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539 Rolling Hills PlPERMIT City of Eagan Permit Type:Mechanical Permit Number:EA128858 Date Issued:12/11/2014 Permit Category:ePermit Site Address: 539 Rolling Hills Pl Lot:3 Block: 6 Addition: Bur Oak Hills 2nd PID:10-15501-06-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Wade Sedgwick 7588 Washington Ave S Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 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 - Matt J Eisen 539 Rolling Hills Pl Eagan MN 55121 Pronto Heating & Air Conditioning 7588 Washington Avenue South Eden Prairie MN 55344 (952) 835-7777 Applicant/Permitee: Signature Issued By: Signature 12EACTIVATE ~'OR DECK 5j93 ~SPECTION RECORD ~ Control No. o~ 1 ~~~":~'~F EAGAN pager - Phone ~`454-5993 PERMIT TYPE: Nt~t l 1 c~ 1 Nr~ ` ,,,630 P~~t Knob Road ~2Z_46b2 Permit tVumber: AqtlB! I . Eagan, Minnesota 55123 Date Issued: 0~/i 2J92 (612) 681-4675 ""SITE ADDRESS: ~,~.i : h APPLICANT: t; jn YQIL ~Nf~ <<, p~, Mr_noNO?EO ~a~~r ir~r ~iiJll~ tlAk' NILLS 2MU Ifii~) 6Et13-1i16f PERMIT SUBTYPE: TYPE OF WORK: 1 C1t~1f, NEiJ . . . FI~~~i tN~, FRI~M[N13 I I~~ULAT i UN WAi. l~OARD ~ FlN+R1. ~IR~i~~:ACE _ _ "kt'- ~ _ = ta ° - - ~ : • - .,a ' . . = - - . . -a~;, ~~r. _ - - . ~ - - - . . . . - - _ ~ r Permlt No. Permft Holder Dake Telephone # . sr~r y~~ PLUMBING /q ~ g~/~(~ Hvnc • Q-C.eJ / 3 U ~O ~ ELECTRIC 3/ ~ ~ 7-' ~ `s' 2Z ELECTRIC Inspection Date tnap. Gomments FoOtings I 3 / ¢~L s~~ Foundation ~ ~ Framing y~ Raofing Rough Plbg. > ~ _ ~ L ~ ~6A~'tj Rough Fltg. ~ ~ ~ ~ , ; ,B~U~ ~ ISUI. y~ ~ ~ Fireplace ! j `~J~" /1/ d Flnal Htg. ~ 2 R gz Orsat Tes1 Ffnal Plbg. Z~ Plbg. Inspedor - Notify Piumber Corret. Meter EngrlPlan s~~. F~?~~ ~ .29~~ C~ ~ Ft9. l~/,~ ~ ~ ~ e~ k-~ - 3 9~ Dedc Final p Well Pr. Disp. ~ 3 ~ .~l~~i S %~-s~! C+-i ~ + ~ , $~'~'7 v5 _;iy~,~R'~~ _ .,r7'~ ~ t` ~ • ~ ~w ~ ~ ~ ti ~ Y . . , ,~A•-4 ~ t , ' ~ ~ A ~ Jy a.-z.._ . ~~~#t#ir~fr uf (~rru~r~nr~ ` ~ ~itp of ~agan ; ~r~r~r~nrt~ ~f ~utfitdiag ~n~rrrtimi This Cer#ftcate Essued pursreart ~o tJie requi~ements ojSecabn 306 ojtlie Uni~'orm ~ing Code eerti; fying rhat et ~he tinre of issuanctie tfris sduclure wns in compfiance with !!ce v~rious o~di~wnces of tl+e CitY negudalin8 building construction o~ use For rlie foUowing. SF DWG7GAR ~~N,, 17 ~r~ W/MI ~aw~ ~c~n ~ p,,,~~ ~ g~;~ MC~+IALD ~r II~T I I 71M~TT7. BAY Ril~ B~ VI[ iF. ea~„~ 538 F~,I.II+~ IiIS+$ ~~,y I.3. Bfi. BUR QAK EZIIZS ~ID ~ : ~ 5/2q/42 ~ ar~ ~ POST IN A CONSPICUOUS PLACE _ ~ • r - : '1 - _ ~ ' ~ ~ x . - - ~ . . ~ s.. r. . . r ~ .,~-~t+'. , _ . . ~ . CASH RECEIPT _ . °''y CITY OF EAGAN ' 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE / 19 ~ 7` aECerveo ~ FR04~ ~l ~ ' ! ;(~i IL! ~ i . L! at,tiauNT a % a( ~ DOLLARS ,aa ? CASH ~'~HECK : ~ C- ~15 ' :-t, h.~ ~ ~ L wr+ ~ ~ -~S %P~~'1~ ~ : /G~c .j~`{ ~ ~/U. Z(J J ! ~~G~I tiCJ /IIIIS I.f' 5ll~f~lG ~rAfC ~N/? C 3!~(o i.-:v.,. Uc~K lF~ .?~,c~ -s~,:~ (vy .:~7.)~ ~'•1.;:, , r.~a:~ ~ ~ `~i ' V .i L l~'S~ • L ~ , f r'; ~ FUNO OBJECT j)P C~ i. U AMOUNT ThankYou BY ~ ¦ _ ~ D / ] ~ O ~ 6y . Yl~llt~~g ~WY ~(~,/1,.\y~) ~ ~9nOql~O6~1TY~ ~iO~Y V-V~7 Pink-File C,opy ~_M~ . • . , , _ , _ . . . . . . ~ SEWER & WI~TER PERMIT ` OFFICE USE ONLY CITY C~F EAGAN ~ METER #~~,14! a~2 PERMIT DATE 03 3/ 92 3830 Pilot Knob Rd. g Eagan, MN 551 22-1 897 CHIP g~ .J~~ ~T. PERMIT # 38 METER S~ZE ~ P~~ B.P. RECEIPT # C 017760 DATE ~R 13 , 2992 ISSUE DATE - ~ B.P. RECEIPT ~ATE 03 12 92 - PRV - BOOSTER PUMP SITE ADDRESS 539 ROLLING HILLS PERM(7 RE~UESTED L~T 3 BLOCK 6 SECISU6 BU$ OAK NILLS 2ND ~ SEWER X WATER - TAPS APPLICANT: ADDRESS: - COMMlIND .~L RESIDENTIAL CITY, STATE Z~P ~ NEW - EXISTING PHONE: Lawn Sprinkier Meters are to be Installed PLUMBER: STAR PLBG Ahead of Domestic Meters on Water Line. ADDRESS: 1018 MOUMD SPRINGS TERR Credit WILL NOT be given for Deduct Meters. CITY, STATE BLOOMINGTON MN Z~p 5542~ PHONE: 884-4149 I AGREE TO COMPLY WITH CITY OF OWNER: 1~iCDONALD CONST INC EAGAN ORDINANCES ADDRESS: 1212 BLUEBILL BAY RD CITY, STATE BUxNSVILLE ~1 ZIP 55337 PHONE: b88-7061 SI NATURE WHEN METER ISS D , ~ ~ ~ : PLEASE%ALLOW TWO WOAKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. r 6 ~F ~ . . ~~v'•. -:a,"-5 . :~+'yv~v~7v.,w.fy7fl~pqlp~:. . .,.rP~~.a~c+pra'm'^`*4r . . , -n• !Y-•:,,'w,F:~ SEWFR $ WA~ER PERMIT OFFICE USE ONLY CITY~~I~,,'AN METER # PERMIT DATE ~3 J t3 /92 3830 pilot Kno b R d. 38 Ea~an, MN 55122-1897 CHIP ~ PERMIT # METER SIZE B.P. RECEIPT # C 017760 DATE ~R 1~~ 1992 ISSUE DATE B.P. RECEIPT DATE 03/1Z/9~ - PRV - BOOSTER PUMP SITE AQDRESS 539 ROLLING HILLS ~it (n_~~ _ PERMIT RE~UESTED LOT 3 BLOCK 6 SEC/SUB $uA OAK NILL3 2ND . X SEWER X WATER - TAPS APPLICANT: ADDRESS: - COMM/IND X RE5IDENTIAL CITY, STATE ZIP x NEW ~ EXISTING PHONE: STAR PLBG Lawn Sprinkler Meters ar~ to be Installed PLUMBER: Ahead of Domestic Meters on Water Line. ADDRESS: 1018 MOUt~tD SPxIN6S TERR Credit WILL NOT be gi~en for Deduct Meters. CITY, STATE B~~IN~~H ~ Z~p 55420 PHONE: 8~4-4149 1 AGREE TO COMPLY WITN CITY OF OWNER: HCQONALD GONST INC EAGAN ORDINANCES ADDRESS: 1212 BLUEBILL BAY RD CITY, STATE B~NSVILLE tIIV Z~p 55337 PHONE: 68t3-7061 SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMtTS, CONTACT ENGI~{EERING DEPT. RESIDENTIAL ~6'~I O ~ BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651•689-4675 - ~ ~ New Conawction Reauirements RemodeVReoair Reauirements - • 3 registered sile surveys showirg sq. k of IoL sq. ft at house; and ~ roofed areas . 2 copies of plan (20% manimum bl eoverage allwied) . 1 set of Eneigy CaiaWtions for heated addNOns . 2 copies ~ qan shvaing beam 8 wiMow s¢es; poured found design, etc.) . 1 sile survey fa ezlerar additions & decks • 1 set of Ene~gy Calc lauons • 3 copies of Tree Preservation Plan if lot platted alt~ 7N193 • Rim Joat Oetail OpUOns selection sheet (bldgs wilh 3 u iess uni6) DATE Ma,-~r, F,2nni VALUATION(EXCIUDINGIAND) .;JB SITE ADDRESS 539 Rolling Hills Place If MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER Jim and Terri ,7asper TYPE OF WORK Finish walkout level FIREPLACE(S) _0 _1 _2 _3 APPLICANT Jim Jasper PHONE# 651-454-5993 ADDRESS 539 Rollina Hills Place, Eaqan ZIPCODE 55121-2352 PAGER # 61 2-740-0708 CELL PHONE # 67 2-490-7954 FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Eneryy Code Category _ MINNESOTA RUL.ES 7670 CATEGORY 1 (check one) - Residential Ventllation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing S}•stem Includes: _ LVater Softener _ I.awn Sprinkler Fee: $90.00 Water Hea[er No. of R.I. Baths No. of Baths Mechanical Conhactor: Phone # ~lcchanical System Includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Contractor: Phone # All above information must be submitted prior to processing of app~ication. I hereby acknowledge that I have read this application, state that the information is correc and Tg to comply w h all applicable State of Minnesota Statutes and City of Eagan Ordinances. y ~ Signature of Appiican Certificates of Survey Received _ Tree Preservation lan Rec ived _ Not equired _ Updated 1l01 OFFICE USE ONLY ' O 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 O6-plex ? 16 Firepiace O 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 78 Deck ? 23 Porch (screened) O 36 Multi ? 05 03-plex ? 11 10-plex ~f9 LowerLevel ? 24 Stortn Damage ? O6 04-plex ? 12 12-plex \ PIbg~Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ?$2 AddiGon ? 36 Move Bidg. ? 42 Demolish (FoundaGon) ? 45 Fire Repair f~s~33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof 0 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation 2~Oflu Occupancy ~-3 MC/ES System Census Code ~ Zoning City Watei SAC Units Stories Booster Pump Nbr. of Units G Sq. Ft. PRV Nbr. of Bldgs 1 Length Fire Sprinklered Type of Const ~ Width REQUIRED INSPECTIONS _ Footings(new bldg) FinaUC.O. _ Footings(deck) ~ FinallNo C.O. Footings (addirion) ~ Plumbing _ Foundation ~ HVAC Drain Tile Roof Ice & Water Final Other ~ Framing _ Pool Ftgs Air/Gas Tesu _ Final Fireplace _ R.I. _ Air Test _ Final .l _ Siding Srucco _ Stone ~ Insulation _ Windows (new/replacement) Approved By >.rr _^~Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Totai Address:~ Lot g S1k 6 Sac/Sub T~ese•i£ems were/were not complete at the time of the f1na1 inspection. D te: 5/29/92 Yes No Final grade (6" from siding) Permanent steps - garage ~ Permanent steps - main entry Permanent driveway ~ Permanent gas Sod/seeded grass Trail/curh damage ~ Porch Sasement finish Deck Please verify with the builder the removal of roof tast caps from the plumbing system and tha shut-off of water supply to the outside lawn faucet before freeze potential exists. ~ YL1L[UMRP White - City copy Yellow - Resident copy PSnk - Contractor copy y 8 y~ /O SS~~O 3 17 3 ~ ~ ~e, a~ ~~s Fequest Date Fire No.~ Rcuglnn Inspecfion Rep~y red? ? Reatly Now ill NMity Inspector 6(Yes G No When ReeDY? I La[licensetl contractor ? owner here6y request inspec[ion of above electrical work at: Job A4Eress (Slreet. a or Raute No.~ C!ry 3 11 5 I Setlb~ No. Township Name or Range No. Cou ~ OccoPanl (PFI 1 ~ ' P~ore No. - ~ Power Suppllx ^ Atltlress I J EiecVi al Conlra tor (Com a~y Name) Coyra or5 License N /1 Mallir~g Pddress 1 on^Vaci~e Owner Making Inst2~~ation) . I` Aufho ~zetl SignaNre ~GO~ira onOwner Making Inst II ion~ I ~ Phon uQ~bp,( I ' ~ Y \"7 J~- hi MINNES A ATE BDARD OF ELECT I Y THIS INSPECTION PEOUEST WILL NOT Griggs~MiEwaY BIOg. - Room 5-0]3 _ BE ACCEPTED 0V 7NE STATE BOARO ~BYI University Ave., Sf. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Plwne~6t2~6<P-060p ENCLOSEO. REQUEST FOR ELECTRICAL INSPECTION °'"`°T'~ ee-ooom-oe ~8 ~ ~ J~,^ ` ? See insiructions ~or completing Nis lorm on back oi yellow copy ~~~?j Q X" Below Work Covered by This Requesf ~ ew tltl Rap. TypeolBuilding ApplianCesWiretl EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building ryer Other (Specity) Comm.llndustrial urnace Farm Air Conditioner OIM1er (syxity) ConVac~or5 Remarks' Compute Inspection Fee Below.~ # - Omer Fee # ServiceEniranceSize Fee # CircuiGSlFeetlers Fee Swimminq Pool 0 to 200 Amps ~ 0 to io0 Amps p Transformers Above 200 _ Amps . Above 100 _ Amps Oo S19n5 Inspecbr5 Use Only: ~ ~ TOTAL ~O trrigation eooms ~J _ O ' Speciallnspection ~ ~ nlarm/Communication THIS INSTALLATION MAV BE ORDERE~ DI~ NNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO I, the Electrical Inspecror, here6y Ro~yn-m oere _ 3~~ certity that the above inspection has Final oa ~ 7 Y~ 6een matle. , ~ ~ OFFICE USE ONLY y ~ ~ ? This request wid 18 maMhs Irom ~ DATE: M~ 16, 1992 , RE: + 539 ROLLING HILLS DR (MCDONALD CONST INC) X Your Sewer & Water Permit for the above property has been completed. It will 6e held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. _ Your Sewer & Water Permit for the above properly cannot be completed lor the tollowing reasons: _ Your Sewer R Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454•8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. (~55~ o 2004 RESIDENTIAL MECHANTCAL PERMIT APPLICATION City Of Eagan ~ ~ ~ 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 ~ Please complete for: single family dwellings &[ownhome~/condos when permits aze required for each unil Date ~ / / Site Address ~~J r ((~Fl ( 1 ~ / ~/I ~ • Unit # Property Owner ~l ~`/!f( ~ Telephone # ( `f ) 1 ~ l ~ Contractor i I Street Address '1' / ~J . City State / ~ / 1 Zip ~ Telephone # ( 'L~~ Bona#: ~a~a~~~~~ Expires: ~ Q The Applicant is _ Owner ~ Contractar _ Other Add-on or alteration to existing dwelling unit $ 30.00 furnace _Additional _Replacement air exchanger ~ airconditioner _New ~Replacement other f. _ State Surchar e 4i~~"~ J' LU04 $ .50 g Il 3UL Z 3 Total ~ $ ~ I heieby apply for a Residential Mechanical Pernut and aclmowledge that ihe information is complete and accurate; that the work will be in wnformance with the ordinances and codes oF the City of Eagan and with the Mechanical Codes; that I understand this is not a pemut, 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 app ved plan in,the case of work wluch requires a review and approval of pl ~~~,i~h -{~c11~ Applicant's Printed Name App icant's Signature ~ 3 2004 By 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Da[e / / Site Street Address Unit #t Tenant Name (if appticable) Previous Tenant Name Property Owner Telephone J7 ( ) Contractor Street Address C~ty State Zip Telephone # ( ) Bond Expires: The Applicant is _ Owner _ Contractor Other Work Type New Construction _ Underground Tank _ Install _Remove *"see below _ Interior Improvement _ Install Piping _Processed _Gas Nature of Work: '"When installing/removing underground tank, ca!! for inspection by Fire Marsha! and Plumbing Inspector P¢im1[ F'C¢5: $7050 Underground tank installa[ion/remuval ~ $SOS6 Miroiroeum (incWdes Sta[e Surcharge) ~ or Contract Value $ x 1% Permit Fee •'If nermit fee is $1,000 or less, add $.50 ~ $ State Surcharge If ~ermit fee is over $1,000, add $.50 for every $1,000 ~t fee . . $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the inforntation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand tLis is not a perxnit, but only an application for a permit, and work is not to start without a pemut; that the work will be in accordance with the approved plan in the case of work which requues a review and approval of plans. ApplicanYs Printed Name Applicant's Signahue Approved By: , Inspector Date: ~ 2002 BUILDING PERMIT APPLICATION ~ ~V" ~ CITY OF EAGAN ~ 17~~~" ~ ~ ~ ~ 651-681-4675 j~ f ' _ Foundation Onl New Construction Interior Im rovement . Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (1) " . CertificateofSurvay (1) • CivilPlans (2) • ProjectSpecs (1) • CodeAnalysis (1)" • LandsppingPlans (2) • KeyPlan (1) . Project5pecs (1) • CodeAnalysis (1) ° • MasterExitPlan (1) . Spec. Insp. & Testing Sd~edule " • Certificate of Survey (1) • Energy CalculaUons (1) not always" • Soils Report (1) • Spec. Insp. & TesUng Schedule (1) " • Elec. Power & Lighting Form (1) ~ot always"' . Meter size must be esteblished • Meter size must be established • Meter sfze must be established - if applicable • ProjectSpecs (1) d • EnergyCalculatlons (1) " 1 d • Electric Power & Lightlng Form (t l 1 . Master Exit Plan (1) 1 ! . FireProtedionPlan (1)" 1 ! • SoilsReport (1) l . MGES SAC defertnination letter • MClES SAC determination letter ~ MCtES SAC determination fetter call 651-602-1000 call 651-602-1000 call 651-602-1000 Contact Building Inspections for sample Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details. DATE: ~Ol WORKTYPE:~ NEW REMODEL CONSTRUCTIONCOST: SITE AD~RESS: t ~ ~ I~L-~~ TENANT NAME: Y~. SUITE FORMER TENANT NAME, IF APPLICABLE: DESCRIPTIONOFWORK ~~~Y.LV C/lV~ ~ Name: ~~JlJ l Phone ~ 't~''I ~ ~9~ PROPERTY Last First ow~x ~ 9 ~(9'1,~,! a?CY ~~-ae-~ Street Address: City: State: f / ! Zip: ) ~ ~ ( Company: ~ V [ Phone `1 ~O CONTRACTOR Street Address. City: 0. I~ ~!~(/~CX State: (~VI1~/ Zip: ARCHITECT! ENGINEER Company: Phone ( ) Name: Registration Street Address: City: State: Zip: Licensed plumber installing new sewer/water service: Phone L~ I hereby acknowledge that I have read this application, state that the information is rect, and agree to comply with all applica6le State of Minnesota Statutes and Cily of Eagan Ordinances. • Signature of Applicant: ~S+ a~18$ Updated 1102 OFFICE USE ONLY SUBTYPE ? O1 Foundarion ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments ? 27 CommerciaUIndustrial ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE ? 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ~ 46 Windows/Doors ? 32 Addition ? 36 Move Bldg 7 43 Reroof ? 47 Repair ? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization ? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFaRMATION Census Code Zoning sq. ft. SAC Code # of SWries sq. ft. No. of Units Length sq. ft. No. of Bldgs. Width sq. ft. Const. (Actual) Basement sq. ft. MC/ES System (Allowable) First Floor sq. ft. Ciry Water UBC Occupancy sq. ft. Fire Sprinklered ' MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating ? Insularion ~ Plumbing ? Stucco/Stone APPROVALS Planning Building Engineering Variance VALUATION $ Permit Fee Surcharge Plan Review MC/ES SAC % SAC City SAC SAC Units Water Supply & Storage Meter Size S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies Total RESIDENTIAL ,1~'' ~{~6~'~ ~ BUILDING PERMIT APPLICATION 3'~S. 7 cS CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-68'I-4675 New Construction Reauirements RemodellRewir Reuuirements • 3 registered sile surveys showing sq. fl. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy Calculations for healed additions . 2 copies of plan shovring beam 8 window s¢es; poured found design, etc.) • 1 site survey for e~enor addilions & decks • 1 setof Energy Calculalions • Indicate if home served by septic syslem for addilions • 3 copies of Tree Preservation Plan if lot platted aNer 711193 • Rim Joist Detail Options selection sheet (bidgs with 3 or less units) DATE G/i Z~1J7 ~ ~p VALUATION D~~J° JOB SITE ADDRESS ~ .3 ~ ~rrTX~~~/ /"Glifif,n /"~~-P.. ~ ~ IF MULTI-FAMILY BUILDING, H W MANY UNITS? PROPERTY OWNER TYPE OF WORK ~ ~ ~ U ~ ~ ~ p'~J~FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT l.f2a J y PHONE# ~/Z - 33l-/~.3 5 ADDRESS yy.~ .~r~ ~1.~~ rn h., M~J ZIP CODE .5S PAGER # ~ CELL PHONE # //Z-~fY~ -~~'/5~41 ~.U AX # ~ L` . NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA I2iILLS 7fi70 CA'PF.GORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESO'PA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Conhactor: Phone Plumbing Systcm Includes: Water Softener _ I.awn Sprinkler Fce: 590.00 Water Healer No. of R.I. Baths No. of Bailis Mechanical Conhactor: Phone # Mechanical System Includes: _ Air Conditioning ree: $70.00 Heat Recovery 5ystem Sewer/Water Conhactor: Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or in ces. ~ ~ Signature of Applicant f ~ Certificates of Survey Received _ Tree Preservation Plan Recei ed _ Not Requi ed _ Updated 2002 OFFICE USE ONLY ? 01 Foundatian ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 E~R. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 6ct. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? O6 04-plex ? 12 12-piex Pibg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning Ciry Water SAC Units Staries Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings(new bld~) _ FinaVC.O. _ Footings (deck) _ FinalMo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco 5tone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total PERMIT# v RECEIPT DATE: ~l ~ ~f ' ~ ( f~SIDENTI~kL ~LIJM$INfi ~E~iM1T ~k~LIC~TION crrY oF ~tsa~v s8so ~nor icivos ~tn ~?s~v, a~x ss1sE 651-68i-n675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system SITE ADDRESS: 6 ~ ~wc: ~ 4 ` ` ~ OWNER NAME: ) 1 I'l~t ~ 1 Ct C u1 •P r TELEPHONE ~ 5! _'l~' S~- ~~7 9 3 (AREA CODE) INSTALLER NAME: ~ ~ ~ TELEPHONE (AREA CODE) STREET ADDRESS: CITY: STATE: ZIP: Place a check mark next to the ermit work t e New residential dwelling unit under construction and not owner/occupied $ 90.00 ~ Add-on, modification or alteration to existina dwelling unit, including: $ 50.00 • abandonment of septic system . new installation/repair/rebuild of RPZ • lawn irrigation system • waterturnaround Nature of work: h Cc C~P i7'1 ~ w-~ ~ u--~~ ~60 wL.. Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge ln ~ ~ ] I I' .50 ul I° Total I~~~ ' $ Reminder. Be sure to schedule inspections of alterations, i.e. wate ~e.,=wateF ofte en rs, etc. I hereby acknowledge that I have read this appliration, state that the information is correct, and agree to complywith all applicable Ciryof Eagan ordinances. It is the appliranl's responsibilityto no6Ty the propeAy owner ihat the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities consWCted under ihis permit within City propertylrf ht of-wayleasement. / ' ' SI NATURE Q PERIV, TTEE Updated 1101 I PERMIT ~ ~Control No. O O 31 CITY OF ~AGAN 3830 Pilot Knob Road PERMIT TYPE: a u i ~ o i N ~ Eagan, Minnesota 55123 Permit Number: 000017 (612) 681-4675 Date Issued: 0 3/ 12 / 9 2 S,ITE ADDRESS: ` 539 ROLLING NILLS $R~~ ~-~.-Q~ I , LOT: 3 BIOCK: 6 , BUR OAK HILLS 2ND DESCRIPTION: Building Permit Type SF DWG Building Work Type NEW UBC Occupancy, R-3 M-1 Construction Type VN Zoning R-1 r. , 'i. _ , C~ , ~ - -i - ~ ~ ' ` . t . , ~ i i ~ . , . ' . : . i/ ' . REMnARKS: ~'1~ e~:~~~ / ~7 ~Z ~n U ~ FEE SUMMARY: VALUATION 5147,000 Base Fee $804.00 MISC FEES $1~610.50 Plan Review s522.60 Total Fee $3,710.60 Surcharge $73.50 SAC $700.00 SAC R 100 3AC Units 1 Subtotal $2,100.10 CONTRACTOR: - Applicant - ST. DdNNER: MCDONALD CONST INC 16887061 0002 76 MCDONALD CONST INC 1212 BLUEBILL BAY RD 1212 BLUEBILL 9AY RD BURN3VILLE MN 55337 BURNSVZLLE MN 55337 (612) 688-7061 (612)688-7061 Z hereby acknowledge that I have read this application and state that the intormation is correct and agree to comply with all applicable State oF Mn. ~ Statutes and City of Eagan Ordinances. ~ ~ a~l~.~~ APPLICA T/ RMITEE SIGNATURE ' ISSUE B. SIGN UR 1992 BUILDING PERMIT APPLICATION ~ ~ 'f`~ , ~ CITY OF EAGAN REQUIREMEN~S:___, SINGLE FAMILY 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET ENERGY CALCS. MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS. # OF UNITS RENTAL FOR SALE COMMERCIAI 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS, 1 SET OF ENERGY CALCS. PENALTY APPLIES ~'iIHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MOPJTH IN WHICH REQUEST IS MADE ~ LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS 15SUED. ~~at) To Be Used For: ' Valuation: Date: 3- y-9~ ~ite Address / y7 ~ o 0 FFICE USE ONLY Loi ~ Block y EES Occupancy 3 Bldg Permit ~arcel/Sub ; Zoning R-/ Surcharge a o Actual Const Plan Review S p c~wner Allowable ~ License Fee # of stories SAC, City ~ Address Length SAC, MWCC ~o~ Depth ! Water Conn. ~ City/2ip S.F. Total Water Meter ,s- Footprirrt S.F. ~ Acct. Deposit 30 Phone S/W Permit .30 On-sfte sewage S/W Surcharge so Contractor ~ . On-sfte well Treatment PI. 3po ~ MWCC System ~ Road Unit 380 Address Ciry water ~ Park Ded. PRV Trail Ded. City/Zip ; 3 Booster Pump Copies o SUBTOTAL Phone h~-7p~~ License p~2~~~, APPROVALS Penalry Planner Lot Change Council TOTAL ~ d Arch./Engr. Bldg. Off. 3-~l S Variance Address Ciry/Zip Code Phune # Sewer/WaterLic n dCon . .Processingtime for sew w rmi is two ays once area as n approve . agrees that atl work shall be done in accordance with ign m all a pli S e mnesota Statutes and Ciry of Eagan Ordinances. Q_~'--t" ~S~ ~ zG~ ~ 9~~ ' ~ iy~ = z~;G . ~ zk _ G~-~ : 9SG, z . Z~~~ ~ S X 38' ~/0 5'S /y, 3 z ~c ~ /6 ~3,~53 = 90~-~ ~ Z = z8 ~ 2o~3X zy = Z y,~- z ~ . ~93,z XlG = 1 ~g/,a ~y~S~/~Z _ . . : . : . . y....... _ . . . _ . . . . _ . , ~ _ _ . ~ . ~ ~ Pi~h-r_r Enyine_•rina o3154C;? F.92 . r _ uri~ie~'_ ~ t. I ^ d~ i ~ ~ * ~ ~1~ II 2M122 En[Brprise O/ive 't P~tONEER LANOSURVCYGFS~CR9LENG~HEERS _ LMendota Heights, Mh~ 5~120 I ~ ~ _ _ ~~ng~nee~•~ng~ LAN0~4ANNE~•ll1PL~9CPCE4RC~fITEtt4 ~S~r~'Qp~•~!]1d G ~39 D ~ Certifica.e of Survey for. MCDor~C71d CO~1St1'UCtl07,_._~_f1C. House Address: 539_r2o~finc~ Niils Piace, Eagan, MN . Modei Name: 92-143 , RCL~~Nc ~ H~<<S PL , R 1 ~ ~e ~ ,~~,Q _ 5760 00 27 2p.. ~so O f , ( ' = --"=i , ~ . ~ ~ jj i P4 ~l , ' . J _ ~ ~ ~ .,nibE.v.tiY / - r,, ~ ~ ~ i v ~ "i3j . - ~9pz • m ~ ' t+ o~~ \ 1a ' r~~. r.~ . -."1 _ , ,i } ,y0',i I `"~~i 23..'~,~~1 1~ a ~ : ~ /r p~ - 7~' - 8.5 ":i: 2)s~ ' ~n5:bhaL~ ,~Rq~ ^yr~.`x7 ~ _ - / ~~I ' / i..:.=V t ~'y' 1' hC f f Y___ _ ___1l ~ / ' ` , + , U CO r i'8~q`~ 'i"_ _ -~l ' - ~ ~ ' / ~ , ")q . ,Q, .D' ~Mpo _ ; ~1 W ~3 L { { 1 ~ I L ~8 S 24 s B I G ; ~'4"s,~,. 5 i ~ ~,Ji ~ ~ 1`//"4 !~~.~f1 d1 ~f ~_c;~_, ~ 1 i \ ~ ; 6\~1 ~'J q,~ r ,.L , f _.!r i f.. s% ~ .J~ ~ ~Avw`r~.~. ~ e T ~ ; EAG~' El~i I Ep -~T~y~ ! • 3GO.J Denotes cxistir,g t+evatior pHf,,POSED HOU ~L~~l~"~T ~ ~ Q~o.o ,IIenotes Proposed Elevotion Lowest Floor tlevatior:~~S•~°! ; penotes Drainage & Utility Easement rop of Block Elevation: qo3_9 II Denotes Drainage Flow airection I --cr- Dencte~ Manument , Goraye Slab Elevation:~lJ~-f3 i Cenotes Offset Hub gearings shawr are assumed ! ~LOT 3, BLOCK_.6 BUR OAK NIL~S i DAKOTA COUNTY, MINNESf~7A ~ 2ND ADDITION ~ ~ 7 hp.Wy cently *~'~s~ rhie nurveY, p~e~ or raport was p~eqnre~i hy me or u~r~r. my rlirFCt cVparvis~on end thet 1 am tlu'V ~!'f'~!Prx~i I.anA Ser.•n,ynr u~«/o• lh~ tam o! ~he 51~nre of IAI,~.iesote. Oeted ehis_-dnv ot.--.' - 4.p. ta--' 1 ~ ~ ~ i ~~`-y~p, ~InCh=ofee't 1 lJ PoaEIS7 B. I Jf REG. ~J!J. 141~)1 t ~ ~ ~ 97113.~2 ~ MTNN•50TA 5TATE ENEqGY CODE CALCULATION3 ASEb ON C~iAPTER 5 OF THE • ~N~RGY COD~ - 1~83 EDIT Adoption Effective owner~/"'`'~{~~/,I~~ t~,,''~ ~ Phone Uate - Site Address contractor~f ~~,4~~ C. I phone: euildinq Classification: Type A1 (sinqle Family & Duplex) ~ Type A2 (Residential~ 3 stories or lese)__(OVer 3 stories) (OtheY) NOTE S ~mnl nl-o ~ggg 3 end 4 f 1 ra} , GENFRAL INFO MAmtna 1. Bulldinq PerimeteL~~ ~ ~ _'~4~ 2. Wall heiqht (ground to eave) ft. 1. X 2. (above) qross wa~1 area~~„~~~1~~ sq.ft. 4. Buildinq d~mensiona {L)'^ g(~q) =~B~,ft.roof &~loor area 5. Sq. foot area of rim joist - Flq j~ eize (2 X~~ ) ~ p ~s~ ~--~~~J~ ~c~' xg (Perimeter) d 2~Q7 q.ft. 6. Dovts - Area ~ L,.~ 1;~'J 12 Th~ckness in ll. factort'~ 6 ~ Type oF Con~truction perimeter ft. Manufacturer 7. Total door~s perimeteY Et. B. Windows: M uf,acturer~''~L~. `'"7 i State a U factor ~~(.p pproved TYPE SIZE AREA (Sq.Ft.) NUMBER OF ~ TOThL G~T~/ I EACH UNITS SQ EEET 9. Total sq.ft. Glase~{~_ 10.. Fireplace areat Width X lieight =`J X ~ sq.ft. 11. Exposed foundationt Neight X Perimater~X~~ ~~9$q,ft. COMPLETI~N OF THI3 FORM 23 RE(?UIRED FOh ALL NE19 ~ON3TRUCTION, HA.70R RLMODELINa ANb BUILDINC38 BExNO HOVED 5911~RE ENEROY~ OTIlER THAN THE HIHIHAL CODE ALLOWANCE~ I9 U9ED. -1- , 12. Framing area = So~ oE gross wall area. ~ 1?. Grose wall area r~ f aq.ft. • ~ tV•indow area A~ i q.ft. U windows a 1~~ UxA = ~1~ f Rim joist atea A2~C~~~gq,F~, U Yim joist=I~ UxA = I " Door area A ~ sq.ft. U door area=.~1._~ UxA = l other doore area A~L~ ~q,ft. U other doors=~ I UxA 1 Exposed fndn A~~J sq.ft. U foundation=~~ UxA ~ 1 1~ Praming area A%'J1~ sy.ft, U framinq area=~~ ? UxA l` N0t w911 area AZL~.-t~ldl gq~ft. U W91~.=1!~ UXA = ~1 (199) TOTAL . . . . . . . . . UxA = G~~ 14. crose wall area x o.ll (A-1 eingle family 6 duplex) ellowable UxA/Code (19. above) x 0.2J (A-2 other residential) x .27 (Other buildings) x .28 (Over 3 Btoriee) A3~ `l ~BTtllt must_ be larger than or same ~ x U Code ti = oF, as 179 above 15. Ceiling framing erea (At) equals lo~ of ceiling area 15A. Grosg ceiling area =(L) x(W) _~gy,ft. 158. Joiet area A = ~ ( f? l03 ceiling area = ~ sq.ft. 15C. Net ceilinq area (A~) (15A - 15B) = c~ 0 By,ft. ~ U ceiling x A~ ~•;~l~Q x!~1 [~I U framinq X A f g~O'~''~? 15D. TOTAL U x A ^ 16. Ceiling area (15A) x 0.026 (A-1 single femily & duplex) = allowable UxA/Code x o.0~3 (A-Z other residential) x 0.06 (othet) A(15A) x U Code_1t~L~ fl~j~,~ oTUlI muet be• larger then or eame F. a~ 15D ebove NoTES Use U and A values obtained from pages 1, 9 and 4. ~~qTIFjCAT70Ns I hereby certify that I have calculeted the ~~U" fectore and "R" values herein and that the building here de~cribed meets or exceede the stete of Minnesota Bnergy Conservation Act. Date siqneture . _Z_ . i. ~ ~ ~q'Z- l g-~ !;~iv~a~-~-~~.~'~ i~ ~ i ~ C. ,~~x~ c~ 44-~].~~ i5~ jlD~ Co~a ~~+2~-+~Z-+'Z~~~ ~ ~-52, l05 l3 ~ ~ ~ x ~~},~-+'2~~.2~j ~ ! ~ ~-31~,~~ ~ ~ ~ ~ ~~,~a I I~ ! w~,~ ~o~ ~It'1~1.1~1 2~~~ ~ ~ ~ = Id~- ~ o I~11 ~ 2p X l Oco~ic C(,~'j,~g k~ ~ ~ X'~= O~(oCP 1(~ ~ _ ~ro~ . I~r~~ \ ~ 1 ~ ~,oKtv~^ ~ ?~~x l~= ~O 4~ ~ t~ i ~~-X(~=1~~~ x'2= 7~eD lil;',?.~ x4~ =~v K~~ = ~ n~ i ~ - - ~~I ~ ,~`~2 ~rtC. ~1~ , , ?C~ ~ ~ ~ ~ ~ ~~°~~t~~ ~ A ~ 3 ~ ~ ~ -.1~--~"l~~c.~.l~l C~j,~ ~ ~ ~ ~ ,I ~ , n m~v~ U YHLUt ~ ~ ~ Inelde ¦lr Ellm ~ ' WALL ' Laterior wall S (Nall) U. R s 5ECYION "J . lnsulatlon ~q~~ ' - ~ ~ Sheathing ~.o~ • . ~ Slding .la~ ~ ~4~ C~ ~ Outelde a1r film ,l7 ~ R TOTAL Z_~j.C?~j` Inelde.alt fllm ~ .68 STUD ~ lo ~etlot wall . ~ SEC:ION .4V~ ttud R~ ~ , ~'s3B (fl.rjp(Framingl U . R . Sheathing ~ z. oC0 ~ 3lding .(p7 Oq~ outside•alr Ellm ' .I1 , ~"r ~J R f01'AL ( ~ • r7 ~j Inatde slr Ellm R~ .68 2ND WALL ~ , [ntettot wall ' SECiLQN. IhlU~ettb~l 1 (liBll ) U r R . Sheathing z' Ex[etlor aall eovering , Exterlar aLr fllm' R ..11 ~ R T01'AL lnteclor ale (i,lm R~ .68 R1H ~ ~ . ( ln~uletlon ~q.~ ~ JOIST J~~~ lnch soEE ~tood ~=~.88 (Rim ' ~ e,~s Jo{5t) ' . Sheathing Z, , O(p ~ ~j,~., ~ . Exterlor vaJl eoveting .~n7 . 1 • • Exterlor alt Ellm ~ ,~y ' , ~ R TOiAL Z~1'. ~(o \ . . . interlor nlt Ellm R= .68 , ~~~F" ~Lnauletlon~~16ER~~~jt~ ~9.00 ~ ~ ~~'~daR~' Z~°g" (Fdn. ) U a ~ _ , \ Extetlor elr fllm R= .~7 ~ ~ ~ O R TDTAL 2-~ • S~I ~ xposed Bloek '~`,rade 3. (lVl1 l ' R VALUE R VALUB ` . Fl27~MIN(3 . C$ILIHtl ' 0.61 AirFilm 0.61 ~ Insulation ~y' 0 ~ 4.38 Joist _ 0.56 Ceilinq_ 0.56 0.61 1?irFilm 0.61 ~2.•~(v Tote1R ~'(v~78 ' ,DZ7j Uel~g , dZ~ Window infiltration v.5 efm/lineal foot of orack Residential door infiltration O.S vfm/square foot or door end minimum code reyvirement Non-residential door infilttation 11.0 cfm/lineal foot of crack t1b 12" concrete block no insulation =.47 R 2.1 ' Ub 12" ooncrete blvek insulated cores =.26 R 3.8 Ub 12" liglitweight block =:32 R 7.1 Ub 12" liglitweiqtit block ineulated cores =.12 R 8.9 . U sinqle qlass = 1.17t with storm window .54 ll doable qlaes = .55 U triple glass = .41 All exterior walls and cellinga must have a vapor barrier (o.lo perm mex.). vapor barrier must be ori-the inside (heated side) of wall. Vapor barriers of the poTyethelene thin film have no Et value. S REACTIVATE CIIY OF EAGAN PERMI7 1993 BUILDING PERMIT APPUCATION ~ l7~ 68,.~675 SIN6LE fl MULTI-FAMILY 2 sets of ptans, 3 registered site surveys, 1 cupy of energy calcs. GOMMERCIAL 2 sets of architectural 8 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 ~ / / ~ ~ Yaluation of work ~ Site Address: ~ 3~~0~~~-.., ~.~~5' 1~~4<F SiREEi SUITE Y Tenant Name: (commercial only) IAT 3 SLOCK SUBD. ~ 7~,~ ~ P.I.D. M Descri tion of work: ~ The applicant is: Owner ? Contractor ? Other <o~«;ee~ Name ~ ~Sr~zr ~--e5 Phone %S~ -S ~~q.~ Property LAST FIRST ~u Er ~`•'3n owner Address ~ f~~L(~~, ,~:(~s i'~f~~~ ~Y ~;~.a-9~i:~ SiREET 57E / ~ c;ty L-'" state ~''l~ z;p SSr~-l Company Phone Co ntractor Address ~ License # Exp. City State Zip Company Phone Architect/ Engineer Name Registratian 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 app7ication 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 ~ O O1 Foundation ? O6 Duplex ? 11 Apt./Lodging ? Yfi"Basement Finish ? 02 Sf Dwg. ? 07 4-Plex ~ 12 Multi. Misc. ? 17 Swim Pool ? 03 5F Addition ? 08 8-Plex ? 13 6arage/Accessary ? 18 Comn./Ind. ? 04 SF Porch ? 09 12-Plex O 14 Fireplace 0 19 Corten./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ~15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ~31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Wdter UBC Occupancy ~ 2nd F1. sq. ft. PRY Required Zoni~g Sq. Ft. t~tal Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code ~ Depth ~ On-site sewage SAC Code / APPROVALS p Planning Building Assessments Engineering Variance RE~UIRED INSPECTIONS ? Site ~Footing ? Framing O Insulation ? Wallboard ~ Final ? Draintile ? Fireplace Permi t Fee 23.0 0 v.i~.t;o~,: S Surcharge Plan Review License MWCC SAC City SAC Water Conn. 4later Meter Acct. Deposit S/W Permit 5/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other 7otal: SAC % SAC Units . J6i.~(.tY~(~l_IUL.. . ~ * * ~ 2A22 Entr.rpiise Dtive~ * PIQNEER LANDStIFVEYORS•C~VILENG~NEERS Mendota Heights, MN 55I20 ~c - - - ~ ellgiflB@f iflg.• ~.wHOr~nrvN[rrs•~nrvosr.n~ennonlcc~s ~ (6~2) 68~-~9~4 * ~ _ ' Certificate of Survey for. _MCDOnC]Icj Construction I.nc. - - - ~ - - - House Address: 539__Rolling. HiIIs.Pl.gce, Ea.gqn,._.MN_. Model Name: 92-143 R~~C~N~ _ ~ \ R N/<<S PCq c , ~o E , s . \ 5~°?7 ~0,. , ~ ~`6006-_ f / ~ ~ ~ ~ hh \ ~ p0' ~ ORIyFWqy ~ C~ ~ ~ s 13 3' a ^ry^ / i T ~ sat5 ~ ~ ~ ~ O~ Oj ,~o ~ ~4.33 0 ~ r~ ~ 2p ~ r~~ / o ?3. J3 ~ 3J ° ~ ~ /?`57 ry aROpo~O Housf i. CARqCF ~2.00 8.$e / ` ~ ~ ° 1` ~ / ` N ~ , 9g~~~ O Z~'~~ ~ o ~ ~ ( O I ~ (JI ~ \B9f.3 _ ~ ~ ~1 / 71 \ ~ ~ 27 ~ S / ~r/~ ~ ' ~O ( ~ C/ J5~'C~ / ` ~ l V F~.~~ 1 (p ~ _ ~ ~ ly ~ ~ l ~ ~ 1 ~ 1 ~ I ~ 1 , '8 ~ ~ S ~4, S.s~ ~ ~453° w - 1 ` o~ ~ ' ~ - 900.o Denotes Existing Elevation PROPOSED HOUSE ELEVATION • eoo.o Denotes Proposed Elevation i r,wP~+ Flnnr Flevntinn~ 0.q4.4~1 CITY OF EAGAN FOR CITY USE ONLY _ ' 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT 0 S S~ ~Ck~NI~A7:. YEAMT~ DATE : - /.3 ~ 9 Z- ~ Rk`S~X1~T1T~l~X, PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3 3.00 OWNER NAME: ~(3~ '1 ~ l~l~~>+"`F~`, \ e?~~~5~~ OF 1 PER PERMIT ~p\`11,,(~ SUBTOTAL: $ ~ SITE ADDRESS: S~C~ \~1\~~1G l~~r 1`S i 1GC'P~ STATE SURCHARGE: .50 LOT:~_ 3LOCK ~ SUBD~~nY ~K y~111S ~'Jc~ TOTAL: INSTALLER: ~Q~-~61~C'C~ ~ \ L-~ ~ \r ~ ~~c~ ~a~ - ADDRESS: . SI NATURE OF PERMITTEE ~ ZIP: ~~s~ c~~ J CITY: PHONE ~ ~~'~`"~,C~ COI~II9ERCIA~/IN17Ct$1'RTA~..": PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, ~ APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING IINIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 IAT: Bi.OCK _ SUBD. $25.OC 24It7iM[;FS FcE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN L 3 BL ~ CITY OF EAGAN CITY USE ONLY n /r,~,~ ~y PLUMBING PERMIT ~U,~I~~ SUBD. ~/;Sf.at. [ .k.('X~L (612) 681-4675 RECEIPT ~ DATE 3 /9 RESID&NTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DES IPTION COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL NEW CONST REPAIR/ADD ON 15.00 ADD ON - ~ SHOWER 3.00 ~•Oa REPAIR WATER CLOSET 3.00 ~O BATH TUB 3.00 3,06 IAVATORY 3.00 )a.Uo OWNER NAME: G ~7 KITCHEN SINK 3.00 3.On G~ LAUNDRY TRAY 3.00 d0 SITE ADDRESS: t i ~-S QGP HOT TUB/SPA 3.00 3.00 ~ ~ WATER HEATER 3.00 ~,ori ~ FLOOR DRAIN 3.00 3.~6 C c GAS PIPING OUT. INSTALLER: V v Q ~l/h ~/1 ~ (MINIMUM - 1) 3.00 V~-00 ADDRESS: ~ ~ 0~~ OPENINGS 1.50 ~ ~ ZIP. ~ - WATER SOFfENER 5.00 CITY:~~n aQ ~ 1 7/b~E? PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE ~k: ` ~ _ W. TURNAROUND 15.00 ' ~ STATE SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: ~ Vll 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: CONTRACT PRICE: SITE ADDRESS: 1X OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR TENANT NAME: EACH $1,000 OF PERMIT FEE. SUITE $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1X $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE : FOR: (SIGNATURE) CITY OF EAGAN ~~F~kYFk~Y~Y~~Yfi x(~~M` Z<yF~~~YFYFX?1F~'M~YF~kkt#~k4F?;ta;YF~XSX7~~(~,'. rITY f?~ FAGFlN C~51-IIEk. JS ' TGFtNSNAL. NOe 8j.9 v~,rE:~ a~.>.~t.~irio rr.r~r:e io:~.~~20 IU~ ~~A~F. AI._LSE:U FI:RESTLiL INr~ :i2:10 9l)ni. S3"~ RI_LNG HL.LS E.f'1,Ci0 2155 9001. S33 RI_Lt~G HLI_S D..°,0 J Tei;al r•:~ce~~,+, Aroa~!n+.: 6p.5!l Cft1.23~t?_ i1SEF :l:D~ ;~AN h'Ct,tYRYF1R~;Y,CY,:ik1k>kinX[f~C~;f~YYF#1XRiX~kYW.~'C~?X::t~,Y~, ~,c~'<'~)X1X>SYFYFYAk ~ J~~j ~(~U 2000 FIREPLACE PERMIT APPLICATION a- l ~ o~ CITY OF EAGAN 3830 PILOT KNOB ROAD - 55122 651 681-4675 Date: 'tr eip e ~ 1 . Description of Work: ~ Conslruct new fireplace ~Gas Masonry _ Alterations to existing _ Install ras iruerl on[v _ Install gas line onlv Other Job address: J , ~ "t ~ ~ ~ I I ~ ~ ) ~ I S / a C Lot: Block: ~ Subdivision/P.I.D. V.~~ 1,~ ~ ~C~ ~ ~ S a r-~ Applicant (circle one only): Own Contractor Permit Fee: 560.50 Name: ~ 1(~S A~-K' m Phone#: ~5~~-?rZ ~ PROPERTY Last First OWNER StreetAddress: _S ~ I ` I~1 U lI S~l QC~~ City ~ G( l/I (1 1~ State: ~r Zip: ( ~ Company: ~1 ~ ~Dr{1 L~ / f 2 ~f f C Phone ~ ~ (area code) FIItEPLACE ~~'C~ f~~ w ~ 13 INSTALLER Street Address: ~ cs~v ~~a Y'~j I~~, sr~~: /~ll~/f zp: ~3,3 Company: . Phone ' GAS LINE /~J ~e) - INSTALLER Street Address: ~ ~ / ~ ~ ~ ~ City SEate: Zip: I hereby aclrnowledge that I have read tlus application and srtate that the information is correct and agree to comply with all applicable State of Minnesota Statutes City of Or ' s. ~ ~ Si~abue , . i OFFICE USE ONLY BUILDING PERIVIIT TYPE ? 16 Fireplace WORK TYPE ? 31 New D 33 Alterations O 39 Ges L'me D 41 Wood Stove ? 32 Addition ? 34 Repair O 40 Gas Insert GENERALINFORMATION Census Code 434 SAC Code Ol REMARKS Chimney/flue must be inspected before conceating. ùÿð ÿ þýý ûüûü úýýïðìý ñàý íó ñà 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 ãâ äòýúõò ñäõ ó õ ìãöñ ãö áàßà ë üúø ë ëì ë ùù ëëé ô ôùúøëùùüþ éã þý òúé í ê ùù÷ ôþ ý ýúþ ý PERMIT City of Eagan Permit Type:Building Permit Number:EA120779 Date Issued:03/03/2014 Permit Category:ePermit Site Address: 539 Rolling Hills Pl Lot:3 Block: 6 Addition: Bur Oak Hills 2nd PID:10-15501-06-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Matt J Eisen 539 Rolling Hills Pl Eagan MN 55121 Polar Builders Inc 49 Riverwoods Ln Burnsville MN 55337 (612) 432-1597 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA123626 Date Issued:06/12/2014 Permit Category:ePermit Site Address: 539 Rolling Hills Pl Lot:3 Block: 6 Addition: Bur Oak Hills 2nd PID:10-15501-06-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Matt J Eisen 539 Rolling Hills Pl Eagan MN 55121 Able Restoration Group Inc. 17316 Kenyon Avenue, Suite 103 Lakeville MN 55044 (952) 378-5000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA171133 Date Issued:08/03/2021 Permit Category:ePermit Site Address: 539 Rolling Hills Pl Lot:3 Block: 6 Addition: Bur Oak Hills 2nd PID:10-15501-06-030 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 - Matt J & Holly C Eisen 539 Rolling Hills Place Eagan MN 55121 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA171567 Date Issued:08/23/2021 Permit Category:ePermit Site Address: 539 Rolling Hills Pl Lot:3 Block: 6 Addition: Bur Oak Hills 2nd PID:10-15501-06-030 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or 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 - Matt J & Holly C Eisen 539 Rolling Hills Place Eagan MN 55121 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature