3373 Rolling Hills DrINSPECTION RECORD Control No. 0466
x r ,
CITY OF EAGAN PERMIT TYPE: (ILI r 1 n r Nt,
3830 Pilot Knob Road Permit Number: 00061:'
Eagan, Minnesota 55123 Date Issued: 06/19/92
(612) 681-4675
SITE ADDRESS: L O T O 11 B L U C K, A APPLICANT:
3:313 ROLLING HILLS OR MCOOMALD CONST INC
BOO OAK HILLS 2ND (612) 608-1661
PERM?T TYPE:
TYPE OF WORK:
NEW
14 _A6
INSPECTION TYPE DATE INSPTR. '%1I E C TION TY PE DATE INSPTR.
I W;Ut AT ION F'iNH,
I IRFPI A('1
Rt.11ARK `b a PRV S Ie W C OM URAC: T OR - STAR P! F16
Permit No. Permit Holder Date Tsisphone Y
S/W
PLUMBING ?- t
HVAC /?f Q?
ELECTRIC `
ELECTRIC
Inspection Date Inep. Comments
Footings I Z 4S
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test t t if
Final Plbg. 41 Plbg. Inspector- Notify Plumber
Const. Meter
EngrJPian
Bldg. Final IJ,?Y pa ll Cor ; ..•.? ?'l?- pz S
Deck Ftg.
Deck Final j2
Well
Pr. Disp.
-
- i I
0
9 S'? sul ,? f J_AW
(9truf tiratt of (Orrupattry
titp of eagan
a s of mA atm 3wertim
n is Cerftfiw a isssu d pursuaw so die requirenencs of Section 306 of the Uniform Build fng
Code certifying that at the time of Wuanw this structure was in compliance with the various'
ordinances of the City regulating building construction or use. For the following:
U. a.a.doe SF DWG W4 Pant Na 532 O-Vw-T Ta R-3 M-1 zig Djj, R-1 7hxc V-N
own" detaM MCDONALD CONST INCAddm 1212 BLUEBILL BAY RD !
Bulft ,,,d&..3373 ROLLING HILLS DRL,,cdkyLl1, B4, BUR OAK HILLS 2ND
l Al, I ! SEP_ i l , .1992 41
POST IN A CONSPICUOUS PLACE i
s
Addraas:3373 ROLLING HILLS DRWt 11 Blk 4 Sec/Sub BUR OAK HILLS 2ND
These items were/were not complete at the time of the final inspection.
Date: SEP 11, 1992 Yes No TnqnPrVnr!
Final grade (6" from siding) ?
Permanent steps - garage
Permanent steps - main entry
Permanent driveway ?
Permanent gas V1 I
Sod/seeded grass
Trail/curb damage ?
Porch ?
Basement finish ?
Deck
Please verify with the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists. a
imueow,a
White - City copy Yellow - Resident copy Pink - Contractor copy
K 04538 11 / ?5 S`
Request Oai /?
/`/11 ^
1 J/l`+ F'rre No. Rough-in Inspedbn
qeq gtl?
s ?, No
? Reatly Now
IygVni Notify Inspector
When Ready?
I licensed contractor 7 owner hereby request inspection of above electrical work at:
Job Ao es (Street Box or Rou o.) City
Section No. owns ip Name or No, Range No. Col
Occupant (PR Ph e IN -?
Power Supplier
NIW Atltlress
Electrical 0 tractor (Company Name)
A, A Contr tor§ icense No.
W9
Mailing Ad r s ICOntr ctor or Ow er Making Installatron)
Authoniec ignature IContractorr w Making Installation) 55 I PM100 _
-- I
MINNESOTA S E AAD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S1]3 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. AN 55180 UNLESS PROPER INSPECTION FEE IS
Phone (612) 602-MOO ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION 0`"`'$''''yyy!?? eeoooot-oe
Qq ? See instrucLOns for completing this form on back of yellow copy
04538 "X" Below Work Covered by This Request
911
\Iew tld Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) ContreciorOs Remarks:
Compute Inspection Fee Below: ?M I?Tt l[il
# Other Fee # Service Entrance Size Fee IF Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps
0
1b
0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps 09
Signs Inspector's Use Only: TOT / _
h
\
Irrigation Booms V
?rl
J
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MObITHS. f
I, the Electrical Inspector, hereby Rough"" - l y
certify that the above inspection has
been made. Rinal
r r Date
'Q7
OFFICE USE ONLY t
This request void 18 months Irom
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 RemodeVReoair Requirements Office Use OnN
3 registered site surveys showing sq. ft. of lol, sq. ft of house; and all roofed areas 2 copies of plan Cad of Survey Reod _Y _N
(20% maximum lot coverage all(Ywed) 1 set of Energy Calculations for heated addifions Tree Pres Wan Recd _Y -N.
2 copies of plan showing beam & window saes; poured found design, etc. 1 site survey for additions & decks Tree Pros Required _Y _N
1 set of Energy Calculations Addition - indicate Hon-site septic system On-sfle Septic System _Y _N
3 copies of Tree Preservation Plan If lot platted after 7/1193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Date/
f
r (? Construction Cost o1000
1
Site Address _S373 I i T,
D' At 1
5 D Y Unit/Ste #
Description of Work PC'P lOcc 0/2 S1 JI_11, Dooes
Multi-Family Bldg _
Y ?
N Fireplace(s) _ 0 _ 1 _ 2
I,
PropertyOwner Wit/ iGfs (
9C hc(e!n Telephone # ( )
Contractor c,N ipOwSC.
Address in .6
p rio v v-e city ? f /'c,,)
State 'M.7 ZipJt s{0
?Dg
Telephone # (63)) f `1`4 -3
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
A NEW BUILDING
_ Minnesota Rules 7672
• New Energy Code Worksheet
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 #(
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.
l jp„41
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 ? 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 Plbgyour_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) _ Final/C.O.
_ Footings (deck) _ Final/No C.O.
Footings (addition) _ Plumbing
_ Foundation _ HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final - Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing - Siding _ Stucco - Stone - Brick
- Fireplace - R.I. -Air Test -Final - Windows
Insulation - Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651.681-4675
a-1 3
New Construction Requirements
• 3 registered site surveys stowing sq. ft. of lot sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot platted after 711193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE I 12 FS 10?_
SITE ADDRESS
TYPE OF WORK
APPLICANT
STREET ADDRESS
TELEPHONE #(A
RemodeVRegair Requirements
• 2 copies of plan
• 1 set of Energy Calculations for heated additions
• 1 site survey for atenor additions & decks
Indicate if home served by septic system for additions
VALUATION I (? Doc
t J'? MULTI-FAMILY BLDG Y ?N
FIREPLACE(S) _ 0 _ 1 _ 2
ZIP
CELL PHONE #
FAX # Cat d1`T 0%'
PROPERTY OWN ER ( Ch. TELEPHONE#?61 _LI_'A
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ ?II.NN1:SO-I':1 Ri'I.ES 7670 C \TEGORI' 1 _ MINNESO'17A RULES 7672
(4 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
Hcat Recovery System
I hereby acknowledge that I have read this application, sta
with all applicable State of Minnesota Statutes and City of
Signature of App
OFFICE USE ONLY
Water Softener
Water Heater
No. of Baths
Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Fee: $90.00
2 Fee: . -0.00
ll - I l?
Phon u?T o o =9 1
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 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 Mufti
? 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 Rercof ? 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 _ Figs _ 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
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN 1 r
3830 PILOT KNOB RD, EAGAN MN 55122 t ?C ?° Cs
651-681-4675
New Conetruatlon Reaulrememe
• 3 registered site surveys showing sq. g. of lot, sq. ft, of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan r lot platted after 711/93
• Rim Joist Detail Options selection sheet (bogs with 3 or less units)
DATE f I Z 1 uz'
SITE ADDRESS/
TYPE OF WORK
APPLICANT U
STREET ADDRESS r
TELEPHONE # MI
PROPERTY OWNER
----------------
of (il')ra 41/
Remodel/Reoalr Reaulremente
2 ooples of plan
1 set of Energy Calculations for heated addalons
1 site survey for eaeror additions & decks
• Indicate @ home served by soft system for additions
VALUATION
ara
??C
MULTI-FAMILY BLDG _Y Z /N
FIREPLACE(S) _ 0 _ 1 _ 2
J CIT1?J_f l? STATE kN LP?S
PHONE # FAX # ?6 -_292- 0 a CtD
TELEPHONE461-4641 111:3
--"--L -----------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted
Energy Envelope Calculations Submitted
Plumbing Contractor.
Plumbing system includes:
Mechanical Contractor: _
Mechanical system includes:
Sewer/Water Contractor:
Phone #
Phone #
Fee: $70.00
I (L
I hereby acknowledge that I have read this application, state that the information is correct, and a ree to comply
with all applicable State of Minnesota Statutes and City of Eagan ^?l ances, `
ignature of Applicant
S
OFFICE USE ONLY
Water Softener
Water Heater
No. of Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
- Air Conditioning
- Heat Recovery System
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Parch/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_Yor_ 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 Bidgs 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 _ Figs _ 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 Pennit
Mechanical Permit
License Search
Building Inspector
Copies
Other
Total
PERMIT
CITY aPEAGAN
-? 3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
DESCRIPTION:
SF DWG
NEW
R-3 M-1
V-N
R-1
66
42
BUILDING
000532
05/19/92
REMARKS:
PRV
FEE SUMMARY:
e"`S
PERMIT TYPE:
Permit Number:
Date Issued:
3373 ROLLING HILLS DR
LOT: 11 BLOCK: 4
BUR OAK HILLS 2ND
4uild ng Permit Type
Building?Work Type
r UBC Occupafty
Construction`-Type
Zoning
Building Length
Building Width
1
L 0I q mq
S & W CONTRACTOR
Base Fee
Plan Review
Surcharge
SAC
SAC 8
SAC Units
__Subtotal
STAR PLBG
VALUATION $163,000
$860.00 MISCELLANEOUS
$559.00 Total Fee
$81.50
$700.00
100
$2,200.50
$1,610.50
$3,811.00
CONTRACTOR: - Applicant - ST. LI OWNER:
NCDONALD CONST INC 16887061 000237 MCOONALD CONST INC
1212 BLUEBILL SAY RD 1212 BLUEBILL BAY RD
BURNSVILLE MN 55337 BURNSVILLE MN 55337
(612) 688-7061 (612)688-7061
I hereby acknowledge that I' have read this
information is correct and agree to comply
Statutes and City of Eagan Ordinances.
C
CAPPM lPERMITEE SIGNATURE
application and state that the
with all applicable State of Mn.
Ikm Y.' IGNAT R
Control No. 0466
531
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
XAY RF?n
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 when typing of permit is requested, but not picked up by last working day
of month in which re nest is made or lot Chan a is requested once permit is issued.
Date .S ? Valuation of work ?IJ$900 ??XGGudyig?n ?x -aS
Site Location: 3373 /°oG/in? /?i`d!s Dr•, ?QQ4)1 ? MA) S-Sla/
STREET STE #
Tenant Name:
LOT It BLOCK 4 SUBD. Fur ?4 K ZIS _7z: P. I.D. #
Description of work:
The applicant is: ? Owner Contractor ? Other (Describe)
Name Phone
Property LAST FIRST
Owner
Address
STREET STE #
City State Zip
Company h1c.`Dona dd C DnS-?ruc4rnn a :T-,-Oc- - Phone 6?f- 70L
Contractor Address 12- 12-- 8(. 'e ?i GI a, ??. License # 6M Z376
City ?aurxs?c ICIe a State /U /j Zip S!5-3;37
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber S -j.r ?? m E1? 5 Processing time for
sewer & water permits is two days onc e area has been a roved.
I hereby acknowledge that I have rea ication and ate hat the information is
correct and agree to comply with a ap le S o innes a Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
?X02 Single Family
? 03 Two-family
? 04 Multi-fam. T.H
? 05 Apt. Bldg.
WORK TYPE
? 16 Agricultural
? 17 Building Move
? 18 Demolition
? 20 Miscellaneous
? 06 Garage/Accessory
? 07 Fireplace
? 08 Deck
? 09 Basement Finish
? 10 Swim Pool
-0 90 New ? 93 Remodel ? 96 Move
? 91 Addition ? 94 Repair ? 97 Demolish
? 92 Alterations ? 95 Tenant Finish ? 99 Undefined
GENERAL INFORMATION
Occupancy
Zoning
-censt. (Actual)
(Allowable)
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
R-3 M-1 Basement sq. ft. MWCC System yes
1st F1. sq. ft. City Water
VN 2nd F1. sq. ft. PRV Required
es
V-N Sq. Ft. total Booster Pump
Footprint Sq. ft. Fire Sprinkler
On-site well Census Code /lidv,
_g'Z On-site sewage SAC Code 01
Building Assessments
Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
Valuation: $ !63 p p o ''
? Footing
? Final
? Insulation
? Fireplace
Permit Fee 860, 0 0
Surcharge I . _50
Plan Review X59,00
License
MWCC SAC '7pp, 0 0
City SAC 100,00
Water Conn. a a
Water Meter q5, a 0
Road Unit
,3 Pao, o 0
Treatment Pl. 3 99
Road-WRitS,WVthut tgo.0a
Pak-4Bed.s sly 'To
T? A-,d ty 30.00
Copies
Other
Total : 3,411-00
SAC % lad
SAC Units 1
?ARA?E1
?o x 32 - 64a
a x an 4fo
b'X(o= 4$
SSMT',
I4?26?
?o kart-
i8xao
? 11 Res. Add./Parch
? 12 Comm./Ind. New
? 13 Comm./Ind. Add
? 14 Comm./Ind. Rem
? 15 Public Fac.
? Framing
? Draintile
zs`
3 `bk2c =
S x/2 ,
//02-
60
>'162xS?-
'726 XfC?= 11?6U8'
364
560
36°
(?IK)
72
? 30 8 ?tI.S`
I3SmT- 13?s
1'?'i K 4I'z r / W
1 2 7 2 1
G/) S66
_? !6° ?
t5n „/ /_
.*
yy PIONEER
drr
LAND SURVEYORS • CIVIL ENGINEERS
LAND PLANNERS • LANDSCAPE ARCHITE(
625 Highway 10 Northeast
Blaine, MN 55434
612) 783-1880•Fox 783-1883
Certificate of Survey for: McDonald Construction. Inc.
House Address: Rolling Hills Drive. Eagan, Mn
Model Name: 91-539
\\ S69.
9p 4 521 E
/tJ
-J
r ?.
5/ \
\
\
e \
\
Iq 00 ? n/ 3<1
c4 6
8 ?QoO ,r80p W
o
BASE-M fOLSE. o \ ? C[/
BS)0
\ O \
APR 16 "f-jZ 2422 Enterprise Drive
Mendota Heights, MN 55120
(612) 681-1914•Fox 681-9488
n ryo /e0 QO?,?~]
-j c:y Co
45
CA,4A /q .. ^ rv
GF
Y
\\ \\ ??
\ 94 00
J
\ V \ ?y
\ v \ 11r
\ ti \
\\\ <<S \\\33y
7 /
o?
2
o.?
\ \ \ \ ? ??( \?RTCIPIEERI G DEPT
900.0 Denotes Existing Elevation
. soD.o Denotes Proposed Elevation
Denotes Drainage & Utility Easement
Denotes Drainage Flow Direction
-o-- Denotes Monument
PROPOSED HOUSE ELEVATION
Lowest Floor Elevation: gq.q.;;
Top of Block Elevation: 8S8.33
Garage Slab Elevation: 857.33
-B Denotes Offset Hub Bearings shown are assumed
under the laws of the State of Minnesota. Dated this T'^day of ?OTI A.D. 19
Cz 'A
Inch= feet ?RO BERT B. SIKIC/i L.S. REG. NO. 14891
LOT 11 BLOCK 4 BUR OAK HILLS
DAKOTA COUNTY, MINNESOTA 2ND ADDITION
I hereby certify that this survey, plan or report w?as?pr pared by me or un etr my direct supervision and that I am duly Registered Land Surveyor
^.? DO
I
03 91113.18
MINNESOTA STATE ENERGY CODE CALCULATIONS
BASED ON CHAPTER 5 OF THE 7T{{r-
MODEL ENERGY CODE - 1983 EDITION
Adoption Effective
OwneYt
?7? ?1r t?1CS1? phone Date
Site Address ciP- 6Ak 4CLS Zju p 14011V
Contractor
lk??/ Lz;? Phone
Building Classification: Type Al (Single Family & Duplex)°Qz
Type A2 (Residential, 3 stories or less) (Over 3 stories) (Other)
NOTE• Complete pages 3 and 4 first.
GEN ERAL INFORMATION /-2!:Zr?,
yt
1. Building Perimeter r.
)1
2. Wall height (ground to eave) ft.
3. 1. X 2. (above) gross wall a rea ?
sq.ft.
?-
;6
Q
4. Building dimensions (L) X (W) =?=J
sq.ft.roof & floor area
0C
5. Sq. foot area of rim joist - lggr j
size (2 X
C/ ?
X (Periimeter) = ti sq.ft.
6.
Doors - Area'
f i
rz- 12
,
0 ?f
r
]
Thickness in U l
r
.1
. factory1
Type of Construction Perimeter ft.
Manufacturer
7. Total door's perimeter / -ft.
8. Windows: Maur cturer G? ? 1state approved
U factor t,
7Lf/
TYPE SIZE AREA (Sq.Ft.) NUMBER OF TOTAL
.44 IM- EACH UNITS SQ FEET
9. Total sq.ft. Glass t 0
r-
10. Fireplace area: Width X Height = X sq.ft.
11. Exposed foundation: Height X PerimeteriL7-x =1 p?// -il-1 sq.ft.
COMPLETION OF THIS FORM IS REQUIRED FOR ALL NEW CONSTRUCTION, MAJOR
REMODELING AND BUILDINGS BEING MOVED WHERE ENERGY, OTHER THAN THE MINIMAL
CODE ALLOWANCE, IS USED.
-1--
• 12. Framing area = 10% of gross wall area.
13. Gross wall
Window area
D sq.ft.
Rim joist area
Door area
q.ft
ft.
Other doors areah8oIo sq.ft.
Exposed fndn Aln L trq.ft.
Framing area A02 : I sq.ft.
Net wall area Aq LM 14q.ft.
sq. ftr. A ?j a
U windows = ?? `? II UxA = rr"/ !
U rim joist= UxA = ll??
U door area= \ i UxA = t
U other doors=k4l UxA =
U foundation= t69 UxA = r-??(?
U framing area=tom UxA = IJ
U wall= lO UxA =
(13B) TOTAL . . . . . . . . . Uxk =
14. Gross wall area x 0.11 (A-1 single family & duplex) = allowable UxA/Code
(13. above)
x 0.23 (A-2 other residential)
x .23 (Other buildings)
x .28 (Over 3 stories)
1I TUN must be larger than or same
A ? ?II U Code l1` _ OF. as 13B above
15. Ceiling framing area (Af) equals 10% of ceiling area
15A. Gross ceiling area = (L) X (W) _ sq.ft.
15B. Joist area (Af) = 10% ceiling area = sq.ft.
15C. Net ceiling area (Ac) (15A - 1513) = (0F,)Z(R slq.ft.
U ceiling x A C = x 21 = I)
U framing x Af = I x( l
15D. TOTAL U X A ............................ '.
16. Ceiling area (15A) x 0.026 (A-1 single family & duplex)
allowable UxA/Code
x 0.033 (A-2 other residential)
tt x 0/.0066 /,(,other)
A( 15A)\.?x U Code tN vim/ _4 0 OF. must s 15D above an or same
NOTE: Use U and A values obtained from pages 1, 3 and 4.
CERTIFICATION: I hereby certify that I have calculated the "U" factors and
"R" values herein and that the building here described meets or exceeds the
State of Minnesota Energy Conservation Act.
Date signature
-2-
(lam ????,?? ?
l ?
..---gyp
try
p??0
,o
r
i ',P-,4
c'
NAIL.
SECTION
R TOTAL ZJ.Dj
STUD
SECTION
2ND HALL
SECTION.
RIM
JOIST
inside lilt film :68 '
Interior vall '4 C? (Nall) U . t A
Insulation 1q,0
Sheathing 'L.?fD d?T3
siding
Outslda air film ,I7
inslde.alt film 1 .68
Interior wall •`5
lu
tP stud R= ?'s78 (p rj0(Ttaming) U .
sheathing j2.ocD
siding .?? .095
Outside air film
R TOTAL 0 • r7?J
Inside air film RA .68
Interior wall
Insulation (Nall ) U + .
sheathing z
Exterior watt eovertng
Extetlor air film' R +.11
' R TOTAL
Interior all felm R- .68
insulation (q,0
Iti Inch soft wood R-1.88 (Rim U , R
Jots!? '
sheathing Q , p(p 041
Exterior vela eovertng
Exterior air film Its ,17
R TOTAL Z4. 4(v
interior air film No .68
Lnsulatlon)rlms ?w,•(1•oo
Exterior ali film Rs .17
r ?
R TOTAL 2.1. 01
Exposed Block
\.?????rgde
3.
CEILING WITH VENTED ATTIC SPACE ABOVE
R VALUE
FRAMING
R VALUE
CEILING
0.61 AirFilm 0.61
&-.O Insulation 45,6>
0.56 Ceiling 0.56
0..661
0.61 AirFilm 4(o.70
A L I (v Tota1R DZ?j U = 1/R . OZI
Window infiltration 0.5 cfm/lineal foot of crack
Residential door infiltration 0.5 cfm/square foot or door and minimum code
requirement
Non-residential door infiltration 11.0 cfm/lineal foot of crack
Ub 12" concrete block no insulation = .47 R 2.1
Ub 12" concrete block insulated cores = .26 R 3.8
Ub 12" lightweight block = .32 R 3.1
Ub 12" 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.
A
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 779
DATE: 03/24/00 TIME: 13:10:56
ID:
NAME: CONSTRUCT-ALL CORPORATION
3210 9001 3373 RLLNG HLS 181.25
2155 9001 3373 RLLNG HLS 5.00
Total Receipt Amount: 186.25
CR125029
USER ID: JAN
2000 BUILDING
L400?R?
PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
Now Construction ReaWMM20
D 3 registered We surveys showing sq. B. of lot. sq. H. of have
and gl( roofed areas (2D% mmdmum bl coveroae uRowed)
> 2 copies of plots (show beam & windowless pared frtd. design: eft.)
D 1 set of energy calculations
D 3 copies of free preservation pion N lot platted alter 711/93
DATE: 'a I JL /D U
DESCRIPTION OF
STREET ADDRESS:
v
LOT: I \ BLOCK: L? SUBD./P.I.D. #: Q )Lk
PROPERTY
OWNER
?& 1FS (o.aZ:Z?-.
3- D ?-i- C) 6
ments
Remodel/Repair Require
2 copies of plan
t set of energy calculations for heated odditonns
t site surrey for extedor additions & decks
p [X?
CONSTRUCTION CO 1 z?jj?AJ r
+4+ f So l: ??+Q IJ°
Name: ?`-?^'? Phone #: 2 7 J 1 3
Last First .
Sheet
tr 5?!" Z
City a V%. State: 1+'? Zip: s 1
Company. `- 's^ .c -- Al) 601- o foy- Phone #: +2 el` SCf / Z
[? (? t (area code) 3 G
CONTRACTOR Sheet Address: F ??I U°r?`?? License # Exp. a/3//tacb
city /nP-1s State: my) Zip: St a 45/V3
ARCHITECT/
ENGINEER Company: Name:
Telephone C (
Sheet Address: Registration C
city
State:
Zip:
Sewer(water licensed plumber (lf installing sewertwaterl: Phone *.
I hereby acknowledge that I have read this application, date that the Wonnafion Is cowed, and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant..
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No -K Not Required
(RESIDENTIAL)
i-'m 2 2
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-piex
? 02 SF Dwelling ? 08 06-plex
? 03 01 of-plex ? 09 07-plex
? 04 02-plex ? 10 08-plea
? 05 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-piex
WORK TYPE
? 31 New
? 32 Addition
? 33 Alteration
? 34 Repair
? 13 16-plex ? 21 Porch (3-sea.)
? 17 Garage ? 22 Porch/Addn.(4-sea.)
? 18 Deck ? 23 Porch (screened)
? 19 Lower Level ? 24 Storm Damage
PIN y or -N ? 25 Miscellaneous
? 20 Pool ? 30 Accessory Bldg.
? 36 Move Bldg. ? 43 Reroof
? 37 Demolish (Bldg)' ? 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair
? 42 Demolish (Foundation) ? 46 Windows/Doors
Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code
No. of Units
No. of Buildings
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building
Permit Fee 91. D-T
Surcharge '770 a
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Dad.
Other
Copies
Total: / 8-(,. )-
sq. ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
- Engineering Variance
valuation: $
? 31 Ext. Aft - Mufti
? 33 Ext. Aft - SF
? 36 Multi
SAC Units
% SAC
L---Ll- BL CITY OF EAGAN
A -Jf - / 2 PLUMBING PERMIT
SUBD. u?- ?y'LVC-o (612) 681-4675
RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------------------------------------
WORK DESCRIPTION
NEW CONST?•
ADD ON _
REPAIR
CITY USE ONLY/^ r (?
RECEIPT $ to
r?
DATE -7 -7 / r.
ALSO, FOR TOWNHOMES AND CONDOS
COMPLETE THE FOLLOWING:
OWNER NAME: i'Lc4 /? zklcA 4 L?C1h. 1 LI?T,n/I C
SITE ADDRESS
INSTALLER: , U(?
ADDRESS:
j1w <3 V c ?,
CITYC 6o, C (9t,nac,. mn. ZIP,:
PHONE #
NO. FIXTURES EA. TOTAL
REPAIR/ADD ON 15.00
SHOWER 3.00
_ WATER CLOSET 3.00
BATH TUB 3.00
LAVATORY 3.00
KITCHEN SINK 3.00 3.no
LAUNDRY TRAY 3.00 -3.60
HOT TUB/SPA 3.00 3 6y
WATER HEATER 3.00 60
FLOOR DRAIN 3.00 JCL
GAS PIPING OUT.
-?
00
(MINIMUM - 1) 3.00 S.
ROUGH OPENINGS 1.50
OTHER _
_ WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
W. TURNAROUND 15.00
STATE SURCHARGE
TOTAL
.50
S o? 2. 00
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
CONTRACT PRICE:
SITE ADDRESS: 1% OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
TENANT NAME: EACH $1,000 OF PERMIT FEE.
SUITE #: $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 1% $
ADDRESS:_ STATE SURCHARGE
CITY: ZIP:
PHONE #:
FOR
TOTAL:
(SIGNATURE)
CITY OF EAGAN
CITY OF EAGAN
L? B- MECHANICAL PERMIT RECEIPT # /OCR 4ZCoZ
SUBD. ' k N \ \ T\ (612) 681-4675 DATE ? - 1 S - 'o
L
RESIDENTIAL - -
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR
TOWNHOMFS/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT.
OWNER: FEES
SITE ADDRESS: ADD ON/REMODEL (EXISTING
CONSTRUCTION ONLY) $ 15.00
INSTALLER: HVAC: 0-100 M BTU 24.00
PHONE #: ` ADDITIONAL 50 M BTU 6.00
ADDRESS: - GAS OUTLETS - TIINIMUM 1 @ $3 EA.'aj O
CITY: ZIP:` SURCHARGE: $ .50
SIGNATURR?ALA -_tAl - TOTAL i s 38'`
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCWJINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DWELLING UNIT.
WORK DESCRIPTION: U CONTRACT PRICE: I FEES
1% OF CONTRACT FEE.
STATE SURCHARGE IS $.50 FOR EACH
$1,000 OF PERMIT FEE. $
PROCESSED PIPING - $25.00
$
:u.R'.^?:'PTR! FE.R . $25.90
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163407
Date Issued:08/31/2020
Permit Category:ePermit
Site Address: 3373 Rolling Hills Dr
Lot:11 Block: 4 Addition: Bur Oak Hills 2nd
PID:10-15501-04-110
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 -
Richard Tstes C Schadegg
3373 Rolling Hills Dr
Eagan MN 55121
(612) 309-6235
Blackwolf Exteriors, Inc
2039 Michael Lane
River Falls WI 54022
(715) 426-4008
Applicant/Permitee: Signature Issued By: Signature