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3719 South Hills LaneVILLAGE OF E404N 3795 Pilot Kna? Rood SEWER E*'*"' MN $5122 SERVICE PERM1r Zoning: PERMIT NO.:2 845 Owner: ('eorne DATE: 11 29 76 Address: C. Ala Urer Copgt°- of Units: Site Address: 1 ]..1Plumber: Ray E? Ha et /1 S rr /76 "4573 g Plumbing 0bttq eK comply with the Village of r ' Eogon Connection Charg8Ion. no lid Account epos . Dit: By: Permit Fee: 0?aP??. Date oflnsp,; Surcharge; Ins Misc. 0 d p" Charges: Total: Date Paid: . VILLAGE OF EAGAN WATER SERVIS EPERMIT 3795 Pilot "65 Road S PERMIT NO.: 95 Eagan, MN 55122 DATE: Zoning: RI - No. of Units: I Owner: George C. Maurer Const. Address: 3719 South bi Site A lls ress : _ Iane ID 131k 1 So Hi s st _ Pluml>e Ra?E. Haeg Pl umbs rNo.: 7SA./5'11 Connection Charge 220.00 pd Size: ' A D R d '76 ccount eposit: ___ ea er No,: Permit Fee: 10. 00 pd 1 a9roe )to comply with the Village of Eagan Surcharge: • 50 pd ee Or ' Misc. Charges: 60.00 pd meter Total: ? Date Paid: a : Date of Ins p.: WP 7k CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 5512 PHONE: 681-4675 BUILDING PEFI??TIT1QN Receipt # To be used for DECK Est. Value $64.000 Date MAR Site Address 3719 SOUTH RILLS LN Lot 17 Block I Sec/Sub. SOUTH RILLS 16T Parcel No. Name GARY ld Xfa tl LU Address 3719 SOUTH HILLS LN 0 city Phone 55123 EAGAN W Zip 452-5167 a: Name PEDERSON HOMES INC 0 Address 3511 143RD ST W city ROSEMODUNT MN Zip 55068 Phone 423-3086 8 I?nse # 0001466 - I hereby acknowlege that I have read this application and stale that the information is correct and agree o comply with all applicable State of Minnesota Statutes and Cit?, n Ordinance. Signature of Permitee' A Building Permit is issued to: PEDERSON HOMES INC on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Occupancy Zoning (Actual) Const (Allowable) * of Stories Length Heck Depth Addn S.F. Total S.F. Footprints On Site Sewage On site well MWCC System City Water PRV Required Booster Pump APPROVALS Planner Council Bldg. Ott. Variance 1 k.420 11 V OFFICE USE ONLY R-3 Bldg. Pemtit 23Z Surcharge Plan Review ts92 FEES 478.00 32.00 31o.oo 5.00 SAC. City SAC, MCWCC Water Conn Water Meter Acct. Deposit SJW Permit SNIT Surcharge Treatment PI Road Unit Park Ded. Copies TOTAL 611].uv Permit No. Permit Holder Date Tekphone # S/W PLUMBING r o7? ?- 37. 53 WAC 9332- ELECTRI .D ELECTRIC Inspection Date Insp. Comments Footings I ?? Foundation Framing Y_ ?. SZ Rooting Rough Plbg. -7 Rough Hg. .3 Zrf Isul. Y/ ?? CcQ Fireplace Final Htg. Orsat Test Final Plbg. 5-1.3-0 Pibg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final Deck Fig. Deck Final L / Z well Pr. Disp. CITY OF EAGAN q O 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 681-4675 Receipt # D':71!2 (1 ADDITION & To be used for DECK Est. Value $64,000 Date MAR 4 19 92 Site Address 3719 SOUTH HILLS LN Lot 17 Block 1 Sec/Sub. SOUTH HILLS 1ST Parcel No. Name GARY BERGH Address 3719 SOUTH HILLS LN City EAGAN MN Zip pC Name PEDERSON HOMES INC 0 Address 3511 143RD ST W City ROSEMOUNT MN Zlp 55068 Phone 423-3086 License # 0001466 I hereby acknowlege that I have read is application a that the information is correct and agree o ply with at p le State of Minnesota Statutes and City , It-me ce Signature of Permite A Building Permit is issued to: PEDERSON HOMES INC on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Occupancy Zoning (Actual) Const (Allowable) # of Stories Length Deck Depth Add'n S.F. Total S.F. Footprints On Site Sewage On Site Well MWCC System City Water PRV Required Booster Pump APPROVALS Planner Council Bldg. Off. Variance OFFICE USE ONLY R-3 24x12 24x14 72W2 Bldg. Permit Surcharge Plan Review License SAC, City SAC, MCWCC Water Conn Water Meter Acct. Deposit S+W Permit S/W Surcharge Treatment PI Road Unit Park Ded. Copies TOTAL FEES 478.00 32.00 31n_nn 5.00 825.00 Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost I 3. Job Address Lot f Blk. ' Tract 4. Owner 5. Contractor Phone 6. Address 7. City State t Zip i 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe 11. Type No. Equipment BTU - M. Ea. ?C'CC Forced Air ? No. Equipment CFM Ai dli H : C Mfg. r an ng Boilers T 7(.0 ? (-0 Mfg. (-z7 -T 2 Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT Permit No.'s CITY OF EAGAN Fee "J Fill in numbered spaces S/C _ i Type or Print legibly Tot. 1. Date 2. Installation Cost mane , T J 3. Job Address 3719 So. ? ilis Lot Blk. / Tract 4. Owner Carry Bergh 5. Contractor %,.enzel Mechanical Phone 452-156 6. Address 1604) Kennebec Dr ive 7. City 'ttaan State :,innesota Zip 5 ;> 8. Building Type: ResidentialI Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter 13 Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cess ool/Drainfield Bath tubs p Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray L Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 NUMERICAL FILE CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 CASH RECEIPT RECEIVED 19 AMOUNT $ DOLLARS 100 ? CASH ? CHECK FOR FUND CODE AMOUNT -?- 4 5 By CITY OF EAGAN Remarksrn o nQ? CbC ?(o"jtA L. I? Addition SOUTH HILLS 19t Lot 17 Blk 1 Owner (4"q &• `_ Call( r2?4? Street 3719 So. Hills Lane Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING 1973 581-88 .19 10 -7n. 98 A003830 ' 4-5-77 SAN SEW TRUNK 1971 146.46 7.32 20 95.22 - A003830 4-5-77 SEWER LATERAL c 1975 2,29531 153.02 -15-- 1836.25 A003830 4-5-7/ WATERMAIN WATER LATERAL 1975 15 WATER AREA 115-7 1972 239.22 11. 20 4-5-77 STORM SEW TRK It STORM SEW LAT 1 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. Qp _ BUILDING PER. , SAC DO PARK - - , CITY of EAGAN BUILDING PERMIT Owner ...... Gary Bergh .............................. Address (present) Builder George C. Maurer Const. ................................................................................................ Address .....6625 Lyndale__Ave... So. 866-4947 ..... ............................. ............ DESCRIPTION o :, N2 4138 3795 Pilot Knob Road Eagan, Minnesota 55122 454-8100 Dale ....IV..15/..7.h ......................... Stories To Be Used For Front Depth Heigh! Est. Coe! Permit real Remarks S/F Dwlg & Gar 48' 50'6" 43,900 125.50 22.00 s/c i ?o LOCATION ./ 1 -1 ' or 3719 South Hills Lane 1 17 1 So. Hills lst This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST HE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, CAASLx._..........has per o erect a..N:.?F..P.W19..k_Gar ....................... upon the above described pre 'e8 subject to the provisions of all ap cable Ordin ces for the CWE?Jff Began. ....-----..........--• -..tt? ........................... Per .. ... ..<C.p.-.? ........................ or Huildinp I? nap for CITY OF EAGAN 3795'Pilot Knob Road Eagan, Minnesota 55122 PERMIT NO.: 837 she City of Eagan hereby grants to Kleve Heating & A/G Inc. of 13075 'Pioneer Trail, Eden Prairie, 55343 a HEATING Permit for: (Owner) Geo.Maurer at 3,719 So. hills Lane pursuant to application dated 12/15/7p Fee Paid: $20.00 _ dated this 20 day of Dec. 19 76 S /c .50 Building Inspector Mechanical Permits: Bid Total: /° 70 7 1Q i20 CITY OF EAGAN 3795'Pilot Knob Road Eagan,. Minnesota 55122 PEFMT NO.: 5a the City of Eagan hereby grants to Baars Plumhing c uoari 4 1o. of 3947 Ksidh Road, c RAIJ ctSlia _ a PLUMBING Permit for: (Owner) ?.gr?._?rgh at 3719 So. Hills Lane , pursuant to application dated 17/1Q/7A Fee Paid: $20.00 _ dated this I :r _ day of nnremt er f. 19?fy_ 50 s/c Building Inspector Mechanical Permits: Bid Total: I L3//B/9 2 J8401U/17,61, ?,UA /e o Request Dale Fire No. Rough-in Inspection Required? 3^ '&-7Z ? Ready Now 1 Will Noddy Inspemor ?C•When Ready? ? No es / I;jicensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) ,370 9 Aqm e- City ??&A W Section No. Township Name or No. Range No. County ,?)Q ?(Ce7R OccupantlP3TI C C,e,5 0 Phone No. / 010 Power Supplier Address Electrical Contractor (Company Name) / ?ao??/?G?.Ci? Ge Commortil License No. O1I/lF2^S Mallmg Address (Contractor or Owner Makin Installation) 1,2 yes ??0 ??i ??Y .e?e_. 4,-4e 11 rj Amhorrzed Si pure ICommctor/Owner Ma Y9 In tallalionl Y9 Phone Number V2 7 -YI- g-"f .- MINNESOTA STATE BOARD OF ELECTRICITY Griggs-Midway Bldg. - Room S-173 1821 University Ave., St. Paul. MN 551" Phone (612) 642-OND THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. J o r. ? J'i411 REQUEST FOR ELECTRICAL INSPECTION ? See instructions for completing this form on hack of yellow co". "X" Below ylerk Covered by This Request W. New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other lspecityl Contractors Remarks: 4- GCT/ olLl Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool O to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 -Am a Signs Inspectors Use Onty: TOTAL Irrigation Booms S Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORD ED IF NOT Other Fee COMPLETED WIT MO r I, the Electrical Inspector, hereby Rough-in + Date certify that the above inspection has been made. Final Dare Y OFFICE USE ONLY This request void to months from This void Z? a B nta 1 6A 6 4. /or in CD Request Date. 1-82 Fire No. Rough-In Ins uection flequireA? ®Ready Now ? Will Notify Inspep- ?Yes [Nn ter When Ready ® Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at-. Street Address. Be. or Route No. City 3719 South Hills Lane Eagan action No. Township Name or No. Range No. County Dakota Occupant (PRINT) r r B h G Phone No. 452-51Y67 y g e a Power Supplier Address Electrical Cont rector (Company Name) Contractor's License No. Rossola Inc. 40828 8 Mailing Address (Contractor or Owner Making Installation) P.O. Box 254 Lake Elmo, Mn. 55042 Au r e i nature (Contractor/Owner Making Installation) Ph,y?g,TluPer6 MINNESOTA STATE BOARD OF ELECTRICITY - THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS o.___ rotor oov ottt ENCLOSED. . REQUEST FOR ELECTRICAL INSPECTION _ ES-00001-03 See instructions for completing this form on back of yellow copy. T _ 764641 .> "X". Belov7Work Covered by This Request ;?S-to j K e Add Rap. Type of Building Appliances Wired Equipment Wired X Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm other peG Y the, ISoecifyl [ or Spedfy Other Othor compute inspection Fee Below V Fee Service Entrance Size it Fee Feeders/Subfeaders S Fee Circuits 0 to 100 Amps O to 30 Amps O to 30 Am 101 to 200 Amps 31 to 100 Amps 31 to 100 Amps Above 200 Amps Above 100Amps Above 100-Amps Transformers Remote Control Circ. Partial/Other Signs Special Inspection S 10.50 TOTAL F E R7• Re masks Rough-in Oat", 1. the Electrical Inspector. hereby f Final ( to// certi y that the above i fiction has been / made. Inis request void ' `` JB oe 18 months from t(?1 V^ i.L-.i,.,. .E:FtPiTtdr,L.. f1I::1P T ji i.l, Ll.x ., :i. f)f sC_J .: .,.;U t)J:+ L.. `_?7 o2`i IJ :?? ('.J 25 DANI 7L 0 (li'•:i,.!. '.`r:!i..: C:!.iy., f} C'fi.il_,f1, 1; 1 . ., c- ..? .iJ ?_)fT f... ? ) i ?'* i'::>k?'n n* .•(* M_¢.:k'...'!,.,..1: `!;::4::A' . • .;s:m:>r:>kY„YFmm?kiK;;; m>F. 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF KAGAN 3? I ?T 3830 PELOT KNOB RD - 55122 50 (651) 681-4675 New Construction Requirements Remodel/Repair Requirements ? 3 registered site surveys ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan if lot platted after 711/93 required: _Yes - No DATE: ZL31 DESCRIPTION OF VI STREET ADDRESS: ? 2 copies of plan ? 1 site surveys (exterior additions & decks) ? t energy calculations for heated additions CONSTRUCTION COST: 6 131 . 7 3 LOT: I 10 BLOCK: I SUBD./P.I.D.#: PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: Ga ru Phone #: y5Z 51 Co 7 Last First i _ Street Address: l 1 l 1 (LY?--9' City LrlacLn State: ?IV zip: iJZ3 Company: Phone #: Horizon Exteriors 1333 Lare Industrial Blvd. Street Addressd Burnsville MN 55337 t i (612) 890-3900 State: City Company: Street City Sewer & water licensed plumber (new construction only): _ change and lot change is requested once permit is issued. License #2001'Z -7q 5 Exp. Penalty applies when address 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 Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes No Zip: Phone #: Registration State: Zip: Tree Preservation Plan Received - Yes - No - Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 02 4 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool _ ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 _-plex ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move ? 32 Addition 91, 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering . Census Code SAC Code Census Units Census Bldg MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ L- t I C13 % SAC SAC Units L / 9 SL CITY OF EAGAN / PLUMBING PERMIT SUtRD._ / (612) 681-4675 RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. CITY USE ONLY RECEIPT $ C O 7 /o DATE 3 023 ALSO, FOR TOWNHOMES AND CONDOS WORK DESCRIPTION NEW CONST ADD ON REPAIR OWNER NAME: SITE ADDRESS: /! / >r1+G? ??? i INSTALLER: &'LY '.L ?t ADDRESS: CITY: ZIP: 1 5^? 5 PHONE: 1/G? 7 COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL REPAIR/ADD ON 15.00 SHOWER 3.00 - WATER CLOSET 3.00 as / BATH TUB 3.00 _ LAVATORY 3.00 _ KITCHEN SINK 3.00 _ LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 _ WATER HEATER 3.00 _ FLOOR DRAIN 3.00 GAS PIPING OUT. (MINIMUM - 1) 3.00 _ ROUGH OPENINGS 1.50 OTHER _ WATER SOFTENER 5.00 PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 W. TURNAROUND 15.00 STATE SURCHARGE .50 TOTAL: $ IA •,i O COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: SITE ADDRESS: TENANT NAME: SUITE #: INSTALLER: ADDRESS: CITY: PHONE #: FOR: CITY OF EAGAN ZIP: CONTRACT PRICE: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL: (SIGNATURE) CITY OF EAGAN L,--L5' %.B MECHANICAL PERMIT SUBD. ?{u wG? /.?i / (612) 681-4675 RESIDENTIAL RECEIPT # C 0 DATE ---:3 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. OWNER- FEES #oF SITE ADDRESS- 3 2Z9 ADD ONIREMODEL (EXISTING CONSTRUCTION ONLY) $ 15.00 INSTALLER: HVAC: 0-100 M BTU 24.00 PHONE #: Zl' - 3 ADDITIONAL 50 M BTU 6.00 ADDRESS: p- GAS OUTLETS - MINIMUM 1 @ $3 EA. CITY. - ZIP: y7J f/$ SURCHARGE: $ .50 SIGNATURE: TOTAL: $1,5-.50 COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCLIIANDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMH.Y BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: If CONTRACT PRICE: I FEES 1% OF CONTRACT FEE. STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE.- $ PROCESSED PIPING - $25.00 Fs MINIMUM FEE - $25.00 :6L/a ?.? SITE ADDRESS: TENANT: SUITE #: INSTALLER. ADDRESS: CITY. PHONE #: SIGNATURE TOTAL- I $ ZIP: CITY SIGNATURE ` 1992 BUILDING PERMIT APPLICATION 4 78-001- CITY OF EAGAN REQUIREMENTS: ?O'?? 31 o • 00+- 5.001- SINGLE FAMILY 2 SETS OF PLANS, 3 REGISTERED SITE SURVE t ? 5. 3'j ?• MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVIF ?\r ? # OF UNITS RENTAL FOR : , 473.0 J ; J0? COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCT 310.00+ SPECIFICATIONS, 1 SET OF ENERGY CALCS. 5.03+ h• PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT 8 2 00;: DAY OF MONTH IN WHICH REQUEST IS MADE DB LOT CHANGE IS F ISSUED. i. F 3 S NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED.a NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. ??}lY1 To Be Used Fo : Single Family Valuation: 64 , 000 Date: February 21, 1992 Site Address 3719 South Hills -urine Lot 17 Block 1 Owner First Address 3719 south Hills Drivel City/Zip Phone 452-516 Homes nduress 3511 1 City/Zip Rosemount, MN Phone 423-3o86 License Arch./Engr. Address City/Zip Code Phone # Sewer/Water Licensed Contr. for sewer/water.Dermits is tv Variance FEES 32,001 3 * A150 ADD ZNb S-MP-Y AND A bEC-< once area Processing time that all work shall be done in accordance with West 55068 Occupancy 9-3 Bldg Permit Zoning Surcharge Actual Const Plan Review Allowable License Fee # of stories SAC, City Length ADDinoO SAC, MWCC Depth Der-K a4'YJ21 Water Conn. S.F. Total Water Meter Footprint S.F. Acct. Deposit ADD ZNi> 5rmy Z fsX 3z' S/W Permit On-site sewage S/W Surcharge On-site well Treatment Pl. MWCC System Road Unit City water Park Dad. PRV Trail Ded. Booster Pump Copies SUBTOTAL APPROVALS Penalty Planner Lot Change Council TOTAL Bldg. Off. 7 Z ' all applicable State of Minnesota Statutes and City of Eagan Ordinances. MINNESOTA VALLEY t?yr7 ? SURVEYORS & ENGINEERS CORP. Uese t:urww[woe ioYrx rtMtLWlal, ..wnorn avn Certificate of Survey for: QJSTAFS&V 41 qZ6, NEkV DECK A 0- NEW I 5roR Iq.? Y 40 _ i 1 +I ' E o 0.y?y . ?c) 3.4..71. 6ffOD_ r f'?.7 l a is• 3 ld4TER s ? ER 10C471DFJ. /_'r50?•_-- _ SOUTH ..::H/LLS " Ga/?E .. :=_----- AAi6 4UMPOP 7?S CAftDY lorj% I?t"17, Blorfc Yi South. Hills First Addition err t - I h.,.hrt.•s:ir sh.s this is. U. .nd eorr.s,? r.pr.sewte/ion MinnelrotIt Vallty Surveyors & ' - of o wrr.r of sh. b...dori.a I lh. eb.r. d.aerib.d I..d, EnZIpten, Corp_ end o/ N. Int. s:on el ull ho:ld:wga, ther.en? and .II vi 1161. by . R L S envoo<hm.ntst i/ opr. Iwm or an +.id tend. At surr.red by.. ih.s/ Jd.y et /2r A. V. 19A. Minn. Reg. No. ? ?? /? D D 1TLo t Energy Conservation Supplement to Building Permit Application BUILDING AND SAFETY DEPARTMENT This supplement Is provided to assist the applicant in?boapstiaq the EXTERIOR ENYWE AVERAGE 'O' FACTOR INFORMATION. This information is required so the BUILDING OFFICIAL can determine that the submitted plans comply with the ENERGY CONSERVATION DESIGN CRITERIA of the STATE MUM CODE (Section 60011. It Is the APPLICANT'S responsibility to accurately and complete; compute the data; reflect the proper DESIGN CRITERIA in the plans; submit product specification, as needed to support the 'R' and 'O' factors used; and to anare that construction is accomplished per the approved plans. ION LOCATION --3'7j-'j Sv 14TH jt? (?t_ S 2tZi \16 ana(s) ft Y d e,- A Zo t? 6 E' 4 PANE 4- S Z ?SI 7 CONTRACTOR ? ---?_ S LTD Mme( 2f l/C. MME 4- z,3 -3 O 8 c,, A. Determine the Total Exposed Wall Area as follows: 1. Total wall window area 73 9, Z Z- 2. Total door area 3. Total sliding glass door area 4. Total fireplace wall area 5. Total wall framing area (average 1011 6. Total net wall area above. floor 7. Total ria joist area Subtotal: Total exposed wall area above floor ?'i Z, IJ Zi It -5, fq Z4,7 7 / ? ';, 6'D ___------------------- / 7 00, 02 R. Total foundation window area 9. Total net foundation area above grade Subtotal: Total exposed foundation area GRAND TOTAL EXPOSED WALL AREA E. Multiply the GRAND TOTAL EXPOSED WALL AREA X .11 C. Determine the Total Exposed Roof/Ceiling Area as follows: 10. Total skylight area Ll. Total roof/ceiling framing area (average 511 12. Total net insulated roof/ceiling area GRAND TOTAL EXPOSED ROOF/CEILING AREA ----------- D. Multiply the GRAND TOTAL EXPOSED ROOF/CEILING AREA X .026 ----- - ---------------- - .------------------------- 1,7 00, oo ITEM I 4- .11,416 ---------------------------- 20 7, 6v ITEM 11 I 3 Determine the 'U' value of each segment (1-9) and multiply by the are as follows: 1. w l n4 :xw5 Z 39 7, 1,1 •u• 3 8 qo, 9'0 2. Q o75n s z •u• -- _ 3. 7-10 t7?s. 3 Z J?. I Out 3 -5? _ 4. A I *Us 2 I tug - 9l ?r.3C/- 6. (44 LL S W E 6,7Z z •u• . a 4?3 - 'Us 9. ULM dA-rl ( w z •u' ' r ADD 1-9 FOR TOTAL PALL SEGRERTS ITEU III ? ? I 1 q Determine the 'U' value of each segment (10-12) and multiply by the area as follow: lo. ??t `I ? I-4I 5 z •u• 12. ?. G?L?/u y l /K 6, fij R •U• .Q Z, = ZS zZ, ADD 10-12 FOR TOTAL ROOF/OEILIRG SEGRERTS = ITE)( IT , b G. If item No. III is the same as, or less than Item No. I, you have met the Intent of State Building Code 6006(c)2. H. If item No. IV is the same as, or less than Item No. II, you have met the intent of State Building Code 6006(c)1. 7 Q I. Add Item No. I ? 7// , 0 + Item No. II /• ?J 8 8i 3 S J. Add Item No. III G? 11, ?- • Item No. IV Z 0 9 _ ?, ?3 K. If the sum of Items III and IV are less than Items I and II, you have met the intent of the code for total envelope system. In addition to the above items you may have to add for such items as floors over unheated spaces, such as cantilevered areas, etc. To arrive at •U• value divide the total of the R values for each segment (as above) into 1,000. Anemer you have is the •U• value for that segment. Example: A total •R• of 35.08 divided into 1.000 = .028 •U• note I /-/? ?' l? ------- BU1'LDIOG PERMIT ?.PPL'CAT i.UT_? P.. ACY I ADDITIO N L + I?Z???Q?r[/_/? & 0E!"LJO!S 1?;;t:LuR 1:? i5i:ir2::9iTED r.I.tiuL ---- .J:)'i'7SdG?_ O°P?Fi:?_7" 'T_"?""? AnDti:uS TELEPHONE 570. 9 LL Irciud.. +-.e plan, building plans, and en gy calculations v:ith this - application i Signed OFFICE USE VALUA'i'IO??__'?y SAC Ci2'.5'ER CO FZr I..CTIIIT DATER !ILTER WILDING F?;P.i_-[8 FLM S-,iwiT.ur'z F:^E PI,l1N CRT= F$E PAP„Z D.W'.c-1TIG7 FLE 4-4a . 00- 60 APPR(MV,S : ASSESS :?rIT CLERK BUILDING DEPT. POLICE *.dP.TF.R & SLTWR DEPT. FIMM DEPT. PARK DEPT MINNESOTA VALLEY gOTq"p Sn? SURVEYORS & ENGINEERS CORP. >rr'''?(lF.c t >( - Fk • se 1 to r N N \ ,W NOEL E-0ETN AVENUE SOUTH BVeR'9LLF, MINNESOTA SSSlt G,t• ).1 W ?rpRSENV` ? __ Yp?_?NG Certificate of Survey for: Q /J0ys7A: FSOA1 " 417 926, ?y Ap, ,Q G.0 1.b - Rao ' " - - I9 A 13.49•-3 s WW6R?III 0ctiT16rJ---- ..,MILLS " LAAIE 14a4E -04,f,406 p: 7gr-,cS `AWKOX Lo3-ijov) lot"i7, BA' k'`l, South Hills First Addition 1 GEORGE" C. MAURER CONST., INC. 6625 Lyndale Avenue SoutEi Suite 207 Richfield, Minnesota 55422 1 h.reby c.rt7ly Shot thi3 i. o true end cen.It rep.r3enlotion N11nnesotit VIE IIey SurYC yOre el o furwr of th. bounderieS o/ She ob... da.o ibed lund, Engipeers, C.Oro_ • R L S end of She location of ull building., She reap, and oll ri.i bla by eo? rnrroechmanS., if ony, I•o { r en "d Innd, 'Sp A. ,Urr.,,d by n.r ih..(J dMy el Ep Y. a. o. lo]?. minn. Reg. No. ??03 MASTER CARD 3719 South Hills Lane L17 BI So. Hills lst. OWNER Gary Bergh STRUCTURE AND LAND USED AS S/F Dwlq. & Gar. Permit No. Issued Issued To Owner Contractor BUILDING 4138 11/15/76 II Geo. C. Maurer COnSt1 PLUMBING 69 _ ?a Lad 4 Q4 CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING 19,37 GAS INSTALLING SANITARY SEWER OTHER OTHER Items Approved (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER ?J Violations Noted on Back COMMENTS: J COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. ? ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AS FOLLOWS: 11 NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ? REINSPECTION REQUIRED DATE OF REINSPECfION REINSPECTION REVEALED CERTIFICATION -I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein all significant conditions observed to beat variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific requir - ments for off-site improvementerelating to the property inspected. ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR DATE COMMENTS: I RESIDENTIAL BUILDING 973 dIr Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Reouirements 3 registered site surveys showing sq. ft. of lot sq. ft of house; and all roofed areas 2 copies of plan (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions 2 copies of plan showing beam & window sizes; poured found design. etc. 1 site survey for additions & decks 1 set of Energy Calculations Addition - indicate if on-site septic system 3 copies of Tree Preservation Plan If lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units / j p 1 Date ! / / 0-3 Construction Cost ®Ol Site Address _? ?O??i 1?L LS M Unit/Ste # Description of Work &-d AV, Multi-Family Bldg _ Y 4 N Fireplace(s) _ 0 X 1 _ 2 Property Owner 6A a:-( Telephone ##?b2,) Contractor P,?Og -Qp1- Address / City 6 State ; t4 Zip (o Telephone # COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv t _ Minnesota Rules 7672 Energy Code Category . Residential ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Office Use Onlv Carl of Survey Recd _ Y _ N Tree Pres Plan Recd _Y _N Tree Pres Reqd -Y _ N On-site Septic System _ Y _ N Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ej,-& RCW,A-- 6 . Dalt-- Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 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 (screen/gazebo) ? 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 Miscellaneous 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 Windows/Doors ? 34 Replacement *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 - Footings (new bldg) _ Final/C.O. - Footings (deck) Final/No C.O. - Footings (addition) _ Plumbing _ Foundation _ HVAC - Drain Tile Other Roof - Ice & W ater _ Final _ Pool Ftgs Air/Gas Tests Final - Framing _ _ Siding Stucco Stone _ - Fireplace _ R.I. - Air Test _ _ Final - _ _ Windows (new/replacement) Insulation _ ' Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Permit #: Permit Fee: Use BLUE or BLACK Ink qt 90. Ob Date Received: Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: i (_ 11 - d`( Site Address: 3 71c S [4 l 11 L /2 Tenant: Suite #: RESIDENT / OWNER TYPE OF WORK CONTRACTOR 7 Address / City / Zip: J 7 (1 S) i 1 r'S Applicant is: Owner Contractor ljci - f , ` '�(, c Name: G- A t2 — a 4 1 c f;J e 1� y' Phone: d c4)' ' 7 ` -.').S Description of work: gq L-. 4e W l. v.ritau s Construction Cost: 1 , bvO Multi- Family Building: (Yes / No e' Name: P R. O ) 1 5 ) U v1 5 License #: ( ) - {1 YU & (( Address: r 3 7 a- iir. r 5 Lc) to City: �% t4 7 1 State: Zip: Phone: L ¶1 - � (5 -�5 ` 7E Contact Person: G'11cci COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes No If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: Phone: NOTE: Plans and s documents that you submit are considered to be public rntormatrmn.. Portions of . t he information may be classified as non - public if yo u provide specific reasons that would permit the :Ci to conclude t they 'are trade 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.gopherstateonecall.org 1 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. Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA158675 Date Issued:10/25/2019 Permit Category:ePermit Site Address: 3719 South Hills Lane Lot:17 Block: 1 Addition: South Hills 1st PID:10-70790-01-170 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Nathan T Loughran 3719 South Hills Lane Eagan MN 55123 (612) 747-0446 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 745-1400 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165388 Date Issued:10/29/2020 Permit Category:ePermit Site Address: 3719 South Hills Lane Lot:17 Block: 1 Addition: South Hills 1st PID:10-70790-01-170 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Nathan T & Abby M Loughran 3719 Hills Ln Saint Paul MN 55123 (612) 747-0446 Options Exteriors 460 Hoover St NE, Suite 2 Minneapolis MN 55413 (651) 705-6376 Applicant/Permitee: Signature Issued By: Signature