3382 Rolling Hills DrINSPECTION RECORD I Control No. J 1 U,
CITY OF EAGAN PERMIT TYPE: 1311 I 1 111 NO
3830 Pilot Knob Road Permit Number: 00 1 V-04
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: I.OT . 19 191. oc t APPLICANT:
a3a ROL I INA H! 11 S OR MCDONALU CONS1 INC
HUR OAK Nit L', 2NO (61;?) 689-7061
PERM [T §,YBTYPE:
TYPE OF WORK: NEW
NF MA14 ti - 1114v S & W CON T RAS: 1 t1R F I VC -•S I AS PLOU
Permit No. Permit Molder Delle Tebphone #
SJWI
PLUMBING
HVAC /5-4d? d
ELECTRIC
ELECTRIC
inspection Delta Map. Comments
Footings I -
1f'.2-Foundation ?2Z bU??_a
Framing
Roofing
Rough Plbg.
Rough Mtg. v
d D
Isul. o ?_ S
Fireplace
Final Htg.
Orsat Test
Final Pb,. Plbg. Inspector - Notify Plumber
Const. Meter
ErqrJPlan
Bldg. Final 3 ?L 9 j IoJ
Deck Ftg. D .Z
Deck Final ?Z o3
7
well
Pr. Disp.
GZt.I t a
W¢rtificate of Cccupanc?
WitV of Wagan
2tvarhuew of suiYbws an"Ceti=
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: .Q' , Bldg. Permit No. 15M
Occupancy Type I Zoning District R1 Type cont. VN
NCDM" Owner of Buildin )-MCK INC Address 1212 B[IEML HM,
B2, EM OAK M US 2[D
Ba- RMLIM HMS DRIVE Locality L1Q9
Address
/ 03/12/q2
Date:
Building Official
POST IN A CONSPICUOUS PLACE
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OFEAGAN ?lb o)S
3830 PILOT KNOB RD - 55122
651-681-4675
v construction Requirements RemodellReealr 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 saes; poured found design, etc.) . 1 site survey for exterior additions & decks
1 set of Energy calculations . Indicate if home served by septic system for additions
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
4TE II)- Lyl-UI
A SITE ADDRESS32? d
MULTI-FAMILY BUILDING, H
IOPERTY OWNER
PE OF WORK ?cS he
)DRESS
MANY UNITS?
Vh 115
VALUATION 5 t g O o
d FIREPLACE(S) _0 _1 _2 _3
PHONE# (051't?3? -?t(pLIU
\GER # CELL PHONE #
ZIP CODE
FAX # (.451 -2q 7 - b2f OS
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category
(check one)
Plumbing Contractor:
Plumbing System Includes:
Mechanical Contractor: _
Mechanical System Includes:
Sewer/Water Contractor:
Phone #
Phone #
Fee: $90.00
fee: $70.00
v
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
applicable State of Minnesota Statutes and City of Eagan Ordinances.
I
Signature of Applicant
:rtificates of Survey Received _ Tree Preservation Plan Receive _ Not Required _
MINNESOTA RULES 7670 CATEGORY I
Residential Ventilation Category 1 Worksheet Submitted
Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Phone
Water Softener _ Iawn Sprinkler
Water Heater _ No. of R.I. Baths
No. of Baths
- 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
iluation Occupancy MC/ES System
msus Code Zoning City Water
kC Units Stories Booster Pump
>r. of Units Sq. Ft. PRV
>r. 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 , Building Inspector
ise Fee
ircharge
an Review
/ES SAC
ty SAC
ater Supply & Storage
:W Permit & Surcharge
eatment Plant
imbing Permit
schanical Permit
sense Search
)pies
her
ital
Addre4s 3392 R(ffIIM HRI S DRIVE. Zip 5512 3
Lot • =19 Blk 2 Sub 8pR OAK HILTS 2D
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 03/12/93 Yes No Inspector: D
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas t/
Sod/Seeded grass
Trail/curb damage LI/
Porch tI/
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.
Contact engineering division at 6814645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
K 3 2 9/ayjY?
Request te? , (4 1_1IL c ire No, Re Ro Inspection
Q rgd?
yes -%
? Ready Now '
ill Notiy Inspecteh
Whs a Oy' O"
_ee
1 licensed contractor O owner hereby request inspection of above trical work
ad
Job tlra 5 l eet. Ox or Ra No. City
Section No. Township Name or No Range No
Occu nt PpIN Pho a No. - '
Power Su0plier Atltlres
Ell ¢al Contr Im (COmpan Name) Co ad r5 Lkense
M L g Atltlr ss fCOntre or Owner Making n tallation)
nf)
Auth nze0 Signature ICOntract r? er Making Installab I I Pho ber - f
MINNESbTAISTATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-MlAway BIEg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD
1521 University Ave., St. Paul. MN 551N UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-5500 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION Ea.000a,.08
1, See instructions for completing this form on back of yellow copy
6
4
3 2 2 4 9 ,X., Below WolCovesed by This Request ?•?:a
K
Nim A
,0 1 Rep. Type of Building AppliancesWiretl EquipmentWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dr r Other-(Specify)
Comm./Industrial urnace
Farm Air Conditioner
other (specify) Conlractofs Remarks:
Compute Inspection Fee Helow:
# Other Fee # Servios Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 Amps
Signs Inspectors Use Only: IOTA
Irrigation Booms
Special Inspection l 7 uJ
Alarm/Communication THIS INSTALLATION MAY BE D DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in r
1-7 0L Date
(II?L rc'
//
A"i
certify that the above inspection has
been made. Final
- ' r ?
p
J '1 % 3
OFFICE USE ONLY
This request void 18 months from
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55123 Permit Number:
(612) 681-4675 Date Issued:
Control No. 1106
BUILDING
001504
09/25/92
SITE ADDRESS:
3382 ROLLING HILLS OR
LOT: 19 BLOCK: 2
BUR OAK HILLS 2ND
DESCRIPTION:
;1'- -1
uS di719 Permit Type SF DWG
Building,Work Type NEW
f' UBC Occupancy R-3 M-1
Construction `Type V-N
Zoning R-1
f Building Length 70
Building Width 26
i?
REMARKS:
PRV S & W.CONTRACTOR - FIVE-STAR PLBG
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
VALUATION
$748.00
$486.20
$65.50
$700.00
100
1
$1,999.70
$131,000
MISCELLANEOUS _ $1,610.50
Total Fee $3,610.20
CONTRACTOR: - Applicant - ST. LI OWNER:
MCDONALD CONST INC 16887061 000237 MCDONALD 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 application and state that the
information is oorrect and agree t comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances,
X40& 4
A ICA /PERMITEE SIGNATURE
'<0" L" -
ISSUED BY: SIGNAT
PERMIT N
REACTIVATE _
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, I set of
specifications, I 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 chap a is requested once ermit is issued.
Date _ 9 Valuation of work -;K&0.Sai9 a&x 4LDIAJ6 GOTH
Site Address: 3 3c?•2 ROLL(N 6 Az.4S 1gret-Z V /•}LL£4 N/J 9x?s)
STREET SUITE x
Tenant Name: (commercial only)
LOT BLOCK SUBD.
UK ?K L LGS 2?) ? P.I.D. 0
Description of work:
The applicant is: ? Owner Contractor ? Other (Describe)
Name Phone
Property LAST FIRST
.
Owner ,
Address
STREET STE N
City State Zip
Company MC Q0A1A (,b 1' i n)SrZELe_T7Q J , ?nk• Phone 6 ?f - 7o 6/
Contractor Address )AJI aJLL?ESSI?L QrY /?D License # &02376 Exp.
city KNS?ILL?, State Al N Zip 5Y337
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumbereW-9M#t FLL(N 8,1NG` 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.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? OI Foundation
0 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
?0 1 New
? 32 Addition
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add11.
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
N of Stories
Length
Depth
APPROVALS
? 11 Apt./Lodging . = ? 46 Basement 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.
? 35 Tenant Finish
0 36 Move
V_ t4 Basement sq. ft.
V-N 1st Fl. sq. ft.
?_ ? -4 2nd F1. sq. ft.
3-1 Sq. Ft. total
Footprint Sq. ft.
'70, On-site well
;LG6' On-site sewage
Planning Building
Engineering Variance
REQUIRED INSPECTIONS
? 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 % ) b4
SAC Units --7-
Yekotion: $ _ 13 If 00 0
30 xZ2.=G60 X 16 = /05-60
bu?o? I?
I? IXfS.= 1S b6O
IST?FL00a; t3sati+r. ?oo?!
z it T +io
g, NI) /03oX t 5y sq0
-- ao?z X 3?f. 935
z Y. Y / La
`i 5/,53 = soYo 3
13b?613
? 37 Demolish
MWCC System Yes
City Water
PRV Required Y19 Sk
S
Ne-
Booster Pump
Fire Sprinkler
Census Code o/
SAC Code 0/
Assessments
P. 02
T
?r PIONEER
* angineerl
*4* *
\ • l
2422 Enterprise Drive
Mendota Helghta, MN 55120
612) 681-1914•Fax 681-9488
625 Highway 10 Northeast
Bioine, MN 55434
612) 783-1580-rox 783-1883
Certificate of Survey for: McDonald Construction Inc.
House Address
t, i
3382 Rolling Hills Drive Eagan, MN
41
1
by
x 300.0 Denotes Existing Elevation `
x 9?0=o Denotes Proposed Elevation
Denotes Drainage & Utility Easement
---- Denotes Drainage Flow Direction
- o - Denotes Monument
-9- Denotes Offset Hub Bearings shown
PaINIV, REQUIRED
PROPOSED HOUSE ELEVATION
Lowest Floor Elevotion:849.22
Top of Block Elevotlon:857.33
Garage Slab Elevation: 856.33
are assumed
LOT 19 , BLOCK 2 BUR OAK HILLS
DAKOTA COUNTY, MINNESOTA 2ND ADDITION
I hereby certify that this survey, plan or report was prepared by me or under my direct runpArwiillon and that l am duty Registered Land Surveyor
f A.D.
under the laws of the State of Minnesota, Dated C day
Y.eV, q 4 - -14 4 -.92' Aid E7t, -?{PJf.
SCOIC: 1inh_30fa-q1
EG
4( U3 91113.24
U11111ESDTA STATS?'.1(?gY CODS cAI?eSII,?TIQtIe '
BASED Oil CHAPTER S OF THE
11ML-li1+RQY_Q0 I1 _: _1X "Ul1lQII
40 Adoption Effective
Contractor i"- l//2ML-(o-` phone
Building classifications Type Al (Single Family & Duplex)
Type A2 (Residential, 9 stories or less) (Over 7 stories) (other)
IIOTBt ComRlgte keaeB??nd 4 fib.
r?uEaA1?1uFQtweTlQU ?4& i1
1. Building Perimeter U`r?r ft,
2. Wall height 11
(ground to save)
7. 1. X 2. (above) groan wall area_'- sq.ft.
4. Building dimensions (L) X (W) ..?p'4q,ft.roof It floor area
5. Sq. foot area of rim joint - Floor joint size (2 X lU
Ib X 955 (perimeter) A l?i? eq,ft.
'
6. Doors - Area 12
,
Thickness 67T in U. factor 1
Type of Construction Perimeter ft.
lianufacturer
7.. Total door's perimeter ft, ,
S. Wlndowss Flan
Vturer_??SUL• Cf-iPState approved
U factor 'C710
TYPE (1 SIZE it AREA (Sq.Ft. ) IIUIiDER OF TOTAL
Qp(/ ?ILr? ? EACH UIIITS SQ FEET
9. Total sq.ft. Glass o
lc. Fireplace areas Width X Height a. X o eq.ft.
11. Exposed foundations Ileight X ,P.et1Meter LZ± X
T q.ft.
COHPLETIOII of THIS FORFI IS REQUIRED FOR ALL HEW L-011STRUCTIOII, HAJOR
REHODELI110 AIR) BUILDINGS 9EI110 HOVED MERE EIIERGY1 OTIIER TIIAII TIIE HIUM&L
CODE ALLOWANCE? Is USED.
Site Addreen "-r 19, 1Sl-ar.K2,?R OAK141LLS2ND AtiN ntsm
0, Grand. Hall aren
H
ft
q,
•
,
UludoN area A U 691,fk, U Window" •+ P/
_
??}? 1
111m joint area A1111( sq,ft. U rim joint.. tcq/ OKA -
poor area A sq, f t. U door area-? Uxh -
UXA -
Other doors area A j aq.IE. U atller doors-?
UXA -' 7
Exposed Endn A-A aq,ft, U toulldatlon- 676,1 j
A
Framing area A2?(m sq.ft, U framing araa-295 x
UxA - 2-4 "J
Ilet wall area A q.[t, U wall"
(??q -?7
D
_ UXA -
: (1]a) TOTAL, , , , , . . 1 U ' ,,.
1. Gross wall area x. a." (A-l s11191a family % duplex) -
(111. above) a
llowable UxA/code
x 0.73 A-2 other redldentlal)
I
x ,73 okher buildings)
/A x .Z0 Over ] akarlna)
11TU11 mu
-
t h
A
?
7
o
a largor kha,t or name
x U Code I
^
r er
1
. an
3" above
5. ceiling framing bran (All equals jai of ceiling nraa"". -??
5A. aro"s Cutting bran - (L)
5a, Joint area (A 1) •+ l5t nelllnq area •• ---1??`-!?
$C.:Ilat ae!!!ng area (Ao)'(15A - !ba = LI--L
1 ary.[t.
U ceiling x he &Ea4K
U 'framing x A l .. '1 x Z
,
5p. TOTAL U x A ......................•,,,.
calling area (15h) x 0,076 (A71 0111916 family E duplex)
- allowable UxA/Codo
x 0,033 A-] other residential)
O x 0.006 (okher)
At 1SA) t- g U Code 1lp „ - UTUll must be •Lnrgnr thall or name
t or, as 1511 above
10.1751. Uea U and A values ob@alned from pegs" 11 3 slid 4,
;enTlellweTl(lun 1 1 herel, aerklfyy that I Have onloulal•ed the "Ulf [aatOrn and
n values herelu and k,at the building bare de"aribad moot" or exaaed" Lite
lkake of Illnneaota Energy Counervatlon hot,
,eta .
• 0 qna urn
v.
WALL '
SECTIOII
STUD '
SECTIOU
2110 WALL
sECTinll. ,
Interior wall
Insulation
sheathing
txtatlor wall covering
Exterior air film' R •,lJ
R TOTAL
(Nall) U d
x
.
Interior sir film R..68
8111 1?--S Insulation III-C)
JOIST Ineh soft wood R•I.BB (Rim U
Jo ls t?
8lusthIns 2,010 , Oq'i
txterlor uall covering ,(v], r
txterlor alt film R. IJ?
R TOTAL
Interior sir film R• .68
Insulation
a? Toundation Z I
(Fdn
) U • a •
txterlor ali film .
R. ,IJ al(p
R TOTAL aJ
' Exposed stock '
:Grade '1.
-nALUE , U VALUE
Inslda air film .6B
?l
Interior well (hall) U a
Insulation (?.o
Sheathing to ' 4 6
siding J01
Outside sir'fllm li
I TOTAL 23 , 03
Insida.slr film ,6s
Interior wall
u_ 41, stud R' iNX9(n.5 (framing)U. I
sheathing Ix,Olp o?6
Siding
OUtslda sir film
I. TOTAL O.5,3
Inside air film R- .68•
•.EILIIId WI9'1 " U_A'1'TIC SPA Anne
R VALUE It VALUE
FRA11I11(i CE11,11Io
0.61 A1rFilm 0.61 _
?•? Insulation ,{ ? 1:5. O
4.30 Joint -------
0.56 Ceiling 0 .56
0.61 AirFilm o761
?'Z •I? Tota1R ?• Ig
OZ?
? 5 U-I/it
Window Infiltration o.5 ofm/lineal foot of crack
Residential door infiltration 0:5 ofm/square foot or door and minimum code
reqyulremettt
Non-residential door infiltration 11.0 ofm/lineal foot of crack
116 12" concrete block no Insulation b .47 R 2.1
Ub 1211 concrete block insulated cores - .26 11 9.0
Ub 11211 211 lightweight block insulated cores .. .12 R .1
.Ia R 0.3
U single glass d 1.171 with storm window .54
U double glass d .55
U.triple glass o .41
All-exterior walla and'ogillny8 must have is vapor barrier (0.10 perm Max.).
Vapor barrier must be on.tlte inalde (Iteatad aide) of wall.
vapor barriers of the polyetile lene thin film have Ito R Value.
CrrY OF EAGAN
L B MECHANICAL PERMIT RECEIPT # SUBD. C? nr r Fst??c ?? ?? C (612) 681-4675 DATE 10 -.-% -C
RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR
TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT.
OWNER ADD-ON A/C ADD-ON FURNACE
SITE ADDRESS: ADD ON/REMODEL (EMSTING
CONSTRUCTION ONLY) $ 15.00
INSTALLER: r HVAC: 0100 M BTU 24.00
PHONE #: - cj O ADDITIONAL 50 M BTU 6.00
ADDRESS: ° i GAS OUTLETS - NM4IMUM 1 Q $3 EA. JO
CITY. 1 ` ZIP: SURCHARGE- $ 50
SIGNATURE -?-? TOTAL: $ ?i,S()
NO PERMIT REQUIRED FOR DUCTWORK ONLY!
l 1
e
COMMERCLAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIALANDUSTRIAL BUILDINGS. ALSO COMPLETE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DWELLING UNIT.
WORK DESCRIPTION: CONTRACT PRICE: FEES
,
1% OF CONTRACT FEE.
STATE SURCHARGE IS $30 FOR EACH
$1,000 OF PERMIT FEE. $
PROCESSED PIPING - $25.00
MINIMUM FEE - $25.00
OWNER: TOTAL: $
SITE ADDRESS:
TENANT:
SUITE #:
INSTALLER:
ADDRESS:
CI1 P: ZIP:
PHONE #: CITY SIGNATURE:
SIGNATURE:
L Imo/ BL CITY OF EAGAN
SUBD. 64 PLUMBING PERMIT
(612) 681-4675
RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
CITY USE ONLY
RECEIPT
DATE
ALSO, FOR TOWNHOMES AND CONDOS
WORK DESCRIPTION
NEW CONST
ADD ON
REPAIR _
OWNER NAME: ?'?C..\ Y3t lca.r?11 F?t`l\l\C a
O?lil?c,,Nt?S?a I)(L?.
SITE ADDRESS:
C
INSTALLER:_?_h Orn fsaGrVWDo,..
1.F ?: r e Il ?. fY (?
ADDRESS:
CITY: ZIP: '-_F_) c?3 4
PHONE $: 9&x`72/2
. I Jt.CZ/?uL
SIGNATURE OF PERMITTEE
COMPLETE THE FOLLOWING:
NO. FIXTURES EA. TOTAL
REPAIR/ADD ON 15.00
f SHOWER 3.00
WATER CLOSET 3.00 f c cz
BATH TUB 3.00 • eo
LAVATORY 3.00 00
I KITCHEN SINK 3.00 5.[?n
r
_ LAUNDRY TRAY 3.00 ?3.Gr
HOT TUB/SPA 3.00
T WATER HEATER 3.00 .co
FLOOR DRAIN 3.00 3.oe
GAS PIPING OUT.
_ (MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50 4fS
OTHER Sta-d µ' . CC, .
_ WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
-. - ua"
.'AROT :ND W' 00 C1c?
pn
Lzj'Y 1 U. aoy- 'S. op
STATE SURCHARGE .50
5? o
TOTAL: S h n
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: ZIP:
PHONE #
FOR
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
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
L7City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
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 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)
Mi h ' I tt ti to
Remodel/Repair Requirements
2 copies of plan showing footings, beams, joists
1 set of Energy Calculations for heated additions
1 site survey for additions & decks
Addition - indicate if on-site septic system
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Plans are considered public information unless you state they are tr a ecret and he reason.
Date ? _ / 10 / 0-2 Construction Cost / 1--
Site Address 13 y `2- l?-JU 1 ?` 6- f -11 .5 -DfZ Unit/Ste #
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Description of Work t- op--s -l yz,- CTI ON G F pj i Jam- L' GIL
Multi-Family Bldg _ Y X N Fireplace(s) ?C 0 _ 1 _ 2
Property Owner (? - I
_3t I rr I6,C-> Telephone # (&S)) of L/ - 79 ? y
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Contractor 1
Address
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City
State MIJ Zip Z,l Telephone # (&S- I) 19 `/' 76, C)
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Category 1
Residential Ventilation Category 1 Worksheet
(d 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:
S Telephone #(
Licensed Plumber no IE 0 a u w FE-
Mechanical Contractor JUL 1 9 20117 Telephone # (
Sewer/Water Contractor 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.
?}vlnl?5 ? Sr ntvr?
Applicant's Printed Name
Applt a is S na re
Sub Tvpes
DO NOT WRITE BELOW THIS LINE
? 01 Foundation ? 07 05-plex ? 13 16-plex "0 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/gazebolpergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-1 - 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Types
31 New ? 35 Int Improvement ? 36 Demolish Interior ? 44 Siding
j z- 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
Description: Water Damage_Yes
Y " MCES S
t
Valuation l Occupancy ys
em
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
- Footings (new bldg)
Footings (deck)
Footings (addition)
_ Foundation
_ Drain Tile
Roof _ Ice & Water _ Final
Framing
Fireplace _ R.I. - Air Test - Final
Insulation
REQUIRED INSPECTIONS
Sheetrock
Final/C.O.
Final/No C.O.
_ HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
Siding _ Stucco Lath -Stone Lath -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
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P311n EI=1 LAND SURVEYORS • CIVIL ENfINEERS I(612) 881-1914•Fox 681-9488
T LAND PLANNERS • LANDSCAPE hRGtlniD'1£ F Fit hW0 10 NOftheo.-.
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Certificate of Survey for: McDonald Construction, Inc.
House Address:
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3382 Rolling Hills Drive Eagan, MN
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x 960.0 Denotes Existing Elevation' .?
x<9oo_D; Denotes Proposed Elevation
-- Denotes Drainage & Utility Easement
- Denotes Drainage Flow Direction
--p-- Denotes Monument
-e- Denotes Offset Hub Bearings shown
P.R.V. REQUIRED
PROPOSED HOUSE ELEVATION
Lowest Floor Elevation: 849.22
Top of Block Elevatlon:857.33
Garage Slab Elevation:8.56.33
are assumed
LOT 19 , BLOCK BUR OAK HILLS
2ND ADDITION
DAKOTA MINNESOTA
I hereby certify that this survey, plan or report was prepared by me or under my tired supn,,:,isl?on and that I em duly IieBimrcd Lend Surveyor
under the laws of the State of Minnesota. Dated this day of 1
M1ev.. 9-1'{-92: Add Ex, -. ElPVs. ?'f ??r ?P
Scale: 1inc1-30'e,'
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NO. 14871
® 91113.24
City of Eajan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
I t? ?? I
I
j Permit #: r ?t hh I
-?? V
Permit Fee:
I ,ai 1
Date Rec ived: l /' I ?" Uv
I I
I Staff: nn 1
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
di -or
Date: Il 1`1106 Site Address: 3362-- thus IDg . &t&1W Mlq S5)ZI
Tenant: -]l IAA A C H&I ST`J S. , t3 Suite #:
RESIDENT/OWNER Name: ,?11M t Ct i-i5-`1 y-,-P13 Phone:
Address/City/Zip: 33&7- iF' Lj_jse - t7LLS L77- iF -&^ V DZ-I
Applicant is: X Owner -Contractor p36a 4?
W
TYPE OF WORK tom- 0'f rn'MF
Description of work: N t5 17?'?E,E-
Construction Cost: Multi-Family Building: (Yes Nom
CONTRACTOR Name:_UMEdw?N??- -License aIA-
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7672
_ Minnesota Rules 7670 Category 1
_
Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
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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 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.
X ?i l r'r.FiS I'" YJr,/"? x /IYV ' J 1
Applicant's Printed Name Applt nt's i nature
Page 1 of 3
City of Eapn
3630 Pilot nob Road
Eagan MN 55122
Phone: (661) 675-5675
Fax: (651)675-5694
For OMke Ilse
I
1 Permit %:
I I
I
Permit Fee: I
1 i
I Date Rerarved: 1
I i
Staff:
I --
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
(?? tc-
Date: O 0Bp Site Address: -33&-Z- 'fit-r rE- I j'7 u-S D li - -?v +-J VJ
RESIDENT I OWNER I
- 7
fi
Name: J1yvl I C h+f-1571 'J6--X?Llf'j
Phone: _(l)0
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/ Zip: ?kS LIZ.. G n ?/'?t'r V rv`
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Address / City
CONTRACTOR 1
Name: License 4: NIA
Address:
City: State: Zip:
Phone: Contact Person:
TYPE OF WORK -New Replacement Repair Rebuild X-Modify Space _ Work in R.O.W.
Descrl 'on of work:
PERMIT TYPE RESIDENTIAL
_ Water Heater _ Water Softener
-Lawn Irrigation Add Ptumbin Fixtures
I RPZ / _ PVB) I- Main Lower Level)
_ Septic System , Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State surcharge)
$50.50 Add Plumbing Fixtures. Septic System Abandonment, Water Turnaround` (includes $50 State Surcharge)
'Water Turnaround (add $136.00 if a 5/6' meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.So Stale Surcharge)
TOTAL FEES $
I hereby acWwMedge that this information is complete and a rate; that the work will be in conformance with the ordinances and codes of the City of
Fagan; that 1 understand this a 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((p??lan in the case of work which requires a review and approval of pi x.
s JiN?iS I? X
Applimik's Printed Name Applib"t's Slifnafthe
GSI?yS??Z8Gf3?w)
%`24
FOR OFFICE USE Reviewed By: Date;
Required Inspections: -Under Ground Rough-In -Air Test _Gas Test Final
SUB TYPES
? Foundation
? Single Family
? 01 of _ Plex
? 02-Plex
? 03-Plex
? 04-Plex
WORK TYPES
? New
? Addition
l Alteration
/,- Replacement
DESCRIPTION:
Valuation
Plan Review
(25% 100%?
Census Code
# of Units
# of Buildings _
Type of Const.
DO NOT WRITE BELOW THIS LINE
? 05-plex
? 06-plex
? 07-plex
? 08-plex
? 10-plex
? 12-plex
? 16-plex
? Fireplace
? Garage
? Deck
T'k Lower Level
? Accessory Building
? Porch (3-season)
? Porch (4-season)
? Porch (screen/gazebo/pergola)
? Storm Damage
? Miscellaneous
? Pool
? Ext.Alt.-Multi
? Ext. Alt. - SF
? Multi Misc.
? Interior Improvement ? Siding ? Demolish Building"
? Move Building ? Retool ? Demolish Interior
? Fire Repair ? Windows ? Demolish Foundation
? Egress Window ? Water Damage
` Demolition (entire building) - give PCA handout to applicant
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (new bldg)
_ Footings (deck)
Footings (addition)
_ Foundation
_ Drain Tile
Roof: -Ice & Water Final
Framing
Fireplace:?,t R.I. V ir Test-4 Final
Insulation
Reviewed By:
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final/C.O.
Final/No C.O.
- HVAC
_ Other:
Pool: -Footings -Air/Gas Tests -Final
_ Siding: -Stucco Lath -Stone Lath -Brick
_ Windows
Retaining Wall
Building Inspector
'?L, ?e 0 v \
Page 2 of 3
SCHWA TES
HEATING & AIR CONDITIONING, INC.
6080 OREN AVENUE NORTH
STILLWATER, MINNESOTA 55082
651-439-3331
February 11, 2010
City of Eagan
Protective Inspections Division
3830 Pilot Knob Rd.
Eagan, MN 55122-1810
Re: Permit #90509
Address: 3382 Rolling Hills Drive
To Whom It May Concern:
The required corrections were made at the above referenced address on August 31,
2009 and it is ready for a final inspection. The homeowner has been advised to
contact your office to schedule the inspection. If you have any questions, please feel
free to call me at 651-439-3331.
O ice Manager
Schwantes Heating and Air, Inc.
1
L _ M
D
FEB 17 2010
- - - - - - - - - - - - - - - - -
For Office Use Eaaa CitY 01
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55'.22 Date Received: y
Phone: (651) 675-5675
Fax: lwcl) 675 56wq, I Staff
t-----------------I
2009 MECHANICAL PERMIT APPLICATION
Date: C1 Site Address: -2,~''~- ?E
Tenant: \~f{ C Suite
RESIDENT !OWNER Name: V Phone: • -OR ? 4 P-1 D
Address / City / 7ip: G L.t t IhJf, 4~ i i h 2
CONTRACTOR Name: r? " v..gcJS ~t'T'C~ License
Address: 6 ;?0 8o COQ, ,l
~~Z D SZ--
City: S~, 'Y V Ile Lv", t-,.°ty.,-r- State: zip:
Phone: 6S / ` 4 x1 - 3 3 Contact Person: S r~, 1
TYPE OF WORK New tacement Additional Alteration Demolition
O scrlptbn of work: ~~1~~ t,C ~c~ i~ nr i r tiEs C- - M) ( - .
I MOTE: Both roof ,m nt:ntrd and ground rrrounted n"echanical equipment is required to
a c by ay - ci+y Code. nlsrsc v:,~ca+ to?;a " t the : e r,L'++c3i:iiu+r Inspect-al- Or of the
ar ;ya".rva".T.i: a.d One v
Planners for information an permitted screening methods.
PERMIT TYPE T RESIDENTIAL CflirliriERCIAL
rnace New Construction Interior Improvement
~ir Conditioner Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
Heat Puitip Under / Above around Tank ( Install ; _ Remove)
1 " When installing(cemoving tank{s), call for inspection by Rre
vt her Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation' 'removal OR Contract Value $ x 1%
$50.50 Minimum (includes State Surcharge)
Permit Fee
If Permit Fee is less than $1,000, surcharge is $.50.
If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ State Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
$ TOTAL FEE
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 Fagan; that
I understand this is not a permit rt~nly an application for a permit, and work is not to start without a per rl~udlLb~e in accordance with the approved
plan i case v ich requi w and approval of plans.
x IGaJtJEx
Ap 11 .,Ur.L ~7 r r,, Gd Name Applica tj Jaanatu
FCR'-d L?FFIC E
Re- la. P1-.5
y. ~ LQtC:
T1C Y\C11YeN lay.
Required Inspections: Under Ground Rough In Air Toot _ Gas Se.vco Toot In floor Heat Final
Exterior HVAC Screening insoection
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA108107
Date Issued:11/16/2012
Permit Category:ePermit
Site Address: 3382 Rolling Hills Dr
Lot:19 Block: 2 Addition: Bur Oak Hills 2nd
PID:10-15501-02-190
Use:
Description:
Sub Type:e-Siding & Windows/Doors
Work Type:Siding & Windows/doors
Description:House
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments: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.
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
James P Sexton
3382 Rolling Hills Dr
Eagan MN 55121
Minnesota Exteriors
8600 Jefferson Hwy
Osseo MN 55369
(763) 391-5514
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114488
Date Issued:09/16/2013
Permit Category:ePermit
Site Address: 3382 Rolling Hills Dr
Lot:19 Block: 2 Addition: Bur Oak Hills 2nd
PID:10-15501-02-190
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Barbara Bessent
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
James P Sexton
3382 Rolling Hills Dr
Eagan MN 55121
Minnesota Exteriors
8600 Jefferson Hwy
Osseo MN 55369
(763) 391-5514
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA169697
Date Issued:06/07/2021
Permit Category:ePermit
Site Address: 3382 Rolling Hills Dr
Lot:19 Block: 2 Addition: Bur Oak Hills 2nd
PID:10-15501-02-190
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
James P & Christine K Sexton
3382 Rolling Hills Dr
Eagan MN 55121
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature