EA180503 - Building - Single Fam - Issued Date 12/08/2022 PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd `.` % ': Permit Number: EA180503
EAGAN
Eagan,MN 55122 •--- •--•
(651)675-5675 111111111111
www.cityofeagan.com * E R 1 8 0 5 0 3
Date Issued: 12/8/2022
Site Address: 540 Rolling Hills Pl
Lot: 5 Block: 6 Addition: Bur Oak Hills 2nd
PID: 10-15501-06-050 11111 IN 111111111111111111111111111111111111111111111111111 11111M
Use: * 10 - 15501 - 06 - 050 *
Description:
Sub Type: Single Fam Construction Type: V-B
Work Type: Alteration
Description: Kitchen Remodel
Census Code: 434-Residential Additions,Alterations Occupancy: IRC-1
Zoning: R-1
Square Feet: 0
Comments: Improvements to the home may require smoke detectors in all bedrooms.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes(Minnesota
State Building Code).
Fee Summary: BL-Base Fee $132.75 0801.4085
Plan Review $86.29 0720.4222
Valuation: 5,360.00 Surcharge-Based on Valuation $3.00 9001.2195
Total: $222.04
Contractor: - Applicant - Owner:
J Carsten Homes David N&Cynthia Lutz
2150 67th St E 540 Rolling Hills PI
Inver Grove Heights MN 55077 Saint Paul MN 55121--235
(651)592-7877
This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after
started.
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.
Applicant/Permitee: Signature slued B?-'Signature
--------------
jFor office use C',
Building Permit#:
I
®®'j®s Ej MW Permit
®®®® ®®®® EAGAN Permit Fee:
3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1
E C E I V E Date Received:
(651)675-56751 FAX:(651)675-56941 Date Issued:
buildinainsgections(cD_citvofeaaan.com DEC 0 2 2022 I---------------------�
RESIDENTIAL EMILDIN IT APPLICATION
Date: 12/2/2022 Site Address: 540 Rolling Hills Place Unit#:
Applicant is: ❑ Owner ® Contractor
Name: Cindy& David Lutz
Homeowner Address: City:540 Rolling Hills Place Ci Eagan
'
State: MN Zi ; 55121 Phone: 612-618-8287 Email:
Kitcnen renlo @ o o -o asiffg Wail!, i ,n w -
Description of work: �'---=g*load hearing all
Te of
Work Construction Cost: 40,000
Type of building: 0 Single Family ❑Townhome, of units ❑Twin Home
Company: J Carsten Remodeling contact: Jason Myrlie
Building Address: 2150 67th St E City: Inver Grove Heights
Contractor MN55077 651-592-7871 jason@jcarstenremodeling.com
State: Zip: Phone: Email:
License#: BC512128 Ex iration Date: 3/31/2023
Sewer& Company: Contact:
Water
Contractor' Address: City:
Required for State: Zip: Phone: Email:
new construction
License#: Expiration Date:
0 1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTE:Plans and supporting documents that you submit are considered to be public information. 'Portions of the
Information may;be classified as non-public ifyou provide specific reasons that would permit the City to conclude that they
are trade secrets;
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.000herstateonecall.ora for protection against underground utility
damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities.
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, d work s of 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 ap oval of pla
xJason Myrlie x
Applicant's Printed Name Appliant's Ignature
FIDROFFICE USE ONLY
Site Address: 540 Rolling Hills Place Permit#: 1 ?D S 0 3
SUB TYPES
Y% Single Family _ Fireplace _ Lower Level
_ 01 of Plex _ Foundation _ Porch
Deck _ Garage _ Pool
WORK TYPES
New _ Repair _ Siding _ Retaining Wall
Addition _ Fire Repair _ Reroof _ Move Building
Alteration _ Water Damage _ Windows — Demolish Building`
Replace _ Egress Window _ Solar "Demolition of entire building–give PCA
handout to applicant
DESCRIPTION 530
Calculated Valuation Occupancy MCES System
Plan Review 025% OJ00% Code Edition AAJ?e-2.0W SAC Units
Census Code Zoning R-1 City Water
#of Units Stories Booster Pump
#of Buildings Square Feet PRV
Type of Construction � Fire Suppression Required
Separate Stormwater Management Permit Required
REQUIRED INSPECTIONS
Footings: New Addition Deck Siding:_Stucco Lath _Stone Lath _Brick
Foundation: Before Backfill Poured Wall Roof:_Ice&Water _Final
Framing: 1 Hour Residential Alteration Erosion Control
Braced Wall Framing/Blocking Pool:_Footings Air/Gas Tests _Final
Braced Wall Sheathing(prior to house wrap) Retaining Wall:_Footings_Backfill_Final
Interior Braced Wall Panel(s) Fire Suppression:`Rough In_Final
Firewalls Windows
Insulation Other:
Fireplace:_Rough In Air Test _Final
HVAC: Rough In Final 0- Final/No C.O.Required
Radon Control P/ Final/C.O.Required
Reviewed By: Ains . Building Inspector
FEES
Calculated Valuation 53toD 5730
Base Fee
Plan Review (P.
State Surcharge 3 -
Met
.Met Council SAC
City SAC
Treatment Plant
Water Supply&Storage
S&W Permit&Surcharge
Meter
Radio Read
Other:
TOTAL $ 0.00 C/