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3274 Rolling Hills DrINSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: ' ' " f ttl- r:;i1 ;f t f I PERMIT SUBTYPE: 1, 11 1 i fi 1. O( R 1 Nh 111 1 1 'A f1Ct w r1 APPLICANT: TYPE OF WORK: It11 1 1 10 1 Nt, N1,/tnl?il•. INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. 4?.•?.t.lir, Permit No. Permit Holder Date Telephone # ELECTRIC ?.3CID (/ (/ ao PLUMBING W L HVAC 7J O?d Inspection bvUe Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING _Z I PLBG AIR TEST ROUGH HEATING GAS SVC TEST -Zd INSUL t f Ga. N GYPBOARD Q FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL 1 ??( Chas CILh v Tb ?, t ?q { CJV'T ` B BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ro c7t Wertificate of cccuoancV 'Wtt4 of "aK Tt""Utat Of ex"" 311111"ec"M 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 25586 Ilse Chnsificatioo: Mg. Fftmk No. Y TyM IEYIAID EMS Zoning n FISH PT ED, PM- LAM 17021 o? of Buildi Adder Building Addnss 32/4 - Loc,1iq s s EM W HMS 2W JULY 27, 1995 Daw. Building Oficiw POST IN A CONSPICUOUS PLACE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 K, L-13 SITE ADDRESS: ' '' - " 1 (" ' n111NO pill I i .:i(I I. I i 'fllt PERMIT SUBTYPE: !1t; 17 fill I 1 C? I N(1 0,,/A'4Y fm 102 19f, APPLICANT: 1 11 1wINI I (612) 61414-,0-41 TYPE OF WORK: NI I I Permit No. Permit Holder Date Telephone N 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 q? p _ Address 3274 ROLLING HnIS DRIVE Zip 55121 L.ot ' 3 Blk 7 Sub BUR OAK HILLS 2ND THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 07/27/95 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 Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 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 INSPECTION EB-00?0}01-0e )? See instructions for completing this torn on back of yellow copy. p,?i?Or S G?a??QS X" Below. Work Covered by This Request Ne Add Rep. --Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heatin 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 Fea # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200-Amps a 100 -Amps Signs Inspector's Use Only: TOTAL Irrigation Booms V-r? Spe cial Inspection Alarm/Communication THIS INSTALLONNECTED IF NOT Other Fee f COMPLETED WITHIN 18 MOOS. I, the Electrical Inspector, hereby Rough-in rate ` l y/ certify that the above inspection has been made. Final oa OFFICE USE ONLY This request void 18 months from 07-902 Ran est [e In. IN R ugh- Inspection Required Inspection Other Th ugh-In '? (YO m call Inspector when ready) ? Ready Now Will NourY Inspector /? Yes ? No Data Read licensed contractor Downer hereby request inspection of above electrical work at: Jet, Address (Street, Box or Rome No.) City 3a? "'? Section No. Township Name or No. Rage o. Coun Ll/ A A9 A Oocupant(P T) / 1-e Phone No. Power S her Address y Elec[ncal actor (company Nam) Contrail eense No. D®/ r Mailing Address ( ntrador or Owner Making Installation S 60 13, Authorizetl ignature (COnVactotlOwner Making Inslallati ) Phone Number , S Q ` 6!J MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-126 (I I I I I I I I BE ACCEPTED BY THE STATE BOARD 1621 University Ave., St. Paul, MN 551W UNLESS PROPER INSPECTION FEE IS Phone 1612) U2-0666 FNCI OSFn i CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-15501-030-07 DESCRIPTION: B PERMIT PERMIT TYPE: Permit Number: Date Issued: 3274 ROLLING LOT: 3 BLOCK: BUR OAK HILLS 2ND rmit Type r*, Type 11<0'oc Occupancy Construction Type Zoning Building Length BuiXdijq.Width ;?,. Btailc!'1hg stories ;'' - r:e. Feet' ???..g•_?", HILLS DR 7 r §? SF DWG NEW R-3 U-1 V-N R-1 58 50 2 1,925 zti r ??i U403 BUILDING 025586 05/16/95 REMARKS: S & W PLBR - D C MECH FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal $776.00 $504.40 $69.50 $850.00 100 $2,199.90 $139,000 MISCELLANEOUS $1.892.50 Total Fee $4,092.40 CONTRACTOR: - Applicant - ST. LIC. OWNER: KEY LAND HOMES 14409400 0001553 KEYLAND HOMES 17021 FISH POINT RD 17021 FISH POINT RD PRIOR LAKE MN 55372 PRIOR LAKE MN 55372 (612) 440-9400 (612)440-9400 I hereby 4ckn;owled5e,that i have read this application and state that the information is correct and agree-to comply with all, applicable Mate ofMln. 5tatu a and City of Eagan Ordinances.,.. APPLICA 6-E1 RMITE u :l SIGNATURE IBS D BY. IG )MtG qq?? CITY OF EAGAN 194 BUILDING PERMIT APPLICATION 681-4675 ffmE. SINGLE MULTI-FAMILY 2 sets of plans, 3 registered site surve -- - of_?nergy calcs. -- ?! COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. ?nDate u M? / A_ / 9` Valuation of work Site Address: azaq 'ROLLtW_., 4tLLus rMZA\je- STREET SUITE # Tenant Name: (commercial only) LOT BLOCK SUBD.$V? ??? y-`S P.I.D. # 0b.LD 44:- o LA ' Description of work: iIE?J -t54tnL.E F4,mtuq 4 cma The applicant is: ? Owner P(Contractor ? Other (Describe) Name Phone Property LAST FIRST Owner Address STREET STE # State Zip City ??11 Company Y,E`e o4s> t-?0MEs Phone 940-94oo Contractor Address 1-7p'U Fish Pott4T 1zI> License # 1'5063 Exp.. City Pizlb?L- Lek?- State ?' S- Zip s537)-Z-- Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber D.G MecAi%64i(?AL 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: ?. OFFICE USE ONLY BUILDING PERMIT TYPE . ? 01 Foundation ? 06 Duplex ? 11 Apt /Lodging ? 16 Basement Finish dz?42 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. III ? 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace i ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ,A25r-31 New ? 33 Alterations ? 35 Tenant Finis h III ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) G_N Basement sq. ft . 4124 MWCC System O< (Allowable) -.r 1st F1. sq. ft. - 47-7 Y City Water UBC Occupancy 2nd F1. sq. ft. ??y ,e PRV Required Zoning rz-r Sq. Ft. total Booster Pum p # of Stories Footprint Sq. ft. / z 5_ w? f44 -7 Fire Sprink ler 5-S h ? On-site well q. 11 S Code LO/ 5- 0 Depth On-site sewage 33 SAC Code Census Bldg i APPROVALS Census Unit B ildi sl Planning u ng A sessments Engineering Variance REQUIRED INSPECTION S ? .Site ? Fo oting ? Framing ? Insulation ? Wallboard ? Fi nal ? Draintile ? Fireplace Permit Fee Wuntim- $ 3 ©tio Surcharge Plan Review {y??„? <«t? License -- -- MWCC SAC r ZG x y6 = /, 144, City SAC ?° z K s !? z x Z rz Water Conn. 2Lx yb - ?.191P /? y isa Water Meter ?° ?- r asr z.E? /° Acct. Deposit zx zm = ; z S/W Permit `- S/W Surcharge 22 5' x Treatment Pl. ?- Road Unit zmx3O ??° PPt? LS?[L Park Ded. Trails Ded. Z? % Z? ??`? 3sxra Y Copies b Other (yyy X rr° " (. 7? K 6.3? - ?? Total: : ?? Z x 5 y , (fir Soy SAC % y, ?? II SAC Units ** *4 * PIQTtI * en n *41 2422 Enterprise Drive Mendota Heights, MN 55120 (812) 681-1914 FAX:681-9488 625 HIghwoy 10 N.E. Blaine, MN 55434 (612) 783-1880 FAX: 783-1883 Certificate of Survey for: KEYLAND HOMES 3274 ROLLING HILLS DRIVE 3658-11 894.4 11 E V I L.L 4.}20 6!L 0°jry / 896.0 \ \ ,„ .... ryOp ??/? • ` ?/? 56 - ? ss ')ATE s s 893.1 c __^ //JS•?` \ ?9j, 4 896.8 BENCH MARK a? '/ - 6^ 'Q \ \894,1 TOP OF PIPE p[ /. 897.9 1' 40+ ?q ELEV. a B9L9L??. !? ?1' Ay pp W\\ # 1K 'sk 1 r, R X40 4'Qq ` 9 O h `.°o \ rerr s/ r. `cF C °ry' l ` ? `VA -01 L??p 8884 ' j `<1 S 889.1 891.3 `p I y J _ S x S? \ i - CH MARK Q1;R Q11 O TOP \? y8s 0 R C ELEV.- 88PIPE 9.78 p5 MENj ` EDGE OF POND PER PLAT O\8 ?4^?/ 881_ ` 26- C' Q,P??`NE E I 880.4 g81 9 ,if8 ? 9 GAS PIPELINE ?IfKERS O/Q, 889.4 N'Z n \` 888.2 Q\;% L A MAGM A GD 1401E: PROPOSED GRADES SHOWN PER GRADING PLAN BY: MEALLA ASSOC., NC. NOTE: BUILDING STRUCTURES ONLY.. SEEN ARCARE FOR HI CTUAL PS HORIZONTAL FOR AND VERTICAL BUILDING AN LOCATION OF FOUNDATION DIMENSIONS - N01£ No SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE ROOPOS?ED? IS NOT THE RESPONSIBILITY OF THE SURVEYOR. THE SUITABILITY OF SOLS TO SPECIFIC HOUSE NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN THOSE SHOWN ON THE RECORDED PLAT. NOTE CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM PROPOSED HOUSE El EVATION. - LOWEST FLOOR ELEVATION: 0 -9" 15 TOP OF BLOCK ELEVATION: V0 GARAGE SLAB ELEVATION: P9 -3 U X ODO,OO DENOTES EXISTING ELEVATION ( ODD.GO) DENOTES PROPOSED ELEVATION DENOTES DRAINAGE AND UTILITY EASEMENT DENOTES DRAINAGE FLOW DIRECTION ..--?- DENOTES MONUMENT a DENOTES OFFSET HUB WE HEREBY CERTIFY TO KEYLAND HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 3, BLOCK 7, BUR OAK HILLS 2ND ADDITION DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT A_S SHOWN, AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 5TH DAY OF APRILx 1995. / IGNEO: PIONEER EN'GINEERI P.A SCALE : 1 INCH = 30 FEET Bonn C. Larson, S. Req. No. 19828 I LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION az' PROPERTY L•EGAL•S Date of Survey: 'Z/;f/ Y DOCUMENT STANDARDS 7 D,- D Registered Land Surveyor signature and company r 0 Building Permit Applicant 0 Legal description 0 D Address 0 North arrow and -bar scale D D House type (rambler, walkout, split w/o, split entry, lookout, etc.) D Directional drainage arrows with slope/gradient t. D Proposed/existing sewer and water services D D Street name D 0 Driveway ZLEVATIONS Existinc 57163 D Sewer service r0 0 Lot corners D D Top of curb at the driveway D 0 - Elevations of any existing adjacent homes Proposed 0-?D 0 Garage floor 9 9- 0 D First floor D? D 0 Lowest exposed elevation (walkout/window) zr, D Property corners D D Front and rear of home at the foundation PONDING AREAS (if applicable) 0?D 0 Easement line P?0 0 NWL 0?0 D HWL D'0 Pond # designation D D 1 Emergency Overflow Elevation DIMENSIONS 13 D DAD 0 d'?D D Q` 0 0 0---'13 • Lot lines Right-of-way and street width (to back of curb) Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) Show all easements of record and any City utilities within those easements Setbacks of proposed structure and setback of adjacent existing homes Ret Reviewed October 1992 Ili' I , THE CITY OF EAGAN DOES NOT GUAR41GEP N (J -r B. M. THE ACCURACY OF UTILITY LOCATIONS ELEV o*r l4_5 B`I A --ELEVATIONS. THIS DATA IS FOR . POSES Ck, LY AND 89,2 IKFCRVJATION -:y TV, ',ING IT S{ wln ti -PER°i!,? U O tC?FC :i ION ti C THv `'iT "? so CD N = Q. O ? It Y 1.. PHASE Ii I 12" GASMAIN I ' 6.. GASMAIN PROPOSED ?_GRADE i ' 5GASMAIN I / L ¦ A E MIN -0 81 LOCATION't IN IS APPROX. 60' OF POLYWRAP- ) AROUND WATERMAIN 187 11 0.60% 199 -8 P.V.C. SQR 35 (a70.40% I-I8"MIN. CLE414ANE DEFLECT WATERMAIN AT PIPELINE 1 CROSSING a FOR SERVICE TO LOT 3 TE CITY OF EAGAN DOES NOT GUARA `I THE ACCURACY OF UTILITY LOCf -- ? A:lDlOR ELEVATIONS. THIS DATA 10 II sFeRPJ ATtON PURPOSES ONLY FERSC-,I,,, USING IT SHOULD VERIfY 11? tE:(%7zlAMM ON THE SITE.. U F- Q ME h h 0 It 10 I0. I0) rl- M co O> + ? I B DIP. WM CL.52' TIE INTO EXISTING STUB PIPE. 2 SANITARY SEWER a 81 WATERMAIN W Wi U J W Q m 21 Ulf J' J C7 2 L ? 0 ?j n0 L l dD? _ cr W > i tJi O J 0 ? u s + Iz 11 1 O O O I EXISTING In . III 23%,j 1351-g" PV( f f !j I J 5: Ca C7 ?: Z Q w ?. I(7 GO M + ? 41 42 43 44 45 46 rnlr: 5-?-?s SITE ADDRESS: 3Z74 14+Vt 1 s PHONE: 44D'OI4oc? CONTRAC.ar? PLAN R tk ??r-?S?IZ rDR: ? ?,..e- - - Determine working square footage of each 1. Total sq.- exposed wall area..... ? 3 0 ft. x .11 = I go 3 sq. 1?1 ft. x .026 3 I Z 2. Total roof/ceiling area..... Total exposed wall area above .floo r= 1'--;- 511' : . . . . . . . . . . . . ... . . . . . (o z. Total will window area .............. . . . . . . . . •.'••... • ..... • 3a b. Total door area ...........................:..... ..... . . . . . . AC; c. Total sliding glass door area ................... ..... . ............. d. Total fireplace wall area ....................... .... ............. I- e. Total will framing area (average 1 ........... .... ............. ` f. Total rim joist area ......................., .... . .... ............ ,731 g- net .... wall area above floor ............... ...... .............. h, ... wall area above floor. .............. : .... ....... i, -' .. wall area above floor ................. ........... ....... , j. f -o?ne ...... na m e wall area atiz at ?on . . . . . . . . . . . ........... . Total exposed foundation area= ? Z L Total foundation window area ................... .... 1. Total . net.'foundation area above grade......... .... Determine "u" value of each wall t segment ail section) e (e,g, window, door, each separa w .. .. ?-7 = X124.1 U a. ?nl X °? X ?„ 31 3 = lZ b. 1 t?o X U.. = I?.y C. r X 'lull - d. l'I3 X "U 'l . v 7 _= l y 11 e. X lull i ?1 f , X I1 u 11 O ^^ w ^]]] = `1•Z ? 111 ?i ' J 9. h. X "u" - i. X "u" ' j• X "u" _- X "u" - X 'lull = 1SL, ¢3 3. ---Total If item i3 is t as, or less tha ?1, you have me intent of SBC c Total exposed 17? ' sq roof/ceilinq area.....,.. j) Total skylioht area....... sq k) Total roof/ceilinq framing area (Averaoe 167) ...... 1 sq 1) Total net insulated roof/ceiling area....... 1 O l sq L, ft ft x "U" - `/ ft x "U" ft x "U" Dri?7 7.?.y3 TOTAL j ) thru 1) 3? 6 If total of 24 is the same as, or less than f2. you have met the intent of 2 MC. -'.R 1.16005 .4 and 0. ALTERNATE BUILDING ENVELOPE DESIGN To utilize the total envelope system method, the values established by the sum of items '3 and =4 shall not be greater than the sum of items ill and =2. 1 moo, 3 + 2. -7 3 = 73c>• o + 4. CA, ti CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-15501-030-07 DESCRIPTION: PERMIT PERMIT TYPE: Permit Number: Date Issued: 3274 ROLLING HILLS DR LOT: 3 BLOCK: 7 BUR OAK HILLS 2ND Permit Type DECK mb )4 k Type NEW Cade 'fix 434 ALT. RESIDENTIAL F z cUS`10 BUILDING 027437 05/02/96 REMARKS: FEE SUMMARY: Base Fee $45.00 Surcharge $.50 Total Fee $45.50 CONTRACTOR: he°rtrclie+la;dj at-, I,`have ?.n?`ortR??in?i 5?g „oo,rr`ept an?.a?ree St t:Utss airtd ;_C?.t *Sf e,, gah --or el-An APPLICANT/PERMITEESZGN TUBE OWNER: - Applicant: CAVADINI WAYNE 3274 ROLLING HILLS DR EAGAN NN 55121 (612)688-3558 ISSUEDIB : SIGNATURE ??` CITY OF EAGAN ??{{ $?'mo 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 R d R i i Cq .?-l t New Construction Requirements ? 3 registered site surveys eeu el/ epa r tm Remo ? 2 copies of plan s en ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (extedor additions & decks) ? 1 energy calculations ? i energy calculations for heated additions ? 3 copies of free preservation plan if lot platted after 711193 required: _Yes _ No . April 25, 1996. CONSTRUCTION COST: DATE: $ 2200.00 DESCRIPTION OF WORK: Construction of deck on back side of house. STREET ADDRESS: 3274 Rolling Hills Drive Eagan MN 55121 LOT J BLOCK SUBD./P.I.D. #:I nn (fin Q L i'rL PROPERTY Name: Wayne & Kris Cavadini Phone #: 612-688-3558 OWNER W1 `a°, Street Address* 3274 Rolling HIlls Drive Eagan NM 55121 City. Eagan State: MM Zip: 55121 CONTRACTOR Company: Phone #: Street Address: License #: City: State: Zip: ARCHITECT/ Company: Phone ENGINEER Name: Registration #* Street Address* City: State: Zip: Sewer & water licensed plumber. change are requested once permit is issued. Penalty applies when address change and lot 1 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: OFFICE USE ONLY R E C E W E D Certificates of Survey Received Yes No APR 2 & 1396 Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex 0 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex 0 05 SF Misc. ? 10 - plex WORK TYPE "4 New ? 32 Addition ? 33 Alterations ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ?' Deck ? 36 Move ? 37 Demolition u 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Basement sq. ft. MC/WS System Main level sq. ft. City Water sq. ft. Fire Sprinklered sq. ft. PRV sq. ft. Booster Pump sq. ft. Census Code. Footprint sq. ft. SAC Code Census Bldg Census Unit Building Engineering variance 7= Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit SM Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units Valuation: $ i ?IA1 IZI `\ ?i B, fck of Xoq sE t\° i4 CITY USE ONLY L ? BL ? RECEIPT#: SUBD r ? Cl DATE: 51P-3 ,95 1995 MECHANICAL 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 New construction Add-on furnace Add-on air conditioning Fireplace conversion (to existing fireplace) Date: S -\ C1- ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @ $3.00 each) DO ? State Surcharge .50 TOTAL SITE OWNER 3 )-)\A 0\Ot,5+1Q 'L ®rI PHONE #: INSTALLER NAME: a??O AA STREETADDRESS:,`O??O ?c?vome 11?? CITY: 1 n (-> ?-- UA e_, STATE: M1 ZIP: 5531_')_ PHONE #: (UI? ) `AA1-'8 loZ'? b`IGNATQRELlF P f? F CITY USE ONLY L BL SUBD. DATE: 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 p, Please complete for: ? all commercial/industrial buildings. u multi-family buildings when separate permits are f142 required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ? $25.00 minimum fee gr 1% of contract price, whichever is greater. ? Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS:_ CITY: PHONE #: SIGNATURE: SIGNATURE OF PERMITTEE STATF• 71P- L d BL 7 CITY USE ONLY RECEIPT #: 1?494?2- SUBD. &a a DATE: O °Z 9's 1995 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 FIXTURES Shower Water Closet Bath Tub Lavatory Kitchen Sink Laundry Tray Hot Tub/Spa Water Heater Floor Drain Gas Piping Outlet * minimum -1 Rough Openings Water Softener Private Disposal * Dakota Cty. license U.G. Sprinkler * home under const. Alterations * to existing Water Turn Around EACH X X X X X X X X X X X X NO. TOTAL 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 STATE SURCHARGE TOTAL 3 6.6Z) 3•? 3 • rlD 3 •Ua .50 SITE OWN INSTALLER NAME STREET ADDRESS: "7/// /1J IdLoVA- ? . CITY: STATE: 1-Y)A1-J ZIP: 553 -7 ff PHONE #: ((.1/oti I I ILL ATURE OF ?Tv L BL SUBD. CITY USE ONLY 1995 PLUMBING PERMIT (COMMERCIAL) II CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commercial/industrial buildings. ? multi-family buildings when separate permits are pM required for each dwelling unit. DATE: CONTRACT PRICE: RECEIPT #: DATE: WORK TYPE: NEW CONSTRUCTION ADD ON 4 REPAIR DESCRIPTION OF WORK: FEE: $25.00 minimum fee or 1 % of contract price, whichever is greater. State surcharge of $.50 per $1,000 of genng fee due on all permits. CONTRACT PRICE x 1% P STATE SURCHARGE TOTAL illy SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: PHONE #: SIGNATURE: APPLICANT STATE: ZIP:. CITY OF EAGAN 11 M dj'a City of Earn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: 4-r6- w Staff: e C� 734 7k 2010 RESIDENTIAL BUILDING PERMIT APPLICATION "t � E, 32-7y g,11I 14115 P--- Date: ' / fl � Site Address: Tenant: Suite #: RESIDENT / OWNER Name: 10u7•4 -e (mac radA, Phone: Address / City / Zip: 3 1 7 ( Ko (t a 1 ifiu 5 Pr Applicant is: Owner K Contractor TYPE OF WORK Description of work: reT I44 -(---e ribT b6 Construction Cost: 1 C° Multi -Family Building: (Yes / No (Km ) CONTRACTOR Name: Of) Zect 41 SdCl; lj S License #: ;c)5— 2/ 3 6 Address: 5-7 7 1 .e v ilue.. ie._ City: 0 (se - t9 State: d'YI f Zip: 5:5-3 3 c)Phone: (740. `24 °/2 's `(i' 5)8 Contact: Email: COMPLETE In the last 12 months, has Yes No If yes, 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: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting` documents that you submit are considered to be public rn,forma#ron Portions e if thnformm ation ay be classified as nonp- ublic iif your provide specific reasons that would permit the City to ..'., ° conclude..tha't 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.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 gyl�cti� Applicant's Printed Name Applic nt's Signature Page 1 of 2 Date: City of Eaan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: 6/ 3 /e Permit Fee: /f,1 Date Received: Staff: J 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Name: Site Address: / L/ / /,7/J,r 1./ Cr✓? <.y,/'l RESIDENT I OWNER Address / City / Zip: Applicant is: Description of work: TYPE OF WORK CONTRACTOR Owner /4,////7! 4/''! Contractor Unit #: Phone: ,/ 7Ji^ / >, Lr, Construction Cost: , i " Multi -Family Building: (Yes / No V ) Company: 2/1"i>,Vr•ii'd (-/ .-11iC Contact: t.(416 > :: Address: ,7%).-°:6c: ,� 11/20-,/)1'''''')/,/./ yrs, c. , / City: 4/00- S/ State: J Zip: '�7 Phone: : - cit".; 5 License #: 611 00 / i Lead Certificate #: L. r / t" 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 i 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: 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 CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities 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 uiiding Code must be completed within 180 days of permit issuance. Applicant's Printed Name Z•d 06LL8£b£9L N Applicapt`sSigrtature Page 1 of 3 sao)oeiluo0 Ieaeueo seleo d I Z:ZO Z L 8j, AeW PERMIT City of Eagan Permit Type:Building Permit Number:EA149484 Date Issued:05/23/2018 Permit Category:ePermit Site Address: 3274 Rolling Hills Dr Lot:3 Block: 7 Addition: Bur Oak Hills 2nd PID:10-15501-07-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 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 - Krista A Cavadini 3274 Rolling Hills Dr Eagan MN 55121 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165517 Date Issued:11/04/2020 Permit Category:ePermit Site Address: 3274 Rolling Hills Dr Lot:3 Block: 7 Addition: Bur Oak Hills 2nd PID:10-15501-07-030 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 C & Krista A Tstes Cavadini 3274 Rolling Hills Dr Eagan MN 55121 Guardian Services Contracting 1042 20th Ave N South St Paul MN 55075 (800) 617-8450 Applicant/Permitee: Signature Issued By: Signature