3442 Rolling Hills Dr1611-V OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS•
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
• I ul
I I.' it1-1 IHII F111
PERMIT SUBTYPE:
;il I
I 111 (}i APPLICANT:
hIt ?t I ?:11 I, i t ?rr,p.,: I t9•
TYPE OF WORK:
Fill I I It 1 NI
f9. i l t .
Ah. /b1 J /*a
INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR.
I tr ,If :. I I rr+,{ 11 I'Irll
1 i { i' I J11 I
PF MAI14 - SW CON I HAC 1 i1
L
I Hf RFFit' VI 11101H INIi
I
Permit No. Permit Holder Date Telephone #
S/W
PLUMBING
HVAC 86r•
ELECTRIC 9
ELECTRIC
Date
Inspection Insp. Comments
Footings I /
e
1 ?3
Foundation
Framing 6 . p?C 3
Roofing
Rough Plbg.
Rough Htg. 1?
4
4"
Isul. •i
Fireplace Ov
Final Htg.
Qrsat Test
Final Pibg. Pibg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final pp
Deck Fig.
Deck Final
well
Pr. Disp.
93 43O/ l Ge
U
Wertificate of Cccu}iane4
%ftv of Wagan
We of t I ment of V ui M"s 3n#Veetisn
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
Use Classification: SF I7W BW Permit No. 21112
Occupancy Typeing District tamim HAM-
17354 V ?
Owner of Building ? Address hi, B3, wRem tHILS 2M
Burl /\Ndress Locality
i• ? - -? - ?''/Y Date:
Building al
POST IN A CONSPICUOUS PLACE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
SITE ADDRESS: `t I1I 1?+
• •j t:1 t ? ,:.., it f 1 L `. tIk
illli5 1.1F11 1111 I [:. .?t?it
APPLICANT:
Ldll I 1 H I N#,
6dt.10+/`1ra
PERMIT SUBTYPE: TYPE OF WORK:
I[: t;
Permit No. Permit Holder Date Telephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Fireplace
Final Mg.
Orsat Test
Final Plbg. Plbg. Inspector- Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
Address 3442 ROLLING HILLS DRIVE Zip 5512 1
Lot 1 Bik 3 Sub BUR OAK HILLS 2ND
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: q/7 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 LI/
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
C? l -OG ?P REQUEST FOR ELECTRICAL INSPECTION EB-00001-0e
See instmclions:or WrDpleting this form on back of yellow copy.
71 65 "X" Belao-uWo%6overed by This Request
Ne% Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) o actor's Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Ab-ove,100 -Amps
Signs Inspectors use only: - TOTAL
Irrigation Booms C? r 5?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORD RED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
h
h
i
h
t Roughin Date
certi
e above inspect
y t
at t
on
as
been made. Final oat i
OFFICE USE ONLY
This request void 1B months from
0- 5 5066 DU &r4 441A oZ% l;ic;7v'r9
Reque Date Fire No. Rougin Inspection Requned
(Yo mu call inspector when reatly) Inspection OtNher Than Rough-In
Ready ow ? Will Notify Inspector
Yes ? No Date Ready
I *iicensed contractor ?owner hereby request inspection of above electrical work at:
Job Address (Street, Box or R No.) City
({
1q ?4
E,
Section No. Township Name or No. Range No. Cougt¢ '
p?JOu•4_
)L
Oceu nrrt??'?(kkPAARIN``T) R ( D
?V I? I 1 1 Phone NN
o
Power Supplier Address
Electrical ontractor (Company Name) Contractor's License No.
C A 00 8U
Mailing Address (Contractor or er Making Installation)
O
AuMonzed Signature (ContraclodOwner Making Installation) Ph a Number
bc ?
MINNESOTA STATE BOARD OF ELECTRICITY I I I EQUEST
IS INSPECTION T
ILL NOT
2
-M e
Bldg. -Roam
II
h
I
I
II
I
I
II
II
I NE
STATE BOARD
{;/TiE ACCEPTED BY
I
18
1 U
rsit
4 Ave., SL Paul, , MIN MN 55104
1021 i I I
PROPER INSPECTION FEE IS
UNLESS
a (612) 6
Phone (612) 6420000 l ! ! CLOS
ENCLOSED.
7
7 o
9
I LAI';(?
Re uesl Date Fire No Rough-in Inspection
aired? yyy
O Ready Now ?'lill Notity Inspector
/
s n No When Ready?
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address Street. Box or No.) City
Section No. Township Name or No. Range No. County
.?A?oTfF
Oc want (PRINjI
i Phon No.
-) 644
V ?s
Powe Suppl
ier
N
Atltlress
SP p
p.
O q a - Z.2 O
Ele ical Contractor (Company -91 Co rest r§ License tip
Mailing Address (contr c
Arjor O n r Making Installalionl l
'
k ?j [
/
?
AD) N E/ 4
?
i
e- /)"Q 14 /V W
hori ed Si aW nt771 a g I Ration) P nDNum er?_
O
MINNE OTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul, MN 55101 UNLESS PROPER INSPECTION FEE IS
Phone (612) (542'0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ?N° ?, ES000001-M
?? ? See instruct ons for co RppOg this.form on back of yellow copy. C - 94 / 9
K "24O X" Below Work Covered by This Request
ew Atl Rep. -S Typeof Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other-(Specify(
f Comm./Industrial Furnace
Farm Air Conditioner
Omer (specify) Contractor§ Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps /Ca , 0 to 30 Amps
Transformers Above 200 _ Amps Above.V mps
Signs Inspectork Use Only: TOTAL Q
Irrigation Booms
?. cfi `
(L •??
Special Inspection
Alarm/Communication THIS INSTALLATION MAYBE DER D CONNECTED IF NOT
Other Fee COMPLETED WITHIN IS S. f
I, the Electrical Inspector, hereby
Rough'" ? •f Op?j
;L • [I
certify that the above inspection has
been made. g, pare
OFFICE USE ONLY
This request voio 16 months from
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
3442 ROLLING HILLS DR
LOT: 1 BLOCK: 3
BUR OAK HILLS 2ND
SITE ADDRESS:
DESCRIPTION:
e,uildin`g_Permit Type SF DWG
Building Work Type NEW
/'UBC Occupancy R-3 M-1
/'Construction Type VN
j Zoning - R-1
/ Building Length 62
Building Width 34
i
REMARKS:
- APP
S&W CONTRACTOR - SCHERER PLUMBING
PERMIT
PEAMITTYPE: BUILDING
Permit Number: 021112
Date Issued: 06/07/93
a?
V-c , , (J
FEE SUMMARY
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
CONTRACTOR:
HIGHVIEW HOMES INC.
17354 ITHECA CT
LAKEVILLE MN
(612) 892-3282
VALUATION
$590.00
$383.50
$44.50
$750.00
100
$1,768.00
PRV
$89,000
MISC FEES
COPIES
Total Fee
$1,744.50
$1.00
$3,513.50
cant - ST. LIC. OWNER:
18923282 0005493 HIGHVIEW HOMES INC
17354 ITHACA CT
LAKEVILLE MN 55044
(612)892-3282
55044
I hereby acknowledge that I have read this
information is correct and agree to comply
Statutes and City of Eagan Ordinances.
APPLICA ERMITEE SIGNATURE
application and state that the
with all applicable State of Mn.
J
?11UB U A I?
ISSUED GNAT R
REACTIVATE _ CITY OF EAGAN
PERMIT # ( J 1993 68BUILDING 1-4675 PERMIT AP?C?A?IQIVj?s/3l S b
6 0.?? ? L,CJ\ r? ((pp?ll
`ll V .(? Cs iA r i c-% YJ1), -e G"?S 1 l n %q `+.W
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 7 Valuation of work
Site Address: iQo L'4 TIA fJ
STREET SUITE I
Tenant Name: (commercial only)
LOT BLOCK SUBD. wr G? /'-!r l1S P.I.D. k
z w L ofict
Description of work: 6L FG-
The applicant is: ? Owner Contractor ? Other (Describe)
Name [,? v< 7-4 Phone
Property LAST FIRST
Owner Address 1 35 Y
STE M
STREET
//???? /
•"-`- State Zip
C
ity
Company ia( V1 T• Phone o g?2-3z ?Z
Contractor Rmc 21y Sv n W sa •
Address 1735-14 ZtG??.?y ?' -F License # J 1? 7 3 Exp.
l?
city State Of4 'y zip
Company V6y-e Des 'g Phone ifF 2- 4 Z
Architect/
Engineer /'-
Name Pav? yo 9g f! 4z' Registration #
Address
City State 114 0? Zip
Sewer & water licensed plumber 5, L..e(-e- P?v? ?c`?•--, Processing time for
sewer & water permits is two day's 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 a able State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
r
OFFICE USE ONLY
BUILDING PERMIT TYPE ,
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
R1 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add11. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
J4 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) a. Basement sq. ft. MWCC System
(Allowable) Y-N 1st F1. sq. ft. City Water
UBC Occupancy 1Z 3 m-1 2nd F1. sq. ft. PRV Require d
Zonin Q -1 Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkl er
Length _TT_ On-site well Census Code
Depth 3S4 On-site sewage SAC Code a
APPROVALS j
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 P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC % (00
SAC Units
valusti m:
$ S9 ooJ
22X2 = s2°oX/6= 11
2nl?' Ctb X 2q 4Go
2 X i??.. 26
8 )c /? _ /2 B
Fuur2c l?lrx -7 L( °
?'Q'1 I o
I,?o ly
zXi?
11?2Ksq
(32 g'l
?/ y y-7c?
MAY 28 '93?,09I1,f TO 612 681 4612 FROM PROBE ENGINEERING T-095 P.02
. ! 1
COMSVITTInAO tNOINttRS f/CBf1lG?K/ H?
tsE PIANN and LAND >;VRVtvORS X5760 D/
HNEERINO BK. 192
OMPRNYE INC. fG9.67
1000 EAST 1461A STREET, BURNSVILLE, MINNESOTA 55337 PHI 432-3000
CERTIFICATE OF :SURVEY
Legal Description:
SCALE 11' a SS'
Z
(S?EF) DENOTES EXISTING ELEVATION
( 87/..5) DENOTES PROPOSED ELEVATION
.--W- INDICATES DIRECTION OF SURFACE DRAINAGE
871.83 = FINISHED GARAGE FLOOR ELEVATION
865. 12 = BASEMENT FLOOR ELEVATION
871,14 = TOP OF FOUNDATION ELEVATION
f6%CW e : 7A/// ® Cols / P,' 1191 BiW-C 3. &". - 872.10
G& sa
.W sr AmvrXILp/N6
,OR A 049E AND
l/T/L/TY 60FA4ENT
I hereby certify that this is a true and correct representation of a tract of
land as shown and described hereon. ' As prepared by me this Z52W day of
WAY , 19-u-.
9VMW r-t8-90 : AWAW 64OW /,v Ar
Minn. Reg. No. 4.0105
4XVV PAVO AW ef7 Ab Or 1
C/ &I
YS=96% 612 432 3723 05-28-93 10:05AM 'P00T12
n -•`•a<i DEPT
L0LN. V O rR- EQURR M
,it
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
a a m
W y
a'?? ?
C? ? 0
LLa'" 0 ?
e' 0 0
•0- ? ?
ELEVATIONS
Existin4
0 4J ? sewer service
5,11 ? Lot corners
B! ? ? Top of curb at the driveway
Ll ? ? Elevations of any existing adjacent homes
Proposed
? ? Garage floor
First fl
? ? ? floor
r 0 ? Lowest exposed elevation (walkout/window)
ff ? 0 Property corners
r ? ? Front and rear of home at the foundation
PONDING AREAS (if aDDlicable
D K ? Easement line
? 00? ? NW L
? yY ? HWL
? Pf ? Pond # designation
? 0-0 Emergency Overflow Elevation
entry,
DIMENSIONS
? ? Lot lines
? ? Right-of-way and street width (to back of curb)
[? ? ? Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
C? ? ? Show all easements of record and any City utilities within
those easements
C•I' ? ? Setbacks of proposed structure and setback of adjacent
existing homes
? ? ? Retaining w e s, if any Q T
Reviewed:77' Z 7?T/
October 1992
PROPERTY LEGAL:
Date of Survey:
DOCUMENT STANDARDS
• Registered Land Surveyor signature and company
• Building Permit Applicant
• Legal description
• Address
• North arrow and bar scale
• House type (rambler, walkout, split w/o, split
lookout, etc.)
Directional drainage arrows with slope/gradient ?.
• Proposed/existing sewer and water services
Street name
• Driveway
rr
CITY OF EAGAN
EXTERIOR ENVELOPE AVERAGE 'U' COMPUTATION
OWNER:
SITE ADDRESS: X"
r -?
CONTRACTOR: ? cDATE: 7 7 L PHONE: F 72-
Determine working square footage of each:
't, ??.s --I)L
P, /?S bl .
LP2
1. Total exposed wall area .. ? sq. ft. x .11 = 7 4 /%?
2. Total roof/ceiling area .. j'-3Sy1 sq. ft. x .026 = ]SS . Y /
Total exposed wall area above floor = / F' .S /--,
a: Total wall window area -27 r,
b. Total door area ...................................
c. Total sliding glass area ..........................
d. Total fireplace wall area .... .. ............
e. Total wall framing area (average 10S) 6
f. Total net wall area above floor ?y
g. Total rim joist area .............................. Total exposed foundation area =
h. Total foundation window area....... ................ Cj
.i. Total net foundation area above grade .............. --`-??-
Determine 'U' value of each wall segment:
a. Z7 ?_ x
b.
c. x
X
d. x
e.
f. x
x
g•
h. x
x
i. x
?U: TZ
TUT
?fzti
1 ti' T?
'Ug
' L
?U,
U
lul -
lug G
-- -2-elax_
3.1 ................................................... Total = ) '-) -2., 7/
If item 03 is the same as or less than item 01, you have met the intent of SBC
6006(c) 2.
Total exposed roof/ceiling area = ( 3 6 Z
J. Total skylight area ............................... (7
k. Total roof/ceiling framing area (average 10%) ..... -J__3
1. Total net insulated roof/ceiling area. .........
:...
OVER
A?ft-OF EAPAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
Ci'A U9?7
b-3-qcf
BUILDING
023779
06/03/94
SITE ADDRESS:
3442 ROLLING HILLS DR
LOT: 1 BLOCK: 3
BUR OAK HILLS 2ND
P.I.N.: 10-15501-010-03
DESCRIPTION:
Bauildin-q-.Permit Type DECK
Building W6,rk Type NEW
_i
r
y
REMARKS
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
$30.00
$30.50
CONTRACTOR: - Applicant - ST. LIC. OWNER:
TIMBERWORKS BLDRS INC 16860911 0006352 STUMP DAN
829 TROTTERS RIDGE RD 3442 ROLLING HILLS OR
EAGAN MN 55123 EAGAN MN
(612) 686-0911
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
L_
I
R ?a r? (Yh l
?:w ., - 2&4 'f otLO
APPLICANT/PERMITEE SIGNAT E ISSUED R SI ATUREI
Determine 'U' value for each roof/ceiling segment:
- ? <s
O x 'U,
- -^
Total J v
4 . ........................
If total of S4 is the same as or less than 62, you have met the intent of SBC
6oo6(c)1.
Alternate Building Envelope Design
the sum
the
To utilize the total envelope system method, values established by 02.
of Items 03 and 04 shall not be greater than the sum of items ? ? and
+ 2.
+4. Z
3-
2
z.s499
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
_$JO- M
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site su
VFv?Y6 rgy
e7s?(
L
Y
calcs .
g 1 199
COMMERCIAL 2 sets of architectural & structural of
specifications, 1 copy of energy calc - - ---
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.
- 30
Date S
/ 9 / Valuation of work '`?
'' //
Site Address:_ 3ryY2_ ?o?ce /-/-/"'S /?2. ?4? /W/V
STREET SUITE #
Tenant Name: (commercial only)
LOT _L BLOCK 0 A
?r
.J
SUBDA
G P.I.D. #
,
v
L
Description of work: ?EGIc /% ,?42 OP ///
The applicant is: ? Owner ontractor ? Other (Describe)
Name S?/m/? 1?Ei?is? f 1?.wJ Phone
Property LAST FIRST
Owner
Address
STREET STE #
City State Zip
Company 7-1;w6E,r1oyie_r /-'5WcD S- emu-. Phone M6 -O/f/l
Contractor Address 629 TgmErS /go License # Exp. 3 9s
CityG State IKly- zip _5572-?
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & ,water licensed plumber /? ?f'/ Processing time for
sewer & water permits is two days one 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. ?-
U? o s.
/ /??3Eiau/oeks v
o
Signature of Applicant:_
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. X1'15 Deck
WORK TYPE
,13 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
? Wallboard
Basement sq. ft.
1st F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
P Footing
,IY ? Framing
Final
? Draintile
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surchargge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
Valuation: $
X16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code 3ei
SAC Code
Census Bldg
Census Unit 0
Assessments
SAC %
SAC Units
citq of eagon
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
Office # (612) 681-4600
TDD # (612) 454-8535
Fax # (612) 681-4612
Z
TO: FAX # i / 4 - 7
COMPANY C
ATTENTION
FROM:
TIMF. ? /?-
# of Pages to Fo11mwT__
Your Ilse
For Revieiv Re Comntenls
fiigii Priority
Comments:
Note to Facsimile Ofrerator:
Please deliver this fax transmission to the above addressee. If you did not receive all of the pages in good
condition, please contact us. Thank you.
THE LONE OAK TREE... THE SYM80L OF STRENGTII AND GROWTII IN OUR COMMUNITY
Equal Opportunity/Affirmative Action Employer
CTIM"IN3 ENOI it
0 i3E PLTItImns and LnH lLmvfvons
ENGINEERING
COMPnNY, INC.
1000 EAST 1461h STfIEET,
yi,?,yt/rEw f/?s
X5760, O/
3
8K• 192
.; PG. 67
BUTINSVILLE, MINNESOTA 5533T I'll 432-3000
CERTIFICATE OF SURVEY
:-al Description:
f"
S C, .LG : V 3U'
/
_eUP
( - Z;o) DENOTES EXISTING ELEVATION
( 87Z.5) DENOTES PROPOSED ELEVATION
INDICATES DIREC i ION OF SURFACE DRAINAGE
87Z,,i3 = FINISHED GARAGE FLOOR ELEVATION
8-S. 17- = BASEMENT FLOOR ELEVATION
873•16 = TOP OF FOUNDAI ION ELEVATION
i6WWIWWW t : 71W (W Zn75 1t,' 18, /3uC,C 3, E[E?. = 872.10
A
r
_- 1
t - B J3 07„
/ °Io 53 I \g4.BZ A- 546.98
'?f1;3.1 ..•^3.8Z '°"1 y:.z??iE 3zoo--'-_
\\L ply I--?- ? m IT /I
I' o I I^', II \`??
7 2
n 1 ? v`
x
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UTILITY -PISEMENT
i
"b
llere'oy cc.rl:).Ly that L•Ilis is n true and correct representation of a tract of
J as shown and described hereon. As prepared by we this ZS N day of
'S•
Minn. Rey. tlo. /6pe9.
F?/-7, z7
f
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NO. FIXTURES EACH TOTAL
l SHOWER 3.00 S-
i WATER CLOSET 3.00 x--
BATH TUB 3.00
LAVATORY 3.00 3
KITCHEN SINK 3.00 3 -
1 LAUNDRY TRAY 3.00 3 -
HOT TUB/SPA 3.00 ?s
i WATER HEATER 3.00 3-
FLOOR DRAIN 3.00
GAS PIPING OUTLET • minimum - t 3.00 3
ROUGH OPENINGS 1.50 T _c
_ WATER SOFTENER 5.00
PRIVATE DISP. • DatCry. iic. 15.00
U.G. SPRINKLER • home under tit. 3.00
ALTERATIONS • to misting 15.00
WATER TURN AROUND
15.00
STATE SURCHARGE 50
SITE ADDRESS:
OWNER NAME:
I
INSTALLER:
TOTAL:
°Z h
^0 c.:
? r
// W r
.00:?4
CITY: ?i'/?? .t? { STATE: /?J' •• ZIP CODE: SSI"wk2
PHONE #: (Cpiz ) L} -(-7-- (.v" 1
1993 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN SS122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCLAUINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UN71 .
NEW CONSTRUCTION
ADD ON
_ REPAIR
WORK DESCRIPTION:
CONTRACT PRICE:
FEE: 1% OF CONTRACT FEE.
STATE SURCHARGE: $•50 FOR EACH $1,000 OF 1'!"1 T 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
1993 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN SS122
(612) 681467S
,
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
I NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE -7-:?-
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS (MINIMUM 1 @ 53.00 EACH)
ADD-ON/REMODEL (EXISTING CONSTRUCTION)
STATE SURCHARGE
TOTAL
SITE AE
11
? ?1u ew
OWNER NAME:
INSTALLER: 7,z.
FEES
$ 24.00
-6.OG -
$ 15.00
.50-
3zl.so
s ';7? TELEPHONE #:
r L ?c
y0 w %y /- 7 -5 -/ r
,i2 0
/ ZIP CODE: 5's
0 STATE: ,
TELEPHONE #: ?? - 227
1993 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
1993 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN SS122
(612) 681467S
PLEASE COMPLETE FOR ALL COMMERCIALANDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
DATE:
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
CONTRACT PRICE: $
1% OF CONTRACT FEE
PROCESSED PIPING:
MINIMUM FEE:
STATE SURCHARGE
TOTAL
SITE ADDRESS:
FEES
$25.00
$25.00
$.50 FOR EACH $1,000 OF F R TT FEE.
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITY
TELEPHONE #:
STATE: ZIP CODE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
For Office Use
Permit
City of Ea a
Permit Fee: e9o
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 Staff:
Fax: (651) 675-5694 2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1- ~ 5 Site Address: - V9 Ace yC ~ti
Tenant: p u G /LQ~/4" G~ 1 Suite
RESIDENT / OWNER Name: Phone:
Address / City / Zip:
Applicant is: Owner - Contractor
TYPE OF WORK Description of work: t 24
Construction Cost: Multi-Family Building: (Yes / No )
CONTRACTOR Name: TWIN CITY HOME REMODELING, INC. License
I 1110 CeWW AM= NE
Address: Spl LEA Perk, MN City: (M572 Z77 State: Zip:
Phone: Contact Person: 1?6 j
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
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.
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 t art 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 plans.
OWE-d e 0 x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
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For Office Use
; :�i :::e:
E N
Date Receiv-.:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 EC I
(651)675-5675 I TDD: (651)454-8535 I FAX:(651)675-5 Staff: �,_IF'
buildinginspections ancityofeagan.comNAV O 201 + Cet
2018 RESIDENTIAL LDING PER IT APPLICATION
11/28/18 3442 Rolling Hills r Unit#:
Date: Site Address:
,. Lumin Pham Phone: 651-621-4781
' Name:
Resi anti
3442 Rolling Hills Dr
Owner Address/City/Zip:
Applicant is: Owner X Contractor ` /. id"" / r
Type of Work
Description of work: Install 3 Season porch on xisting Deck 1 4 forl
Construction Cost: 27698.00 Multi-Family Building:(Yes /No )
Company: Co
Champion Windows 7 ntact: Tice Wolf
Contractor
Address: 5100 Hwy 169 N City: New Hope
` ' State: MN Zip: 55428 Phone: 612-590-7424 Email: tWOlf@getchampion.COm
License#: BC449672 Lead Certificate#: NAT-20968-2
If the project is exempt from lead certification, please explain why:
Home built after 1978
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
ANO Plans and a�tt n r ►cum nts Viat rsub it cabs to be pub#0Information. Portions oftheInfor atiorn Abe
stecrets
AS 11. .• btia if ®u . r e e e". t,'(c re isons that .q It the C. to conclude that• 0 are fradle
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.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.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.
010,4 Pot
p. ri 4,07.7 Sig-11!"!-----
-
-3qq7_ ,t1,1, x.15 Dr / c3 'NV
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace sk Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ 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
Valuation 9 CVO Occupancy Z'RO—1 MCES System
Plan ReviewCode Edition PicSAC Units
(25%_100% V) Zoning n-I City Water
Census Code iii 34/ Stories / Booster Pump
#of Units I Square Feet /Nit PRV
#of Buildings t Length / Fire Suppression Required
Type of Construction Width /1.
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) ' Final/C.O. Required
4 Footings(Addition) Final/No C.O. Required
Foundation Found tion Before Backfill HVAC_Gas Service Test Gas Line Air Test Hood
Roof:_Ice 9ater Final Pool: Footings _Air/Gas Tests _Final
Framing 6'30 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: / Y1/9 , Building Inspector
RESIDENTIAL FEES �yito3 .pek t 't' i°0410 &4 Ij0A r4 lie 4
Base Fee 1 77
Surcharge
Plan Review f/ 3 V--
MCES
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies Cal
TOTAL
Page 2 of 3
321q-2- C-t71 \,-,\ -L-1\s -,, l5-3`-f
MAY 28930lz 14°TO 612 681 4612 FROM ENGINEERING T-095 i'.62
• • I
CWKVITINQ �MgIN !8>Z `'`?', 61/,3111/00/ •,
E PCANN�N1NAs end ANio �iunvevons 's760,o/
PROB.
NGINEERING 0K. 192
COMPRNY, INC. sa.b7
��....�.- 1000 LAST NA STREET, OUANSVILLE, MINNESOTA 65537 PH 4132-aaoo
CERTIFICATE OF SURVEY RECEIVED
Legal Description: _L07" ., / 4, 3 1247 aiJe ,e//149 , VD Ap17/7704 DEC 2 0 2016
/.'. , i .- 4 / !i i 4 ,r$'/ f
( ? 6) DENOTES EXISTING ELEVATION
14111
( 87/..5) DENOTES PROPOSED ELEVATION
....-783-i INDICATES DIRECTION OF SURFACE DRAINAGE
87/. = FINISHED GARAGE FLOOR ELEVATION
86S, I2. , BASEMENT FLOOR ELEVATION
873•J = TOP OF FOUNDATION ELEVATION
SCALE e r..Soy 1 .tWf Mer : TAH 0 1075 /Os, gtsr.0 S. REK m 872.to
�DLL� 1/d1"5 _ hRN
•f E ---""1 ' 07
,1 �- d 867.
NB2 L,zars F' o t
1173•, al 87.0.€--- .
0 555,13
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r r, I,i 5 so or mow-fluxt,Avis
\ t° ' ° PI + . 1112/4>
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.6. ,,(40) ('I I ki - AllOdiiP7,it L: II) •
- E;r‘' li , . „viz, 14I -irror !!
_ I
DATE: 410117/r•_ € � �G DEPT
BUILDING INSPECTIONS DIVISION P,G2M, Rtr, VIINED
C hereby certify that this is a true end correct representation of a tract of
Land as shown and described hereon. As prepared by me thin z5''' day of
41* , 19 93 ,• ' •
Nap Pssa-t3 : Aavi?Vt, &wirer to;A' �s�AN012 Ivo en/mo f
Minn. Reg. No., 44905
'It-96% 612 432 3723 05-28-93 10:05AM '100