3249 Rolling Hills DrI .I r 1, - ly `
Ker if Kate of CCCupanc?
with of Wagan
zoartment of ZKOhig an?pcciion
This Certificate issued pursuant to the requirements of the Uniform Building. Code
certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
Use Classification: SF DJhX' Bldg. Permit No. 2A 136
Occupancy Type R-3/11 Zoning Discia RI Type Const. VII
Owner of BuildingBRIOD DMMaMW IM Ad?ess 5700 MF'p?1A AVE `S+ Ma S
Building Addm" 3244 FULLING HILLS DRIVE LocalityL 12, B4, BUR OAK F=
Daw
POST IN A CONSPICUOUS PLACE
INSPECTION RECORD
ITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
1 11,41.1 11 1 1 1 1111 :.,
821 L?o?rz..?
PERMIT SUBTYPE: TYPE OF WORK: 4J
INSPECTION TYPE .DATE INSPTR INSPECTION TYPE DATE INSPTR.
.
1. lilti i Pl ?,
'f.r=IIAR1.`si "i:'"i W RtF+R W£NLFL. F`LRG
Permit No. Permit Holder Date Telephone S
ELECTRIC
PLUMBIN 'f h 7' T a "o??
H V A C
7 q '?
OofS"(0??07
Inspection Insp. Com ments
FOOTINGS /! -04 #*94 t6 4'fs o&
FOUND
FRAMING ?p
ROOFING jp
7
ROUGH
PLUMBING 7,j 7e 7 1?h
PLBG
AIR TEST
ROUGH
HEATING
Y13? 7
/
A4
/4'?'
d3 <L
GAS SVC
TEST Ala V- IN Kd
INSUL _ _I
0,47,
7
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL n4 i
W
*Lxa--D To
8Qn"r
al. -rf
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675 q -?
New Construction Requirements RemodellReoairReguirements
• 3 registered site surveys showing sq. ft. of lot. sq. ft. of house; and-all roofed areas 2 copies of plan
(20% maximum lot coverage albwed) 1 set of Energy Calculations for heated additions
2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks
• l set of Energy Calculations Indicate d home served by septic system for additions
3 copies of Tree Preservation Plan if lot platted after 7/1193
Rim Joist Detail options selection sheet (bldgs with 3 or less units)
DATE IO ZC-210
JOB SITE ADD
IF MULTI-FAMILY BUILDING, HOW MANY U
PROPERTY OWNER mpex_
TYPE OF WORKVQ=
APPLICANT ft? SnC n
?
JP
ADDRESS
PAGER #
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 Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
All above information must be submitted prior to processing of application.
FIREPLACE(S) (k---0 _ 1 _ 2
PHONE# 65/_g5'?-39y6
Phone #
Fee: $90.00
2c
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 O din nces.
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received Not Required _
Updated 1101
IN 14; 11
ZIP CODE
PHONE #AIP ?11q 07S5 FAX #
Water Softener _
NVater Heater
No. of Baths
VALUAION Al? C6
_ Phone #:
Lawn Sprinkler
No. of'R.I. Baths
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg)
Final/C.O.
Footings (deck) FinaWo C.O.
Footings (addition)
Foundation
Drain Tile
Roof _ Ice & Water _ Final _ Other
Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
Fireplace _ R.I. _ Air Test _ Final _ Siding _ Stucco _ Stone
Insulation _ Windows (new
replacement)
Approved By
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
_ Plumbing
HVAC
Building Inspector
Address 3249 ROLLING ILLS DRIVE Zip 5512!
Lot 12 Blk 4 Sub 13UR OAK IIULS
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: {tj Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 6814645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
.,": }':'d:$CY,t r!: );; %Y;:;?'? , in(•,,,,,?A:"?'.??; ?a(i;;::;(y•a0;; $: Y„? :°rw:?a: a.,? n,;?
OF r III 1"N
- RMTNAIL NO, '24.7
.p.., '9001. ..(11. ... r4`) _ fP '-h_ t ., ....;,, ^C
c;,.?
225f, ,:3r' Ff ...:... i .__C.,....Daft i.: t.3
?i.16 .. 32
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
029136
10/29/96
SITE ADDRESS:
3249 ROLLING HILLS DR
LOT: 12 BLOCK: 4
BUR OAK HILLS
P.I.N.: 10-15500-120-04
DESCRIPTION:
ermit Type
irk Type
Bti114-log Length.
Eau-ld:1'tg W? dtfi.
Bu 3lJf#?A to 1 e,6'
SF DWG
NEW
R-3 I-1
V=M
R-1
54
46
1
2,053
101 1 - FAM. DETACH
a.;. * tin 1
t 3
REMARKS:'
S & W PLBR - WENZEL PLBG
FEE SUMMARY:
VALUATION $113,000
Base Fee $952:25 MISCELLANEOUS $1.923.50
Plan Review $476.13 Total Fee $4,308.38
Surcharge $56.50
SAC $900.00
SAC % 100
SAC Units 1
Subtotal $2,384.88
I CONTRACTOR: - Applicant ST. LIC OWNERV
BRICO DEVELOPMENT INC 18697481 0007046 BRICO DEVELOPMENT INC
I 5700 COLFAX AVE S 5700 COLFAX AVE S
MINNEAPOLIS MN 55419 MINNEAPOLIS MN 55419
(612) 869-7481 (612)869-7481
I heret
' inform
i s S-1:A,tu,tE
jq]3t CITY OF EAGAN ? 4l 3Q ?, ??1
3830 PILOT KNOB A - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) t;avtd
681-4675
Slew Construction Reouirements RemodeVReoair Reeuirements
? 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
? 3 copies of tree preservation plan if lot platted after 7/1/93
required: _ Yes i/ No
DATE: OG 7 0,ISi,;(2- LS /* G _ CONSTRUCTION COST:
DESCRIPTION OF WORI
STREET ADDRESS:
LOT -Ija-_ BLOCK el SUBD./P.I.D. #: Z3//R --Z42 -j-a2
PROPERTY Name:19R il,o ds? LbP?rL'.VT :VVG Phone V-'7Ig4l
OWNER FAST
Street Address' 5700 Off-x 402- Sd.
City: /1/li,?? A ?ozis State: /1W
CONTRACTOR Company: R 91 co DES'??aPAlcnJr Phone #: ?r5-7y?1
Street Address: S7 /IA ral-p A A V ro. License #: 7D 5l a
City: M"' Ah5l i pi-m State: ' 14t? Zip: !E Z?
ARCHITECT/ Company: rTANIfS Al , M,46:6Z f.SOA> Phone #:S1 9DZ-33A-y7.P2/
ENGINEER
Name: c-F Mr s &2. 4,46-A)Q9,0V Registration #: 116""04
Street Address', X803 7 N01 -, 8fIL 'elq
City: 4,4e1" .?I1??20a .>y?An State: L°Q? Zip: 9035
Sewer & water licensed plumber: (A) gc? ? Penalty applies when address change and lot
change are requested once permit is issued-
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.
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
Signature of Applicant:
YV es No Oct r
1999
_ Yes N
BUILDING PERMIT TYPE
OFFICE USE ONLY
? D1
? Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 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 = plex ? 15 Deck
WORK TYPE
2( "'31 New
? 32 Addition
? 33 Alterations ? 36 Move
? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
ViJ Basement sq. ft. 114 1? MCNVS System
L/ 14 Main level sq. ft. I City Water
Z-3.0 -I sq. ft. s, y Fire Sprinklered
Q-1 sq. ft. PRV
sq. ft. Booster Pump
s Y' sq. ft. Census Code. ,o I
7?4 Footprint sq. ft. 4,0 53 SAC Code v1
Census Bldg 1
Census Unit
- Building Mr:!? Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SAN Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
Valuation: $ 1 13 , 000
4qY zv 41 TO
5-s x 3y 27?{,S
?,. y as?.S
z. 3 3 u i 3 L8
,1
221,10. -
i
Sc. _
14-7N ?Sq '7 9,
sx s 7f
2y < 2 1 5oQ
s79
lJcrl? ?, zoo.
117, 71d, i
t_
I
Form for use with Minnesota Ruies part 7670.0475, Suop. 2
1 & 2 Family Residential "Cook" Method
L6J
BUILDER
Date
Minimum Criteria:
Rim Joist: R-19 insulation Foundaton Windows: In=lated glass. 112' air space. %mod or vinyl frame
Entry doors: 13A itch solid wood with storm or better
I STEP 1 Window & Door Area I I STEP 2 ' Calculate area as a percent of wall I
Total Window & Door Area in Sq. Feet Box A (window & door area) divided by Box B (total
WINDOWS (including foundation windows): wall area) times 100 equals the window and door area
Dimensions Qnty. Area as a percent of wall area (Box Q.
311
/ It
x y
/ ?A
/ X
'?!! X
X 3'lI N g l ip , f l-4
X U" I -/ %
n x 7/5' u
& X ,/ x
X
X
DOORS:
yN X
X/OJ?
X
Total Area of
Window & Doors ' A
Total Wail Area in Sq. Ft.
Wail Total Perimeter Height Area
69
8 Q
'9 -2
Total Area -
of will
/ 96G /0 $
Box ?05- p x 100= /E C
STEP 3 Design Features
ASSEMBLY OPTION
FRAME WALL:
STANDARD FRAHNG
CAVTTYINSULATION
SHEATENG: LESS THAN R-S
R-S OR 161ORE
WINDOWS (except foundation windows):
U-FACTOR jJ. , 36
From the table, determine the maximum percent window
& door area for the design options selected and enter the
value in box D below:
Box C must be less than or equal to Box D
O
ONE & TWO-FAMILY RESIDENTIAL L BUILDING PRESCR7nVE (COOK-BOOK)
APPROACH '!'®
MAXIMUM WINDOW AND DOOR AREA AS A PERCENT OF OVERALL WALL
AREA
From Minn. Rules wart 7670.0475, subRart 2. item F
cavity Window U-Factor
Framing Insulation Sheathing 0.49 0.36 0.31 0.27
STANDARD R-13 >R-7 13.4°/6 17.8% 21.3% 24.3%
STANDARD R-13 > R - 5 12.4% 16.4% 19.7% 22.5%
STANDARD R-15 > R - 5 12.9°/6 17.1% 20.1% 23.4%
STANDARD R-18 <R-5 12.1% 16.0°/6 18.8% 22.0%
STANDARD R-18 > R - 5 14.0% 18.6% 21.8% 25.3%
0
STANDARD R-21 <R-5 12.8% 17.0% 19.9% 23.1%...
STANDARD R-21 >R-5 14.5% 19.3% 22.5% 26.1%
t
pqb -44-09
ff?= t2
.
Additional calculated values
STANDARD R-17 <R-5 11.9% 15.7% 18.4% 21.5%
STANDARD R-17 >R-5
_ 13.8% 18.4% 21.5% 25.0%
- o
Notes:
Window area equals rough opening minus installation clearances.
Window U-factor must be determined by either the National Fenestration Rating
Council standard 100-91, or ASHRAE 1993 Handbook of Fundamentals, Chapter 27,
Table 5.
4
FRANK R. CARDARELLE
(612) 941-3031
ter of irato Of
ti3 C
01
Survey For Britt Goetze Booker Page__?3_ File 610 5
3249 Rolling Hills Drive
Eagan. MN }?'3?Al8?g 31.
I?r G,
N
Q ? S ?ID
M M
?o
o ?
V\
^'-;- I -,' oq4 370 0
?I
`1f
Drainage &
Utility
Pro?osPd ? rq m
v A/O/-'se
Q
I 3
c
N
n
uN - •9'b, Cl
IR? Easements
gqa` N gy3, !?ql?
gg .?" 4 /. 8d P
V-1
'i
Scale: 111=301
]EAGAN
0 Denotes Iron Mon. Found
DEPT.
I hereby cw* lMMi. ]..We a =rrau,rapr..UW-&..v .flhe bounddes of Lot 12, Block 4
Dakota Fda?T County, Mirma.ofe and tlw boatlm
?-
aa,.,.d by rrw m 00s- day of Oe is 96
Land Surveyor
Eden Prairie, MN 55344
u?
3D, 'io
a4r
(Jr,ve
a
- 3Q -! is
U,
U?
a?
1%
31
Q
J_
o z
IT
Prop.Elev. D
Prop.lst F1.Elev. f`I%D
Prop.Gar.Fl.Elev. 98 7.5
Prop.Bas.FI.Elev. B9a•p
Drainage Arrows -
E&P: Exhisting & Prop.Elevs.
San.Sewer Elev. 888.0 from
City Engineer
Merry m.tld land.
Prank R. Cardarelle
State Reg. No. 6508
r
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL:
DATE OF SURVEY: /6 / P 19
> LATEST REVISION:
o DOCUMENT STANDARDS
J?
? ? • Registered Land Surveyor signature and company
G??'5 ? • Building Permit Applicant
rf?p ? • Legal description
ra/ ? • Address
? ? • North arrow and scale
lie' ? ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
O-"? ? • Directional drainage arrows with slope/gradient %
?? ? Proposed/existing sewer and water services & invert elevation
??a ? • Street name
? ? • Driveway
ELEVATIONS
Existing
?? ? • Sewer service (or Proposed)
? • Property comers
? • Top of curb at the driveway
? • Elevations of any existing adjacent homes
Proi)osed
v, ? ? • Garage floor
C3' O ? • First floor
2--? ? ? Lowest exposed elevation (walkouUwindow)
2 2 ? • Property comers
Ct ? ? Front and rear of home at the foundation
PONDING AREA fif aoolicable)
? M'*' ? • Easement line
? 0'-'? • NWL
? W? ? • HWL
? r /a • Pond # designation
? ? Emergency Overflow Elevation
DIMENSIONS
fY ? ? • Lot lines/Bearings & dimensions
Z-"? ? • Right-of-way and street width (to back of curb)
®?? O Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc, p.e. all structures requiring permanent footings)
ar' ? ? Show all easements of record and any City utilities within those easements
? ? • Setbacks of proposed structure and sideyard setback of adjacent existing structures
? Z-?? Retaining wall requiremen ss- any
Reviewed:
January 1996
CRAW99WB DGPRW FM
CITY USE ONLY /yO p
V LOT BL RECEIPT #:
SUED. RECEIPT DATE:
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
11 (612) 681-4675
Date•
Complete this section only if you are installing HVAC in single family, townhome, or condos that are
under construction and are not owner /occupied.
• HVAC: 0-100 M B T U $ 24.00,V'
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @ $3.00 ea.) to
• State Surcharge: .50
• TOTAL:
Complete this section only if you are remodeling, adding to, or repairing existing single family
dwellings, townhomes, or condos.
Add-on furnace
Add-on air exchanger, i.e. Vanee system,.etc. _
Minimum fee applies to all remodel or add-ons of existing residences
State Surcharge
SITE ADDRESS: J
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
CITY
Add on air conditioning
Other
$ 20.00
SO _
Total: $ 20.50
. PHONE #: D a /1 U S
s.
L
PHONE
ZIP:
SIGNA
CITY USE ONLY
L 8L
SUED.
RECEIPT:
RECEIPT DATE:
1997 MECHANICAL 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 not required for each dwelling
unit
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: $25.00 minimum fee or 1% of contract price, whichever is greater.
• Processed piping - $25.00
• State surcharge of $.50 per $1,000 of2g=fee due on all permits.
CONTRACT PRICE x I%
PROCESSED PIPING
-STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLY)_
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE*
SIGNATURE:
SIGNATURE OF PERMITTEE
CITY INSPECTOR
(/ .? nn ]l CITY USE ONLY
L BL RECEIPT: 7 9
SU60. &" (mmlldt.h_ l k L RECEIPT DATE: 7 7 9
1997 PLUMBING PERMIT (RESIDENTIAL)
C17Y OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612)681.4675
Please complete for. single family dwellings
townhomes and condos when permits are required for each unit
backflow preventer for underground sprinkler system
FIXTURES EACH Nt T
AL
Shower 3.00 x
s` _ ?
Water Closet 3.00 x = '
O O
Bath Tub 3.00 x = (0 0 O
Lavatory 3.00 x = a • u
Kitchen Sink 3.00 x 3. 0 0
Laundry Tray 3.00 x
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x = = 3 0 °
Floor Drain 3.00 x = 3 0 0
Gas Piping Outlet " minimum -1 3.00 x = 3
Rough Openings 1.50 x =
Water Softener ` for dwellings under construction 5.00 x =
Water Softener ' for existing dwelling 20.00 x =
U.G. Sprinkler "fordwelling under const. 3.00 =
U.G. Sprinkler " for existing dwelling 20.00 =
Alterations 'toexisting residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System " oak Cty lic. 75.00 =
(new and refurbished systems)
Private Disposal Systems' Abandonment 20.00 =
STATE SURCHARGE .50
;b
TOTAL
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City
of Eagan ordinances. It is the applicants responsibility to notify the property owner that the City of Eagan assumes no liability for any
damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within
City property/rightof-wayleasement. /J '- „ , , 1 I ,n
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
CITY: G??/7
STATE:
TELEPHONE #:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA148374
Date Issued:03/23/2018
Permit Category:ePermit
Site Address: 3449 Rolling Hills Dr
Lot:2 Block: 1 Addition: Bur Oak Hills 2nd
PID:10-15501-01-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Matthew Patton
3449 Rolling Hills Dr
Eagan MN 55121
(612) 269-5252
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168721
Date Issued:04/30/2021
Permit Category:ePermit
Site Address: 3249 Rolling Hills Dr
Lot:12 Block: 4 Addition: Bur Oak Hills
PID:10-15500-04-120
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
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 -
Mark D Sandberg
3249 Rolling Hills Dr
Eagan MN 55121--234
(612) 414-0745
Capital Construction LLC
416 Gateway Blvd
Burnsville MN 55337
(952) 222-4004
Applicant/Permitee: Signature Issued By: Signature