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3318 Rolling Hills Ct T er#if iratt of (Orruvaury Citp of (Cagan ]qrPrtnMd of Diu atm rrtwu This Cerd*ate issued pursuant to the requirements of Section 306 of the Uniform Bu&Mg Code cert fying that at dw lime of issuance this structum was in compliance with the various ordinances of the a& regulating building construction or use. For Are following. Use CLsfiaw SF Ic Bldg. Pamir No. 189 TyPe MITng-STAFDT 1S OONSf 785ISTJM DR COML- ? DWid , FAGAN Dana of Bm7dmt Addra? /fir. `,? C i.1. ?- .. 2/17 POST IN A CONSPICUOUS PLACE INSPECTION RECORD Control No. r CITY OF EAGAN PERMIT TYPE: 14111f.01104 3830 Pilot Knob Road Permit Number: 8AJ 899 Eagan, Minnesota 55123 Date Issued: 12 / t* / 91 (612) 681-4675 SITE ADDRESS: COTS ***6 i3l.QCK ; BOa#PPLICANT' 3318 ROLLINS HILLS CT 917TELSTACOT BROTHERS OUR OAK "TLLS 700 (612) 4b6-9126 PERMIT SUBTYPE: TYPE OF WORK: r:r 1.111IS Nfu INSPECTION TYPE i tJ+j .DATE INSPTR. INSPECTION TYPE rVAM iNO DATE INSPTR. fNSUI i104 FINAL rIftrP Cf, XFNARf(S r RULE IPT • POV S & N CONTRACTOR - Permit NO. Permit Holder Date Telephone N S/w PLUMBING HVAC °??/ f?` 0 9 Gad c5 ELECTRIC A o'P ELECTRIC ilk Inspection Date tosy Cotmnarts Footings I f? S Foundation Z Framing 1 Roofing Rough Mg. - d 1 -? 3 A ` .? G? :/-f Ge L Rough Htg. ?r"?? U ! z F 1 1 ?; Isul. 3 ! Fireplace 1 Z Final Htg. _ Orsat Test [f & Final Plbg. -17 _ Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final Deck Fig. Deck Flnal well Pr. Disp. 41 Address 3318 Ra inc Ham cum Zip 5512 1 Lot , * 6, Blk 5 Sub B[m oAK HIIls 2ND THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 2/17/93 Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) I? 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 6814645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy ?s p 33 95 (f?? Request Date V i f Fire No. Roeugghetln'Inspection ? Ready Now Will Nobly Inspector When Ready? Il Yes C No I licensed contractor ] owner hereby request inspection of above electrical work at: Job Address (Street. Bux or Route No.) 33/ F 444?j ;6/4 . City Section No. Township Name cr p. Range No. Count Occupant (PRINT) 411/-/- /2E 00/.uG Phone No. S1z S'fG Pi Supplier Atltlress Sp Electnoal Convirii (Company Name) Contractor's License No. •' 7S-7 Marng dress (Contractor or Owner Making Installation, *P3 w 2-;60 AgmgrrzeC nature IC.radmtor.Ov r Making In Ilationl Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1621 University Ave.. SL Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0600 ENCLOSED. UEST FOR ELECTRICAL INSPECTION _'.='•="';a? ee-oooof-oe P3P495 li See mstrtk,lars for completing this lorm on back of yellow copy. ^'-fi r /O GO/s "X" Below Work Covered by This Requester e Type of Building Home Appliances Wired Range Equipment Wired Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) IComm./Industrial Furnace Farm Air Conditioner Omer lsueeityl Compute Inspection Fee Below: contractor's Remarks: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 90 0 to 100 Amps p, W Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: G TOTAL Irrigation Booms ?? • ri, ?G Special inspection Alarm/Communication THIS INSTALLATION MAY BE ORDER ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 1 -*ONTH$? ° r 1 f_ 1. the Electrical Inspector, hereby if Roughen ate cert y that the above inspection has been made. Final Date ^ 3?4 OFFICE USE ONLY This request vole 18 months bore PERMIT CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Eagan, Minnesota 55123 Permit Number: (612) 681-4675 Date Issued: Control No. 137 BUILDING, 001899 1'2/10/92 SITE ADDRESS: P.. I.N.: 10-15501-060-05 3313 ROLLING HILLS CT LOT: 0006 BLOCK: 0005 BUR OAK. HILLS 2ND DESCRIPTION: Building Permit 'type SF OWG Building,Wprk Type NEW UBC Occupancy R-3 N-1 Construction Type V-N Zoning -? R-1 Buildinq Length 1 62 Building Width 64 Igo, ?i REMARKS RECEIPT C6 2-.?CI PRV S ,4 W CONTRACTOR - FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SAC SAC SAC Units Subtotal $753.50 $493.03 $67.00 $700.00 100 $2,018.53 $134,000 MISCELLANEOUS $1..610.50 Total Fee $3,629.03 CONTRACTOR: - Applicant - ST. LICOWNER: MITTEL.STAEDT BROTHERS 14569125 0003443 MITTELSTAEDT BROS CONST 735 SUNSET OR 785 SUNSET DR EAGAN MN 55123 EAGAN IN 55123 (612) 456-9125 (612)456-9125 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 Mn. Statutes and City of Eagan Ordinances. 1j APPLICANT/PERMITEE SIGNATURE 11ntt? &J I ins ISSUED Y: IGNAT RE PERMIT # RE,ACTi MI E CITY OF EAGANg 1992 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, I copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan a is re guested once permit is issued. Date / 9-2, Valuation of work l3(? Site Address: 33 9 & / ,_I,y J c Gr STREET SUITE f Tenant Name: (commercial only) LOT _& BLOCK S SUED. P.I.D. • Description of work: The applicant is: ? Owner ontractor ? Other <Descrtbe> Property Phone Name BAST FIRST Owner Address STREET STE R City State Zip Company aTT6`!57_ Ir 19oz? Phone ?z9ia s Contractor Address 7P.S 9avg4s-?r License # 34V3 Exp. 'Py City State 1414zr Zip .6n3i2?2 Company Phone Architect/ - Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area as 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: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 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 X31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Y- N Basement sq. ft. (Allowable) V - N 1st F1. sq. ft. UBC occupancy R.3 M_1 2nd F1. sq, ft. Zoning R-1 Sq. Ft. total / of Stories Footprint Sq._ft. Length 62' On-site well Depth y, On-site sewage APPROVALS Planning Building j2-j? DS Engineering Variance REQUIRED INSPECTIONS ? Site ? Wallboard ? Footing ? Final ? 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 Bed. Trails Ded. Copies Other Total: SAC % 00 SAC Units I w.tuatim: s 134, o-?'a GARAGE; 3ox2Z = Co4.o Z x io _ (2n) W ek LEV M' ? Framing ? Draintile ? 16,Ba emAnt Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System ES City Water YES PRV Required yE5 Booster Pump Fire Sprinkler Census Code o/ SAC Code 6 / Assessments l 0, Z4 o S, iY& 24X3a?gza $ ?4 1 m 6 ?X 14= .ZS c-1ZEDrr &ANF1N15Wd-b Aj2ES: 15(o X53 = 4b,06$ (l ??S") t?3x???(3xy?+ Ix4? = Irol x 2v: (32ao? P012cy.1 f,UNF"1/y15yEp) 12)4!2- /wN X 3 0: y 32? uw PER EUG-S 3Z.xaQ . ?bs P/2- qrz= moo x53' /33,1 ?? DEC-U4-'72 FK1 15:57 IV:JHI9tb N HILL IN'- i SURVEYOR'S CERTIFICATE 1 ?1-,' L_ t? `Baq; u ) 884.0, 13ENCH MARK TOP OF PIPE = 811112.30- ICL NW;01C G7U-OG4Y M1..,0 r.J MITTELSTAEDT BROS. CONST. INC. I rl -I 141.00 1 S 00° 1 1' 52 11 E 0 / DRAINAGE8UTLITY CM.'s EASEMENT PER PLAT L O 6 46.16 5 >? \ e P OI \ N 24.0 1 2 6i 1 I Lr -? l o i 1 -D - O 0 N ?8d1•S _ L3 i N 2. Nil 16 U f 'O 71.17 gI sr9s p= 67° 54 51 " 60-OD / 07 .e SRO L-1 N H '61 NOTE: NO SPECFIC SOILS -INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR ?* DENOTES PROPOSED SURFACE DRAINAGE I rl I L - Lr L? e8o.s 380.9 nM D? ?o z J I-M O 2 O / z F N X W BENCH MARK \1'OP OF PIPE - 879.20 877.2 BLl.IA?Ip ?-z ?'7 ? ? 7 AQ SWGINKIRRING DEPT NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL e VERTICAL LOCATION OF STRUCTURE ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING 6 FOUNDATION DIMENSIONS. O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - '?t i. 8 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 8?4 g FEET (OOOA) DENOTES PROPOSED ELEVATION PROPO FQD SED TOP OF BLOCQV?ET WE HEREBY CERTIFY TO MITTELSTAEDT BROS.CONST. 1 NC. THAT THIS IS \A\v//TRUEEl)IA?LNS?D CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Loth , Block 5, BUR OAK HILLS 2ND ADDITION, occordIN to the recorded plat theireot, Dakota County, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 3 RD DAY OF DECEMBER , 1992. PROPOSED GRADES SHOWN WERE TAKEN THg A9 L FpER0910NN COIfTROL PLAN FOR OUR OAK HILLS 2ND ADDITION PREPARED BY RILLA 6 ASSOC,INC LAST DATED 2- -88. co E m O N oo n D ? > O Wm ro Z 0 Z N (0 O) ! 0 1 m I I I N < If JAMES R. HILL, INC. L _ e- ?. JOHN C. LARSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 19828 James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 2500 W. CTY. RD. 42 • BURNSVILLE, MN. 55337 • 612-890.6044 EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION DATE OWNER n I L _ IT146 SITE ADDRESS 331-g Jo_ftD i . ,LLL-e L?,tf ?? ?] L']- Eiq-z. o o,) CONTRACTOR ?? r?tt„ tpr /jT IZi?TNz'25 ?.a?T?LT1as?) IrVG ADDRESS 2 c e ? gAlooM) PHONE Y i& 412 fi DETERMINE WORKING SQUARE FOOTAGE OF EACH 1. Total exposed wall area ... Z,rj, 3 sq. ft. x •11 - 3 3 3 0 2. Total roof/ceiling area ... /a/ -7 q, p sq. ft. x •026 - I SQ 7 Total exposed wall area above floor a '1q)&, _ a. Total wall window area ......................... 2 S/ ,q b. Total door area ... 3-g. y C. Total sliding glass door area .................. 63, re d. Total fireplace wall area ...................... 0 e. Total wall framing area (average 10%) ...,..,,,, 30 2. 7 f. Total net wall area above floor ................ 1 Q471-2 g. Total rim joist area ........................... 3 L1. 2 Total exposed foundation area - 111111? h. Total foundation window area ..... 11. 3 i. Total net foundation area above grade .......... /040.0 Determine "U" value of each wall segment. a. _ 2?G 9 X fluff , '? 2 - /07 9 b. 34, U X ffuif C. 3 L X uU" , f12 - 2&. -7 d. O X ifUff E1 - 0 a•_ 3o2.,7 X ffU" 1 - 33.3 f. I Sq'l-2 X fluff -oN 3N - 92. / 9. 301.2 X ffUff 110,414 - / 9 h._ d . !I X PfUff riZ_ il. #7 1._ 100. 0 X frufr •o1) 11 -2 &-- 3 . ...............................Total If item 03 is the same as, or less than item O1, yo,me the he intent of SBC 6006 (c)2. -1- Page 2 of 2 Total exposed roof/ceiling area - /y 17 $ J. Total skylight area ........................... 0 k. Total roof/ceiling framing area (average 10%).. 9 2.•/ 1. Total net insulated roof/ceiling area ......... 5, &_ Determine "U" value for each roof/ceiling segment J. n x °u" I 16 k. Q2,`/ R "u" .02 SS 2,q R 4 ....................................... .Total If total of 94 is the same as, or less than P2, you have met the intent of SBC 6006(c)l. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items 03 and d4 shall not be greater than the sum of items 91 and 92. I. + 2. 3. + 4.. .. . -2- LOT SURVEY CBECRLIST FOR RESIDENTIAL BUILDING/PERMIT PL CATION PROPERTY GALS s Date of survey: _ /T _q ANT STAND stns fl D' 0 Registered Land Surveyor signature and company p? D Building Permit Applicant D D Legal description 0 0' 0 Address D' 0 0 North arrow and bar scale V 0 0 House type (rambler, walkout, split w/o, split entry, lookout, etc.) 0?0 Directional drainage arrows with slope/gradient i. 0 " O Proposed/existing sewer and water services VD- 0 Street name D Driveway ELEVATIONS Existina 0 Mr?0 Sewer service t? 0 D Lot corners 0 0 0 Top of curb at the driveway 0 0 Elevations of any existing adjacent homes J Proposed O D D Garage floor 0 D First floor 8" D D Lowest exposed elevation (walkout/window) P--D 0 Property corners 00 D Front and rear of home at the foundation PONDING AREAS (if applicable) 0 Ci' D Easement line 0 q- D Nwl, 0 f?' D HwL 0 0r 0 Pond # designation D 0' D Emergency Overflow Elevation DIMENSIONS 8'13 13 Q? 0 D 0' 0 D BID 0 0 D"? D • Lot lines • Right-of-way and street width (to back of curb) • Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) • Show all easements of record and any City utilities within those easements • Setbacks of proposed structure and setback of adjacent existing homes Reviel October 1992 Z7Z9i Y OF EAGAN L (_ B CIT .5 MECHANICAL PERMIT RECEIPT # /U P9y SUBD. (612) 681-4675 DATE--/ o? off/ RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWEL1.JNGS. ALSO, COMPLETE FOR TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. OWNER: e 7 Z:S_ ` ADD-ON A/C ADD-ON FURNACE[- SITE ADDRESS: ADD ON/REMODEL XCISTING $ 15.00 ,3,3/ 0 ?? i _![f (IS Ct CONSTRUCTION ONLY) INSTALLER. HVAC. 0.100 M BTU 24.00 PHONE #: 12481 Rhode Island Ave. S0. ADDITIONAL 50 M BTU 6.00 ADDRESS: GAS OUTLETS - rrIIND?ILn?I 1 @ $3 EA, 1, D O C ZIP: SURCHARGE: $ .50 f / TOTAL: $ V NO PERMIT REQUIRED FOR DUCTWORK ONLY! COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCLAIJINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: CONTRACT PRICE: FEES 1% OF CONTRACT FEE. STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE. $ PROCESSED PIPING - $25.00 ' $ MINIMUM FEE - $25.00 OWNER. TOTAL:- $ SITE ADDRESS: TENANT: SUITE INSTALLER: ADDRESS: CITY: ZIP: PHONE #: CITY SIGNATURE: SIGNATURE. PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES I SHOWER WATER CLOSET BATH TUB LAVATORY / KITCHEN SINK LAUNDRY TRAY / HOT TUB/SPA WATER HEATER i FLOOR DRAIN GAS PIPING OUTLET • minimum - ROUGH OPENINGS WATER SOFTENER PRIVATE DISP. • DaLCLy. lie. U.G. SPRINKLER • home mder coast. ALTERATIONS • to adsting WATER TURN AROUND STATE SURCHARGE TOTAL: EACH TOTAL 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 1.50 5.00 15.00 3.00 15.00 15.00 3 'c- 3= 3 3 -77-- -1/060 .50 ell SITE OWNER ADDRESS: CITY: l/,//Yiar?/?(? f STATE:_ PHONE #: ZIP CODE: '4? 4====:? A" bX24 PERMII"I S ATURE 0 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. NEW CONSTRUCTION ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1% OF CONTRACT FEE. STATE SURCHARGE: $.50 FOR EACH $1,000 OF NOW FEE. MINIMUM FEE: $ 25.00 CONTRACT PRICE X 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: PHONE #: STATE: ZIP CODE: FOR: CITY OF EAGAN APPLICANT      ÷ì÷    ñ þ  ý þýý  üûû ú     ùýý úÿíý ßûôì    ß ÿ  þý÷  üûúùø ôñ ô ÷ôùø ó ö  ôñ ô áû  ô  ô  ô ø ô ô îûô   ûú ô  ã ô ô ýü  þ ô  ø ôýÝ Ü  ý ððäð   ãù ô  þ ôùñ  ô ãþ ô í Ýò ø  æêäêðää öù  üûô ô íè æê ê   õøôø ÷ óò øø   þ ôùñ  ô åò úû ð ø   äò  ñ ù ûãóððþ  ãó ÝßÜßßßß  ô úù ö    ë ô   øø       éô  ôô   ô  øùö  øø ú ü   éã  ü û  ñùéþ  ìô  ê øø õ ô  ü ûô  û ùü ûô *. City of Eakan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: /0 Use BLUE or BLACK Ink For Office Use nn Permit #: 61/ Permit Fee: /C-6. Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Name: /://i7 Ctr �j if / City / Zip: A6�/7y /�(CS G7/ �-V,C# 537.,<j Unit #: Phone: Cc/ ? 0;z ?4,-c),3' Applicant is: Description of work: Owner X' Contractor Construction Cost: //, �2 Multi -Family Building: (Yes / No X ) Company: / �'/ Ce.,Q// T AO I Contact:s�d/Q/0 7 i,/ Address: /16' 6. 5" 2,', City: COe", yj 2'0,, VY Zip: 443 -'Lf/ -7( Phone: C7 l .,5574 mail: 05'91d 6'5'/e 277<2.7- C , < 27-C '383?9 Lead Certificate #: If the project is exempt from lead certification, please explain why: 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: Sewer & Water Contractor: Fire Suppression 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.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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. Phone: Phone: Phone: x Applicant's Printed Name if/ 77,7 x Applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink For Office Use RECflVr= IfiL ILS City of Eap,allPermit#:1V, 1I6L U no (C) 2 ZO1Permit Fee: J� �` 3830 Pilot Knob Road Eagan MN 55122 Date Received: 7)(- 7 Phone:(651)675-5675 Fax:(651)675-5694 Staff: L J 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: _ Unit#: Name:�� pl CNA A .�� Phone: L65)361 bj &li�E3ll'l � , ` ^� &Mum; Address/City/Zip: 33 .) \\-cam: \--\\7‘.\\5 (-Zs�: Cl SS J `aC 1 Applicant is: Owner X Contractor 1/41 Description of work: 1. ) �'►1 5 �� i��c TOe of Work xz '. Construction Cost: c� ? Multi-Family Building: (Yes /No ) Company:L a K-1/4. le- .cr aiNtiA4Contact: kaC�c�Z 1 S, ntracto1, AddressnioA) C---x- esi "N\ City: State:MC Zip: � p 5�� ' 3� Email:f Phone: � License#-:�J c� \�b3 Lead Certificate#: ` ���� If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eacan 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: nhr' Fire Suppression Contractor: Phone: i1iOTE:Pians suppt rtin �iocume�ts tha rho 06nttt sire const d t©be public infotrmat mops , the ir� tion dy a c1�� s root-public if you provide atuecitic reasons that #,**Ci'� .4 nclude that they are trade secretsr A 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. ww...gopherstate r.ecail.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 nota permit, but only an application fora permit, and work is not to start iVoui a perrnit; that the work will be in accordance wit.the approv•. *Ian in the case of w:,rk:which read`s r:'approval of pl,ms. Exterior wo�/authorize• • a building permit issued in accordance with the Minnesota Slate Building Code must be completed within 180 days of per, t issuan • X .4/40.91111111111,1 x___Adw,L6thirte,s4/ ;an % meA Applicant's SIgnature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA151407 Date Issued:08/23/2018 Permit Category:ePermit Site Address: 3318 Rolling Hills Ct Lot:6 Block: 5 Addition: Bur Oak Hills 2nd PID:10-15501-05-060 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Andre K Roggenbuck 3318 Rolling Hills Ct Eagan MN 55121--235 (651) 307-3403 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 355-1300 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA156929 Date Issued:07/25/2019 Permit Category:ePermit Site Address: 3318 Rolling Hills Ct Lot:6 Block: 5 Addition: Bur Oak Hills 2nd PID:10-15501-05-060 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 - Andre K Roggenbuck 3318 Rolling Hills Ct Eagan MN 55121--235 (651) 307-3403 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (641) 670-7051 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA174316 Date Issued:01/18/2022 Permit Category:ePermit Site Address: 3318 Rolling Hills Ct Lot:6 Block: 5 Addition: Bur Oak Hills 2nd PID:10-15501-05-060 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 - Andre K Roggenbuck 3318 Rolling Hills Ct Eagan MN 55121--235 (651) 307-3403 Crossroad Construction 17121 Lincoln St NE Suite 100 Ham Lake MN 55304 (763) 434-0202 Applicant/Permitee: Signature Issued By: Signature