 t,k - 1-:1vF ST,aR r11_el r PRV FEE SUMMARY- VAI UP?T10N ya.93.000 Lees ,"e e '90.!8'^, IIfCI I PJ4FOU ri ItovSrta $613.50, Int-nl SurChaI- g'u °77.50 .SA t: FCC b 100 snr. uIII-?.. _ ? D °l 7 CONTRACTOR: A p p l l o n n 1- - s i t C OWNER: 1 C. lbc-8 1001 Pi 0it4?°/G MCI](11 MA10 C0ifSI M000v1ALD C0N: 72't":' LLIJ I- B, I 1. L 81) y `'0 7.:'12 el U1 811-I. I+Ay ^U7Ri?!SVILLF 'el NI Fi5:437 8UkNSV--1-LF P;i! SS331 /':1 '7) f, £13-7061 (01 ')'6817 76167 Ilc reby ;c Srowl.:nyo .:.I i iIJV? _. , i . , .t.. ,I , ol: .I,.(; S'ZoLULOC, nl1 Ci C7iy Of Ly- n 0 1-f;j ?-iCLC ., J APPLICANT/PERMITEE SIGNATURE SUE B : SIGNATURE REACTIVATE PERMIT #• CITY OF EAGAN 1993 BUILDING PERMIT 681-4675 APPLICATION LIAR 1 9 RECD 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. Valuation of work goo Date 3 / / 1 1I ( RD S ? R Site Address: ?3 4 'i l STREET SUITE # Tenant Name: (commercial only) LOT BLACK '1 SUBD.SuALK .4 < ,t S P.I.D. Description of work: S i r F m The applicant is: ? Owner Contractor ? Other (Describe) Name Phone Property LAST FIRST Owner Address STREET STE # City State Zip Company Phone `a o Contractor Address 1a19L 8(oc R.0 aa. IQL License #000.237 Exp. city wRN SUM& M State /rl ?\. Zip ,5533 Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber v c- 5 o Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this ap lication and state that the information is all applicab State of Minnesota Statutes and City of correct and agree to compl Eagan Ordinances. K% L?^-j Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation g 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'l. WORK TYPE ? 11 Apt./Lodging ^JD 1:6 Basemel Finish ? 12 Multi. Misc. ? 17 Swim Pool ? 13 Garage/Accessory ? 18 Comm./Ind. ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous J.31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Y -N Basement sq. ft. MWCC System as (Allowable) V-14 1st F1. sq. ft. City Water LS UBC Occupancy ( 2nd F1. sq. ft. PRY Required ?- Zoning f2-1 Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length ro ' On-site well Census Code o/ Depth On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED IN SPECTIONS ? 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 % 100 SAC Units _I- Vaatation: s M30 000 CzA0AGE; Zw» FL 002. ?(o x3a s 780 3ZxZy:1 76s /'-x4'1/2 K/2: (2q 3oY 11 -;? 2,so 13SMT: 944 X/c . 11,9014 Sox 26= '780 lox IB = 257 1o32><IS- 15?4Vo 15 r Fro ?z ' Bs m-u 3 z ?"Z x?a YZ ? I y fY?/c afl H 56 c = 5r? 1 / 06(4 Y- I xlu iz- 1 u-2YSY= S 7 '616 IN2,'12s * * 2422 Enterprise Drive 7k' PIONEER LAIMIURV[YC•AS• CIVIL C"m', rC , Mendota Heights, MN 55120 * englk eering.. LANbPLANNt"- LANDSPEARCHIT[CTS (612) 601-1914 Certificate of Survey for. House Address: -J?(,c !y'LLUdrti (LL_ Model Name: ?l0'(6'. Con-i'rt`c,fior rl^IUSY di;RiF'yALL {]i?1E+J5iorJS -ell Ol t ? O ? t?59p ° o' 6• I "ys.??\,3x'1,9 Xgg7r? .n7 a/A v8v? .? X40 X60 _r4 G4 96 15ry / rr 'IVA, YR i. ?? 0 A7 ?\ k/ lies 9 84 7. ?Y?D 71 J0 $ a?:asuAV L,14?:u11V.E+i.a:I1V1:s .F,-'LSD J h 200.0 Denotes Existing Elevation PROPOSED HOUSE, ELEVATION .200.° Denotes Proposed Elevation NI? Lowest Floor Elevation:_?Je??_)I - _. _ Denotes Drainage & Utility Easement Top of Block Elevation:_9,<Jj(o -Denotes Drainage Flow Direction Garage Slab Elevation: 85}„3 ----o- Denotes Monument a Denotes Offset Hub Bearings shown ore assumed _1? -- LOTI_2BLOCK 4 DAK4'rA COUNTY, MINNESOTA NQ Q t T 1 0N 1 hereby certify that this survey, plan or report was prepared by me AorRunder my diracl supervision and that 1 am duly Roglitered Land Surveyor under the laws of the State of Minnesota. Doled this t 6104 day of Ca A.D. 19 -/i Scale: 1 Lth-3 Qfaet I Ea 911)3.x? LOT SnVZY CZZCXLIST FOR AZSIDZNTIAL fIIILDIN nPxIT APPLICATION 4ROPLRT ? Y LGALt Date of surveys 9 YT STANDARDS II 0 (? 0 0 D Registered Land Surveyor signature and company Building Permit Applicant D Legal description D 0 Address 0' 0 0 North arrow and bar scale $? D 0 House type (rambler, walkout, split w/o, split entry, ?D D lookout, etc.) i D' 0 D D rectional drainage arrows with slope/gradient t. Proposed/existing sewer and water services fY 9 D Street name 0 Driveway ELEVATIONS D ID?0 y Zxistiac Sewer service Pl D 0 Lot corners c' D ? Top of curb at the driveway 6' 0 0 Elevations of any existing adjacent homes Proposed D Garage floor D ? First floor L ? owest exposed elevation (walkout/window) D 0 A D Property corners D D D Front and rear of home at the foundation D e 0 Easement line D K D NWL D 0' D HWL 0 5'n Pond / designation D 5-"'D- ' D Zmergency Overflow Elevation DIMENSIONS 6?0 D Lot lines D? 0 D Right-of-way and street width (to back of curb) G? 0 0 Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) ?D ? Show all easements of record and any City utilities within ?D ? those easements Setbacks of proposed structure and setback of adjacent existing homes D D RetainSnq qui Bents, if any c • Reviewed: Z C ?-W- . Nam / Date • MIrItiES?TL?TbTF?BNF•r3??f?nF,?Ar,?)II.BTFnrI? BASED ON CHAPTER S OF THE ti?nEl.?N}wesiY?DPF,. ? is&3-E12ITI4r1 ????_?(ap Adoption Effective owner dG? Rp Phone Date Site Address. Lcy-r I Z? BLocK I.1 ? ?RciPM OaK H (L-(-s -ZNa ADn'&j. Contraotor ?G _o A jibr,Sv IN(,. Building classifications Type Al (Single Family & Duplex) Type A2 (Residential, 3 stories or less)(over 3 stories)(other) NQ.T1t-"1aR1Qt , A0AS_a..BDd and- ""t. rIEHEaL-IMMUNH I. Building Perimeter 11 6PI ft, 2. Wall height (ground to save) 11 Ft, 3. 1. X 2. (above) gross wall area :VV sq.ft. 4. building dimensions (L) r X (Wj eq.Et.roof & floor area S. Sq. foot area of rim joist - Floor XoipX_s its (2 X -t^ (Perimeter) A 1 sq.Ek. ?-- 2 61 Doors - Area 111.4, Thickness in U. factor Type of Construction Perimeter Et. Hanufacturer 7. Total door's perimeter ft. 8. Windowas Manufacture °aL• G S1''° ' U factor __ ., tote approved TYPE SIZE 4 JA? i1 42 AA er AREA (Sq.Ft.) EACH NUMBER OF U111TS TOTAL SO FEET 9. Total sq.ft. Glaas Z?oq,-&5 306 Fireplace areal Width X Height a x a sq.ft. It. Exposed foundations Height X Perimeter-,61 ?sq.ft. COMPLETION OF THIS FORH IS REQUIRED FOR ALL NEW C011STRUCTIC11. VJXJOR REHODEL11JO AND BUILDINGS BEING MOVED IMERE EIIERGY, OTHER TIIA1l THE 11I11THAI. CODE ALLOWMICE, IS USED. M A P . - 1_.5-S as M ON 9 : 5 0 P L A N C O i I N S U 2 A N O E C E O F F I P- © 2 y /J //'] ? y 12, Framing area a lot of gross wa 13. Orono wall area- 3-z Window area A MIS' sq.ft. Rim joist area :q.ft; poor area A q.ft, Other doors area ,ft, Exposed fndn' ,it. Framing area .ft• Het wall area (1313) TOTAI, UxA 11 area, sq.ft, U windows - - i , ? (CP, UxA - IL U rim joist= o I 11xA - . Ip U door aYea= ,? - uxR n ?r? U other doors=-4 UxA ,r4 U foundation-- -1DAC-- UxA - ?r U framing area- UxA - Q?15 U Wall- 104-77 UxA M L I 14. Gross wall area x 0.11 (A-1 single family & duplex) allowable UxR/Code (13, above) X 0.23 (A-2 other residential) X 923 (Other buildings) X .29 (aver 3 stories) TU11 must be larger than or same A x U Code --j-( as 13B above 1.5, Ceiling fraiaing area (Af) equals lot of ceiling area 15A. Gross coiling area d (L) - x (W) A -M sq.ft. 158, Joist area (At) .. lot coiling area sq.ft. 15C.' Het ceiling area (Ac) (15A - 158) sq.ft, U ceiling x Ac , U framing x AL r0 to -IL 15A, TOTAL U x A....•......,,.•.••,•...,...,. 16, Calling area (15A) x 0.026 (A-1 single family & duplex) a allowable UxA/ Code x 0.033 (A-2 other residential) X 0.06 (other) BTUII must be larger than or same A(15R) x U Code O W OF. as 15D above NOTES Use U anal h values obtained from pages 1, 3 and 4. CE11TIEIQDTIQUI I hereby certify that I have calculated the „U„ factors and 111111 values herein and that the building here described meets or exceeds the State of Minnesota Energy conservation Act. Date Signature MAR - 1 5- 9 3 M O N 9:50 P L A N C O? I N ^o U R A N C E OFF I C E P Os i ---- .._.._..X 4 _. - ?. _..._ fit}- Zok 4? .. k S,7 23 `WALL ' SECTION STUD SECTION 2ND WALL SECTION.- Kim JOIST K VALUL U VALUE Inside air film ;68 Interior wall '4 S (Noll) U + a Insulation Sheathing x ,o(O Siding .lo( s Outside air film .l7 R TOTAL 23,03 lnaldo.alr film 1 .68 ' lnterlot Wall '45 t"r stud R' .grylg (D rj0(Framing) U ¦ R Sheathing Z. o(a Siding , •?7 . aq5 Outside air film R TOTAL (n• 53 Inside air film R••.68 Interior wall insulation Sheathing .Exterior wail covering Exterior air fll+a' R a A 7 R TOTAL (Wall zU . R . . t lnterior ¦ir film R' •68 ? - lniulatlon (q.n I (Rim U ¦ ¦ -!. 14 Inch colt wood 'R-1.88 Joist) Sheathing Z , Oo dJr( txterlor we?I covering .107 ` txterlor air film Rm?17 R TOTAL Z4,4co Interior alt film R= .68 ?Insulation)FIwowl (q.oo Exterior all film R' .17 R TOTAL 'Exposed block w• , (Fdn.) U • • r. u n 7 a i r ? F MAR_ 1 5- 9 3 M O N 9 52 PL. A N C O? I N S U R A N C E O F F I C E P. 0 S window infiltration 0.5 cfm/lineal Residential door infiltration 0.5 requirement Non-residential door infiltration OILING W!Th VENTED ATTIC SPACE_AEOVE R VALUE FRAMING R VALUE CEILING 0.61 AirFilm o.61 NO. ? Insulation • 0 4.38 Joist 0.56 Ceiling 0.56 0.61 AirFilm o.62? 42'',(O Tota1R 4 5,lT/ _ D2-2j U = 1/R_ o2.Z, foot of crack cfm/square foot or door and minimum code 11.0 cfm/lineal foot of crack Ub 12" concrete block no insulation = .47 R 2.1 Ub 1P concrete block insulated cores = .26 R 3.8 Ub 12" lightweight block = .32 R 3.1 Ub 1211 lightweight block insulated cores = .12 R 8.3 U single glass = 1.13= with storm window .54 U double glass = .55 U triple glass = .41 All exterior walls and ceilings must have a vapor barrier (0.10 perm max.). vapor barrier must be on the inside (heated side) of wall. vapor barriers of the polyethelene thin film have no R value. CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT ?? a y y-18=iy PERMIT TYPE: BbILDING Permit Number: 0 t 3 2 7 7 Date Issued: 0 ? / 11 / 9 4 SITE ADDRESS: 3369 ROLLING HILLS DR LOT: 12 BLOCK: 4 BUR OAK HILLS 2ND P.I.N.: 10-15501-120-04 DESCRIPTION: Building'-permit Type DECK Building Work Type NEW s' ? l f rl t ) r REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: OWNER: - Applicant - MONROE LARRY 3369 ROLLING HILLS DR EAGAN MN 55121 (612)737-4620 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. APPLIN7/PERMITE SIGNATURE ISSUED BY SIG ATURE 1993 MECHANICAL PERMTT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 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 -? -cl HVAC: 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) 4 ADD-ON/REMODEL (EXISTING CONSTRUCnON) STATE SURCHARGE TOTAL FEES $ 24.00 6.00 vD,-off $ 15.00 ??rr.50 SITE ADDRESS: 3 OWNER TELEPHONE #: (41?C ; " O ? ' J s-L STATE: I ' I ;D ZIP CODE: y TELEPHONE e 1993 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIAI.JINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: CONTRACT PRICE: FEES 1% OF CONTRACT FEE $_ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF r,"Mn FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CITY INSPECTOR r?wrvwc? 2622 Ent¢rPri'a Drive * PIONEER L.X. wnveyom• ayrL CN61NEER Mendota Neights,MN 55120 4 eng peering.. LAN-¢LaXXEne• La.p9LeeF eneX1TELT5 11 1612) 681-1914 T**** fq try /?o n?0 -r- Certificate of Survey for: Mc--D )ni ,-) Ynu-c.?on House Address: 3369 Ro H, L5 Mode) Name: _ NOTE'. Contractar (nL)sr %mPiFy AL-L IIlmEnlSlon)_, \ S` '\ J3 rr // \ LAY IN k( alb., ? a0 ? O / 858,'o d6v // \ .o O `Yoh /y867.o A X84 / ?n Gee eo ?\ ydSOpR OO 619 854•^x y ?> 41 0 R tw^y' 3 "s 680 h , 1 g5?•lo / ?h?^? B a w o f en:a . , / ? 8so. ? 8s • 9a.p Denotes Existing Elevation \ PROPOSED HOUSE ELEV_A_TI.ON •® Denotes Proposed Elevation Lowest Floor Elevation: Denotes Drainage & Utility Easement Denotes Drainage Flow Direction Top of Block Elevation: s57.3re -o- Denotes Monument Garage Slab Elevation: gy$-3 E3 Denotes Offset Hub Bearings shown are assumed LOTS, BLOCK 4 2_U F?__DAK 4L _LS ZND DAKOTA COUNTY, MINNESOTA Ap U i T i o ?I I herehy sxrtlfy that this surysy, plan or rayon was prepared by me or antler my direr vupervisl°n end that I am d°ly Replatered Land Surveyor under the ..of the SUte of Min?HS°G, Dated thla / BTA day o1 m n ft G71 q,p• ,g_ Scale: 11^ e eet hou EnT sl lYl .5. rvoll e91 F I ® 91n 3. z7 105111 CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 I, s,30.1-0 0 6 1vy4 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 Valuation of work Site Address: 11119 Rbjht % WiIIl OrtNz STREET SUITE # Tenant Name: (commercial only) LOT ?Z BLOCK SUBD. ??? &.0 04k- n P.I.D. # Description of work: QuiW Pc o,\-fo A0 C4 j Q_ The applicant is: i9 Owner ? Contractor ? Other (Describe) Name Monroe_ Lvfl?y Phone ?fSZ-(o?i6 Property LAST FIRST (0)737-'f(p20 Owner Address ?.3 fo a A'1- D f q f1Ei'lls Dr-1 U Q_ STREET STE p ?Sl2 State MN zip City aq*,n nn Company SP t Phone Contractor Address License # Exp.- city State Zip Company a 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. Cr?? 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. El 15 Deck WORK TYPE Xr 31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION W ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st F1. sq. ft. City Water UBC Occupancy 2nd Fl. sq. ft. PRV Required Toning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code a/ Census; Bldg / APPROVALS Census Unit o Planning Building Assessments Engineering Variance REQUIRED IN SPECTIONS ? Site P'Foot ing ? Framing ? Insulation ? Wallboard JO Final ? Draintile ? Fireplace Permit Fee valuation: $ Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES EACH TOTAL SITE. OWNER INSTALLER: CITY: PHONE #: ( SHOWER 3,00 00 3 00 00 WATER CLOSET . BATH TUB 3.00 3. 00 LAVATORY 3.00 /?.00 KITCHEN SINK 3.00 no LAUNDRY TRAY 3.00 00 HOT TUB/SPA 3.00 ?. da WATER HEATER 3.00 100 FLOOR DRAIN 3.00 ao GAS PIPING OUTLET • minimum - 1 3.00 3. 0 n ROUGH OPENINGS 1.50 .?o WATER SOFTENER 5.00 PRIVATE DISP. • Da Lcty. uc. 15.00 U.G. SPRINKLER • home under most. 3.00 ALTERATIONS • to existing 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 06 TOTAL: J - 33 R, ,n 7t s ive /'lam nn ?? ?il7n. CrUC 7 /Oh, hC, STATE: ZIP CODE eV SIGN RE OF PERM 8E 1993 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 1993 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRLAL 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: CITY OF EAGAN APPLICANT ì ý ùü þýüýû ÿþþ ýüûú ûúù øýýþþ è þÿ ùíýõ 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 Ý üøÚúý ø ãáùøïýáö ãïüõ 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:Building Permit Number:EA163935 Date Issued:09/16/2020 Permit Category:ePermit Site Address: 3369 Rolling Hills Dr Lot:12 Block: 4 Addition: Bur Oak Hills 2nd PID:10-15501-04-120 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Gregory J Slaby 3369 Rolling Hills Dr Eagan MN 55121 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA168357 Date Issued:04/19/2021 Permit Category:ePermit Site Address: 3369 Rolling Hills Dr Lot:12 Block: 4 Addition: Bur Oak Hills 2nd PID:10-15501-04-120 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Gregory J & Patricia Slaby 3369 Rolling Hills Dr Saint Paul MN 55121--234 (651) 249-1176 Window World Twin Cities 2106 11th Ave E N St. Paul MN 55109 (651) 770-5570 Applicant/Permitee: Signature Issued By: Signature