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3426 Rolling Hills DrCity of Eatall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Date Received: Staff: 2011 MECHANICAL�� PERMIT APPLICATION Date: 310 — tc Site Address: 3'7o*r tO TO I 1 ►fig,.4 15 I 2 (v`- Tenant: Suite #: m -J RESIDENT / OWNER Name: v-Py1Q Uv l I I I ►4- ►tit s Phone: Address / City `/ Zip: CONTRACTOR Name: ylio66i257.0 AK -t.- License #: Address: 64-63 V e -t'{ , R" City: 'W'214 6 ti I I le State: it V1 PO Zip: g-5-93 7 Phone: 9S & —594' < Q3 9 Contact: Email: TYPE OF WORK New x Replacement Additional Alteration Demolition / Description of work: V2p ( t'rlK V o&--- j4rvJ 4 Jd NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL Furnace COMMERCIAL New Construction Interior Improvement X Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank (_ Install / Remove) Other ** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $5.00 State Surcharge) $ TOTAL FEE $95.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank $55.00 Minimum (includes installation/removal OR State Surcharge) $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Permit Fee requires a $ 5.50 surcharge) Contract Value $ x 1% = $ Permit Fee - If the Permit Fee is Tess than Fee = $ Surcharge - If the Permit Fee is > $10,010, (i.e. a $10,010-$11,010 Permit = $ TOTAL FEE CALL BEFORE YOU DIG. Cali Gopher State One Cali 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.gopherstateonecall.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 understan 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 h the approved Ian i th se of work which requires a review and approval of plans. 47ZSbJ Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough In Air Test Gas Service Test In -floor Heat Final Exterior HVAC Screening Inspection 1NSFEU ION REUOK1) CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: J i l l , III f APPLICANT: ;.III 1 IMi 11111 IIF , „,;" (-. HltrS f i l l k 0AK N i l LS 2N I's ( 655 } 7 ! 1 1 EiFS 7 PERMIT SUBTYPE: TYPE OF WORK: rl E' W 111) 1 1 113. N6 0A ,, h:1 7 1,f MAkV'-.• 1 .1 AN 0 f V IFIif P 14 Y A11)f V0FI.S. Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG _ DECK FINAL Q?y/Ly? 6ertiftcatc of cccupauc? This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the tune of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: SF D WIC 20474 Use classifiaaoa Bldg tic No. R1 O_P_Y TAX R3/M1 Zoning 1212 MIXXWD Y VN B VIM BAY RD Adds Owner of Building ; , L5 s B3 , BUR OW HUIS M B AdmCSS Locairy i Dae: 06/28/43 so;>d? oe6ci>v POST IN A CONSPICUOUS PLACE INSPECTION RECORD CiTY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: w APPLICANT: tt,?: rll? i. i! t ! I I'; +; H I t t 'i DR i'!! t++l;Jr'. It 1 i,IJ , 1 I Nf P:ilii ftf11'. HItI•; .'Itlf? s; fill) t•?ftH-:!tlI:T1 _ PERMIT SUBTYPE: : I i 1 TYPE OF WORK: INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. I t+1 '. L 1 1 is l l t! !.+ t s r l r, ! IMF MAPK S a S & W PC RR - I IV[ : I Ali Pt 00 p"v Permit No. Permit Holder Date Telephone # S/W PLUMBING W{ 3 f/sy ???? HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing 7 53 AL Roofing Rough Plbg. aw Rough Htg. V 7, A Isul. Fireplace ,v Final Htg. Orsat Test S Final Plbg. Plbg. Inspector- Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Fig. Deck Final Well Pr. Disp. Address 3426 ROLLING 11ILIS DRIVE Zip 5512 1 Lot s. Blk 3 Sub Bug oAx HILLS ac THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 06/28/93 Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy 3/a9?q? REQUEST FOR ELECTRICAL INSPECTION '1= ?q ee-ocool I? See instweame for completing this form on pack of yellow copy. j K 04513" "X" Below WorkXovered by This Request °i 73 ?;L- New ' Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building D r Other (Specify) Comm./Industrial 11 Ice Farm Air Conditioner Other (specay) Contractors Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps 1 Transformers Above 200 Amps Above 100 Amps 00 Signs Inspector's use Omy. TO L 66 Irrigation Booms ?/?( J?i ?ie/? G? A 5, f Special Inspection ? L (JL Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCON IrAll Other Fee COMPLETED WITHIN 18 MONTHS. O "• I, the Electrical Inspector, hereby Rough-in e. •2Q certify that the above inspection has been made. Final Oa 17-,93 OFFICE USE ONLY This request void Is months from ?/?' TO 4513 ? ?jaji A,, 41 y?7 (fr Requ Date ^('..,VJ? ; - a 1 (? Ire No. Rough-in Inspection Regyi(etl? Q?Yes ] No ? Ready Now V411 Notify Inspi When i 1 licensed contractor O owner hereby request inspection of abov lectr ork at: Job the iS at. Box or le No. . ? CIry Section No. Township Name or No. Range No. coyc(y Occu a I?{il Ph nee Power Sup In 0'i Address AA t., Elednc C niractor (Company Name) Connectors License No. Marling A dr s (Cpnir caner eking Installation, Aumoraeb Signature IConhict .O er Making Installation) Phc a umber MINNESOTA WnsE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grlggs-Midi Bldg. - Room 5-1]3 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)642.0800 ENCLOSED. la ??? 5 2004 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 1 / a 1 0 11415 Site Street Address 3ya (o DI tr H Lill- Unit # ?? Property Owner { ?t A m8 e r I o Telephone # ( ) Contractor Focr N Q &C-, Telephone # ((,5l ) 41&3 -7? /f Address oZ(03 d e City ccr ;0 State rr >ti Zip 9LV 14 The Applicant is: - Owner (Contractor -Other Alterations to existing dwelling `( Add fixtures to rooms, excluding water softener and water heater -Septic System Abandonment _Water Turnaround (add $121.00 if a 5/8" meter is required) Other: $ 50.00 Water Softener Water Heater replacement - additional $ 15.00 Lawn Irrigation System RPZ_ new _ repair -rebuild $ 30.00 State Surcharge $ .50 Total $ S?.5d 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. ,DaV\,P( Thaler 1oQ?? Applicant's Printed Name Applicant's Signature (PAW ? 2004 RESIDENTIAL BUILDING PERMIT APPLICATION (PAD City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 70- New Construction Requirements RemodeWeoair Requirements 3 registered site surveys showing sq. ft. of lot, sq. R of house; and all roofed areas 2 copies of plan (20% maximum lot coverage allowed) 1 set of Energy calculations for heated additions 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addidons & decks 1 set of Energy Calculations Addition - indicate lfon-site septic system 'd-W 3 copies of Tree Preservation Plan it lot platted alter 711/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date / / -')- / 9 L-1 Construction Cost ? e=e o I Site Address ^i Y )- (/Lp 11 I ?S UrdVSte # /L l r p ? J Description of Work Multi-Family Bldg N Fireplace(s) _ 0 - 1 - 2 Property Owner /rAx, d tf s. Al rs X Telephone #C iv-( Contractor F-1a n c , ?j ?? .. Address / yGlr o -S,, wL v+( r T D cc lL) r- City 64<r n I Y `dle State /"/ rL Zip S 337 Telephone # ()W&4 6 71 I? 2 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 Cade Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan wMi}kL filar plan? _ Y fee applies. ?n LS ? ? tl U Licensed Plumber IJS n Telephone #( Mechanical Contractor luu I Telephone #( Sewer/Water Contractor 1°y--- 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; 1 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. Applicant's Printed Name OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bid[ ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex 19 Lower Level ? 24 Storm Damage X ? 06 04-plex ? 12 12-plex _ Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior. ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement - Give PCA handout to applicant `Demolition (Entire Bldg) Valuation 1 0 0-0 )- Occupancy MCES System Census Code City Water SAC Units Booster Pump # of Units PRV # of Bldgs Fire Sprinklered Type of Const? 7 NS REQUI Footings (new bldg) . O. Footings (deck) o C.O. Footings (addition) ng Foundation Drain Tile Other Pool _ Ftgs _ Air/Gas Tests Final Roof Ice & Water _ Final _ _ Framing _ _ Siding _ Stucco stone -Brick Fireplace R.I. Air Test Final _ Windows _ - - - X Insulation _ 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 ,;?i 62o;x-o -2,?2 ,- PERMIT 0 Qa 2 7,fc, GITr' OF EAGAN N `-3 «-j' 3830 P.ilgt Knob Road PERMIT TYPE: 8 u 1 I. e t a s pagan, Minnesota 55123 Permit Number: N ;' S).7 ? s) (612) 681-4675 Date Issued: U SITE ADDRESS: 3a2 ULI_11df iil l L DR LO'Ts 5 BLCiCi<e ._ DESCRIPTION: 'ti toi tti i'i-_ a, z I, III -t 9. fyps> SF I]WG. iiuilding 4'Ju11-, Tv n;a i+lc'LJ UBC uccupant:? R-3 I'4-1. Cons'crLaa,Lton !,vI)t? v-N 27nirig R 1 ng' buiId1ng 1.1, _F 64 Euilding Width 3! *lu ?i . '. t 1 -- -.'?` ? to J ti !=f c h?,{ i ?.? I; REMARKS: FEE SUMMARY, VALUATION `(1,43,000 L L A 111 r. O US m! ,79'I .!S 49 Pl'.lil R,• /i49W ?qc_; ilf 7c, CO{'Y _ _r)Ic9 S11f Ctl chi"Of. 'P:ub .!-. '! IOI: L?]. F^a_ `67549.4161 SAC 51?L I,lna, is At t 1 ,- ^ z? a I , fps CONTRACTOR: SCOWNER: p1[;DUN.AL.0 CL)JS7 :INC 1[',18706 t9vJ19?3 hli.0(?`IAl-D :Ohd l 12_+.;' SLUEL;1LL 8A' R0 a1 I'll UE?II I Hhy 100 3URNS VILLE fn55338URNSV11. 1 E M111 5:13 7 (.1 .9) :588-/Ool. !612)682 -701-,1 T hereby acknowledge i-.hat I have react thi.-- 6pp13.c?C.ian ?!nd : `..z°.: '_':'It thr infoi°rndt,ion i-A roe re<:i; aIII d dgre• to ccinply w1tIT ell appL1cabte U`.:,,,a•, u':' 11n 5tafiites afid Oily of F,igmn Or-dirlnnrfaq. j ? Q PL CANT/PERMITEE SIGNATURE n m ja 6),[A I rl,6d (ISSUED B : GNATU-RE ? \ REACTIVATE PERMIT # CITY OF EAGAN 1993 BUILDING PERMIT 681-4675 APPLICATION 63, ? 64, Z§ [U'9r"4 1-11 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date _.3 / 'q / 53 Valuation of work 10 ?. 90 D . o Site Address: 3A/caL kaf1.ytr L.Ats STREET SUITE N Tenant Name: (commercial only) LOT 6 BLOCK ?? SUBD.B u RP OA 1f _ ' ^ Q. /7 ad Description of work: The applicant is: ? Owner RL Contractor ? Other (Describe) Name Phone Property LAST FIRST Owner Address STREET STE N City State Zip Phone (a 91 - 7 0 G I Company Contractor t Address i;t la. 1:o?g 6' 11 &a a Rd . License #000,23-) 6, Exp. City Uvgnsv I <1 E State IVY r` Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber F' u Processing time for sewer & water permits is two days once area has been approve . 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 ? 01 Foundation 19 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add11. WORK TYPE X 31 New ? 32 Addition ? 33 Alterations ? 34 Repair GENERAL INFORMATION ? 11 Apt./Lodging 1tta 964 n?iinish ? 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 ? 37 Demolish ? 36 Move Const. (Actual) V-14 Basement sq. ft. MWCC System E5 (Allowable) \j- M 1st F1. sq. ft. City Water X"_ UBC Occupancy it_3 M"I 2nd F1. sq. ft. PRV Required yes Zoning R-1 Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code i61 Depth -3,Y' On-site sewage SAC Code _ 61 6 i 1 APPROVALS 'C?iowa 1 Planning Building Assessments 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 Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % ?a SAC Units 51> $SM r # fIX12? 1? (01( P x15= valuatim: $ 1331000 GAG?A(v 30 x2Z = 6(.0 2. Y, 11= (22) ISy' IL,®>2 b6wrr= 101Co Oh-o 1 a 103? X54= 55 'Ti ?:7 erg tjlr> v1c ?N lCwSX54= TI SAD r'OZg x 16 s I of 0th isz4o I h LOT SURVEY CnCELIBT FOR RESIDENTIAL BUILDING RMIT APPLICATION PROPERTY LEGAL= Date of surveys .1 pOCIIMENT STAND R S ?l ? 3'13 0 13 0 Registered Land Surveyor signature and company rD D Building Permit Applicant L D PIS 0 egal description Address B'? D 0 0 D North arrow and bar scale House type (rambler, walkout, split w/o, split entry, tr D 0 lookout, etc.) r 0 D Directional drainage arrows with slope/gradient !. Ir 0 0 Proposed/existing sewer and water services VD D Street name Driveway ELEVATIONS / D II D Existing Sewer service D IT 0 0 ? - - Lot corners Top of curb at the driveway 0 0 Elevations of any existing adjacent homes Proposed 0 0 Garage floor G? First floor 0 ? Lowest exposed elevation (walkout/window) Er 0 0 Property corners Er D 0 Front and rear of home at the foundation PONDING AREAS (if agplicabl*) D d 0 Easement line Q 0 NWL 0 ' 0 D HWL Pond N designation D N 0 Emergency Overflow Elevation D D' D 0 DIMENSIONS Lot lines 0 0 Right-of-way and street width (to back of curb) 0 0 Proposed home dimensions including any proposed decks, overhangs greater than 2t, porches, etc. (i.e. all structures requiring permanent footings) D D Show all easements of record and any City utilities within those easements ? D Setbacks of proposed structure and setback of adjacent ? E( existing homes D Retaining a ts, if any Reviewed: Oe* wl,s- . e o n N e / Date( P.02 f ; * * * * 2422 Enterprise Drive Mendota Heights, MN 56120 it PIONEER LAND suavey"S - CARL ENOMEEe6 (612) 681,1914•Fox 681--9488 * eng moor ng LAND PIANNEAS - LANDSCAPE ARCNI1ECTe 675 Highway 10 Northeast * Blaine, MN 55434 * (612) 783-1880-Fax 783-1883 Certificate of Survey for: cDon d Construction. InC House Address: Rolling Hills Driy_@. Eagan. N RQL41N ?`-- ` G \ Hi 4S 09a ? ?o 83aP6a R k r' / ? ( `356 ~ ertt BJ?Gr 8376 l8tb? ??` / ?ry '? x / ry ^ /// 8s®m wke?ay?"° 838.3 8.7¢ h $f3x S??°- err ry? /? t / ?t. CO gig y By s 11 p 5s AWA Y1tiI -TRINGi DEFT 7J?szaa x 900.D Denotes Existing EleZtion PROPOSED HOUSE ELEVATION X0 Denotes Proposed Elevation Lowest Floor Elevation:830.33 --? Denotes Drainage & Utility Easement Tap of Block Elevation: 839.33 Denotes Drainage Flow Direction oL Denotes Monument Garage Slab Elevation: 838.33 -g Denotes Offset Hub Bearings shown are assumed LOT 5 BLOCK 3 BUR OAK_ HILLS 2ND ADD. I DAKOTA COUNTY. MINNESOTA I hereby certify that this survey. plan at report weq prglared by ma ors maunder my_dirsot superVillon and that under the laws of the State of MiMnesota. gated this day of A.0. 19223L K %R"';O 3-n-93 AU7EED 61wsr,46 4LEdh'rs4_5 / iaEh $9-:31 9111328 R=97°6 ?. a. am duly Repbtered Land ?Sur^ve-y?or 7 / 1 03-11-93 07:55AM P002 #16 MINNESOTA STATE ENERGY CODE?CAf CULATIOH,g BASED ON CHAPTER 5 OF THE Building dlassifioation: Type Al (single Family & Duplex) Type A2 (Residential$-3 stories or less) (Over 3 stories) (other) NOTE! COmglgte gages 3 and 4 first. MMAL INFORMATION 1, Building Perimeter/ ft. N 2. Wall height (ground to save) ft. 3. 1. X 2. (above) gross wall area sq.ft. 4. Building dimensions (L) r X (W) sq.ft.roof & floor area 5. Sq. foot area of rim joist - Floor joist size (2 X D 1a X 1 12 (Perimeter) = sq.ft. 6. Doors - Area I 12 Thickness in U. factor 4+41 Type of Construction Perimeter ft. Manufacturer 7. Total door0s perimeter ft. 8. Windows! Manufacturer NSL)L• 4/-6 rr State approved U factor- Zj' TYPE SIZE AREA (Sq.Ft.) NUMBER OF TOTAL EACH UNITS SQ FEET 9. Total sq.ft. Glass M115 10. Fireplace area: Width X Height - X sq.ft. 11. Exposed foundation: Height X Perimeter_.?Pl X_$p AMsq.ft. COMPLETION OF THIS FORM IS REQUIRED FOR ALL NEW CONSTRUCTION, HAJOR REMODELING AND BUILDINGS BEING MOVED WHERE ENERGY, OTHER THAN THE MINIMAL CODE ALLOWANCE, IS USED. Site Address Lo-r5, l3L0Ck3 E"'ZP- 04K H)LL& ZqD 4tbi 7a^j 12. Framing area = 10% of gross wall area, 13. Gross wall area sq.ft. Window area A-M?sq.ft. U windows = 177J60' UxA - 10 G, `/ - Rim joist area A?1_61&sq.ft. U rim joist= Lr_ UxA = ?? Door area A 5 sq.ft. U door area- .IT UxA = tll Other doors area A1sq.ft, U other doors=I UxA_? Exposed fndn A sq.ft. U foundation=ld??y UxA Framing area A AI sq.ft. U framing area=,v' UxA = u?+? Net 'wall area Ajqff?jf?q.ft. U wall= I Q417 UxA = (13B) TOTAL . . . . . . . . . UxA 14. Gross wall area x 0.11 (A-1 single family & duplex) = allowable UxA/Code (13. above) x 0.23 (A-2 other residential) x .23 (other buildings) X .28 (Over 3 stories) 4 Q Q ? ? j /L BTUH must be larger than or same A (IT T? x U Code ' o ?`? OF. as 13B above 1$, Ceiling framing area (Af) equals 10t of ceiling area 15A. Gross ceiling area = (L) _ x (W) = Iog 2 sq.ft. 158. Joist area (A f) = 10% ceiling area & sq.ft. 15C. Net ceiling area (Ac) (15A - 15B) sq.ft. U ceiling x Ac = 17.1 toy[ U framing x A f = IpA,2 x Z f lip 150. TOTAL U x A ............................. 16. Ceiling area (15A) x 0.026 (A-1 single family &'duplex) = allowable UxA/ gods x 0.033 (A-2 other residential) (?--> t ?/U x Code0. lb06 (= (other) A(15A)Kt?--> OTUH must be larger than or same F. as 15D above HOTEi Use U and A values obtained from pages It 3 and 4. DEHTIFICATIDN: I hereby certify that I have calculated the nuu factors and "R'I values herein and that the building here described meets or exceeds the State of Minnesota Energy Conservation Act. Date Signature 2 ?a2 ?? -- --,lax 4? 4 t- z 4 WALL SECTION U ,nw[ UALLULAIIUI13 R VALUE inside air film .68 Interior wall .45 Insulation 141,0 Sheathing Z p(p Siding Outside air film .17 R TOTAL Z 3• O 3 U VALUE (Wall) U . i .?3 STUD SECTION SECTION. RM JOIST Inside.air film ( .68,! Interior wall .47 410 stud Ra 40" (p,5 (Framing) U • k Sheathing Z .00 Siding .(01 Outside air film .I1 R TOTAL l O . rJ 7j Interior wall Insulation all U .. z xterlor wall cover n Exterior air, film' R ..17 _ interior air film R- .68 Insulation 1q.00 ly Inch soft wood R=1.88 (Rim Joist) _ Sheathing 00 Exterior wail covering .(p1 _ Exterior air film R= .17 R TOTAL Z-4. 4(O _ Interior air film R° .68 insulation I I,0 1 U Foundation (Fdn.) U R = Exterior air film R= .17 \ R TOTAL 3. 3 Exposed Block -1 \.? ??¢rade 3. CEILING WITH VENTED ATTIC SPACE ABOVE 0?_-R UE R VALUE FRAMING, CEILING NO, O . 4 _ , oZ3 Air Film 0.61 Insulation 4 7?• y Joist Ceiling .50 Air Film 0.61 Total R ?}fO ,78 Ua? PZI FLAT ROOF OR CATHEDRAL CEILING R Vi ue R VALUE FRAMING. CEILING 0.61 0.17 Inside air film 0.61 Ceilino Joist (Stu Insulation Air space Roof decking _ Insulation Built-up roof Outside air film 0.17 Total R U R - /indow infiltration .5 chi/lineal foot of crack iesldential door infiltration 0.5 cfm/square foot or door and minimum code requirement ion-residential door infiltration 11.0 cfm/lineal foot of crack lb 12" concrete block no insulation _ .47 R 2.1 !b 12" concrete block insulated cores = .26 R 3.8 Jb 12" lightweight blockA _ .32 R 3.1 Jb 12" lightweight block lusulated cores a .12 R 8.3 1 single glass = 1.13; with storm window ,54 1 double glass = .55 1 triple glass = .41 111 exterior walls and ceilings must have a vapor barrier (0.10 perm max.). ;apor barrier must be on the inside (Iteated side) of wall. iapor barriers of the polyethelene thin film have no R value. 4. PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE 14- ) 9 3 HVAC: 0-100 M BTU ADDITIONAL 50 M BTU tvc>? GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) `? ADD-ON/REMODEL (EXISTING CONSTRUCTION) STATE SURCHARGE TOTAL SITE Air OWNER INSTAL] #• 68R-?()l. / V3 CITY: STATE: P? ZIP CODE: r??I TELEPHONE #: --/4 -LO FEES $ 24.00 6.00 1Ao6 $ 15.00 .50 1993 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 1993 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 5$122 (612) 6814678 PLEASE COMPLETE FOR ALL COMMERCIAL INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: CONTRACT PRICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF CQ,NTFACT FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF EMFF FEE. TOTAL $ SITE ADDRESS: ` OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) INST ADDRESS: CITY TELEPHONE #: STATE: ZIP CODE: SIGNATURE OF PERMITTEE CITY INSPECTOR I PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES EACH TOTAL SHOWER 3.00 .O 0 WATER CLOSET 3•? . BATH TUB 3.00 0O LAVATORY 3.00 i a - On KITCHEN SINK 3.00 . oa LAUNDRY TRAY 3.00 ?. on HOT TUB/SPA 3.00 ?, 00 WATER HEATER 3.00 o0 FLOOR DRAIN 3.00 ?. Oo -?- GAS PIPING OUTLET • minimum .1 3.00 ?. n 0 ROUGH OPENINGS 1.50 V, ?-o WATER SOFTENER 5.00 PRIVATE DISP. • Dak.Cty. lic. 15.00 U.G. SPRINKLER • home under cont. 3.00 ALTERATIONS • to existing 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: SITE ADDRESS: Q 6 v P OWNER NAME: ' I r. ?o n a? c7 n C d U C- I O n n C. INSTALLER: ? x /? ? 5 r P-/ u m?? n _t T h - ADDRESS: -// //? 1 3 JL W 2( I A V { CITY: ?o / to q Q '? p o ?V p STATE: ?h ZIP CODE: PHONE #: ( ) ?S 7 ?? ?? SI RE 0 PERMITTEE 1993 PLUMBING PERMTT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 ,- 1993 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIALlINDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. NEW CONSTRUCTION _ ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: FEE: 1% OF CONTRACT FEE. STATE SURCHARGE $.50 FOR EACH $1,000 OF ? RMrr FEE. MINIMUM FEE $ 25.00 CONTRACT PRICE X 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: PHONE #: STATE: ZIP CODE: FOR: CITY OF EAGAN APPLICANT t-?,?-gyp \ 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. Q. of bt, sq. ft. of house; and all roofed areas )20% maximum lot coverage allowed) • 2 comes of plan showing beam S window sizes; poured found design, etc.) • I set of Energy Calculations • 3 copies of Tree Preservation Plan if lot slatted after 711/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE ?I lI(?Z SITE ADD TYPE OF WORK, L__ APPLICANT A STREET ADDRESS TELEPHONE # CELL PHONE # FIREPLACE(S) _ 0 _ 1 _ 2 FAX # ZIP PROPERTYOWNER ?Q?U ( I hWLUvU TELEPHONEk5k -E` - / / COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ NIINNESOTA RULES 7670 CAXEGORY I _ NIINNE50TA W LLS 7672 (a submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing System includes: Mechanical Contractor: Nlech:ulicd scstem includes: Sewer/Wafer Contractor: Phone # l IC '.I 1ilee- AUG 0 2 2002 -------------------------------------------------------------------------------------------------------------------------- I hereby acknowledge that I have read this application, state that the information is correc nd agree to comply with all applicable State of Minnesota Statutes and City of Eagan Signature of Applicant G?IG?'?`2 OFFICE USE ONLY Phone n Water Softener _ Lawn Sprit YVater Heater No. of R.I. -- No. of Baths Air Conditioning He,1L Recovers' System l Lka- RemodellReoair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • I site survey for exterior additions & decks • Indicate If home served by septic system for additions -51 VALUATION MULTI-FAMILY BLDG Y V /N 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 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 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) _ FinaV,Io C.O. Footings (addition) - Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ F inal _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco _ Stone _ Fireplace - R.I. -Air Test - Final _ Windows (new'replacement) Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Building Inspector Copies Other Total CITY OF EAGAN CASHIER: S TERMINAL NO: 776 DATE, 07/27/98 TIME: 15:21:50 III : NAME: MARY KAY COYNE 3210 9001 3426 RLL.NG HLLS 50.00 2155 9001 3426 RLL.NG HLLS 0.50 Total Receipt Amount" 50.50 CR095395 USER ID: NANCY ?XX?? ? ??k ?F?7k?#X?X?X?#*?## ?k?#k?X?aY #?k X?7X#YFX?k?X??kX??XX? ??* J CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: 032L63ING Permit Number: Date Issued: 0 7/ 2 4/ 9 8 SITE ADDRESS: P.I.N.: 10-15501-050-03 3426 ROLLING HILLS DR LOT: 5 BLOCK: 3 BUR OAK HILLS 2ND DESCRIPTION: Permit Type DECK Work Type NEW d °"4?, 434 ALT. RESIDENTIAL 4 _ '4aw Ct 4." rt..Ls var--;t" c8W REMARKS: PLAN REVIEWED BY 30E VOELS. FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: w OWNER: - RPPiicanz - COYNE CHRIS 3426 ROLLING HILLS DR EAGAN NN 55121 (651)791-1687 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3 30 PILOT KNOB RD 55122 S?( 8 \7? . -5 681-4675 New Construction Requirements RemodeVRepair Requirements a? ? 3 registered site surveys 0 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan if lot platted after 711/93 required: _ Yes , No DATE: /- DFrS kIPTION OF WORK: v 0 CUL-r ( CC STREET ADDRESS: L 6 I ti / c c S5_12 LOT: BLOCK: SUBO./P.I.D. V' O CUI-1 Lk I I -S-VJ J PROPERTY OWNER Name: ( O t/ h L / +? Y! 5 Last -riot Street Phone #: 4 It? 3 ?(? / y /ls 71r 1697 rQli l city c ei: C State: Zip: SS/ Z I Company: Phone #: CONTRACTOR Street. City . ARCHITECT/ ENGINEER Compt Name: Street City ? 2 copies of plan ? 2 site surveys (exterior additions & decks) ? 1 energy calculations for heated additions CONSTRUCTION COST; c?s SI -30 00 License # State: Zip: Phone #: Registration #: _ State: Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. Zip: Penalty applies when address chanc I hereby acknowledge that I have read this application and state that the information is correect and agree comply with all applicat State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: JL,L 1 OFFICE USE ONLY of Survey Received _ Yes No Preservation Plan Received _ Yes - No RECEIVED Not Requi Y, ? 0 BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE ,M?"31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning OFFICE USE ONLY ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? X15 Deck ? 36 Move ? 37 Demolition .,,* 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Basement sq. ft. MC/WS System _ Main level sq. ft. City Water _ sq. ft. Fire Sprinklered _ sq. ft. PRV _ sq. ft. Booster Pump _ sq. ft. Census Code. _ Footprint sq. ft. SAC Code Census Bldg Y Census Unit Building lEngineering Variance ?L Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units Valuation: $ _ I ? t?J!??l?'c'c,GCy v '? I i I I 7Z(• 9& Clams C' v?L Yao.AM,. • rew. ow- xr ?i9,ez j/.» Sri« Pc.o,vvivy a?v ?? I i CoKSreu Gr,.vy? ? "? £.off'C,ICC NJC._ J .K 2422 Enterprise privo ??Ew Mendota Hetghta, MN 55120 LAND suaWroes • am ENCwseas (612) 681,1914•Fox e81--9488 °'- 625 Highway 10 Northeast (* * Blaine, MN 55434 (612) 783--1880•Fox 783-1883 erdficote of Survey for: McDonald Construction, Inc, House Address: Boiling Ills rive Enoon. N \ J? Z,41& Big "4 >o.u Denotes Existing Elevation PROPOSED HOUSE ELEVATION Denotes Drainage Elevation Lowest Floor Elevation: 830.33 -70- Denotes Drainage & Utility Easement Denotes Drainage Flow Direction Top of Block Elevation: 839.33 o=- Denotes Monument Garage Slab Elevation:838.33 e- Denotes Offset Hub Bearings shown are assumed DT 5 BLOCK 3 BUR OAK HILLS 2ND ADD. DAKOTA COUNTY, MINNESOTA hereby certify that this survey, plan or report web;?pxr4? rqd by me or under mmyy direct eu?S?'?hlon and that I em duly Registered Land Surveyor the Jews of the State of Minnesota. Dated tnis-?_ day of b` EA.0. 19Y ?„ 16'0 3-r+-93 A?60 E?0sYn1G ?LEJ&'nonlS ? ?' ) B. SIKIC L.9. RED. .14897 191113.28 J 03-11-93 07:55AM P002 #16 ïÿÿ ÿ þýý üûü ûü úýýð îìýþ ñý íó ñ 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 ûôëúâô äòýúõò ñàõ ó õ ìãöñ ãö áàßà ë üúø ë ëì ë ùù ëëé ô ôùúøëùùüþ éã þý òúé í ê ùù÷ ôþ ý ýúþ ý City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit#: /3.7g? - Permit 3 /gPermit Fee: /6 5. Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1— /5-.20 kp Site Address: Unit #: Phone: (n12.-55830-7(0 Name: 1 /M a hd Rc73 1/) I I I c VY\ Address / City / Zip: 3 Li Z to Rol 1 rrj H1 1 I S bcR Applicant is: Owner Contractor Description of work: RQAM \Te 011\,C), Rep \Ate Construction Cost: *Z5, 000 Multi -Family Building: (Yes /No v) Company: k1r�-{&14*-' BroRe-r%S. CQ M'r) CContact: , ij! t'M OA Kr k e e - Address: ,Sl % SeC-c�U�� l /sit ��- City: CMcx.Cop State: V5V Zip: 514 DE (.0 Phone 7115'55-144(o00 Email: JV e.v., 014'-061•cau^._. License #: BC,( -123"7 12.Je 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: Fire Suppression Contractor: Phone: NOTE: Plans and supporting documents that' you submit are considered to be the information may be classified as non-public if you provide specific yeast conclude that the are trade secrets. public inform s,`that: would on.: tions City to 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.gopherstateonecall.orq 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 work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x a mon Applicant's Printed Name x Applicant's ignature Page 1 of 3 Use BLUE or BLACK Ink *. r For Office U e f� Permit#: 5-6 0 ,..- �C 14 4 City of Ea�all Permit Fee; , / �" 3830 Pilot Knob Road /c>Eagan MN 55122 Date Received: A Phone: (651)675-5675 RECEIVED j buildinginspections(a�cityofeagan.com Staff: 'o,: SEP 12 2017 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: / 12 / ) .9- Site Address: 34 Z.(9 1Q 1) \ Y\ )11 1 1S Unit# Namem V '' '. -' -eL. W I l \ to. ► V 1 S Phone: („....... ' Resident! ' r Owner- Address/City I Zip: 3112U p 0) I I Int )1S P ---e Lacl CA7-1 i Applicant is: Owner ' t Contractor Description of work�� l- Type of Work l �Q C V 1 j j L 1 V11 i ` V rs C ‘01. .�� 6 Construction Cost: t 0 0 Multi Family Building (Yes /No ) Company: t C I . � -. C 0 r v/ Contact: )l,,4,4 v I t`- " 1 Contractor Address: 12�11 N 1 C w I t € k / -! _ City: ;r1AvV\S V 1 -e StateV\ Zip: 53 i Phoneg5fl 3303 Email: j lr &VT‘.1 c t \L -(o ich ' License# �)C f—1 1 Lead Certificate#. If the project is exempt from lead certification, please explain why: 1� ,. . _ __..W_____. .r. __._ - . ., __ ..,.... .K.. 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? I Yes No If yes, date and address of master plan: Licensed Plumber: Phone: i Mechanical Contractor: Phone: I Sewer&Water Contractor: Phone: I 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. You may subscribe to receive in electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.00pherstateonecall.orq 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. 11)4M1462/1""1/Z----d Applicant's Printed Name Applicant's Si• ture Page 1 of 3 Rc//. , �s /45 �a SUB TYPES Foundation Fireplace Porch (3-Season) Exterior Alteration (Single Family) Single Family Garage Porch (4-Season) Exterior Alteration (Multi) Multi ?Q Deck Porch (Screen/Gazebo/Pergola) Miscellaneous 01 of Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* Addition Move Building Reroof Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION 54795 -: Valuation ,5Occupancy iz c -l MCES System Plan Review Code Edition 1l) 2c,I c SAC Units (25%_ 100%X ) Zoning — � _ City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V j Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) )Q Final/ No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool: Footings _Air/Gas Tests Final Framing 30 Minutes 1 Hour — Drain Tile Fireplace:_Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick_ EFIS Insulation Windows Sheathing Retaining Wall: _ Footings_ Backfill — Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: />)/72 ifi1t l `JA , Building Inspector RESIDENTIAL FEES 2 Q Base Fee `� 3 5 S 7 � /4t Surcharge Plan Review O , c. 6 .fig /�'�- MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant - Copies TOTAL Page 2 of 3 .3 -7(D6 6///(/Ittainumf.... .//1"°/2 - P.02 N -. 0 --- " tr . , ilt * if f: ' . ,2422 Enterprise Drive ' 'Msndots Hetghts, MN 511120PIONEE* `t it uwo eunvc�aons -avn.etaes«rra�rts '(612) 881--1914'Fax 881.9488 any neer ng LAM PAWN- LANDSCAPE ARatllt:ora 825 Highway 10 Northeast * * Blaine, MN 55434 * * * (812) 783-11380.F= 783-1883 Certificate of Survey for: McDonald Construction. InC_ House Address: Roiling Hills Driye. Eagan. MN • • „ ,, ---, lib( ' ---..........„ / ••`9+ ;;,,� R 4 4, ,---((....1 A • 1 @sk 1/ X41 �' ----3e� `"'•, ......, !f4 4witiih 44• / a 7 4 illi00r 34 Rye 4� ono /83 /4. i N.n. /, s 'sob 1/ y , 8 ,t" / t .pj r / // tv �._` / (07 ��.� / 8 `r ill E fr , By -_• 4- p0 CD 0 L .71' .1© JJffi E ELJ) 110A EJCIA EN 'XW ERTNG DEFT 4" x106-' Denotes Existing ElevPotion PROPOSED HOUSE ELEVAT1ON x4 ., o, Denotes Proposed Elevation Lowest Floor Elevation:830.33 -—- Denotes Drainage 8e Utility Easement Top of b ,J. Elevation•839.33 --T-denotes Drainage Flow Direction —01- Denotes Monument Garage Slab Elevation:838.33 —o Denotes Offset Hub Bearings shown are assumed L T 5 , BLOCK 3 BUR OAK HILLS 2ND ADD.. DAKOTA COUNTY, MINNESOTA I hereby certify that this survey,plan or sport w,fillgroroi by meiVnder my direct sampan and that I am duly Repiottred Land emery under the laws of the$tete of Minnesota.Dated this day of� 'Q.A.P.t9 V, ,,. $E046o 3-/r-93 Moo 61,6710\16 4LErny71WS J•�Jy!-sem/. • ' c a l e: I -3V1.t R ERT B.81Ki .S.REG. .1489] Ati a+K gigl , §1173.28 11a97% ! 03-11-93 07:55AM P002 #16 PERMIT City of Eagan Permit Type:Building Permit Number:EA171183 Date Issued:08/04/2021 Permit Category:ePermit Site Address: 3426 Rolling Hills Dr Lot:5 Block: 3 Addition: Bur Oak Hills 2nd PID:10-15501-03-050 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Timothy J & Peggy E Williams 3426 Rolling Hills Dr Saint Paul MN 55121--234 Minnesota Restoration Contractors Inc 12252 Nicollet Ave Burnsville MN 55337 (612) 280-4807 Applicant/Permitee: Signature Issued By: Signature