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3315 Rolling Hills Ct
Date: City of EaQaR 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Tenant: V. 0 Use BLUE or BLACK Ink For Offica. lJs^� / Permit #: -7 7 7h /'3 Permit Fee: 1 7'3-36, Date Received: Staff: vcit to 2010 RESIDENTIAL BUILDING PERMIT APPLICATIONE#4-1 fWA(0 /w/'70 V,./9//0 Site Address: .33I / i444.1 avtr-17//z.cs t, 60464-t/1'/v ,OS/21 Suite #: RESIDENT / OWNER Name: JDEt- ...D.'fiV#(0 Phone: 51 '.Z f/F'3/-21 Address / City / Zip: 33/5- ALL, Q6- A //S 6ct,...T/ e...460#/ '%?'J Applicant is: Owner y Contractor TYPE OF WORK Description of work: A9.6&to/ GK-- Construction Cost: 3r/6/570.0® Multi -Family Building: (Yes / No,( ) CONTRACTOR �12 - ,291 - 1 `t4 S �d Name: 1<I . t4T:eltIo►e-S License #: 057327<I Address: 586P Zg/gc-k5H,,e , P40771 City: (9p110 /'7�i/401-5 D State: /4%/� Zip: 33074 Phone: 6.71 di�®-6 6.® Contact: iQIG ��JQ fM'1 Email: a 9U ,+i kreik i'0 ($ S. CoN-f COMPLETE In the last 12 months, has _Yes _No If yes, Licensed Plumber: 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: 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 wouldpermit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.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 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 Z/4 Applicant's Printed Name x Applicant's Signature Page 1 of 2 s/5poi///26.<11-11/�: DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of Plex _ Accessory Building Fireplace Garage Deck Lower Levet — Porch (3 -Season) _ Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) T Pool WORK TYPES _ New _ Interior Improvement Addition _ Move Building Alteration_ Fire Repair Replace_ Repair Retaining Wall DESCRIPTION Valuation 1214109 Plan Review (25%_ 100% Census Code #of Units # of Buildings Type of Construction 1/311 Occupancy Code Edition Zoning Stories Square Feet Length Width Siding Reroof 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 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: _Ice & Water _Final Pool: Footings Air/Gas Tests _Final kr, Framing Siding: _Stucco Lath _Stone Lath _Brick Fireplace: _Rough In Air Test _Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Meter Size: Radon Control Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies /®3elr G7 -''- e TOTAL 2,57 '& /d Page 2 of 2 *' City of Epp 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink acpsaull 1?5� Permit #: Permit Fee: Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: •Site Address: 3 315- RO i 1, ✓t 3 )1 s ( T Tenant: Suite #: RESIDENT l OWNER Name:-,Tci-Z ( IJci vt (e0 Phone: 6 S / - ).Li --- `57Z9 Address / City / Zip: 3 3 (S 12U I I,''t J 0,1 1 j c Applicant is: \( Owner Contractor TYPE OF WORK (Description of work: f? SCt �L) .rz).,n U - 0,1F 104 CM / ?010120d 01 i4,..-• Ik.-c-4.' cc,i Construction Cost: 1.3 000 Multi -Family Building: (Yes / No y ) CONTRACTOR Name: k Ila(, k K lerc'G, License #: z2-0 S',31,Z. .744 Address: T. S-6 6 9 I c, c iC 5 li ,.Q Ai 1.1 City: in t e;" 6(2k State: ik) Zip: ..)---5-0 X Phone: 6 s/ ,. CSil- - 63 / Contact: sICX\ SO i\ Email: 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 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.orq I hereby acknowledge that this'\ formation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I u erstand this i\pot a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in an accor e with' the approved pjah in the case of work which requires a review and approval of plans. x Appttc rat's Printed )Game Applicant's Signature Page 1 of 2 INSPECTION RECORD ` CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: SITE ADDRESS: • ? mill I;ul: „+yi 1111 1 , rJl, PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. ? r•1 I !• r I III W, kt MAI?k fyX 5 & LJ E'1 if 1; 1 All VI'.1 1 L n tr i r r r k APPLICANT: "p 14 71 I Permit No. Permit Holder Date Telephone # S/W PLUMBING HVAC Ale .? ELECTRI O (?! (/ D O1 ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing C C 7? ' 3 3/ 9 -/?- Rough Plbg. Rough Htg. 3 3i y Q ®ErL zZ r =[ S Isul. ??? Z G,?GS r Fireplac e Final Htg. , p 1 / Orsat Test Final Plbg. Z Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Fig. Deck Final Well Pr. Disp. S' : d p ?L f , f t? (F-)cxti f icatc of cccn panc? 6U4 of Wagan zoartment of SNOWS 3"Oection This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use ClawirkAtion: S F DW Bldg. Permit No. 22479 OcpV-Y Type RI/b I Zoning District R I Type Const. V O-wr of Building IICHVIFW HOWS TWI Ad&m 17154 TTTWA !'T, T ATIMn T F Building Address 33 15 r: T S Mi P U-diry 12. B5 MIR t1AK HIiTS 2141 Date: 41 % Building Official/ ' POST IN A CONSPICUOUS PLACE Address 3315 I OUR C HMS ART Zip 5512 I Lot - a Blk 5 Sub )trig Dart llrtr.s znm THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector: Final grade (6 from siding) V Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy -C) 7/ REQUEST FOR ELECTRICAL INSPECTION B-00001.09 1111- See instmclime for completi?fg this forth on back of yellow copy. 555 Jr/ ?195 "X" Below Work Covered by This Request Ne Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) contractors Remarks: Compute Inspection Fee Below, # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 0 Amps Transformers Above 200_Amps A{3ove 1 _Am s Signs Inspectors use only: TOTAL litigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE D DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rcugh'n Date certify that the above inspection has been made. Final Dale 7 OFFICE USE ONLY This request void 18 months from o- 071 3 V??-rir "? 8 g NJ & a Request to Fire No. Rau fNn I r,peclion Required (you must call Inspector when ready) Inspection Other Than Rough-In E] Ready Now ? Will Notify Inspector ? yes ? No Date Ready I Nlicensed contractor ?owner hereby request inspection of above electrical work at: Jou Address (Street, Box r cute No.) City Secadn No. Township Name or No. Range No. County Oc paN (PRINT) ? u.? ?- Phone No. y?o-i?oaa Power Supplier Address Ele ft t Contractor (Company Name) Contractor's License No. CA o9 U M MAddr _ ess? ntractor or er Making Installation) V(C ?`?- Contractor/Owner Making Signature (( Autzed Installation) 1 ?L4 To Number 3?- MINNE6O A STATE a0Afl0 OF ELECTRIC OtlggsMidway B - Room 5.126 : II II II I III II II I ACCEPTED BY THE BOARD \ ., Phone University 61262-06ve00 St. Paul, MN ifs' P I _ UNLESS PROPER INSPECTION PEE ENCLOSED. ? yo /99 T5 g 0 Recuezl Oate 3 J Fire No.- Rough-In IhpaeaFour Required You m,ust U inspector when ready) Inspechon Other Than ougn-In ? Ready Now Will Notify Inspector / * Yes ? No Date Ready I licensed contractor ] owner - hereby request inspection of above electrical work at: Job Address (Street. Box or Route NoI 3315 Az, 11••• r/lJ C7` City ? Search No. Township Name or No. Range No. county ^ Occupant ; RI Phone N? gp Us `? Power Suppier ( p CJ /, Address / oo ` ??GtrClC Electrkal onuactor (Company Name) ?tLodL ?'r?G?sf9?- G3? Contractors License No. C4-e LLpf' Mailing Address IContr for or Owner Making Installation) '/P 6 Aulhonzea Signature ContractouOwner Making Insta /-? le" 67 C:? Phone Numte r 22 - WY MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1621 University Ave., St. Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0600 ENCLOSED. /(G C? REQUEST FOR ELECTRICAL INSPECTION ? Sae instructions for completing this long on back of yellow copy. "X" Below Work Covered by This Request aT1 c.% E6-00001-0e ?"?`?I o?079? New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Loed Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other lspeclfyl Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps - pv % 0 to 100 Amps 6O0 Transformers Above 200 Amps Above-490 _ Amps Signs Inspectors Use Only: I TQTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION BE O CEO' DISCONNECTED IF NOT Other Fee COMPLETED WIT O I, the Electrical Inspector, hereby Rough-in Oaf certify that the above inspection has been made. Final oats OFFICE USE ONLY This request void 18 months from RESIDENTIAL BUILDING PERMIT APPLICATION 5 30 £? CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 711/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATEl SITE ADDRESS TYPE OF" APPLICANT IULTI-FAMILY BLDG _Y FIREPLACE(S) _ 0 ?,/ 1 - 2 STREET ADDRESS /,?i ; Y 7- A l,-co //Zf' 4ye S • CITYaurrts ydle l al STATE INAJ ZIP -5S TELEPHONE # 052JJ 707-054 CELL PHONE # FAX # (q?k g-$TSY6 PROPERTY OWNER SCo?K C-vn?Iy'i r?,'5TELEPHONE # CPS-1) 4106- 9"5"F4 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CrVI'EGORY I _ MINN; submission type) • Residential Ventilation Category i Worksheet Submitted New • Energy Envelope Calculations Submitted JUL 1 5 2002 Plumbing Contractor: --- Plumbing system includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: Phone # NValer Softener - Lawn Sprinkler %Vater Heater No. of R.I. Baths -- No. of Badis -- Phone # Air Conditioning Heat Rccotery Systcm 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 Ordinances. A Signature of Applicant t?u ??1 Jf ------------------------ - ------------------------------------------ - -------------- - - -- - ----- --------------------------------------------------------- - --- - - - - OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required - Updated 4/02 Remodel/Repair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate if home served by septic system for additions VALUATION O Fee: $70.00 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of - plex ? 09 '07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. Footings (deck) _ FinaVNo C.O. - Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final - Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding _ Stucco _ Stone - Fireplace - R.I. -Air Test - Final _ Windows (new/replacement) - Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total GITY'OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: BUILDING 022979 02/2A/9A SITE ADDRESS: P.I.N.a 10'15501.-080-05 3315 ROLLING HILLS CT LOT: B BLOCK: 5 BUR OAK HILLS 2ND i DESCRIPTION: ?- r., B1411d$n -Permit Type SF DWG fuildinq W'€k,rk Type NEW AJBC Occupancy',, ' R-3 M-1 '` Construction T pY /' V-N Zoning ?..-? R-1 Building Length ? ' 40 f Building Width 40 evild'ing stories 2 REMARKS S & W PLBR - STAR PLBG FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal VALUATION $646.50 $420.23 $51.00 $800.00 100 $1,917.73 z OH $102,000 MISCELLANEOUS $:L?828850 Total Fee $3,746.23 CONTRACTOR: - Applicant - ST. LIC. OWNER: HIGHVIEW HOMES INC. 18923282 0005493 HIGHVIEW HOMES INC 17354 ITHECA CT 17354 ITHACA CT LAKEVILLE MN 55044 LAKEVILLE MN 55044 (612) 892-3262 (612)892-3282 I hereby aoknowledge that I have read this application and state that 't'he information is correct and agree to comply with all applicable State of ton. Statutes and City of Eagan Ordinances. G APPLICANTIPERMI7EE SIGNATURE ISS 6Y. SIGNATURE _7 7 l?Z a r? ?C CITY OF EAGAN 1994 BUILDING PERMIT APPLICATIO V 681-4675 i 6 fJ, ?' f ?_ -C--- `- 23 X-1'7 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy - calcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, 1 copy of energy talcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date 9'r- Valuation of work 9 U 0 0 C Site Address: t,-I' Betts STREET SUITE # Tenant Name: (commercial only) 3.3/5 LOT f? BLOCK SUBD.?Vr P.I.D. # Description of work: The applicant is: ? Owner [t. Contracto r ? Other (Describe) l Name Phone Property LAST FIRST G z - 3 i 3 0 Owner Address ! 1-) 1? 1- { ¢- ?- < ' STREET STE # City /(C- State Zip ?SO L/ Company /Wo ?ca c _7 Phone 676-31-30 Contractor -3 Z dQ ?a? Address P License # Exp. v G ?_ ?- c City State Zip Company l/ Phone -r 7 Architect/ I Engineer / (/Ltlid Registration # Name A'_-„ Address 11 GV? S?• City, State w 4 Zip SS ?/ 7 Sewer & water licensed plumber Tea r PwC., , ,-e---__ 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. Signature of Applicant: ` l ?`" -`= - -- -- OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 12r 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck WORK TYPE [aT 31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION 11 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish Const. (Actual) 11V Basement sq. ft. MWCC System (Allowable) 44 1st F1. sq. ft. City Water UBC Occupancy 7: -ill. 2nd F1. sq. ft. PRV Required Zoning bi-I ' Sq. Ft. total Booster Pump # of Stories -T- Footprint Sq. ft. Fire Sprinkler Length Y6 On-site well Census Code 10/ Depth _`L2_ On-site sewage SAC Code Census Bldg i APPROVALS Census Unit Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ?.Site ? Wallboard P Footing ER Final ZI Framing ? Draintile 2 Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units Valuation; $ C?2®? Levels -2 3 31? f?X36 y ?6 /{,/j ?lG k /s= ? ?7 yQ alh l CVG ?$ ? d,?16 = S?G ,TC? z v?z? > PG y Z kry _ z8 /yBzk?Y= ?-* car. Jc CONSULTING lNOINEfRS 14IGHV16W }-TOMES ROBE PLANNERS and LAND fURVfvOAS # 6193,0/ ENGINEERING SK. fa COMPFINY, INC. 1000 EAST 1461h STREET, BURNSVILLE, MINNESOTA 55337 PH 432-3000 CERTIFICATE OF SURVEY Legal Description: SCALE : I"- 30' (Io_o ) DENOTES EXISTING ELEVATION (88o, o) DENOTES PROPOSED ELEVATION INDICATES DIRECTION OF SURFACE DRAINAGE 880, 3 = FINISHED GARAGE FLOOR ELEVATION 885.63 = BASEMENT FLOOR ELEVATION 662,00 = TOP OF FOUNDATION ELEVATION B?NCyMR2K: 5AA1. MN. ¢-? Vouln/6 111U5 C04127 AND QOGL1,416 N/GtS pQ111jF. ?P= 672.01 16" E IZ`? 891.3 Z"04 /Ag1,3/ Hue- 687.54 ®34:cn f of sue' " "ice?? PROPOSED ?o (J mC?pRAGe I 4j\ HJB_882.35 01 l6.6 010.00 f_ 24.00 ? ? ?j 2 ? 890.33 882, fi l Aga ?Oj \ (880.0, MI i 6go0 .55 ?z F. 4, t ?.??`1 E G gv 2 1 I hereby certify land as shown and F6,69"IRIY that this is described ROLL DRAINAGE AND UTILITY 645S5MOV7 Hug'B ;6o QZZ,6o /o/ \ \ ?I 1 mz510'`3' 0 901.7 1rADVT B!/1LO/NCi $ET?K LINE r a true a?d correct representation hereon. As prepared by me this of a tract of /b Of day of Minn. Reg. No. OBS LOT SURVEY CHECKLIST FOR RESIDENTIAL NUILDIN EMIT APPLICATION S2 PROPERTY LEGAL: Date of Survey: DOCUMENT STANDARDS 0?0 0 - Registered Land Surveyor signature and company 0 Building Permit Applicant • Legal description Address D D 0 North arrow and bar scale 8? 0 ? House type (rambler, walkout, split w/o, split entry, lookout, etc.) 0-10 0 Directional drainage arrows with slope/gradient t. 0 9' 0 Proposed/existing sewer and water services 0' 0 0 - Street name Deb 0 Driveway ELEVATIONS Existina D 0-? 0 Sewer service 0? ? ? Lot corners ?0 ? Top of curb at the driveway ? ? Elevations of any existing adjacent homes Proposed 0 ? Garage floor H' 0 0 First floor e-0 0 Lowest exposed elevation (walkout/window) D? ? Property corners 0 0 Front and rear of home at the foundation ONDING AREAS r 0 Easement line D NWL D HWL Pond N designation D Emergency Overflow Elevation 0'0 0 Lot lines I3f?0 0 Right-of-way and street width (to back of curb) u D D Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) ?0 0 Show all easements of record and any city utilities within those easements 0 0 ? Setbacks of proposed structure and setback of adjacent existing ho s D 0-13 Retai n quirements, if any Reviewed: ?/ 17 1 F October 1992 OWNER: CITY OF EAGAN O EXTERIOR ENVELOPE AVERAGE tUt COMPUTATION SITE ADDRESS: 'J CONTRACTOR- ??}} Kic v1?J f(ai..rsDATEs 'PHONE: ?g2 3Zc?? z Determine working square footage of each: 976 -3(3 1. Total exposed wall area ... aq. ft. x .11 2. Total roof/ceiling area ,..? sq. ft. x .026. Total exposed wall area above floor a* b. C. d. e. r. 8• Total wall window area ............................ Total door area ................................... Total sliding glass area .......................... Total fireplace wall area ......................... Total wall framing area (average 10%) ............. Total net wall area above floor ................... Total rim foist area .............................. Total exposed foundation area h. Total foundation window area ....................... i. Total net foundation area above grade.............. Determine IUt value of each wall segment: a, b. c. d. e. f. g• h. s. x tut x tUt x t(Ut x 'Ut X tut x 'Ut x tut x tut x tut s a 7 a 7• 3 . .................................... .............. Total a If item 03 is the same as or less than item R1t you have met the 1 6006(c)2. Total exposed roof/ceiling area a - L J 6? 3• Total skylight area ............................... k. Total roof/ceiling framing ores (average 10%) ..... 1. Total net insulated roof/ceiling area.... ...... .... of SBC OVER I Determine $U' value for each roof/ceiling segment. j. -f:2 x Out k. 1, q out 67 p 1. 12.6Z x , U, . o , 3i Y . ...................................................... Total ¦ '??.? If total of 04 is the same as or less then 020 you have met the inteit of BBC 6006(01. Alternate Building Envelope Design To utilize the total envelope system method, the values established b the sum of Items 03 and 04 shall not be greater than the sum of Items 01 and ?2. 1. 7 I?? 3 + 2. Z7-.l Z : 253• i/7 3. ZOC?.?? + 4. 3S• Z 35• I MINIMUM "U" VALUE AND R-•FACTOR AT ROOT, WALL. RIM aD CONCRETE BLOCK .?tion baffles in every' ROOF CE IL(NG gyp. ID 111TF-V14* ML FILM a ? It d O J151 GYP gyp, .s WULAjtoN rg" ?a EXTE9110 AIR FILM to 6) tSTIIQ =..0 TOTAL (F)z WALL I- T mot-, rr- mlo09 I= AIR 1 ILK O 'W GYP.' 8D!' : S © iEtll ?, 1rJSUL1TIoI? Siz'1 1 Y ? 75?zp gv1:.7;?1Tc a.9 Q EX j MvA=oNITc `atD1r'(a .6 u ?Po" Arii FICM • c . I??"- 1 f iZ = ; /J= TOTAL (R) _ • = ZJ y 1zIM (P:) t ItITEI'•lor. A4 FILM Mt CID 2 FIR 1ZIWI JOIST /.8Y +sIsi gvcT T4s ¢.o•E i's u M`101 "1TE Stoir? 6 - © ?7TE-WoR Air, FILM n Va = 49 A 1'?R = ... . TOTAL 0)= •=? JNDA (it) Vr © 10TEI? 1Z A04 FILM G s .11 r O t" h?YP???A-"i R•5 - v, ?o O. EY.TEr to;t Ala FILM : 17 0; It „? Flouts ovzr unheated apxcca must have Rirninum R-factor of R-20 (tuck-under garages). Floors ovrr outdoor air (overhangs) must Have a nininum P.-factor of r,-3,9. • ------------------------------------------------------------------------------------ PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE FIREPLACE INSERT DATE / Yl w? C? 30 FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6:00 GAS OUTLETS (MINIMUM 1 @ $3.oo EACH) ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 20.00 STATE SURCHARGE .50 TOTAL 5d SITE ADDRESS: ('S Y?o 1? `? "' ??s c OWNER NAME: / /hv?rc o -rts TELEPHONE #: YyX?-LT-2_ INSTALLER: / b A--/ -j" c ADD S: /3/y?re, Cr ----, CITY: r nS? 11 e_ STATE: / "I rV ZIP CODE: 3 6 TELEPHONE #:_ D q?, q® 5 SIGNMURE/OP PERMITTEE 1994 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COM!VIERCIAL NDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER'MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: CONTRACT PRICE: $ FEES 1% OF FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE. ?:?... TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (wpRovEMENTS oNLY) INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE #: SIGNATURE OF PERMITTEE CITY INSPECTOR 1994 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 NO. HOT TUB/SPA WATER HEATER FLOOR DRAIN minimum = 1 • Dak.Cty. lic. R 'home under coast. s • to adsting - AROUND STATE SURCHARGE TOTAL: SITE ADDRESS: 331 S R oCl,'? OWNER NAME .-------------------- -- ------- ---- ---- ---- . ti - EACH :TOT 100 3.00 ?_ ^ s 3.00 -... 3:00 3.00 3 3.00 _ 3.00 a-, 3.00 3 00 ??: . -1 50 s G 3 . 5.00 20.00 3:OQ 20.00- 20; 00 , AY 50° i +'t 1994 PLUMBING PERMIT (COMMERCIAL)` CITY OF EAGAN 3830 RILOT. KNOB RD EAGAN MN 55122, (612)481-4575 PLEASE COMPLETE FOR ALL'COMMERCIAL/INDUSTRLAL BUILDINGS''t,ALSO FOR .MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS AR DWELLING UNIT. E NOT 'REQUIRED-'FOR EACH _ NEW CONSTRUCTION ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1% OF CONTRACT FEE. STATE SURCHARGE: $:50 FOR EACH $1,00.0 OF "M FEE. MINIIIIUM FEE: $'25M CONTRACT PRICE X 1%' $ STATE SURCHARGE' $` TOTAL $ SITE ADDRESS: FORS CITY OF EAGAN APPLICANT L 1R- SL -`? CITY USE ONLY RECEIPT M I ? ? al a SUED. (K. J l JCl? l lS ?.-?? RECEIPT DATE: 8,- 31- PERMIT# rn-j 1999 PLUMBING PERMrr (RESMENTUL) CrrY OF £ASLAN 3630 PDAT KNOB RD FAGM, MN $5122 (651) 661-4675 \ Please complete for. D single family dwellings D townhomes and condos when permits are required for each unit > backfiow preventer for underground sprinkler system FIXTURES EACH # TOTAL Bath to $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet " minimum - 1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Minimum fee alterations to existing dwellin 30.00 x = $ G Private Disposal System new/refurbished ' requires MPC lie. 75.00 x = $ Private Disposal System abandonment 30.00 x = $ RPZ new installation/repair 30.00 x = $ Rou h o enin 1.50 x = $ hoover 3.00 x = $ Underground srinkler if dwelling is under construction 3.00 x = $ Underground srinkler If existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x $ State Surcharge .50 -> -> -> $ .50 Total _> $ 30, Reminder. Call for inspections of alterations, Le. water heaters, water softeners, etc. I ftereby advwxAeEge fluf f hive read this eppliration, state 6iat the 666 atinn Is cared, and agree to comply with aA ipp6cable Oily oT Eagan ordinances. It Is the applicants responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/dghtof-way/easement. SITE ADDRESS: OWNER NAME: : 'T INSTALLER NAME: ?e l STREET ADDRESS: CITY: TELEPHONE #: ?Q Sc ( CODE) TELEPHONE #: (AREA CODE) _ STq E: ZIP: SIGN TURF OF ITTEE CITY OF WON CASHIER': 33 TERMINAL. NO: 893 DATEg 08/31/99 TIME.C 0:43:54 :Dr, NAi1E: ARNOL D J., ENZ JR. 3210 9001 330 ROL..ING NIL 60.00 205 9001 330 FiOL.IN3 NIL. 0.50 3212 100. 13318 ROLI:NG NIL 30.00 205 9001 3315 RGLINI NIL. 0.50 34:130 9001 EP FORM 1..00 Total. Receipt Amount-, 9000 CR11tr2 2 USER ID: JAN %ri:k9(•{iXoRYC n?'nXc%R''k?kY,°.Y,(Y,',:$n?S,c.?k:H:lFaiiXieu ?+%` h4k %i:k'kcX:?;kiR`c 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)' CITY OF EiAGAN 3830 PILOT 651.6811.46 5.55122 LC .? New Construction Reautrements Remodel/Reach Reauhementa 31 C c? 3 registered site surveys showing sq. ff. of lot sq. K. of house 2 copies of plan and Sill roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additions ? 2 copies of plans (show beam b window sizes; poured Ind. design; etc.) 1 site survey for exterior additions a decks 1 set of energy calculations 3 copies of free preservation plan ti lot plalted alter 7/11/93 DATE: BZ,Lnag CONSTRUCTION COST: r 1Z / GOO DESCRIPTION OF WORK: Name: N-7 Al 7j. Phone #: l_?i 6fw,_ C0cl ((D Last nrst STREETADDRESS: c}, ?? ` l \ S O LOT: BLOCK: SUBD./P.I.D. #: ?I L V n at PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Street 33(57 c?) ?-,, G F)-, )15 C`, - Ln voeev- e J? City i7k n/ State: M N Zip: S S(Z Company: Phone #• (area code) Street City State: Company: Name: Telephone #: area code ( ) Street Address: Registration #: city State: Sewer 3 water licensed plumber (required for new construction anlv): Penalty applies when address change and lot change Is requested once permit Is Issued. Zip: Zip: I hereby acknowledge that I have read this appllcallon, state that the Irdormati n is correct, and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY License # ExP. Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea. ? 03 1 of_ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments A 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ,V? 33 Alteration ? 37 Demolish Bldg.` ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) 5 Basement sq. ft. Census Code ?z. (Allowable) Main level sq. ft. SAC Code 6 UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs n # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ 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 fn { Copies C 1 , Total: SAC Units % SAC 41k? City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651)675.5694 - ----------------- I trorofr?a(ree I I lJ , Permit #: O I Permit Fee: I Date Receivedl'if R 2 1 2009 Staff: 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Suite #: RESIDENT/OWNER Name: kyl hA)w'o Phone: 14S) cx'V 5Lal Imo,- Address / City / Zip: <M ym a ? X XJ? CONTRACTOR License #: 010130?) Name: - + Address: SSS5? St t fm j (V Zf aA p: a e: City: n Phone: ?pla 9109 ""I I Contact Person: Y snn TYPE OF WORK New -Replacement _ Repa' _ Rebuild _ Modify Space _ Work in R.O.W. Descri tion of work: PERMIT TYPE RESIDENTIAL Water Heater -Water Softener Lawn Irrigation -Add Plumbing Fixtures T (_ RPZ / PVB) C_ Main _ Lower Level) ? _ Water Turnaround _ Septic Systeem _ New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge) 'Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ I hereby acknowledge that this information is complete and accurate; that the work will be in conformance w to the ordinances and codes or me 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 one of work which requires a review and approval of per. Applicant's Printed Name FOR,OFFIEUSE.r Reviewed,By Date: p ?, r Required Inspections -Under Ground -Rough-In '=Air Test' _GaS Test -Final RESIDENT OWNER Name: .OJ I JJ Phone: t9,1 15 5 i Di Address City Zip: SO.I 1JL O.5 V CONTRACTOR Name: t S I Guido, License r� I D 1 303 Lake Address :Of S S. c l.T1. l ake P L City: d d elin State: f 41'1 Zip: 350' Phone: LO Ivy R1O -`1 t O Contact Person: WI TYPE OF WORK New Replacement Repa Rebuild Modify Space Work in R.O.W. Description of work: I IA 111 h )/:1.11)(1 (CA1 la PERMIT TYPE RESIDENTIAL Water Heater Water Softener Plumbing Fixtures Main Lower Level) Lawn Irrigation Add RPZ X( PVB) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater (includes $.50 State Surcharge) Fixtures, Septic System Abandonment, Water and Softener (includes $.50 State Surcharge) (includes $.50 State Surcharge) State Surcharge) State Surcharge) TOTAL FEES $30.50 Lawn Irrigation $50.50 Add Plumbing *Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace Turnaround* and $.50 $.50 (add $165.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee burned out appliances, ductwork, etc.) (includes City of Eau Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 X Tit. tat., l ai s L Applicant's Printed Name Site Address: x Appjbnt's Sigfiature Permit Fee: 3c, 2 Date Receives A R 2 1 2009 Staff: 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION 315 ebt fbUIs off- 1 Tenant: Suite 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 pl ICE USE edInspec Under Groun :Rou Air T City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3315 Rolling Hills Ct Lot: 8 Block: 5 Addition: Bur Oak Hills 2nd PID:10- 15501- 080 -05 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: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: Permit Type: Permit Number: Date Issued: Permit Category: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Total: $90.00 Owner: Joel Danko 3315 Rolling Hills Ct Eagan MN 55121 $88.50 0801.4085 $1.50 9001.2195 Building EA082608 04/17/2008 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply with all applicable State Issued By: Signature Use BLUE or BLACK Ink r-----------------, I For Office Use � . I ^ ����� � C��� 0� n���� � Permit#: � J � �`5�� � � Permit Fee: � 3830 Pilot Knob Road I I Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 i Staff: i 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: � /�� Site Address: Unit#: b Name: ��i�---� Q��-� � Phone: (D��-" Z�����Z� ReSld4tltl � Qyy11�C �� Address/City/Zip: �� ( '� � �-�t t2� �FJ-° f.C�' �._'�— Applicant is: Owner �Contractor Description of work: �� ��' � r Type af Work ' ' Construction Cost: ��L;�C� Multi-Family Building: (Yes /No� ' Company �`�J��'�i! ���� _--�'"�"�!// Contact: ��� �Sl2 COII�t'1C�OC Address: ��d-v� �� City: �1��� �Gi7� Statef/'°�` Zip:J-���3 � Phone: �-�`�'%���Email: License#:�3�G��� Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: , t1l�);TE�,Plans and supportin�a1�Curr�ents t�:a�yc��r sub�rtit are£�or�sidered'`to be publ�C intctrmatior�. Pvr�ir�n�of the irifprmatior�inay�b��%�5ifie�t���:s►iv��=:public if yc��p�i�uiale�specific r.easons��f�r�t�ti�rould p°e►'t��i�fh�City to �_:; �c�t'i'��'ude fha #he are trad�se�rets:: ' CAI.L 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.aopherstateonecall.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 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Bui ing Cod must be completed within 180 days of permit issuance. X ��'�1 Z�'t��`� �3"''�` X �. Applicant's Printed Name Applic s Signa re Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA169963 Date Issued:06/16/2021 Permit Category:ePermit Site Address: 3315 Rolling Hills Ct Lot:8 Block: 5 Addition: Bur Oak Hills 2nd PID:10-15501-05-080 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 - Joel Danko 3315 Rolling Hills Ct Eagan MN 55121 (952) 693-6532 Crossroad Construction 17121 Lincoln St NE Suite 100 Ham Lake MN 55304 (763) 434-0202 Applicant/Permitee: Signature Issued By: Signature