3429 Rolling Hills DrControl
INSPECTION RECORD No. J .k
C1?Y OF EAGAN EEAMVAnM FOR DEM 08/05/93 PERMIT TYPE: all 1 L D i NA
DECK SPECIALISTS 457-0W 000116
3830 Pilot Knob Road Permit Number. 04/06192
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: t. UT ; 121 t1 1.11r: rx. 4 APPLICANT:
:A4'e9 RULLINO HiLtS DR HCOONALD CuNST INC
OUR OAK Hl L LS 2ND (612) 680-7061.
PERMIT,,PPBTYPE: TYPE OF WORK: NF 6!
0
piMApt(*.;, PRV 3 j, W CONINAE70P SlAh P180 ..
Permit No. Permit Holder Deft Telephone
S/W
PLUMBING P80
HVAC g _ - ?V-•
ELECTRIC
Nei
' ?oa
(jam
ELECTRIC
Inspection Date Insp. Comments
Footings I l `
Foundation ,Z?72
Framin g
Roofing
Rough Pibg. f
Rough Htg.
' ,
Isul. 7
Fireplace
Final Mg.
Orsat Test
Final Plbg. , Z L 1 Plbg. Inspector - Notity Plumber
Cont. Meter
EngrJPlan
Bldg. Final
f 0
L
kJ
J
Deck Ftg. 7
? 7' u
f
oG Sa iL
Deck Final G /lop CA7" 04-`.r - t
wall O r /? ?`C.2P r!
Pr. DiW. ?-
S
(Urtifiratr of (Orrupaury
citp of Of agan
11 of wo I edwn
This C,erWftcate issued pursuant to the requirrmm& of SecAm 306 of the Uniform Building
Code certifying that at the time of inuance this strucmm was In compliance WA the mr(ous
ordinancas of the City reguladng building consm cdm or use For the follomWV
cIM ate. SE DWG/GAR elegy. ? Na 176
OWWA-7 Type MAN 12 zmim Dimia RI Typo Ca VN
OWM G(bA*4 MMONALD M ON Add= 1212 MWIIL BAY RD, EAW
s 3424 ,Il]G HILLS DIM L12, B 1, BUR OAK HMU 2ND
f n.w~ 6/25/42
t
POST IN A CONSPICUOUS PLACE
Address: 3429 IaLING iIILiS DRIVE Lot 12 Blk Sec/Sub B()R OAK HIIi S 2ND
These items were/were not complete at the time of the final inspection.
Date: 6/25/92 Yes No
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.
naxieorisen
White - City copy Yellow - Resident copy Pink - Contractor copy
V4
8,6 Aar 15?1 yAl C?1?01? Ss s oD
Request Date
y IF,,. No. Rough-in Inspection
Regyy?''red?
p7Yes ? No q?/y77
? Ready Now Will Notify In§paIDOr
eady?
C'V
?O
I licensed contractor O owner hereby request inspection of above a 'cal
Job Aduress l treat. B or Ro No I Ci
Sedion No. Township Name or No. Range No. Oou
OCCUP in T
On PhoJ6 o.
Suppli ^ 9 tlres In Q ?? O
(
lS
EI c ¢31 Contractor ICompan Name) Co
tt r
b Li nse No
M iLn Atldr ss Contract fl e. Making Install tionI
Am rhea Signa re (Co l7 ou0wn r Making Installin ) PhOn ber
MINNE TA STATE BOARD OF ELECTRICI Y THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS
.°.t612I 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION = , Ea-00001-0e
See inslrudions for wmple[ing this loan on back of yellow copy
°'/os978'
J 4 5 3 6 6 - W" Below Work Covered by This Request s : ' /6/Q 77J?
' w d Qep. Typeot Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building ;WVer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) Contractor's Remarks:
Compute Inspection Fee Below: ft1
Other Fee # Service Entrance Size e # Circuita/Feeders Fee
Swimming Pool 0 to 200 Amps
J
ilin,
to 1OD Amps
Q
Transformers Above 200 _ Amps Above 100 Amps
Signs Irspectoris Use Only: TOTAL/
Irrigation Booms
raj/?,(< 101ii p/'`"I 5.
^J
Special Inspection 3
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 1 HS 4
I, the Electrical Inspector, hereby Rough-in Date
T i
certify that the above inspection has
been made. Final Date
OFFICE USE ONLY
his request void 18 months from
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
Control No. 0172
PERMIT TYPE: BUILDING
Permit Number: 000176
Date Issued: 04/96/92
SITE ADDRESS:
3429 ROLLING HILLS DR
LOT: 12 BLOCK: 1
BUR OAK HILLS 2ND
DESCRIPTION:
Ruild hg. Permit Type SF OWG
Building Work Type NEW
UBC Occupancy, V-N
Construction Type V-N
Zoning R-1
Building Length 56
Building Width 59 71
LM 'j / 4 a LJ :.
REMARKS: C 01 '9 1 3cl
PRV S & W CONTRACTOR - STAR PLBG
FEE SUMMARY-
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
VALUATION
$713.00.
$463.45
$60.50
$700.00
100
$1,936.95
CDNWMqjpV:CONST INC - pppi116887061 0002 76WPiC-b-6NALO CONST INC
1212 BLUEBILL BAY RD 1212 BLUEBILL BAY RD
BURNSVILLE MN 55337 BURNSVILLE NN 55337
(612) 688-7061 (612)688-7061
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 Mn.
Statutes and City of Eagan Ordinances.
L
c? -
APPLICANTIPERM T4FS NA TURE
$121,000
MISCELLANEOUS $1,610.50
Total Fee $3,547.45
n 1
UE A ?GN T
ISSUED E k
V: SIGNATURE
PERMIT #?? CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
'X55"V7, l,/S
e'? q1z
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which request is made or lot chan a is requested once ermit is issued.
Date MftrcVN / 31st / 9Z_ Valuation of work 102,000(F-xdt,,de` loi?
Site Location:- SL129 QZ U;&)A WIL ?r
STREET STE #
Tenant Name:
LOT I BLOCK SUED. 1 IS'T
h r J1? P. I .D. d
Description of work:
The applicant is: ? Owner Contractor ? Other (Describe)
Name Phone
Property LAST FIRST
Owner
Address
STREET STE N
City State Zip
Company Nl ?o?r?d ?' sc?nnraa Phone (.258-7061
Contractor Address 12-1 2- R[LtA;11 11, Rd License # 000237 Exp. i 9
City R,?s u,lle State A-11LJ Zip 55337
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Sk.r ?ua? Aig Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this plication and state that the information is
correct and agree to comply with all app ble State nf-Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
'
OFFICE USE ONLY
y M
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Garage/Accessory ? 11 Res. Add./Porch ? 16 Agricultural
J9 02 SF Dwg. ? 07 Fireplace ? 12 Comm./Ind. New ? 17 Building Move
? 03 Two family ? 08 Deck ? 13 Comm./Ind. Add ? 18 Demolition
? 04 Multi-fam. T.H. ? 09 Basement Finish ? 14 Comm./Ind. Rem. ? 20 Miscellaneous
? 05 Apt. Bldg. ? 10 Swim Pool ? 15 Public Fac.
WORK TYPE
18?31 New ? 34 Remodel ? 37 Move
? 32 Addition ? 35 Repair ? 38 Demolish
? 33 Alterations ? 36 Tenant Finish ? 99 Undefined
GENERAL INFORMATION
Occupancy R_3 M-? Basement sq. ft. MWCC System YES
Zoning 1st Fl. sq. ft. City Water Es
Const. Actual
; 2nd F1. sq. ft. PRV Required
(Allowable Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length _5cr On-site well Census Code 01
Depth On-site sewage SAC Code _01
APPROVALS
Planning Building r1.1-9a Q_C Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
? Footing
? Final
? Framing
? Draintile
? Insulation
? Fireplace
Permit Fee 1713, oo Vaioaeia,: $ 1 Z i,000 J
Surcharge
Plan Review
60,50
y63?,5 G,stAVEf
_ Zwx22=529sc11O=8!146
--
License BsMr; ?%)wc g4
MWCC SAC '700.00 28 1,4 41. 1148
City SAC 100,00 9'x 14 = iac.
Water Conn. 6r75"D0 4 x 15= 60
Water Meter
Acct. Deposit 95,00
30,00 6x1n, Ibo
S/W Permit
3 xs = z5
S/W Surcharge '50 1603 'X 15. 211,o4S
Treatment Pl. 3oa.00 S. PGyEm PoacH ,
Road Unit
Park Ded 380.00 roxlz- Ito
.
Trails Ded. Sxs- Czs>
Copies 45 Xois- 2 3n §
Other
Total:
;3s • uS H OuS?
Naxlo= 15 • `, -"
SAC % 10L) SsMTs 16n3 -°'
?5y
?b19 x53. 85
SAC Units 1 _
I ! z o, 622
HI RESOTA STATE EHEgGY COCAL.CUt.ATtONS
BASED ON CHAPTER 5 OF THE
MODEL ENERGY CO DE - 1983 EDtmtnu G
( (7
?. Adoption Effective
Owner ?? Phone Date
Site Address LoT 12, ??ock I Run (7aK ¢-Ii? Zrap ??Aa71Tid?.'
Contractor ?? i Phoneme
Building Classification: Type Al (Single Family & Duplex) 45
Type A2 (Residential, 3 stories or less) (Over 3 stories) (Other)
NOTE: Complete Vaaeo 3 -And 4 first.
QEHERAL INFORMATION
1. Building Perimeter??r`?
2. Wall height H
(ground to save) ft.
3. 1. X 2. (above) gross wall area L sq.ft.
4• Building dimensions (L) -` X (W)
eq.ft.roof & floor area
5- Sq. foot area of rim joist - FjWr °?,?j?j size ((2 X
: y XV(Perimete q
r) _ s .ft.
!!pr rr
6. Doors - Area 12
Thickness in U. factorl 47
Type of Construction Perimeter
Manufacturer ----_ft.
7. Total door's perimeter ft.
B. Windows., M acturi4a G (?rj r state approved
U factor tt
TYPE SIZE AREA (Sq.Ft.) NUMBER OF TOTAL
??« l1 EACH UNITS SQ FEET
9. Total sq.ft. Glass
10. Fireplace area: Width X Height X = sq.ft.
11. Exposed foundation: Height X Perimeter, t q.ft.
COMPLETION OF THIS FORM IS REQUIRED FOR ALL NEW ?CONSTRUCTION, MAJOR
REMODELINO AND BUXLOINGS 88INO HOV810 WHBRE BNEROY, OTHER THAN THE MINIMAL
CODE ALLOWANCE, IS USED.
-1-
_ - - Y-w wa11 area.
13. Gross wall area aq.ft.
Ilindow area Az?4 sq.ft. U windows 1?MCp1 UxA =?
Rim joist area sq.ft. U tim joist.k l UxA Q
Door area A i? 1 aq,ft, U door area=•? Uxh d
Other doors area AJ22?q.ft. U other doors= /T UxA =
Exposed fndn Alzo_ sq,ft. U foundation=1 04',. UxA =
Framing area A p 1 157sq.ft. U framing area= UxA
Net wall area A? 'J? sq.Et. U wall= 1 O UxA
(1313) TOTAL . . . . . . . . . UxAe
14. Gross wall area x 0.11 (A-1 Dingle family d duplex) allowabl
(13. above)
x 0.23 (A-2 other residential)
x .23 (other buildings)
X .ze (over 3 stories)
A? t ?/? ti1UII must. be larger than or some
U Code a ?1 F. as 139 above
15. Ceiling framing area (Af) equal" lot of ceiling area
15A. Gross ceiling area a (L __?
159. Joint area (Af)
15C. plot ceiling area
U ceiling x A c
U framing x Af
101 ceiling area = WL
-sq.ft.
(FAcc)f?(?1SA?- 15U?)?" /????• aq.ft.
150. TOTAL U X A........ n,
. ....................
16. Ceiling area (15A) x 0.026 (A-1 single family 6 duplex)
allowable UxA/Code
x 0.033 (A-2 other residential)
x 0.06 (other)
1 BTU11 must be-larger than or same
A(15A x U Code ta _ \ ?Q OF, as 15b above
NOTEI Use U and A values obtained from pages 11 3 and 4.
CEliTJLEI.CUILIyt 1 hereby certify that 1 have calculated the I'U° factors and
"R'I values herein and that the building here described meets or exceeds the
state of leinnesota Energy Conservation Act.
Date 'Signature
=2-
V
12, S
c =?'? ? Co K ??L ??-E- ??0-E-? 2 ??-?7? ?
?4
-- w ? f-crx?ls
? II I ?? x?'Co ?c
sox ? r
OX
ax??
OZ (-a-I
Ili o
011
d -,- D? t
lll?l9
WALL '
SECTION
Inside alt film s68
Interior wail •? y (Well) U .
Insulation
Sheathing Z.o(p c+5
Siding .(o( _
Outside air film ,17
R TOTAL Z3,0
}j
STUD
SECTION
2ND WALL
SECTION.
lnslde.air film 1 68
Interior watt
u
,YP stud
Sheathing
Siding
Outside air film
R TOTAL
.45
R' -048 (D !jp(framIng) U .
?Z.oCO
(?•r>3
Inside air firm Ri ,68
Intetior wall
Insulation (Wait) U r .
Sheathing z
Extettor watt covering
Exterior air film' R r,17
. R TOTAL
R M
JOIST
interior all film R= .68
r.
insulation )q.o
Ill Inth soft wood R=1.88 (Rim U ¦.Q ¦
Jolst) "
Sheathing Z,0(p 041
Exterior wail covering .(v7 -?
Extetlot air film R= .17
R TOTAL z-4" .4(p
Interior alt film R- .68
Insulattot0lasrotmij Moo
?a < t-ixe,
Exterior alr film R' .17
R TOTAL Z( • 971
Exposed Slotk
3.
(rdn.) U ¦ A
a O??
R VALUE
FRAmIl70
R VALUE
CEILI110
- 0.61 kirFilm 0.61
?•? insulation 45. d
4.38 Joist -------
0.56 ceiling n. 6
0.61 hirFilm_ 0 61
.?Z? um1/R , aZ)
indow infiltration 0.5 ofm/lineal foot of crack
esidential door infiltration o.$ ofm/equate
re foot or door and minimum code
quirement
on-residential door infiltration il.o ofm/lineal foot of crack
b 1211 concrete block no insulation - .41 R 2.1
b 121, concrete block insulated cores
b 12" lightweight block •26 R 3.8 - 432 ft 3.1
'b 12" lightweight block insulated cores a .12 R 8.3 .
single glees - 1.131 with storm window .54
double glass - .55
triple glass - .41
ll exterior walls and ceilings must have a vapor barrier (o.lo perm max.e
npor barrier must be on-the inside (heated side) of wall.
'apor barriers of.the polyeEhelene thin film have no R value..
I
2422 Enterprise Drive
".>.7
7y` PIONEER LAND SURVEYORS-CIVIL ENGINEERS Mendota Heights, MN 55120
J engineering LAND PLANNERS. LANDSCAPE ARCHITECTS (612) 0680'_,D9'4
O 9
Certificate of Survey for: Me DORAI.D COaSTRUGTION
House Address: 3429 Koll'IYL,, (tills Or:ue? E0.9aNjMiRa
Model Name:
S63 °o
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of V? _
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m
8Ys 03
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S 35, 6
ego ..
0
AP `
Ha ?F° tAa
ut 9.67
I P r 4.67
ey30
9y?,9
lX B28•BY
p ` w
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? ? x 8?5.9 f
ro
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83> i;q -
A. 0131 10 tz,\J
5,0
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????N 3 30 837.7g
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533 ) / / /
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A GA 14
I{?
0 e,e
9DO.o Denotes Existing Elevation PROPOSED HOUSE ELEVATION
i Denotes Proposed Elevation Lowest Floor Elevation: 934 2_
Denotes Drainage & Utility Easement Tap of Block Elevation: ggy, 3
Denotes Drainage Flow Direction
-o-- Denotes Monument Garage Slab Elevation: 5 93,,
- B Denotes Offset Hub Bearings shown are assumed
LOT I? BLOCK _ I 50K WrzRU? q 7(ND ?DDI ION
DAKOTA COUNTY. MINNESOTA `- e F9 0
I hereby certify that this survey, plan or report w?essIp,repared by me or under my direct supervision and that l em duly Registered Lend Surveyor
under the laws of the State of Minnesota. Dated this day of r/'? D 14 A.D, 1953.._ .
ev, 3' ll -4Z' AIcI EX S? 6levs,
{eats P ?I OU}! .1v0deJ 0'11 / r. / l /f 1\ • ?i Fa'•-
ScaIe: 11ngh-30 feet ROBERT IK .REG. NO. 14891
® 91113,
G 3 t 2005 RESIDENTIAL BUILDING PERMIT APPLICATION
A City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
New Construction Requirements RemodelfReoair Requirements Office Use Only
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cad of Survey Rood -Y -N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Real _Y -N.
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required : -Y -N
1 set of Energy Calculations Addition -indicate if on-site septic system On4de Septic System _Y -N
3 copies of Tree Preservation Plan if tot platted after 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Date -7 / -7 / DS Construction Cost 7, 0r0 O
Site Address i q-Z 9 , //S r , Unit/Ste #
Description of Work T o 2c r nG `la 0 s c-
Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 - 1 _ 2
Property Owner 7 o ti ti Md ?y t .v S e /L,/ Telephone # ( d5J) A' C -S 9t 3
REM.DELING
OFING & , INC•
Contractor RO
Address 41M nr11C PARK, NIN 55416 City
State ID g000I'0$ Zip Telephone # ( 61Z) 8 Z 3 b'O `f 6
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
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is 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. F, MI
ZZ-
Applicant's Printed Name
r
Applicant's
OFFICE USE ONLY
Sub Types p
? 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 EM. 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
? 06 04-plex ? 12 12-plex Plbg_Yor_ 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 "Demolition (Entire Bldg) - Give PCA handout to applicant
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
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 T ests _ Final
Framing _ Siding _ Stucco - Stone _ Brick
Fireplace _ R.I. - Air Test - Final _ Windows
_ Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
l L BL Ad CITY USE ONLY RECEIPT#: ,3" ,7/ i
oft
SUBD. Oal ? f,?? ?o 44 RECEIPT DATE:
6
1998 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
------------- - ----- - - - - - - - - --- - - - ------- - - - - ----
FIXTURES ----------- - ----
EACH - --------- - - ------------ - -- ----------------
TOTAL
Shower 3.00 #
x =
Water Closet 3.00 x =
Bath Tub 3.00 x -
Lavatory 3.00 x =
Kitchen Sink 3.00 x -
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum -1 3.00 x =
Rough Openings 1.50 x =
Water Softener ' for dwellings under construction 5.00 x =
Water Softener ' for existing dwelling 20.00 x =
U.G. Sprinkler 'fordwelling under const. 3.00 =
U.G. Sprinkler ' for existing dwelling 20.00
Alterations ' to existing residence 20.00 -
Water Turn Around 20.00 =
Private Disposal System ' MPC lic. 75.00 =
(new and refurbished systems)
Private Disposal Systems ' Abandonment 20.00 =
RPZ (new installation only) 20.00 =
STATE SURCHARGE .50
TOTAL
-- - ---------------------------------------------- ------ -------------------------------------- ------.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances.
It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City dudng its
normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement.
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
TELEPHONE* FZ9? -z7?7 c?wf/,7-7/
CITY: Sz/?
TE: ZIP: ??s2?
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998
SIGNATURE OF PERMITTEE
LAI- gL _ Z CITY OF EAGAN
l i /' n PLUMBING PERMIT
SUBD.3 1 -' (612) 681-4675
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESC IPTION
NEW CONST
ADD ON _
REPAIR
OWNER NAME:
SITE ADDRESS:
INSTALLER:
ADDRESS
CITY USE ONLY
RECEIPT # /OS (P 5 9
DATE
ALSO, FOR TOWNHOMES AND CONDOS
COMPLETE THE FOLLOWING:
NO. FIXTURES EA. TOTAL
/ REPAIR/ADD ON 15.00
SHOWER 3.00
?. WATER CLOSET 3.00 .00
BATH TUB 3.00 2 do
LAVATORY 3.00 .0L
C- KITCHEN SINK 3.00 OG
l, LAUNDRY TRAY 3.00 3.06
I ?'C HOT TUB/SPA 3.00
WATER HEATER 3.00 ,00
FLOOR DRAIN 3.00 3,00
GAS PIPING OUT.
(MINIMUM - 1) 3.00 -1i dv
ROUGH OPENINGS 1.50
OTHER _
_ WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
W. TURNAROUND 15.00
STATE SURCHARGE .50
TOTAL: ,0!`
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
SITE ADDRESS:
TENANT NAME:
SUITE #:
INSTALLER:
ADDRESS:
CITY:
PHONE
FOR:
CITY OF EAGAN
CONTRACT PRICE:
1X OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE
TOTAL:
(SIGNATURE)
CITY( ')6a C,- 1q ro yc? ,//I- ZIP: `?cw'
CITY OF EAGAN
• 3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE (612) 454-8100
"C1iANCAI. Fs
FOR CITY USE ONLY
PERMIT #
RECEIPT
DATE: 9 9a-
jiESIX(11xAT .; PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE 1
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------ -------------------------------------'
WORK DESCRIPTION FEES
NEW CONST
ADD ON
REPAIR
OWNER NAME @f? ??c \? 5? `?
SITE ADDRESS 75l C67 aa \ 1 S
LOT: BLOCK SUBD. Li 1 JJ ?\ 5
INSTALLER: ?gS Sl? C \1E' SY 1 1 \
ADDRESS *V< O I
CITY: ZIP: c_S?C)n-A
PHONE #:
DWELLINGS &
ADD-ON MINIMUM $15.00
HVAC 0-100 M B 24.00
ADDITIONAL 50 M BTU 6.0
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT T
SUBTOTAL: ${ ?? on
STATE SURCHARGE: .50
TOTAL: $ Z,
SI NATURE OF PERMITTEE
COPdt{YtOIALfTNDU5TRIS;Y 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:
PHONE
FOR:
ZIP:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE
TOTAL:
(SIGNATURE)
CITY OF EAGAN
REACTIVATE _ CITY OF EAGAN
PERMIT # 1993 BUILDING PER T>A?PLICATION
?? 681-4675
SINGLE & MULTI-FAMILY 1, 9
2 sets of plans, 3 registere -surveys, 1 c y of energy
talcs. -
COMMERCIAL 2 sets of architectural & structural plans, I 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 Valuation of work
'
Site Address: s ?
J 1 YT
STREET SUITE Y
Tenant Name: (commercial only)
LOT 12 BLACK ( SUBD.&r C?AK T'0LLS Zr p. P.I.D. k
Description of work: e -,AL
The applicant is: ? Owner Contractor ? Other (oescribe)
Name V l?) Phone LS) -21- 72
Property FIRST
LAST
Owner f?
a,
Address Rol I-! Nb
STREET STE #
city if State AJ Zip
Company .? Phone
Contractor r GSA Gdi&? License #2/507 Exp. j'5/'f
Address ??3 l?
?
g
`
City M om State & 6( Zip
Company Phone
Architect/
Engineer Name Registration N
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is.two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: bay cu'u _
OFFICE USE ONLY
BUILDING PERMIT TYPE
? OI Foundation
? 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. Add'l
WORK TYPE
ICI 31 New
? 32 Addition
? 33 Alterations
? 34 Repair
? 11 Apt./lodging„ ? 16 Basement Finish
? 12 Multi. Misc. ? .17 Swim Pool
? 13 Garage/Accessory ? 18 Comm./Ind.
? 14 Fireplace ? 19 Comm./Ind'. Misc.
15 Deck ? 20 Public Facility
? 21 Miscellaneous
? 35 Tenant Finish ? 37 Demolish
? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) 1st F1. sq. ft. City Water
UBC Occupancy i 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
d of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code
!
APPROVALS -
O
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site 13 Footing ? Framing ? Insulation
? Wallboard 9 Final ? Draintile ? Fireplace
Permit Fee So Ov r.ltation: S
Surcharge
Plan Review
AftAFAC
1 0"?
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
* * * ' _? 2422 Enterprise Drive
* PIONEER `Pt Mendota Heights, MN 55120
y LAND SURVEYORa•CfVIL CNGINE[Rs
14
engineering- LAND PLANNIt"- LANDSCAPE ARCHITECT! (61C•a) 681-1aY
* T *
Certificate of Survey for: Me DORAILD CCIISTRUC'TION
House Address: 3429 P.oll't n? I-t'I(ts Dr:ue , Eg9ay,, MliR„
Model Name:
r/
r ,j' D-
o (n
?ti? D,
ByS 03 /
2
,o
s !? ?
2?
°•0 835,6
/ 140
0
563 0
90. O
O
I2 ?
%S
L
A
PC Ha USP t?X 9.67 '7
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3 fni
rn \ , Le
eyY•py Slj?` ??lvr
90 \
?o\(?G ' o, O
3 839.78
Q
/9 rr?
r? (cC S
9DO.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION
goo.o Denotes Proposed Elevation Lowest Floor Elevation: 93rD, 2_
Denotes Drainage & Utility Easement Top of Block Elevation: gyy, 3
Denotes Drainage Flow Direction
-c- Denotes Monument Garage Slab Elevation: 693,3
-B Denotes Offset Hub Bearings shown ore assumed
LOT I2 , BLOCK I --k 50K DAK,U ND-gDDrioN
E I A
VAYDTA COUNTY, MINNESOTA pr
I hereby certify that this survey, plan or report was 'Plrepared by me or under my direct supervision and that I am duly Registered Land Surveyor
under the taws of the Stet, of Minnesota. Dated this 9+1N day of r`^ O tr:k A.D. tg g3„_.
Am Ex:;4 Eievs,
Ra;s a h"U3e rjyed es 0.l'
Scale: 1 lt1Ch - 7?] r" teat `ROBERT IHI REG. NO. 14891 -101 ® 91113,13
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164629
Date Issued:10/05/2020
Permit Category:ePermit
Site Address: 3429 Rolling Hills Dr
Lot:12 Block: 1 Addition: Bur Oak Hills 2nd
PID:10-15501-01-120
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Mary M Mogensen
3429 Rolling Hills Dr
Saint Paul MN 55121--235
(612) 750-2123
Capital Construction Llc
416 Gateway Blvd
Burnsville MN 55337
(952) 222-4004
Applicant/Permitee: Signature Issued By: Signature