3266 Rolling Hills DrINSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
Control No. ? r 6 8
•#I.I?a
a7/30/D2
SITE ADDRESS: LOT s 6 FI L OC K s APPLICANT:
3266 ROLLINU HILLS UR ALLIED BUILDTOG GONT
9QR OAK HULS 1.ND (612) 884--1147
PERIIj)j,. yyp;VPFiNISH TYPE OF WORK: ALTE'RATTON
permit No. PsrmR Hoklsr Otte Telephone #
S/Wl
PLUMBING A 8 ??? ?9' f f?(p
HVAC
ELECTRICZ?
ELECTRIC
Inspection DOW Insp. Comment
Footings I
Foundation
Framing
Rooting
Rough Plbg. -
Rough Hug.
Isut.
Fireplace
Final Hug.
Orsat Test
Final Pbg. Ptbg. Inspector - Notify Plumber
Corot. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Dec* Final
Well
Pr. Disp.
^„?'__?"?,?,-,r.n..?,..r- n...?..., -?:...n-,.w.wr .-.,. -3?T.t.,r?.. i-..?., .?_ ? ++n'.?.?yw-. ..vr ... . +nrr•... ?„ n _ Y. r..,,,,,,... s . .-... ? Y p
- a N CITY OF EAGAN
`? - -. 0 1 7352
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for SP MG/GAR Est. Value $126,000 Date DF r 1 19_89_
Site Address 3266 ROLLING HILLS DR
Lot 5 Block 7 Sec/Sub. BUR OAK HILLS 21 rD OFFICE USE ONLY
Parcel No. Occupancy R-3 JN?--1 FE ES
R-1
Zoning
W Name THE WINDW00D CO. INC (Actual) Const -Y--N Bldg. Permit 730.00
3 Address P O BOX 24329 (Allowable) V -X
63
00
O City APPLE VALLEY Phone 454-9383
y # of Stories Surcharge .
501 Plan Review 365.00
Length
0 Name SAME Depth S2 SAC
Cit 100.00
. .
y
vQ Address S.F.Total 575
00
SAC, MCWCC .
City Phone S.F. Footprints
Water Conn
580.00
On Site Sewage
W
W Name On site Well
W
t
M 90.00
?W
?
Address
MWCC System er
a
eter
0
u
XX
Acct. Deposit •oo
4 W City Phone City Water
20.00
PRV Required SNV Permit
I hereby acknowlege
atiop.and-state that the Booster Pump S/W Surcharge 1.00
information is corre-aII applicable S to of
Minnesota Statutes a
te
HM Treatment PI 228.00
i i_ C ?.
r
Signature of Permite APPROVALS
Road Unit
340.00
A Building Permit is issued to: WINDNOOD CO, INC Planner Park Dad.
on the express condition that all work shall be done in accordance with all Council 1.50
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies
Building Official Variance TOTAL 3,123.50
Permit No. Permit Holder Date Telephone N
WATER L
SEWER
PLUMBING
H.V.A.C.
ELECTRIC Gf L
Inspection Date Insp. Comments
Footings I S
Foundation
Framing p $
Roofing
Rough Plbg. IfD i d
Rough Htg. - 90
Isul. Q
Fireplace ?(9 QQ
Final Htg.
Final Plbg. G
Consi. Meter Ptbg. Inspector - Notify Plumber
Engr.IPlan
Bkfg. Final j y(J `((perv?Z ?' ?^?J??
Deck Ftg. o
Deck Final
Well
Pr. Disp.
# . •%
a - if Tertif irate of (Orrupaurg
Citp of (Eagan
Epputunt of luitaing jwrrtion
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
use cdssiimuon SF DC/GAR Mg. Peril No. 17352
Oa MKY Tree R3/M1 Zoning Dowd R1 Type court VN
Owner of Building ME WINEWOM M-- INC, Address P-0- MR 24- ZEY
Budding Address
POST IN A CONSPICUOUS
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: r1u I 1 01 Mca
3830 Pilot Knob Road Permit Number: 021 i w 7 a
Eagan, Minnesota 55122-1897 Date Issued: 4' !
(612) 681-4675
SITE ADDRESS: 11i f . ti i' (; }' APPLICANT:
fj-
?. It n1 11Nil H I I 15 DR Hilt :,rJ WAY HI
11111: ttAh 11 1 1 1 ?. 't<1fi , ?. I . ?.:; t 6l?? ?1 ?I
PERMIT SUBTYPE: TYPE OF WORK:
+<,, ,1 pit t4l I IrI I'.li )1I I1 V111 1#IN
INSPECTfON
I ; DATE INSPTR. INSPECTION TYPE DATE INSPTR.
V1111(,11 IN PIA 1 1i I f"At
RUMARKSr A SEPARATI PERM f 1.S PEOI)IRFI1 fok ANY PIU14631146 OR EI.EC'1RICAI t,oRf.
Permit No. Permit Holder Date Telephone M
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
i
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
SEWER do WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE
OFFICE USE ONLY
METER # PERMIT DATE
CHIP #QD73 .55-17 PERMIT # _
METER SIZE oc B.P. RECEIPT # -4905
ISSUE DATE-V- /41'90 B.P. RECEIPT ATE-
-- PRV - BOOSTER PUMP
SITE ADDRESS
LOT ? BLOCKL_SEC/SUB 13 v r r ,' /s ++?
APPLICANT:
ADDRESS:
CITY, STATE
PHONE: -
PLUMBER:/
ADDRESS:-2
CITY, STATE
PHONE: _
OWNER: e- ?? by WUG'5;f L-0. ?h 'fw
ADDRESS: ---a V 3 d,
CITY, STATE F 4 " ZIP S
PHONE: z - Z? JP -3
PERMIT REQUESTED
SEWER WATER TAPS
COMM/IND RESIDENTIAL
NEW _ EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit-WILL;NOT,be given for Deduct Meters.
OF
1132
METERISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
,1642U
e, A
, 64 -
Request ate
/ -
(? Fire No, - Roughi spectian
eq ?
es ? Na
? Reatly Now ll) N.O Inspector
When Reatly.
I D licensed contractor ? owner hereby request inspection of above electrical work at:
te No.)
Job Address ISbeat. SZoo
-52 6
City
Sectim No. Township Name or No. Range No. County
Occupanl(PRINT) Phone No.
Power Supplier Add..
Ele ntrador ICo pany Name)
?
®SAl Contractor's License No.
if oo ysD
C
Mailing Address (Contractor or Owner Making Installation)
orized gnalure 1Co rlOwne euing Installation) Phone Number
or rtv-
?.
MINNESOTA STATE B 0 OF ELECTRICITY THIS INSPECTION REQUEST WELL NOT
Gtlgga-Mltlway BM -Room 8173 BE ACCEPTED BY THE STATE BOARD
1821 university A ., BI. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(612)6A2-0800 ENCLOSED.
S??(?/?o`L REQUEST FOR ELECTRICAL INSPECTION
J 64,0827 lie See instructions for completing this form on back of yellow copy.
X' Below Work Covered by This Request
.47"h EM0001-
44
ew Add Rep. Type of Building Appliances Wired EqulpmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) ContractorS Remarks
Compute Inspection Fee Below: -;or /- ri^ :73
# . Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps _ Amps
Signs Inspector§ Use Only O O TOTAL
!E
Irrigation Booms Q ,
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 ONTHS.
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in
Fnel Date d
Date
'r &
OFFICE USE ONLY
This request vo,d 18 months from
Request, a
9
O? Fire No. bug
0= Required
(You ctor when ready) Inspection Other Tha?gh-In
[] Ready Now WAI Notify Inspecbr
[] No
1 Date Rea
,,..,(
I 1i licensed contractor wner hereby request inspection of above electrical work at:
Job Address (Street, oute N .)
a?G l o?l;.? A. /?s 1 r, City
Section No. Township Name or No. Range No. County
Occupant PRINT)
MO
N Phone No.
ra
A /ne
Power Suppli r Address
Elactricai ntr or (Company Name) Contractor's License No.
Dyvt to o w4 (?,v-
Mailing Address (C ct r or Owner Making Installation)
ova
Authorized Signature (Conlractor/Owner Making Installation) Phone Number
- GAI
MINNESOTA STATE BOARD OF ELECTRICITY
I THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room 5.126 II ?I I I I I I II BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 I UNLESS PROPER INSPECTION FEE IS
Phone (6121 662.0600 I ENCLOSED.
I /o0 REQUEST FOR ELECTRICAL INSPECTION I'?? EB_00001-09
j c?77JJ r ,See instructions for completing this form an back of yellow copy ? K?l /
"X" Below WorK-Covertsd by This Request ,, ,..
Ne Ad Rep. 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(spadly) 6ontractor's,1 o ks:
7?//?Sm n r S
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 100 -Amps
Signs Inspectors use only: TOTAL
Irrigation Booms
Special Inspection
Alan/Communication THIS INSTALLATION MAY BE DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 1 MONTHS.
I, the Electrical Inspector, hereby
f
b
i
i Rough-in (' w f'
/?.?•? Date
certi
y that the a
ove
nspect
on has
been made. Final
r Z!Zrr
OFFICE USE ONLY
This request void 18 months from .
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
To be used for SF
Est. Value $126,000
N° 17352
19_82
Site Address 3266 ROLLING HILLS DR
Lot 5 Block -7 Sec/Sub. BUR OAK HILLS 21
Parcel No.
W Name THE WINDWOOD CO. INC
o Address P 0 BOX 24329
City APPLE VALLEY Phone 454-9383
o Name SAME
i
g Address
City Phone
ww Name
ua' Address
<W City Phone
I hereby acknowlege that I have read this a licatoa-wd-st to hat the
information is correct and agr at a e tale of
Minnesota Statutes an
Signature of Permit 11,
A Building Permit is issued to. _ E WINDWOOD CO. INC
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Receipt #
OFFICE USE ONLY
Occupancy R-3 M-1 FEES
Zoning RR1
(Actual) Const VN Bldg. Permit 730.00
(Allowable) V_N
Surcharge
63.00
# of Stories
Length 50' Plan Review 365.00
Depth 52 rr SAC, City 100.00
S.F. Total SAC, MCWCC 575.00
S.F. Footprints
On Site Sewage Water Conn 580.00
On Site Well Water Meter 90.00
MWCC System XX
XX
Acct. Deposit
30.00
City Water
PRV Required S/W Permit 20.00
Booster Pump SM Surcharge 1.00
Treatment PI 228.00
APPROVALS Road Unit 340-00
Planner Park Ded.
Council
Bldg. Off. Copies 1.50
Variance TOTAL 3.123.50
-1v a
jt?rw
55S-t_l
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681.4675
New Construction Requirements
• 3 registered site surreys snowing sq. ft. of !ct. sq. ft. of house: and all mated areas
(20:6 maximum lot coverage allowed)
• 2 copies of plan showing team & window sizes: poured found design, etc.)
1 set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot planed after 7/l/93
• Rim Joist Detail Options selection sheet (bidgs with 3 or less units)
DATE 91 Ito low
SITE ADDRESS
TYPE OF WORK
MULTI-FAMILY BLDG _Y X N
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT ? I 61
STREET ADDRESS ?c7 cf 1. CITY Y' STATE fill (/S` Q
TELEPHONE # ?5a -992 -8V(10 CELL PHONE # 60-266 - 7/// d C) X # Ff ? -Y, l / S?
PROPERTY OWNER (WAA& *,4'Y1? TELEPHONE# IUSI (9?1-05W
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ XIINNESO'FA RULES 7670 CATEGORY I _ NfINNESOTA RULES 7672
(J submission type) • Residential ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor: _
MCCIIMICal Svstcm ilICILACS:
Sewer/Water Contractor:
Air Conditioning
-- Heat Recover}. System
Phone #
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordi
Signature of Applicant f
OFFICE USE ONLY
Water Softener
Water Heater
No. of Baths
X40.75
Remodel/Repair Requirements
• 2 copies of plan
• 1 set of Energy Calculations for heated additions
• 1 site survey for exterior additions & decks
• Indicate if home served by septic system for additions
VALUATION ?O,t 50D
_ Phonc #
IawnSpnn ler ?? S` Fee: I$9000?
No. of R.I. Baths tj 8 7Qp2
Ely i
_ Phone #
Fee: $70.00
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y 6r- N ? 25 Miscellaneous'
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr, of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
- Footings (deck) _ FinaVNo 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
1989 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCS.
111-3-647
MULTIPLE DWELLINGS
2 SETS OF PLANS
REGISTERED SITE SURVEYS -
(CHECK WITH BLDG DIV.)
1 SET OF ENERGY CALCS.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS
COMMERCIAL
2 SETS OF ARCHITECTURAL
& STRUCTURAL PLANS
1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCS.
# OF UNITS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNEA MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED..
SEWER 6 WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING
PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS
BEEN COMPLETED INDICATING A LICENSED PLUMBER.
PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
110V 2 8 1989
To Be Used For: / /azwl Valuation: Date:
Site Address 3A66 4o1%//r110"w' P
Lot S Block /
Parcel/Sub ?urj-ak/l`??/,d^Y???/
Ur'a a7 bYV Cd". ..?h c
Owner 77e
Address (f0.93?' ay3a?
City/Zip Code ppJ L/
Phone S - J 3
Contractor 7? e ffli ncfu oo? ?? c .
Address d5'3//
City/Zip Code A v/P f!i/Le SS?O?
Phone y5 y`?? ??
Arch./Engr.
Address
City/Zip Code
f ,,(e? a00" OFFICE US]
Occupancy R-3 M-?
Zoning ?-
Actual Const V-N
Allowable %j. t4
# of stories
Length SO
Depth 5Z.
S.F. Total
Footprint S.F.
On site sewage
On site well
MWCC System
City water ?
PRV required _
Booster Pump
APPROVALS
Planner
Council
Bldg. Off
Variance
Jr- In
FEES
Bldg. Permit '330.00
Surcharge o0
Plan Review 36 ,oa
SAC, City 00,00
SAC, MWCC 515100
Water Conn SBD100
Water Meter 0,00
Acct. Deposit o,oo
S/W Permit 20,00
S/W Surcharge 0+0
Treatment Pl. .2;19,00
Road Unit 3Q0.c»
Park Ded.
Copies /,60
SUBTOTAL
Penalty
TOTAL 19.10
Phone #
GAIRAes?
IA L(
4?? K t5= 7/?o
se?h-r
Z4 X2.6; e G24
8x3 ? zy
??t8'x` i4= 9t??2
I sT ?c.ot?r2
I'/? ?e ?6 . - l L
IIA x Y ° I?-
?4k3
13?6x5o? 693aa
,24 X.33 ? Dq2-
1 X (( g
Iz5jSy2
I'P:" 2-7 '83 13:18
CERTIFICATE OF SURVEY
N WINWOOD CUSTOM HOMES
U
Scale: 1" ¦ 30'
o Denotes Iron Ron.
'. a
N?8??4t
P9z.8?)
FA
69 9e ?.
f'? u9 3.4
?a ?
\„
g660 3`C`4Fro"
S2, .?
4
i
r<C'r'j' 'S
s.
0
2
??r?92.Z .
.a
46
•
o? r ro
?s94?7
Sanitary Sewer
Invert Elev. -W i,76 ?. ?9 ?v r4A " ?/ 'J"
EAGAN ENGINEERING EPT
=1Denot" ftqmed xPiforL
K Denotes >:x 6levatlar
irlg L>levAtioti ` a'a;, LEGAL DEBCRIPIION
e'z•y TOP of Foundation Lot 5 . Block T
K4•s Top of Basement rloor h? s OUR OAK HILLS 2ND ADDITION
9 Dakota County. Ninnesota
MERILA & ASSOCIATES, INC
ENGINEERS, SURVEYORS, SITE PLANNERS
8401 73rd Avenue North • Suite E e3
nrooktyn Park, Minnesota 55428
Telephone: (M) 533-7595
We hereby certify that this is a true and correct representation of a survey of
the boundaries of the above described land and of the location of all buildings,
if any, thereon, and all visible encroachments, if any, from or on said land.
As surveyed t is Z4 ?? day of NO? dffL72 , 19?2.
?..?-_.? Minn. Roo. No.
Job No. ef) -IA* gook - Page
63, l
ri .
>kM1Xk(JXYn :k:?X:iUFyFhC%?>Xk?7KyF?Xk(Wkt>X??A7k??X>K1XY??ttKYF7kX<.?KX?*
C,I'TY OF E'AGAN
CASHIER S TERMINAL NO.. 764
DATE, 06/29/99 'TIME 07.33;10
IDe
NAME; DUTCHE.R REMODFLT.NG INC
3210 9001 3266 ROLLING HL 05.25
2155 9001 3266 ROLLING H_ 3.00
I
Tatar. Receipt Amounts 129.25
CR 1. i'r.'. i.92
USER IDe NANCY
*i<%k%???k X??k?k?kXc%K?k7k *# iK ?kkCYXM ? ?k?k?C7K? *? ? ?: ? N?? * iCkck??
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
• r ? 3830 PILOT KNOB RD -
4675 55122 l ?. S
V
New Construction Requirements Remodel/Repair Reau rem
? 3 registered site surveys showing sq. N. of lot, sq. N. of house
and all roofed areas (20% maximum lot coverage allowed)
2 copies of plans (show beam b window sizes; poured fnd. design; etc.)
? 1 set of energy calculations
> 3 copies of tree preservation plan R lot platted after 7/1/93
DATE, ra A2 119 7
Name: f " I DYai,-N LJL? fie- Phone #: 6S I - (o g I - O S 4 4-
Last First
DESCRIPTION OF WORK: (- a y-c.-++G t /I-41-i"t OyN
I-Q
STREET ADDRESS: _3Z (,(o ?O 1 I Ina S 14 MS _?)v
LOT. T BLOCK: l SUBD./P.I.D. #:
PROPERTY
OWNER
Street Address: _3 2 (o G P-a ? i ( ? Tk' ?5 7'r'
2 copies of plan
1 set of energy calculations for heated additions
1 site survey for exterior additions i decks
CONSTRUCTION COST: 17-00(1, as
city !E State: VV" ' Zip: 515iz3
Company: Phone#: LS ( /a F S-(?7 `J Q
(area code)
CONTRACTOR a C) (D 'jam 9 °i ????,
Street Adddress: 3 6 {' 3 jadj j? TV- Ucense # Exp. 'Y
City F L'_4 r._4 State: VV/ - vL . Zip: 5 5 i Z 3
ARCHITECT/
ENGINEER Company: Name: K ?? 4- K?i?OS
Telephone #: area code (6i i ) 44S S l 81
Street Address: I ZQ i IJ iavw? C'- Registration
City J h P - V" State: `^ `
Zip: 553-71
Sewer & water licensed plumber (required for new construction only :
Penalty applies when address change and lot change Is requested once permit Is issued.
hereby acknowled a that ovs-read#his application, state that the Information Is con , and agree to comply with all appllcabl
State of MI t o; n Ordinances.
.-? I j 107F rill Signature of Applicant: Q2,24,,?
&N'14'1'1?d OFFICE USE ONLY
Certificates Yes No
Tree Preservation Plan Received Yes No Not Required
OFFICE USE ONLY
Valuation:
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex 17 Garage
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Lei
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool
WORK TYPE
UO
? 31 ' New ? 35 Tenant Impr ? 39 Gas Line Only ? ' 43 Siding/Soffits/Fascia
32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? d5 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demolition permi t
GENERAL INFORMATION
Const. (Actual) 5 Basement sq. ft. Census C11
ode ^'!L
(Allowable) !C? - P_ Main level sq. ft. SAC Code
UBC Occupancy `1" 3-0A y sq. ft. No. of Units I
Zoning sq. ft. No. of Bldgs b
# of Stories sq. ft. MC/ES System
Length 27 sq. ft. City Water
Width 11? Footprint sq. ft. Booster Pump
PRV
Fire Sprin11klered
I
APPROVALS I
I
Planning Building l N Engineering ariance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
S&Ox IL. 5-00
F
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
i
SAC Units
% SAC
.?,,:n.?': ?- ?,'•? 13:12
4
CERTIFICATE OF SURVEY
WINWOOD CUSTOM HOMES
Scale: 1" - 30'
o Denotes Iron Non.
ap-
x
Invert
I-AGAM
REWHE U E
BY
DATE 2f
BUILDING INSPECTIONS DEPT.
Sewer
ev. • all-7.76
!a; rnorrv
=]Denotes Proposed Blevat
Denotes Existing Elevat
botz•s Top of Foundation
ets44; ToP of Besertent Floor
MERILA & ASSOCIATES, INC.
ENGINEERS. SURVEYORS, SITE PLANNERS
9401 73rd Avenue North • Suite E 93
Rrooklyn Perk, Minnesota 55429
Telephone: 19121533-7995
V9
LEGAL DEBCRIPTIDk
Lot 9' .?To'ek 47
OUR OAK NILLB 2ND ADD!TION
Dakota County, Nlnnasot¦
We hereby certify that this is a true and correct representation of a survey of
the boundaries of the above described land and of the location of all buildings,
if any, thereon and all visible encroachment; if any, from or on said land.
As survey
t/b-a .O 7& 1day of NO? 46/2 tgr,
r ..... e..'_.--- Minn. Rey. No.
Job No. 81°i .%* gook - Pays
?M CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.S.N.: 10-15501-050-07
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
3266 ROLLING HILLS OR
LOT: 5 BLOCK: 7
BUR OAK HILLS 2ND
0205.1191
BUILDING
027079
02/22/96
DESCRIPTION:
Permit Type
Work 'Type
BASEMENT FINISH
ALTERATION
434 ALT. RESIDENTIAL
m.
? ? a s ? N4 4 ` iv,
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
CONTRACTOR:
$50.00
$.50
$50.50
OWNER: - Applicant -
MORAN WAYNE
3266 ROLLING HILLS OR
EAGAN MN 55121
(612)681-0544
%
t ,h?a 1e read this application and` state that the
agree 'tc° cptnply, with ail applicable state bf Kn
.:.?oua R???,1rn?
ISSUED BY SIG TUR
RD
3830 PILOT KNOB B RD - 55122
14014996 CITY OF EAGAN
BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
RemodeuReoair Reculrements
State:
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks)
? 1 energy calculations ? 1 energy calculations for heated additions
? 3 copies of tree preservation plan B lot platted after 711193
required: _Yes _ No
DATE: 2 -),"5!-- GZ b CONSTRUCTION COST: ??2ooU
DESCRIPTION OF WORK:
STREET ADDRESS: -D'- .q(,
LOT 15- BLOCK
State:
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: M a r-a-y\ W?ns a?J -Anne- Phone #: ??? ` d sYy
WT Im"
StreetAddress• 3zto(o moll; CI Ljj-1
City: ta4a
Company:
Street Address:
City:
Company: _
Name:
Zip: SS/ D4
Phone #:
License #:
Phone #-
Registration
Street Address-
City:
Sewer & water licensed plumber:
change are requested once permit is issued.
? 0-.6D
60-9d 1-).f
Zip:
Penalty applies when address change and lot
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. n YJ?/
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
024
SUBD./P.I.D. #: 1 &rc 0,,x t4ilh. .2
Yes _ No E6 9 g ?ggs
Yes No ---- ----
State: h7"
+ a9 ,yq ? •i
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
o 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
o 31 New -r?-33 Alterations
0 32 Addition ? 34 Repair
GENERAL INFORMATION
>.
? 11 Apt./Lodging ?6 Basement Finish
? 12 Multi Repair/Rem. ? 17 Swim Pool
? 13 Garage/Accessory o 20 Public Facility
? 14 Fireplace ? 21 Miscellaneous
? 15 Deck
? 36 Move
? 37 Demolition
Const. (Actual) Basement sq. ft.
(Allowable) Main level sq. ft.
UBC Occupancy sq. ft.
Zoning sq. ft.
# of Stories sq. ft.
Length sq. ft.
Depth Footprint sq. ft.
APPROVALS ,
Planning Building
Engineering
Variance
a/
d
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SAN Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
Valuation: $
MCNVS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
PERMIT Control No. O0OO 8
04
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT TYPE:
Permit Number:
Date Issued:
3266 ROLLING HILLS OR
LOT: 5 BLOCK: 7
BUR OAK HILLS 2140
BUILDING
001178
07/30/92
. DESCRIPTION:
,'Buildi'ng Permit Type
Building",Work Type
it 4
3
^Y
is
BASEMENT FINISH
ALTERATION
i
t !J
REMARKS:
(?o 301 w
FEE SUMMARY:
Base Fee
Surcharge
Lic. Search
Total Fee
$35.00
$.50
Fee $5.00
$40.50
CONTRACTOR:
ALLIED BUILDING CONT
2334 WELLSWOOD
BLOOMINGTON MN
(612) 884-7747
- Applicant - ST. LICOWNER:
18847747 0003078 MORAN WAYNE
CURVE 3266 ROLLING HILLS OR
55431 EAGAN MN
(612)681-0544
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..
r
APPLICANT/PERMIT ESIGNATURE ISSUED Y: SI RE
PERMIT #,-
REACTIVATE _
1'
CITY OF EAGAN $ 4 0.10
1992 BUILDING PERMIT APPLICATION aa
681-4675 J U L 2 8 REW l
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 talcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re guest is made or lot than a is re nested once permit is issued.
Date z / '?28__ / Valuation of work ?z - "`'
Site Address: 3, b j(,_ U 12
STREET SUITE A
Tenant Name: (commercial only)
LOT f_ BLOCK ? SUBD. P
I
D
0
? .
.
.
Description of work: n' h u/aIle-o" Lev
The applicant is: ? Owner R`Contractor ? Other (Describe)
Name WnrA W Z- Phone 81- OS-Vf
Property LAST
FIRST
Owner ??
Address R', & c N G 8,CC'S
STREET STE A
city 57 !24 -4, State 'U Zip
Company Phone 089-771/?7
Contractor Address Q__37.3 w 14) p , , c r,,. coo w CK ,& License # 3079 Exp. ,2 ?/
City --3/00 er-c--`_ State W' Zip 5sy 1
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 applic ion and state that the information is
correct and agree to comply with all
le ate of Minnesota Statutes and City of
I 7
Eagan Ordinances. j
i
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add11. ? 15 Deck
WORK TYPE
El 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
f of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
? Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft
On-site well
On-site sewage
Building
Variance
? Footing
,? Final
P Framing
? Draintile
_?
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surchargge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
?. To
valuat im:
_: tx<
® Aasement-Finish
? 17 Swim Pool
? 18 Comm./Ind..
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRY Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
SAC %
SAC Units
CITY O E.AGAN
CAS..ER: JS TERMINAL NO: 699
DATE';: 0803/99 TIME: 10:05:52
ID.
NAME::: DUTaIER RE.MODEIINGy INC.
3210 9001 326E ROLLING HI 60.00
205 9001 3266 ROLLING HI 0.50
Total Receipt Amount', 60.50
CR 1.1.5404
USER ID: JAN
?k?'SYF 'M??%k1F1kX?M?k?cYF?:z,[>%?:5kYn1X9F1k>'n>kXc)X>kXt?YY"„PFk"ikhlFlkYFM
. 1999 BUILDING
New Construction Requirements
PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
?
01 registered site surveys showing sq. ft of 104 sq• ft of house
and& roofed areas (20% maximum lot coverage allowed)
? 2 copies of plans (show beam & window sizes; poured fnd. design; etc.)
? 1 set of energy calculations
3 copies of tree preservation plan if lot platted after 7/1/93
(RESIDENTIAL)
Remodel/Repair Reauirements
? 2 copies of plan
? t set of energy calculations for heated additions
? 1 site survey for exterior additions & decks
DATE: S /1 3 I4' 1
DESCRIPTION OF WORK:
STREET ADDRESS: 3 2
LOT: S BLOCK: CONSTRUCTION COST:* tow- ou
l ik-
. (a? -Pn In.a,_ 141 I I>s -be--
U
-_ SUBD./P.I.D. #: &r ( lMS Znd . /U- 15,90/ -050 -07
Name: 1 Y to ro. ^ y1? I%- Phone #: os I - (:e r 0 S4.q
PROPERTY )art F At
OV47VER
Street Address: 1J Z (. r. ,'?
411(
s
1) '-
City 7- 94 rA6- State: VVI, t-- Zip: S S 1 2-3
Company: ?V l`?Yll?lr I&*,K0Jjf" Phone #: ?cs (- (po' -" Q S
CONTRACTOR
Street Address: ?(c+g' 3 W
OO/J ?uih.? ! ?r
License # .?? 599.} Exp. wo
city S2 State: i'?1/t Zip: 557 2 3
ARCHITECT/
ENGINEER Company: Phone #:
1Narne: Registration #:
Street Address:
City
State:
Sewer & water licensed plumber (reautred for new construction oniv):
Penalty applies when address change and lot change is requested once permit is issued.
Zip:
I hereby acknowledge that I have read this application, state that the information is corn ct, and agree to comply with all applicable
Stake of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: Qali,
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received - Yes - No - Not Required
• 1. ;
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ?/17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 1 of_ plex ? 08 6-piex ? 13 16-plex 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? • 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
?31 New
?- 32 -Addition,
? 33 Alteration
? 34 Repair
? 35 Tenant Impr ?
p 36 Move Bldg:. ?
? 37 Demolish Bldg. ?
? 38 Demolish (Interior) ?
3 Gas Line Only
4
5 Gas insert
41 Wood Stove
42 Reroof
0 43 Siding/Soffits/Fascia
? 44 Windows/Doors.
? 45 Fire Repair
GENERAL INFORMATION '
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Min level sq. ft. SAC Code
UBC Occupancy sq. ft. -3 2 Z No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
" Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee 60,w Valuation: $
Surcharge .S?
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
--
Other -
Copies
Total: 0. ?l
SAC Units
t
t
% SAC
13:18 II FILR E pSBi)C.. IIIC._ ?¦ F, 2.2
r
CERTIFICATE OF SURVEY
WINWOOD CUSTOM HOMES
EAGAN
REVIEWED
BUILDING INSPECTIONS DEPT. e
Scale: 1" - 30'
o Denotes Iron Hon.
Ir.
J
89a
Sanitary Sewer
Invert Elev. ?d7-7,75
4e m&;?ti
M Denotes Proposed Blevatio-
a Denotes Existing Elevation
9+1.'T TOP of Foundation
M40 ThP Of Basement Floor
?Sf4e.
10
LEAAL DESCRIPTION
Lot 5 . lock Z
OUR OAK HILLS 2ND ADDITION
Dakota County. Minnesota
We hereby certify that this is a true &M correct representation of a survey of
the boundaries of the above described land and of the location of all buildings,
if any, thereon and all visible encroachment; if any, from or on said land.
A. ewy.y Is ?o TEL day of No?AMB" ,19U.
4?:& + Minn. Reg. No. '1
MERILA & ASSOCIATES, INC.
ENGINEERS, SURVEYORS. SITE PLANNERS
13.101 731d Ascent Nonh • Suite a e3
Rrooklyn Pork, Minnesota 55428
Telephone: (e12) 533-7595
Job No. B°1 -2-14 nook - Pays
?D OB S2 9 (?"E '71,v
,t $S
/o ?T is
g? v 9.1 t' k? s
'rOpr SOo
V?$ ? e1D ? Y 807,5
C! sfA.4y- Oi? ,L
L cy ?' S A?t ,0894.7
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3266 Rolling Hills Dr
Lot: 5 Block: 7 Addition: Bur Oak Hills 2nd
PID:10- 15501- 050 -07
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
New Windows for America
609 W County Rd E
Shoreview MN 55126
(651) 203 -0149
PERMIT
City of Eaan
Construction Type:
Occupancy:
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.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
$88.50
$1.50
Owner:
Wayne R Moran
3266 Rolling Hills Dr
Eagan MN 55121
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
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
Issued By: Signature
Building
EA091611
10/14/2009
ePermit
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3266 Rolling Hills Dr
Lot: 5 Block: 7 Addition: Bur Oak Hills 2nd
PID:10- 15501- 050 -07
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
New Windows for America
609 W County Rd E
Shoreview MN 55126
(651) 203 -0149
PERMIT
City of Eaan
Construction Type:
Occupancy:
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.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
$88.50
$1.50
Owner:
Wayne R Moran
3266 Rolling Hills Dr
Eagan MN 55121
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
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
Issued By: Signature
Building
EA091750
10/23/2009
ePermit
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA160873
Date Issued:04/21/2020
Permit Category:ePermit
Site Address: 3266 Rolling Hills Dr
Lot:5 Block: 7 Addition: Bur Oak Hills 2nd
PID:10-15501-07-050
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or
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 -
Wayne R Moran
3266 Rolling Hills Dr
Eagan MN 55121
(952) 210-1309
Voyager Siding Inc
10227 Ghia St NE
Circle Pines MN 55014
(612) 298-4319
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165284
Date Issued:10/26/2020
Permit Category:ePermit
Site Address: 3266 Rolling Hills Dr
Lot:5 Block: 7 Addition: Bur Oak Hills 2nd
PID:10-15501-07-050
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 -
Wayne R & Anne C Tstes Moran
3266 Rolling Hills Dr
Eagan MN 55121
The Kingdom Builders
9099 30th St SW
Howard Lake MN 55349
(612) 272-4901
Applicant/Permitee: Signature Issued By: Signature