3319 Rolling Hills CtControl
INSPECTION RECORD No. oy;:
CITY OF EAGAN PERMIT TYPE: 6*0241
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55123 Date Issued: 04/14/92
(612) 681-4675
SITE ADDRESS: i UT- q BL OCK I 6 APPLICANT:
3314 RULLINA HILLS CT MCDONALQ COMRT INC
ROO OAK MOLLS 2NO (612) 606-1*61
PERMIX,§UBTYPE:
TYPE OF WORK: NEW
INSPECTION TYPE
i(10TING .,
FRANIHAs
INIS i11.AT 1014 FINAL
FIRErPLACr
Of HARP: S : PRV
?; A W CONTRACYUk - S1AFt PLHe
Permit No. PWMft Holder Date Telephone •
s/W
PLUMBING
HVAC
ELECTRI
ELECTRIC
Inspection Deb Insp. Comments
Footingsl tG
y, /2 iS C 1? 13, e? /
Foundation pee, 4k,
Framing 5; /?
Roofing
RoughPlbg.
Rough Hlg. /q /.r
laul. 5. ps s7?? Yz
-a
Fireplace %sq?9o?
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Coast. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Deck Final
wee
Pr. Disp.
/?
OF
• ,d
(gex#ifira#t of COrrupaurn
Citp of Qlagan
arpartntm of t"PrtWu
This Cerdfiaa s issued prrrsumet to the requinnrents of Section 306 of the UWom BaiJding
Code certifying that at the time of issuance flits structure xs M compliance with the various
ordinances of the CAVy reguladng building omsoucdon or use. For the following.
Um chomo6m SP uwc/w alai. Awmk?4& 242
0Ww*& 7 Type B W LAq Diarist Rl Qx cam Vn
0w .dBaBei. WONOLD 0NSLW0Crn09 A,w,. 1212 BLUEBIIL BAY RD, B'VILA
3319 ROLLING HILLS DOURZ__._ A. B5. BUR OAK HILLS 2ND
Dam 7/16/92
POST N A CONSPICUOUS PLACE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: , I, , ,;1 ,,, t
144fft tIAfc 411 1 1 lN1)
PERMIT SUBTYPE:
t, ;II
APPLICANT:
I 1 ? `.li ?:. 1 H
TYPE OF WORK:
VI . ' , b!
SM$1I
I?I MARKS: A SFPAkAII I'i kMI I I i rjE4jj)1fihU I uk ANY 1'f IIMftIN#, I)It I I I I. II: It At I.AtIPlt,
Permit No. Permit Holder Date Telephone •
S/W
PLUMBING
HVAC
ELECTRIC 50 91 ?"
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing" QJc- l haLi ?
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Fig.
Deck Final
Well
Pr. Disp.
Address; 3319 ROLLING HILLS COURT Lot 9 Blk 5 Sec/sub BLjR OAK HILLS 2ND
These items were/were not complete at the time of the final inspection.
Date: q Yes No Tnspprtnrl
Final grade (6" from siding)
Permanent steps - garage l?
Permanent steps - main entry
Permanent driveway
Permanent gas ?
Sod/seeded grass /
Trail/curb damage
Porch
Basement finish V/
Deck
Please verify with the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists.
r?uE"we?
White - City copy Yellow - Resident copy Pink - Contractor copy
REQUEST FOR ELECTRICAL INSPECTION EB-00001-09
O O b V b V o. See Instmclions for completing this form on back of yellow copy.
X" Below Work Covered by This Request
•i:k
..Type of Building AppliSnces 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) Contractor's Remarks: }.
Compute Inspection Fee Below: Tt
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200-Amps 00 -Amps
Signs Inspectors Use only:
vv TOTAL
Irrigation Booms 1?, ?p
Special Inspection
Alarm/Communlcation THIS INSTALLATION MAY
BE ORDE DISCONNECTED IF NOT
Other Fee _
COMPLETED WITHIN k _? ONT
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in
Final v /
W oat ^f 4
Date
OFFICE USE ONLY
This request mid 18 months from
?a??
005050
/ 9 ,15,5. ?J& /? ??
o
Request Date FI a No. Rough-In Inspection Requiretl ins action than Than Rough-In
(You must cell' pectu when ready)
?
" Ready Now E] Will Notify Inspector
L
J
/SS ? No Dete Rea
I I caned contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No.)
` City
33 l ct ?1r \ c 4
Section No.
Township Name or No.
Range No.
County
I Ibl?r
Occupant (PRINT) Phone
NO.
?` 4
?:2 C, 2?
Power SuppliieerI
1V Address
Electncal Contrector (Company Name) Contractors License No.
L
Mailing Address (Contractor or Owner Making Installation)
1450 c
Aulhorized Signatur ( nlraclodOw er king Installation) Phone Number
i /
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S•128S? BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55109 UNLESS PROPER INSPECTION FEE IS
Phone(612) 692.0800 ENCLOSED.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT TYPE:
Permit Number:
Date Issued:
3319 ROLLING HILLS CT
LOT: 9 BLOCK: 5
OUR OAK HILLS 2ND
Control No. 0223
BUILDING
000242
04/14/92
DESCRIPTION:
B,vild` hg, Permit Type SF DWG
Building Work Type NEW
-itBC Occupanc3e,_ R-3 M-1
Construction Type V-N
Zoning R-1
Building Length 56
Building Width 29
? i
,r
/ i
`. ?.?c_. Q-3 wit/ J ??._51 mil ?U1..
REMARKS: e m$ 0 q
PRV
S & W CONTRACTOR - STAR PLBG
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
VALUATION
$709.50
$461.18
$60.00
$700.00
100
$1,930.68
$12@,000
MISCELLANEOUS $1,610.50
Total Fee $3,541.18
CO'MCDOFAQD" 14ppxicanc - 5i. 7
CONST INC 16887061 0002 7 ONALD CON5T INC
1212 BLUEBILL BAY RD 1212 BLUEBILL BAY RD
BURNSVILLE NN 55337 BURNSVILLE MN 55337
(612) 688-7061 (612)688-7061
I hereby acknowledge that I have read this
information is correct and agree to comply
Statutes and City of Eagan Ordinances.
?PLICANT/PERMITEE SIGNAC
PERMIT
application and state that the
with all applicable State of Mn.
ISS' UEDIBY:'SIGNA UR
PERMIT #Z4 2
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
'?3 s 5zi, a
7'n 1? REIN.
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
applies when typing
rPenalty of permit is requested, but not picked up by last working day
f month in which re nest Ts made or lot than a is re nested once permit is issued.
e _ID / 2Z Valuation of work 9i,1C0o CExc]4d;&2A IQJ
Site Location: amcl
STREET STE #
Tenant Name:
LOT BLOCK SUBD. ?I.lr Q P.I.D. #
Description of work: le -CA?41?4
The applicant is: ? Owner Contractor ? Other (Describe)
Name Phone
Property LAST FIRST
Owner
Address
STREET STE #
City State Zip
Company MA 'YN.Alck Co ?s?rc,c4;a.?Twc. Phone 1n?1:s-`7CYnI
Contractor Address 121 31 (of? l_ gel License #2 Exp.
City BACI.1 SV IIf State Mf\J ZiP
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber ?i4n L'f'j-, Processing time for
sewer & water permits is two days once area has beab approved.
I hereby acknowledge that I have rea this ap tion and state that the information is
correct and agree to comply wit 1 aP li State of to Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
0 02 SF Dwg.
? 03 Two family
? 04 Multi-fam. T.H
? 05 Apt. Bldg.
? 06 Garage/Accessory
? 07 Fireplace
? 08 Deck
? 09 Basement Finish
? 10 Swim Pool
? 11 Res. Add./Porch
? 12 Comm./Ind. New
? 13 Comm./Ind. Add
? 14 Comm./Ind. Rem
? 15 Public Fac.
WORK TYPE
Ig 31 New
? 32 Addition
? 33 Alterations
? 34 Remodel
? 35 Repair
? 36 Tenant Finish
GENERAL INFORMATION
? 37 Move
? 38 Demolish
? 99 Undefined
? 16 Agricultural
? 17 Building Move
? 18 Demolition
? 20 Miscellaneous
Occupancy Q 3 /+'1 Basement sq. ft. MWCC System YES
Zoning I g-1 1st F1. sq. ft. City Water ?y tm
Const. (Actual
e V- 2nd F1. sq. ft. PRV Required YES
(Allowabl v-N Sq. Ft. total Booster Pump
# of Stories z. Footprint Sq. ft. Fire Sprinkler
Length _ (a On-site well Census Code 1D I
Depth .29 On-site sewage SAC Code o?
APPROVALS
Planning Building ?_ 3 &[/s Assessments
Engineering Variance
REQUIRED IN SPECTION S
? Site ? Footing ? Framing ? Insul ation
? Wallboard ? Final ? Draintile ? Fireplace
Permit Fee 109.50 Valuation: $ 1ZO,000^-
Surcharge
Plan Review
46141
bo
d gy i7-? 5q Xzl- rlly
License , 5 X 3 4
1-7o
MWCC SAC ,00 7 X /b =?6
City SAC 100400 95L4 )4 15=
GARAbEI 141310
Water Conn.
Water Meter ,??S,po
gS,oo y- Z7-//6= rlnt4q
Acct. Deposit 30.00 1ST : 13SMT?gst(x 53 - 50JS6'L
S/W Permit
S/W Surchargge 3000
,SO
ZNt ffLooKl 314 v 2k = 952
Treatment Pl.
Road Unit
3So,0a
G X 1 2 = 071)
Park Ded. ?ct) 53 = 4 L
`+`_
Trails Ded. lr,
Copies
( of
2S1?-
Other 1
Total:
SAC % 100
SAC Units 1
* * D oil
* is P.
* PIONEER LAND SURVEYORS
* eng veering LAND PLANNERS • LAN
2422 Enterprise Drive
Mendota Heights, MN 55120
612) 681-1914•Fox 681-9488
625 Highway 10 Northeast
Blaine, MN 55434
612) 783-1880•Fox 783-1883
Certificate of Survey far: McDonald Construction Inc.
House Address: 3319 Rolling Hills Court. Eagan, MN
Model Name: 92-166
I
\?8?0
a^^ p
QR\
\sQ O
\
o VO
ry9 ? ? Q
DD
h?Q? 3Z 3 ?R'?wq r SPrv88 loe
At
0i rl" F.2.49
883,4 ry ?23J o ® I i u
Beq,r
898.5
toga
i'o
N 1
r
?s
of JJ
.67
?z??B83 ?z.00 / bpop
S® ro ?/ Z COVRSe SOUS sy /r OI,/
I S. 18 \ J2.00 f'00
\ , 88i,? ?z=? i
\ \xBS?,y I
\ \ Tor I
\ I
\ I
\ ? I
\ I
1 I
\ I
\ I
\ I
\ I
\ ? I
\ I
\ I
\ I
SD \ I
1 .88.08
N 00'21 r48" W
CO
`I ART
/
Elegy+liPle
-15
BBl,zl
8g2.o i V
88t, 9 5
SBI,b
0ttoo
0 a
00 0°
U1 w
s
ii
X 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION
x090 Denotes Proposed Elevation Lowest Floor Elevation: 876.79
Denotes Drainage & Utility Easement Top of Block Elevation: 884.90
Denotes Drainage Flow Direction
-o- Denotes Monument Garage Slab Elevotion:882.50
-a Denotes Offset Hub Bearings shown are assumed
LOT 9 BLOCK 5 BUR OAK HILLS
DAKOTA COUNTY, MINNESOTA 2nd ADDITFM
I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am duly Registered Land Surveyor
under the laws of the State of Minnesota. Dated this Y541't day of _ MI ctvckI A.D.
E,
eV, 4-7-gZl MovR'rotA(' Nse SILO
?t l0 9z Add raw sQ el arts, ??? r,
Scale: 11nc-h=30eat
ROBERT
y1<<S
MINNESOTA S_?I(,IiG?CO C CULATIONS
BASED ON CHAPTER
1) - 5 OF THE
MOb.I. NUM M CODE - 1,83 EbITION
Adoption Effective
Site Address LOT 9
1?)L.ocK 5
'Eud2 ••?••= vacs
QqK NILls ZND ADb1 0
Contra"I•nr??G 1 /L- 1
Building Classifications Type Al (Single Family & Duplex)
Type A2 (Residential, 3 stories or less) (over 3 stories) (Other)
=S1 Complete bade, and 4 first.
[.ENEU MEHATT01.
1. Building Perimeter ?1
2. Wall height (ground to save) ffft.
3. 1. X 2. (above) gross wall area 81?? s ft
9•
4. Building dimensions (L) X W
( ) -e-)V-76289. ft.roof 6 floor area
5. Sq. foot area of rim joist - lour j t slie 12X1
t 1 Q, ?J (Permeter) ) ?.•aq,ft.
6. boors - Area 1 5rT/ 12
Thickness in U. factor%\? i 1? 1
Type of Construction
Manufacturer Perimeter ft.
7. 'Total door's perimeter ft.
8. Windows!
U facto1
TYPE
11
SIZE
Yn state apptoveil
AREA (Sq.Ft.)
61 EACII
9. Total sq.ft. Glass , k
NUMBER OF TOTAL
UNITS SQ FEET
lo. Fireplace areal Width X Height s X e
sq.ft.
11. Exposed foundations Height X Perimeter_X
1 eq.ft.
COMPLETION OF THIS FORM 19 REQUIRED FOR ALL NEW CONSTRUCTION, MAJOR
REMODELING AND BUILDINGS BEING MOVED WHERE ENERGY, OTHER THAN THE MINIMAL
CODE ALLOWANCE, 19 USED.
-1-
_ a_. •++ yivse wall area.
lJ. Gross wall area ?? ?,
eq.ft.
111ndow area A ?_sq. f t. U windows d
UxA -
nlm joist area A I tq,ft, U rim joist-\ o UxA =
Door area A 1k sq.ft. U door area=
UxA d
Other doors area A ?i02sq,ft. U other doors=t //?? UxA
Exposed fndn A _sq,ft. U foundation. V0
UxA
?.???.,,,Q?, ??
Framing area A,II: /, s-q.ft. U framing area- UXA
list wall area Al •I 'll`t6q.ft. U wall= UxA
(138) TOTAL Ux ei? /
4. Grose wall area x 0.11 (A-1 single family 6 duplex) - allowable Pode
(1]. above)
x 0.23 (A-2 other residential)
x .23 (other buildings)
X .ze (over ]] sterU
A U Code I 1 /AoVll must be larger than or same
?t(// F. as 130 above
5. Ceiling framing area (Af) equals lot of ceiling area
5A. Gross calling area - (L) x 11f) sq. ft.
Joist area (A f) - lot ceiling area c _sq,Et.
5C. net ceiling area (Ac) (15A - 15B) sqft.
U ceiling x A c -•x 10r? l•?' ejILjq(a
U framing x A f x ,? d .
5D. TOTAL U X A ............................. t1 V ^+
.6. Calling area (15A) x 0.026 (A-1 single fa duplex)
-.allowable UxA/Code
x 0.033 (A-2 other residential)
x 0.06 (oth
f r1>? L B 11 must be larger than or same
A(15A5x U Code of an 15U above
IOTEt Use U and A values obtained from pages 1, 3 and 4.
-EIiTFjQATIQHt I hereby certify that I have calculated the "U" factors and
•n" values herein and that the building here described meets or exceeds the
State of Flinnesoto Energy conservation Act.
)ate signature
-2-
???-f CpCo
-rte- Fog W. L L -
ll
2:? 92 t I 2-o
.? ;OA,
.4X4g=?t0Y'S: ?C?td
2Il?Cv(
7;T A!C? 0
df? k ieep
F _._. PERMIT C"1,M
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 025071
(612) 681-4675 Date Issued: 01/31/95
SITE ADDRESS:
3319 ROLLING HILLS CT
LOT: 9 BLOCK: 5
BUR OAK HILLS 2ND
P.I.N.: 10-15501-090-05
DESCRIPTION:
ldinjV-Permit Type BASEMENT FINISH
ildng Ud.rk Type ALTERATION
REMARKS:
?e
1:C 1 `i1
A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee $35.00
Surcharge $.50
Total Fee $35.50
CONTRACTOR: - Applicant - ST. LIC. OWNER:
JOSEPH CONST, RICHARD 19726218 0007955 WIENER BOB
4580 85TH ST SE 3319 ROLLING HILLS CT
DELANO MN 55328 EAGAN MN 55121
(612) 972-6218
L
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.
/?rr3
APPLICAN /PERMITEE SIGNATURE
V,I Dig
ISSUED-9 SIGNATURE -T k
J
' CITY OF EAGAN 1601 3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
6814675
New Construction Recuirements Remodel/Repair Reauirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks)
? 1 energy calculations ? 1 energy calculations for heated additions
? 1 tree preservation plan if lot platted after 711/93
required: _ Yes _ No
DATE: 1 - 9.S-1l5 CONSTRUCTION COST: S SIJ? a?
DESCRIPTION OF WORK: ?ct'vrcy,r ¢ ?ti,64
STREET ADDRESS: ,i /`7 /mo01/1'sfj 4[
LOT BLOCK SUBD./P.I.D. #:
PROPERTY
OWNER
Name: Ald
Street
Phone #:
City: ?i+t State: OA Zip: S5 /411
CONTRACTOR Company: ?: r? ?1e?a 01. ?.± Phone #: 17 °a-d A2
Street Address: ? z?-? , 275-"S License #: 9?s
city: N)i
ARCHITECT/ Company: Phone #:
ENGINEER
Name: Registration #
Street Address-
City: State: Zip:
Sewer & water licensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
I hereby acknowledge that I have read this application and state that the information is correct and agr a to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
Signature of Applicant:
Yes No
Yes No
?ICdJq?a LRECEOVE]D
6 19
BUILDING PERMIT TYPE
OFFICE USE ONLY
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi (Misc.) ? 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 Multi (additional) ? 15 Deck
WORK TYPE
? 31 New X_ 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Basement sq. ft. MC/WS System
_ Main level sq. ft. City Water
_ sq. ft. Fire Sprinklered
_ sq. ft. PRV
_ sq. ft. Booster Pump
-
_ sq. ft. Census Code. 75
3K
_ Footprint sq. ft. SAC Code
Census Bldg /
Census Unit _0
Building Engineering Variance
Valuation: $ l?
% SAC
SAC Units
L q BL CITY USE ONLY RECEIPT r 6 5 G
L?
n ?_Q T-db-lJ -
SUBD. DATE:
1995 PLUMBING PERMIT (RESIDENTIAL) 45
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
4
Please complete for: single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NO. TOTAL
Shower 3.00 x _
Water Closet 3.00 x
Bath Tub 3.00 x
Lavatory 3.00 x l =
Kitchen Sink 3.00 x TTT?? _
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum -1 3.00 x =
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal * Dakota Cty. license 20.00 =
U.G. Sprinkler' home under const. 3.00
Alterations ' to existing 20.00
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL
SITE ADDRESS: 3 3 19 ??? ?a + ° \\ L1 );Zk
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS: 7' 741
CITY: STATE: ZIP:
PHONE#: ((?/r?) JILGf
SIGNATURE OF
CITY USE ONLY
L BL RECEIPT
SUBD. DATE:
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: all commercial/industrial buildings.
? multi-family buildings when separate permits are = required
for each dwelling unit.
DATE:
CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION
DESCRIPTION OF WORK:
ADD ON REPAIR
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of pg= fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:`
TENANT NAME:
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
STE. #
STATE: ZIP:
SIGNATURE:
APPLICANT CITY OF EAGAN
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 IJ - j _
651.681.4675
New Construction Reauirements
? 3 registered site surveys showing sq. K. of lot, sq. ff. of house
and all roofed areas (20% maximum lot coverage allowed)
2 copies of plans (show beam & window sizes; poured fnd. design; etc.)
1 set of energy calculations
3 copies of tree preservation plan R lot platted after 7/1/93
DATE: Al- Z2- C(°I
DESCRIPTION OF WORK:
Remodel/Repair Reauirements
2 copies of plan
1 set of energy calculations for heated additions
1 site survey for exterior additions & decks
CONSTRUCTION COST:
: t - , -.
5,5GO' cV
-
IM
STREETADDDRESS: 32- ` \-??-ACS k c?czt,k ?<'- I' Ic
LOT: l BLOCK: f SUED./P.I.D. #: k 1? OCA C 7? l
Name: q--. V- Phone #:
PROPERTY Last First
OWNER ?z55 Street Address: /a )Cr-L-c 0,k:--
City ' a C-n State: fc-(K-( Zip:
CONTRACTOR
ARCHITECT/
ENGINEER
Company: 7---/7'4T?1 (on5???'?n Phone#: ?5t ZZ5-fo?3
(area code)
Street Address: grj ?- w- ?a n4 License # z6l3"?c5'7 g Exp. 3 cry
City State: l a+`> Zip: 65)07
Company:,
Telephone M. area code ( )
Name:
Street Address: Registration #:
City
Sewer & water licensed plumber (required for new construction onlv):
State:
Penalty applies when address change and lot change is requested once permit is Issued.
Zip:
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
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 ? 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
? 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)
(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
No. of Units
No. of Bldgs
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:
SAC Units
Valuation:
% SAC
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3319 Rolling Hills Ct
Lot: 9 Block: 5 Addition: Bur Oak Hills 2nd
PID:10- 15501- 090 -05
Use:
Description:
Sub Type: e- Reroof
Work Type: Repair
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Springer Exteriors
16859 Welcome Avenue SE
Prior Lake MN 55372
(952) 440 -1997
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
Robert D Winer
3319 Rolling Hills Ct
Eagan MN 55121
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Issued By: Signature
Building
EA081373
12/07/2007
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
h all applicable State
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA108847
Date Issued:01/17/2013
Permit Category:ePermit
Site Address: 3319 Rolling Hills Ct
Lot:9 Block: 5 Addition: Bur Oak Hills 2nd
PID:10-15501-05-090
Use:
Description:
Sub Type:e-Windows/Doors
Work Type:Windows/Doors
Description:House
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Robert D Winer
3319 Rolling Hills Ct
Eagan MN 55121
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
!"
#$%&'()' *+*,
-./$%'"&0-1 -GM*,$G*4
-./$%'63/7-.1 89:;9:9
>*%-'!??3-5199@AB@A<9B
-./$%'#*%-+(.&1- -./$%
C$%-'855.-??1''::9N'' (44$,+'S$44?'#%''
:"# $% &&9)**+ + , &&"=/&E0%&\\+##1&(,*
456 7'8799'78'98':'&
;1<
>-?G.$0%$(,1
-=>&?@A< D<1+*<, +0#
2 /%&?@A< D<A#0$<
6<1$/+A + , .=/,0$<
^=<1 + ,1&/<I0/*+,I&<#<$ /+$0#&A</K+ &/<J=+/<K<, 1&1M =#*&><&*+/<$ <*& &- 0 <&W#<$ /+$0#&5,1A<$ /P&S0/%&),*</1 ,&0 &R:9(\[&
#(//-,%?1
GG98(VG'N
F0/> ,&K , Q+*<&*< <$ /1&0/<&/<J=+/<*&B+ M+,&7'&O<< & O&0##&1#<<A+,I&/ K& A<,+,I1&+,&/<1+*<, +0#&M K<1&RS+,,<1 0&- 0 <&
SW&8&4</K+ &.<<&RD<A#0$<K<, 1\[U9:N''&'V'7NG'VV
H--'C3//*.&1
-=/$M0/I<8.+Q<*U7N''&:''7N(7:9
"(%*41I=<J<<'
#(,%.*G%(.1KL,-.1
8&&)AA#+$0, &&8
" ,O<a1&4#=K>+,I&\]&\\<0 +,ID ></ &6&2+,</
9'9&D0,* #AM&)L<337:&D ##+,I&\\+##1&F
- &40=#&SZ&&997'(W0I0,&SZ&&997(7
R!97\[&((V8:'Y7R!7(\[&!!:89(7Y
5&M</<>@&0$%, B#<*I<& M0 &5&M0L<&/<0*& M+1&0AA#+$0 + ,&0,*&1 0 <& M0 & M<&+,O /K0 + ,&+1&$ //<$ &0,*&0I/<<& &$ KA#@&B+ M&0##&0AA#+$0>#<&- 0 <&
O&S+,,<1 0&- 0 = <1&0,*&F+ @& O&W0I0,&E/*+,0,$<1N
)AA#+$0, C4</K+ << &-+I,0 =/<511=<*&"@ &-+I,0 =/<
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA142250
Date Issued:04/24/2017
Permit Category:ePermit
Site Address: 3319 Rolling Hills Ct
Lot:9 Block: 5 Addition: Bur Oak Hills 2nd
PID:10-15501-05-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Robert D Winer
3319 Rolling Hills Ct
Eagan MN 55121
(612) 812-1908
Blue Sky Mechanical Llc
41531 237th Ave
Le Center MN 56057
(612) 756-2255
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA161463
Date Issued:05/28/2020
Permit Category:ePermit
Site Address: 3319 Rolling Hills Ct
Lot:9 Block: 5 Addition: Bur Oak Hills 2nd
PID:10-15501-05-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Robert D Winer
3319 Rolling Hills Ct
Eagan MN 55121
(612) 669-5217
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164145
Date Issued:09/21/2020
Permit Category:ePermit
Site Address: 3319 Rolling Hills Ct
Lot:9 Block: 5 Addition: Bur Oak Hills 2nd
PID:10-15501-05-090
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 -
Robert D Winer
3319 Rolling Hills Ct
Eagan MN 55121
(612) 812-1908
Bauer Services Inc
730 Buchanan Street
Anoka MN 55303
(763) 421-1723
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168035
Date Issued:04/07/2021
Permit Category:ePermit
Site Address: 3319 Rolling Hills Ct
Lot:9 Block: 5 Addition: Bur Oak Hills 2nd
PID:10-15501-05-090
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Robert D Winer
3319 Rolling Hills Ct
Saint Paul MN 55121--235
(612) 812-1908
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA174314
Date Issued:01/18/2022
Permit Category:ePermit
Site Address: 3319 Rolling Hills Ct
Lot:9 Block: 5 Addition: Bur Oak Hills 2nd
PID:10-15501-05-090
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 -
Logan D Johnson
3319 Rolling Hills Ct
Eagan MN 55121
(612) 812-1908
Crossroad Construction
17121 Lincoln St NE
Suite 100
Ham Lake MN 55304
(763) 434-0202
Applicant/Permitee: Signature Issued By: Signature