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3209 Rolling Hills Dr
BUILDING PERMIT To be used for SF I CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 1 Receipt # Site Address JZ09 MULLING ? Lot 1 Block 10 Sec/Sub. Parcel No. W Name MCDONALD CONMUCTION INC Address 1212 BLUEDIL.L DAY RD ° City BURNSVILL.E Phone 688-7061 t° Name SAME OO Address racc city Phone ?W Name W W 0-z Address <W City Phone I hereby acknowlege that I have read this application and state that the information is cokTect and agr to comply with all applicable State of Minnesota StatutdF and City of pagan OM(nances. Building Official t1"5, 'i 5 Signature of Permite A Building Permit i tasued to. lICDOIIALD !i'$TBl1C7I01f on the express conn that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. l:?w OFFICE USE ONLY Occupancy RO-3 l4-1 FEES Zoning (Actual) Const 3 1. 0 0 Bldg. Permit 7 (Allowable) n ? ? n Surcharge 63.00 # of Stories Length 700 475.00 Plan Review Depth SAC. City too- S.F. Total SAC, MCWCC 650.00 S.F. Footprints On Site Sewage Water Conn 660.00 On Site Well Water Meter 95.00 MWCC System 30 Water City X . 00 Acct. Deposit PRV Required S/W Permit 30.00 Booster Pump S/W Surcharge • Treatment PI 276.00 APPROVALS Road Unit 370. Planner Park Ded, Council BIdg. 0". Copies Variance TOTAL 3.480.30 Permit No. Permit Holder Date Telephone # WATER g 9/ SEWER PLUMBING y ry -ox /]3191 $36 ov H.VAC, 9 / 0- 0 ELECTRIC pp// n "? Inspection Date In 4. Comments Footings I 8? l Foundation 11-71 " Framing P- 1 - 5 z he, Roofing Rough Pibg. -9 ,I5 W' a Rough Htg. g S 9Q', Q.?.t Isul. < G Fireplace G s / y (? / /? -A),, es '( ' ` 1 to ?C !? Final Htg. Orstat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final ??// y! (,1J Deck Ftg. Deck Final Well Pr. Disp. ?F ?-G -9/ a Textifirott of (Orruvaury Citp of (Eagan Mrparwmt of %dlaiM JuapPrtion This Certificate issued pursuant to the requirements of Section 306 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 Clusifinuon SF I7wC',/GAR Bldg. Permit No. 19595 paup-y True R3/M ] 1d /lM 1 zoning District RI Type OWL KM Owner d Building MMMKD OONST • PC. Address 1212 BtIJF.BILL BAY RD, BAM I.E wid;ng Address 3209 R1Ji IXC EIILM DRIVE l"M ty L1, B10, BUR OAK HUIS 2ND f/ 10/01 /9 Building O&W POST IN A CONSPICUOUS PLACE CASH RECEIPT 0 CITY OF EAGAN , . 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 155122 DATE J ' J 19 1 I nECervEO =. ? FROM s AMOUNT ? CASH 8 DOLLARS ioo CHECK C 14762 White--Psyms 4 Yelkw-P rq m Pink-file Copy Thank You BY ?. _ { SEWER & WATER PERMIT CITY OF EAGAN- , 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE July 15, 1991 OFFICE USE ONLY METER # W l 7,6-/ PERMIT DATE '?U2?91 CHIP # Q J -1-3 Yc ,2.3 PERMIT # 12193 METER SIZE ??? Sus B.P. RECEIPT # C 14762 ISSUE DATE B.P. RECEIPT DATE 0%7/31/91 - PRV - BOOSTER PUMP SITE ADDRESS X209 Ri-j.il ing, Hills pr,. LOT BLOCK '10 SEC/SUB Bair Oak Hj I I l APPLICANT: vns ADDRESS: CITY, STATE R -r0-_,J1 LIN) ZIP ?a PHONE: 6uR - C k PLUMBER: SkA,/ ADDRESS: M c-. r f CITY, STATE N I ZIP 5542b PHONE: 14 OWNER: ADDRESS: CITY, STATE ZIP PHONE: PERMIT REQUESTED ?SEWER `WATER -TAPS COMM/IND RESIDENTIAL _k NlEW EXISTING Lawn Sprinkler Meters are to be Installed Ahead of.Dome tic Meters on Water Line. Credit..WlI L,P;0T be given for Deduct Meters. SIGNATURE WH9-WMETER ISSUED PLEASE; ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT CITY OF EGA tI, 4 3830 Pilot nob Eagan, MN 55122-1897 DATE v t.. -s. y 15, 1991 METER # CHIP # OFFICE USE ONLY METER SIZE ISSUE DATE PERMIT DATE 06/02/91 PERMIT # 12193 B.P. RECEIPT # C 14762 B.P. RECEIPT DATE 07 31/oil PRV _ BOOSTER PUMP SITE ADDRESS K--01,' Raping LOT I BLOCK SEC/SUB Pur APPLICANT: L , ??• HiIIA Dr- n?!? ux? 1? 1j ADDRESS: 121-2 CITY, STATE ZIP .?•; ? . - i PHONE: '1m'J PLUMBER: M ?:,..acli „?, ADDRESS: LLL? g ?c- r ? ?? ( P - CITY, STATE ' PHONE: ZIP y 2 0 OWNER: - ADDRESS:_ CITY, STATE PHONE: ZIP PERMIT REQUESTED SEWER WATER TAPS COMM/IND RESIDENTIAL -IAEW EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. I AGREEfiO'COMPLY WITH CITY OF EAGAff ORDINAN SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. CITY OF EAGAN N° -19505 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PER PHONE: 454-8100 Receipt # ?/ (1 I4? bR To be used for SF DWG/GAR Est.Value $126,000 Date -]UL 31 , 199-1_ Site Address 3209 ROLLING HILLS DR Lot 1 Block 10 Sec/Sub. BUR OAK Parcel No. w Name MCDONALD CONSTRUCTION INC a Address 1212 BLUEBILL BAY RD City BURNSVILLE Phone 688-7061 'o Name SAME $a Address City Phone coName Ew = Address gW City Phone I hereby acknowlege that I have read this application and state that the information is c of and agr a to comply with all applicable State of Minnesota Statut nd City of a anlU inances. Signature of Permits A Building Permit is ued to MCDONALD ONSTC RUCTION on the express con " n that all work shall be done in accordance with all applicable State of Minnesota,Statutes andCity of Eagan Ordinances. Building Official ??lEdd/_ I 1A.A. 1 V OFFICE USE ONLY Occupancy R-3 M-1 Zoning RR=1 (Actual) Const -Y--N Bldg. Permit (Allowable) V-N Surcharge N of Stories Length 70' Depth S.F. Total S.F. Footprints - On Site Sewage - On Site Well MWCC System -X-- City Water X PRV Required Booster Pump APPROVALS Planner Council Bldg. Off. Variance Plan Review FEES 731-00 63.00 475.00 SAC. City inn nn SAC, MCWCC 650-00 Water Conn 660.00 Water Meter 95.00 Accl. Deposit 30.00 SNV Permit 30-00 0 SAN Surcharge -9 0 Treatment PI 976-0 Road Unit 370_00 Park Ded. Copies TOTAL 3,480.50 'AddYe.s: 3209 ROLLING [-)II,I$ DRIVE Lot I B1k 10 Sec/Sub & R OAK HILL 2ND These items were/were not complete at the time of the final inspection. 10/01/91 Yes No Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage J z _ t Porch Basement finish 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. scam wEn White - City copy Yellow - Resident copy Pink - Contractor copy DATE: AUG 2, 1991 RE. Mif ROLLING HILLS DR (MCDONALD CONSTRUCTION INC) X Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: 1 Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. is or4f/OaB?? 0 4481 4& C ?T Request oa Fire No. Rough-in ? Inspection Requi ? Ready Now 1 III Notify Inspect n an Wh Yes G No e y ?_?? Clow L I rlicensecl contractor _7 owner hereby request inspection of above elec Cal work a Q s I best. 60 or Ro o.) , Job • City X Secmn No. Township Name or No. Range No. Count Ottupanl TI DOVAL[) Phone 3/- -7 Power Supplier Al 5 1? Address Electrical o raclor (Cpmpany Name) Oontr for icense No. Mailing A Contract r or Owner making installation) , Awhoriie, tSig-onto-rerCOntraclor• n Making Instellat on) i?31?1?? 11 1 1 MM ?_?_ / ?s •?, • ? /ll,WII one u b r MINNESOTA 9TA16rBOARO OF ELECTRICITY f ` I THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 v BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 ENCLOSED. /^y "t1EST FOR ELECTRICAL INSPECTION'` „ this Corm on back of yellow copy leiin ^O n f r c m Ee-00001-0e g o p s o o ` P > 1 4 4 8 1 8 °' Below Work Covered by This Request t 6 3AP ew Add Rep. Type of Building Appliances Wired Equipment Wired Home Range - Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial mace Farm Air Conditioner Other (specify) Contractors Remarks Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # ChcuttslFeeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Abo 100 _ Amps Signs Inspectors Use Only. d TOT ?fl V Irrigation Booms O ?6 ?• _ Special Inspection ?... J eel Alarm/Communication e THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby R Dte 13-_l certify that the above iecion as been made. l to OFFICE USE ONLY This request void 18 months from / O / J Q 1991 B?LD G PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. cxc(ud?e Iot 'UL 19, RECD To Be Used For: rji??c F_n?= Valuation: Date: 7-1S-9I Site Address 3209 P_o1tvw3 WAs Dr- Lot _ I Block 10 Parcel/Sub J&ur (1TIC- ?},??? Owner Address City/Zip Code Phone Contractor NA&) „AA (a Aiud;o?a 7,,' t. Address 17 I Z B??tebill ?a- City/Zip Code ?µ/NSi)11?e SS337 Phone (o$$- 7p(? Arch./Engr. Address City/Zip Code OFFICE USE ONLY 12 ?, acb Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. On site sewage On site well MWCC System City water PRV Booster Pump APPROVALS Planner Council Bldg. Off. Variance FEES R-3 M-1 Bldg. Permit X731 00 R-1 Surcharge 63.00 V-N Plan Review 415,00 ?I-1J SAC, City 100 , 00 SAC, MWCC 100 Water Conn. 100 z9 Water Meter 00 Acct. Deposit 10,0 S/w Permit 30,00 S/W Surcharge .50 Treatment Pl. 2 6,00 Road Unit 370,oo Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL ?s ? "t/ that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. VALU 1 GAQA&!E 12 x2o . a4o x 22 . LiD_ !o$fl k ls? C,'G ®O Krauss 3'?n26= q`6? K120='?I$560 1 ?s X60 0? Pab, coo' Pioneer Engineering 6819488 P.02 PIONEER 2 n[ to Helrlse Driv 55120 LAND 5VRVEYORg• CIVIL ENOINEErea 9 1wngi? eering- LAND PLANNERe• LAND9C 11PE APCWIECTB (612) 681-1914 if J/ '1 •'?R? T T Certificate Of Survey for: M44AIRL210" _ 601Vs77 v 0 %32.67 N89°5/'49 F' \U I Ia ( 0 D i N ? DO rR- a ? s ? S H 0 o? n e s?8 \ Zo.o 0a,dl i ? 0 N 31.20 -_ `b5` • 900.0 Denotes existin Elevalion aoo.0 Denotes propoHd Elevation ----- venoles Dr 1!17a je eutilrl Easement Denotes Drmina e now Arrows o Denoles monum eni 13 earlnis shown are assumed d M z 0- ? NORTH EAG.L E?T??ME ?iI?F _ . se DEPT' PrlOPOSED WOUSE ELEVATIONS towesf Floor Elevation , 8'79.7?- Top or Block Elevation . S??• 6?- Ciorofe glob Elevation t- -P67,5!, LOT" I SLOCk /0 T SUR OAI<' WL-L67 2NDI d,QECOT,4 I COUNrr, MINN&f07'R SvgJECY To EfTfEMENrS 1 hereby certify them this survey, plan or report was prepfired by me r under my direct supervision and that I am duly Registered Lard Surveyor under the laws of the State of Minnesota. Oatedthhis-11 Ll /tmG' day of _ A. D. 1 J SCgf?2 ? ,? me . ??,/ f eef Ylf 08 T . SI CI-t . . E: o Sa P41 9rrI3, vs -•.-, Owner Site Address L o'y- Contractor M L -MI-OTA STATE ENERGY CODE CALCULATLD.NS T(BASED ON CHAPTER 5 OF THE MODEL ENERGY CODE - 1983 EDITION . Adoption Effective 1/11/84 Building Classification: Type Al (Single Family b Duplex) NOTE: Complete pages 3 and 4 first. (Other) GENERAL INFORMATION e I. Building Perimeter ?j'- N WD(?-?? SIkT ft. 2. Wall height (ground to eave) H ft. 235 340f 2 3• i. x 2. (above) gross wall area 1 t. AIL 1/4 ?ql-1?Z Phone Date' Phone Type A2(Residential) (3 stories or less (Over 3 stories) 4. Building dimensions (L) _ X (W) ??6a:P ft. 2. roof b floor area 5. Square foot area of rim joist - Floor joist size (2 x ? Q X Perimeter = Rim joist area C) 2 !f t2 12 IZ? . 6. Doors - Area ??.L-2 Thickness in. U factor i Type of Construction Perimeter ft. Manufacturer 7. Total door's perimeter ft. Y I 8. Windows: Manufacturer INS?L (}??yyY"rs State approved U factor TYPE SIZE AREA (Ft.2) NUMBER OF TOTAL FEET 2 EACH UNITS t . 9. Total ft.2 Glass f Z j 10. Fireplace area: Width X height = X Ft.2 11. Exposed foundation: Height X Perimeter -(,01 X Ft.2 COMPLETION OF THIS FORM IS REQUIRED FOR ALL Awl CbNSTRUCTION, MAJOR REMODELING AND BUILDINGS BE16' MOVED WHERE ENERGY, OTHER THAN THE MINIMAL CODE ALLOWANCE, IS USED. rraming area = 10% of gross wall area. Gross wall area MCI - j(a ft.2 Window area A )9,"51z-5 ft.2 U windows = , ?jLO U x A - Rim joist area A ft.2 U rim joist = U x A - - Door area A C 56( 2 0 ft. U door area _ U x A = 441TAklearea A ?0-3 ft.2 U f' Wff 41 U x A = p, 1, CO I Exposed foundation A ?, 7 (0 ft.' Framing area A Z JJ r? ??? , ? ft.2 Net wall area A ft. U foundation = , 0?5 U x A = 3.8(0 U framing area = r?J U x A - Z?i Uwa11 = 10 2j U xA= (D (13B) TOTAL . . . . . . . . . . U x A j 14. Gross wall area x 0.11 (A-1 single family & duplex = allowable U x A/Code (13. above) x 0.23 (A-2 other residential) x .23 (Other buildings) x .28 (Over 3 stories) A 2?tjl x U Code- Q TUH Must be larger than ? = 2 5?' ?P??F. 13B above 15. Ceiling framing area (Af) equals 10% of ceiling area (. or the. same as) ?- 15A. Gross ceiling area = (L) x (W) ft. 2 ' 156 Joist area (Af) = 10% ceiling area = 9? ft.2 15C. Net ceiling area (Ac) (15A - 15B) ft.2 U ceiling x A C= UZ? x_q'? _ (0-I U framing x A f= .UZ?7 x IO = Z_i-Z 15D. TOTAL 'U x A ..................... ? 16. Ceiling area (15A) xA 0.026 (A-1 single family & duplex - code allowable U x A x.0.033 (9-2 other residential) x 0.06 (other) i0 Z (W BaUH Must be larger than 15D (above) A (15A) d x U (cod e)= ZS'•(0? F (or the same as) NOTE: Use U and A values obtained from pages 1,-3 and 4. CERTIFICATION: I hereby certify that I have calculated the "U" factors and "R" values herein and that the building here described meets or exceeds the State of Minnesota Energy Conservation Act. . to gnature 2. n x`11-19? `I?s?IX(?v-???'?+ zco-I'2cv) ? IZZIiz 23s I.3?v ?f? 3z2J p,?, = 13,E x ? X7,5 III 32 x ??'/? c, Ur1, = t ? X ? ? (p0. o II z?x?v = Il,z? ?l z = ZZ?? ZoX ?'o = 7,vx ? ? ?, o k3? = B,?5X1= 75 I Zox?°? = oxI = ?,o 18s,2? 3 5fi- t oz, w/ Z?L, = 3S, o 9a WALL SECTION .w va.n 1 a VIW E U VALUE Inside air film :68 Interior wall •45 (Wall) U - 1 Insulation (q,o R Sheathing Siding Outside air film .17 R TOTAL 23,0 STUD SECTION Inside.air film 1 68 Interior wall if t(p stud Sheathing Skiing Outside air film R TOTAL Inside air film R- .68 Interior wall Insulation Sheathing Exterior wall covering Exterior air film' R -.17 2ND WALL SECTION. RIM JOIST Interior air film R= .68 Insulation (q, C) lit inch soft wood R=1.88 (Rim Joist) Sheathing Z , p(p Exterior wall covering .(P1 Exterior air film R= ,17 R TOTAL 24.4(0 Interior air film R= .68 (lnsulation)F1dER&jtA6,j7 11.oo Exterior air film R= .17 R TOTAL 2( S? . X15 R- 4t:M &,150(rraming) U . R i Z. oc0 . `P-r . oq 5 .17 to. 55 (Wall) U . 1 . z R TOTAL U=R= o4 1 (Fdn.) U = Exposed Block Grade 3. CEILING WITH VENTED ATTIC SPACE ABOVE FRAMING CEILING 0.61 Air Film 0.61 aJ(4.0 Insulation Q r7• 4.38 Joist ae .5fo Ceiling .5? Air Film 0.61 Total l U=R R 4fo .?8 FLAT ROOF OR CATHEDRAL CEILING _VV5_T_Ue FRAMING CZ-1 R VALUE CEILING 0.61 Inside air film 0.61 Ceiling Joist (stud) Insulation Air space Roof decking Insulation Built-up roof 0.17 Outside air film 0.17 0.61 4z,I(o oZ3 Total R 1 U R dindow infiltration .5 cfm/lineal foot of crack tesidential door infiltration 0.5 cfm/square foot or door and minimum code requirement ion-residential door infiltration 11.0 cfm/lineal foot of crack Jb 12" concrete block no insulation = .47 R 2.1 Jb 12" concrete block insulated cores = .26 R 3.8 Jb 12" lightweight block* _ .32 R 3.1 Jb 12" lightweight block insulated cores = .12 R 8.3 J single glass = 1.13; with storm window .54 J double glass = .55 J triple glass = .41 All exterior walls and ceilings must have a vapor barrier (0.10 perm max.). vapor barrier must be on the inside (heated side) of wall, iapor barriers of the polyethelene thin film have no R value. 4. 1108328 RIGHT-OF-WAY AND UTILITY EASEMENT This easement, made this 5th day of February, 1993, between Bruce A. Fischer and Marie L. Fischer, husband and wife, herein referred to as "Landowner" and the CITY OF EAGAN, a Minnesota municipal corporation, organized under the laws of the State of Minnesota, hereinafter referred to as "City". W I T N E 8 8 E T H That the Landowner, in consideration of the sum of One Dollar and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, does hereby grant and convey unto the City, its successors and assigns, forever, the following easement: A permanent roadway and utility easement over, under and across that part of Lot 1, Block 10, Bur Oak Hills 2nd Addition, Dakota County, Minnesota, according to the recorded plat thereof, described as lying northeasterly of the following described line: Beginning at a point on the east line of said Lot 1, distant 48.00 feet south of the northeast corner thereof; thence northwesterly to a point on the north line of said Lot 1, distant 30.00 feet west of the northeast corner of said Lot 1 and there terminating. See also Exhibit "A" attached hereto and incorporated herein. The grant of the foregoing permanent easement for right-of-way and utility purposes includes the right of the City, its contractors, agents and servants to construct, reconstruct, inspect, repair and maintain a roadway and erect and maintain signs in conjunction with the public's use of said roadway and appurtenances and any signs erected in conjunction with the use of the roadway and appurtenances. And the Landowner, for itself and its successors and assigns, does covenant with the City, its successors and assigns, that it is well seized in fee of the lands and premises aforesaid and has good right to grant and convey the easements herein to the City. TransferEntmvdThis day of ?-tl (aI,.c1) 1 CountyAuditor, Dakota Co.?(w0 b31693 .. . O Draln.ya and utility aay-c?cnl o . ?{ IS Q? I LOT 1, BLOCK 10 Rq Oq 2?}a q0? I- 'ROPOSED ROADWAY & UTILITY EASEMENT ...•::. .'::.•'.:i ... .... _ . .? ` n.l. Lr..l. 111 1... - -•: . .. ?'•?:1+IU?:L?a:ji•:,•y'? ROLLING HILLS DRIVE ...... F ....? ?o m w Pa - I V Exhibit @?? oT ?G > p E IN TESTIMONY WHEREOF, the Landowner has caused this be executed as of the day and year first above written. I 7 By: BRU E A. FISCHER STATE OF MINNESOTA ) ?/ ) ss. COUNTY OF A?wltq By: MARIE L. FISCHER to on this -<? day of 3 . 1992, before me a Notarv Public within and for said County, personally appeared to me Bruce A. Fischer and Marie L. Fischer, husband and wife, personally known to be the persons described in and who executed the foregoing instrument and acknowledged that they executed the same as their free act and (3P Pr8 MICHAEL SCOTT KARLEN } ) NVIp'"; P_! U, -NR'NFi07A .;i GCCDX,;E COUNTY µy <er,.rn?ss?on :xptres 943.98 ?rnnr.v.N .. Notary Public APPROVED AS TO FORM: City ttorn y's Office Dated: /' e,? - Tice APPROVED AS TO CONTENT: Public Works Department Dated: MAIL-it S. 1993 F a THIS INSTRUMENT WAS DRAFTED BY: c¢ oo ? 9 vSEVERSON, WILCOX & SHELDON, P.A. W o = rl1 600 Midway National Bank Bldg. c m 7300 West 147th Street $ ?o ? o 00 a w J pple Valley, MN 55124 M C7 .-r o= ?(612) 432-3136 CO o2 ,.y c f- 8z Sdj G ¢u9 C z --+ {c{yy$ ?8 ? o=ff v? ?y'oC C)? F? ZW? t e? Z (Y ?55G/ 6io /o 114399? RIGHT-OF-WAY AND UTILITY EASEMENT This easement, made this 5th day of February, 1993, between Bruce A. Fischer and Marie L. Fischer, husband and wife, herein referred to as "Landowner" and the CITY OF EAGAN, a Minnesota municipal corporation, organized under the laws of the State of Minnesota, hereinafter referred to as "City". W I T N E 8 8 E T H: That the Landowner, in consideration of the sum of One Dollar and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, does hereby grant and convey unto the City, its successors and assigns, forever, the following easement: A permanent roadway and utility easement over, under and across that part of Lot 1, Block 10, Bur Oak Hills 2nd Addition, Dakota County, Minnesota, according to the recorded plat thereof, described as lying northeasterly of the following described line: Beginning at a point on the east line of said Lot 1, distant 48.00 feet south of the northeast corner thereof; thence northwesterly to a point on the north line of said Lot 1, distant 30.00 feet west of the northeast corner of said Lot 1 and there terminating. See also Exhibit "A" attached hereto and incorporated herein. The grant of the foregoing permanent easement for right-of-way and utility purposes includes the right of the City, its contractors, agents and servants to construct, reconstruct, inspect, repair and maintain a roadway and erect and maintain signs in conjunction with the public's use of said roadway and appurtenances and any signs erected in conjunction with the use of the roadway and appurtenances. And the Landowner, for itself and its successors and assigns, does covenant with the City, its successors and assigns, that it is well seized in fee of the lands and premises aforesaid and has good right to grant and convey the easements herein to the City. Tranr&rHntffWThb L day cf 19-?Z3- Cc=ty Auditor, Dakota Co. 08149,4 5 eVRR ?Ak Fii??s AOO O 0_n ln?y? ?nJ utll (ly uicant p LOT 1, BLOCK 10 2da o -- - I . 'ROPOSED ROADWAY & UTILITY EASEMENT 1. o . ._._._.... .... _ ` nn? inn. o? ?... _ "•' •`•. ++:w;:;4;?4Jr ROLLING HILLS DRIVE -•_.__._._._ I O ? N 1? p p y O " II J4 ~ O • n y Pxfiibit ld?j` 4 1rP Cr?i O(J e SAG `V r L CONSENT The undersigned holder of that certain mortgage dated as of the 5th day of December, 1991, recorded December 5, 1991, in the office of the County Recorder, Dakota County, Minnesota as Document No. 1016065, and assigned to the undersigned by Assignment of Mortgage dated as of the 5th day of December, 1991, recorded December 5th, 1991 as Document No. 101606, covering Lot 1, Block 10, Bur Oak Hills 2nd Addition, described in the foregoing Right-of-Way and Utility Easement, hereby consents to the grant of said easement described therein as of this 12thday of JULY , 1993 MORTGAGE By; IIGIAS E. Its VICE 7 By: S RANIaix Its: kS%ISTANT VICE PRE ID STATE OF OHIO ) ) ss. COUNTY OF FRANKLIN ) on this 12th day of TM.y , 1993, before me a Notary Public within and for said County, personally appeared DOUGLAS E BRANDEWIE and SAFT.T.RY 4ARRATT4 to me personally known, who being each by me duly sworn, each did say that they are respectively the VICE PRESTDENT and ASSISTANT VICE PRESIDENT of HUNTINGTON MORTGAGE COMPANY, the corporation named in the foregoing instrument, and that the seal affixed to said instrument is the corporate seal of said corporation, and that said instrument was signed and sealed on behalf of said corporation by authority of its Board of Directors and said VICE PRESIDENT and ARgT4TANT vrrF PRESIDENT acknowledged said instrument to be the free act and deed of the corporation. r /i ? ? 1E 1 7iG lam. Notary P is flOiin:Y N"Ll STATE OF OHIO MY GO112431A EXPIRES My 1, 1995 08 10 93 IN TESTIMONY WHEREOF, the Landowner has caused this easement to be executed as of the day and year first above written., 7 4 By: B CE A. FISCHER By: MARIE L. FISCHER STATE OF MINNESOTA ) ???j? ) ss. COUNTY OF 6K-tAt ) s On this S day of , 199j, before me a Notary Public within and for said County, personally appeared to me Bruce A. Fischer and Marie L. Fischer, husband and wife, personally known to be the persons described in and who executed the foregoing instrument and acknowledged that they executed the same as their free act and ' '- M:CHAEL SCOTT j KARLEN '<??,., 'My nJcvPG A r ?s f >rL - xp4; s dNSJTA COUNTY &-1 Notary Public APPROVED AS TO FORM: City Attor ey's 0 fice Dated: Uc Cu'-?-. 4. /55 z APPROVED AS TO CONTENT: Public Works Department Dated: MAt" A 1943 THIS INSTRUMENT WAS DRAFTED BY: z4° ?w f O i SEVERSON, WILCOX & SHELDONP.A. i o + j L d g. 600 Midway National Bank B P. 60 7300 West 147th Street 8 =o M C? Apple Valley, MN 55124 w - (612) 432-3136 sdj c $ o c Z h z° Z M ° ¢ ~ p C " $ ? I O m ? U 2 L3 MEMO TO: JIM STURM, CITY PLANNER FROM: MIRE FOERTSCH, ASSISTANT CITY ENGINEER DATE: APRIL 22, 19.91 SUBJECT: ROLLING HILLS DRIVE During the past couple of weeks, Engineering has been responding to a request for building permit reviews on Lot 1, Block 10 and Lot 7, Block 9, Bur Oak Hills 2nd Addition. During the review, it was discovered that the development failed to provide temporary/permanent street easement for the cul-de-sac constructed on outlot B and the two above-referenced lots in Bur Oak Hills 2nd Addition. As a result, the question of the extension requirement for Rolling Hills Drive was raised. Jeff Shopek, Merila & Associates, is questioning the need for the roadway extension. If the extension is not required, the developer would plat Outlot B into a couple of lots and provide the cul-de-sac right-of-way as needed. If the roadway extension is required, where will it connect to? I informed him that someone who handles the platting requirements for the city would contact him. For your information, staff has been in contact with the builder regarding the cul-de-sac easement/setback requirements. Attached is a copy of the plat and the cul-de-sac as constructed. At this point, I understand the affected building permits are on hold pending resolution of this issue. for,your assistance. MPF/jj cc: Doug Reid, Chief Building Official Bruce Allen, Engineering Technician Attachment . ?o W ' r 2 Q' P a ? r' p aJ, q ^ ise2 A. 0 0.' y = h 4 r v 3 OY Wo 3? . O Zt b ?, i o 2 19 T.99 e `0 OUTLOT B O ; 47 W AO = ? O so f \ 3 40'3 6 EAST LINE OF OUTLOT 8 , I1UR OA K HILLS 571.99 S 0001 1' 15" E _ m N W ? w \_/ z 93.00 w l 1 co "' 1 I -§3 osW I Io 10 •a 1 1 ??? "!? ? I I N :q on 7% 9 ? ?I Im ?6 ?I Im ?I Im A ??)mll'" III" `F CD ZII 211 211 ?\ 93_00 J IL 93_00 J IL 93_00 J L 95_0 130.23 - -I M io S00*11'52-E& m ? 1 ?I 10 S00611'15"E I_ - _ _ - J 1 130.86 0 ?\ of ?? ICI m -L00011_15"EJ mlr ------ ??I IN 131.52 3 nl B I la rnI rJL_ s32.18 _J SO_00 i - 1n ?\ SOOo11' 15'E 5_06.39 30.00 °ROLLING HIL?.S '93.00 w, I 93 00 w, pl r_? al in N 1 kn Im _? nl GD t ? Z I 93.00 L 93.00 1 r 93.00 w, r 95.00 111 io) I_ Im ally IC 3 &1Im 4 I~ 10 ZI I~ 1 93_00 1 I 95_00 777.36 S00°11'59"E WEST LINE OF OUTLOT O, OUR OAK HILLS- Woje=r as-i= 41M T. flerstad and Diane M. Ilarstad, husband that Dar& One, Milwaukee, IN. A., a national 7 praperty situated in the County of Dakota, HILLS, according to the recorded plat DR! N00°11'15"w W d Q ' n O J W • •?J O-A W . Y = t .J< j I o F 1 r<m J 0010 ; 1•' [ • Own= S Q Ci Y r "'e?. is ??? f ]04°58'36' 01 I-. g . ll ? w e 1 N 1 ?. 11 IY m a 'V)1 1 ,I m 146 ` 1 _93_83 J L z ro D W WI o Cr _o m o o °o N a° -s nIM O z Oro " E STATE OF. COUNTY Of Th`eI lace oing insty ent was ?cl o??d before 19*!_, by of Bank national assmcia}t.__Qn_4,ehalf of the association. e+x€ r" a F ?, iblic, 0 50 100 SCALE IN FEET 10 F3 ? I ? I 'MODIFIED WEAR COURS 'h. -, E. IT _ 883.48 884.13 882.7 - - -- 60 rt- 884.13 .. a AC B.M. rr%r, 0.111-r u V n nicer rnR 10T 7 BLK. 9 NOTE ALL SPOT ELEVATIONS ARE GUTTERLINE UNLESS OTHERWISE NOTED. 2.3 C.Y. RIP-RAP U 0 TEMPORARY CUL - DE - SAC i CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: 612 454-8100 RECEIPT #? %ZTG€ Pk DATE : i F PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. --------------------------------- WORK DESCRIPTION 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE $ NO. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON SHOWER WATER CLOSET 3.00 3 00 3 00QQ REPAIR . R BATH TUB 3.00 6,00 LAVATORY 3.00 y? OWNER NAME: PnS Qh C, KITCHEN SINK 3.00 J-00 LAUNDRY TRAY 3.00 3,00 !h ?S SITE ADDRESS: OT TUB/SPA H 3.00 ??//?? 0 SUBD. f3v © Dill LOT: BLACK LL WATER HEATE FLOOR DRAINR 3.00 3 00 3.00 J,00 , _ INSTALLER: ih 4 GAS PIPING OUT. (MINIMUM - 1) 3.00 3,G6 Q T ?^ ROUGH OPENINGS 1.50 ?,$0 ?? (YtL21 Aa. \O ADDRESS: OTHER _ r WATER SOFTENER 5.00 CITY: Q vo zip: PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE 6 S o SUBTOTAL ST. SURCHARGE .50 SIGNATURE OF PERMITTEE oo Y2 TOTAL: s V SOLL?OIAL?L7DDLIATr' PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: PHONE FOR: CITY OF EAGAN DWELLINGS & ZIP: TOTAL: COMPLETE THE FOLLOWING: $ (SIGNATURE) CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN MN 55122 PERMIT # PHONE (612) 454-8100 RECEIPT # ?oZ CdNXGA7, Y DATE: RESxD: NTx L,! PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. --------------------------- WORK DESCRIPTION NEW CONST ADD ON REPAIR OWNER NAME: ?? l` 11?(S?S \??a1 n.?? SITE ADDRESS: C \ ,nKD ` ?r-?f LOT: k BLOCK ?OSUBD. `? [? AU-cc INSTALLER: `y??\ G?Y\ F Cn\' ' A k\ r- ADDRESS: -::? C)G D 1?A' CITY: ?GCMG?Ci ZIP: PHONE #: , 62 0 1-2c2-- FEES ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SUBTOTAL: $33Lclo STATE SURCHARGE: .50 a TOTAL' S ? / S GNATURE OF PERMITTEE PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------------------------- CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: (SIGNATURE) FOR: CITY OF EAGAN 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 !? d0 New Construction Requirements RemodelfReoair Reouirements lits"rs • - 3 registered site surveys showing sq. R of ht, sq. ft of house; and all roofed areas ?2 copies of plan (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions s"J 2 copies of plan showing beam & window sizes; poured found design, etc. ?1 site survey for additions & decks I set of Energy Calculations Addition - indicate ifon-sfte septic system 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date (_ / I / O q Construction Cost l orro Site Address 0 (( cr1 l I /1Q 4,11-S I ( )(1 u Q' Unit/Ste # ti "0 rv?1D Description of Work 1 G1c 0,V1 -bQ C k V Y1C LL SJ- Multi-Family Bldg _ Y X N Fireplace(s) _ 0 r? 1 _ 2 Property Owner I_ ? n t r IQ.t'I Q ?sd-,Q e- g Telephone # ((Q?) O U 'O $?L 4 c ( r Contractor SQ-,rYl 17-, Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cate onr 1 • Residential Ventilation Category 1 Worksheet (J submission type) Submitted • Energy Envelope Calculations Submit Have you previously constructed a building in Eagan with a fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor A NEW BUILDING ?\ V `?• w Energy Cade Worksheet U 4 miffed -Y If so, 25% plan review flephone # ( ) Telephone # ( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doers ? 34 Replacement *Demolition (Entire Bldg) - G ive PCA handout to applicant Valuation Occupancy MCES System Census Code tzl Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const _ Width Footings (new bldg) Footings (deck) Footings (addition) _ Foundation _ Drain Tile Roof _ Ice & Water Final Framing Fireplace _ R.I. -Air Test -Final Insulation REQUIRED INSPECTIONS FinaUC.O. FinaUNo C.O. Plumbing _ HVAC Other Pool Ftgs _ Air/Gas Tests _ Siding _ Stucco - Stone - Brick Windows Retaining Wall Approved By: 21- , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 4 -7a Pioneer Ensineerins 6819483 L 4 M/ LANDPLANNERS• LANDSCAPE APCNr TECTB A14 PeWA LO C-OA-115 Certificate of Survey for. 0 a4 { 'l " 16 ? w N89°5/'48 ` ? ?I, xf3 59•?P _ ^ -? x• 71 d s 2V' O f1 Vwft 0 1 N 1•A ? ? _O D f ] ? 31.'L8 G?? I 152.65 N89°5/'4S"E 9oo.o Denofe5 ex shn? Elevation yoa,o Denotes propoHd Elevation -----mr1oles Dntrrnade j Fl Wild Easement - -, - t?enoles Drgina e now mows o Denotes monument 6 earinf s shown are assu m ed . OJ lyCl I la o? - W N 0 V\ P,©2 2422 Enterprise Drive Mendota 1-109hu, MN 55120 szsasansw.-°ea-.e.PP.a.s (612) 681.1914 Q lZi \13- d Q` J j NO RT 14 { i / v £?i:,_ der :I; PROPOSED POUSF ELEVA71OtNS Lowe4f Floor Elevation 81 e? ? Top or Block Elevation (7orale Slab Elevation LOT / , SLOCK SUR OAk r"J rL.L.45" 41YD OAKOTf4 COUAIrl i M&NSfoTA SUBJECT To e,4M,*fE1Vr5 I hereby ctrtify that this survey, plan or report wes prepared by m r un er my direct supervision anI that I am duly Regl;tored Lard Surveyor under the laws of the State of PAlnnesota. Dated this A day of A,D, 19-it- Cerl? 1 me - 40 Fee 5 9///7 05 08 T 51 CM . . EG. NO.1ae91 üû ÿ ÿþþ ýîýü úþþîüêþÿ ýöíò ÿþö þýüûúùø ÷öñöýûúù øöûúùø ÷öõ ÷ôùó öùòý ñýñíýùú ð þïýöî óùöìóóöïýöóöüöóë êö ù ÿêöêöó þ ùëñêöêùêöë ñöüóéöööïýöüú êóúóë îçæçååëåëå õú þýöö èýçæçëäëä èýÿë ôó öòñ ùù ùéö úþýõýö äþýööìøäô òö ýöìãõá ãõ àáßáååÞä öüú ìöùùêöóöö öóùú ùùüþ êãþýñúê íöë ùù÷ ýúþ ýö î ÿþþ ýüúïüú ùþþïúûìþÿ þùï øã ÿþö ÿþýüûú æßùõùþüûú ùüûú æßùàæßáú ë ùúøþ õþõôóôïþú û ò ÿñþ ùð ëúùíëîîëùñþùëù ýùëè ì ùææú ìùìù ë þ úèõ ìùì ú ìù è õ ùýëêù ùùñþùýû æì ëûîëè ðåóäåèèô õù ÿþùî ù þ åóäåèèã þ ó è ôûó öòñ úú ÿ áìáëàþù ôêùíóãáøù ÿèþ âàããóô éãçãóô îùýû æî î íù î úú î îìùë ùù ùëúûæî úú ýÿ ìâ ÿ þ õûì ïù è úú ß þûÿ þù PERMIT City of Eagan Permit Type:Building Permit Number:EA139682 Date Issued:11/03/2016 Permit Category:ePermit Site Address: 3209 Rolling Hills Dr Lot:1 Block: 10 Addition: Bur Oak Hills 2nd PID:10-15501-10-010 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - 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: 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 - Nikki Burk 3209 Rolling Hills Dr Eagan MN 55121--234 Norwest Contractors Inc 1370 Crestridge Lane Eagan MN 55123 (763) 420-8268 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA167232 Date Issued:03/03/2021 Permit Category:ePermit Site Address: 3209 Rolling Hills Dr Lot:1 Block: 10 Addition: Bur Oak Hills 2nd PID:10-15501-10-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Nikki & Ian J Burk 3209 Rolling Hills Dr Eagan MN 55121--234 (612) 508-2929 Milbert Company (culligan) 1801 50th St E Inver Grove Heights MN 55077 (651) 451-2241 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA178010 Date Issued:07/28/2022 Permit Category:ePermit Site Address: 3209 Rolling Hills Dr Lot:1 Block: 10 Addition: Bur Oak Hills 2nd PID:10-15501-10-010 Use: Description: Sub Type:Fixtures Work Type:Replace Description:Bathroom(s) 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. All tiled shower bases require a water test. Fee Summary:PL - Permit Fee (miscellaneous)$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 - Nikki & Ian J Burk 3209 Rolling Hills Dr Eagan MN 55121--234 Dns Plumbing & Heating Llc 101 12th Ave N S St. Paul MN 55075 (651) 403-1986 Applicant/Permitee: Signature Issued By: Signature