3378 Rolling Hills Dr_-JbITY OF EAGAN
3630 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD I Control No.
PERMIT TYPE: a1,I 11 01 NN
Permit Number: 0091 7 7
Date Issued: 04 /06
y
SITE ADDRESS: 1,012 20 "LOCK:
i,fJ$ ROLLING HILLS OR
Will UAK H C 1 L F. ;?Nn
PEF,IMIT,§UBTYPE:
APPLICANT:
MCDONALD CONST INC
(b12') 888-•1661
TYPE OF WORK: NEW
INSPECTiON TYPE
IF 041 1 1 Nh DDATE NSPTR. NSPECTION TYPE
F trAM 1 N(v DATE INSPTR.
1NSUTAIIUN IF INAL
I IRE Pt ACF
RENARX S F PRV S A W CONTRAC IFOR -- `31 AR PJ13G
PermR No. Pwmft Holder Date Telephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Map. Comments
Footings I (d?.2
Foundation
!
7 !
Framing ?_(
Z
Roofing
Rough Plug. ,34 91
Rough Htg.
Isul.
Fireplace
h '5-
Final ??7Z
Orsat Test [ y
Final Flog. Plbg. Inspector - Notify Plumber
Cont. Meter
Engr./Plan
Bldg. Final ((? 2 2&rre p?? Z 5
Deck Fig.
Deck Final
Well
Pr. Disp.
f ?a r? Sl '? ! )f
(9tru#iratr of (Orrupaury
QCitp of Cagan
iomww ,m of wttiwm prrrtim
m Cer*lcate irsued pursuant to Me requtrements of Section 306 of the Uniform Building
Code cer#fying that at the time of issuance this structure mw in compliance weth the wdous
ordinances of the CUy regulating building construction or use For the following.
Use CLmifiauo. SF DWG etas Fkmit mm 177
0-4-h, TYP R-3 M-1 zoaiai Djft;r, R-1 Type COost V-N
O.,,.fmaai.s MCDONALD CONST INCAdd,. 1212 BLUEBILL BAY RD
bAdims, X378 ROLLING HILLS DR L..b ,20. B2. BUR OAK HILLS 2ND
ncc SEP 1:1, 1992
POST IN A CONSPICUOUS PUKE
RESIDENTIAL
' 17?5? BUILDING PERMIT APPLICATION
1 CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
v Construction Requirements
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all mofed 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 Slot platted after 711/93
Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
4TE
)B SITE
MULTI-FAMILY BUILDING, HOW MANY
;OPERTY OWNER -??G ,C?y 1 G? li I
PE OF WORT 1 9 l 1 (
y
2PLICANT
)DRESS ?
LGER #
EPLACE(S) 1 2 3
PHONE # 1
,41 ZIP CODE
FAX #
NIEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor:
Plumbing System Includes:
Mechanical Contractor: _
Mechanical System Includes:
Sewer/Water Contractor:
Phone #
Fee: $90.00
Fee: $70.00
above information must be submitted prior to processing of application.
ereby acknowledge that I have read this application, state that the information is correct, and agree to comply with
applicable State of Minnesota Statutes and City of Eagan Ordin S.
O
Signature of Applicant q(_)3CP
rtificates of Survey Received _ Tree Preservation Plan Received _ Not Required
:
'jillN, 77.5
Remodel/Repair Requirements
2 copies of plan
• 1 set of Energy Calculations for heated additions
1 site survey for exterior additions & decks
Indicate 9 home served by septic system for additions
VALUATION ?(a 5??
CELL PHONE #
Water Softener
Water Heater
No. of Baths
Phone #:
Lawn Sprinkler
No. of R.I. Baths
Phone #
Air Conditioning
Heat Recovery System
Updated 1101
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 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
duation Occupancy MC/ES System
:nsus Code Zoning City Water
kC Units Stories Booster Pump
)r. of Units Sq. Ft. PRV
w. of Bldgs Length Fire Sprinklered
pe of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
_ Footings (deck) Final/No C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile _
Roof _ Ice & W ater _ Final _ Other
_ Framing - Pool
Ftgs
Air/Gas Tests Final
_ Fireplace _ R.I. - Air Test - Final - _
_
Siding
Stucco
Stone _
_ Insulation - _
_
Windows (new/replacement)
Approved By
ise Fee
ircharge
an Review
/ES SAC
ly SAC
ater Supply & Storage
:W Permit & Surcharge
eatment Plant
imbing Permit
schanical Permit
sense Search
)pies
her
ital
Building Inspector
Addresst3378 ROLLING HILLS DRLot 20 Blk 2 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 InApector:
Final grade (6" from siding) ?
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists.
.soJen
White - City copy Yellow - Resident copy Pink - Contractor copy
T45 3 24?13019'
Request Date /t I /? .^
,h//.i l/?I, /?/`)._s ire No. Rogg' Inspection
Reg'?etl?
Yes ? N -may
? Ready Now III Nobly Insp'r
Wha en Rotly.
licensed contractor ? owner hereby request inspection of above a trical work at:
.loo Atl ss o-ee Ryxor Ro o.t I . city
section No. Township Name or No. Range No. Co
Occupant( N )
1
Phone No.
10
Power Supplier
IN ?W- Atltlres
EI &I Contract r (Company ame)
.
1 C to rS Lice se o.
Mair g A dre55?C nl I wner Making Installs onl
4
Aulh ed Sign lu/fre IC`onl?d0r/ wner Making In51f ill,aton)
12 /j ? PM1 n NU e/
M14NESOTAtSTATE BOARD OF EUECTRI,)ITY v I THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-170 BE ACCEPTED BY THE STATE BOARD
1521 University Ave., St. Paul. MN $5100 UNLESS PROPER INSPECTION FEE IS
Phone (512) 802-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION'
J45324 • See nstructions for completing this form on back of yellow copy
X" Below Work Covered by This Request
e Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building yer Other (Specify)
Gomm./Industrial Furnace
Farm Air Conditioner
Other(speoity) Contractors Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps A 00 _ Amps
Signs Inspectors Use Only
TOTAL
Irrigation Booms ..}?? /y
?
Special Inspection 7 J
?' ?J
Alarm/Communication THIS INSTALLATION MAY BE OR DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 THS.
I, the Electrical Inspector, hereby Rough-in ate _ 7 ,y
certify that the above inspection has
been made. Final Date
r
y
ZZZI
OFFICE USE ONLY
This request void to months from
<. ...
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
ftRMITTYPE: BUILDING
Permit Number: 000177
Date Issued: 04/06/92
SITE ADDRESS:
3378 ROLLING HILLS DR
LOT: 20 BLOCK: 2
BUR OAK HILLS 2ND
DESCRIPTION:
Bu"ilding, Permit Type SF DWG
Building Work Type NEW
?UBC Occuparrcy, R-3 N-1
'Construction Type V-N
Zoning R-1
Building Length 70
Building Width 26
REMARKS: C D N I
PRV S & W CONTRACTOR - STAR PLBG
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC 8
SAC Units
Subtotal
VALUATION
$129,000
$741.00
$481.65
$64.50
$700.00
100
1
$1,987.15
MISCELLANEOUS $1.610.50
Total Fee $3,597.65
cant - Sr.
CO1TQCDON ?PCONST INC - App131
6887061 0002 17MU'WALD CONST INC
1212 BLUEBILL BAY 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.
APPLICANT/PERMITEE SIGNATURE
PERMIT Control No. 0171
application and state that the
with all applicable State of Mn.
'in folo'dUh-l"f
8 GN UR
<• / / • CO J
jqj 1992 BUILDING PERMIT APPLICATION
CITY OF EAGAN e1AR 3 REC°
REQUIREMENTS: CX11 7l Z
SINGLE FAMILY 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET ENERGY CALCS.
MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS.
# OF UNITS RENTAL FOR SALE
COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS, 1 SET OF ENERGY CALCS.
PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING
DAY OF MONTH IN WHICH REQUEST IS MADE OR LOT CHANGE IS REQUESTED ONCE PERMIT IS
ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH
ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
To Be Used For:
Site Address
Lot Z Block Z
Owner
?Fxcludps lot
Valuation: I IQ, n Date: 3- 20 - p 2
Address
City/Zip
Phone
Contractor lM? wl? lomswcl k)Tac
Address i2i-?) 31uP?Il _94? Re4
City/Zip
Phone 6as--7o(,I License.
Arch./Engr.
Address
City/Zip Code
Phone #
/Water Licensed Contr.
Ner/watedr6ermits is tv
Occupancy Bldg Permit
Zoning Surcharge
Actual Const 7 Plan Review
Allowable License Fee
# of stories SAC, City
Length SAC, MWCC
Depth Water Conn.
S.F. Total Water Meter
Footprint S.F. Acct. Deposit
S/W Permit
On-site sewage S/W Surcharge
On-site well Treatment PI.
MCC System Road Unit
City water Park Ded.
PRV Trail Ded.
Booster Pump Copies
SUBTOTAL
APPROVALS Penalty
Planner Lot Change
Council TOTAL
Bldg. Off.
Variance
area
FEES
Processing time
that all work shall be done in accordance with
of Mjo4sota Statutes and City of Eagan Ordinances.
PERMIT # CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
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 request is made or lot Shan a is requested once permit is issued.
Date Valuation of work
Site Location:
STREET STE 0
Tenant Name:
LOT BLOCK SUBD. SuR OAK })IL.LS P.I.D. 0
ZND A=i77o/V
Description of work:
The applicant is: ? Owner ? Contractor ? Other (Describe)
Name Phone
Property LAST FIRST
Owner
Address
STREET STE #
City State Zip
Company Phone
Contractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
. ature of Applicant:
h="
'
OFFICE USE ONLY
BUILDING PERMIT TYPE
?.01 Foundation
% 02 SF Dwg.
? 03 Two family
? 04 Multi-fam. T.H
? 05 Apt. Bldg.
WORK TYPE
? O6 Garage/Accessory
? 07 Fireplace
? 08 Deck
? 09 Basement Finish
? 10 Swim Pool
? 11 Res. Add./Porch
? 12 Comm./Ind. New
? 13 Comm./Ind. Add
? 14 Comm./Ind. Rem
? 15 Public Fac.
g 31 New ? 34 Remodel ? 37 Move
? 32 Addition ? 35 Repair ? 38 Demolish
? 33 Alterations ? 36 Tenant Finish ? 99 Undefined
GENERAL INFORMATION
Occupancy k-3 M-1 Basement sq. ft.
Zoning R-I 1st F1. sq. ft.
Const. (Actual) V_ N 2nd F1. sq. ft.
(Allowable) %7- Sq. Ft. total
# of Stories Footprint Sq. ft.
Length ?p r On-site well
Depth On-site sewage
APPROVALS
Planning Building y297
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
? Footing
? Final
? Framing
? Draintile
? Insulation
? Fireplace
Permit Fee 141,00 valuation: s 129,400
Surcharge 4,so GAR4GEt
Plan Review 4511(06
66o
License aox zz ,
Z Y. 11 _ (Z Z)
MWCC SAC O, 0 0
City SAC 100,00 gay; 636 )416= 10J20s
Water Conn. (0 56 5 00
Water Meter q6,00 3q Kz4 . 99q
Acct. Deposit 30,00 aov 6 = 12_
S/W Permit 30,00 /004x/5= 15060
S/W Surcharge !gr F oo¢
Treatment Pl. o,oo
Road Unit 3 a
?o 7)9 2= 14
Park Ded. , 85477= 100,4
Trails Ded. _j%53=53g5y 10,
Copies j
Other ZHD 1-LOoQ
-
Total: 5 ??'1zx3v= 935 x53 = 115,555
SAC % Iov 12s?777
SAC Units
? 16 Agricultural
? 17 Building Move
? 18 Demolition
? 20 Miscellaneous
MWCC System YES
City Water
yirw
Required YE?
Booster Pump
Fire Sprinkler
Census Code /off
SAC Code 01
Assessments
MINNESOTA 3TAA?J?+ ENERGY CODF,SAt.r_ULATION3
BASED ON CHAPTER 5 OF THE
MODEL ENERGY CODE - ]983 EDtmtON ???
Adoption Effective
Owner LL ? phone
Site Address Lo-r Zo BLOCK Z f3uR04K ?IUS 2i4n
Contractor G ?? GQ 1 iR- oti
Building Classification: Type Al (Single Family 6 Duplex))
Type A2 (Residential, 3 stories or less) (Over 3 stories) (Other)
NOT .• omoloto ..ages 3 anA A f{ra{•.
GENERAL. INFORMATION
1. Building Perimetet'h? Toll
2. Wall height (ground to save) It fQt.,.
3. 1. X 2. (above) gross wall area 0/ sq.ft.
4. Building dimensions (L) ? X (W) °1aE?Nq.ft.roof 6 floor area
5. Sq. foot area of rim joist - Fo r X st lie (2 X
?1 -?= (Perimeter) a, ?0 q.ft.
6. Doors - Area 12
????\
Thickness in U. factor1
Type of Construction Perimeter ft.
Manufacturer-
7. Total door's perimeter ,,ft.
B. Windows: Mturei?? ?,C c ,mil state .approved
U factor 1=
TYPE SIZE AREA (Sq.Ft.) NUMBER OF TOTAL
G 11 0? - 7 1 ?1? ?70 EACH UNITS SQ FEET
9. Total sq.ft. Glass
10. Fireplace areas Width X Height = f X e sq.ft.
11. Exposed foundation: Height X Perimeter.,?X?14¢ q.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-
z. framing area 10% of groan wall area,
1. Groan wall area sq.ft.
lilndow area A? sq.ft. U windows .. f VLO
UxA d l " 7 1
lilm joist area AG? s ?
q.ft. U rile joist=_ 1 UxA d
Door area A ?PA I sq.ft. U door area t14/?? UxA - -it
other doors area
.ft. U other doors UxA ?C
Exposed fndn A_V_Q__1_L?Cjrvq,ft. U foundation- 10-Ro UxA ..
Framing area A sy,ft. U framing area- UxA
list wall area A?q• Et. U wall- d `rC? UxA?e
1138) TOTAL . . . . . Ux7l? d
I. Gross wall area x 0.11 (A-1 single family 6 duplex) d al
(1J. above)
X 0.23 (A-2 other residential)
x .23 (other bulldinge)
,/? / x . 26 (over stories)
A1I??`S M+l U Code U'oUlt must. be larger than or same
F. an 138 above
?. Ceiling framing area (Af) equals lot of calling area
5A. Groan calling area (L) x (ti) .e (09eq.ft.
513. Joint area (AE) a 101 ceiling arse n I0aN,>eq.ft.
SC. list ceiling area (Ac) 115A - 158) •, ??.? sq ft.
U ceiling x Ac M,: SCj' x_ 07° r 'T
U Framing X A f x1Q11-5-1. e
5U. TOTAL U X A . . . . . . . . . . . .. . . . . . . . . . . . . . . .
h
Ceiling area (15A) x 0.026 (A-1 single family 6 duplex)
Q.allowable UxA/Code
x 0.033 (A-2 other residential)
x 0.06 /(o_theer)
A(15A) ?%'/x U code %OV-P d 1 UTUll must be• larger than or some
F. ss 15U above
UTE1 Use U and A values obtained from pages 11 7 and 4.
EMLIQUIQHr I hereby certify that I have calculated the "U" factors and
R" values herein and that the building here described meets or exceeds the
Late of 1111rnesota Energy conservation Act.
ate
Signature
-2-
'???' ?pr?77
-- ? t 1-ktj o V`G?
D o?,f,-Z
? (oO = oI = _ O r O
1 1111 -?7
? ? - ?'j, d X f ? r fJ
loo
.•• aa! R ¦
Insulsllml V w ?
r-. IV Ih,b
ij bherlhlne
'---? dldlns ! till
I: tlutoas alt Itim
• ' ' R !VIAL L? • 0.3
I,ulde.sl!•lllm
$1 uu ----- age
•
8L1;11011 inletlet will t ?5
e- 4" ttud hit
-Kop
?---- Bheslliln/ 1 L.old '
sldlh? .(0-1
Vultide,•flit'
.llim
. •' R 1tltAL 'p • q x?
StuItvil. list rtlet wall' '
lnrnl.tlnH Kr _? !
?-J E4l:e tell
r Ottlet wall !stet At t
-? talttlnt elt, (lIts ' R .
.•l i
Ii 'VIAL '
_ _••,_, Intrtlar elr Illm
4111 n• .6e .
_ ?
Well
llnH
V
J
151
_' .r_ '11, IHd, ?el?wned ?11•I.g9 (RI ,
U
,
Jot/11
'
• s
J t><letlet atJl enre tlns !ld"1
?• its txletlnt silt Illm n+ ?l
R. (VIAL x, • el (?
Inlerlut sit film
.611
he
__? IHrnlsllnlt ??,d .
` ? ___^ lenndillnn I,Lltj
(IJH'? U • .
tsletlat fill film n `Il
r. • t b?10
R IVIAL
\ 3. `r
•--
tepeted llnek ?,
\.?? . 11rtJe .
J
R VALUE
"ARIlla
R VALUE
CEILI11"
12 A1rFilm 0.61
5110•o insulation 45-o
-4230 Joist -------
-.56 Cehing__ 56
0.6? AirFilm o.614Z?? 'Cvta1R ?cn.78
dZ?j Uel/R . bL?
'indow infiltration 0.5 Cfm/lineal foot of crack
asidentlal door infiltration o.$ ofm/square foot or door and minimum code
requirement
on-residential door infiltration 11.0 cfm/lineal foot of crack
b 12" concrete block no insulation d .47 R 2.1
b 12" Concrete block insulated cores a .26 R 3.8
b 12 lightweight block $32 R 3.1
1b 12" llglitwelght block insulated Cores a .12 R 8.9 .
single glass - 1.171 with storm window .54
double glass - .55
i triple glass Q .41
ill exterior walls and callings must have a vapor barrier (0.10 perm max.).
'apor barrier must be ori•the inside (heated side) of wall.
'apor barriers of Elie poly.ethelene thin film have no R value.
1
-?S * 2427 Entld'prlse Orlvle
.}t Mtmdnta Heights, MN 55120
* PIONEER LANG SURY TtAS - CIVIL ENOMERS (677) 687-1914•Fax 881-94II9
* ®fl Bring U110 rEeaIER4 • tnneR a r. nRwarcts
975 Highway 10 Nvrtt,•.ost
Mahe. MN 55434
•#(* * (612) 793-1880•FovI 783-1883
Certificate of Survey for: C _0r1 CLIC?Si9_CLa rt'LQ gJ,-GC)•
House
Addre a; _RollirLy__Nills-Privy Ecgsyn...kLN
p?? \ \
ti?^
-51
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R5L•a?'. i' ? c? .
.t ,
-900.0 Denotes Exintlnq Elovotion PROPOSED House ELEVATION
Denotes Proposed Elevation Lowast floor E1evatlon:g49-'iQ
Denotes Dralnnge & Utility Foset7lent Top of Monk Flavotion:$a8_7Q
-? DCnntrq Droinoge Flow Dirm-lion
-o- Vmiote+9 M011111nrnt Garaya Slab FICwtion:flaZ,•70
___a.__ Pen ales Offset llub Ilenrings shown me assumed
Hl_OCK 2-- BUR- OA.K....Yl_L S_
C(11INTY. MINNF%;O1A !'1 I_` ..-
1 hrrMy celtl/y Ilm1 thi[ •.nvy, plan m ,rrmn w7 ?a pep+•PA by al undvl my d4 PC[ •Lp????er''ttNslnn and that 1 am duly neylclvl ed l.aM M1unmynl
urmhR ihP i,awl nl UI? Srot! el Ml mtP!otR. URtP:7 illle.4_S ?u tlRV Of 11 /gyp .3I A,U, 19II .
/ fie. "inch
nnq 9T n. ai qw ! 1;./vr•: Mp 11A^i
111114 M
L SL CITY OF EAGAN
SUBD.a?.r (%K?G PLUMBING PERMIT
RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------------------------------------
WORK D CRIPTION
NEW CONST
ADD ON
REPAIR _
OWNER NAME : -- - o'J7q fw ( /r7 JArJ ' tah c
SITE ADDRESS:
INSTALLER: 1
ADDRESS:
CITY 4i
PHONE
ZIP::: S~? V /
r'd
STATE SURCHARGE
TOTAL
.50
V•
COMMERCIAL
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:
SITE ADDRESS:
TENANT NAME:
SUITE #:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
CITY OF EAGAN
CITY USE ONLY
RECEIPT 0 ???
DATE o? 9
ALSO, FOR TOWNHOMES AND CONDOS
COMPLETE THE FOLLOWING:
NO. FIXTURES EA. TOTAL
REPAIR/ADD ON 15.00
SHOWER 3.00 3,00
WATER CLOSET 3.00 UC
BATH TUB 3.00 .sue, 00
LAVATORY 3.00 J.?.IXI
KITCHEN SINK 3.00 CC
LAUNDRY TRAY 3.00 3,00
HOT TUB/SPA 3.00 C6
WATER HEATER 3.00
FLOOR DRAIN 3.00 '-100
GAS PIPING OUT.
(MINIMUM - 1)
3.00
-(L
ROUGH OPENINGS 1.50 l y"76
_ OTHER _
_ WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
W. TURNAROUND 15.00
CONTRACT PRICE:
1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL:
(SIGNATURE)
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN MN 55122 PERMIT # _
PHONE: (612) 454-8100 RECEIPT
311336NCASSR DATE:
jiE$Zp;EN?IjiL;, PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 5
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------ --------------------------------------------------------
WORK DESCRIPTION FEES
NEW CONST ADD-ON MINIMUM $ 9
ADD ON HVAC 0-100 M BTU 24.00
REPAIR ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM Z 3.00
\L OF 1 PER PERMIT
OWNER NAME l
SUBTOTAL: $
SITE ADDrrR??ESS:? 6 STATE SURCHARGE: .50
SUB
LOT:V zk:"m
D. TOTAL: INSTALLER:
ADDRESS: ?•V `d? ???? ctC7TT?,`I SI NATURE OF PERMITTEE
CITY: / ZIP: oc V V T
PHONE #: /?- G C?
COMMERCIAY/INptytRIAL, PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
-------------
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:-
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FEES
1% OF CONTRACT FEE.
STATE SURCHARGE a $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
(SIGNATURE)
FOR:
CITY OF EAGAN
c (? ( RESIDENTIAL BUII.DING
a 0 ` Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements RemodekReoair Requirements
3 registered site surveys showing sq. ft of lot sq. ft. of house; and all roofed areas 2 copies of plan
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks
1 set of Energy Calculations Addition -indicate H on-ae septic system
3 copies of Tree Preservation Plan If [at platted after VV93
Rim Joist Detail options selection sheet (bldgs with 3 or less units
9)00
Office Use Only
Cert of Survey Recd _ Y _ N
Tree Pros Plan Rea _ Y _ N
Tree Pies Reqd _ Y _ N
On-site Septic System _ Y _ N
Date/ / 00
?600
construction Cost
,
:2
Site Address 3376 & ?lk 44 , S'? Unit/Ste #
Description of Rork Q
/
Multi-Family Bldg - Y - N Fire ce(s) - 0 1 - 2
Property Owner Telephone # () 9os
Contractor ?y C
Address City t 1
State M Zip sI?73 37 Telephone # (45-0
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category -
• Residential Ventilation Category I Worksheet . New Energy Code Worksheet
(J submission type) Submitted Submitted
Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complyfe and. accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan the. State of Ivi`i I
Statutes; I understand this is not a permit, but piTy an application for a permit, and work i of to start without a
permit; that the work will be in accordance w' the approved plan in the base p?'ork w ' requires a review and
aoaroval of olaal I /I l ` I
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 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
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
Footings (new bldg)
Footings (deck)
Footings (addition)
_ Foundation
_ Drain Tile
Roof _ Ice & Water _ Final
- Framing
Fireplace _ R.I. _ Air Test - Final
Insulation
Occupancy -
Zoning
Stories
Sq. Ft.
Length
Width . .
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS _
_ Final/C.O.
Final/No C.O.
Plumbing
_ HVAC
Other
_ Pool _ Ftgs _ Air/Gras Tests _ Final
Siding _ Stucco _ Stone
Windows (new/replacement)
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
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. AR - SF
? 36 Mult i Misc.
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
Vemolition (Entire Bldg) - Give PCA handout to applicant
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA125886
Date Issued:08/06/2014
Permit Category:ePermit
Site Address: 3378 Rolling Hills Dr
Lot:20 Block: 2 Addition: Bur Oak Hills 2nd
PID:10-15501-02-200
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.
Andrea Preusse
4145 Sibley Memorial Hwy
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Patrick Mandli
3378 Rolling Hills Dr
Eagan MN 55121
(651) 905-3942
Wenzel Heating & Air Conditioning
4145 Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature
,t�
-�- Use��1��or BLACK Ink
---------------,
_ � For Office Use I
' : � � � ' �
1 Permit#: � �
Cl6 Ol !1� �� � Permit Fee: �av I
y � � ,
383Q Pilot Knob Road � �
Eagan MN 55122 i Date Received: �
Phone: (651)675-5675 � Staf�: �
Fax: (651)675-5694 -----------------�
�� 7
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION i ��,�
/ �i`� �1
Date: � � "`s Site Address: 3a?� �ll`� " C`(S ��
Tenant: Suite�R:_
Resident/Owner
� Name: �SG� �-� �C� �i:V�Yr�-Yl Phone:
��'1 ?� �c� �. - m� S�l�--l
� Address l City/Zip: �r� ����S � Y'• ��c�,��i.r�
�
b, �--� �j�`t ViZt �nC - License#= p i71 D Ga 3�� (
� Name: ���� ���►'►� �►'� � �t,m� �
Contractor
Address:��l L- �� �'�' ���-�� �V '. C�tY_ � "'" "`.� ��-1
-�`(�G!�� State: Y1(�� Zip: •����� Phone: ���� �" ��3" ���' -
C - �g�l -�a "��1� Contad: �il L'. I h t �� Email: ��-`'�G i���t rr�lo��(L�=� �11��i�r��> rl�1
o -�----�
Type of Work —New �Replacement _Repair _Rebuild _Mc3di#y Space _Work in R.O.W.
Desorip#ion of work: �(l5�(��� (�.Q-1�1� �" I,�'-� ^ W"`�`� �t ���^ ���
RESIDENTIAL ��� J �z���
(�.c.��S`1-Q.l.I,+�LQ �-
.J
Water Heater
Water Softener
Lawn Irrigation�RPZ/_PVB) j
Pel'mlt TyPe Add Plumbing Fi�ttures(�Main/_Lower Level)
Septic System
New Water Turnaround
_Abandonment
RESIQENTIAL FEES:
$60.00 Wa�r Heater, Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge)
$60.00 Lawn Irrig�#ion(includes$5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Tumaround"{includes�5.00 State Surcharge)
`Mlater Tumaround(add$200.00 if a 5B"meter is required)
$115.00 Septic System New($10.00 per as built){includes County fee and$5.�State�urcharge}
TC)TAL FEES$
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0OQ2 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities.
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not#o 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.
X ��� � �/��l,�r/ X ����� ��,�
Applicant's Printed Name ApplicanYs Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Manometer Staff:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163410
Date Issued:08/31/2020
Permit Category:ePermit
Site Address: 3378 Rolling Hills Dr
Lot:20 Block: 2 Addition: Bur Oak Hills 2nd
PID:10-15501-02-200
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 -
Patrick Mandli
3378 Rolling Hills Dr
Eagan MN 55121
Lifetime Construction & Restoration
21 Century Ave S
St. Paul MN 55119
(651) 464-9920
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167176
Date Issued:03/01/2021
Permit Category:ePermit
Site Address: 3378 Rolling Hills Dr
Lot:20 Block: 2 Addition: Bur Oak Hills 2nd
PID:10-15501-02-200
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or
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 -
Patrick & Lisa Mandli
3378 Rolling Hills Dr
Saint Paul MN 55121--234
Lifetime Construction & Restoration
21 Century Ave S
St. Paul MN 55119
(651) 464-9920
Applicant/Permitee: Signature Issued By: Signature