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3410 Rolling Hills DrCITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 L20123 PHONE: 681-4675 , BUILDING PERMIT Receipt # To be used for SF DWG/CAR Est. Value $105,000 Date FEB 20 19 92 Site Address 3410 ROLLING HILLS DR Lot 9 Block 3 Sec/SubBUR OAK HILLS 2151 Parcel No. Name ML*.IIALU WW5'F LNU w Address 1212 BLUEBILL DAY RD C4ty BURNSVILLE MW ZIP 55337 Phone 668-706I cr_ Name SAME Address City Zip Phone I imncA ft 0002376 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. sf/ Signature of Permitee A Building Permit is issued to: MCDONALD CONST INC on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official 1 OFFICE USE ONLY Occupancy R-3 M-1 FEES Zoning -1 Bldg- Permit 657.00 (Actual) Const Y=R Surcharge 52.50 (Allowable) Y-R Plan Review 427.00 Stories L 54' Lloarm 3.00 n Length Depth 4a r SAC. City 100.00 S.F.Total SAC MCWCC 700-00 S.F. Footprints - , C 675.00 On Site Sewage Water onn On Site Well Water Meter 95.00 MWCC system X 30 00 City Water X Acct. Deposit , PRV Required X S/W Permit 30.00 Booster Pump - S/W Surcharge • 50 Treatment PI 300.00 APPROVALS Road Unit 380*00 Planner Park Ded. Council - Bldg. OH. Copies Variance TOTAL 3,452.00 Permit No. Permit Holder Date Telephone # atw Ili/S PLUMBING S)? - ?8Q WAC ELECTRIC /3rJ /4t 9,2 ELECTRIC Inspection Date Insp. Comments Footings 1 / Foundation Framing 13 Roofing Rough P1bg. Rough Htg. 1 7 Isul. p P J / Fireplace Final Htg. 7 {a%,^ Orsat Test ; Final P lbg• Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan - Bldg. Final 7f Z.; Deck Ftg. Deck Final Well Pr. Disp. - f o /r' - a.. 4r.? (9rdi#tratt of (Orrupaury Ctp of (Eagan ar mt of wm tdimt ?his Cerdjkate issued pursuant o the requirements of Section 306 of the uniform Building Code cerfi&ng that at the time of issuance this stn cure Iwas in compliance wUh the swrious ordinances of the City regulaatiing building conduction or use. For the following: SF DWG/GAR 20128 use c6mikedw K3 M1 R1 Bias- Fenuk No - - - p??u n Type +. .. Duaia EB1L AI RD., BURNSVILLE I jv-b-(A ? - APRIL 15, 1992 POST IN A CONSPICUOUS PLACE SEWER & WA-[ER PERMIT CITY O EAGAN - 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE FEB 20, 1992 OFFICE USE ONLY METER # ?74Z"PERMIT DATE 02/24/92 CHIP # tj 9 n? _F54V a PERMIT # 12563 METER SIZE SPA ' B.P. RECEIPT # 12 () 17 Y ISSUE DATE B.P. RECEIPT DATE 02/20/92 R PRV -BOOSTER PUMP SITE ADDRESS 3410 ROLLING HILLS DR LOT 9 BLOCK 3 SEC/SUB BUR OAK HILLS 2ND APPLICANT: ADDRESS:- CITY, STATE PHONE: _ PLUMBER: STAR PLBG ADDRESS: 1018 MOUND SPRINGS TERR CITY, STATE BLOOMINGTON MN ZIP 55420 PHONE: 884-4149 OWNER: MCDONALD CONST INC ADDRESS: 1212 BLUEBILL BAY RD PERMIT REQUESTED SEWER % WATER - TAPS COMM/IND X 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 WIT OF EAGAN OPONANCES 75" CITY, STATE BURNSVILLE MN ZIP 55337 44 PHONE: 688-7061 SI NATUURE VVWiN METER ISSUED PLEASE ,ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTION>?FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. rl,,-- ' ZIP SEWER & WATER PERMIT CITY OF A ;AN 3830 Pilot Knob Rd. ?j v ?j Eagan, MN 55122-1897 i? DATE FEE 20. 1992 METER # T CHIP METER SIZE PERMIT DATE 02/24/92 PERMIT # 12 563 B.P. RECEIPT # + < j ISSUE DATE B.P. RECEIPT DATE 02/20/92 X PRV -BOOSTER PUMP SITE ADDRESS 3410 ROLLING HILLS DR LOT 9 BLOCK 3 SEC/SUB BUR OAK HILLS 2ND APPLICANT: ADDRESS:- CITY, STATE ZIP PHONE: - PLUMBER: STAR PLBG ADDRESS: 1018 HOUND SPRINGS TERR CITY, STATE BLOOMINGTON MN Zlp 55420 PHONE: 884-4149 OWNER: MCDONALD CONST INC ADDRESS: 1212 BLUEBILL BAY RD CITY, STATE BURNSVILLE MN ZIP 55337 PHONE: 688-7061 OFFICE USE ONLY PERMIT REQUESTED A SEWER R WATER -TAPS - COMM/IND X 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 r CITY OF EAGAN 3830 PILOT KNOB ROAD. EAGAN, MINNESOTA 55122 4i/ f _ DATE 19 F*Ufvco fti AMOUNT 8 DOLLARS 100 - ? CASH sl)l CHECK r BY ti C 017431 NR,ilePayersg Copy Yello Postin a pink-Flle Copy Thank You Address: ,3410 ROLLING HILLS Lot 9 Blk 3 Sec/Sub BUR OAK HILLS 2ND These items were/were not complete at the time of the final inspection. Dat : Yes No Final grade (6" from siding) Permanent steps - garage Permanent steps - main entr y Permanent driveway Permanent gas rJ 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. RCYLIFONTA White - City copy Yellow - Resident copy Pink.- Contractor copy DATE: FEB 24 1992 RE: 3410 ROLLING HILLS DR (MCDONALD CONST INC) X_ 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 the 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. J331 Va- Request Date .' I Fire No. Roug -in Inspection RVIed? Yes ? No ? Ready N. Will Notify Ins Whe tl I C3'licensed contractor ? owner hereby request inspection of above electric ork at. Job Atl ss ( treat. Bax or ute No H il ls Dr--• Ciry Section No. Township Name V No. ?Ij Range No. Coun 'I pccnet O PM1one I Power Supplier . /I /? \il rl .? / lV Atltlress I Elec ' I COnirad r m pa O Oy Nernst l W Convac r5 License o Mail Atldress IGOMmtlo r Owner Making In tallation) Authored Sig aNre Co vaa r/Owner Maki I stallanonl ? Pho mbyr - ? MINNES&TA STATE BOARD OF E E TRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S- BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55IN UNLESS PROPER INSPECTION FEE IS Phone (512) 8424800 ENCLOSED. / REQUEST FOR ELECTRICAL INSPECTION ° Eaooagt.os l3 /fir 9':. a p _7 ? Seainstructions for completing this form on back of yellow copy. J k J J '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 Dryer Other (Specify) Comm./Industrial Furnace ' Farm Air Conditioner other (speotyl contractors Remarks' Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 1 1(i) l 0 to 100 Amps Transformers Above 200 Amps Abo Amps 00 Signs Inspectors Use Oni : TOTA r- Irrigation Seems lo?,J ^ Special Inspection ? ,-r L-' 40 Alarm/Communication 7 THIS INSTALLATION MAY BIRDER DISCONNECTED IF NOT Other Fee COMPLETED WITHIN OJONTlift f I, the Electrical Inspector, hereby Rough-in r ,t- Dete certify that the above inspection has been made. Final i f r ?J OFFICE USE ONLY This request void to months from _. , . J. CITY OF EAGAN ?? 2 Q 1 2 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 BUILDING PERMIT PHONE: 681-4675 Receipt # To be used for SF DWG/GAR Est. Value $105, 000 Date FEB 20 , 19.__92- Site Address 3410 ROLLING HILLS DR Lot 9 Block 3 Sec/Su6 BUR OAK HILLS 2N] Parcel No. Name MCDONALD CONST INC Lu Address 1212 BLUEBILL BAY RD City BURNSVILLE MN Zip 55337 Phnnc 688-7061 ¢ Name SAME Address City Zip ?z Phone 8 License # 0002376 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, ,E Signature of Permitee A Building Permit is issued to: MCDONALD CONST INC on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statut??e.ls1 anndy, City of Eagan Ordinances. Building Official OFFICE USE ONLY FEES R-3 Occupancy MM1 Zoning R-1 Bldg. Permit 657.00 (Actual) Const VVN Surcharge 52.50. (Allowable) V-N Plan Review 427.00 of Stories 5 00 Length L 54 r License . Depth 48' SAC, City 100.00 S.F. Total SAC, MCWCC 700.00 S.F. Footprints 00 675 On Site Sewage Water Conn . On Site Well Water Meter 95.00 MWCC System X 3 City Water X Accl. Deposit 0-00 PRV Required S/W Permit 30.00 Booster Pump S/W Surcharge .50 Treatment PI g00.00 APPROVALS Road Unit 380-00 Planner Park Ded Council Bldg. Off. Copies Variance TOTAL 3,452'00 6sgo 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date / a / OS Site Street Address 3 rldei Unit # 1 Property Owner Telephone# ( ) Contractor rj /f, a 4 d AAc -A&Aby i_a Telephone # (7G3) 75T-654 Address l ?(? City State AIAJ_ Zip.5K_VSCr The Applicant is: _ Owner V ontractor -Other- Alterations to existing dwelling $ 50.00 Add plumbing fixtures (excludes water softener and/or water heate r--complete next section if installing these appliances). -Septic System Abandonment -Water Turnaround (add $125.00 if a 5/8" meter is required) Other: _ Water Softener Water Heater $ 15.00 _ new ?replacement Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $ ?S I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. Applicant's Printed Name IVIAY i 3 2005 Appli?gnature tv 5 y 7 (a ?10 as 2004 RESIDENTIAL BUILDING PERMIT APPLICATION r7 , ;, a ry? , City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 / New construction Requirements Remodel Repair Requirements _ 3 registered site surveys showing sq. ft of lot sq. I of house; and all roofed areas 2 copies of plan (20% ma)dmum lot coverage allowed) 1 set of Energy calculations for heated additions {g 2 copies of plan showing beam & window sties; poured found design, etc. I site survey for additions & decks l? - I set of Energy Calalatigns Addition - indicate don-site septic system 3 copies of Tree Preservation Plan fl lot platted after 7/1M Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date. 1 13 1 0-T Construction Cost 1l1 l " 7r0 Site Address o'a 31 "1 o AD 1 ?l t `'V U 5 Il ? Unit/Ste # ?a- eA- 1 Sl rL Description of Work , l' O ?SZs ?G? i B 31 0 ? '\ C C K Multi-Family Bldg - Y ]( N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone # (65-1) 405 -d 3F Contractor kR A ?? y C ¢ vim. Co ?? rc c? ?Lt Address b Z-6 -TI,t6Cc0.rDir - ? nn City State ^M lV Zip ^5510,3_ Telephone # (61 a) y -70 ' 7 R6 :7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation category 1 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 fee applies. Licensed Plumber G Telephone #( 4 Mechanical Contractor AUG 1 3 2004 Telephone #( Sewer/Water Contractor Telephone # N If so, 25% plan review 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. I ) I cToo?- , ry J ii ?lAi5-?EN5CM Applicant's Printed Name Applicants Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi 0 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding 1"` 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) - Gi ve PCA handout to applicant r? Valuation /- Occupancy MCES System 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 _ Final/C.O. Final/No C.O. Plumbing _ I-IVAC Other Pool _ Ftgs _ Air/Gas Tests -Final Siding _ Stucco - Stone - Brick Windows Retaining Wall Approved By: L L , 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 - ?S * * 2422 Enterprise Drive * PIONEER Mendota Heights, MN 55120 yyy LANG SURVEYORS -CIVIL ENGINEERS -11 - *IBI'IgfyCIP.ErIIIg LAND PLANNERS- LANDSCAPE ARCHITECTS (612) 681-1914 y * 1T TCertiificate of Survey for: McDonald Construction, Inc. House Address: 3410 Rolling Hills Drive Eagan- MN Model Number: 92-123 c ` 879,3 \ \ / \ ` P \ V ?440 831.IZ `\ \ 1g / \ \ X29. /\as 1a \ /.? ?N 0 O \a pp ~ \ \ \ /\ % .0 yp? \ (?'? By\ \ \\ o 6 a0 J J 833.33 3 6? ?? 21.49 N Y 83 6 \( \ v ? ` A3S h ,, ? 2.78 „ w t ne $ 2 00 ? o ? s I / ' t a E?° to I: N SC''D ?15 r ' r .. ' . . as a ' d I I I 7 .? _,.. _. Il/ Da I-• 900.0 Denotes 900.0 Denotes Existing Elevation Proposed Elevation r IbED? ? ° e?t'F oror evatfOI` 8 -- Denotes Drainage & Utility Easement Top of Block Elevation: 835',0 - Denotes Drainage Flow Direction Garage Slab Elevation: 675 , 0 ?- Denotes E3_ Denotes Monument Offset Hub Bearings shown are assumed 2ND AN LOT 9 BLOCK 3 BUR OAK HILLS , DAKOTA COUNTY, MINNESOTA I hereby certify that this Is a true and correct representation of a survey of the boundaries of the above described Ian fa of the location of all me this '- day of A.D. 19 buildings, thereon, and all visible encroachments, if any. from or on said land. As surveyed by Rev. 2-sS4t.= Add 6x; s?. Eteas. Scale: 11n° =30feet ROBERT R.SIKICHL.5.REG. NO.14891 1992 BUILDING PERMIT APPLICATION CITY OF EAGAS REQUIREMENTS: 101 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 $Qt LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. To Be Used For: Site Address Lot 9 Block 3 Parcel/Sub Valuation: Date: 2 -! N - 9 Z- ?OS,oao- .,....,? .,.,_ ...._. Occupancy t-3 M-1 Bldg Permit Zoning rt- I Surcharge Actual Const V-N Plan Review Allowable y-N License Fee # of stories SAC, City Length 5y' ' SAC, MWCC Depth y ? Water Conn. S.F. Total Water Meter Footprint S.F. Acct. Deposit S/W Permit On-site sewage S/W Surcharge On-site well Treatment PI. MWCC System Road Unit City water Park Ded. PRV Trail Ded. Booster Pump Copies SUBTOTAL PPROVAL Penalty Planner Lot Change Council TOTAL Bldg. Off. Variance FEE 657,00 Owner Address City/Zip Phone Contractor McL-)L)t,? kcl Address 1212 ?lucbill City/Zip Rurnstn(le, 55 Phone (98$-10(o1 L? Arch./Engr. Address City/Zip Code Phone # Sewer/Water se or for sewer/ ter vft)jts is area that all work shall be done in accordance with (Sign6ft e all aooli le rt mini Processingtime Statutes and City of Eagan Ordinances. V A??AmoA GARA&S ! z x Z (2) 7 k y _ `6z- rofiZk.X i5- 9 r? ?s MT, 119 `6X?= 6y 136o x 15= ZOI400 1.5-r FL-O o'R BSM?? .= i36o x 7 414 ?7? A IL1 = Z. I 13135 X 53= '73,935 )p?f 115 o!t Io.S,ooo- ** ** 't PION * engin LAND ' LAND PLANNERS- LANDSCAPE ARCHITECTS 2422 Enterprise Drive Mendota Heights, MN 55120 (612) 681-1914 Certificate of Survey for: McDonald Construction, Inc. House Address: 3410 Rolling Hills Drive Eagan MN Model Number: 92-123 Q \ az-I, s3 \ \ \ ` \ \ Szq, 3 \ \ /\ \ \ h~jO y°%/ '?? \\ ??`\\ S-SRS \\ \ \ O \ \\ x 631.1Z \ Q L- \ s PF \ \ / / \ \ tigQry 0 0 \ \ oti ;\ \ \ 8 \ \ 3Y/ )" \ at \ y_ j 933.33 \ \ Tit ? g3s?N ? p1 49 X83Y6 \1 A?. 2 122.78 W ?1 w ??w- 5 80.Gp 22 ? ? D r ? - By - ?° - " Da e EAG.Aw F?,\T-I;.., "' . 900.0 Denotes Existing Elevation I ( ° ° MAX ED W•EIt ?53 ` - ' g Denotes Proposed Elevation ow est I vdtion: 8S/. Ele Floor Denotes Drainage & Utility Easement Top of Block Elevation: 835.;0 -Denotes Drainage Flow Direction Garage Slab Elevation: -o- Denotes Monument --a - Denotes Offset Hub Bearings shown are assumed LOT 9 BLOCK 3 BUR OAK HILLS 2ND AD 1 DAKOTA COUNTY, MINNESOTA I hereby certify that this is a true and correct representation of a survey of the boundaries of the above described lama of the location of all buildings, thereon, and all visible encroachments, if any, from or on said land. As surveyed by me this day of A.D. fiacq, Rev, 2-sS-4L= Add Ex; i?, trfev5. 0 Scale- 11nch=30feet ROBERT R. SIKICH L.S. REO. NO. 14891 MINNESOTA STI?TE ENERGY COpE CAl3CULATIONS BASED ON CHAPTER 5 OF THE MODEL ENERGY CObF?-=-x.983 EDtTTn_u (? Adoption Effective Site Contre Building Classification' Type Al (single Family & Duplex) Type A2 (Residential, 3 stories or less) (Over 3 stories) (Other) NOTE • Comm e e 90969 3 and 4 F 1 rat• . GENE AI INFO MAT M 1. Building Perimeter i t 2. Wall height (ground to eave) ft, 3. 1. X 2. (above) gross wall area 1? r sq.ft.. 4. Building dimensions (L) X (W) 445-110 sq.ft.roof & floor area 5. Sq. foot area of rim joist - F?&r size (2 X,? a CC// Xi (Perimeter) _ t eq.ft. 6. Doors - Areal°`? I 1 96a 12 t Thickness in U. factor, Type of Construction Perimeter ft. Manufacturer 7. Total door's perimeter ft. 8. Windows: M u?acturer?14eL 1 (4' J V 7 r State approved U factori ?JC4 TYPE SIZE AREA (Sq.Ft.) NUMBER OF TOTAL G•-'?i? EACH UNITS Sq FEET 9. Total sq.ft. alasq?Q!511-7 10. Fireplace areal Width X Height = r? X = sq.ft. 11. Exposed foundations Height X Perimetert(ol x n t ?aq.ft. COMPLETION OF THIS FORM IS REQUIRED FOR ALL NEW i7OHSTRUCTION, MAJOR REMODELINO AND BUILDINGS BEING MOVED WHERE ENERGY, OTHER THAN THE MINIMAL CODE ALLOWANCE, IS USED. -1- 12: Framing area - 10% of gross wall area. 13. Gross wall area (i? J I sqfjt.?, Window area A?sq.ft. U windows I?.f _ UxA - Rim joist area A ?'+ l 0sq. ft. U rim joist=1 UxA - Door area A 141/r(f? "-'T sq. ft. U door area t "^f UxA = ?1m other doors area A7jn 1 1N ] sq.ft. U other doors= L4? UxA =V 4, 48 Exposed fndn Ali t1-4-sq.ft. U foundation= r UxA = Pb-Ma 7 Framing area A 9 sq.ft. U framing area=r? UxA - 1/« Net wall area Ate' k'?>7 UxA = q,ft. U wall=10 (138) TOTAL . . . . . . . . U = 14. Gross wall area x 0.11 (A-1 single family & duplex) - allowable UxA/Code (13. above) x 0.23 (A-2 other residential) x .23 (Other buildings) X .28 (Over 3 stories) TUN must be larger than or same ALx U Code 1I _ OF. as 13B above 15. Ceiling framing area (Af) equals lot of ceiling area 15A. Gross ceiling area = (L) --? x (W) = t 400 sq.ft. 158. Joist area (Af) - 10% ceiling area - nn\4010 sq.ft. 15C. Net ceiling area (Ac) (15A - 15B) _ 1 L 010 sq.ft. U ceiling x A° = 12?VC/?Ox IdZ 1 =ZCo Q-?o U framing x A f 15D. TOTAL U x A ........................ ... 16. ceiling area (15A) x 0.026 (A-1 single family & duplex) = allowable UxA/Code x 0.033 (A-2 other residential) x 0.06 (other) A(15A)1?x U Code 1 d BTUN must be larger than or same J_?O do OF. as 15D above NOTE: Use U and A values obtained from pages It 3 and 4. CERTIFICATION: I hereby certify that I have calculated the IIUII factors and IIRII values herein and that the building here described meets or exceeds the state of Minnesota Energy Conservation Act. Date signature -2- t-z 9?-1215 Cop .o 1Q?2 SgT9 ,11 t4c0"1 r \tll RI ?' 1 ? (Ic-1,1 x?x=(010 Y, 2c)k45 ,mot 2 48 = tat Z©k4?=to?Co8 ?4k (ao= lO,o x ?a- " 4-: C??o ( 'eo. o OZOO051-71 13,3 v H-7, StuI Ioll stUU Stuff toll StCilMl, antattit roll I?`l 7 (Uall) U h a uulatlbu 611eathLl6 " im(v Ildln6 .. 1A.1 !1411111 • ,(d 1 q5 Uulaide•alr film ,11 ,' K IUTAL I p, Cj? outside ¦lt film ,l) ''KIOIAL L?,o3 ', 11111de.alt film ,60 111tatlbt rill 4?1 acbd h• ..??? ?? lltam iIII 1111 « Sbeathlne Z.otn ' 1 tnrM lilt fit fill ulatlnn .n ?f_I? xta ltlbt call !brit 7{`7_ txtltlbt ¦Ir, film' It K MAL 1) U « R « z .1 _ ?r lntttlat alt film M 111 h¦ .68 ? Inaul.tlbn Ye) 1 R , ???,00 JUISt ot, 1!t Inell able rnod )1.1 68 Ih(m y • ? l , Jolel) U . R . , , IV 6haathlnd Z.b(o -3 , tlttatIUt rail tb.e l tlne •Id-1 b? I -1 1 txtetlbt ai r film no yl/ K• IUTAL x?', ?I(p Inter fur alt film he .66 ,lnablatlan . (bunditlon I,Le?j ()dlt.? U • ¦ tatatlot ali film ,?) no tapoaed llotk •, R VALUE FRAMING R VALUE CEILING 0.61 AirFilm 0.61 ?•p Insulation 45.0 window infiltration 0.5 cfm/lineal Residential door infiltration 0.5 requirement Non-residential door infiltration 4.38 Bois 0.56 Ceiling 0.56 6..61 0.61 AirFilm +o-7o Z ( (v Tota1R U=1. /R , OZ1 foot of crack cfm/square foot or door and minimum code 11.0 cfm/lineal foot of crack Ub 12" concrete block no insulation = .47 R 2.1 Ub 12" concrete block insulated cores = .26 R 3.0 Ub 12" lightweight block = :32 R 3.1 Ub 12" lightweight block insulated cores = .12 R 0.3 . U single glass = 1.13; with storm window .54 U double glass = .55 U triple glass = .41 All,exterior walls and ceilings must have a vapor barrier (0.10 perm max.). Vapor barrier must be on-the inside (heated side) of wall. Vapor barriers of the polyethelene thin film have no R value. 4 ? ( U --1 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-881-4875 Now Construction Retrulremants • 3 registered site surveys showing sq. ft. of of, sq. ft. of house; and gll roofed areas (200/6 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 Detail Options selection sheet (bldgs with 3 or less units) DATE 513 Lm SITE ADDRESS TYPE OF WORK I APPLICANT STREET ADDRESS TELEPHONE CELL PHONE # k_1 STATEI V 11-J ZIP r FAX#65/ _,;MQ-0965 PROPERTY OWNER YI k ?,k fLL /' L lIgAILL& TELEPHONE 46 / 4t.V) - Q- 1 COMPLETE THIS SECTION FOR aeNEWaa RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 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: Water Softener Water Heater No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths Phone # Air Conditioning Heat Recovery System Phone # MAY 3 1 2UUZ Fee: $70.00 --------------------------------------------------------------------------------------------------------_-_- 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 )r inances. /?/ / s A h AeZ? // [?X?! Signature of Applicat?/f OFFICE USE ONLY RemodellReoair Reaulremems • 2 copies of plan 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & docks • Indicate 0 home served by septic system for additions VALUATION 17 OM r MULTI-FAMILY BLDG _Y ?N P7, V011 FIREPLACE(S) _ 0 _ 1 _ 2 Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mufti ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbgyour_ 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 _ Ftgs _ Air/Gas Tests - Final Framing i Siding _ Stucco _ Stone Fireplace _ R.I. - Air Test _ Final i Windows (new/replacement) Insulation i 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 CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN MN 55122 PHONE: (612) 454-8100 ME?kT?NTCA1. ;??fl FOR CITY USE ONLY PERMIT # RECEIPT # /05/3 DATE: 4 STDwTTALi: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ---------------------- WORK DESCRIPTION NEW CONST ADD ON REPAIR OWNER NAME: %we I /Il 1 )k )t tl_l.l lA \ L M ]-) t SITE ALD,DRESS: l 10 qJ Y-) a ? Q?L s _Dc LOT: / BLOCK J SUBD. &A-X , INSTALLER: P ADDRESS:Tn m !,2)oQ ` /l CITY: lb?n /{?? ?/? / ZIPI PHONE #: ' fL'o -?/? .JC)QQ FEES ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SUBTOTAL: STATE SURCHARGE: .50 TOTAL: $ SIGNATURE OF PERMITTEE FOMMEIiCIAI/tl#?VSTRTA! 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 FOR: CITY OF EAGAN FEES 1% OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING a $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE TOTAL: (SIGNATURE) / CITY OF KAGAN 3830 PILOT KNOB ROAD KAGAN, MN 55122 PHONE: (612) 454-8100 ZIP: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6 TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST 7Z ADD ON REPAIR OWNER NAME SITE ADDRESS: Q f / l / 11 LOT: 0 BLOCK 0__? SUBD. -N , i i INSTALLER FOR CITY USE ONLY PERMIT # RECEIPT # 5 O r?- DATE: COMPLETE THE FOLLOWING: FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 SHOWER 3.00 x,00 WATER CLOSET 3.00 6,00 BATH TUB 3.00 7,00 LAVATORY 3.00 KITCHEN SINK 3.00 -li,06 LAUNDRY TRAY 3.00 .a 0o HOT TUB/SPA 3.00 3.n6 WATER HEATER 3.00 :3,Q6 FLOOR DRAIN 3.00 :3).00 GAS PIPING OUT. (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 6LLaQ NO. -IT n ADDRESS: /k`/ k 'y 1.7G W G I N V f';' SO OTHER _ //?? WATER SOFTENER 5.00 CITY:L/ d 4V ei . ZIP: S SO( PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 PHONE #• SUBTOTAL S ST. SURCHARGE .50 SIGNATURE F PERMITTEE S/1 TOTAL: S Sd? V COMMEItGIA?ifllfUSl7AI 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: 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) Lot 9 Block 5- Subd. UNDERGROUND SPRINKI" SYSTEM PLUMBING PERMIT /lam Date 1'7 TY? Receipt # C Da?037? Commercial: $25.50 + water tap if required. (City installs all taps up to 1"). If adding new service, a water permit will be required, as well. 1-? E:dstine residential: $15.50 (Plumbing permit not required if backtlow preventor was previously installed). Residential developments: Fee to be determined. by building inspections department. May require payment of water permit, plumbing permit, WAC, and water treatment plant fees. 2 Lido Po (Address to be spAklered) Homeowner/Plumber: F1 L1-2?r y / O c3 r ^ c P'aone #: Stre°t Address: 02--t f(Z A City, State, Zip: Owner Name: U>v? .t / ??-?l?• Street Address: 3 cll d ' / ' zz/T? Phone #: S 5`° Irrigation Contractor: < c-"' r- -e Phone #: 7 O D 7-Uz1-yz 71"y --l Pz)"g I hereby acknowledge that I have read this applicatio state that the information is corre t d gree tow y all applicable City of Eagan Ordinances cc: Engineering Department ïî ÿ þýý üûüïûü úýýð üìýþ äñý íó äñ þýö þýüûúùø ÷ ò ýûúù ûúùø ÷ öø÷õùô ùóý ò ý òñíýùú ð þïý î ôù ìô ëëô ïý ô ü ô ê é øøù ÿé é ô ý ùêòé é ùé ê ò üôè ïý üúø éôúëô ê îæñåæêê õú þý ë çýæñåæêäêä çýñÿê ôó öòñ ùù õø ç ò äòýúõò ñõ ó õ ìãöñþýãö áàßà ë üúø ë ëì ë ùù ëëé ô ôùúøëùùüþ éã þý òúé í ê ùù÷ ôþ ý ýúþ ý