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540 Rolling Hills Pl INSPECTION REC4RD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ~ Eagan, Minnesota 55122-1897 Date Issued: ~ (612) 681-4675 SITE ADDRESS: APPLICANT: ~ • ~ ~rot, ?a~~ ~ ~ PERNIIT SUBTYPE: TYPE OF WORK: INSPECTION . F ~ L PermR No. Pertnk Holdar DMe . Talaphone # ELECTRIC PLUMBING HVAC Inspecdon Date Insp. Comments FOOTiNGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING l~ctS Kel /~GI GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE • AIR TEST ' FINAL PLBG •e I3,•~VLLL~l FINAL HTG ORSAT (y~i TEST BLDG FINAL Q~ BSMT R.I. BSMT FINAL DECK FfQ ~ DECK FINAL INSPECTION RECORD : CIfiY OF EAGAN PERMIT TYPE: 3830 Pilot Knob RoacL Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPUCANT: PERMIT SUBTYPE: TYPE OF WORK: ~ t1 INSPECTION . .A i h • ~ I - ' Pe.mn Mo. Permn Hokl.. oaoe Tdsawne ie S/VV • PLUMBING HVAC Mp ELECTRIC ELECTRIC Inspection Date Inap. Commenta Footings I -~Id(r/& F«,naetron y~q 1,u uJ~ Framing 7 ~ Foofing - 3- Rough Plbg. Rough Htg. ~ Id p 3 Isul. Z a D F?epiece PD Fnal Htg. asat Test ~ Fnal Pibg. ,3. Plbg. Inspector - NWlly Plumber Const. Meter EngrJPlen Bldg. Final Deck Ftg. Dack Fnal Well Pr. Disp. • . i Wertificate of Cccupanc4 CM4 of Cfagatt mowrtncut of isxilbixg Ju60cctivu , This Certificate issued pursuant to 1he requirements of the Uniform Buildrng Code certrfying that at tlte time of issuance this structure was in compliance with the various ordirtances of the City regulating building construction or use. For the following: Use Classification: SFaC Bldg. Permit No. MriT1 pcapancy Typo R3AJ1 Zoning Distria R J Type Const. VN Owner o( Buiiding LCY*Y:RFST' 7XLR Ad(bress 1% I 13Rl7i F R33Y3t M)~ $A('Mj Building Add~ess 540 RC31MC: HTi 7 S 11[F. Localiry LS., B6, BM OAtL1ML-210 • Daw. ~ 8 ? ~ 7 -i ~1 auiw~ g otrciw . ~ POST IN A CONSPICIJOU PLACE _ 3.ti. Address 540 ttoL[.uC tuu,s Pt.nCE Zip 5512 i I:ot' S Blk 6 Sub s[nt oax tmas 2Nm THESE ITEMS WERE / WERE NOT COMPLEI'E AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector: ' Final grade (6" from siding) V-11- Permanent steps (garage) ? Permanent steps (main entry) ? Permanent driveway ? Permanent gas V--" Sod/Seeded grass TraiUcurb damage Porch ~ Basement finish Deck Please verify with the builder the removal of roof tesl caps from the plumbing system and [he shut-off of water supply to the outside lawn faucet before freeze potential exisu. Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler syscem. ~ White - City Copy Yellow - Resident Copy Pink - Contractor Copy J4 Rapuest ate re No, Rough-in Inspaction 4 a iretl9 ? Reatly Now~lll Notity Inspedor ~ es ? No W~en FeaOy? I- licensed contractor ] owner hereby request inspection ot above elecirical work at: ob AOtlress (SVeet. 8ox or Route No.) Ciry D ~ Seqion No. Township Na or No. Range No. Counly Occupant(PRINT) Phone No. /voapGQ~ e? n/At 4~?~c -g70.2 Power upplier Atltlre55 Sf'~ ~,C EleMncal Conlraclor ICOmpany Namel ConVector'b license No. vcgnlso T Nc C.9oo6a Mailing Atltlress IConMaclor or Owner Making Installatiocj /~.5333^'/b~ ALL /461, Authori SignaWre 1 mractorpwner Me4mg Installatiory Phone Number Q~ ZZO INNESOTA STATE BOARD OF ELECTRILITY THIS INSPECTION FEOUEST WILL NOT Grigga-MlEway Bitlg. - Room 5410 BE nCCEPTED 9Y TME STaTE BOARD 1821 Uniwrsity Ave., St. Peul. MN 55100 UNLESS PROPER INSPECTION FEE IS Vhone(612)6C2-OBOD ENClO5E0. a (P REQUEST FOR ELECTRICAL INSPECTION ~'"`°'q ? es-oooowe See insrmcnons br compleling this form on back ot yellow copy. 1 "F~3~ 3 5$,~ 4 " X„ Be/ow Work Covered by This Request ~ ewAdd Rep. Typeof Building AppliancesWiretl EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Buitdinq Dryer Olher (Specity) Comm./Industrial FumaCe Farm Air Contlitioner Olher(5yeciN) Comraclor5 Remarks: Compute Inspection Fee Below: p Other Fee # ServiceEniranceSize Fee # CircuitslFeeders Fee Swimming Pool 0 to 200 Amps o to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs Inspecror§ use onry: OT IrrigationBooms 7~•m ~sa Special Inspection AIarMCommunication THIS INSTALLATION MAY B~~ D CplNECTED IF NOT Other Fee COMPLETEO WITHIN 18 MON'I'FIS. . I, the Elecirical Inspector, hereby Rougn-m - r certify that the above inspection has F;nei e - been made. . OFFICE USE ONLV Tnis reQUest mia 18 mantns irom ' F&51q <t I s.so 2007 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNUB ROAD, EAGAN MN 55122 651-675-5675 Please compleie fur modifications to existing residential dweilings. ~t ~ d 2007 Dete SifeStreetAddress,_~~-,' 1~]~I S 1 l~k:-YJ Unit# - - - - _ _ J Property OwnerC< LUf i 7, Telephone # { ) ~ i Contractor Champion Telephone # ( ) ~ Address 3870 [30dd Rd. ` City State Z"sp -_--~nr kIPF~~3''~- - - Tbe Applicant is; _ Owner & Occupant Cl--Licensed Plumbing Contractor = - - _ - ~ = i SepticSystem _ _ New Refurbished Submit 2 sets of plans and MPC license ~Includes County f e $ 100.00 L Peras-built J,[ S °O.CC _ ~ ~ .~z-- - - - ' _ - rFire Repair (replace burned out fixtures etc.) ~ ~ 90-00 This fee applies when extensive plumbing repairs are made to a building. _ --I - r Alterations to existing dwelling $ 50 C0 _ Add plum4ing fixtures to. main level lower IeveL This fee includes installation of a water softener and/or water heater at the same time. !f you are i installing onlv a water softener and/or water heater, do not complete this secfion; I move to the nexi section and place a checkmark next to the appliance(s) you are installing. ~ Septic System Abandonment i - I _Water Turnaround (add $136.00 if a 5/8" meter is required) I _Other: ~ I Water Softeoer "Water Heater S 15.00 L _ new VXreplacement ~ _ _ - ~ - _ lawn Irrigation RPZ PVB new repair rebuild $ 30.00 i_- - - _.r~ - State Surcharge ~ $ 5p ~ Total $ ~ _ _ - - - I hereby appty for a Residential Plumbing Permd and acknowledge that the informahon is complete and accurate; hai the work will be fn conformance with the erdinances and codes of the City of Eagan and the plumbing codes; ihat I understand this is not a permit, but only an applicarion for a permit, work Is not to start without a permit and work will be fn accordance with the approved plan m the event a plan is required to b reviewed and approved. ~ c , ' Applican's Printed Name ~ ApplicanYs Signature^ ~pr O ra 4-D W30 ~ 2006 RESIDENTIAL MECHANICAL rERvnT arrLicnTCON City Of Eagan 3830 Pilof Knob Road, Eagan MN 55122 Telephone tl 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required For each wit Date z 1 / lao Site Address 540 Y'10ttu9h4~`S Tl • Unit # J Property Owner DAY 1d iCi,n4 Lui'so~ Telephone # ( (pS l (0 321b L f~~+ CantraMOr _~y1dQr1 y l,~wJ-;+On Street Address I2-90- a 056" Rd N~'+ City _r7c1J,e..y State N Zip 6JA32- Telephone#704`(vt a0 Bond Expires: The Applicant is _ Owner ~ Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 fumace ~__:7_4dditional _Replacement _ New air exchanger air conditioner heat pump S~P L ~ ~ other A.tL- e State Surcharge $ .50 Total $ :~)O, 5 C) I hereby apply for a Residential Mechanical Pertnit and acknowfedge [ha[ the information is complete and accurate; that ilie work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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. ~ Lr', Sa ndvrt ~'r'ey+[.h ~ ApplicanYs Printed Name Applicant's Signature 2006 RESIDENTIAL BUILDING rERMrr arrLicnTiox City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Constructlon ReauRemenls RemodeUReoair Reaui2ments OlficeUse O~v 3 registered sile surveys showing sq. R. of lot, sq, ft af house; and A] roofed areas 2 copies of plan showing (ootings, beams, joisls ? Cert of Suniey~Recd „i_ Y_ N (20%mmcimum bt coverage alloxed) 1 set of Energy Calculetlons for heated additions 14Q, Tree Pres Rlan Recd.~ ~--;Y :N, 2 copies oT plan shawiN 6eam & window sizes; poured found deslgn, etc. 1 site survey iw addHiore 8 decks NA Tree Pres Reqwred N y N, 1 set of Enargy Catculatlom Add'dwn - indicete Hon-sife sepUc system On-s~le SeptiqSystem _Y N; 3 copies of Tree Preservation Plan'rf IM platted aNer 711193 Run Joist DetaR Optiora selection sheet (buildings wb 3 or less unils) Minnegasco mechanical ventiladon form Date 23 / 06 ConstracHan Cos 1'J-! I ~o ~•0~ Site Address ~ ~IW / j 1/1 UniUSte # M~ Description of Work AA*"T ] P^ Q?e-t' j4t/4gL , C..J (1 " W S, c,-Yl-ie v ~ 0Y' Y Y~1 d Multi-Family Bldg _ Y N Fireplace(s) X 0_ 1 _ 2 Property Owner ~J~ i ot 4 CA t1dq L.(/1, f2- TelepLone # ( ) Contractor A'(MGi.QA 4f-1 ,J.YIG - naaress 1q 7 S Aa2 nea c.dt ciri 1/q0d5ur y State / V`/V Zip S~S_121 Telephone 6$1) 7 3(^ 2.3K'r COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cazegocv I Minnesota Rules 7672 Energy Code CBtegory . Residentlal Ventilation Category 1 Worksheet NewUergy Code Worksheet (4 submission type) Submitted • Energy Envelope Calculations Submitted ~ ~I II . In the last 12 monihs, has the City of Eagan issued a permiT for a similar p an b&tl 19 rRtl5M4r planZ _ Y _ N If yes, date and address of master plan: Licensed Plumber TW~ one ~ Mechanical Contractor Telephone J Sewer/Water Contractor 7elephone ) I hereby apply for a Residential Building Pemut and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and the State of MN Statutes; I understand ttris is not a permit, but only an applicaUOn for a pernut, and work is not to start without a permit; that the work will be in accordance with the approved gpn in the case of wark which requires a review and approval of plans. - & App icanYs Printed Name pp Si llU NU'1' Wlil'1'E BELUW '1'HlS L1NE , . . . Sub Tvoes ? 01 Foundation ? 07 OSplex ? 13 16piex ? 20 Pool 0 30 AccessoryBldg 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 27 Porch (3sea.) ? 31 Ext. Ait - Multi O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. AR - SF ? 04 02-plex ? 10 OS-plex O 18 Dedc ? 23 Porch (saeeNgazeba) ? 36 Multi Misc. O 05 03plex ? 11 10.plex ? 79 Lower Level ? 24 Storm Damage ? 06 04-plex O 12 12-plex ? 25 Miscellaneous WOrk TvDes ~I~Le~LI-,VL /MYr Oc/D~LL ? 37 New ? 35 Int ImprovemeM O 38 Demolish Interior ? 44 Siding O 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 33 AReretion ? 37 Demolish Building' O 43 Reroof ? 46 WindowslDoors ? 34 Replacement `Demolition (Entlre Bldg) - Give PCA handout to applicant D@SCrIDtlon: Water Damage _ Yes Valuation ~00 0 Occupancy MCES System Plan Review 100% or 25% Census Code H 3q Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const ~ Width REQUIRED INSPECTIONS _ Footings (new bldg) Sheetrock _ Footings(deck) FinaUC.O. _ Footings (addition) FinaVNo C.O. _ Foundation ~ HVAC Ihain Tile Other Roof Ice & Water Final Pool Ftgs AidGas Tests Final Framing _ Siding _ Stucco Lath _ Stone Lath _Brick Fireplace _ RI. _ Air Test _ Final _ Windows 7& Insulation _ Retaining Wall ~ Approved By: , Building Inspector Base Fee ! Surcharge Plan Review MGES SAC fi city sa,c Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other . Totat. . . . .vvso vowe.. rws~ s vwr - . • . ? SIGIVIA 3URVEYINQ WOODCREST BUILDERS 3ERVICE3 INC. 19T l SeMeea Faad •5,;+c E• / Empn'.~z~i~azo~n P,~,:(e1 s4a.o yS v.w.,..,umg,,. M. J L~ G,~~ c~ , Hws rc( T W 111 T~ v~n~ orK~*a~ ~ ~~k. \ e~' g4 V463~ wW ~[0.~M0~~~10 tOT IM {NW ~ w r4w lMrtf.~~Mq~110MTM[K~7, y~ \ '1~~~~ \~O• 8~0 Tele.-, Xq .od~ y8° 2k'Z3~~ . ~ T.«s, I oL=SO, ~ r . Pv7. ~ 90 z.f9 I s ~ I - , o ~ . . . . ~ . C_ . 09 31t aC 'T . Iw~ 'y/ A ] 4~ L_ Q i~ /eA 0 Cp ~s 9 4d : t i ~ v , qd; 'X x902.5 Ti OSED 9o2S~) ~'9ay ~ ~5 ~?046 ~ . ~ECK .qp1•`~ n / ~ LoT~ cgo-- ~ \4 ~ M Gy~y,~~ qeA~ per •,.~4`a ~X G R ~ ' . I ~,y!y ~/'1~O _ _ «InGQ9 3ts'~ OO,O ~ . 7 ~ G E M~"' ~ • ' ~ ~ Q• ps~ g 'i ~ LE(~END- o ~ ~ Denotes Iron ~ Monument ~ ED GARAGE FLOOR ELEYATION= q OZ, 0 o_Denotes..Wood Hub Set ~ PROPOSED TOP OF BLOCK ELEVA7ION= a3,~ xqos.~ Denotes Existing Spot Elevation PROPOSED BASEMENT FLOOR ELEVATION= fti4oi"t 1 Denotes Proposed Spot Elevation Oenotes Drainage Direction *NOTE: Yerify all Bldg. Dimensions and - Floor Heights with Final House Plans. -PROPERTY DESCRIPTION- -SURVEYORS CERTIFICATION- I hereby certify that this survey, plan or lot 5, Block 6, BUR OAK;HILLS .+If•,;,., report was prepared by me or under my 2ND ADDITION, accordidirect supervision and that I am a duly recorded plat thereof; Dakote ~Registered Land Surveyor under the laws.of County, Minnesota. the State of Minnesota. WC I-~-. Date: 3`'S1Y3 , Wayne D. Cordes, Minn. Reg. No. 14675 (-Dcac~/ 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date f Site Street Address Unit # Property Owner Telephone #(~j l) 7~a- (pJaO Contractor ~70 a~ Ou IJ.Q ~I y Telephone # Address City State ~ Zip c~~y7 The Applicant is: _ Owner VContrector _Other Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes putting in a water softener and/or water heater at the same time. If vou are insfallinp onlv a water softener and/or water heater, do not complete this section. Move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $125.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _L/PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 ~J Total $ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordin ce an co of the City of Eagan and the plumbing codes; that I understand this is not a pe it t iy application for a permit, wor is not to start without a permit and work will be in a r c ith e approved plan in the even pl is required to be reviewed and approved. , u e24 Applic nYs Printed Name Applicant Signature RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-881-4675 New Canstrudion ReauiremenU RemodeVReoafr Reouiremenh • 3 registered site surveys showirig sq. R. of lot, sq. IL of house; aiM all roofed areas • 2 copies of plan (20% mazimum lol cove2ge allowed) • 1 set of Energy Calculations for heated additions . 2 mpies of plan showing beam & windax sizes; poured (omM design, elc.) . 1 site survey for extenor addifions & decks • 1 set of Eneigy Calculatiom . Iridicate if home served by septic system for additiore • 3 copies W Tree Preservation Plan if lat platted aRer 771193 . Rim Joist Defail Options selectbn sheet (Wdgs with 3 ar less unils) DATE qphp~ VALUATION c9, ~Sula/ ~ SITE ADDRESS `~T16"'C j~sfln/yx NIULTI-FAMILY BLDG Y TYPE OF WORK V(fG~ ~~"~FIREPLACE(S) 1_ 2 J APPLICANT ~ STREETADDRESS 7Y 6 CITY ~~STATE,(QILIPS~~ TELEPHONE # CELL PHONE # FAX # PROPERTY OWNER rGtd I!1L TELEPHONE #(~.5~ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULLS 7672 (J submission type) . Residenlial Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculafions Submitted Plumbing Contractor: Phone # _ _ Plumbing system includes: _ Water Softener _ Iawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor. Phone # Mechanical system includes: Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Coniractor: Phone # 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 Ordin nces. ~ Signature ofApplican Q1 pAw , I OFFICE USE ONLY ~IJL LJ~ - Certificates of Survey Received _ Tree Preservation Plan Received _ Not RequiF'dd llpdat~~ e~47U2 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext. Alt- SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition 0 36 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair ? 33 Alteratlon ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Foorings(new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ p?unibing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee / 13/, a Cj Surcharge 5. c) n Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total / ~ • ~ PERMIT . c~ 3ay~ ~ CITY OF EAGAN ~C~ 9 3 3e30 Pilot Knob Road PERMIT TYPE: r: u t L o r;v G Eagan, Minnesota 55723 Permit Number. (n p 0 5 r, (11 (612) 6814675 Date Issued: 0 3/ v 2 /<t :'s SITE ADDRESS: r,qnr RoLi_iNcs tdILLs Pi- I_i17:: b i::LOCh::: Ei; f?UP ONI<, N1_I_I..i= 2A!6 I'.I.p!_P, DESCRIPTION: "Suilrilt!g "ermS.t. -f,yne 5F D6JG 8tai3dfr+x,"Wul'I< Typ~ N 0 l11 i38C qecupanQ R...,:, M__L - Can6'tr!lCi::loYi 7lp=. V--N . ~Qft.Lti~ ' - R-1 ?5 (:1, 7. 1 d 1 Yl totl CJ h 6 i i3W11diYtg WY[E{:h iu V'._. `I r Y ,~i~' ~ i~~ ~ ~ ~ 1 t` A . .d ! ~ J1 1 . ,N. REMARKS: s; & w r tOr-- FEE SUMMARY: Vft(_liAlIt3N $115,000 sc re~. $ i°,.i90 P11.:CLLLIkNC:U!1S ----=1n Plafl 6'(uvie',j t,s1.:i..G1'i, lpL- 1Fp(.p i Sur-r.ht3r'ge $7:.60 p i' S(:i _ P) Gt S A C 0 1 r11C IJrit_te, 1. :ia. Serarchi Pao S uht. n t:;:, .T,. G, 1=1 . 5:i CONTRACTOR: - FlpciicsnL - sf L 7nOWNER: 6100UCRFSi i;LORS ].lb53021 00+83(il3 WnfiDCkEJI BL[)RS 661 RRIC14.,` R:COGE RCi 561 Bi?I(?i.: liIqf;c HU EPiCitdPJ. ihI'd 5577:3 FA3ATd HN 55:1W3 (512) 456-9O'<'4 (612)436-9021 I her=by acknowlvdge t.hat; S huve r<aci th i s Upp)i c4r+.ion and Gt.z Y.r 1h,-,[ thc i ii'formacion is corrert ,anci agre€: t.n cnrnpJy wil:h a1:~ applic.;irl~ ~t.ar- of R?n. STatutes arid Cftyv`' Eogan Qrda.n<sni:es. ~ - APPLICANT/PERMI' E SIGNATURE ISSUED : SIGN E REACTIVATE _ CITY OF EAGAN PERMI7 a~ ' 1993 BUILDING PERMIT APPLICATION . 10-4.30 681-4675 AIAR 1 7 RECO ~ (Allb . 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 ance permit is issued. Date Valuation of work S/dd Site Address: Tyo STREE7 +"UITE 0 Tenant Name: (commercial only) IAT SIACK f2 SOBD.~ ~bak 5 P.I.D. N 16 1 sS o 5-0 o(o Descri tion of work: %LGW The appl icant i s: 0 Owner Cantractor ? Other coe8crrne> Name ~dke~ :RCw~1, Phone s15-6-9a2y Property LAST FIRST Owner pddress 6 ( I,;A"'¢ STREET STE 0 City 1:;~ r, a/"- State M/U Zip S5 IZ3 Company k) o-p CLcrGJ ~A.1 d.w5 _ Phone ~G -26 2`I Contractor Address foc¢ ~ '6ri~ c+.. License #Obb SI Exp. 3 3 3 City t_-fState /J Z i p S5 1 Z3 Company Vhone Architect/ Engineer Name Registration # Address City State ZiP Sewer & water licensed plumber -hn Ige, d.P.'~W"i;c.ek 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. ~ 5ignature of Applicant: OFFICE USE ONLY , BUILDlNG PERMIT TYPE ? Ol Foundation ? 06 Duplex 0 11 Apt./Lodging-NrBaveire Finish E'02 Sf Dwg. O 07 4-Plex ? 12 Multi. Misc. ? 11 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 6arage/Accessory ? 18 Comm./Ind. 0 04 SF Porch ? 09 12-Plex O 14 Fireplace ? 19 Comm./Ind. Misc. O 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE R 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) V-N Basement sq. ft. MWCL System g S (Allowable) v- N lst fl. sq. ft. City Water YCS UBC Occupancy g--3 M_1 2nd F1. sq. ft. PRV Required Zoning iz-t Sq. Ft. total Booster Pump I of Stories Footprint 5q. ft. Fire Sprinkler Length -CZ-.7- On-site well Census Code Depth 36• On-site sewage SAC Code oa APPROVALS " 665us U*o Planning Building Assessments Engineering Yariance RE(1UIRED INSPECTIONS ? Site ? Footing ? Framing ? Insulation ? Wallboard ? Final ? Draintile ? Fireplace Permi t Fee v.imc;a,: g 1145,000 Surcharge (yqRAG Plan Review Z2x3ox 66D K /(fl= S60 MWCCnSAC ~SMT> Zk ZL, ~ g32. Ci ty Sac I6 x 1 y s z zY Water Conn. r.Water Meter ~dWn Acct. Deposit )S~`~~aan, IOSL~K1S= 15, S/W Permit S/W Surcharge TiSMT= 105"`(p Treatment Pl. ZXQ= 16 Road Unit ~o Park Ded. 2X5= Trails Ded. I'/ZX7= Ia Copies ax7= ly Other Total : ! I o!o X 5q-, 59, ~72 ~ SAC % oo 7 up ftuuFi ; SAC Units ~ Mm" - 7 ,10M CMIT%CM Ma sIGMa? SURVEYING WOODCREST BUILDERS 3ERVICEB INC. 19'It ScaeeaFned•Sw4c E• Ep~n. MYrrmm 56122 Plwir: (612) 4W-0077 848.0 ~C OII~YI~O[ ~N0IRIUT+I [Ni~Mri M[ h B J r,~, / c~ N Hrrrqpp T 1I1 TM WM1 1~ OfNtMMt t~j4 . i~tl~0y~wtf ~Iro /1•C`p ,~,f.%~ - ~ q / IM M iN «IK[* Llllt p ~NOMM OM 7N ~T. iy 59~• ~.0~ \ ! Te&, X9 .oGa y8° 21oZ3%I 1 F ;,a.f~ et_so. 6~F ° ~1 . vw ~ qpi. / s I p 4~ i ~ ~ LQ-i /eg o L? ~ 4;%; {)to~~ ~io MI \ O q04' 902.1 Q/.~//~ KOVTE- N ~ ~ 0` , . qd,ti~ x4o2s ~ (1e2sh) +9ey J ~5 ~y~ ~ x ° ~ SGa~E.i ~~1~3of / L~~ '-'S~ -+/Ikqpf1~^'-/ / i • + M~ \ 6a~~ ~ ~X/ ~ ~ ~as~Qwt ~ie ~ / ~N S~ ` % ~ ~};~•,~•S qo4N\ , Oer •,.~P~ 1x40o.~ ~ ~ gk,`'^a "O'77 pcaA`"a~ ~2~ ~as e,v \ ao3~ , ~1b`~' / . . e~k ~tB; e~° b\o N\ . i /ZLEGEND- tw o Denotes Iron Monument 'Da ~ ~O~~~GE FLOOR ELEVATION= PROPOSED TOP OF BLOCK ELEVATION= o Denotes WooA.-Hub-Set ~~~R-- 005.4 Denotes Existing Spot Elevation PROPOSED BASEMENT FLOOR ELEVATION= ~SU (x4oZ•~ 1 Denotes Proposed Spot Elevation Denotes Drainage Direction *NOTE: Verify a11 Bldg. Dimensions and Floor Heights with Final House Plans. -PROPERTY DESCRIPTION- -SURVEYORS CERTIFICATION- I hereby certify that this survey, plan or Lot 51 Block 6, BUR OAK,.HII:LSreport was prepared by me or under my 2ND ADDITION, according to:.the.:,~direct supervision and that I am a duly recorded plat thereof, Dakota ' Registered Land Surveyor under the laws of County, Minnesota. the State of Minnesota. Date: /5 Jh33 3 : Wayne D. Cordes, Minn. Reg. No. 14675 . I" J . . Los aVRvaY cszcu.seT soa uesaaNrzu ~ SIIILDI110 nAxiT JLPPLICI1TZbN fROFLRTY .•m_ Z-ei 5 bLCGK Co BOX1'` oAfc (AILL S 2MJ ~ Date oi survey: 3- I S-~'13 JDOCmstrrr eTaxn 4TQ 1 0 0 • Registerad Iand 8urvayor siqnature and empany • D 0 • Building permit 1lpplieant ~ D D • Legal description ' D S 0 • 1?ddress 3 0 0 • North arrow and bar aeale ! 0 0 • Houee typQ (=amblar, yalkout, split v/o, split sntry, Iookout, etc.) 9 0 0 • Directional drainaqe azrows rith slope/qraaiaat i. 0 D • Proposed/axistinq sevar and vater services D 0 • street name 5 D 0 • Dziveway aLSVaTioxe EY;stinv D it 0 • Sever service ~ D D • Let corners ~ 0 0 • Top of curb at the drivevay ~ 0 ~ • Elevations of any sxisting adjaeent homes FroDesed 1 0 0 • Garage floor 1 0 D • Fizst floor D~ D • Lowest exposed elevation (walkout/wirfdow) ~ D ? • Ptoperty corners 11 0 D • Front and rear of bome at the loundntion POr'DING KREAB fif sDDIi ¦hi.l D 0 • Easement line D 0 • NwL D 0 • trwL ' 0 0 • Aond f de6igriation 0 0 • nerqeney Overtlow Elevatioa DS?SENS I oNS • n ~ • LOt 11lIBS 0 0 • Right-of-vay and street ridth (to back of aurb) D D • Proposed bome dimensions inoludiag aay proposed d*clu, overhangs greeter than 210 porehos, etc. (i.*. a11 structures requiring permanent iootiaqa) D 0 • Show all snsements of rtoord and any City utilitias vithia those easements D D • Setbacks of proposed structure and setback of adjacerst existing homes D f 0 • Retaining wal squiroments, if any - Revievea: Name / Dnte OEiene. CITY OF EAGAN E7CfERIOR ENYELOPE AVERAGE 'Us COMPDTATION ' OWNER: SITE ADDRESS: _ ~OI lr ~tc~ }}i ~ I 5 ~I ac ~2- CONTR9CTOR: 1p.=•~T~.;,I~,-5 DATE: 3/ q3 PHONE: -76ZV 17 Determine rrorking square footage of each: 1. Total exposed Kall area 2"V• 34sq. ft, x.11 0 ~Z' • ~3 2. Total roof/ceiling area /Q5d sq. ft. x.026 = zff• 03 Total ezposed wall area above floor = Z`lx a Zq a. Total wall window area 27 ~v9 b. Total door area q~.$') c. Total sliding glass area f) d. Tota1 fireplace wall area -7,'72 e. Total wall framing area (average 10%) Z ! f. Total net wall area above floor ZO g. Total rim joist area 2Y5. lafC Total exposed foundatton area = 135-.16 h. Total foundation window area . fo7 i. Total net foundation area above grade Determine *U' value of each wall segment: a. 3y~eln9 xlu, . y`/ - L06.331 b. x'U' c. p x 'U' - D d. 9.7 2 x 'U' e. 25(0~ S' x' U' a d`l'Z = T_ S.(a f. x'U' •0113 °dZ e. 295, 69 x' U' ~ 10.07 . h. 1(.67 x 'U' S113 i. t?_3. V 9 x'U' . r~ = IZ,29 3 . Total = 2t`L.2/0 If item R3 is the same as or less than item 01, you have met the intent of SBC 6006(c)2. Total ezposed roof/ceiling area = / 88d j. Total skylight area ~ k. Total roof/ceiling framing area (average 10$) 1. Total net insulated roof/ceiling area OYER ~ . . Determine IU' value for each roof/ceiling segment: , J • ~ x ' U' 0 . k. X 'Ur e410 2 / = 3.13 r i. 9? Z xIUI aozy - z3•33 4 . Total If total of 04 is the same as or less than 02, you have met the intent of SBC 60D6(c)1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of Items !13 and #4 shall not be greater than the sum of Items 01 and p2. 1. UZ.13 + 2. 2g, 0`lf - 3%C12~ 3, 26`f.2G + u. 90. 2 2 , SINGLE & DOUBLE FAMILY HOMES 1984 ENERGY CODE REQUIREMENTS On or about March l, 1984, the following energy code requirements should be calculated and included with a building permit application. 1. Roof - ceiling assemblies - R-38 U= 0:025 Average 2. Exterior walls & rim joists - R-20 U= 0.11 Average 3. Floors over unheated spaces - R-20 U= 0.05 Average 4. Exterior overhangs will be considered as exterior wall. 5. Foundations (all exterior walls) - Minimum of R-5 insulation. 6. All insulated areas must be separated from the heated space by a well-lapped or sealed vapor barrier'with a minimum perm rating of 0.1. A 4 mil. polyethlene sheet or equivalent meets this requirement. A Kraft £ace R-19 type insulation will be accepted in the rim joist areas. Air chute baffles are to be placed in every rafter space. i GUIDELIIIE 70 (R) PA[lURS fP.011 6511Rf.C MI.uUAL ` • . OF 7YPIU4L7 USCD PCO[NCTS . (R) Int<rior Air Iilm (Valls) (R) 0.(.8 G GYOSUm or olaster board 3/8" 0,31 te~io. Air Fllm (ualls) 0.17 Cypsum or Vlaster Loard I/7" 0.45 ' Intcrior !ir Film (VcnteE Ceilinq) 0.61 LYpsum or plaster boar0 5/8" 0.56 Eateri~.r Alr film (Vintce Ccilin9) 0.61 ?ly.rood 7/8" 0.47 Intcrior Alr Film (tlcn VcnteA) 0.61 PlYwood I/2" 0.62 fs~erior Air Film (uai Vented) 0.I7 Plyucwd 3/4" 0.93 Sheathi, re9. density 1/2" 1.32 R~~~~~~~~m S~at~a 0.61 snraininn, reg. aeniity 25/32" 1.06 ni~m~~om wi~n Backer 1.82 Nuil-Aas! sneatntnq vx^ 1.14 Al.ninun Nith Bap4cr L Foiied 2.96 - . 1/2 . 8 Lao SiOinn (LIOOO) 0.81 Buiit'up Roofs 0.33 ' . 7/16 a 13 i141d1coertl Sidinq 0.67 Asbestas-ceoen[ shinpl,s 0.31 ' Gsbesws Sidinns I/L Lapped 0.21 AspAOlt roll roo(ing 0.15 ' . . 5(ucco (Ort_m and Iinl3h Cpat) Aspahlt $hingles 0.44 714" wootl SuEfTaor or $hea[hing 0.94 Insulation: I-1 3/4" Fi6erplass J.OD I/3" Ply.,ooC _heatninq 0.62 Insulafion: 3 1/2" Pibergl:ss tr.oo " - 1/7" Part{cla tlu..r0 0.66 Insulation: 6" PiOerglass 19.00 LOODS: BLOWIHC 1/0015 Fir, pinc L similar soft 4oods I I/7" 1,89 AvProx. 3" • . 9.00 2 1/2" 3.12 Approx. 4 1/2" 13.00 . ' 7 l/x" 4.35 nooro.. 6 I/4•1 19.00 . . . . . S I/z" 6.87 aooro:. 7 1/4" 74.00 ' Avcro=. to,. 30.00 ' Approx. IB" LO.UO 1111 ocner insulation maperials nust be . 'Flil<d veri(ieE (N fac[or) . ' L G Rey.) 111 Vermiculi[c . 8" Concrete Block (S (R) 1.93 - 72" Ccnere[e Bloek (S L G Reg,) 1.28 . ' ' 8" Llgi,c vcignc 2.18 5.03 . . . 12° li9et velgnt 2.48 5.81 iif0~?xltfi dt.it~Liv`f.n.<.~R ' . • NOTE: (V) x Area SQUare Fect `43) Ll Ail Vlndow5 (w/Stcros I^ to 4" SpaceJ .5(, . - . . . Aemoval OouGle Glozin9 (RDL) .$5 Thermo or ..elece 3/16" air ypace .69 " I/4" air spacc .65 - 1/2" air sPace .SB . , (0 Ner wineows specifically iestea can use becier ra[ings) ' 1 3/4 Salid core door .46 - ' - ' w/Slorm, .mod ,31 'r/smrm, metat ,26 Pease S[celDoor InsVr:/CL 7,45R .I; ' Slldieq Glass Ooor, uood .65 - Metal .715 . CITY OF FAGAN • iPIIrIrNM "U" ~'ALUE .A~\TD R-FACTOR AT ROOF, idALL, RIPI !u\D CO::CRETE BLOC1; . 1 `3 , . . Provide insulation baffles in every' RDD F~ L~.lL?N~ saftez space. ---1--- /.P~ VA l 5 p St'TE7to~ ~AIX FfLi%j i. G1I• [.t?. Q 1~`SULAj~oN ~10.00 . v ~q~: ~ ~ ' OO EX~E(~;~~~ Atr Fl~rl . ~ ' tSTiLL~ . _r Itun = l f tZ = .ozS o Al (R)= 1//.7j ~ U_ Zq L~- IlAL - 4 • 8 • Q 1[~ lEP-lo[= AItL fllM ~ . ~ . . . $ , : 9 Q '12 GYP.' BD.~ : . . . ~S , I . . ~ O~~ r, l~~sU~AT4oI~' s r,1r ~ 9•. . . !l 1i EX;_; lo° Aiz FlLP1 ' • /7 ~ Ta L- (R) =23•vi - ? - - . ' ~z • ' ~ll"1, . ~ ~ C7) 1.al~ I?1TEt Ior: titr~ FIu1 5 '/-L' Wsc,LATIcN 15 is S0,"*T.-~iTc 2r• oX .67 " ~ " • ~Q . EX~('cR1DR p1~ ~ILM . - • • o . ri ' • • ~o ll ull L40- Z~.yy O ~ o . . • U - tJY t ~.°o ' foJNDAT~oc~ . vFltu . 0 iN IEl7lDi? Altc FILM 0 . : . . On ~D•. ~ . vj ~It ~ e O 9.5 - 0,1LO s , ~ . . EXj~P~loz Alrt FlLM (7 e u lt_ • U- IlCL= •j ; To P~ (Cc~= 7.13 Floors o.z; un6ezted spaces rwst have mininum R-faetor of R-20 (tuck-un garages). Floors ov,.z outdoor air (overhangs) nust liave a nininum P.-factor of R-33. , ~ CITY OF EAGAN PERMIT cR 4-1-d4 ~ 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 s 8 4 3 (612) 681-4675 Date Issued: 0 6/ 14 / 9 5 SITE ADDRESS: 540 ROLI.ING HILLS Pl LOT: 5 BLOCK: 6 BUR OAK HILLS 2ND P.I.N.: 10-15501-050-06 DESCRIPTION: &uilding,permit Type DECK Building Wark Type NEW j . i ; . REMARKS: FEE SUMMARY: Base Fee $30.00 3urcharge $.50 Total Fee $30.50 CONTRACTOR: - Applicant - sT. LIC. OWNER: WOOOCREST BIDRS 14569024 0008518 WOODCREST BLDRS INC 661 BRIDLE RIDGE RD 661 BRIDLE RIDGE RD EAGAN MN 55123 EAGAN MN 55123 (612) 956-9024 (612)456-9024 I hereby acknowledg:e that I have read thi;s arpplication and state that Che information is carrect and agree to compl;y with all applicable State of Mn. 5tatutes and City of Eagan Ordinances. L i91-ut APPLICANT/ ITE SIGNATURE ISSUEDBA SIGNATURt' ~ ~1 O ' CITY OF EAGAN ~ 0 3830 PILOT KNOB RD - 55122 ~ 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~ 681-4675 New Conshuetion Reoulremems RemodeVReoair Reauirements O 3 regislered site surveys ? 2 eopies of plan ? 2 copiea of plans (inGude beam 8 window saes; poured fid. design; etc.) ? 2 site survays (extarior addkiona 8 decks) ? 1 energy ealculations ? 1 energy calwlaGons for Aeated addkiona ? 8 coples M 4ee preeervation plen N lot platted after 711/93 ' iequired: _ Yes _ No DATE: l? '~I - I S CONSTRUCTION COST: DESCRIPTION OF WORK: ~-~1< STREET ADDRESS: S 7 D 9o l I(0.4 A I! S f l ci Q-e- LOT ~ BLOCK (0 SUBD./P.I.D. ~ o~ r ~S 2 PROPERTY Name: on r+_c'rv IwUeYS ItC . Phone OWNER Street Address• ~ ~lOw City: State: Zip: CoNTRACTOR Company: Wp~~ GV'e5~- '&JAW5 ~.C• Phone 426 -702`I Street Addresx 66/ ~License City: C4 OLAA,- State: N,4f Zip: 5 Sd'L.~ ARCHITECTI Company: Phone ENGINEER Name: Registration Street Address• City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowiedge that 1 have read this application and state that the infortnation is correct and agree to comply wRh all applicable State of Minnesota Statutes and City of Eagan Ordinances. ~ Signature of Applicant: OFFICE USE ONLY E-- Q~ED Certificates of Survey Received _ Yes _ No B 1995 Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE « ~ 0 01 Foundation o 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaiNRem. ? 17 Swim Pool o 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch ? 09 12-plex 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. 0 10 _-plex &X, 15 Deck WORK TYPE Air- 31 New o 33 ARerations o 36 Move 0 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actuai) Basement sq. ft. MC/WS System (Allowable) Main level sq. R. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. ~ Depth Footprint sq. ft. SAC Code 0L Census Bldg i Census Unit ~ APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNYS SAC City SAC Water Conn. Water Meter Acct. Deposit 5/W Permit S/W Surcharge Treatmerrt PI. Road Unft Park Ded. Trails Ded. aner Copies Total: °k SAC SAC Units . .4a; cUT111cRI rot: . SIGMA SURVEYINa WOODCREST BUILDERS SERVICES INC. 19Z l S"ees Raad •5w+c E- . Eiprf. MYrweod 36122 PMir:(6/2) 462J077 8vs.o L~+'J ~ . M.{[w•MMOU.M.,..«Y[N..M. f n g; , .s 4G C • f~` ~ ,Q --L•J ~g~S~S' yp' ~ 4 a edt ~ ^ye c,~` wp" TN~YMI~{s`rMM;~ ~ hH. a/,[r w WarM 1~ ~TIK[r /TG`p Te,\~ • 4; yg~ zt Z3 ~ ~ E elns'p. ~ ~1 F.F. q0i.'M \ . ~C o 31 ± ^1.0 It ~A L ~~tL VED\ Ab °P 9ot1~ 1e5~ ~qot•% A~ GN s 6~5 I j/ ~ •c- ~S ~ ' %p qp~i~ X4oZ.'I Q j./~MovSE~ r°,r ~ / o.y~ Y.i B.o:-,~ x4o2S f ' . - qt'' j D t.Sa')+fco l ~ ~aoko7 ~ • ~ 1 ' . Id 4> 4b / . ~ \ , 9er •,.~/~cc ' 1609. ~ \ 903~ ~K Q:P6`•^C I ,LA..W~' `Q9~y6~~~•d~o ~ /,.:LEGENE)- o Denotes Iron Manument Dd~~OP~ED GARAGE fL00R ELEVATION= o. Denotes_.Wood,-Hub Set ~.PROPOSED TOP.OF BLOCK ELEVATION= xae5-* Denotes Existing Spot Elevation PROPOSED BASEMENT FLOOR ELEYATION= ~SU ltQOZ•~ ) Denotes Proposed Spot Elevation ` Denotes Drainage Direction *NOTE: Verify all B1dg. Dimensions and Floor Heights with Final House Plans. -PROPERTY DESCRIPTION- - -SURVEYORS CERTIFICATION- I hereby certify that this survey, plan or Lot 5, Block 6, BUR OAK,.HIL:L~S,-:.~~<,,;,. report was prepared by me or under rt~y 2ND ADDITION, according-:tD;:thp<:f;;:`~;•-.., direct supervision and thet I am a duty recorded plat thereof; Dakote 'd' Registered Land Surveyor under the laws of County, Minnesota. the State of Minn/e1sota. WC 1-~ lw~~ Date: 3~5~3 . Wayne D. Cordes, Minn. Reg. No. 14675 ~ • 5 - :~..k'1Mr... no xi ¢,,{:a. . u<. .'<.'$a.`~ .v. . . ' 3: ° ~ ....a . . . { s. MECHANICAL PERMIT (RESIDENTIAL) fl C1TY OF EAGAN y 3830 PILOT KNOB RD 4\0cp EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMII,Y DWELLIINGS. ALSO, FOR TOWNHOMES AND COND05 VVHEN PERMTTS ARE REQUIRED FOR EACH iJNIT. ~ NEW CONSTRUCfION ADD-ON A/C _ ADD-Or< F[JRNACF; DA'i'E l l 1141193 ES HVAC: 0-100 M BTU $ 24:00 ADDITIONAL 50 M BTU 6:00 ~ GAS C)UTLETS (MINIMUM 1@ 53.00 EACH) l 3• op ADD-ON/REMODEL (OUsTINc coNSrxucnoN) $ STATE SURCHARGE .50 TOTAL 3. 5 STI'E ADDRESS: C') RWL~LA OWNER NAME:_ LL ' h.,n TELEPHnNE ~5l~ ~ 4aa,~ % INsrALLFx: 9 Ct& , Ltd~ AnDxESS: ?Ca6o MALA~,4(-\sZn r2 crrY:_~P_~ sTATE: zIPconE: S537a TELEPHONE , SIGNATU OF PERMITTEE MECHANICAL PERMrr (COMMIERCIAL) CrIY OF EAGAN 3830 PELOT KNOB RD EAGAN MN S5122 (612) 681-467S PLEASE COWLETE FOR ALL COMMERCW-ANDUSTRIAL BUELDINGS. ALSO CONTLETE FOR APARTMIF-NT BUILDINGS OR 011-IF-R MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMnS ARE NOT REQUIRED FOR EACH DWELLING UNrr. DATE: CONTRACr PRICE: $ NEW BUILDING INTERIOR IWROVEMENT WORK DESCRIPTION: FEES 1% OF @gNTEM FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE. TOTAL $ SITE ADDRESS: OWNER NANffi: TELEPHONE TENANT NAME: (mpRovEmF-Nn oNL;Y) INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CITY INSPECrOR y T3SE.X ~ g ~bm # ~.r"'.?c.. ~ ~ ~ pa~ ~ `SH a~3~~3`E s t~s 'T ofy e~ s,' vsy 3 e: • Y3f jf~RDRE uK aiya `d°y,.,c 7" ~ : ~ ^?`r?x~. <.n a a.<.:,. . r ..,cu.e.#r..~..,-a'DtA.,s~~. . vk`~a..r...• .s<o.&, ~ 1993 PLUMBING PERNIIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND • CONDOS WHEN PERMI'TS ARE REQUIRED FOR EACH UNTT. NO. FIXTURES EACH TO I_ SHOWER 3.00 ~3_ WAT'ER CLOSET 3•00 ~ BATH TUB 3.00 6,. on LAVATORY 3•00 - 6~) KTI'CHEN SINK 3•00 LAUNDRY TRAY 3.00 CX-) HOT TUB/SPA 3.00 J_ WATER HEATER 3.00 ~ • co I_ FLOOR DRAIN 3.00 ~ • cD I_ GAS PIPING OUTLET • minimum • 1 3.00 3• op 3 ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • DaiLCty.lic. 15.00 U.G. SPRINKLER • 6ome under conat. 3.00 ALTERATIONS • to oisiing 15.00 WATER TURN AROUND 15.00 . , STATE SURCHARGE .50 TOTAL: On SITE ADDRESS: S-zll) 1eo lr (A~o Lr Lt5 04 OWNER NAME: ~.r~n~i-ICUe~1' ~c.<< IcIev'S INSTALLER: ADDRESS: ~lo0 CTTY: 1' V'i 0V' STATE: VYI~L) ZIP CODE: 5537d PHONE ((9(d ) _~u clw ('0pqL__L SIGNAT RE F PERMITTEE } ~1.'~'~'[7_qv nx , . . : . x i s.~,s ~...,.k . .~f-..s , .,...F3fii~sx,f~ ..s . T~~'+< . v.>'. 1993 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PIIAT KNOB RD • EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIALJNDUSTRIAL BUILDIIVGS. ALSO FOR MULTI- FAMILY BUI: DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING L'iT. _ NE'W CONSTRUCfION ADD ON 1(t.rAZR WORK DESCR[PTION: CONTRACT PRICE: $ FEE: 1% OF CONTRACT FEE. STA7'E SURCAARGE $.50 FOR EACH $1,000 OF PER1tiIY1' FEE. MINIMUM FEE: S 25.00 CONTRACT PRICE X 1% $ STATE SURCHARGE $ TOTAL $ SITE ADDRESS: TENANT NA11zE: STE. # OWNER NAR4E: INSTALLER: ADDRESS: CIT'Y: STATE: ZIP CODE: PHOA'E FOR: CITY OF EAGAN APPLICANT RESIDENTIAL BUII.DING A~ O-~ Permit Applica6on City Of Eagan 3830 Pilot I{nob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 NewConsWctionReauirements RemodeVReoairReouirements OtfweUseOnW 3 registered sde surveys showing sq, ft, of lol, sq. H. of house; and all roofed areas 2 copies oi plan Cert of Survey Recd (20% maximum btcoverage allowed) 1 setof Energy Calculations for heated additions Tree Pres Plan Recd 2 copies of plan showing beam 8 windovr sizes; poured found design, etc. 1 site survey for addNons & decks Tree Pres Not Reqd isetofEnergyCalwlations Addition - indicefeifon-sitesepticsystem _ OnaifeSepticSystem 3 copies of Trce Preservation Plan if lot plafted after 711/93 Rim Joist Detail Options seledion shcet (bldgs with 3 or less unifs Date C~) / y l O~ Construction Cast Site Address .Sr"/a ji; /lf ~L . UniUSte # Description of Work .rQ~~ 4- rs r ~r~~.b« r~e~ f Multi-Family Bldg _ Y'~r N Fireplace(s) _ 0A 1 _ 2 Property Owner ~ G4r Telephone # 6J:'oW Contractor 6~,- s-,vx°t Address City State ~J-L/' Zip ,~5~76P 7 Telephone -?s'~o COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 EnBfgy Code Category , Residential Ventilation Category 1 Workshaet . New Energy Code Worksheet (Jsubmissiontype) Su6mitted Submitted • Energy Envelope Calculations Su6mitted Licensed Plumber Telephone ) Mechanical Contractor Telephone # I.. ~~I~U ~ I SewedWater Contractor Telephone #1 D k I i IU By I hereby apply for a Residential Building Permit and acknowledge that the informa ion is comp e e an 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. ? O! ( ~-v! ~~r ~~ApplicanYs Printed Name Applic Ys Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck 0 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 M'rscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Nlindows/Doors ? 34 R0p12C2ment •Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Foofings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plwnbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement) _ Insularion _ Rebining Wall P,pproved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 2oo6 RESIDENTIAL PLUMBING PeRMiT aPPUCarioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. ~ Date /1// I _Z 1 6,6 Site Street Address Unit # Property Owner C~u z, St (if rv~~ Telephone #(ljST `t S Contractor Z26 P / Telephone # (GSI ) 73 b'US b G Address r T6,14-W Ilquc City _Ibptdiv)_~ State,2flw Zip v7a~~- The Applicant is: _ Owner ~ Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are instalfing on! a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment Water Turnaro nd (add $130.00 if a 5/8" meter is req//y{ired) ! _Other. lo c,.~ ~ & /~--~/J lu+-_ Water Softener _ Water. Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I unders is i not a permit, but only an application for a permit, work is not to start without a permit and work will be in apan in the event a plan is required to be reviewed and approved. the ac dancew "l V pplic Ys Printed Na Applicant's Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 540 Rolling Hills P1 Lot: 5 Block: 6 Addition: Bur Oak Hills 2nd PID:10- 15501- 050 -06 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Minnesota Rusco 5558 Smetana Dr Minnetonka MN 55343 (952) 935 -9669 BL - Base Fee $3K Surcharge - Based on Valuation $3K Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: Occupancy: $88.50 $1.50 Total: $90.00 Owner: David N Lutz 540 Rolling Hills P1 Eagan MN 55121 Permit Type: Permit Number: Date Issued: Permit Category: Permit closed without required inspection(s). Letter sent to applicant on 2 -5 -10. (pi) Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. 0801.4085 9001.2195 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply of Minnesota Statutes and City of Eagan Ordinances. h all applicable State Issued By: Signature Building EA090603 08/11/2009 ePermit May. 25. 2011 11:13PM A. J, Alberts P1umbimg City of EaQali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 No. 2199 P. 2 Use BLUE or BLACK Ink Date Received, Staff: 2011 RESIDENTIAL PLUMBIN9 PERMIT APPLICATION Date! _.61_,),c Site Address: _ 126 A:9_1' ILS CC Tenant: Suite #• a RESIDENT I OWNER Name: Jxi / I ( + 1'j h . Phone: _ _ Address / City/ Zip: Jaw CONTRACTOR y Name: 1}��• f3 License #: 5f/ g3 I Address: 7/7,.c— 444 1l" City: tievotttiel State: Zip: -57 5' Phone: 4,s--1 73k— Ds`c'0 Contact: r*(..)f4- Email' :6 tt r+�4_� a Mti • .. TYPE OF WORK X New Replacement Repaiirr Modify Space _ Work in R.O,W. _ __ l ___,�Rebuild __ Description of work: _1� L 3r7 A1% ctntV" PERMIT TYPE RESIDENTIAL Water Softener __ Water Heater ____ Add Plumbing Fixtures (_Main / _^ Lower Level) _ Lawn Irrigation (_`_ RPZ I_ PVB) Water Turnaround __ Septic System — New ___ Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation $55.00 Add Plumbing "Water Turnaround $105.00 Septic System $95.00 Fire Repair (replace (includes $5.00 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) (add $166.00 if a 518" meter is required) New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) burned out appliances, ductwork, etc.) (includes $5,00 State Surcharge) TOTAL FEES $' 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 ofunderground utilities, : www.gopherstateonec,all.org I hereby acknowledge that this Information Is complete and accurate; that the work will be In conformance with the ordinances and codes of the City of Eagan; that I 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 ens. x_ e Cc -44 - Applicant's Printed N 'f� -OR OFFICE USiN Cl e►i. e irafl Inc nniiPeCi App icant's SI • ature 41' City of Eau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 17 Use BLUE or BLACK Ink Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: RESIDENT / OWNER Name: I.e� d.�•40 _ Phone: t0st- 4,51- 6328 cc tt Address / City / Zip: J� � lA5' ' Grp v.& --) Applicant is: Owner Contractor TYPE OF WORK Description of work: �`�� ( Construction Cost: Sc Multi -Family Building: (Yes / No )4.....) CONTRACTOR Company: _ S'tc-t M4VLL.C-- Contact: n.L51LL Address:• O *-2-216 City:l'4 R lit `� ,, , ` State: Zip:3 ( `3 Phone: Z(-' 35u ` �l , License #: 24544S1 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) lik11.1-... 1 et -1 6 In the last 12 months, If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _Yes _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information Porirons of the informationmay beclassified as non-public if you Provide specific reasons -that would permit the Orty to conclude that they aretrade secrets: 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.gooherstateonecall.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 pe ork 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 app . - :1 of p . ns. Applicant'fPitinted Name Applignature Page 1 of 3 5z/6 Pallmfr JbJ/s ®lack 990a W THIS LINE DO NOT WRITE B SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building Fireplace Garage Deck tLower Level WORK TYPES New _ Interior Improvement Addition _ Move Building i Alteration Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation /O Gao Plan Review (25% 100% ✓ ) Census Code 4./3 47 # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water _Final 714 Framing Fireplace: y Rough In ,-Air Test Final Insulation Sheathing Sheetrock Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) _ Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Reviewed By: 2 7.-117/ / Siding Re roof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant �G( MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required 4e Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings Air/Gas Tests _Final Siding: Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings Backfill _ Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL / 9/ L/--,yfy/@ 01070 9301,0 Page 2 of 3 ûù ÿþ þýý üûùüû úýý ø÷ý âü î â þýö ýüûúùøï øó üúùø ã ï øàß ø ó ü óòòîüøù ñÿ ýðü ï ôø íô ôôù ðü ô û ô ìó ôù÷ëüôü û øø ý ÿì ó ûôê ðü ûù ÿëôù ô ì ïèçèææìæìòæ ôú ýü ÿ éüèçèìåìå éüþì óò öñð øø ôú ÿ íöüÙ áöìï ííòõÿ õ íäö ÿäö àâßââ ûùÿ í øø ë ô ÿ ôøù øøûý ëä ýü óùë ÿî ì øø÷ ôýÿü üùýÿü PERMIT City of Eagan Permit Type:Building Permit Number:EA126394 Date Issued:08/25/2014 Permit Category:ePermit Site Address: 540 Rolling Hills Pl Lot:5 Block: 6 Addition: Bur Oak Hills 2nd PID:10-15501-06-050 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 - David N Lutz 540 Rolling Hills Pl Eagan MN 55121 (651) 452-6328 Minnesota Rusco 5558 Smetana Dr Minnetonka MN 55343 (952) 935-9669 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA138990 Date Issued:10/03/2016 Permit Category:ePermit Site Address: 540 Rolling Hills Pl Lot:5 Block: 6 Addition: Bur Oak Hills 2nd PID:10-15501-06-050 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - David N Lutz 540 Rolling Hills Pl Eagan MN 55121 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (952) 985-6675 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA176009 Date Issued:04/26/2022 Permit Category:ePermit Site Address: 540 Rolling Hills Pl Lot:5 Block: 6 Addition: Bur Oak Hills 2nd PID:10-15501-06-050 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - David N & Cynthia Lutz 540 Rolling Hills Pl Saint Paul MN 55121--235 Pcs Residential 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature