3217 Rolling Hills DrControl
INSPECTION RECORD No.
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: •6wp2f3
Eagan, Minnesota 55123 Date Issued: o K / .t g / s
(612) 681-4675
SITE ADDRESS: LOT s 3 APPLICANT:
:217 ROLLINQ HILLS CPR HALLMARK HOMES Of MPLS INC
HtlR OAIK H I L L S 2MG (612) 892-3680
PERMIT SUBTYPE:
I MAI
TYPE OF WORK:
i?
INSPECTION TYPE
II-r IHtt .DATE iNSPTR. INSPECTION TYPE
N4ARIN4, DATE INSPTR.
1N AJI.A1.10H FINAL
1 113Ff'1. ACE
RFMAKXSz 5 & W CO"TRACTOR - KLAMM NECH
Permit No. Permit Folder Date Telephone to
S/W
PLUMBING /
HVAC
ELECTRIC(
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing f Z.i l g'Z ??
Roofing
Rough Plbg. , • 6
Rough Htg' ??/? L?/J 7/ Qf ?v l/(r
Isul. Z-?Z
Fireplace
Final Hig.
Orsat Test
Final Plbg. ,z p Pibg. Inspector - Notify Plumber
Const_ Meter
EngrJPian
Bldg. Final
Deck Fig.
Deck Final
Well
Pr. Dlsp.
Trrtifiratt of (Orrupaury
citp of eagan
This C.eritfwwe issued pursuant to the rMukements of Section 306 of the Unifonn Building
Code certifying that at the time of issuance this structure wlas in compliance with the Various
ordinances of the City regulating building constnw4m or use. For the following:
tw ammodw ?SF i Bldg. Nmk Na 82B
per., 7 TM R3/M 1 zmiq Dwia R 1 7yp, c" VN
Ownerotwalft HMTMA_W MMES (W M-1; A 14OSS CMM AVER, B'Vn7E
ma&n Add. 3217 FUUME HMM DRIVE miry I.3. B 10, HUR QAK HIILS 2NID
D.W 8/26(42
POST IN 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 s 1<I ? r : I APPLICANT:
. ? i,till iIJLH1t}`.. Llbt i:`lirl lil tiit idUH ()AI, II I } I NU i b i .' ! t+`? } 3ti 18
PERMIT SUBTYPE:
TYPE OF WORK:
N1 11
1011 1 11110h
0t, / 8 J94
3 - i
4M Now-
Permit No. Permit Holder Date Telephone #
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Pibg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg. / f
Deck Final
%i
well
Pr. Disp.
96
'
J
4
Request Date
7 _
9 Fire No. Rough-in Inspection
Required,
? Ready Now (Will Nobly Inspector
Wh
R
d
?
l Ves ? No en
ea
y
I Xlicensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street. Box or Route )
7a City
?
o
' ? a s4
Section No. Township Name or No. Range No. County /a
/ ' q
Occupant (PRINT) Phone No.
Power Supplier JI [^ Address
Electrical Contractor (Company Namel
?? .?
Z? Contraclor5 License No.
9D 1
C
1
5-
c
. ?
1
-
Mailing Address (Contractor or Owner Making Installation)
n
C? F
?
?
ili e
?, s
?
Autho Zed Signature I o 1 ner Making Ins nl Phone Number
T''
MINNESOTA STAT BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S173 BE ACCEPTED By THE STATE BOARD
1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 842-0500 ENCLOSED.
L REQUEST FOR ELECTRICAL INSPECTION E, E&0000h08
0. See InRructions?t completing this tone an back of yellow copy. p E
"X" Below Work Covered by This Request ?• ?Q 6 7 ? S
J35434 /
New 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 Furnace
Farm Air Conditioner
Other (specily) Contractors Remarks'.
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 26B•Amps ° ,'Z 0 to 19lk?lss ?J
Transformers Above 200 Amps A 700 _ Amps
Signs Inspector's Use Only: TOTAL
?
Irrigation Booms ? .
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 Ili
I, the Electrical Inspector, hereby
tif
th
th
b
i
i Rough-in Date
cer
y
at
ove
e a
nspect
on has
been made. Final ?? -
OFFICE USE ONLY
This request void is months from
Address: 3217 ROLLING HILLS DRIVE Lot g Blk 10 Sec/Sub BUR OAK H]I,LS 2ND
These items were/were not complete at the time of the final inspection.
Date: 8/2 6 92 Yes No Inspector,
Final grade (6" from siding) //-
Permanent steps - garage (/
Permanent steps - main entry I.Z
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 shut-off of water supply to the outside lawn faucet before
freeze potential exists.
wcw[owu
White - City copy Yellow - Resident copy Pink.- Contractor copy
I 2005 RESIDENTIAL BUILDING PERMIT APPLICATION
3
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements Remodel/Repair Requirements Office Use Only
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cod of Survey Reed _Y _14
(20% maximum lot coverage allowed) t set of Energy Calculations for heated additions Tree Pres Plan Recd _Y -N.
2 copies of plan showing beam & window sizes; poured found design, etc. i site survey for additions & decks Tree Pres Required ` _Y _N
I set of Energy Calculations Addition - indicate Nonslfe septic system Onsde Septic System _Y _N
3 copies of Tree Preservation Plan d lot platted after 711/93
Rim Joist Detail options select"wn sheet (buildings with 3 or less units)
Date ju 14 / 05
Site AddressI Construction Cost a r Gt)(o 0/
IAj lA_k- Unit/Ste #
Description of Work rp?`
Q C? Q0.TO?00( I.II Y` Qlf??St1Y?0._C1QmrilAl
T
Multi-Family Bldg
- Y - _j 1114
N Fireplace(s) - 0 - 1 - 2
__
Property Owner C``0-01. I nC S L& Telephone # (p51 ) (d &0 ' ?O9a I
Contractor EJId Ant?7
Address i9 c10 Co_,,
State MIND r
, iA - •C f - fA S+ City stnIK
Zip SS113 Telephone #L(45( .1_?R } JIM COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category I _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone #(
Mechanical Contractor
Sewer/Water Contractor
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.
fc? 1??-c r?S o r?
pplicant's Printed Name A?fpli`canfs ignature &411 05 i
OFFICE USE ONLY
Sub Types
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Types
? 07 05-plex ? 13 16-plex ? 20 Pool
? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 11 10-plex ? 19 Lower'Level ? 24 Storm Damage
? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 EM. Alt - SF
? 36 Multi Misc.
? 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/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const
Occupancy
Zoning
Stories
Sq. Ft.
Length
Width
MCES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
_ Final/C.O.
_ Final/No C.O.
Plumbing
_ HVAC
Other
Footings (new bldg)
Footings (deck)
Footings (addition)
_ Foundation
_ Drain Tile
Roof _ Ice& Water _ Final
Framing
Fireplace _ R.I. _ Air Test -Final
Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
_ root _ Ftsb
Siding _ Stucco - Stone - Brick 1
_ Windows
Retaining Wall
Building Inspector
wive. yvvt Inv i4.4V .-0
run 104 Oil 1400 t(L'LYtSOAL 'Ur6dYUtttG Im
re al
Tune ?, 2001 •
City Of Eagan.
3836 Pilot &mb Road
Eagan, MN 55122
To Whom it may concern:
Elder Tones is authorized to pun building pennits forRenowal by Andars, Please allow
Jones to provide this service
dale for us in Hagan, `ihia etuhorization is valid for any
to date thebCiryeyond 616101: until a renewal by Andersen matta?sr y revokes it in writing
_
I request this authorization be accepted-mtped;@oUsly
our banding Pcanlta any further. Ploaac can me if th= to not dei y in tl Processing of
contacted at 963-502-4906. arc ? ce z
Your immediate attention to this matter is odour a ,
Sinooieiy,
and R. Rau
astallation Mauagts
Renewal by Andasen Corporation
('.c: TCara-Fader Snnec . - .
it o,?y ??
?, Mlru?pm
. o?avo°c°"E?VytlJ+o. it,zo0.s ---
WVU
Received Time Jan. 7. 1.17M
a 11 Elder-Tones
Building Permit Service, Inc.
1120 East 80th Street
Bloomington, MN 55420
Phone: (952) 345-6047
Fax: (952) 854-4909
To whom it may concern:
We at Elder-Jones Building Permit Service, Inc. are acting as an agent for Renewal By
Anderson. If there are any questions, or if the permit has to be picked up in person, please give
us a call at the number above. If the permit can be mailed back to us, we have enclosed a
self-addressed envelope for your convenience.
Thank you,
Kara Benson ext. 147
Elder-Jones Building Permit Service, Inc.
1120 East 80th Street' Bloomington, Minnesota 55420-1498
952-854-2854 • FAX: 952-854-4909
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
y -1 3830 PILOT KNOB RD - 55122 2 S
651-681-4675
New Construction Requirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.)
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after 711193
• Rim Joist Detail Options selection sheet (bldgs wib 3 or less units)
DATE 9-
JOB SITE
RemodalrRegair Reouirements
2 copies of plan
1 set of Energy Calculations for heated additions
l site survey for exterior addAions&decks
Indicated home served by septic system for additions
41
VALUATION `41 SAS ?
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER Ct1aok Fr, AAL..
TYPE OF WORK 3 1217 Spa (? o.?Me Acld4,P-6 FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT Sossal 6rpon?4moi PHONE# iCXLZfS-4 31
ADDRESS 9Sc1772AV_fF " ,eeA.0 ZIPCODE . /. /
PAGER# CELLPHONE# 9!rS1-;Z344S6' S FAX #al-6vS-83?1
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet
Plumbing Contractor:
Plumbing System Includes:
Mechanical Contractor: _
Mechanical System Includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
hone #.
L Baths
Phone #
$90.0(1
Pee: $70.00
Phone #
All above information must be submitted prior to processing of application-
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
Certificates of Survey Received _ Tree Preservation Plan Received _ Not RZed _
Updated 2002
Water Softener _ L:
Water Heater _ N
No. of Baths
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex D 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex M 17 Garage D 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex D 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level D 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or, N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
® 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors
D 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation O,)6 Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const V Yl Width
REQUIRED INSPECTIONS
Footings (new bldg) _ Final/C.O.
Footings (deck) ?Q Final/No C.O.
Footings (addition) _ Plumbing
?q Foundation _ 14VAC
Drain Tile Other
_
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final
?A Framing _ Siding _ Stucco _ Stone
_ Fireplace - R.I. _ Air Test -Final - Windows (new/replacement)
Insulation Retaining Wall
Approved By Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
I I Xzo •= 7-20 syF-7
22o x 16-moo 3s2D
RESIDENTIAL
BUILDING PERMIT APPLICATION
J CJ CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Requirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot platted after 71153
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE e /D ?-
SITE ADC
TYPE OF
APPLICANT
iULTI-FAMILY BLDG _Y _h
FIREPLACE(S) ? - 1 _ 2
STREET ADDRESS "7609 4,7 CL 4r- IF?:e S Jlla;6( CITY t. STATE,&, ZIPS-Scf38
TELEPHONE #q?3-F8`/-?rG CELL PHONE FAX #9'5"1 YrY-.1(9 5.2-
PROPERTY OWNER6.Irk /?u??? ?f?s?Er TELEPHONE#6?S/ 606-4-4../
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ NHNNESOTA RULES 7670 CATEGORY 1 _
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: _ Phone #
Plumbing system includes: _ Water Softener _ Iawn Sprinkler
Water Heater _ No. of R.I. Baths
• No. of Baths
Mechanical Contractor: _
Mechanical system includes:
Sewer/Water Contractor.
Air Conditioning
Heat Recovery System
Phone #
Phone #
MAY 0 7 2002
'I d
Fee: $90.00
Fee: $70.00
--------------------------------------------------------------------------------------------------------------------------
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 Ord! antes.
Signature of Applicant ?i,6?6
OFFICE USE ONLY
Remodel/Repair Reouirameds
• 2 coples of plan
• 1 set of Energy Calculations for heated additions
• 1 site survey for exterior additions & decks
• Indicate if home served by septic system for additions
VALUATION ,10 OoO , r
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex 9/19 Lower vel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PIbgY or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
?33 Alteration ? 37 Demolish (Bldg)* ? 43 Remof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy R - 3 MC/ES System
Census Code Zoning A- t City Water
SAC Units Stories - Booster Pump
Nbr. of Units _ Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const - :Iztl) Width
REQUIRED INSPECTIONS
Footings (new bldg) _ FinaUC.O.
_ Footings (deck) Final/No C.O.
Footings (addition) Sryti ? f2
-lot _ Plumbing
_ Foundation HVAC
Drain Tile Other
_
Roof
Ice & Water Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_
Framing _ Siding _ Stucco - Stone
Fireplace * R.I. Ai =
r Test -k Final Windows (new/replacement)
Insulation Retaining Wall
Approved By Building Inspector
------------
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
CITY OFEAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
& -9 -9 L(
PERMIT TYPE: BUILDING
Permit Number: 0 2 3 8 2 8
Date Issued: 06/08/94
SITE ADDRESS:
3217 ROLLING HILLS DR
LOT: 3 BLOCK: 10
BUR OAK HILLS 2ND
P.I.N.: 10-15501-030-10
DESCRIPTION:
Building Permit Type DECK
Building Work Type NEW
j/
i
Suva ??. v?? L
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Total Fee $30.50
CONTRACTOR: - Applicant - ST. LIC. OWNER:
BROTEN DESIGN & BUILD 18913875 0005768 FENSKE CLARK
7664 142ND ST W 3217 ROLLING HILLS DR
APPLE VALLEY MN 55124 EAGAN MN
(612) 891-3875
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
L Statutes and City of Eagan Ordinances. J
I APP CANT/P RMITEE SIGNATURE ISSUED B SIGNATURE'
zsdz?
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATIONS
681-4675 aa
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered s to surveys, 1 cop of energy
calcs. JUN 0 2 1994
COMMERCIAL 2 sets of architectural & strut LIJ1 }gt of
specifications, 1 copy of energ
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work
Site Address: Z(7 kb (N6 JTc(f5 Q? crrz,??J N
STREET SUITE q
Tenant Name: (commercial only)
LOT 3
BLOCK It II
SUBD. ya?? t( _•/??, 7 A
`1 la/ G+A ?G?
I.D. #
Description of work: Z
The applicant is: ? Owner Contractor ? Other (Describe)
Name iFGAU5KC ( IWy- Phone
Property LAST FIRST
Owner Address 3a l !((.?? ??'(l5 ?Je.
STREET
STE p
?
City ?? State /VIA)" Zip
Company Phone F (-387S_
Contractor Address '%t"4 142 ?. LAj'- License #WoS?b$ Exp. X/
City A- U, State rvVV - Zip .s S(
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 has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances. '?
)
Signature of Applicant: ?/? r ---
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. Add11. J7 15 Deck
WORK TYPE
J21 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
? Wallboard
Basement sq. ft.
1st F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
is Footing
,U Final
? Framing
? Draintile
d
? 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 P1.
Road Unit
Park Ded.
Trails Bed.
Copies
Other
Total:
valuatim: $
x:.
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
SAC %
SAC Units
METRO 2112 SHALE LANE
YORS EAGAN, MN 55122
Certificate of Survey for (612) 452-0134
HALLMARK HOMES
LEGAL DESCRIPTION; LOT-!-,BLOCK 10 , BUR OAK Hit LS 2ND ADD
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY, MINNESOTA
ROLLING HILLS DRIVE
f4
00 11 l5 4? 93.nn Qg4
fir-
? I
' ?? - - --
1
A ' oQ S1
I
?? N
fn I
I
-. - - I
r I
? 9
cy Z5 C»
K a.c?
, „ io a ? ?fo ?\ KEu-
Q I (8?1b?
I
r ?0 L?
IL Q ?I
-
- 46.c? 3 °. .._
25
1 I
4) 4 - 1 5 I h
LOT 3
•ZD? `J O° II ?j ? 1
By
SCALE: I° - 30t
LEGEND
o DENOTES IRON MONUMENT
o DENOTES WOOD HUB SET
Q1W- DENOTES EXISTING SPOT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
DENOTES DRAINAGE DIRECTION
1 hereby certify that this survey,plan or
report was prepared by me or under my
direct supervision and that I am a duly
Registered Land Surveyor under the
Laws of the State of Minnesota.
r (,- - .
k,A?)1iN NGtNEERING DEP-T
P2oP? =.F D 4-1 1e SP_rt - kJo lRc eocsr
INVERT ELEVATION AT SERVICE EXTENSION=__
PROPOSED GARAGE FLOOR ELEVATION •?.9
4`t•?
PROPOSED FIRST FLOOR ELEVATION=
PROPOSED BASEMENT FLOOR ?I o
ELEVATION
NOTE VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
llC ice, 1 !e 7' 0 -
Date >>i c 1'1., I ??Z -
PERMIT Control No. 0665
CITY OF EAGAN
3f 30 Pildt Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
000828
06/19/92
SITE ADDRESS:
3217 ROLLING HILLS DR
LOT: 3 BLOCK: 10
BUR OAK HILLS 2ND
DESCRIPTION:
'Building Permit Type SF DWG
Buiidin6':4ork Type NEW
UBC Occupancy R-3 M-1
Construction ''Type V-N
Zoning R-1
Building Length / 52
Building Width 48
REMARKS: C. n (qY g
S & W CONTRACTOR - KLAMM NECH
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Lic. Search Fee
..Subtotal
$751.50
$488.48
$66.00
$700.00
100
1
$5.00
$2,010.98
$132,000
MISCELLANEOUS $1,610.50
COPY $.50
Total Fee $3,621.98
CONTRACTOR: - Applicant - ST. L COWNER:
HALLMARK HOMES OF MPLS INC 18923636 0001179 HALLMARK HOMES OF MPLS INC
14066 GRAND AVE S 8 14055 GRANO AVE S B
BURNSVILLE NN 55337 BURNSVILLE MN 56337
(612) 892-3636 (612)892-3636
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.
Gr J Drwln R .d i mr1
APPLICANT/P RMIT E G,TURE SUED Y.SGNATU E
PERMIT #
REACTIVATE
4z?
CITY OF EAGAN
-s-31L I I. )q
1992 BUILDING PERMIT APPLICATION ,
681-4675 CGAI,.. I?
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy
talcs.
COMMERCIAL 2 sets of architectural & structural plans, I set of
specifications, I copy of energy talcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re guest is made or lot change is t2 guested once permit is issued.
Date e? / 2 / 9c
Valuation of work
I`
Site Address: I ICS) I' no N r `, lr «? 2
STREET SUITE /
Tenant Name: (commercial only)
LOT BLACK SUED.&
??(
Lh P.I.D. #
r
I J `
Descri tion of work: Sin l2.
The applicant is: ? Owner Z-Contractor ? Other (Describe)
Name Phone
Property LAST FIRST
Owner
Address
STREET STE M '
City. State Zip
Company TO
S O? T,Phone 492" 3?
3
Contractor
_
-
Address )y05Z5_ 6rar-\d Ai e_ ; , ?4. License # 0??t? Exp-_9LME
City )? Urn6u: i le- State 1 r\ Zip .f-_ 3 3 7
Compa
y K I JPSign Phone LI
Architect/ n
Name LJ
k
?
Engineer dn
0_n
6 D-5 Registration #
Address W rZveS
City t 1Caoie- Grvv? State Zip 136 "
Sewer & water licensed plumber Klctry?rn e_c 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.
r
Signature of Applicant: ?a ,l ow c ?2
BUILDING PERMIT TYPE
? 01 Foundation
0 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
U 31 New
? 32 Addition
OFFICE USE ONLY
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'l.
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
? 15 Deck
? 35 Tenant Finish
? 36 Move
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
Const. (Actual) V - H Basement sq. ft.
(Allowable) u _N 1st F1. sq. ft.
UBC Occupancy R-8 M -( 2nd F1. sq. ft.
Zoning R-1 Sq. Ft. total
0 of Stories Footprint Sq. ft,
Length ,t 22 On-site well
Depth T On-site sewage
APPROVALS
Planning Building
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
? Footing
? Final
MWCC System IVES
City Water ES
PRV Required
Booster Pump
Fire Sprinkler
Census Code or
SAC Code 01
Assessments
? Framing ? Insulation
? Draintile ? Fireplace
Permit Fee vatmtl ,: S 132,000"
Surcharge
Plan Review GnRC?GS'
License 3 KZ2 = 66D
MWCC SAC 2 K o = C2 0)
City SAC
Water Conn.
2 X7= (14)
Water Meter
Acct. Deposit UZ6 ?? ` ?n01
S/W Permit
S/W Surcharge
SM i; a J g , X132
Treatment Pl . fl K Z2 = zZo?
Road Unit
Park Ded.
X52 X151177
Trails Ded. n1ArL2VEL',
s
Otphe Z. 66) lG a 3 , G?ZS
-
r
Total: .
td,a L?vEZ 1
SAC %
'o?
SAC Units
131, Sri3
4
LAST METRO 2112 SHALE LANE
SURVEYORS EAGAN, MN 55122
(612) 452-0134
Certificate of Survey for:
HALLMARK HOMES
LEGAL DESCRIPTION: LOT__3_,BLOCK 10 , BUR OAK HILLS 2ND ADD
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY, MINNESOTA
ROLLING HILLS DRIVE
r Q
g N I D? l?I /5 1-1 g3.on 06 11. . °
m
h;6 to
C9
e
Y'
-- -ol
0
OQ'
sue" I
io 33
( N +Q? ? t? ? ICJ
I r p Q0
n e`° ? I
??- quo
I ? ?(ssas? '?
LOT 3
UT,
Ff D) 7 T/
3W' 5 0 ° 11
SCALE: t" = 30'
By
N z5'c?
M R+:cr
?1V
h
a
EAGAN EKG
RING DEPT
P2CPc,-,v, C 441Ib SPCrT- - /.10 .JA-_e-ex"
LEGEND
o DENOTES IRON MONUMENT
a DENOTES WOOD HUB SET
?Sfo? DENOTES EXISTING SPOT
`t ELEVATION
1[w DENOTES PROPOSED SPOT
ELEVATION
DENOTES DRAINAGE DIRECTION
I hereby certify that this survey, plan or
report was prepared by me or under my
direct supervision and that I am a duty
Registered Land Surveyor undar the
Laws of the State of Minnesota.
a
Date:, ?,?` ?2, 1??2.
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION •?•9
PROPOSED FIRST FLOOR ELEVATION =
PROPOSED BASEMENT FLOOR = ?I o
ELEVATION
NOTE: VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
EXTERIOR ENVELOPE ENERGY CODE COMPUTATION WORKSHEET
To Determine Compliance with the Minnesota Energy Code
(Section 502.of the State Amended 1983 Model Energy Code)
troject Title H A C(- M AV I` H01
lite Address ?2I l ) I'no It; 1l' Drioc LCO Lill-, 11-1
?-
EXPOSED WALL CALCULATIONS
A.
B.
Cpaque Wall
1. Masonry/Concrete
C.
2. Foundation Wall (Above Grade)
b.
3. Wood Frame Wall
a. Insulated Area
b. Framing Area (Ave. 158 at 16" oc)
c. Framing Area (Ave. 108 at 24" oc)
4. Peripheral Floor Edge/Rim Joist
Glazing
1. Windows
a.
b.
2. Doors P/C71(f-:)
Doors
1. wood
a. Sol id
b. With storm door
2. Metal
3. Overhead
4. Other
AREA "[J" VAIUE AREA x "U"
r, x = O
n x = C?
x = O
C.
D.
1 x D? = O.(VC) x = C? _
v x = C" -
G x = G
2- x
J x G
'G x 1112
C?, x
x - U
x
x -
x = O
TCTAL WAIL AREA, sq. ft ..................... . ?, `76c?
E. TOTAL of AREA x "U..................................................... 2 1*2 C,
L ROOF/CEILING CALCULATIONS
A. Roof/Ceiling Insulated Area
B. Roof/Ceiling Framing (Ave. 15% at 16" oc)
C. Roof/Ceiling Framing (Ave. 10% at 24" oc)
D. Skylight
13 1 x .0Z7. _ ,9.7<-J
x 7,2
i - x
0211
= 1.65
p x = C7
E. TOM R00F/CEILIN3 AREA sq. ft .............. / 75Y
F. TOOL CF ARM x "U•' ................................................. IVO.6y
'"III." :SUILDING ENVELOPE REQUIREMENTS
a
A. Exposed Wall:
B. Roof/CeiliDg:
T9M AREA REQUIRED "U"
(From I.D & II-E) (Fran V.)
(l
-7 ?) ( x
C. TOM ALLOWABLE BUILDING ENVELOPE (Total of A & B above)..
IV. ACTUAL BUILDING ENVELOPE
ALLOWABLE
(Area x "U")
71
ACTUAL
(Area x "U")
A. Exposed Wall (Fran I.E)
B. Roof/Ceiling (From II.F) ?YOe G`!
C. TOTAL ACTUAL_.BUILDING ENVELOPE (Total of A & B) ' ! U
sys,, *(Meets code requirements if less than IILC)
V. REQUIRED "U" VALUES
WALLS M0F/CEILI1C
Detached one and two family dwellings .11 .026
* Multi-Family Residential Buildings .238 .033
(3 stories or less in height)
* All Other Construction Types (3 stories or less) .238 .06
* All Other Construction Types (More than 3 stories) .28 .06
• Based on 8007 heating.degree days (llpls/St. Paul)
Adjust "U" Values accordingly for other locations
CERTIFICATION
I hereby certify that I have ccnpleted the above information and that it caiplies with the
Minnesota State Energy Code.
Date -?
3-89
1/6574
CITY OF EAGAN /
L?L D. yB !Ja /JA G+r? MEC (6g 12 )681-46755 DATE (o o r ct-??-
RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR
TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT.
OWNER \? r FEES
SITE ADDRESS- ADD ONMEMODEL (EXISTING
CONSTRUCTION ONLY) $ 15.00
INSTALLER: HVAC, 0.100 M BTU 2400
PHONE #: 13v ADDITIONAL 50 M BTU 6.00
ADDRESS: GAS OUTLETS - MINIMUM 1 @ $3 EA. ctiz)
CITY. ZIP. [
SURCHARGE: $ 50
SIGNA TOTAL: $a? . ?v
COMMERCIAL
PLEASE COMPUTE THIS PORTION FOR ALL COMMERCUIJNDUSTRIAL 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 $.SO 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:
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT
pTsstl}fBxNCI"m DATE:
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST
ADD ON
REPAIR
OWNER NAME:
HALLMARK HOMES
DWELLINGS &
SITE ADDRESS: 3217 ROLLING HILLS DRIVE
EAGAN
LOT: 3 BLOCK 10 SUBD. BUR OAK HILLS 2ND
INSTALLER: KLAMM MECHANICAL CONTRACTORS, INC.
ADDRESS
CITY:
PHONE #
890-4868
SIGNATURE OF
ZIP: 55337
COMPLETE THE FOLLOWING:
NO. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
SHOWER 3.00 U D
WATER CLOSET 3.00 _4,06
BATH TUB 3.00 6-00
4 LAVATORY 3.00 9"o6
_ KITCHEN SINK 3.00 J, co
LAUNDRY TRAY 3.00 3.00
HOT TUB/SPA 3.00
7 WATER HEATER 3.00 -q. 46
_ FLOOR DRAIN 3.00 A-60
/ GAS PIPING OUT.
_ (MINIMUM - 1) 3.00 307)
ROUGH OPENINGS 1.50
OTHER _
_ WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL S 5/?. So
ST. SURCHARGE .50
TOTAL: _`
COMMERCIAL/ NDUSTRIAL 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:
OWNER NAME: HALL MARK HOMES
SITE ADDRESS: 3217 ROOLING HILLS DRIVE
LOT: 3 BLOCK 10 SUBD. BUR OAK HILLS 2nd
INSTALLER: KLAMM MECHANICAL CONTRACTORS, INC.
ADDRESS: 12409 COUNTY ROAD #11
CITY: BURNSVILLE, MINNESOTA ZIP: 55337
PHONE #
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL:
(SIGNATURE)
12409 COUNTY ROAD #11
BURNSVILLE
FOR:
CITY OF EAGAN
J? -7 750 2o07 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements
3 registered site surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
1 Soils Report if proposed building is to be placed on disturbed soil
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasoo mechanical ventilation form
RemodellRecair Requirements
2 copies of plan showing footings, beams, joists
1 set of Energy Calculations for heated additions
1 site survey for additions & decks
Addition -indicate if on-sde septic system
?1o.oe
Office Use Onl
Cad of Survey Recd _Y _N
Soils Report '. _Y -N
Tree Pres.Plan Recd _ Y _ N.
Tree .Pres.Required _Y _N
On-site Septic System _Y _N
Dlmnc mra rnncirlcrnfl niihlir infnrmntinn imiacc vnii ctafp thp-v are trade secret and the reason.
Date 'S / A{
07
Construction Cost 5 L rJ7/
Site Address
)
3? / i / ?i ?Y t /
i / 1 e, Unit/Ste #
/5
Description of Work / U
Multi-Family Bldg _ Y. N Fireplace(s) _ 0 - 1 _ 2
Property Owner L /
za /,C" ? C Zz Telephone # ( )
Contractor /
Address z City All
State Zip 5-s ?- ? Telephone # ( _) .Z -COI
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the lost 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
- Y - N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
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 fora permit, and work is not to start*ithout a
permit; that the work will be in accordance with the approved plan in the case of work which requires a re I iew and
approval of plans.
Applicant's ted Name Applicant's Si ature
DO NOT WRITE BELOW THIS LINE
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ?
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ?
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ?
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ?
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
30 Accessory Bldg
31 Ext. Alt - Multi
33 Ext. Alt - SF
36 Multi Misc.
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 0 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant
Description: Water Damage
Yes
Valuation Occupancy MCES System
Plan Review 100% or 25% Code Edition
Census Code 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
Approved. By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
Sheetrock
Final/C.O.
_ Final/No C.O.
_ I VAC
Other
- Pool _ Ftgs _ Air/Gas Tests _ Final
- Siding _ Stucco Lath _ Stone Lath -Brick
_ Windows
Retaining Wall
Building Inspector
3
t City of Eap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651;675-5694
Address I City I Zip:
EEO T 1 4 2008
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Site Address: t s Or.
.Want: _ Suite
ESIDENT I OWNER i Name:
CONTRACTOR
TYPE OF WORK
-----------------
I 1"or Oifoe lls ?/j y?`11r?y') ?I
Permit tt`r
I `^..
I Permit Fee: V
Date Received:
I
I Stay: 1
Phone:tp5 ICY/f? ((Qcu
Name: _ License #: ?/`?_fJ_1Ll -
Champion
Address:
3670 Dodd Rd. #100 State: Zip:
City:
Contact Person:
Phone:
New `Replacement _Repair _Rebuild _ Modify Space - Work in R.O.W.
PERMITTYPE RESIDENTIAL
Water Heater
Lawn Irrigation
RPZ / _ PVB)
Septic System
_ New
Abandonment
Water Softener
Add Plumbing Fixtures
-Main _ Lower Level)
Water Turnaround
ES(OENTIAL FEES:
;0.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $:50 State. Surcharge)
10.50 La?vri irrigation (includes $.50 State Surcharge)
;0.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $.50 State Surcharge)
`VVater Turnaround (add $136.00 if a 5/8" meter is required)
00.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
:0,50 t=ire, Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES
?sreby ackro?aledge that 1MS information is complete and accurate: that the work will be in conforrnance wkh the ordinances and codes of the City of
ion; that ?rde land this is not a permit, but only an application for a permit, and work is not to start wrfhoul a permit, That the work will be in
ordance ai+? +he ap?roved plan in the case of work which requires a review and approval of plans. x
?iicanYs Printed Name Applicant's 3i tore
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163401
Date Issued:08/31/2020
Permit Category:ePermit
Site Address: 3217 Rolling Hills Dr
Lot:3 Block: 10 Addition: Bur Oak Hills 2nd
PID:10-15501-10-030
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 -
Clark W Fenske
3217 Rolling Hills Dr
Eagan MN 55121
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature