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3250 Rolling Hills DrDate: Tenant: City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 1NI3 vo Use BLUE or BLACK Ink Cil Permit #. Permit Fee: Date Received: Staff: 2010 MECHANICAL PERMIT APPLICATION Site Address: �'1S, ' ki tJ vVAIS. O' - Suite #: RESIDENT / OWNER Name: U .411 It, ut,. se( Phone: (OS,— (AI— 3't-0 Address / City / Zip: S#vwc- p(S PASSVIr CONTRACTOR Name: G-4f@t*a7 7 OkiPst ur`ti ita,,VID pb License #: `' I5' 1P Address: LGG'VtS5 c t' j4( City: 640- v . State: iNvg Zip: So2'A Phone: Unk— 1 — O t' Contact: 'p C41t Email: 6/0'6 • c a,Viet/ . A n JCVA • CP""" TYPE OF WORK New ` .i Replacement Additional Alteration Demolition Description of work: cv.44.14600r k> fiti (Ik'4 ANAltlNi2Cr NOTE: Roof mounted and ground mounted mechanical equi# nt is r ired.to be screened by City Code. Please contact the Mechanical Inspector forrti tion on permit t:screening.ri thuds.. PERMIT TYPE gyp' RESIDENTIAL /(I Furnace COMMERCIAL _ New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger _ Gas Exterior HVAC Unit _ Heat Pump _ Under / Above ground Tank ( Install / _ Remove) _ Other " When instailinglremoving tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $5.00 State Surcharge) $ TOTAL FEE $95.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank $55.00 Minimum (includes installation/removal OR State Surcharge) $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Permit Fee requires a $ 5.50 surcharge) Contract Value $ x 1% = $ Permit Fee - If the Permit Fee is less than Fee = $ Surcharge - If the Permit Fee is > $10,010, (i.e. a $10,010-$11,010 Permit = $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aoaherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in confor•gance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to s ; ' hout a pemt►t; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x cNYl.,haAK' Applicant's Printed Name FOR OFFICE USE Required Inspections: Under Ground + Rough In _Air Test Gas Se! VAC x INSPECTION RECORD % CITE` OF EAGAN PERMIT TYPE: I' I II I N. 3830 Pilot Knob Road Permit Number: + t Eagan, Minnesota 55123 Date Issued: s (612) 681-4675 SITE ADDRESS: ; I APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE .DATE INSPTR. INSPECTION DATE INSPTR. I I i•,fa I Ilia ,,, I r-I., i; I rl i„I I id I, IllriI I'I rte f IP•I±•i 110 MARV, bW CON i NAt I Uk Permit No. Permit Holder Date Telephone # S/W PLUMBING SO -!o lf?p HVAC 5 ELECT (r ELECTRIC Inspwillon Date Insp. Comments Footings l ?? Foundation AA// / !) Framing Roofing Rough Plbg. Rough Htg. .?(3-9y l(N [Sul. Fireplace Final Htg. T9 ? 7-0 e-o qe"Y " d Orsat Test •rC Final Plbg. 711;A*u it Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final 7 / Deck Ftg. Deck Final Well Pr. Disp. i v v 6 • r "b Werti f icate of Cccupanc? WitV of Wagan M e«t of VKO* 3X40ectina 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 DWG Bldg. Permit No. 23656 O-Wancy Type MA 41 Zoning Maio R I Type Cons. VN oases of Bwldint%&MU MMUMS Am&ss 4580 G= SR. EArAN BuildingAddnas3250 ROLLIM FUUS DRIVE [ac?lity B5a EUR DAK IMIS : , . Balding Due: Official POST IN A CONSPICUOUS PLACE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 1"111 t tl 1 N6 3830 Pilot Knob Road Permit Number, "-, e / 40 Eagan, Minnesota 55122-1897 Date Issued: t 0 1"6; (612) 681-4675 SITE ADDRESS: APPLICANT: .?? t.??l ! ?tt?? H1) t ?; t1R ! :tint ,+. t nt,i? 1:1.11: i1At tl I i 1 t H.". I PERMIT SUBTYPE: TYPE OF WORK: I.! ' 1 14 rt•t Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG ?6?96 DECK FINAL /O?a INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: "'' """`i 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: c+?? l :'s! I r (612) 681-4675 SITE ADDRESS: APPLICANT: .far! hill iii ? ?. •, l?il' 1 ?: i ? : .: I PERMIT SUBTYPE: TYPE OF WORK: i IF RAF-t0N i t i ! f? 1'.FF'N PORCH AREA kVKIARK'a. I N % I A I i SCRfFN1N0 i3FI'M:f.N 1WO 0. IF VEi.S [) 1 1)1-17KS ,.. ,:".._ ti, ,=? •?; Permit No. Permit Holder Date Telephone A ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL Address 3250 ROLLING HILLS DRIVE Zip 5512 1 Lot ' '6 Blk 5 Sub Hug w HILLs THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: ff1 9 Yes No Inspector: p Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas v 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. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy REQUEST FOR ELECTRICAL INSPECTIONS EB-00001-08 T ? See instructions for completing this form on sack of yellow copy x f " ^6Y4, ra -2 (^.? (.If N 3 2 9 8 2 "X" Blow Work Covered by This Request t y 1 T 4a _4c_9 p. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 0 2_00 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 Amps Signs Inspectors use only: TOTAL Irrigation Booms _?7 .? Special Inspection /• AlarmlCommunication THIS INSTALLATION MAYBE RDERED DI NNECTED IF NOT Other Fee COMPLETED WITHIN 1 NT I, the Electrical Inspector, hereby Bough-in Date ?? certify that the above inspection has been made. Final ' Date p '? /Z OFFICE USE ONLY This request voio 18 months from K 60 r3 9 2/ l0 5. ,1 v ?? Request Date /-?• /? ry `, `e'l Fire No. Roughs Inpsection Repaired tYou mwt qll inspa=when ready) - Ins ection Other Than Rough-in Ready Now ? Will Notity Inspector _ l ElYe ? NO Date Read I licensed contractor p owner hereby request inspection of above electrical work at: Job Address IStreat. Box or No.) 50 \ o &t 1 ? ' 16 City . . . ' - ovt Section No., Township Name or No. om? Bh, \ Q Range No. I C.Url IQ :) l7? Occupant lPRINTr N?? ( ?1d-e-rs Phone No gt5(A 5a`tl Power Supplier dress AtlmPRXw CL(,- Electnc ohtmctor (Company Name) Contractors License No, e o 0i Mailmg Address ICOmrdclor or er Making Installation) e ??`ll•l(' Aul aetl Signature IGpnlractorrOwner Making Installation) QILLAJ . 11? 0114 T. Numoer L/ 3'a-?o3CP MINNESOTA STATE BOARD OF ELECTRIC THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1621 University Ave.. St. Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS Phone (612( 602-0600 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ?fI r ? See instructions for completing this form on back of yellow copy. K 74932 "X" Below Work Covered by This Request ,lu? Ee-OOOp1-ea Add Mp. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Olher (specify) Contractors Remarks: Compute Inspection Fee Below.: Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps Transformers Above 200 _ Amps Above 100 Amps Signs Inspectors Use Only: TOT Irrigation Booms 2 AO, bt Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDE IF NOT 1SCONNECTED Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has been made. Final e OFFICE USE ONLY This request void 18 months from -as9.2A P!7 4 32L? it v0' Re st Date !? ?• ` rs ?' Fire No. I Rough-In Inpsection Repaired (you must call inspector when ready) ° Inspection Other Than Rough-in ? Ready Now ? Will Notity Inspector - f w!- ? No Date Ready I D*erged contractor ? owner hereby request inspection of above electrical work at: Jab. dtlress (Street. Box Yule No.) City x-? y y / V Section No. Township Name or No. Range No. Co OCPPPanI IPRINTI? k PM1pSANS I - S ?? 1/S Power Supplier Address Elecmc al ontractor (Company Name) Contractors License No. A M a,lmg Atltlress ICOntrdctpr o caner Mating InStelldt?pn C 5y? Au;nwaetl Signature ICOntractorrOwner Mating Installation) one Numeer ? v . I a - MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Mltlway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone 1612) 642-0800 ENCLOSED. RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 ?I New Construction Requirements RemodegReoair Requirements ( 1 3 registered site surreys showing sq. ft of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20% mmi num lot coverage allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window situ; poured found design, etc.) • 1 site survey for exterior additions & decks -3 0 • 1 set of Energy Calculations • Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan If lot platted after 1/1193 • Rim Joist Detail Options selection sheet (Iddgs with 3 or less units) DATE k, _ ©? 3 a 5G c/ QOJ VALUATION JOB SITE IF MULTI-FAMILY BUILDING, PROPERTY OWNER !? TYPE OF oilirx? A 1(S ear cp+-+' 11 c UNITS? FIREPLACE(S) _ 0 _ I - 2 APPLICANT BELA ROOFING R+ gymnnu+r n rn n.rn PHONE# ADDRESS 4100 EXCELSIOR BLVD.? v ZIP CODE SS I?t I PAGER # ID#00a=PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category (check one) _ MINNESOTA RULES 7670 CATEGORY 1 Residential Ventilation Category 1 Worksheet Submitted Energy Envelope Calculations Submitted MINNESOTA RULES 7672 Plumbing Contractor. _ Plumbing System Includes: - New Energy Code Worksheet Submitted Phone #: _ Water Softener _ Lawn Sprinkler _ Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Mechanical System Includes: _ Air Conditioning Heat Recovery System Sewer/Water Contractor: All above information must be submitted prior to processing of application. Fee: $90.00 Phone # Fee: $70.00 nmuo -un I hereby acknowledge that I have read this application, state that the info atio onect, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or ' ces Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 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 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-piex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New O 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) Footings (addition) Foundation Drain Tile Roof _ Ice & Water _ Final Other Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final Fireplace _ RI. -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 Final/No C.O. _ Plumbing HVAC Building Inspector INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: LOT: 6 BLOCK: 5 APPLICANT: 3250 ROLLING HILLS DR SEASONAL BLDRS INC BUR OAK HILLS (612) 454-5971 PERMIT SUBTYPE: SF DWG TYPE OF WORK: NEW BUILDING 023656 05/20/94 INSPECTION TYPE FOOTINGS .DATE INSPTR. INSPECTION TYPE FOUNDATION DATE INSPTR. FRAMING ROOFING INSULATION FIREPLACE ROUGH IN PLBG ROUGH IN HTG FINAL PLBG FINAL REMARKS: S&W CONTRACTOR ?c CITYWDF 1EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: SITE ADDRESS: P.I.N.: 10-15500-060-05 3250 ROLLING HILLS OR LOT: 6 BLOCK: 5 BUR OAK HILLS DESCRIPTION: q,ti'li Iding'-Permit Type SF DWG '3uilding Work Type NEW 'UBC Occupancy :, R-3 M-1 Construction Type VN Zoning R-1 Building Length ; 60 Building Width 46 ;r KS: S&W CONTRACTOR FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC SAC Units Subtotal VALUATION $660.50 $429.3$ $53.00 $800.00 100 $1,942.83 $106,000 MISC FEES $1,828.50 Total Fee $3,711.33 CONTRACTOR: - SEASONAL BLDRS INC 4580 SCOTT TR EAGAN MN (612) 454-5971 Applicant - 14545971 210 55122 ?SG?J ?y? BU LDI G 023656 05/20/94 ST. LIC. OWNER: 0001652 SEASONAL BULDERS 4580 SCOTT TR EAGAN MN (612)454-5971 55122 210 I hereby acknowledge that I have read this information is correct and agree to comply Statutes and City of Eagan Ordinances. c APP CA lPERMITEE SIGNATURE application and state that the with all applicable State of Mn. SS ED L?m? ? SI NATU -77 /.33 CITY OF EAGAN RECEIVED 1994 BUILDING PERMIT APPLICATION -? 2) ?p 681-4675 CJ?J lD IA,I- -- - _ - v SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, I copy of energy calcs. 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 S / 13 / Valuation of work I I Site Address: ;)50 STREET SUITE # Tenant Name: (commercial only) w LOT (_ BLOCK 1111 SUBD. BL,Lr ? I f ((1S P.I.D. 0 ( 5tt I Pd Description of work: S f The applicant is: ? Owner Xcontractor ? Other (Describe) Name Phone Property LAST FIRST Owner Address STREET STE # City State Zip Company 32&1021 ' Phone 451-597 Contractor ? `7 ya J 5upyt /GILCU License # C6a Exp. Address r-? ? ? ,, City ?sxcrKx State ml[? Zip 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: l OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ER 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. WORK TYPE q 31 New ? 32 Addition ? 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 Finishll ? 36 Move Const. (Actual) Basement sq. ft. (Allowable) 1st F1. sq. ft. UBC Occupancy -3 / 2nd F1. sq. ft. Zoning l Sq. Ft. total ' # of Stories 1 Footprint Sq. ft. Length (op On-site well Depth On-site sewage APPROVALS Planning Building Engineering Variance REQUIRED INSPECTIONS ? .Site Footing ® Framing ? Wallboard I Final ? Draintile D/ E2 Insulation ? Fireplace Permit Fee Valuation: S fQ? , oc) 0 Surcharge Plan Review Rs?*- r ??Y/y 2 License z MWCC SAC S- 3Y?zo r ?PD City SAC Water Conn. = z?6,py /2, -2 2? y Water Meter Wyk y ? 2 Acct. Deposit - S/W Permit ???G,1?k(o 9 = ?l ' s?5 S/W Surchargge ? Treatment P1. c j Road Unit Park Ded. - ? Trails Bed. 1 ?OS gS a.yz Copies ' Other Total: ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish CC System ty Water V Required aster Pump re,Sprinkler nsus Code C Code nsus Bldg nsus Unit A'lissessments SAC % SAC Units 05/12/1994 13:40 614691899 WESTERGREN & ASSOCIT PAGE 01 Tertif irate of 2-25urtipq prepared for: SEASONAL BUILDERS, ING RESIDENCE FOR- LARRY & LYNN RAMSEY ADDRESS 3250 ROLLINC HKLS DRIVE EAGAN, MrNN£SOTA J J lFr is o ?O O it ti v O ? J M J 60' .0w. I I BENCHMARK: LOT 6, BLOCK- 5, BUR OAK HILLS 1ST ADDITION according to the recorded plot thereof. DAKOTA COUNTY, MINNESOTA EAGAN REVIEWE1) S SCALE : I" , • ? ? / t`lfYl, .891.30 f J0. 14n s I ? C- It y IOU ??1?Q1 m t. 7L.t d..Il 834.95 x: BM8 ?? ? 4i?' sEr-ever LOT 6 j g°yg LOT 8 EAGAN ENGINEERTINX, DEPT. NOTE' VERIFY ELEVATIONS & DIMENSIONS PRIOR TO CONSTRUCTION O Denotes iron monument 983.5 x Denotes existing elev. 'JPstrrgrrn & Assariates, 3tlr. (887.0) Denotes proposed elev. ® Denotes Off-Set hub - - - - LAND SURVEYORS - - - - git3.11 Top of block elev. 8500 210tH STREET WEST LAKEVILLE. MINNESOTA 550441' - Top of fin. garage floor tC1S?l"1 = Top of basement floor elev. PHONE : (612) 469-1899 FAX: (612) 469-1899 Indicates direction of surface drainage VKN 4Y.ci lw.l Tb LNY[Y u5 vl[NgD wi .C M .Rp W dRCi LYM(IW.. 6 CCIAECi M M N:41 DI W N IoM Np IW1 1 1 E -.S [Y[ I N v.Ebm/.LR I .ME 4 1[rOYM[D (WttbKS fP .1( gµ'.I((P l W i/IK\Y IYyi[D tI ir( .I/(Epl. YfLn Q Igp!(iigW.L AME}OIS? W (i.. [µ1 (YD14D 1. .IIIKYT VQf ..[ tM5 V DC Sl.rt T WI(Spf4 1.6 (LIII(CI.r • Nt (W.41 R Kl dRONO .iipry i0 SW VIO. NO Nt lIGi416 Ill V66E f1{IMG.(Yi4 . /Y.. 1X.11 P D. ND ..VO IW IYy.1Y 6 tl!X'D h0!111 10 l,[ (L[x II.Y i j pIry(r 1F.5 NFPM(O. NS K? Np Aygq Yp S.p (y9V1} ry ?l{yY[p q(v sq .?( .C1WL ?i ry 1Nj yj.y[r, l5/.' wqD ius r m nss. old at. ,b No. °k J1537 Q. Mnnesoto Ragislratron No. 19790 Odn R. es wgren _ S 83°49'14" E 45 a, *03 03 ??%aaf i ffll,-,7- h S 83.148'14.. E 93,23 41 ' LOT 7 4 5/,.1/94 30' - _ - „? j jr fir' rv \ n ORarr r0 rac£--& uralrY >,"r ?o ?..?_ 3 £AS£.kcNT PER PLAT ?\ \YO 11 (j LOT SURVEY CHECKLIST FOR RESIDENTIAL w BUILDING PERMIT APPLICATION m 1 PROPERTY LEGAL: Date of Survey: ?,//e CL - DOCUMENT STANDARDS $??1 ? Registered Land Surveyor signature and company (Y0 0 Building Permit Applicant e' ? 0 Legal description 8' 0 0 Address 0?? 0 North arrow and bar scale W'_0 0 House type (rambler, walkout, split w/o, split entry, lookout, etc.) 0__0 ? Directional drainage arrows with slope/gradient 8. ['? 0 Proposed/existing sewer and water services C'? 0 Street name D--10 0 Driveway ELEVATIONS Existing @'0 0 Sewer service GI'-? 0 Lot corners (dam ? ? Top of curb at the driveway D? ? 0 Elevations of any existing adjacent homes Proposed Q-?'0 ? Garage floor 6'?_J ? First floor 0 Lowest exposed elevation (walkout/window) II ? 0 Property corners CF-10 ? Front and rear of home at the foundation PONDING AREAS (if applicable) 0 013 Easement line 0 LY ? NWL ? 0' 0 HWL 0 0' 0 Pond # designation 0 Q? 0 Emergency Overflow Elevation DIMENSIONS 0'0 0 Lot lines 0?p ? Right-of-way and street width (to back of curb) 0 0 0 - Proposed home dimensions including any proposed decks, overhangs. greater than 21, porches, etc. (i.e. all structures requiring permanent footings) 8' 0 0 Show all easements of record and any City utilities within those easements 9`_0 0 Setbacks of proposed structure and setback of adjacent existing homes 0 E--'0 Retaining w&U_.,requirements, if any October 1992 WAT ttt PER TYR) S RVICE t SCALE y 12 2 J s 3ITyp,) OOfo O ? ,f rp D V _ H 0 Q q g. 8' p V C. « Y °? 5Q3. 8"x6GROSS 6" BATE VALVE g--. 0 My • 4 ja 30 0 0 0 0 7 ti So v d. ro a6 / 4g / ro 8M TOP HYD. ?ry / y -- 4, z ELEV. 897 0 8 O J A, co BLK. Q. 5 HYDRANT W/ C e Bu x 6„ TEE 5 CQ `t CrJhAS's ti 5 0. o' 1 ° g" BEND flES NO N MH 14 /q 0{'.RvD ?OCP' R o e? .,'jRAOY :)F UTILITY IS FO DATA, AND oN s _I.EVFTIONSTHES ONU s; , 01 2 l ? F.( _ <J1, i0N PUAPOS c4 Va 32.5., . .326 s. ..` .rii.'N'• SHOULD >?' ?r. •_,• USING IT SITE• e c, t _. ;w:±10N ONTH- , R1V? •? `' to co Q, 'GD , _ ?m LS DRIVE r g F-: 3 o . o a L u? . H t TLir REVISIONS % f.' TER I O ENV E I OFF r` I POPE "0" COMPUI A I t OVI ---------------------- --------------------------------------- 1....L ;:L....., Plan ti' Date Owner Contractor Site address r 1. ) Total. exposed wall area --- :t:_'.6u--- --?d.,_f.t.._ .,.11..==_ ° 2) Total exposed roof/ceiling 1;3'•4____ _sGr.f.t...... .Q26=_ _3h.,..Z- Wall calculation Total window area Total .door area -- --- - ---- Total glass door area - ___66__ __sq.._ft__ ,::5= 2•. i_ Total fireplace area - --- Total wall framing area _ __186_ sg_.ft__ .U9= 16.7 Net insulated wall area - -1,683_- --s_y__ft,-, Uq:w= 7<'.4 Total rim ,joist area 161 .. .. foundation area 74 Total foundation window If item 3 is the same as, or less than item 1, you have met the intent of 2 MC)ARI.16008 A and O Roof/ceiling calculation Total skylight area Total roof/ceiling framing Net insulated roof area 4)Tot.a.l X9.9 If item 4 is some as, or less than you met the intent of 2 MOAR 1.16008 A and () Alternate building envelope design to utilize the total envelope system method the sum of items i and 2 shall he greater- than the sum of items 3 and 4 1.) +2) - r 3) I hereby certit.fy that the building here described meets or exceeds the state of minnesats energy conse2 valion act. Signed_ gco 1K WALL. CONSTRLIC,T ION BiIdr- il.:e Framing secli.on 1.. Interior, air film 2. 1/2" gyp. bd. 5 112" of -oft wood 4. 25/T biIdr i. t.ra 5' . Siding 6. exte.rinr air film CEILING CONSTRUCTION R- 42.0 blown i.ns. Frami,nu secLion 60 1. Interior ai.r" film .68 ..45 .._. 3/8" gyp bd. .56 f.,. a7 3. ;.i 1/2" wood 4. 37 2. OH 11. :LO" i.ns. 3:'.24 .FF1. total R 38,85 .1.7 U = I/R 026 Total R 11.06 U 1 /R Insulated section 1.-Interior air film 2. 1/2" gyp. bd. v. S 5/8 batl- ins. 4. 25/32 bildr-i.te 5. siding 6. exter-i.or° air film 'Intal R U = 1/Ft Rim 19ist section 1. l:nter-ior ;air film 2. S 1/2" bat.t iris. 1 1./2" wood 4. 25/3:1 bi.l.drito S. siding 6. eo-.ter-ior- ai.r, film Total. Fl 1.1 = 1/R Foundation section 1. inter-ior ai.r° film 2. 1" Styr-o ins. :3. 1.2" conc..: blk:. 4. exterior air' film Total R U 1/R .68 45 19.() 2. 013 B:1 J °7 2-3. 19 l`9.O ? . (A-1 04 .613 5. 00 1. 28 .:17 7.13 14 I1rsu1 ated section 1. Inter-ior air film .68 2. 5/8" gyp bd. .6 14" insulation 42.00 Total R 43.24 U = 1/R -.023 Special. condition rI/a ?XA')k:d:;cwJF:1;W.*:,%X;;: *," *X:(.YFP:Y;:'Mw•N..yN,c:XV);<„i)';) N :YFx CITY OF EAGAN f'A2iH:C1=.Fi: MG I'ERM VIAL. N0; 40 DATE'. 09/10/96 7IME° 15:.`.52;+'_'; ID". NAME a LARRY RAMSE:.Y 320 9001 3250 ROLLING HT 4;5.00 21:5 9001 03250 ROLLING NT 0.50 Total Receipt Receipt Amount: 45.10 CRO64129 USER ID: MARLYNN y6>kW.i<WW?kXtYFYF%?XO$$C`$)K?kX?YFdFYF?f 7K?X$(>k?}::nn<)nM:kY6NY6?°.?%?'?? .. . "CITY OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 028790 (612) 681-4675 Date Issued: 09 /10 /96 SITE ADDRESS: 3250 ROLLING HILLS DR LOT. 6 BLOCK: 5 BUR OAK HILLS P.I.N.: 10-15500-060-05 DESCRIPTION: ermit Type Iq,rk Type DECK NEW 434 ALT. RESIDENTIAL t c r REMARKS: FEE SUMMARY: Base Fee $45.00 Surcharge $.50 Total Fee $45.50 ??i CITY OF EAGAN • '?? 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 9_ 681.4675 C(L! RemodeVReoair Reouirements ? 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) ? I energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan 'd lot platted after 711193 required: Ye _ No DATE: [ CONSTRUCTION COST: DESCRIPTION OF WORT STREET ADDRESS: LOT _7 BLOCK PROPERTY Name: l?l?rn? P ?r kp,a62 Y Phone #: OWNER Street Address ?° / C CONTRACTOR City: 8bG a v? Stater _ Company: E- Street Address: City:. (w/- 0 (0/ Zip: S V l- Phone #: License Zip: ARCHITECT/ Company: ENGINEER Name: Phone #: Registration #: Street Address, City: Sewer & water licensed plumber: change are requested once permit is issued. State: State: Zip: Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that the inform on is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received Yes No Yes No RECENED SEP 0 3 1996 A4& Ui SUBD./P.I.D. #: , 15 1A BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 _-plex WORK TYPE ,e'31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: OFFICE USE ONLY ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ,"?l5 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. _: lzvl?& 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. -4,14 SAC Code _n_ Census Bldg I Census Unit O Building 1l t Engineering Valuation: $ % SAC SAC Units •5/12/1994 13:40 61'469i69N 1,,ZSTE-P7-N r 95SOCIT - P;•;£ 01 F -- - -- of for: ,99 SONAL RU'ILDE'RS INC 11 RESVICNCE FpR.'\ 1 . 1 , 0Y & 6YNN.'R?S7'Jp ti C l LOT 6, HLOCK- 5i w5s occordinq,to the recWde¢ pM thereof- i0-ROLLM HKLS DRIVE DAKOTA COUNTY, SOT q ?so j S83 -0 ' - r40 ti 10, C W web u~ 83Pr` ?. ? jj y l ca t It D. W. f h a? 2 .a,, y rJ' M S ' ?r ! r AOVCHM IT_- ' N , 834.95 4567 14 1000 - E 144 . 89 ?i!•33 ' ` 1 tS? ' ?! I'D ?? & 3 73 F J min °n, Y N ? 0 Q ,r ma i \ DRA OIACE & UTILITY ? / J.67 1 . pgL3 £A S£,NENT PER PLAT lZ y Cu- 6 V' x /ii 16.00 8fa./$ FU.00 48'14 % E ?f ^J car 7 q' 93-,c'3 LOT 6 / / r (1°5 ` /v C DJ DoT B / J 1.8 Dat•Ce ^ EAGAN ENGIL - 11 ?: er.rBACr N NOTE-- VERIFY ELEVATI DIMENSIONS P1flO CONSTRUCTION iM am( 19 flog o Denotes iron't4hument 983.5 . Denotes existing' efev. ' ?P$tYr?tP1t ?1SSOPttitP$, !1171'. (987.0) Denotes proposed elev. a Denotes Off-Set hub ---- LAND SURVEYORS --- ?+S 17 Top of block `elev. ' ' 1. = Top?of fin. gorogi flodr ,MOTH STREET W% W, LAKEVILLE. MINNESOTA 55054 = Top of bosemeilkfloor elev. 6iQNE : (612).469-1899 FAX: (612) 469-1896 SgS-n Indicates direction Ltil ce ilroinoge '?- i htITAMrrMr ua APRr w wDU?n,er r a a.oar w puler srmrmw s cawrsr ro lrE eEh w w uowcar uo enxr. w• FrtcVrm x uxon.a?xe-prwrr . C?qe r,oC000 R ut nppr4 ar wn aurecrec ICOPr[p T *rE Yrdf01. sv4n T NWf[isOMw smlrMS .M rwr , er . W.r t?r4p lop r?11?m r? t4 sr own d ,Kfn? m Wrmer. +er aaurw a' wi 9waes urwtq N w awa pp pr aadpw s w. +60.E rwwus¢xrs r !r . rq. w N sW rMY wtl w+n a ?m?so utVr to n? a[ *i.s nwn. r/YY/u^^//.,a..rm Ks rm; 1+° .a` e. uo vn u.arrr ¢ +eau[o oar ra .re .crow M*.ra axe wurr. F1aW 974ti 1 ? wrco .? 1! _wr u rwr j 7eD N0. ?/ --? , , ,_ " Dwr R pstagrpn 40wcaota Regrstraboir ho. f J I .,_ ? U S1 r i 1 CITY OF EAGAN CASHIER: S TERMINAL NO: 40 RATE: 05/28/97 TIME: 15:44:31 In: NAME: LARRY 1 RAMSEY 3210 9001 3250 ROLLING HL 34.75 2155 9001 3250 ROLLING HL 0.50 Total Receipt Amount,: 35,.25 CR074347 USER ID: NANCY ?k?##k?X? ?XX?k?Xc %cXc?k#?%?? %? kt?k?? ?c#?ztX? Y?Xt#?%XcXcY?1SXc?cXc %? J CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: BUILDING Permit Number: 0 3 0 0 9 7 Date Issued: 05/28/97 SITE ADDRESS: 3250 ROLLING HILLS DR LOT: 6 BLOCK: 5 BUR OAK HILLS 1ST P.I.N.: 10-15500-060-05 DESCRIPTION: SCREEN PORCH AREA Bu*ld Kj':Permit Type SF (MISC.) B?Jjding W?rk Type ALTERATION ,Census code , -v- 434 ALT. RESIDENTIAL iF' l _7 ? REMARKS: INSTALL SCREENING BETWEEN TWO LEVELS OF DECKS FEE SUMMARY: VALUATION $1,000 Base Fee $34.75 Surcharge u $.50 Total Fee $35.25 CONTRACTOR: OWNER: - Applicant - RAMSEY LARRY r 3050 ROLLING HILLS DR EAGAN MN (612)681-8261 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 1P Statu1AP nd City, of Eagan Ordinances. CAN T/PER IT IGNATURE ISSUED R .SIGNATURE 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?S' a S CITY OF EAGAN 3 Cj 3830 PILOT KNOB RD - 55122 1 681-4675 New Construction Reouirements Remodel/Repair Reauirements e 3 registered she surveys e 2 copies of plan Vb 4? e 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) e 2 site surveys (exterior additions & decks) e 1 energy calculations e 1 energy calculations for heated additions • 3 copies of tree preservation plan If lot platted after 7/1/93 required: _Yes _ No J' rn G DATE: CONSTRUCTION COS . " 00 DESCRIPTION OF WORK: ^°W E= (? ? ?c 1 ?? ? ? YS l Div cd S? h ?o'rc J o r nr I (,i D t- 1/ STREET ADDRESS: y 2 H LOT 66 BLOCK SUBD./P.I.D. #: ter ?' r r ht !/ d t11 PROPERTY Name: Phone #: OWNER .. ,., Street Address: 3a o klo fl. iv r City: State: Zip: CONTRACTOR - Company: Ce Phone #: Street Address: License #: City: State: Zip: ARCHITECT/ Company: -S (f/ Phone #: ENGINEER Name: Registration M Street Address: City: State: Zip: Sewer & water licensed plumber (new construction only): 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' correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: Q ??C OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes - No - Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation 0 06 Duplex 0 11 Apt./Lodging 0 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex 0 12 Multi Repair/Rem. 0 17 Swim Pool 0 93 SF Addition 0 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility 9'04 SF Porch 0 09 12-plex ? 14 Fireplace n 21 Miscellaneous 0 05 SF Misc. 0 10 = plex ? 15 Deck WORK TYPE IH54P.0i?A ?I be4wee,.. -)'A 0 !wets o-' e)ec%5 0 31 New or 33 Alterations ? 36 Move 0 32 Addition ? 34 Repair 0 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ 1_06D Surcharge Plan Review License MCMS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units F (Sertif irate of red for SEASONAL BUILDERS, INC`. WE FOR. "'`frj s+s n p ea m : E °Q Am 1.1`NN R,SUSEY LOT 6, BLOCK' KEWBE BUR OAK HILLS 1ST IA nn ?_ according to the recorded plat R? sr? DAKOTA COUNTY, ?MINNESOTA iNG IV?SPECYIONS DEPT. t NV,, ^ ML L S 17R1VE j? MIMI=TA ?r e -r l-\, o rc 1-I EAG ! ? SCA LE : I ,x' D I g?n.rs-s, 6R4 rs`? 1 ?t`<.'• $?•?.?p I44.89 j > fJ '° elf I Y3 y J 4 501+. - _ n M M r t1RAVA cE & UnC R T $ YE ?? e / ea 3? rAsswirNr PER f'LAr \ ? p 1 '? o h¢ a;b.6 ?jI a p L 4T S p a {; ` r3l Ply JJ °• r r? L?e l `v` 29.11 841/!1 w IJ' f4^ h w. S 86r4874 ""E E o_ E'q t. e r: i r. , t i RECORD OF COMPLAINT Date S/It.? gy Complaint taken by Type of building <L;4 L v Name Address 3 - s`-0 I I,`?? ?; Its Legal description (-0 3 5 ??? 0G L 11' 11 Phone number Complaint fz Action taken -Fv* Comments Signature BUILDING COM 1 AINT GUIDELINES • When a complaint is received, get the address, name, phone number, and a general idea of what the problem is. • Always have two City employees present to (1) verify the conversations, (2) offer additional opinions, and (3) lend credibility. • Get "both sides" of the story if there is a conflict. • Ask other inspectors and City employees if they are familiar with the address or the problem. • Contact other agencies or departments (ie. Dakota County Human Services, 431-2424; police department; fire department), if necessary. • Provide hand-out materials if they are available. • Maintain a record of inspections and conversations on a City complaint form. CITY USE ONLY L & BL RECEIPT#: 7979 SUED. 62U?-L DU J& RECEIPTDATE: 6/,/-t/9;2 1997 PLUMBING PERMIT (RESIDENTIAL) CITY 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 Mo TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ` minimum - t 3.00 x = 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 ' for dwelling under cont. 3.00 = jW GPSp1i'nk"fei- -` forgezi§tihd+"eliing/"- " 4 .. 20;QQ, i = ?O 7 Alterations ` to existing 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 TOTAL ??• S-D 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 applicant's 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/right-of-way/easement. SITE ADDRESS: _ OWNER NAME: INSTALLER NAME: _ STREET ADDRESS: CITY: vw r-mot. 7-z3--?7 10-r-eico 7GS-l PV9 )a N Lc- /ti + P) v-'^ -j TELEPHONE #: '75-3 - S' (o vr/115 LK--141'J, STATE: M !V, ZIP: 3 SIGN URE OF PERMITTEE PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES EACH TOTAL 3 1 f 3 SITE OWNER NAME: INST SHOWER WATER CLOSET BATH TUB LAVATORY KITCHEN SINK LAUNDRY TRAY HOT TUB/SPA WATER HEATER FLOOR DRAIN GAS PIPING OUTLET • minimum ROUGH OPENINGS WATER SOFTENER PRIVATE DISP. • Dak.Cry. lic. U.G. SPRINKLER • home under const. ALTERATIONS • to existing WATER TURN AROUND STATE SURCHARGE TOTAL: ^L. ADDRESS: /I r??yl/ 73 CITY:l f/ STA PHONE #: ( Q 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 1.50 5.00 20.00 3.00 20.00 20.00 .50 r? ZIP CODE 1994 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. NEW CONSTRUCTION ADD ON REPAIR WORK DESCRIP'T'ION: CONTRACT PRICE: FEE: 1% OF CONTRACT FEE. STATE SURCHARGE! $.50 FOR EACH $1,000 OF "*TI'j" , FEE. MINIMUM FEE: $ 25.00 CONTRACT PRICE X 1% STATE SURCHARGE $ TOTAL SITE ADDRESS: TENANT NAME OWNER NAME: INSTALLER: ADDRESS: CITY. PHONE #: STATE: STE. # ZIP CODE: FOR:. CITY OF EAGAN APPLICANT' 1994 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE CO LETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS Yn-IEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE FIREPLACE INSERT DATE HVAC: 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (EXIS'nNG CONSIRUCnON) FEES $ 24.00 6.00 9-OD $ 20.00 1994 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 STATE SURCHARGE .50 TOTAL idY? PLEASE COMPLETE FOR ALL COMMERCIALANDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES ('ONTRAC ' PRICE: 1% OF iN FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF PFUUT FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: TELEPHONE #: STATE: ZIP CODE: SIGNATURE OF PERMITTEE CITY INSPECTOR 1994 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 681-467S City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3250 Rolling Hills Dr Lot: 6 Block: 5 Addition: Bur Oak Hills PID:10- 15500- 060 -05 Use: Description: Sub Type: Work Type: Description: Comments: Fee Summary: e - Water Heater New Water Heater Meter Size Meter Type Contractor: Artisan Plumbing & Remodeling 13972 Ember Way Apple Valley MN 55124 (612) 750 -5892 Alex Blaylock 13972 Ember Way Apple Valley , MN 55124 PL - Permit Fee (WS & /or WH) Surcharge -Fixed Total: Manufacturer I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: Serial Number Remote Number Owner: Larry J Ramsey 3250 Rolling Hills Dr Eagan MN 55121 $50.00 0801.4087 $0.50 9001.2195 $50.50 Issued By: Signature Plumbing EA090995 09/02/2009 ePermit Line Size ø þ ÿþ ÿÿ þýý üþþÿÿí ì ÿ ìü íö ììì ÿ÷ ýüûúùø÷ôæ üúùø ÷ úùø÷ôæ õôæïøð øöü üêêíüøù Úÿ ýÝü é ðø ð ð Ýü ð û ðãñ ÿôôøÿþñ ñ ðÿ ÿ øãñ ñøñ ã ûðá Ýü ûùôÿñðù ðã éäêîä â ãêâì öü ýü ÿÙüäêîäëãà ãë àì Ùüêþã õíóí ÷òñ øø ôë ùØïðù ëìó ëìïÿö óøóõììê ÿóõìì ë è ëåë â ûùôÿ øø ñ ð ÿ ðøùô øøûý ñóýüùñ ÿí ã øøæ ðýÿü üùýÿü PERMIT City of Eagan Permit Type:Building Permit Number:EA108935 Date Issued:01/25/2013 Permit Category:ePermit Site Address: 3250 Rolling Hills Dr Lot:6 Block: 5 Addition: Bur Oak Hills PID:10-15500-05-060 Use: Description: Sub Type:e-Windows/Doors Work Type:Windows/Doors Description:House Census Code: - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Larry J Ramsey 3250 Rolling Hills Dr Eagan MN 55121 Clasen Home Services LLC 5440 209th Lane NE Wyoming MN 55092 (651) 462-4907 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA110793 Date Issued:05/29/2013 Permit Category:ePermit Site Address: 3250 Rolling Hills Dr Lot:6 Block: 5 Addition: Bur Oak Hills PID:10-15500-05-060 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Larry J Ramsey 3250 Rolling Hills Dr Eagan MN 55121 Clasen Home Services, Inc 5440 209th Lane NE Wyoming MN 55092 (651) 462-4907 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA124697 Date Issued:07/09/2014 Permit Category:ePermit Site Address: 3250 Rolling Hills Dr Lot:6 Block: 5 Addition: Bur Oak Hills PID:10-15500-05-060 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Larry J Ramsey 3250 Rolling Hills Dr Eagan MN 55121 Elite Home Services Of Minnesota 217 Old Hwy 8 St. Paul MN 55112 (651) 631-2000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA164814 Date Issued:10/08/2020 Permit Category:ePermit Site Address: 3250 Rolling Hills Dr Lot:6 Block: 5 Addition: Bur Oak Hills PID:10-15500-05-060 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jared L Peterson 3250 Rolling Hills Dr Eagan MN 55121 (507) 213-1570 Rji Professionals Inc 6063 Main St Suite F North Branch MN 55056 (651) 674-5158 Applicant/Permitee: Signature Issued By: Signature