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3257 Rolling Hills Dr
411,11 City of Eagan Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 2010 RESIDENTIAL �I ( / /6 Site Address: X25 Use BLUE or BLACK Ink Fes; q-aS( Permit #: Permit Fee: Date Received: / a -a_- lb 0OS Staff: IrVIC 7BU PERMIT APPLICATION J Tenant: Suite #: RESIDENT / OWNER Name: fli kP Ike Phone: 6S/- 6j ---4-67i 2 Address / City / Zip: 3'2$ A" 7 /4,,14//s- c 4, A sl SSI2-/ Applicant is: Owner X Contractor TYPE OF WORK Description of work: / t' t g o% Construction Cost 47/00.0 Multi -Family Building: (Yes / No ) CONTRACTOR Name: / A-1/ 1, g iiildtk, License #: 2 01/1/ 2-17 Address: 32/) Al 1 q 1G C.,/` City: f 4, 4„1 State: (11/1/ Zip: / 2.ii Phone: br/ —36-9 1-2-V Contact: 60blk.� Prav jc6 Email: � ipjaf ke, a Capt (41'h,, e I COMPLETE In the last 12 months, has Yes If yes, .N THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _No Licensed Plumber: Phone: , Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. l rtions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call 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.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance 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 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. x (ovrj PrAl Applicant's Printed Name x Applicant's Signature Page 1 of 3 INSPECTION RECORD I Control No. '918 CITY OF EAGAN PERMIT TYPE: 11 tt I 1 11 I N6 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: I OT = 10 If I V- 4 APPLICANT: 3261 ROLiiNO Hit.LS OR "RICO OLVELOPMENT I"t RUR OAK lilt[ IS (612) 089 4 461 PERMIT §,VPTYPE: t 41111 1 Hu iNSUI Ai fuN FINff'1 Aft' RI MARrI;is ', is 14 CON TNAC1Ak - R1CFIFIf-10 PL 841 TYPE OF WORK: NEW FRAMING FINAL Permit No. Permit "Older Date Telephone # SNV PLUMBING HVAC ELECTRI ELECTRIC Inspactlon Date insp. Comments Footings I 92 Foundation APIO Framing ?-74 sZ S Roofing Rough Pibg. o??T? / % L - c Ole- ? HN. Rough Isul. ?N Fireplace ?A 3 3 T3 Final Htg. T Q Orsat Test Final Plbg. Plbg. Inspector - NoWy Plumber Const. Meter EngrJPlsn Bldg. Final Deck Ftg. ?`.2/Q 2{J Deck Final Weil Pr. Disp. LA Wertificate of CccupancV crit) of Vagan zeartmcut of zuffbing 38#0cctiaa 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: SF DWG/GAB 1036 Use Classification Bldg. Permit No. Occupancy Type v Zo ning District _- _ v-_1yoe.n]Ai OlYY .' 55419 Owner of Building 6ddress 32:51 ROLLING UuK? s 34, Building AddRSS .? Locality !y' 4- Date: Ba' Official POST IN A CONSPICUOUS PLACE Address 3257 ROLLING HILLS DR Zip 5512 Lot 10 Blk 4 Sub BUR OAK HILLS THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: ? S W Yes No Inspector: L{/ Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch 1 -7 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 Date Fire No. Roughr;n Inspection Required? ? Ready Now Will Ni ity Inspector if tli!,Yes Oka When Ready? I Q. licensed contractor O owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route Na.) 3 li 4 6 i Ciry 2,5 t Ac, r;VL . s a 0t• Section No. Township Name or Range No. County ./). A /<a Occupant lP NTI nn ? VQ l0 T) 4- 1^'? Phone No. (1 4/ tA, Power Suppler P Atldress P ?] eW Qf f Electrical Conir tlor ICampan Name) _ E Contractors License No. C? B iS9y le'rS oyl Mail g Atldress IConlractor or er Making Installation) 0, S: L j W SS ?3 o 116 AutM1On 9gnat rac1to/rr/?O/wne?r Makin : tallation) Phone Number ?- M11 ESOTA STATE BOARD OF ELECTRICJR" THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 551" UNLESS PROPER INSPECTION FEE IS Phone (612) 6024,808 ENCLOSED. /?/?, /9 ,-;t--REOUEST FOR ELECTRICAL INSPECTION `- EB-001001-08 ,.. j 37139 X" Below Work Covered by This Request I V, New Add Rep. Typeof Building . _AppliaricesWired - ; EquipmentNlire Home Range Q e Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specily) Contradar§ Remarks: Compute Inspection Fee Below., # - Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 10 Amps Signs Inwedor5 use Only: TOL Z Irrigation Booms ?' ?U y? r 1 J Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 1S MONJt5 I, the Electrical inspector, hereby Rough-in Date V 7 certify that the above inspection has been made. Final Dat OFFICE USE ONLY This repuest void 18 months from RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN J- 3830 PILOT KNOB RD, EAGAN MN 55122 651.681-4675 New Construction Requirements RemodeVReoair Reaulraments • 3 registered site surveys showing sq. ff. of lot, sq. ft. of house; and a_II roofed areas • 2 copies of plan (20% maximum lot coverage allowed) 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 R decks • 1 set of Energy Calculations Indicate it home served by septic system for additions • 3 copies of Tree Preservation Plan I lot plotted after 711193 • Rim Joist Detail Options selection sheet (bidgs with 3 or less units) DATE 51251 0v;? VALUATION G 0 OOD SITE ADDRESS 5 51 Ro -A ?AA,IS O- MULTI-FAMILY BLDG _Y _V/N TYPE OF WORK _D3 7XW r APPLICANT 1 l ?) tC I STREET ADDRESS -10 TELEPHONE 41(rF?-00-'4W©CELL PHONE # /U..4 STATE Oh) ZIP ? Cil FAX# ?6 i-29Q 0QE) PROPERTY OWNER CY?Iy,`- Icy 1 G TELEPHONE #69-Rb-4212- j Ij --------------------------------------------------------------- -----°------------------°-°-- COMPLETE THIS SECTION FOR uNEW RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MI (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • _ o h? • Energy Envelope Calculations Submitted MAY 2 3 2001 r Plumbing Contractor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler rcc-. ay 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 # 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 Eagannn I once . /? Signature of Applicant a 4V/ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ I&- cAwt ? FIREPLACE(S) _ 0 _ I _ 2 Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-piex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or_ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous „ ? 30 Accessory Bldg ? 31 Ext. Aft - Multi ? 33 Ext. Alt - SF ? 36 Mufti ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) 13 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 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 Bklgs Length Fire Sprinklered Type of Const Width REQUIRED I NSPECTIONS - Footings (new bldg) _ Final/C.O. _ Footings (deck) _ Final/No C.O. - Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water Final - Pool _ Ftgs _ Air/Gas Tests -Final - 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 INSPECTION RECORD Control N 0798 CITY OFEAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 001036 Eagan, Minnesota 55123 Date Issued: 07/14/92 (612) 681-4675 SITE ADDRESS: LOT: 10 BLOCK: 4 APPLICANT: 3257 ROLLING HILLS OR BRICO DEVELOPMENT INC BUR OAK HILLS (612) 869-7481 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW INSPECTION TYPE FOOTING DDATE INSPTR. INSPECTION FRAMING DATE INSPTR. INSULATION FINAL FIREPLACE REMARKS: S & W CONTRACTOR - RICHFIELD PLBG PERMIT Control No. 0798 CITY OF EAGAN P 3830 Pilot Knob Road ERMIT TYPE: suILDING Eagan, Minnesota 55123 Permit Number: 001036 (612) 681-4675 Date Issued: 07/14/92 SITE ADDRESS: 3257 ROLLING HILLS DR LOT: 10 . BLOCK: 4. BUR OAK HILLS DESCRIPTION: .Bu!I'd-i?ng Permit Type SF DWG Buildint}...Work Type NEW UBC Occupancy R-3 M-1 Construction Type V-N Zoning R-1 Building Length i 67 Building Width 34. } „UnF REMARKS: C 09 Fq S & W CONTRACTOR - RICHFIELD PLBG FEE SUMMARY- Base Fee Plan Review Surcharge SAC SAC % SAC Units Lic. Search Fee Subtotal VALUATION $811.00 $527.15 $74.50 $700,00 lee 1 $5.00 $2,117.65 $149,000 MISCELLANEOUS $1,610.50 Total Fee $3,728.15 CONTRACTOR: - BRICO DEVELOPMENT INC 5700 COLFAX AVE MINNEAPOLIS MN (612) 869-7481 pplicant - ST. L 18697481 00070 S 55419 BRICO DEVELOPMENT 5700 COLFAX MINNEAPOLIS (612)869-7481 INC AVE S MN 55419 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. ?-? APPLICANT/PERM E SIGNATURE ISSU D 8Y/ ATUR? PERMIT # REA1CTIYA7E _ 103 CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 X57 $? r3 D3, SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up.by last working day of month in which request is made or lot change is requested once permit is issued. Date :74(4- 4, valuation of work Site Address: 3 57 R/JLL/i?? A(//-/,-( RIVE * A"/ STREET SUITE R Tenant Name: (commercial only) LOT le BLACK SUED. Z3uQ DAB HILLS I.D. #10155_601000V- FP- Description of work: NE• tf I+T/L The applicant is: 19 Owner O Contractor 0 Other (Describe) Name 13x,,-n nrv?/nPyFVr 11vc Phone g69-9Y8/ Property LAST FIRST Owner Address 570o cez"x- AI1?a-, ro. STREET STE / City MiN?IBABD<Ir State n71V. Zip 6SH/9 Company DRrco 1?FU??o.nrrrrr /nIL Phone ei? 9-7y,r{ Contractor Address 7 o E. License #/)ooy ov/, Exp.3/34 City N7?nlurypoc?r State ar,.I. Zip .ASH/4 Company PIt//_L/P.r P6RNN/n/fr /N Phone V3,9 96441A Architect/ Engineer Name A4,#Rm N/&,cE, Registration # Address 117.So 1r?4/Axiom Ar/E ciiirE /09, City f1'rP[B r/>ILLe(- State ln^). Zip SSIa 1-14 Sewer & water licensed plumber ! /L tli? I Processing time for sewer & water permits is two days one area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply IN all appable tate of Minnesota Statutes and City of ? Eagan Ordinances. '"? ?---- c' mature of Applicant: ,,z 0 OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging W02 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. Add'l. ? 15 Deck WORK TYPE Ir 31 New 11 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish Const. (Actual) V- N _ _ - Basement sq. ft. MWCC System (Allowable) Q 77 1st F1. sq. ft. City Water yid UBC Occupancy R-3 M-i 2nd F1. sq. ft. PRY Required Zoning 2 -1 Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length ?q• On-site well Census Code /01 Depth On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site ? Footing ? Framing ? Insulation ? Wallboard ? Final ? Draintile ? Fireplace Permit Fee vatustim: $ 1 45 000 Surcharge , Plan Review (5ARAGE! License MWCC SAC a`lx3Z=Was)elfoe I22$$ City SAC T, Water Conn. Water Meter IZoy Acct. Deposit S/W Permit S/W Surcharge 6 Treatment Pi. Treatment SJ X i Road Unit 1216 A 15:.- /62c10 Park Ded. Trails Ded. 1sT rLooQ Copies Other 65m l . 12,1 h 1c 5;'3= by 9 q Total: 2nD f7L 00 a SAC % SAC Units x2>t?l0a8X53= M. l oo F CARDARELL E & ASSOCIATES, Inc. '941-3031 Land Surveyors Eden Prairie, MN 55344 (tier of ira tle Of *urUep Survey '869 7481 N S8 Scale: 1' - 30' o Denotes Iron Mon. PrcPtlbec? 1?F?oor ?cvr.?lr. ProPosC ... ar, FoorJEW- 8$_b,D' Ch b- W r Ptop9g?._}.ges Elasr_?_i?Y $g?o- rn 0 0 0 2 h Book_341 Page4,g__ File 903 95.02• a 890, g Aala'e dM rd N V use eaS - 31:.0` ' 890 4- 5 DoT! 10, ; ?,o of e. 4 W I ?S• ? ? -16 %9 N. w b ? 0 All 6 v r% 88616 2 N m u A s?, I . ? ; ? 'gam S ro°aoo N !V 9 M?I nfifC M ?10 0 4t 60 Q 9,3 05, '17'0 - I s81,yo 77 rH STRE I hereby catily the this is a true and =r rWasanlatiion at a survey d the hounderin "UM 1. V alOCS 4 0 %J [11118 7'1n L'iYbtir.i. fiounty, Minnsataand d the location d all bulldlrgs d n, and dl _sbg? vbble a ,aachments, 4 any, from or on said land. Surp,"ed by me STATE REG. NO. 6508 ? ? cJ 71,fi??7,1: c/ ?JU/LUIZIL, d 9ZC. 14750 Galaxie Ave. Su tc 104 Apple Valley, Minnesota 55124 (612) 432-2044 EXTERIOR ENVELOPE AVKy A,GE "U" COiVFLnATION N' " BR e n ?e?U?L?r ?, ?NI ?LAN NUNBER /o Determine working- square footage of each 1. Total exposed wall area..... 2'_:{5 sq.ft. X .11 = 2>:z, 1S 2. Total roof/ceiling area..... 171e 4 sq.ft. X .026 5,g(? Total exposed wall area above floor = /94,a a. Total :call window area .................. b. Total door area ......................... c, Total sliding glass door area,.,......... d. Total fireplace wall area ............... e. Total wall framing area (average 10°)... f. Total neL +,vall area above f oor,........ g. Total rim joist area .................... Total exposed foundation area 17?. Z SZ,3 3v / Q h. Total foundation window area....,,.... I. Total net foundation area above Erade... i 7 Determine "Ii" value of each wall aea next b, x "U" 139 = 7,27 C. X nUu 52 = G,7 d. X "U" 68 e, X "U" 096 = 89 f. X "U" 043 = 70. X nUn .044 = 7. k? h X nUn F2 = - 3. TOTAL ......................... \1 zy7,? / If item #3 is the sane as, or less em #% you have met the intent of SBC 6006 (c) 2. Total exposed roof/ceiling area = 7 ? y Total gross roof/ceili.r, area = i, Total skylight area .................. k. Total roof /ceiling framing area ....... i 7 , y 1. Total net insulated rocf/ceilinP area. /5 7.4 Determine "U" value for each roof/ceiling, segrent j x null - _ = G Z ?, k. X "U" .024 1. X "U" .022 = 3 y , 93 4. TOTAL ........................... .f'' S 1 If total of A4 is the same as, or 1 #2, you have met the intent of SP,C C0Q6 (c) 1.. 'To utilize the total envelcpe system: method, tare values established by the sun, cif items #3 and #4 shall not be greater than the 3u7r! of items #1 rind #2. 1. + 2. _ ? - 4 = Tia.terials Ther al resistance "R" Exterior air......... Siding material...... Sheathing........... Insulation.......... Sheet-ock........... r. Interior air........ Studs ................ Rim.... .............. Concrete blocks...... -2- CITY OF EAGAN 3830 PILOT KNOB ROAD FAGAN, MN 55122 PHONE (612) 454-8100 CHANICAL:.:PBRMI'?: WDBNTIAI:c FEES NEW CONST ADD ON REPAIR OWNER NAME: z t %'r n :61 1 tS SITE ADDRESS: " N LOT: 0 BLOCK 4 SUBD. /1C& INSTALLER: - /96 e.,A 17?? ADDRESS: SJ / Z / l9-!7 l ,? CITY: ZIP: .S Sc? S 2 PHONE #: !?%d S/- /2 3?_ 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIMUM FEE. PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING MT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: PHONE FOR: CITY OF EAGAN -------------------- ----------- ---------------------------------- WORK DESCRIPTION FEES PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR RMIM UNIT, ZIP: CONTRACT PRICE x 1% $ STATE SURCHARGE $ TOTAL: FOR CITY USE ONLY PERMIT # RECEIPT # DATE: O ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SUBTOTAL: $ '? 7 STATE SURCHARGE: .50 TOTAL: ??? 'D " • `=a &fGNATURE OF PERMITTEE (SIGNATURE) L L 6L/7? A CITY OF EAGAN SUBD. (J(t?r (S??(. ?dK?o P(6) P-ERMIT RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. CONTRACT PRICE: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST I/ REPAIR/ADD ON 15.00 ADD ON + SHOWER 3.00 3 REPAIR _ WATER CLOSET 3.00 S °O BATH TUB 3.00 Zf LAVATORY 3.00 16 OWNER NAME: 1 _L KITCHEN SINK 3.00 3 - ? LAUNDRY TRAY 3.00 5 ! SITE ADDRESS : a l l i to (,? l(5 r l HOT TUB/SPA 3.00 WATER HEATER 3.00 3 1- FLOOR DRAIN 3.00 3 INSTALLER: 57 $Et nj kv^ rtv_S w r u c' 1 GAS PIPING OUT. (MINIMUM - 1) 3.00 3 °a ROUGH OPENINGS 1 .50 ADDRESS: J 4SOO I- A ?? 1- C yzeO OTHER 1 WATER SOFTENER 5.00 CITY: A 10 ZIP: PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE _ W. TURNAROUND 15.00 S?7.S o STATE SURCHARGE .50 TOTAL: COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: SITE ADDRESS: TENANT NAME: SUITE #: INSTALLER: ADDRESS: CITY: PHONE FOR: ZIP: $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE $ TOTAL: CITY USE ONLY RECEIPT ('. 9 <? IO 11 DATE N i cr ALSO, FOR TOWNHOMES AND CONDOS (SIGNATURE) CITY OF EAGAN Citi of Eaaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: ! 73 Permit Fee: Date Received: `r Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Vel .10C) .1)41 Site Address: .3 2,15 12DL.4111ea 141616.4 uongli b J Tenant: Suite #: RESIDENT / OWNER Name: MIKE ST 60486,IM1-t'! Phone: l -l4 (P' ZOICM Address / City / Zip: 3 151 (20‘,A.te Applicant is: Owner Contractor TYPE OF WORK Description of work: r'1 µSK t . 174416 talaT Construction Cost: 4-5pCPCZ6 Multi -Family Building: (Yes / No ) CONTRACTOR Name: /j i1/4 htb.4 �ta Stew1rCU> License #: VE3 2 Address: T i 40 4j =sto 14 City: 120Pir State: r` " Zip: IfT22 Phone:'k) f . b13 S 2 Contact Person: K / t +4. cb4JAI COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: E: Plans and in f afiorr m a p(llfllc''. lude CALL BEFORE YOU DIG. Call Gopher State One Call 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.gopherstateonecall.ora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance 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 t 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 app ••f plans. • •ca S' • n"' EctEmail tiu JAN 0 4 2010 Applicant's Printed Name Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair (25%_ 100% ) ) Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace: _Rough In Air Test �C Insulation Meter Size: Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Final Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation — Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required ( Final / No C.O. Required HVAC Other: Pool: _Footings Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Erosion Control , Building Inspector � 4 r yO ID'10)(s qo 0 Page 2 of 3 City of Eagan Eagan, PERMIT City of Eaan Permit Type: Plumbing Permit Number: EA092694 Date Issued: 01/29/2010 Permit Category: ePermit Site Address: 3257 Rolling Hills Dr Lot: 10 Block: 4 Addition: Bur Oak Hills PID: 10-15500-100-04 Use: Description: Sub Type: e - Fixtures Work Type: New Description: Basement Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Dis McDevitt 112 East 5th Street, Suite 101 Chaska, MN 55318 Fee Summary: Valuation: 3,200.00 PL - Permit Fee (miscellaneous) $50.00 Surcharge -Fixed $0.50 0801.4087 9001.2195 Total: $50.50 Contractor: Steinkraus Plumbing 112 East 5th Street, #101 Chaska MN 55318 (952) 361-0128 - Applicant - Owner: Michael T Steenberg 3257 Rolling Hills Dr Eagan MN 55121 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. Applicant/Permitee: Signature Issued By: Signature City of Eagan Eagan, PERMIT City of Eaan Permit Type: Plumbing Permit Number: EA097157 Date Issued: 11/24/2010 Permit Category: ePermit Site Address: 3257 Rolling Hills Dr Lot: 10 Block: 4 Addition: Bur Oak Hills PID: 10-15500-100-04 Use: Description: Sub Type: e - Water Heater Work Type: New Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Eric Bruckmueller 3992 Pennsylvania Avenue Eagan, MN 55123 651-686-6696 Fee Summary: PL - Permit Fee (WS &/or WH) $50.00 Surcharge -Fixed $5.00 0801.4087 9001.2195 Total: $55.00 Contractor: Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 - Applicant - Owner: Michael T Steenberg 3257 Rolling Hills Dr Eagan MN 55121 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. Applicant/Permitee: Signature Issued By: Signature City of E 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink 1 For Office Use F }� 1 Permit #: t9 ' /q-7� D0 � Permit Fee: Date Received: //7 - 1'3'1 Z 661k Staff 2042 RESIDENT IA L BUILDING - P APPLICATION -) - - Date: (n- 1'-I2- Site Address 32-5-7 (Lot i >tulUnit#: [c..(1 --17111<i461 < 1 Address / City / Zip: 'j 251 l2oLi_.tN j -t 1.1.„S D2a l x plicant is: _ Owner )C Contractor Phone: G 5t - (c i3G2 -lo..3O7 Description of work: rY fi-STf;iZ eNcrrli r1x g, 12.err)one- r' F3 Construction Cost: a000 Multi -Family Building: (Yes / No 'X l�vt LOIS Company: ' ert.u1-jt2,c.6 DESIC.ct.IPILS 4 Contact fa-tCa(l21LE1 State: M I Zip:z', S'i 22 Phone: -7 (n2) - C;0" - .s; 4 License #: 6C-00 2. 2 Lead Certificate #: la e$1,‘ 411 1001 00e5 6,315 the project is -exempt from lead certification - please explain-why(see -Page_ afar-additioflal-lnfor,ma io.,ation) 1))U i LT Irk V19 2 - COMPLETE 2 - COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a mastrsr plan? _Yes No if yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Phone: Phone: Sewer & Water Contractor: Phone: supper° fe(g den,cartents that you subrrut are considered to be public irifesrrrtation. Portions of ,. he informations may be classified as non-publicif you provide specific reasolts that would permit the City to conclude teatthey are rade ,seciets CALL BEFORE YOU DIG. Call Gopher State One Call at (651} 454-0002 for protection against underground utility damage. Call 48 hours before yo,, intend d° you todig_ to re-ccive locates of undergrounti utilities. .p.00pherstateonecaii.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that 1 understand- this is not a permit, butonlyan 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. Exterior work authorized by a building per tit issued in accordance with the Minnesota State Building Code must be completed,withic 480 days of permit issuance. A.pplicant's Printed Name x Applicant's 5gn Lure Page 1- of 3 DO NOT WRITE BELOW THIS LINE /oso-ate SUB TYPES Foundation Single Family Multi 01 of _ Plex 3.;) Accessory Building WORK TYPES New Addition 5— Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100%y Census Code-_ # of Units #-o#-Buildings Type of Construction Fireplace Garage Deck Lower Level interior Improvement Move Building Fire Repair Repair REQUIRED INSPECTIONS Footings (NewBuilding)-- Footings (Deck) Footings (Addition] Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace: _Rough in =Air T 4_ Insulation Sheathing Sheetrock Reviewed By: Porch (3 -Season) - Porch (4 -Season) Porch iSccreenfGazebolPergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Flfiat Siding Reroof Windows Egress Window _ Storm Damage- Exterior Alteration (Single Family) Exterior Alteratiin (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage 'Demolition of entire building — give PCA handout to applicant trt,L vVlts-PL.vJ7 DACES System SAC Units City Water Booster Pump PRV Fire Sprinklers- - Meter -Size Final / C.O. Required* Final- t No C.0: Required HVAC _ Gas Service Test Gas Line Air Test Other: Pool: Footings AirtGas-TestsFinal Siding: _Stucco Lath Stone Lath _Brick Windows Retaining Waif Footings_ Rarkfiii_ Final Radon Control Erosion -Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Y 9-o Lig Page 2of-a '* City of EaQau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use /I Permit #: `r J 2 -72 - Permit Fee: e��� Date Received: lir 7._124- 9 ) Staff: 6) 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: '7"-)----t Site Address: za\ 1 Rot l i11t r✓ ` Tenant: Suite #: Phone: 6 -1 -(>5.C -C-60 Address / City / Zip: / Name: c5T I �'I/LL t.�S PlU/14/ 15 -Z- License #: 06Y)65 -6 -- Address: (1 L S SV ' `Ioj City: , kc, State: / tV" Zip: Contact: tJ 1 Phone: e1 a-3 6 /--O; 2 w Email: a/S 4M 57' 1 ,6-cv />7 //,(-4-4l' c, + Cd /"1 _ New _ Replacement _ Repair Rebuild _ Modify Space _ Work in R.O.W. Description of work: RESIDENTIAL Water Heater Lawn Irrigation (_ RPZ / _ PVB) Septic System New Abandonment Water Softener %'C Add Plumbing Fixtures (q Main / _ Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $189.00 if a 5/8" meter is required) ${0 $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) �- TOTAL FEES CALL BEFORE YOU DIG. Call Gopher State One Call 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.gopherstateonecall.orq I hereby acknedge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City f Eagan; thderstand this '> not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be naccord.r h therov).rlan in the case of work which requires a review and approval of plans. j� x L9/35 /1 DC -111 x Applicants Printed Name OR OFFICE U ;squired Inspe Applicants Signature City of Eaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: /05:.-3-27 1167 2012 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. M'GLvDV- Date: '7- /0-0- Site Address: Tenant: _ Suite #: RESIDENT / OWNER Name: M,7e, S7e(�✓�� Address / City / Zip: l ih.. Name: Phone:rV 57 - (gp- 6030- 530-, 7&9 ' 530-, 'PVTAG/NiA) Address: 4314"2-,..6 S ka,(,t,t{ Dec City: •t'l yt--Ch �J I Phone: q5; %3 5�'.. I ( License #: State: Zip: 3L4 3 Contact: ` Email: New Replacement Additional X AI eration Description of work: 4111 Demolition NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL Furnace Air Conditioner _ Air Exchanger _ Heat Pump g 1 Other 1 COMMERCIAL New Construction _ Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under / Above ground Tank ( Install / Remove) RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x 1% $60.00 Minimum (includes State Surcharge) - If the Permit Fee is less than $10,010, surcharge is $ 5:00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) = $ Permit Fee _ $ Surcharge = $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454.0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance 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 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. x Applicant's Printed Name FOR OFFICE USE Required Inspections: Underground Rough In Reviewed'By: Dater Air Test Gas Service Test In -floor Heat - Final HVAC Screening Use BLUE or BLACK Ink � r-----------------� I For Office Use � � � Permit#: /�� !GI� � City of ���a� � p mi F : � �� � er t ee 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: � I i 2014 RESIDENTIAL BUILDING PERMIT APPLICATION � �%r �zS� /20/l�� (�,�lls p�- � Date: ��'/� �1 Site Address: Unit#: r�.� a� �,�, a �/� "�� Name: !"� f���d- fi�� .�c���. .��'� �e /':� Phone: �'S"-�_ �lJ 2 - S�� R�S�d'�n't/ j'LS`'7 f`.��� � � `C1W11�P Address/City/Zip: t�t5 Kv l�C � �c,�`, � ✓v :S'1�C 2 J �;��:`� �d Applicant is: Owner Contractor � i i��; �� . i���" Description of work: 2 ����w� Typ��f WoCK���,,� �� Construction Cost: � / S�``� Multi-Family Building: (Yes /No J�) , Company: � �,c/ L ����'/c��i�y Contact: ���I Tv'-�-�k 5 � J '* Address:_�Ll � �`'rK �� � �'— City: �`���� f�"Qtl'��C�fit'� , State: M� Zip: s3�L- Phone:��I 3�,—,S�ZJVEmail: �j' l��''tis(�-� `�<�'-�-�CGShn�c [� �� License#: y�� Z( 7 Lead Certificate#: �� If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: NQTE':Plans and svp�artin�da��m���s tha�yc�r�submit ar�.c�nsidered to be p�r�rl��ir��vrm�tien, Fvr#ians c�f fh�infr�rmatian may Lie�lassifiea►a.��arai�p�blic if�rau praviale specl�ic reasur�s tlaat wouJd��rmif the Ci#,y�o car�cCut�e#�rat the' are#r�d'e�ecre#�. ' CALL BEFORE YOU DIG. Call Gopher State One Call 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.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance 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 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. X �� t���S� X .s��-�,.,��c� Applicant s rinted Name Applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink . For Office Use i 1 :111.Wk .1 4-( 0_ Pem-tit#: igitiot 7 ki1 i I... Ci y nf tin 0-n I, 01 ha an R. Permit Fee: 1 q 9' 70 3830 Pilot Knob Road Eagan MN 55122 F,L.-CEIVED Date Received: _ - a- 'I Phone: (651)675-5675 ,IN,Ilf Fax:(651)675-5694 MAR 0 8 2017 Staff: yaw L 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: $- 1 - 1 1 Site Address: 3251 r?oLt.)14c, 14 (L .4-- D tz‘vE unit#: : 1 i Name: MwE ' TeEt...4.0,er2 6, Phone: Resident! i Owner Address/City/Zip: ;I I i ; ; 1 ; Applicant is: Owner 42cContractor ; 1 1 ; ; g Description of work: tk.o.... Y.Wfiet 14440 p.u.,..„ C200.... 12e.tol1/400 -1,- Type of Work I, l 1 Construction Cost: 1.4000, Multi-Family Building: (Yes i No A ) i 4 , .t• Company: AVY1-40fCS e4Ad.v.toot.c. Contact "Diftst-t ktil,Ct\ittofolt.ki ; - i Addre .ss414o 41- vo Ave 0 city: Contractor . State:MU- Zip:liS-i.Z.d t Phone:1c1/22-06-2.-Email: t)tiiittAMeolNACNi.X ie SwIwitottAeUSK.cC>OA • . License#: cpCO4)2 12 t3;,-Z- Lead Certificate#: (Jr - 2-45 ecAl - 1 If the project is exempt from lead certification, please explain why: i , Bui,..or- If t‘i COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 1 In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? : Yes No if yes,date and address of master plan: Licensed Plumber: Phone: t ; Mechanical Contractor: Phone: 1 Sewer&Water Contractor: Phone: i ‘ i Fire Suppression Contractor: • Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to _conclude that they are trade secrets._„___,.._ CALL BEFORE YOU DIG. Call Gopher State One Call 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,qqpb•crstiroonecall cyq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance 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 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. Exterior work authorized by a building permit issued in accordance with the Minnesota. - Buildin. Code must be completed within 180 days of permit issuance. A it A 1 i gilthl, •grilik _, _ -4.---- . x rit, 6. -.1 % Applicant's Printed Name Appli . t's Sig,ature Page 1 of 3 - I:--) ,7 4— - .{1e1N1 iti ffli I- 7-) --- (:) DO OIT iWRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Porch (3-Season) Exterior Alteration(Single Family) -- Single Family Garage Porch(4-Season) Exterior Alteration(Multi) — Multi _ Deck — ___Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of Plex Lower Level Pool ______ Accessory Building — WORK TYPES Demolish Building* New Interior Improvement Siding - ____ _ Addition Move Building Reroof Demolish Interior it..Alteration Fire Repair - Windows Demolish Foundation Replace Repair Egress Window Water Damage _ Retaining Wall *Demolition of entire building--give PCA handout to applicant DESCRIPTION Valuation 1-4_51,0 Occupancy 1.111,4j 4, MCES System — ,0- Plan Review Code Edition fj go Ls SAC Units (25%_ 100%y ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction _ VO Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final I C.O. Required Footings(Addition) .x. Final I No C.O. Required Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test Roof: Ice &Water _Final Pool: Footings Air/Gas Tests _Final Framing 30 Minutes _ 1 Hour Drain Tile Fireplace: Rough In Air Test _Final Siding: Stucco Lath Stone Lath _Brick EFIS Insulation -- Windows 5010, re,p3(1, _ Sheathing Retaining Wall: Footings Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Wails Erosion Control Shower Pan Other: Reviewed By: 11 , Building Inspector RESIDENTIAL FEES i tit t li Base Fee 4,,.. Surcharge t:1 ti Plan Review cl .Y L'c MCES SAC 4i( (2 ° 0 City SAC 61(40' V ,,,,tiei c r i„ Utility Connection Charge Au Orli"' S&W Permit& Surcharge e 0v-i „--- ---- ----,...?„ Treatment Plant V ' Copies /e car-'6=0 4 • s--- --46. ci 11( 5 TOTAL Page 2 of 3 Use BLUE or BLACK Ink For Office Use pit' ' rz1 tU Permit#: i-1 I b �o City of Eaall /� Permit Fee: te 3830 Pilot Knob Road Eagan MN 55122 Date Received: ' f' Phone: (651)675-5675 1)- Fax: (651)675-5694staff: J 2017 RESIDENTIAL PLUMBING iMBING PERMIT APPLICATION Date: ' '�3 1 l Site Address: 11(1�� b .I ` ti '1 V_ Tenant: , �, Suite#: �s S' 4- r" Name: Ft t "t c: Phone: ` Address/City/Zip: Name: 57elr►KIc4 !7e/ _Li - License#: 0 SV66-5 ' 1! . _ i 6-4-t, S rt T- 5v,4---c-_ 6ty(. r,l<c5 Catttrtor .' Address: 'art' e ,,,0' State: /i'1'V Zip: J l 9 Phone: 9..5. - t3�s('-012.7 n t Contact: ( i T Email: t'oC -e�L1k ;,s f'(J►^L , (0.11 Y ewtrt, —New Replacement _Repair Rebuild —Modify Space Work in R.O.W. }, .` Description of work: i4'k�../ t'i4. �v ;�.1 ex�s�v (1 i-)L, a YWo •-- i .J-i-,, RESIDENTIAL t '. " Water Heater Water Softener 'P1. yi'e Lawn Irrigation(—RPZ/—PVB) ° �(idd Plumbing Fixtures( Main ILower Level ,* Septic System — ) 4r i New Water Turnaround ,, •. : —Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) / TOTAL FEES$ l/i CALL BEFORE YOU DIG. Call Gopher State One Call 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.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance 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 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 x 15 C-DeA)1t x Applicant's Printed Name Applicant's Signature FOR:OFFIC USE' r ' , , Reviewed �By Date Required Inspections: Under Ground. Rough In Air est <uGas, "est, Fi ,, Meter Related Items: Meter `� � � �` � �� Size v Redic Read Ma meter off , Pidal.,5 fj.t.t- C -1 VW C-1\-Q.Lt For Office Use M � �� �� ::::ee E AGA : APR 1 6 2018 Date Received: 'II& —iff 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: �1 buildinginspections(a)citvofeagan.com L _ —2018 RESIDENTIAL BUILDING PERMIT APPLICATION 1,✓ Date: Site Address: 4/10/2018 3257 Roiling Hills Dr Unit#: �� Mike Steenberg (651) 686-6302 Name: Phone: R0sidein#/ �,- wi r Address/City/Zip: 3257 Rolling Hills Dr Eagan MN 55121 Applicant is: Owner X Contractor Y P Description of work: Installation of a flush, roof-mounted solar PV system. ' i tai 1/cxl _. Construction Cost: Multi-Family Building: (Yes /No X ) Company: ALL ENERGY SOLAR Contact: Kristen Anderson 1642 CARROLL AVE ST. PAUL Contractor Address. City: State: MN Zip: 55104 Phone: 651-888-4173 Email: kristen.anderson@allenergysolar.com License#: BC665819 Lead Certificate#: If the project is exempt from lead certification, please explain why: LESS THAN 6 SQFT DISTURBED. COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: Nt 1 plaits and suppor i g docu is fhat 1 tt sttbt it a considei t to be public 1r► ,*mat an Portio of tit e�rm tion classified as rn -public If` rprovide� c�soz� ,at ould peri» ; it r+ u " at they fs 1;,, .. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeanan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call 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.000herstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance 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 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. x Kristen Sachwitz x �/ ;. Applicant's Printed Name Applicant's i natur ?-b'k\‘.,-.1).' r 11-tal?)--- DO NOT WRITE BELOW THIS LINE r SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) 4 Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of Plex Lower Level Pool Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation Occupancy :::12C- 1 MCES System Plan Review Code Edition IJYlr1 Zo IS`- SAC Units (25%_100%_) Zoning .I City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof: _Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final iD Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: /Jo ,9I e." tt , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 • For Office " I oq a Permit#: E AGA N Permit Fee: ID_ Date Received: 1 63830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections{a citvofeagan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: /1 � ;Q .,f Phone: Resident/ QWner Address/City/Zip: 3 ' 6h IJ Yo Applicant is: Owner Contractor Description of work: Type of Work Construction Cost: Multi-Family Building: (Yes /No lww_ Company: UA Jc , Contact: 1 � �UC£n4 P7 Contractor Address: D73 / 6 (94, 104._./y, y pet Cit StatemY Zip:$ /Z; Phonei/.� SZO t?Email: I/cAfi'ic COfi / 9 @ /cps License#: /��2/6/ 1b Lead Certificate#: A — O /.,3"I If the project is exempt from lead certification, please explain why: 000 COMPLETE THIS AREA ONLY IF CONSTRUCT! A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: i E Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-•ublic rf ou •rovide •ecific reasons that would•ermit the Cit to conclude that the are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call 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.gopherstateonecall.orq I hereby acknowledge that this info ation is complete and accurate;that the work will be in conformance with the ordin. ces and codes of the City of Eagan; that I understand .._ not a permit, but only an application for a permit, and work is not to start witho permit; that the work will be in accordance with th- ..$roved plan the case of rk which requires a review and approval of pl . Ap.,o*n's Printed ame Ap nt's Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA155200 Date Issued:05/02/2019 Permit Category:ePermit Site Address: 3257 Rolling Hills Dr Lot:10 Block: 4 Addition: Bur Oak Hills PID:10-15500-04-100 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 - Michael T Steenberg 3257 Rolling Hills Dr Eagan MN 55121 (651) 686-6302 Sawhorse Inc 4740 42nd Ave N Robbinsdale MN 55422 (612) 533-0352 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA155864 Date Issued:06/05/2019 Permit Category:ePermit Site Address: 3257 Rolling Hills Dr Lot:10 Block: 4 Addition: Bur Oak Hills PID:10-15500-04-100 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael T Steenberg 3257 Rolling Hills Dr Eagan MN 55121 Steinkraus Plumbing 112 East 5th Street, #101 Chaska MN 55318 (952) 361-0128 Applicant/Permitee: Signature Issued By: Signature i 0 , For Office Use ØL :: . � 0 Permit#: /-5-e•57 q ""C .._.` Permit Fee: 61 0' C70 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received: (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Email: buildinainspectionscitvofeaaan.com Staff: Commercial Plan Submittal:eplans aC�citvofeagan.com L 2019 RESIDENTIAL MECHANICAL PERMIT APPLICATION Date: 773//7 Site Address: .5 2 5 7 Ail,, i7m i/S P✓ ✓vV Tenant: Suite#: PResident/Owner Name:Phone: Address/City/Zip: Name: f/11.e S 4A2 c.tva,.`cj License#: 1 I Contractor Address: )5-Li L/0 S; I V e r-o d 54- A) 1.4-1 City: Alt eI D Vn 1.,/ State: IIA. Zip: 5 S 3L) -/ Phone: '�3 - yZ i - Z..1-1 r ? Contact:)1 ru t Q- get bwtC;S Email: RESIDENTIAL Furnace Air Conditioner Permit Type Yp Air Exchanger Heat Pump Q Other 1/ /4.-41-- /�Lc .LX Yo J el New Replacement Additional Alteration Demolition Type of Work Description of work: V€ + ?'f it ti-)•--1,/h< tie A0 oel RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge =$ TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeasian.com/subscribe. I hereby acknowledge that this information is complete and accurate;that the work will be in conformance 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 start without a permit;that the work will be in accordance with the approved plan in the case of work which requi s a review and approval of plans. x 6 e IA e e— Kl 1.4t/t C x z Kj/"'A------- Applicant's Printed Name App icant's Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final PERMIT City of Eagan Permit Type:Building Permit Number:EA165075 Date Issued:10/16/2020 Permit Category:ePermit Site Address: 3257 Rolling Hills Dr Lot:10 Block: 4 Addition: Bur Oak Hills PID:10-15500-04-100 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 - Michael T & Angela Steenberg 3257 Rolling Hills Dr Eagan MN 55121--234 (612) 599-8200 Vb Inc 8073 9th St Way N Oakdale MN 55128 (612) 599-8200 Applicant/Permitee: Signature Issued By: Signature