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544 Rolling Hills PlCity of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: c:111 kic c Permit Fee: c . Date Received: Sta 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: l /-1"." L0 Site Address: g /2o tv/b e{,/is P 1 • ta.� 1,714 l7 j Tenant: Suite #: RESIDENT / OWNER Name:�)erry d- o//ha - icy cl4.504 Phone: 6 $ / ' 4t 5(4, -'mac/ Address / City / Zip: 5L -of ' Gj/ink /0'//5 !" 1 j=kS 6, riii,, CC la- l j Applicant is: Owner Contractor TYPE OF WORK Description of work: `,n 104,, A[ f'/4 e—eni-sn -` Construction Cost: 3 CO „c7 v Multi -Family Building: (Yes / Noy / CONTRACTOR Name: pi mn.e.sd.i-rte, kr#17aci et / r5$ icivfionS License #: d -o rd- 13 6S Address: 5'--7 g1 !.2 frexits 4vc - V City: 0 /SC- s (> State: h? n Zip: 5- C. -330 Phone: 12. 74,3- kot- P- 4t 9e ce Contact: Pab 1,6i( Email: rod c mIl/`iZf,i.friode. 41,5 5c)1Si d"5,. 60 4.1 COMPLETE In the last 12 months, has Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information . Portions of,° the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. , CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I 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. x N30+G- % 1berl Applicant's Printed Name x _may .,...... icant's Signature Page 1 of 3 INSPECTI~N RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: A' Eagan, Minnesota 55123 Date Issued: ~ ~ ~ (612) 681-4675 . SITE ADDRESS: , ; ~ APPLICANT: ~ , ~ ~ , t-i i ~ ~ i•i ~ , , ~ , . , „ ~~r.i t; i i i ~yi~ ~ • ~ ~ i PERMIT SUBTYPE: TYPE OF WORK: ~ , . „ ~ i . ~ . ; , . • ~ , ~ ~ . ~ ~ L~ ~ Permft No. PsrmR Holdsr Date Telephone N SNV PLUMBING HVAC ELECTRIC ELECTRIC Inspectfon Dats Insp. Comments FoOtings I Foundation Framing fioofing Rough Plbg. Rough Htg. Isul. Firepiace ~ 3 - , ~ea,~Fy ~ i 4~ f Fnal Htg. f~.-+-~ ~ n ~ 'Oh Orsat Test Fin81 Plbg. Plbg. Inspector- Notify Plumber Const. Meter EngrJPlan Bidg. Final Deck Ftg. I Deck Final ' I Well Pr. Diap. II I I INSPECTI4N RECORD CITY ~F EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: '~i s°'~ Eagan, Minnesota 55123 Oate Issued: ' ' (612) 681-4675 SITE ADDRESS: i ~~F, APPLICANT: ~ , . ~ ~i ~ i t , ~ , ~ ~ ~ ~ 1 ~ . . , ~ , I I I ~ ~ ~ ~ ~ . , 1 ~ ~ PERMIT SUBTYPE: TYPE OF WORK: . . . ~ . ~ . ; ~ ~ ~ ~ Permft No. Permit Holder Date Telephone tk S/W PLUMBING HVAC ELECTRIC ELECTRIC Inapectlon Date Inap. Commsnts Footings I Foundation Framing Roofing Rough Plbg. Rough Hig. Isul. Fireplace Final Mtg. Orsat Test Final Pibg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final Deck Ftg. ~y~' UlLL ~v 3 ~ / =Q / - Deck Final v~ ~ Well Pr. Disp. . . . . . . . . . . . . . . .=,•r:. . . t va •~.,c,..,. ~....~~f~ - . . _ L-.. . ~n-.;. . _ . . . , ~BA G~ FINISN 05/03/91CITY OF EAGAN ~ 8264 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PHON E: 454-8100 BUILDING PERMIT Receipt # ~ ~s ` ~ To be used for ~1'' Est. Value ~ 161.000 Date AUC 1 S , ~ g90 Site Address ~DLLING HIL1S YL OFFICE USE ONLY Lat a Block 6 Secr5ub. B~ ~~I~ Parcel No. o~c~pa~~y R-~ FEES Zoning W Name _ CO~lST1tUGTION, INC (ACtualJ Const V~ Bldg. Permit 85~•~ o Address ~Z12 SI.t1ESILL BAY RD (Allowable) V~ Surcharge City ~NSVII.t.E Phone ~31-7366 ot sio~~es Plan Feview Length ~ =o Name ~ Depth snc. c+~y 1~•~ Address S.F. Tolai - SAC, MCWCC 6~•~ - City Phone S.F. Footprints - 62S•00 On Site Sewage _ Water Conn r ~ W Name On S~te weu 90.00 ~ _ ~ Wacer Meter z- AddreSS MWCC System ~ a~+ City Phone City Water ~ Acct. Deposit PRV Required _ S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump SM! Surcharge information is correct and agree to comply with all applicable State of Z~Z~~ Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee - APPHOVALS Road Unit 3~5"~ A euilding Permit is issued to: ~HST• I~ - Park Ded. on the exp~ess condition that all work shall be done in accordance with all Council _ applicable State of Minnesota Statutes and City of Eagan Ordinances. g~d9, p~f_ _ Cop~es Variance - TOTAL 3. 570 ~ ~ Buiiding Otficial ~ Permit No. Permit Holder Date Telephone # WATER ~ /G O S~`L11FA ~ _ 1r' ~S PLUMBING ~J S O `~,p~c,~, ~3~~33 7- S/~/q/ H.V.A.C. ~ O o~ fYJ ELECTRIC ~ ~'Q c~/ ~ tnspection ~ate insp. Comments Footings I ~/6 G' ° Foundation Framing ~i~ q 1 (,t1iv S'~7~_ - S' 2/-g O !~i [V ~ Roofing Rough Plbg. _ ~ - Rough Htg. Q IsuL y~ p ~ /C L~~LC~~ Fireplace Final Htg. 2 Final Plbg. ~ p ~ ,,~,Q" r ^ - ~ Const. Meter Ibg. inspector-Notify lumber Engr./Plan Bldg. Final f1~ . JJ~ - 2 .S ld ~ ~eGl`' Deck Ft9• d( ~ a / Ot Detk Final Well uL~~ S~/L (~-Y,~+r Pr. Disp. - ~y ~J` , # ~ - - . , . . . . ~ r ' • , ~ , ~.~x#t~rr~#~e ~rf (~x~cu~r~~tr~ ~Citp of ~a~att . ~r~~t~ o# ~uitding ~rrti,o~c ~ T7tis Cernfrcale issued pursuanl l01he nquire~nex~r oJSection 306 of the iJniform Building Code c+~ifying that at !!re time ojissuance thissducture ~as in aompliance with the aarious ordi~ramxs of the G[}' negulaa~c8 buikGng con.~ruction or use F'or lJie foUowing: ~ 18264 ~P~7~Yao ~~"11 Zc~uui~x ~ ~Yv~~comr ~ OMaaot~ M~Q~tA~~ O~SL~T~TICIN_Ado~ 1212 BI~1F~8ILL BAY F~~ BIIHN.SVIII$ 544 I~~ 1TniS H~~ 11~. B6, S[lR OAK ~.LS Z[~ / - / _ ~ OCiC~ 1, 1990 Bu~us 'O~iciil 7' POST M A CONSPIWOUS PU1CE r , ,p. . .......F.+,..~..,,5-4ra-y~"+eYC;•-'7qpq5:;6~+bL~.~-•w10~P•E4 ~{v,M„~~wrc-+G-:{;~}~.•s..,a~.y.N,~.... ` ~ - MECHANICAL PERMIT For City Use Only `s . ~ CITY OF EAGAN ` P~RMIT ~ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT # ~ DATE PHONE 4548100 ~ DATE: ~ ~ ~ Site Addr~ss • B . TYPE WORK DESCRIPTION Lot '~t B k c/Sub New Const.~_ ~ ~ Mul ~ Add-on Name C°m . Repair ~ Other ~ Address P ~1 ~j,L-~~C~1 ? ) d c City Phon FEES RES. HVAC 0-1~ M BTU ~ -$24.00 Name ADDITIONAL 50 M BTU - 6.00 ~ Address ~ (RES. HVAC INCLUDES A1C ON NEW CONSTRUCTIONj ~ City - Phon TOWNHOUSE 8 CONDOS - RES. RATE APPUES 1111NIMUM RESIDENTIAL FEE - ALL ADD-ON d~ TYPE OF WORK ~ _ REIIAODELS (INCLUDES GAS PIPFNG) - 12.Ob i Foroed Air ~4L~.:~1 BTU G1?~ OUTLETS (MINIMUM -1 PER PERMIT- NEW COFIST.) 1.50 EA. ~ Boiler M BTU $ COMMIIND FEE -196 DF CONTRACT FEE Unit Heater M BTU $ APT. BLDGS. - COMM. RATE APPLIES ~ Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 Vent CFM $ STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C PER EA~H $1000.00 OF P~MIT FEE) Gas Piping Dutlets # $ ~ Other $ - ~ : CommJlnd. Contract Pr~e x 196 $ i r , ~ PERMIT FEE• S/C: OR• ~O GA TOTAL: , ~ ~ , . _ _ . . _ . , . _ „_.L. ~ ~ ~ ~ ~ Ya~ S ~"'r~R 1 ~ ~ ~ ~~'111~~7lA~ `i ~ , . . . . PLUMBING PERMIT For Offlce Use Only , CITY OF EAGAN PERMIT # ~ ~ ~ ~ ~ CONTRACT P~~OT KNOB ROAD~ EAGAN, MN 55122 RECEIPT # ~e PRICE PH4NE 4548100 DATE: 9~~c:~ Site Address BLDG. TYPE WORK d SCRIPTION Lot Blo~k Sec/Sub ~s. New ~ ,1 r~ Mult. Add-0n Name Comm, Repair ~ Address ~ J ~r c City Phone _ RES. PLBG. OMLY - COMPLETE THE FOLLOWING: - NO. FIXTU RES TOTAL Water Closet - 53.00 $ 9 r~ L Name Bath Tubs - $3.00 ~ Address Lavatory - $3.00 ~ r ~ Cit ~ ~ ~ ; 1 r~ k' Phone Shower - $3.00 ~-a' M,~~ Y ~'~a R-~ ~-T{~i ~ Kitchen Sink -$3.00 UrinaUBidet - $3.00 ~ FEES Laundry Tray - $3.00 ~ COMMJIND. FEE -196 OF CONTRACT FEE Floor Orains - 51.50 ~ APT. BLDGS. - COMM. RATE APPLIES Water Heater -$1.50 TOWNHOUSE & CONDO - RES. RATE APLLIES Whirlpool -$3.00 MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets -$1.50 T_~r~~ MINIMUM - COMM.IND.IFEE $20.00 (MINIMUM -1 PER PERMIT) STATE SURCHARGE PER PERMIT .50 Sohener -$5.00 (ADD S!C PER EACH $1,000 OF PERMIT FEE) ' Well -$10.00 Private Disp. - $10.00 ~ Rough Openings - $1.50 T~ ( i~!~ SIGNA RE OF PERMITTEE PERMIT FEE: STATES SIC: ~r~! FOR: CITY OF EAGAN GRAND TOTAL: CASH RECEIPT , . CITY OF EAGAN ~ 3830 PILOT KNOB ROAD , EAGAN, MINNESOTA 55122 oaTe is ~~,~o `~'~G , . F(iOM ar~ouHr $ ~ f~ , & DOLLARS ,m O CASH CHECK ~ ' ~ ~ 1~ ~ ~ FUND OBJECT AMOUNT Thank You BY C ~ ~ 7 ~ Whit~-PaYers ~DY ~ vanoM.--~seny Cooy Pink-File Copy SEWER & WATER PERMIT OFFICE USE ON~Y CITY QF EAQAN METER # U-~ PERMIT DATE 3830 Pilot Knob Rd. Eagan, MN 55122-1897 CHIP # d J ~ PERMIT # ~ ~ METER SIZE o B.P. RECEIPT ISSUE DATE ~ ~ 9~ B.P. RECEIPT DATE ' ~ ~ 1 ? DATE ' ~ _ PRV _ BOOSTER PUMP SITE ADDRESS T Li_.,; r L PERMIT REQUESTED LOT BLOCK ~ SEC/SUB i3?'.; : ,'~~S ?t._ ~ SEWER ~ WATER - TAPS APPLICANT: ADDRESS: - COMM/IND ~ RESIDENTIAL CITY, STATE Z~P NEW - EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PIUMBER: S~A~~ PI^~'• ~~-7 Ahead of Domestic Meters on Water Line. ADDRESS: 1016 MOUNF~ SPRINGS 'CL ~ t. Credit WILL NOT J~e given for Deduct Meters. CITY, STATE ~'~0~~"~Ir'~T;~r: < i`~ ZIP 55420 ~ ~ PHONE: $ii4-f,l~,':. ~ 1 AGRE ,TO COMPLY WITH CI OF OWNER: :4CDONAL:. ::i;:~:~`~R~ :"i i 1 NC' EAGAN dR ANCES ADDRESS: 12 ~ i~LliL•' B1 LL BAY kJ CITY, STATE R~1P•-r3SVILLE, r,11 ZIP 5~s37 PHONE: ~ - ~ ` ~ % SIGNATURE WHE ETER SSUED ~.u-t- ST~- PLEASE ALLOW TWO WOAKING DAYS FOR PROCESSING. CALL 454-5220 FOR INS~~ONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEIKER d~?tAT~R PERMIT OFFICE USE ~NLY CITY OF EAG~1N METER # PERMIT DATE ~`i~ 1`' 3830 Pilot Knob Rd. Eagan, MN 55122-1897 CHIP # PERMIT # 1. 3 METER SIZE B.P. RECEIPT ~ L ISSUE DATE B.P. RECEIPT DA7E 5~~ DATE :~;!C' ; i ~ 4r~. _ PRV - BOOSTER PUMP SITEADDRESS 5~" F,~'',~I:t~:• :tI1.L~ ~L PERMITREQUESTED LOT BLOCK ti SEC/SUB Ais'k ~~4K i:i~,:.S :.t~,i) ~ SEVIfER ~L WATER _ TAPS APPLICANT: , ADDRESS: - COMM/IND -ti RESiDENTIAL CITY, STATE ZIP NEW EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: "TA~~ "i..i,i!b1NG Ahead of Domestic Meters on Water Line. ADDRESS: ~a18 IKiti~1D SPRINGS Ti:fti: Credit WILL NOT be given for Deduct Meters. CITY, STATE g~?~1 raGTO~t, P!r ZIP 5 7~' ; PHONE: 834-41~~ I AGREE TO COMPLY WITH CITY OF OWNER: ~~MALG (;i.:NSTr~ ; ~ , INC EAGAN ORDINANCES ADDRESS: 1212 BLU~FI1,;. YA: ,':1~ CITY, STATE g`~~NSVI~`~+ ~'j" ZIP ~533; PHONE: 't~ L-; 5fi6 SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. ~/3~/ REQUEST FOR ELECTRICAL INSPECTION ~ ee-ooom-oe ~ Sea 1nsVUClions for campleting thls form on beck of yellow oopy. a3~ ~ 3 8 4 3 3 ~'X" Below Work Covered by Thrs Request e Add~ rlep. TypeofBuilding AppliancesWired EquipmeniWired Home Ranqe Temporary Service Duplez Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Fumace Farm Air Conditioner O~~er~specify) Contractor5 Aemarks'. ? Compute lnspection Fee Selow: # Other Fee # ServiceEntrance5ize Fee # CircuitslFeedere Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 1 0_ Amps SignS InspectorS Usa Only: TOTAL tr~i9ation Booms _ ~ . Special Inspection niarmiCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO ( I, Me Electrical Inspector, hereby R°~n-m . f o I~ certify that the above inspeciion has Final r oaie , ~ been made. OFFICE IISE ONLY This request void 18 months from . ~ ~ y~ o0 a 38433,~~ - co3oa.~~ Request Oata fire Na. Roug~-in Inspeciion ~ R uire0? ~ Ree~1y Now V7dl No4fy InSpeclar 5~ ~ s ? No en Reedy7 I p licensed contractor ? owner hereby request inspection ot above electricafwork at: - bC Mtlmss IStreot, or Route No.) ~ City ~ I S $ectbn No. Towns~ip Name ar Aange No. Cou ~ ~ Octupant PRINT) PMna No. ~~s1~4 v~ a Power Supplier~ Atltlrass E~ecttical Comracmr (LOmpany Name~ Contractob License No. Meiling AOEreSS ~Contrector or Owner Making Inslelle~ion) ~ Auttwn gnature ICOnlracbr/Owner Meking In tion) P~one Numbar M NESOTA STATE BOAflU Oi ELECTR~CITY~ ' THIS INSPECTION REQUEST WILI NOT- . Gripp~#IWray BWB~ - p~ 5773 . BE ACCEPTED BY THE STATE BOARD 1821 UnlwnMy Ava., SI. Peul, MN 5510/ ' UNLESS PROPER INSPECTION FEE IS PhoM (811) WY-0B00 ENCLOSEO. . ~ja//9o ~~%,/sv 9i~y~~Y~'~' o0 ~ 1072Q,~~ ~ ~ ~ ~ 5 Re Date Fire No. Pough~in Inspectlon / ~ Haqw d7 ? RaeGy Now III NoGy Inspector ~ ~ ~ WhBn Reatly}j~ ''OZC GO I ~ ensed contraaor ? owner hereby request inspection of above e trical wor t:~- ~ Jo0 AE Str t. ar Ro J ? ~ Ci~y ~ Section No. Taw ship Name or No. Renga No. Counry uPant (PRIMI ~ ~ ~ P~~~ ~ r Power Sup01i Atltlrew ~ Ei ic i Contr tor ~Co p Neme) Co c r ice e Mai'n Cre ( n or ner Making Ins~all 'on~ ~ 6K%~~ r~ AutM1Or etl Signat ~COntrac~ kinq Instell i) P ~ MINNE ? ATE BOAHD OF ELECTIi1Cl - THIS INSPECTION REOUEST WILL NOT GrlggsMlEway BMg. - Noom St90 BE ACCEPTED 9Y THE STATE BOARO ' 1821 UnivanHy Ave., $L Gaul, MN 55100 UNLESS PROPER INSPECTION FEE IS ~ PMne (61Y) 8/P-0800 ENCLOSED. - ~~/~n~ REpUEST FOR ELECTRICAL INSPECTION QB~~ M ? See insimctions tor wmplefing Mis lorm on beck ol yellow mpy. / Iftl X" 8elow Work Cavered by This Request "a , p~~ 1072Q aw R~. Typeof8uilding AppliancesWired EquipmeniWireO Home Range Temporary Service Duplex Water Hearer Electric Heatinq Apt. Building Dry ~ Other (Specity) Comm.llndustrial urnace Farm Air Conditioner Olher (speciry) Comracmr5 Femark ' Compute Inspection Fee Below.' # Other Fee # ServiceEntranceSize e # Circuits/Feeders e Swimming Pool 0 to 200 Amps , 0 to i00 Amps Transformers Above 200 _ Amps ov ~ Am s SignS Inspector§ Use Only: TOT Irriqation Booms ~ ~ ~ ~ Special Inspection Alarm/Communication THIS INSTALLATION MAY ORDERE DISCON ECTED IF NOT Other Fee COMPLETED WITHIN TH . ~ I, ihe Electrical Inspector, hereby Rough-in oa J 1j~ certity that the above inspection has F;nei oa~ been made. ~ ~U~ (J OFFICE USE ONLY L n O~ This r ues[ witl 18 mon[hs hom a•~ ~ ` J ~ ~(1 L(!J'~ DATE: AUG 16. 1990 .•~~~'~r RE: s~ ROLLING HILLS PL (MCDONALD CONSTRUCTION~ INC) X Your Sewer & Water Permit for the above property has been completed. It will be 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 property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until fuRher notice. - COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by 8ill 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. ~ • ' CITY OF EAGAN NO ~$264 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 / 1 -7~ BUILDING PERMIT Receipt # `Y 6 To be used ror SF DWG/GAR Est. VaWe $161, 000 Oate AUG ] 5 ,~gQg~ Site Address 544 ROLLING HILLS PL Lot 4 Block 6 SeGSub. BUR OAK HILLS OFFICE USE ONLV Parcel No. occuPancy R-3 li-1 FEFS 2oning R=1 w Nam2 MCDONALD CONSTRUCTION INC (nctuap Const v=td Bld9. Permit 853.00 o Address 1212 BLUEBILL BAY RD (nnowanie~ ~d Surcharge 80.50 ~j(y SURNSVILLE Phone 431-7566 Xo~S~odas _ Lengih ~CL Plan Review 554.00 ~F Name 5~ oeum ~ saa ay 100 _ 00 ~a Address s.F.TOtal _ ¢ Ciry Phone S.F.FoolO~inis _ SAC,MCWCC F~~-~0 On Site Sewage _ Water Conn h2 5. OQ W w Name On Site Well - Waler Meter 9(1 _(1Q AddreSS MWCCSyslem ~ ay City Phone c~rywa~er Accl.Deposit 30.00 PPV Required - 5/1N Permi~ .3~. I hereby acknowle that I have read this application and state that the gooster Pump - SiW Sumharge . SO information is cor t nd agree to comply with all applicable State of Minnesota Statutes~ and ity ot Eagan rdinanFe . Treatment PI 252.00 ~ APPpOVALS SignaWre of Permitee Road Unit 3 S 5_ 00 A Building Permit is iss ed : MC ONALD CONS'I INC Planner - Park Ded. on the ezpress conditio t all work shall be dona in accordance with all Council applicable State of Minnesotqa SQtat~ule~'s and.y~C.,iry~ of Eagan Ordinances. Bmg. Olt. _ Copies BuildingOflicial ,~~~~JSVL.ld_,~ Variance - 707A~ 3,570.00 ~ RESIDENTIAL '~I/I BUILDING PERMIT APPLICATION ~ ~ ~ Z l \ CITY OF EACAN ~ ( . " 3830 PILOT KNOB RD, EACAN MN 55122 ~ 651-681•4675 New Construction Reouirements RemodellReoair ReauiremeMs • 3 registered site surveys showing sq. R. of lo(, sq. R. of house; and all roofed areas . 2 copies o( plan (20 % maximum lot wverage allowed) . 1 se1 of Eneryy Calculations for heated additbns • 2 copies of plan showirg beam & window sizes; poured found design, etc.) . 1 sde survey for extenor additions 8 tlecks • 7 set of Energy Calculations . Indicate if home served by septic syslem for additions • 3 copies of Tree Preservation Plan if lot piatted afler 7l1l93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE W~~ O1U~ VALUATION l~w SITE ADDRESS U`~~rLC ~~C" MULTI-fAMILY BLDG _Y N TYPE Of WORK I ~ FIREPLACE(S) _ 0_ 1_ 2 ~ , APPLICANT i~ STREET ADDRESS ^I CI /~STAT ZIP ~ TELEPHONE # ~ l'~' LL PHONE # FAX #L'Jr"JI"~}--I~~O~O~ PROPERTYOWNER `,~n~~VL TELEPHONE# ~C~' ~ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ VIIAA1~:50"C.A RliLl•:S 7f70 CATI:GORY I \[IV~ ' (d submission type) . Residential Ventila[ion Category 1 Worksheet Submitted . Ne ~h _ s et~ 'j~'r,i ed • Energy Envelope Calculations Submitted ~ U JUN 1 8 2002 Plumbing Contractor: Phone # Plumbing systcm includcs: ~Vatcr Soltcncr I~uni Sprinl:lcr _ ~Vatcr Hca[cr _ No. oF R.L 13adis ~fo. ol~Batlis Mechanical Contractor: Phone # • Vlccfr.mical systc~n iucludcs: .~1ir Condilioning P'cc: R70.00 I-Icat Rcco~~cry Syslcm Sewer/Water Contractor: Phone # I hereby acknowledge that I have read ihis application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eaga r i ~nc&&&???yyys~~~. /n~/ SignatureofApplicant o ~~IN~~W~/lLi ~i~'-~'y'N-e.~l-~-/ / OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4I02 OFFICE USE ONLY ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 E#. Alt - Multi ? 03 07 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch {screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? O6 04-plex ? 12 12•plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ~ 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entlre Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning Ciry Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs ~ Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings(new bldg) _ FinaVC.O. _ Footings(deck) _ FinaWo C.O. _ Footings (addirion) _ Plumbin~ Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air;Gas Tzs[s _ Final _ Framing _ Siding SNCCO Stone _ Fireplace _ R.1. _ Air Test _ Final _ Windows (new/replacemen[) _ Insulation _ Retainin~ Wall Approved By , Building Inspector - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Base Fee Surcharge Plan Review MClES SAC City SAC W ater Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies ~ Other Total CITY USE ONLY PERMIT ~ ~ ~ RECEIPT DATE: 8008 ~SID£NTI~kL M~C~lEMC~kL ~~EiiMIT ~l~~LIC~ETIOft crrYor ~asnx s8so ~aor xxoa [tn $AHRF MA 5S1 EE 651-6$1-4678 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: v ~ ~ ~ ` U ~ SITE ADDRESS: "J T~f ` l ~~w ` 1 ' ~ OWNERNAME: ~9-~~ ` ~1\~~~ TELEPHONE#: INSTALLER NAME: ~i o TELEPHONE IOI.S 3Zz~ STREETADDRESS: ~`t'S~ ~r ~ ~ = P~O' CITY: ~~?'~"C9~ STATE: 1' ~Vv ZIP: ?~-~O~O~'f'~ Place a check mark next to the permit work type Add-on, modification or alteration to existina dwelling unit $ 30.00 • furnace replacement • air exchanger • air co • other Nature of work: ~ ~n ~ ~ ~ , p l~ I~ .II I~ 2 4 2002 ~i! I ~ v-~ State Surchar e $ ~ .50 Total s SI URE O P voz CITY USE ONLY PERMIT RECEIPT DATE: APPROVED BY: , INSPECTOR 8008 CObIM~CL4L M~C~kRIC~EI. ~~fiMiT ~k~~LIClkTION CITY OF ~k6~kN 8$SO ~ILOT KNOB RD ~e~t1v, ~uuv 55i 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOliS TENANT IPI THIS SPACE? Y N. NAME: INSTALLER: STREET ADDRESS: CITY: STATE: ZII': TELEPHONE WORK TYPE: New consuuction Install U.G. Tank _ InteriorImprovement _ Remove U.G.Tank _ Processed Piping Specify Nahue of Work: When ins[alling/removing underground tank, cal! 651-68I-4675 for inspection by Fire Marsha! and Plumbing inspector. Fees: of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removaUinstallatiou = minimum fee Contract price: $ x 1%= $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMI'ITEE Updated 1/02 PERMIT Cl~ i~ ~CITY OF EAGAN rv -/3~~I~DING 3~30 PifBt Knob Road PERMIT TYPE: Eagan, Minnesota 55123 Permit Number: 0 2 2 2 0 7 Date Issued: 10 / 12 J 9 3 (612)681-4675 SITE ADDRESS: 544 ROLLING HILL3 PL LOT: 4 BLOCK: 6 BUR OAK HILLS 2ND P.I.N.: 10-15501-040-06 DESCRIPTION: (ZERO CLEARANCE) Bu'ild3ng,Permit Type FIREPLACE ~uilding Work Type NEW ~ ~ ~ ~ ~ ~ ~ ~ ; d ~ C~.~~C~ ~~~Cs~~[~ REMARKS: FEE SUMMARY: Base Fee $25.00 3urcharge $.50 Total Fee $25.50 CONTRACTOR: - Applicent - sT. ~IC OWNER: DAHM CONST CO INC, K W 14570113 0002536 JOHNSQN KEITH 2217 RO~ER3 CT 544 ROLLING HILLS PL MENDOTA NTS MN 55120 EAGAN MN 55121 (612) 457-0113 (612)688-6924 I hereby acknowledge that I have read this application and state that the informat3on is correct and agree to comply with all applicable SCaCa of Mn. StatuCes and City ofi Eagan Qrdinances. L _J ~(~~n ~otr,(.I APPLICANT/PERMITEE SIGNATURE ISS D B~I NATUR REACTI4ATE _ CI7Y OF EAGAN PEw~tiT r 1993 BUILDING PERMIT APPLICATION ~~~~r0 ~ 681-4675 SINGLE ~ MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. , COMMERCIAL 2 sets of architectural 6 structural pl•ans, 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 i.s requested once permit is issued. Date f~ Yaluation of work OOQ Site Address: s ~ ~ ~n L-~' r ~1 ~-~I i ~ ~S ~ ~ °i~ STREE7 SUITE / Tenant Name: (commercial only) lAT ~ SIACIC SUBD. OOI q~ q_, P.I.D. M ' i~.~i'~~, .IJIG Descri tion of work: Z C ~ r~ P(c.ly-- The applicant is: ? Owner ontractor ~ Other (Describel. Name -~n tir~Sn r~ ~iE-~ 41 Phone 6~~'.- 6cia~ Property ~~ST ~ i1RST f Owner Address ~'-~U ~a i+~ ~ la i~)s 1 U~ STREET f7E Y City ~G"1 State MN Zip SSl Company ~i W D°`b, Co~ S~ Co i"C Phone 4S l I~ Contractor Address ~ 7 ~0~~ s C~ License bQO ~53~ Exp. City 1`~`'_~~o ~S State r'~1N Zip ~S ~.~0 Lompany Phone Architect/ Engineer Name Registration 1' Address ~ . City State Zip Sewer 5 water licensed plumber . Processing time for sewer & water permits is two days onc a ea has b n approved. I hereby acknowledge that I have r~ t is a~~ca on and state that the information is correct and agree to comply with ~pp ica e S f Minnesota Statutes and City of Eagan Ordinances. Signature of Ap lica t: G, . e-~ ~ o 0 0 OFFiCE USE ONLY BUILDING PERMIT TYPE ~ ~ *r,~ ,y~_ ~ f,~„„ 0 01 Foundation ? O6 Duplex ? 11 Apt./Lodging C~ 16 Basg~ent~.,Fi~,i,sh ? 02 Sf Dwg. O 07 4-Plex ? 12 Multi. Misc. ~~O 1~'Swim Pool ? 03 SF Addition ? OB B-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. 0 04 SF Porch ? 09 12-Plex ~14 Fireplace ? 19 Comm./Ind. Misc. 0 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck ? 20 Public Facility ? 21 Nlscellaneous WORK TYPE 31 New ~3 Alterations O 35 Tenant Finish ? 37 Demolish ~ 32 Addition ? 34 Repair ?.36 Move GENERAL INFORMATION Const. (Actual) • Basement sq. ft. MWCL System (Allowable) lst fl. sq. ft. City Mater UBC Occupancy 2nd F1. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code " Depth On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Yariance REGIUIRED INSPECTIONS ' ? Site ~ Footing ? Framing O Insulation ? Wallboard O Final ? Draintile ? Fireplace Permit Fee wi~tcd,: S Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other total: SAC % 5AC Units • PERMIT , 3 ~,g y '3830 P o~F EAGAN PERMIT TYPE: y~~f ~.~i ~ Eagan, Minnesota 55123 Permit Number: 0 2 2 0 8 4 (612) 681-4675 Date Issued: 0 9( 2 8/ 9 3 SITE ADDRESS: 544 ROLLING HILLS PL LOT: 4 BLOCK: 6 BUR OAK HILLS 2ND P.I.N.: 10-15501-040-06 DESCRIPTION: Bu'ildingt,Permit Type DECK Building Wp~rk Type NEW jUBC Occupancy~~ R-3 Building Lengtfi~, 40 Building width ` 18 i ) / ~ / L ~ r i~V~: j.. , ~ . . ' GrT r. ~~k 1~ ~ ~r`~~{ r ir ~(7J~~~ f ' ~~`1 /r': 1f ~~/Lf~~ \`J\~~.~~J~ I~~`~,i~t.: ;t a_" - c: REMARKS: FEE SUMMARY: Base Fee $25.00 COPY $.50 Surcharge $.50 Total Fee $26.00 Su6total $25.50 CONTRACTOR: OWNER: - Applicant - JOHNSON KEITH 544 ROLLING HZLLS PL EAGAN MN 55121 (612)8$1-7515 , I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all a~plicable StaCe of Mn. Statutes and City of Eagan Ordinances. j_ J ~.v9x~~- ~c~~.4 R~:~l.~ APPLICAN MITEE SIGNATURE ~ ISSUED B~`. 51 NA~ jVATf _ CITY OF EAGAN $~L,r~ r~~ 1993 BUILDING PERMIT APPL sS, -a675 ~ ~ ~ ~ o ~~i ~ : ; ~ SINGLE 5 MULTI-FAMILY 2 sets of plans, 3 registered site surve , co of ener9y;: i~ calcs. ~ _ COMMERCIAL 2 sets of architectural 3 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 thange i_s requested once permit is issued. Date 23 / Valuation of work 2Qoo•uo Site Address: SYi~ ~occ~,vw /d~c.c,s PcQCE ~RFa~~, /~?n/ Ss/z/ CiREEi fUITE N Tenant Name: (commercial only) IAT ~ B1AC& G~ SUBD. ZN, (JQ~r~~,{~ P.I.D. M Descri tion of work: bec,~, ,oppsp To gA~~,,~F ~lause, u~~an Sc c, Pa~ n+o d ai Lar~~z f3u~ .tivY r...~YH 7N/S b~~n i`C The applicant is: C~.'Owner ? Contractor ? Other co..o~~~>. NI ~o88-6v~l~ Name ~auNs6~1 ~~~.i1N Phone(w9 gar-~s~s exf ~z Property ~~5, F~RST Owner Address 54y 2~~~~Ns- (~(~(!S /~[,oc.~- STREEI iTE f City ~AGA~ State D~~ Zip 5512( Company O+Nn~e2 Phone Contractor Address License ~ Exp. City State Zip Company Phone Architect/ Engineer Name Registration / Address City State ZiP Sewer 6 water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that 1 have read this application and state that the lnformation is correct and a9ree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: N-"-' OFFICE USE ONLY BUILDING PERMIT TYPE ~ ~ ~ ~t,~ 'a ~ ;ff,. .:t! ? 01 Foundation ? 06 Duplex ? ll Apt./Lodginy4-• ~•~'`O 16`Basement,Finish ? 02 SF Dwg. ? O7 4-Plex ~ l2 Multi. Misc.° ~ O T7 S i Pool O 03 SF Addition 0 OS 8-Plex ? 13 Garage/Accessory ? 18 Lomn./Ind. ~ 04 SF Porch ~ 09 12-Plex 0 14 Fireplace O 19 Comm./Ind. Misc. ? 05 Sf Misc. ? 10 Multi. Add'l. 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ~ 31 New ? 33 Alterations O 35 Tenant finish 0 37 Demolish O 32 Addition ? 34 Repair O.36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC bccupancy ~ 2nd F1. sq. ft. PRY Required Zoniny Sq. Ft. total Booster Pump 1 of Stories Footprint Sq. ft. Fire Sprinkler Length D~ On-site well Census Code ~ Depth ~B• On-site sewage SAC Code APPROVALS ~ Planning Building Assessments Engineering Variance RE~UIRED INSPECTIONS ~ O Site ~ Footing ? Framing O Insulation O Wallboard ~ Final ? Draintile O Fireplace Permit Fee Z$.o~ v.i~.cia,: S Surcharge . y~a Plan Review License MWCC SAC Lity SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units , . /1~IcDc~v9tD ~''o,~~gT. ~~pC ' , ~T + 3/82,0/ ' . . ~ PL(INNE~flS ai d~~AN~ S~.URV6YUR5 ~NGINCEFII[VG . COMpFlN'~, INC, L IUUU EA9T 110p~ BiREET~ UURN6YIl.4E ~ MINNEBDTA 663li PH 4a2-9UUU Certificate ofi Survey Le~al llesr.ription: ~nT~ B~.oc.~ ' B~~k' DAK H/CGS 2NO AO/JiT/on/ DfI.~UTA coc~~i7y; M~n~~vESn~A. - C9~!~ ~ ) QENOT[S EXISTING ELEVATION (9oZ, D~ UENU'fES NPIOPUSEU ELEVA"I'ION INUICATES DIII[C'I'IUN OI' SUf1f/1C@ URqINAG~ , 9~Z•33= PINISIIEU UAFIAIU[ I'LUpR ELEVATION ~ 8~= BASEMENT FLOOR ELEVATION ~ 90L,(oL-,= T~P OF BLOCK ELEVA710N `898 ci~r SCAIE t P ~ 30' ~ ~ 1 ~ ~yao. o~ 1899~50 ~ l 79° q4,,~ ~g`a=o=. Rot,~iNs I~/ Sg ~ ~ _ o ~ NIGLS ~ ~ `0 ~ PL~1C~ ~ f °o •T• s d~~ ~ ,r ~ O1 \ ~p •~i~ ~ a ~ ~ °oCo~ a\~o~ 'Q ~ ~ ' ~9B~5o~ f y~ ~ ~ ~v a l z~~ A"6, r~°' ti i° o ~~b /O/ , 1b~~ o,, ~ ~899.0'~ .s ~ r/ ~'y~ R Q ~d ~ ~ ~.~'3 ~ ~ d~' s r ~ ~899,0~ ~ ~ c? ~ '[Jy 7'~~2 \ ~y \ ei • $ ~ ~ a~ 5 o n >72,0~ ~a \ ~ C wl" "~,v~'~ ?s.s L i7Z. ~ : ` / ~,~/x'o ~r ~ ~J ~ ~ ~Q / ~ ~ ~ ~ / ~ ~ 9 ~ ~ ~ ~ ~ \ ' ~ ~ sz / oQ ~ ~ ~ ~ \ „ - ~ s ~ ~ ~ ~ \ ° ~ '~=r'~ ~~''L / h 111 N f ~ ~ ctl ~ _ ' . ' . `li \ ~ :ti{i~...._....~..~ ~ ~ ~ z~~.~,_ut~r r c,ii~~IE~:RIPJU D~e~~~r \o~ ~ DRAini~1~E ~?nio . UT/L/Tr E/1,5EN1Ei~/T ~s9z, , / C89z,o~ ' ( I~era6y cerllly Ihal Ilds Is u lrue and correcl rapiaeonlellou ol a liacl ol Innd ns ahown a~lt~ d08cflbed ha~aon~ As p~opn~ed by~me on IIda~9~ day ol ._G'lUbVi7 ,199~. _~~~~~~=`~~l Mi~~~,, r~Ps,. rio. ~~oRS . ' ~ ~ , ~ ~ 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH 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 ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. AU6 1 3 RECD (1=zcl4d~nr~ let) To Be Used For: S~n1 ~e ~ Valuation: ~~j9tti~r Date: g'~3-9p Site Address ~~~~i,.)a ~~~~c ~rrce OFFICE USE ONLY ~G/ OOo~ Lot y Block ~ FEES Occupancy R-,~ M=~ Zoning R-I Parcel/Sub BHr ~~qk ~~~~~5 ~ND ADA~U Actual Const V-N Bldg. Permit 853, op I Allowable Surcharge S{ .SO Owner Mrnonv~Ll ~~~~-Er~t`~~ti~ T.~C• # of stories Plan Review Jrj ,00 Length 6~F SAC, City JDOr00 Address _~Z.~Z $~ue(~;~~ $,q" Depth ~ly SAC, MWCC pp,~0 S.F. Total Water Conn (o25~C70 City/Zip Code n.15vd~Pi v~'1N 55.'37 Footprint S.F. Water Meter 9~,op Acct. Deposit ~3 O.2~ Phone y~~-~3~~ On site sewage_ S/W Permit :SD,p~ On site well S/W Surcharge ,5 Contractor ~~q-,..,~.,~yq t}~,pvr MWCC System ? Treatment Pl. ZSZ,fJO ~ City water ? Road Unit 355~ 00 Address " " PRV Park Ded. Booster Pump Copies City/Zip Code ' SUBTOTAL APPROVALS Penalty Phone Planner TOTAL ~{,~1 . , ~i~i Council Arch./Engr. Bldg. Off. $/SQ ~ Variance / Address ? City/Zip Code Phone # . ~ V~! L~.I,~,T.t O~tJ . ` ~7fA~AGI= ='r` r 12X22=2~c~ 30~ ~ _ ~oc~ ~Kg%z= 8(7~} u f~ =12v~o 'f3Sn'?T z~x3Z= 89~ '1 x P>'/z ~ / o ao x r 4= 2~_ 123G x i4= 1~3~4~ I S~_d~2 I35mT = ~ z3 ~ I'/zx~ : ~y 22'/zx2= y5 12~5 Xsi = G~vyS ZNr, F~~. z~ x~','/2 ~ 82~ Ir~z~7 = ~ ~ I ~ 11 xSS~~2 = ~4 ~ X 12' ~N Z~l ~ ~ y ~ 3~~ ~'L~q ~51z 64'l19 J f~0128 V 't ~ NJcDcw9tD ~,~~g7 flOQC ~ car+su~~j i~ a Rno r~fEns # 3/82,4/ ' ~ ~NGIIVCE(iING P~~NryE~S onJ LpNU ~IIRVEVVRS • COMPFlNY, INC. ~ IUUU EA91' I~{6fi BTREET, BURN6VILLE, MINNE901A 6635i PN ~1'J2•SUUO Certificate of Suruey Legal DeSCription : LoT , BLOC.~C f#; BU/? DAK N/LLS 2N0 AOl.J/T/oA/ DA TA Co~it/7y, MiN.vESOTA. C9o%, ~ ) DENOT6S EXISTING ELEVATION ' (9oZ, a~ UENOTES Pf10POSEU ELEVATION INUICATES UIPt[C'f'ION O~ SUfll'ACE DRqINAGE 902.33~ ~INISI-IEU GA~AUE fLOOR ELEVATION ~ 894 62 = BASEMENT FLOOR ELEVATION 90Z,6~= TOP OF BLOCK ELEVATION 898. SCALE t 1' ~ 30' - - i I '1 I J C~IL10~0~ ~~~SOI ~ ~ / ~ L ~ ~~q~ ~Di o q4,,~ \ RotLiN6 l~1 79 g 6 ~ N1LLS ~~4.8 ~ f ~o ~v , ~ - o ,n s ^ ~ P/~1C~' \ ~a. `h ~ ~ T o~°-~ a. o `Y, ~ _n d~ 01 0 l~o~ •f? 6 3 /~98.SQ1 ~ f ~ V~ y ~ ~ ~v ~a ~ 29~ -o ~ . J o'I, 1° o '1la' b' /D / r'- =y°c° oo `'a o ~ ~ 9 ~ Q `b. ~ ~899.0'~ r ~;d~ 3 ti~ ~ Q~ ~a99 0~ < $ Z ~ ~a2a~~~s ~`~i,o~ ~ ~ ~ ~2 ,,v°° ~•S 8~z. a) ~i ~ , ~ rcp• R ~ ~ ~ ~ ~-~~\".~J °J . / ~ ~ ~ ~ ~ j c~.l / / J \ r Sl °Q f~ ~ ~O6 \ ~ ~9 ~ i~ ,~'O,~ ~ ~ ~l ~ i~, `so h s`~ ° rS% p l11 \ r ` _ ~R~Z \ ~"_ce ' ~~y~~ - \ ~1~GA1~T r GdiVEERIIVG DEPT ~o\ DRfliNA6E A~vD . . UT/L/T% E/15E~/IENT . ~~z. C89z,o~ . 1 hereby cerlfly Ihol thla (s a true and correcl repiesenlallon of a Irncl of land us ahown end descrlbeJ haraon~ As piepateJ by~tne on lhis'9~ day ol AU6UST ~1990 Mi~,~~, nP~. rio. J~oBS ~ • ~121/4 MINNESOTA STATE ENERGY CODE CALCULATIONS ~ q~ 2 BASED ON CHAPTER 5 OF THE J MODEL ENERGY CODE - 1983 EDITION Adoption Effective 1/1/ Owner ~ ~1d ~jp Phone Date' ^'Site Address ~,p'` y, $LO~ 6 ~~q,p~ 8q~ ~^~LC~ ZNA /4'DDN~ . Contractor ~ G ~~.~L,~ ~O~s'r'• I~G Phone Building Classffication: Type A1 (Single Family ~ Duplex) ~ Type A2(Residential) NOTE: Com lete (3 stories or less ~ p pages 3 and 4 first. (Other) ' (Over 3 stories) GENERAL INFORMATION ~ l. Bui lding Perimeter~ ~p~,k ~',~{-"fN ft. 2. Wall hetght (ground to eave) ~ ft. 1 ~ 2 • 3• 1• x 2. (above) gross wall area ~1z-~~`Jft. ' ~ 4. Building dimensions (L) X(W) = 3~~ ft.Z roof b floor area 5. Square foot area of rim Joist - Floor joist size (2 x IQ ) 11.3 X Pei~~ter = Rim Joist area = ~(~.IZ ft2 ~'2J~~~ ~Z . 6. Doors - Area 1'hickness in. U factor .~=~1 Type of Construction Perimeter ft. Manufacturer 7. Total door's perimeter ft, . I 8. Windows: Manufacturer Ns~]I„ ~ State approved 1 ~ U factor TYPE SIZE AREA (Ft.Z) NUMBER OF TOTAL FEET Z EACH UNITS ~ G N ~ . . 9. Total ft.Z Glass 3~~O„ ~ 10. Fireplace area: Width X height = X = Ft.Z 11. Exposed foundation: Height X Perimeter o~Q / X~~ 'Q q~~Jg Ft.Z COMPLETION OF THIS FORM IS REQUIRED FOR All A€ CW ONSTRUCTION, MAJOR REMODEIING AND BUILDINGS BEIN( MOVED WHERE ENERGY, OTHER THAN THE MINIMAL CODE AILOWANCE, IS USED. 1.2. framing area = 10~ of gross wall area. 13. Gross wall area ~'Q i~ S ft.2 Wi ndow area A ~~'p. CO f t.2 U wi ndows = ~O U x A= ~j`~ , Rim joist area A ~,~xQ, ~7~ ft.z U rim joist = e D ~ U x A= ~J, `~J~J ~ 2 Door area A' ~ O ft. U door area = • U x A= ~D. (D tFT i~''M. I~R - ~ q area A ~ ft.Z U~i,~~i~¢e = U x A= ~j I~~~ Exposed foundation A ~C~~ g c'7 ft.2 U foundation = . b7(p U x A= 3~ Frami ng area A~j(p7 ~ ~ I~Z •~P~ ft.2 U frami ng area O S U x A= 3~. Net wall area A ZS~~ .rjrj ft. U wall = • O~~j U x A= ~ Z ~ (138 ) TOTAL . . . . . . . . . . U x A = 3 ~ sz i i4. Gross wall area z 0.11 (A-1 singie family & duolex = allowable U x A/Code (13. above) x 0.23 (A-2 other residential) ' x .23 (Other buildings) % x .28 (Over 3 stories) ~ BTUH Must be larger than A ~j~~ Z, ~'~J' x U Code. 1 =~I'O ~e ~-°F, 136 above 15. Ceiling framing area (Af) equals 10% of ceiling area ar the. same as) 15A. Gross ceili~g area =(L) x(W) = ~J' ~ ft.2 i56 Joist area (Af) = lOro ceiling area = I 3 I ft.2 15C. Net ceiling area (A~) (15A - 15B) = I~Z~~ ft.2 U ceiling x A ~DZZ.~ x ~rg~ = Z~J'i 1~0 U f rami ng x A f= '~Z 3 x ~ 3 ~ = 3~ ~ ~ 15D. TOTAL~U x A Z~ ~ 16. Ceiling area (15A) x 0.026 (A-1 single `amily & duplex - code allowable U x A • x 0.033 (!i-2 other residential) x 0.06 (other) ~ ,oZ(p 2~ BaUH Must be larger than l50 (a6ove) A(15A) I~I' x U(codel= J~i ~O~ F (or the same asj NOTE: Use U and A values obtained from pages I, 3 and 4. CERTIFICATION: I hereby certify that I have calculated the "U" factors and "R" values herein and that the. butlding here described meets or exceeds the State of Minnesota Energy Conservation Act. • - Date S~gnature z. , . . 2j ~ k sl-~r-~T" . _ . _ . . - - . . ~s V~~ _ _ _ B.~xcsZ~=-~~~~.o . ~o, s~-xCsz~F s~`~-.~f x~~ = I ~ ZSo~~ - ~,v3XC5zfi5z1-~}+~'-~.I~_= (SZ~,S _ ~ ~ Z_~ l 5 _ ~ l 31 I , o _ - _ - I~I~~ - - - - - - _ - - ~ 3ZZ~--= I~.sxl =~3,s _ - - - - ~I~. 3ZZ~ = I~.~x I~ = Z~•~ _ _ _ _ I I 2~}za = I z~ X z-~~- o _ . . _ . I Ic~ I c~ _ x I = ~ s _ _ II Ic~Z~= 8,8Xz= I~,~v _ _ ~ Zgl c~ = In, s~c 1= I~- s- III ~,ozv = I2~o~~-~__ _ ~~•cp - _ ~ _ _ 3° sr~, ~ wls~~ = Z~,o; ~-1 - - - - z g aT~- , p~. , = z~ ~ o _ . . _ ~T~1VYv~ 6-~, = ~Z~o - ~O~ ~-('Kluw~ `~Z~° _ I ~3, o u vn~uE ca~c oNs . . R ALUE U VALUE ~ Inaide air film .68 ' , WALL ~ Ln[erior wall ~ ~ (Wall) U . R . SECTIOH J I Insula[ion ~q~0 ' ~ - ~ ~ Sheathing z,,D(p ~~~3 ~ Siding ,(Q7 ~ ~ Outatde alr Eilm .17 R TOTAL ~3 , O 3 i~ Inside.air film ~ ,68 STI;D Interior wall ;4'-j` SECTION . 4^ stvd R= 4,38 (FtamLng) U. t ~ R Sheathing ~.O(p ~-.qG 1 Siding ,fp~ ~J . ~ Outside air Eilm .l7 J , R TOTAL I 3 4'RD"RREt. ~ • . . ~r&94~fPi . . . . ~1~+ . ~actlPtll$ . w~s~w+~nn~ . ~ . _ ~~~..~.~w+w~a i-'y--rrtr-'~.a"'i^'s• Interior atr film R= ,68 R1P1 ~ Insulatton I~,a JOIST '1§ [nch soft wood R=1,88 (Rim ~ ~ ~ _ JO1St~ ~ Sheathing 2~~~ ~ Exterior wall covering •(07 I E~cterlor air film {2= , R TOTAL Z~•'7(L7 \ . Interiot alr Eilm R= .68 Insulatlon (~.O ~ ~ I Foundatibn ~~?g (Fdn.) U = ~ = , \ E:cterlor air fllm R= .O.l~ C R TOCAL ( ~ . I ~j ~xposed 31uck ~'r-i ``,rade 3. CEILING WITH VENTED ATTIC SPACE ABOVE ' R 7ALUE R VkLUE FRAMIPIG CEILING ~ 0.61 Air Film 0.61 ' ~'~'0,0 Insulation ~T,~~ ~ ~ ,38 ~ ~oist . '.'~J(p Ceilinq • "r-~'~ ~ ~ ~ { ;I ~ . ~ 0.61 Air Film 0.61 , ~Z~ ~ ~CO Total R ~T ~p ~ ~ . ~°Z3 u = R • oZl . FLAT RO~F OR CATHEORAL CEILIN6 - R Ya ue R `JALUE s FRAh1ING CEIUtiG I 0.61 Inside air film 0.61 Ceiling Joist (stud Insulation Air space Roof decking ~ Insulation Built-up roof 0.17 Outside a1r film 0.17 ' Total R 1_~ R Jindow infiltration .5 cfm/lineal foot of crack tesidential door infiltration 0.5 cfm/square foot or door and minimum code requirement . ~lon-residential door infittration 11.0 cfm/lineal foot of crack Jb 12" concrete block no insulation =.47 R 2.1 ~b 12" concrete block insulated cores =.26 R 3.8 1b 12" ligiit'n'eight b1oCk =.32 R 3.1 1b 12" lightweight block insulated'cores =.12 R 8.3 1 single glass = 1.13; with storm ~aindow .54 J double glass = .55 J triple glass = .41 all exterior walls and ceilings must have a vapor barrier (0.10 perm max.). ;apor barrier must be on the inside (heated side) of wall. iapor barriers of the polyethelene thin film have no R value. 4. - ~i~~r~~ ~ 1991 B ING PERMIT APPLI ATION CITY OF EAGAN SINGLE FAMILY DWELLINGS M[JLTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PI.ANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLAWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS SEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. / ~~s S To Be Used For: SI~i~• ~niSN- Valuation: Date: / Site Address ,575` D~~vIG ~`ff~~S f~ OFFICE USE ONLY Lot ~ Block ~ FEES Occupancy Bldg. Permit -3~' U_a_ f Zoning Surcharge _ rB~3- Parcel/Sub (~r,p ~,j,~~j ~ Actual Const Plan Review Allowable SAC, City Owner YY7 ~O~?~SA~'1 # of stories SAC, MWCC Length Water Conn. Address 5y~ ~~U~~%(qC~ ~ty,~~~S Depth Water Meter S.F. Total Acct. Deposit City/Zip Code ~qaGn .J 5/~/ Footprint S.F. S/w Permit S/W Surcharge Phone la ~ S~`~ On site sewage_ Treatment Pl. On site well Road Unit Contractor~7~//Yi£UGd/9£/- MWCC System Park Ded. City water _ Trail Ded. Address PRV _ Copies Booster Pump _ City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner Lot Change Council TOTAL ~ Arch./Engr. Bldg. Off.D~9/ ~ Variance ~ Address ~ City/Zip Code Phone # ~~~=~„„y agrees that all work shall be done in accordance with (Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # / 3 ~I PHONE: (612) 454-8100 RECEIPT # ~?7:~1~B~I~G; DATE: 5 3 ~~~5~~!~~;~. PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH IINIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL NEW CONST _ ` ADD-ON MINIMUM 15.00 ADD ON YJ p S 2 m e n'~ _ SHOWER 3. 00 REPAIR _ ~i ~ i S h _ WATER CLOSET 3.00 BATH TUB 3.00 ` _ LAVATORY 3.00 OWNER NAME: ~Q\'C'V~ Gtv~ S14v~~~,["IVV~F~p~- _ KITCHEN SINK 3.00 ' I LAUNDRY TRAY 3.00 SITE ADDRESS: ~"I \ _ HOT TUB/SPA 3.00 ~ WATER HEATER 3.00 LOT:~ SLOCK Cv SUBD. U/L ~ cr _ FLOOR DRAIN 3.00 GAS PIPING OUT. ~ INSTALLER: b~ n~"~_ _ (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 ADDRESS: ~ G ?~l e~ _ OTHER WATER SOFTENER 5.00 CITY: ZIp; S S~ a~ _ PRIVATE DISP. 15.00 / ~ U.G. SPRINKLER 3.00 PHO # : l.v ~ ~ ~ ~ SUBTOTAL S ~ 1 ST. SURCHARGE .50 SIGNATURE 0 ERMITTEE S, S O TOTAL: ~jOMME~CZfa7,~iHDiiSTRZ~L; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND ~ MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE - $.SO FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA164931 Date Issued:10/12/2020 Permit Category:ePermit Site Address: 544 Rolling Hills Pl Lot:4 Block: 6 Addition: Bur Oak Hills 2nd PID:10-15501-06-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 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 - Timothy V Myers 544 Rolling Hills Pl Eagan MN 55121 (763) 458-8887 Milbert Company (culligan) 1801 50th St E Inver Grove Heights MN 55077 (651) 451-2241 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA167903 Date Issued:04/01/2021 Permit Category:ePermit Site Address: 544 Rolling Hills Pl Lot:4 Block: 6 Addition: Bur Oak Hills 2nd PID:10-15501-06-040 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. We encourage you to retain an electronic copy of photos until the project passes a final inspection. *Roof permits issued between December and March will be inspected in the spring or when weather warms up. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Timothy V Myers 544 Rolling Hills Pl Eagan MN 55121 (763) 370-7156 Minnesota Restoration Contractors Inc 12252 Nicollet Ave Burnsville MN 55337 (612) 280-4807 Applicant/Permitee: Signature Issued By: Signature