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3405 Rolling Hills Dr íü ðøø þýýüûúÿú ÿ ùüüýýðô÷ýþ îîÿä î î þý ÿþýüû ù÷àúÿýüû ùýüûù÷à ø÷àêûõ ûÿ úÿúîî äÿûü Þ ôÿë õûæõóóõôÿõþõè å÷÷ûååõ ý ûèúååûåè úþõçôÿþü÷åõüóõè ëéâéííè í èî í öù ÿó Ýÿéâéè ð èð Ýÿ è õó òñ ûû ê÷òóì û ð î ê êæòøòø ñáïáî îããã óþü÷ó óæóûûóóåõõûü÷óûûþ åò ÿúüåäè ûûà õ ÿ ÿü ÿ .? CITY OF EAGAN - 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ` PHONE: 454-8100 BUILDING PERMIT To be used for SF DWG/GAR Est. Value $132,000 Site Address 3405 ROLLING HILLS DR Lot 4 Block 4 Sec/Sub. BUR OAK HILLS 2 Parcel No. cc Name MCDONALD CONSTRUCTION, INC o Address 1212 BLUEBILL DAY RD City BURNSVILLE Phone 431-7566 Name SANE uo Q Address City Phone F" Name U-11 Address aof W City Phone Receipt # i 18278 I hereby acknowlege that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of PermiteP- A Building Permit is i$sued to:DOKAW on the express condition that all work shall be dor applicable State of Minnesota Statutes and City of Building Official i OFFIC E USE ONLY Occupancy 111-3 M-1 FEES Zoning R-1 (Actual) Const y-N Bldg. Permit 752.00 (Allowable) H-N 66.00 Surcharge # of Stories WO Plan Review 488• Length Depth s SAC. City 100000 S.F. Total SAC, MCWCC 600.00 S.F. Footprints 625.00 On Site Sewage Water Conn On Site Well Water Meter 90000 MWCC System XX -W Acct. Deposit 30.00 City Water 30 00 PRV Required S/W Permit . Booster Pump - S/W Surcharge .50 APPROVALS Treatment PI 252.00 355 00 Road Unit . Planner Park Ded. Council Bldg. Off. Copies Variance - TOTAL 3, 388.50 i Permit No. Permit Holder Date Telephone # WATER v o g? SEWER PLUMBING 90(f a J?? H.V.A.C. (? ?I L7 9 ELECTRIC h Inspection Date In . Comments Footings I Foundation Framing g" Roofing Rough Plbg. y5 Rough Htg. ty < li Isul. A,G 761 Fireplace !® p Final Htg. / ? Final Plbg. /G -QO .l?j Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final 3 ` Z lam- Deck Ftg. 10 / O 049 perk Final wen Pr. Disp. (9rdif irate of (Orrupaury Citp of (Cagan Brrwhnrnd of Waahto impertim This CeWjkxe iuued pursuant to the requirements of Section 346 of the Uniform Building Code certifying that at the time of issuance this strucuue mw in compliance with the various ordinances of the City regulating building construction or use. For the following. Use ClRMT=fiw SF DWG/GAR VA%.ft NM 18278 ? TM R3/Ml Zoom' Maio R l Type Cam M Dw JANUARY 25. 1991 POST IN A CONSPICUOUS PLACE PLUMBING PERMIT CITY OF EAGAN CONTRACT PRICE Site Add ?ss Lot ti c Add City For Of Ice Use Only PERMIT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 1 RECEIPT # PHONE 4548100 FEES COMMAND. FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APLLES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND./FEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADD x$,50 SIC PER EACH $1,000 OF,PERMIT FEE) FOR: DATE: BLDG. TYPE WORK Res. New = Mult. Add-on Comm. Other Repair, RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ q (I r) _j- Bath Tubs-$3.00 00 T Lavatory - $3.00 a00- Shower - $3.00 nft Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50_ Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM -1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. -$10.00 Rough Openings - $1.50?t1 PERMIT FEE: STATES SIC: - GRAND TOTAL: - sm MECHANICAL PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE Site Address "?ID? Lot - 4 Block Add c City Addre s - 8 city TYPE OF WORK Forced Air Boiler Unit Heater M BTU Air Cond. M BTU Vent CFM Gas Piping Outlets # -? Other CommAnd. Contract Price x 1% PERMIT FEI PERMIT #, RECEIPT # DATE: BLDG. TYPE, WORK Res. ? New Cc Mult. Add-on Comm. Repair, Other Use FEES RES. HVAC 0-100 M BTU ADDITIONAL 50 M BTU (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS (INCLUDES GAS PIPING) GAS OUTLFTS (MINIMUM - 1 PER PERMIT- NEW CON T,) COMMAND FEE -1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES MINIMUM COMMERCIAL FEE STATE SURCHARGE PER PERMIT (ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE) $24.00 6.00 12.00 20.00 .50 a, SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE AUG 20, 199(1 OFFICE USE ONLY r METER # PERMIT DATE 08/21/90 CHIP # PERMIT # 11 58?: METER SIZE B.P. RECEIPT # :`'- i 2-S -? ISSUE PATE/ 1/0 B.P. FIECEIPT DATE;. G3/2 = 21 0 PRV -BOOSTER PUMP SITE ADDRESS 3405 rOLLING HILLS DR LOT 4 BLOCK SEC/SUB BUR OAK HILLS 2ND APPLICANT: ADDRESS:- CITY. STATE ZIP PERMIT REQUESTED X SEWER _ COMM/IND NEW y` WATER _ TAPS RESIDENTIAL EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: 1';.R PLUMBING Ahead of Domestic Meters on Water Line. ADDRESS: 1018 nUND SPR1 N :)' ' RR Credit WILL NOT be given for Deduct Meters. CITY, STATE 61,--C VING,'TON, VN ZIP 5542, ? ?- - - - PHONE: !-i049 OWNER: -,tCDONALL CONSTRUCTi 1-(, ADDRESS: 1212 BLITEBILL BAY CITY, STATE BURNSVT?,LF, Pt, zip '433 PHONE:. -;i ,r I AGREE TO COMPLY WITH CITY OF OR ANCES SIGNATURE W EN METE SUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEINER 8R WAT4ER PERMIT CITY OftAGAA 3830 Pilot Knob Rd. Eagan, MN 551 22-1 897 DATE AUG 20, 1990 METER # - CHIP # - METER SIZE ISSUE DATE A PRV -BOOSTER PUMP SITE ADDRESS 3• '.' `; '_; .. LA HILLS DR LOT •. BLOCK SEC/SUB BUR OAK BILLS 2ir5 APPLICANT:. ADDRESS:- CITY. STATE PHONE: ZIP PLUMBER: STAR PLUttiBING ADDRESS: t':1 ?? MOUND SPRINGS TERI. CITY, STATE ?' • ?C'"'ti`tC'TOn? • KN ZIP 55420 PHONE: _r.. OWNER: 1CLVNALD CONSTRUCTION, INC ADDRESS: 1212 BLUEBILL BAY RD CITY, STATE R.^i.'iI?TLL.E. ?ttI ZIP ` 53? i PHONE: 31 -7566 OFFICE USE ONLY PERMIT DATE Udi 21 1.90 PERMIT # t 15L B.P. RECEIPT # B.P. RECEIPT DATE i ? 1 i 9C PERMIT REQUESTED X SEWER -' WATER TAPS _ COMM/IND ! RESIDENTIAL X NEW - EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. CASH RECEIPT CITY OF EAGAN 2-1 FIECEIVEO rna+ AMOUNT Is :3,34 0 8 Sao J(? DOLLARS ? CASH CHECK Thank You BY C WNW-Payees Copy +J Yellow--Potift Copy Pirc--fats Copy 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE M 10721 9-a e- ICF °a Request e / 5 F No. Rough-in Inspection ReSUi etl? ,W?y.,_/? No ?Reatly Now W InspeMw When Read y? I $A censeo contractor ? owner hereby request inspection of above electrical work at: (Stra w e No.) ? r J Ci ry Section o. Township Neme me or No. Range No. County IlD ' OyuIV?1VifINU l].? ? C o A) S r P hoNo . 7 P Su tier V Mdress EI r al Contractor Compg Nom e) Co o § Cce Ma -n 0 nt w er Making Installs n) Auth rizetl Sign lu (co tr or/ M Making Inst la- nl o a r MINNE T STATE BOARD OF ELECT ICI THIS INSPECTION REOUEST WILL NOT Grlgge-Mldwey Bldg. - Room S•173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 551N UNLESS PROPER INSPECTION FEE IS Plrona (612) 642-11M ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ?o (1Ee-0001-0e ? See instruction.lor completing this form on back of yellow copy. 10721 "X" Below Work Covered by This Request .,4 ew A Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial pace Farm Air Conditioner Other (specify) Contractors Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 A s _ Transformers Above 200 _ Amps A Amps Signs inspectors use only: TOTgL Irrigation Booms J ? CC//GG?? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 7 NTHS. I, the Electrical Inspector, hereby Rough-in Date ?G certify that the above inspection has been made. Final Date OFFICE USE ONLY This request void 18 months from ' Address: 3405 POLLING HILLS DRIVXot 4 Blk 4 Sec/Sub BUR OAK pTTTS 2ND These items were/were not complete at the time of the final inspection. DAIS: JANUARY 25, 1991 Yes No INSPECTOR: S Final grade (6" from siding) Permanent steps - garage .? Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass LIZ Trail/curb damage ? Sbo Porch t/ Basement finish '- Deck lz 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. White - City copy Yellow - Resident copy Pink - Contractor copy DATE: AUG 21, 1990 RE: 3405 ROLLING HILLS DR '(MCDONALD CONSTRUCTION, INC) % Your Sewer &'Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for Ae above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES-- TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. CITY OF EAGAN No ' 8278 3830 Pilot Knob Road, P.O. Box 21- 199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt# 6qpisf? "1 zj5 ? To be used for SF DWG/GAR Est. Value $132,000 Date AUG 20 1g-9-Q_ Site Address 3405 ROLLING HILLS DR Lot 4 Block 4 Sec/Sub. BUR OAK HILLS 2 D OFFICE USE ONLY, Parcel No. Occupancy R-3 MM1 FE ES Zoning d w Name MCDONALD CONSTRUCTION INC (Actual) Const V-?2 Permit Bld 752.00 Address _ 1212 BL i B BA RD (Allowable) V-N g. 66 o Surcharge .00 City BURNSM.t.F. Phone 431-7566 a of stories 1 Pl R i n0 498 Length 70 an ew ev - . Name SAME Depth 34, SAC Ci ton 00 z ty , _ o Address S.F. Total Q SAC MCWCC 600.00 City Phone S.F. Footprints _ , ? ,. On Site Sewage Water Conn 0 , W Name on Site Well go i Water Meter . 00 3- Address MWCC System _XX aW City Phone City Water XX Acct. Deposit gyn. no XX PRV Required S/W Permit 30- n0 1 hereby ackno eg hat I have read this application and state that the Booster Pump SAN Surchar 50 information is tract no agree to comply with all applicable State of ge - Minnesota Statu s and ity of Ea an Or ' ances. Treatment P1 252.00 Signature of Permit APPROVALS Road U it 39c; 00 n - A Building Permit is i sue to: CDONALD C STRUCTION Planner Park Ded. on the express condi on at all work shall be done in accordance with all Council applicable State of Mi ota Statutes)I and City of Eagan Ordinances. Bldg. Off. Copies Building Official ?.(}ItFI gl,(A, Variance TOTAL 3.388.50 5b so "-I b RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 I V7 i 651-681.4675 rl New Construction Requirements • 3 registered site surveys showing sq. ft, of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window saes; 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 l1' W-a Remodel/Repair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate if home served by septic system for additions VALUATION IULTI-FAMILY BLDG _Y J-N FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT STREETADDRESS 1?a`4-7 A14-coleo-d A TELEPHONE # 0;-g)70-1, -6f4ELL PHONE # 5 PROPERTY OWNER Alke "Jos/ P02?ei-' TELEPHONE COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (J 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: &j.yn s v- ll- STATE 1W ZI P SS 33 -4 FAX # &:W ErD 9, F9 14,9 Phone # Phone # Fee: $90.00 Fee: $70.00 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant i)AflYt'1??' LC 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 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 6d. 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 (Bldgr ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. Footings (deck) _ Final/No C.O. - Footings (addition) _ plumbing Foundation HVAC _ Drain Tile _ Other Roof - Ice & Water _ Final Ftgs Pool Air/Gas Tests Final _ Framing _ _ _ _ Siding Stucco Stone _ Fireplace _ RI. - 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 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq. fl. of lot, sq. R. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of Man 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 (bidgs with 3 or less units) DATE SITE ADC TYPE OF WLTI-FAMILY BLDG _Y Z N FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT Z/, STREET ADDRESS 3? r/ d?YLin ' / - CITY SL Rv STAT 2n ZIP S?/a TELEPHONE #6S/ ?/S%3I T// C LL PHONE # FAX 9171 PROPERTY OWNER/ti= -c/au /olOa? TELEPHONE# COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATLGORY 1 _ MINNESO'T'A RliLES 7672 (J submission type) • Residential Ventilation Category I Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted , Plumbing Contractor: -- Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor: Air Conditioning Heat Recovery System Fee: $90.00 Phone # 11?? (' ? ? ? IS T,il . 9 ZOOZ Phony PT I hereby acknowledge that I have read this application, state that the informatio :is corlee comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. i ) /f Signature of Applicant NrrtT ?y' M / ` / U ??b7 OFFICE USE ONLY Water Softener Water Heater No. of Baths Remodel/Repair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks Indicate ff home served by septic system for additions VALUATION CD Phone # Lawn Sprinkler No. of R.I. Baths Certificates of Survey Received - Tree Preservation Plan Received _ Not Required Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-piex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-piex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of - piex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-piex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-piex Plbg_Y or - N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. - Footings (deck) _ Final/No C.O. - Footings (addition) _ Plumbing Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final - Pool _ Figs _ Air/Gas Tests _ Final _ Framing Siding Stucco Stone _ Fireplace - R.I. - Air Test - - Final - _ _ Windows (new/replacement) _ Insulation - Retaining Wall Approved By , Building Inspector 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 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. 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. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. (?JoL•Hd. bA-) °Aus I ? To Be Used For: S'i.a,jP F:;fnmtj,. Valuation: ) Date: S-1--90 J n• t? 0 ®+F ` Site Address ?i le l? Lot q_ Block L- 2-jD Ava+v Parcel/Sub R tr?Yfk 1?t??s' Owner Nc: k), VAd Cn„)S-t'ur'f;&j Tn.( . Address I?? Z 1&t"6M ZA-? P-j City/Zip Code _F?o3syi lle 1, S533? Phone 43) -?Sbt7 Contractor Mr Tln,JAIJ Co'y&-FrV(- Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone # /U/000? OFFICE USE ONLY Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. R-3 M-1 FEES R- i V-N Bldg. Permit V-N Surcharge Plan Review 70 SAC, City 3 SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Copies SUBTOTAL Penalty On site sewage On site well MWCC System City water PRV Booster Pump APPROVALS _ TOTAL s ?52rCn b ,00 ?8 4 0? IOO,Op G oo, 0 0 00 90.60 30,00 0tOt7 SD 355 ou Planner Council Bldg. Off Variance zz xrZ z64 22 X?-o 4L4 o Z ? ?1 = ?Zz? G 8Z k 15= Inz3 !3S MT, 12,e N = 132 3? x z?,? sae 14 c z c3 1148 xr?ls lLo "1'L ST FL-OO L C3SmTs 1140 -7 _j '_ I I l4 x 51 = 59 8r) y ZuaFLo?,R Z`1'I-i.. X 39 = IoW 5? Z I or's A51 = 54x723 f3? b4Z ?fl013C .. , CNGINC6II40 CoMMY, INC. ?I000 EAST 14" STREET, - INDICATES UIREC'IION OF SURFACE DRAINAGE 534.33= FINISI-IEU GARAGE FLUOR ELEVATION 82,1-•Zl- = BASEMENT FLOOR ELEVATION 834.66 = TOP OF BLOCK ELEVATION . Certificate of Survey Lega! Description : nor 4 Bocci 4 BUR e24w, 1111-z9 ZNO ADO/T/o/V, 0<1K0TA COVrV7Y, MIAIA45.S07-A. (833.0) DENOTES EXISTING ELEVATION' (834,0) DENOTES PROPOSED ELEVATION SCALE t P - 30' -OR.91NACE' AND UTILITY E4`?5MEN7- W',=Rorvr eul4olA16 5e-r04CK L /NE - ?g32 , o ? r 0 0 r z iW l ? o \o? McD?ug?o S7- CONSUL TTING ENU NFfAS PLANNERS and LAND l11AVCV01tS OURNSVILLE, MINNES01A 553ST PH 432-3000 io a? (o Ij rr E ?a !8l6•??% ?tb,o7 1\ .> 01, aQ O \ w \ ? o A \w 30,00 4 0 3 ,4070 w ' 0 D i /azA? \ O ? \ m ?, ,J\al ?", to uZ Cro /.UOaS,, N 1 6 a %/ a t 7 ?s z t p ' REO?U jR 0 DEPT I hereby cerllly I1,81 this Is a Irus and correol reptessenlallon of a 11nc1 of land as ahown and described Notion. As prepared by'ms au tilts' Zday at _Au6U?,T .1920. R??iSEo B i6 -9o iu FOP NSE ?,/ Minn, 11PU, No. I?o85 N .°° cn $S x'121/4 N IfC?,? MINNESOTA STATE ENERGY CODE CALCULATIONS BASED ON CHAPTER 5 OF THE MODEL ENERGY CODE - 1983 EDITION Adoption Effective 1/1/84 , #9D-32 Owner Phone Date Site Address , UAK N1uc_71tA e?17MA Contractor )!L ?l' r ] C? }f;'-r- Phone Building Classification: Type Al (Single Family E Duplex) 2?- Type A2(Residential) (3 stories or less NOTE: Complete pages 3 and 4 first. (Other) (Over 3 stories) GENERAL INFORMATION 1. Building PerimeterljGE?- M1/ pl zr- ts-?+4-T"ft. 2. Wall height (ground to eave) ft. . ' 3• 1. x 2. (above) gross wall area 7A7. 7ilft2 . 4. Building dimensions (L) - X (W) ----- 11-7+ ft.2 roof S floor area 5• Square foot area of rim joist - Floor joist size (2 x la ) 2 la X Perimeter = Rim joist area = q, "jam ft 2 12 6. Doors - Area 13 3, O Thickness In. U factor . 1 o 1+ Type of Construction Perimeter ft. Manufacturer 7. Total door's perimeter ft. I 8. Windows: Manufacturer ,? G Gj?T 6? State approved U factor TYPE SIZE AREA (Ft.2) EACH 9. Total ft.2 Glass X7712 NUMBER OF TOTAL FEET 2 UNITS 10. Fireplace area: Width X height = X = Ft.2 ll. Exposed foundation: Height X Perimeter W_X I S 1a ?J .I? Ft.2 COMPLETION OF THIS FORM IS REQUIRED FOR ALL C TRUCT DN, MMAAJOR REMODELING AND BUILDINGS BEINC MOVED WHERE ENERGY, OTHER THAN THE MINIMAL CODE ALLOWANCE, IS USED. 1.2. Framing area = 10% of gross wall area. 13. Gross wall area '?JZy? Z I Window area A ; 5 m L ft.2 Rim joist area A Z" ft.2 Door area A ft. ,PVPO):aC& area A ft.2 Exposed foundation A -3?1l 8 -ft.' Framing area A Jzl 10= 7-.7 ft.2 Net wall area A (0,4 -9(V ft. ?-- 90-- -3zo ft.2 U windows - . ?j(Q U x A =? U rim joist = 1 U x A= 45't Z U door area = U X A= 1 i U f OeglAct- = U x A= ?I U foundation = U x Af?"T U framing area = • ?S U x A = J0 U wall (13B) TOTAL s 14. Gross wall area ii 0.11 (13. above) x 0.23 x .23 X 23 ,771 A ?;Zt 15. Ceiling framing area U x A = ' O U xA ZAl (A-1 single family & duplex = allowable U x A/Code (A-2 other residential) (Other buildings) (Over 3 stories) z -74 BTUUH Must be larger than x U Code._ o 1 / F. 13B above Af) equals 10% of ceiling area (. or the. same as) 15A. Gross ceiling area = (L) x (W) I = I (_? A: ft.2 15B Joist area (Af) = 10% ceiling area = I? ft.2 15C. Net ceiling area (Ac) (15A - 158) _ ft. 2 U ceiling x A c= t0Z? x ?PS? _ ZrZ?zgop U framing x A f= oZ ?j x` = L I 15D. TOTAL 'U x A ....................................... , 16. Ceiling area (15A) x 0.026 (A-1 single family & duplex - code allowable U x A x 0.033 (A-2 other residential) x 0.06 (other) A (1 5A) III x o ?_ ?p 5 BaUH Must be larger than-15D (above) Z F (or the same as 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. 4ja-3Z.':?? ?.0X(??1) Jo, six (?? +?? + ??} zS? __ I c?2?q, I cv 3zO?•?1 F104t1 VAa I1,1 IvX? _ ??II 11ZsX ? lot D, 9Z15' = I 1 o X ? (olo.? Woo ??XCQi? = 22 , ? X ! = 2Z , D H!I ?Xo??o=v'?5X4= ?s ?_ 7 25 0 f?,T1 = -1 1 33, 0 WALL ' SECTION STUD SECTION ? .rn?[ l.nL6VLn 11VIYd R VALUE Inside air film .68 .4? Interior wall 19ra Insulation Sheathing 7,r0(G Siding , (J1 Outside air. film .17 R TOTAL Z• 03 U VALUE (Wall) U • R Inside-air film .68 Interior wall 41' stud R= -4:38(A50 (Framing) U • I Sheathing G pin Siding Outside •air film 17 I R TOTAL I D J Inside air film R= .68 ? 2N U'GALU? Interior wall " ? SECTION. Insulation Wall) U 1 • heath ing ^ ? I _Lxtetlor'waLl`coverIng Exter tar air film R?r.17 R TOTAL Interior air film R= .68 RIM Ivi Insulation 111cc JOIST %. lr1 Inch soft wood R=1.88 (Rim O _ Joist) Sheathing ZrQlO Exterior wall covering Exterior air film R= ,17 R TOTAL 04 l9C0 Interior air film R= .68 /? W> Insulation) F1F??(a(?;f, 11r10 777Z?? 1 \ 0? ??dP-?Almg ?r04 (rdn.) U = = r, Ex or air film R-- .17 R TOTAL 'Exposed Black CEILING WITH VENTED ATTIC SPACE ABOVE R VALUE VALUE ' FRAMING CEILING 0.61 Air Film 0.61 C7 Insulation 442. C) .3S Joist Ceiling .5(4P 0.61 POP- Air Film 0.61 f f ?Z, ICO Total R -4(p OZ3 U = K . ozl FLAT ROOF OR CATHEDRAL CEILING R Va ue R VALUE FRAMING CEILING 0.61 Inside air film 0.61 Ceiling Joist (stu Insulation Air space Roof decking Insulation Built-up roof' 0.17 Outside air film 0.17 Total R I = U R Jindow.infiltration .5 cfm/lineal foot of crack lesidential door infiltration 0.5 cfm/square foot or door and minimum code requirement ion-residential door infiltration 11.0 cfm/lineal foot of crack Jb 12" concrete block no insulation - .47 R 2.1 Jb 12" concrete block insulated cores = .26 R 3.8 Jb 12" lightweight block = .32 R 3.1 Jb 12" lightweight block insulated'cores = .12 R 8.3 J single glass = 1.13; with storm window .54 J double glass = .55 J triple glass = .41 All exterior walls and ceilings must have a vapor barrier (0.10 perm max.). lapor barrier must be on the inside (heated side) of wall. iapor barriers of the polyethelene thin film have no R value. 4. CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 o" FOR CITY USE ONLY PERMIT # RECEIPT # 6) 570 DATE: .?-7 9.,z- PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------ ---------------'------------------------------------------ WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 REPAIR WATER CLOSET 3.00 _ BATH TUB 3.00 _ LAVATORY 3.00 OWNER NAME: KITCHEN SINK 3.00 II LAUNDRY TRAY 3.00 SITE ADDRESS: '' I I 1 HOT TUB/SPA 3.00 LOT: B CK SUBD. WATER HEATER FLOOR DRAIN 3.00 3.00 GAS PIPING OUT. INSTALLER: (MINIMUM - 1) 3.00 3 <? O a ROUGH OPENINGS 1.50 ADDRESS: " OTHER _ ii WATER SOFTENER 5.00 CITY: S ZIP: 11 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 Z SUBTOTAL $ 1616 ST. SURCHARGE .50 SIGNATURE OF PERMITTE E TOTAL: S ?.!sb OOMMERCIAL?Ii)USfiRIIAL<< PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL 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 FOR: CITY OF EAGAN FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $_ STATE SURCHARGE $_ TOTAL: (SIGNATURE) Elder-Jones Building Permit Service, Inc. 1120 East 80th Street Bloomington, MN 55420 Phone: (952) 345-6047 Fax: (952) 854-4909 To whom it may concern: We at Elder-Jones Building Permit Service, Inc. are acting as an agent for Renewal By Anderson. If there are any questions, or if the permit has to be picked up in person, please give us a call at the number above. If the permit can be mailed back to us, we have enclosed a self-addressed envelope for your convenience. Thank you, Kara Benson ext. 147 Elder-Jones Building Permit Service, Inc. 1120 East 80th Street " Bloomington, Minnesota 55420-1498 952-854-2854 0 FAX: 952-854-4909 Un?U•11LUU1 lnu iZ:aU rAA los 011 4460 KhAhWAL t1Y9VUCKJt1V re - al EYANDEESW June 7, 2001 City of Eagan 3836 Pilot Knob Road Eagan, MN 55122 To Whom It May Concern: Elder Jones is authorized to pull building permits for Renewal by Andersen- Please allow Elder Jones to provide this service for us in Eagan. This authorization is valid for any date beyond 6/6101; until a Rbnewal by Andersen manager expressly revokes it in writing to the City. I request this authorization be accepted expeditiously, as to not delay in the processing of our building permits any further. Please call me if there are any questions. I can be contacted at 763-502-4706. Your immediate attention to this matter is appreciated. Sincerely, 0 ymond R. Rau nstallatic Manager Renewal by Andersen Corporation t'c.: Kara-R1der.Tnnes 4 MIL Notary PMinnesCOmmiSo fy y4D UU Z/UUZ GHAD My A M. EDI Received Time Jun. 1• 1:01PM ?YZENE'WAL BY ANDERSEN - .350-73RD AVE. NE. FRII)LEY, MN. 763/5024777 LICENSE# 20130983 y?6G y RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651481-4675 New Construction Requirements . 3 registered site surveys showing sq. R of lot, sq. fl. 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 7/1193 . Rim Joist Detall Options selection sheet (bldgs with 3 or less units) DATE '+ I SQO-A . O 1 1171, 75 RemodelfRepalr Requirements . 2 copies of plan . i set of Energy Calculations for healed additions . 1 site survey for ededor additions & decks . Indicate g home served by septic system for additions VALUATION '11rla1S JOB SITE ADDRESS MOO Q?e11 ?v?a li V% 71 Ct-" IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER tM.'L.Q 4 " ?69A? _ TYPE OF APPLICANT _0_1_2 PHONE# 959.345'W"I - ADDRESS 112,0 L. SDI" Si. 542h All: ?V mrV v ZIPCODE Spa lX PAGER # CELL PHONE # FAX # NEW 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: Water Softener Water Heater No. of Baths Air Conditioning Heat Recovery System All above information must be submitted prior to processing of application. Phone # I hereby acknowledge that I have read this application, state that the information is with all applicable State of Minnesota Statutes and City of Eagan Orginances. Signature of Applicant _ Phone #: Lawn Sprinkler No. of R.I. Baths Phone # Fee: $90.00 Fee: $70.00 and agree to Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1/01 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling O 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Aft - 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 (Bldgp ? 43 Reroof E) 46 Windows/Doors ? 34 Replacement 'Demolition (Entire'Bldg only) - Give PCA handout to appli cant 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 _ Other Pool _ Ftgs _ Air/Gas Tests - Final Siding _ Stucco _ Stone Windows (new/replacement) 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 Occupancy Zoning Stgries. Sq. Ft. Length . Width MC/ES System City Water Booster 15ump 'PRV' Fire Sprinklered REQUIRED INSPECTIONS _ FinaUC.O. _ Final/No C.O. Plumbing HVAC Building Inspector PERMIT City of Eagan Permit Type:Building Permit Number:EA131795 Date Issued:07/08/2015 Permit Category:ePermit Site Address: 3405 Rolling Hills Dr Lot:4 Block: 4 Addition: Bur Oak Hills 2nd PID:10-15501-04-040 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 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 - Michael J Popek 3405 Rolling Hills Dr Eagan MN 55121 (612) 803-5400 Window World Aka Probuilt America 2211 11th Ave E, #130 N St. Paul MN 55109 (651) 770-5570 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r -+ For Office Use 1*6' City of Eaall Permit:ee: Permit '�/��, 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Fax: (651)675-5694 Staff: 7 �J !! 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: I i ` -(6 Site Address: ? 2 OS 1204•4 r/V CI f//C L) ,P,2 ,-- .a Unit#: Name: i r i � �5L � m _ o Phone: Z y. e76Or Resident/ i -e„ uvvner Address/City/Zip: ® fI � �i" c"` I ` Applicant is: Owner X- Contractor Type of Work Description of work: rC coo Construction Cost: 15 .00c) Multi-Family Building: (Yes /No ) Company: (w` 2c ( $ < (� Contact: 1`1l" I�`5zc 2 f I v I.rf )1--c,/ K Address: Iq6 e lo W 4L- City: Ls ' "� Contractor Z6t1 ri State:IAA JV r� Zip: ��0 Phone: i i Email:tout- CJs gaf@ /vet, f , License#: c ((.p 92- iJ Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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: Fire Suppression Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.org 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. Exterior woruthorized by a ilding permit issued in accordance with the Minnesota '• Building Code must be completed within 180 days of per ' issuance. x x[ C4 - � Applicant's Printed Name Applica ,'Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA160941 Date Issued:04/23/2020 Permit Category:ePermit Site Address: 3405 Rolling Hills Dr Lot:4 Block: 4 Addition: Bur Oak Hills 2nd PID:10-15501-04-040 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Matthew J Kesler 3405 Rolling Hills Dr Eagan MN 55121 (612) 803-5400 Window World Twin Cities 2106 11th Ave E N St. Paul MN 55109 (651) 770-5570 Applicant/Permitee: Signature Issued By: Signature