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3285 Rolling Hills Dr lKertif icate of cccuvanc? WU4 of W-agan MC*WA=tUt of Zx>i1b* anoection This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use Classirk=ion: SF DWG Bldg. Permit No. 23575 Oe W-Y Type R3/M 1 Zoning nisu; RI Type Const. VN omw of Buiwins W UTNE C 1M QFATIONS INr^datt, z 4160 LANIM LAM, EAGM Building Address 3285 -ROLLIM REU.S DRNE Comity L2, B5, BUR OAK MIS 2ND Date: Building official POST IN A CONSPICUOUS PLACE INSPECTION RECORD CITE OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: 1 11 1 141 111 1 APPLICANT: i 111 1 INI1, 11(1 ?'.: (117 ?iVl I??i Ilrlf*11 ' i t A111?P1 1 ;!? ??ici 1i 1 I t 1!{? ? ; 1 i !'?=1 ? 1 ?.•E.? , PERMIT SUBTYPE: TYPE OF WORK: ! rtt'41 rill 1 I It Ir NO F1 r' ','r / f> Nra J 1 1?t4 INSPECTION TYPE .DATE INSPTR. INSPECTION DATE INSPTR. I khtl I Ni r >I 1 N., f r! ?! i i ?rr1 I ! ! f'! r?? ill 1 N ? ! V:?? 7:r!llr,ll I IJ ti I ?, f l II I I I r,,, t 1 MAI R1.MAI<t:??s S & W Pi-11V 14A111414 DANit 1 1111111 Permit No. Permit Holder Date Telephone N S/W PLUMBING HVAC / / S7 ELECT 3 y?g ELECTRIC Inspection Date Insp. Comments Footings I Foundation 4AP AOC-J "? ?'??v4 • Framing // Roofing Rough Plbg. /39 Rough Htg. (1111rll R4 ,c 44OL 41g? 11&4d Isul. Fireplace f? -- Final Mg. Orsat Test Final Plbg. .ZG q Plbg. Inspector- Notify Plumber Const. Meter EngdPlan Bldg. Final P? C Deck Fig. Deck Final Well Pr. Disp. r ix ? 33078 /L 101 ,E 708 5? Request Date Firs No. Rough-In Inspection Requhed (you must call inspector when ready) Inspection Other Than ROW 14n ? Ready Npw ? Will Notity Inspector Yes ? No Date Read I?licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No I City IX I 1 s 1 a av) Section No. Township Name or N Range No. County Occupant (PRINT) 4 Phone No. (.Ul?''fne s U n ?? e' YS -5 3 Power Su I r Ad e ss y ' Soa + o c ao w. Electnca?Pnvactor (Company Name) Contractors License No. (?r/?: e eeki,e- ? c-, ep4cotIa Mailing Address (Contractor or Owner Making Installation) 1 D a s+' Wr a Aml-k iced Signature ICOnV ner Makin In ton( Phone Number MINNESOTA SO BOARD OF Li'ECTRIOITy L/ THIS INSPECTION REQUEST WILL NOT Griggs-Midw Bldg. - Room S-173 BE ACCEPTED By THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642.0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Qa'" a yEB-00001--00ey ?q pp "e See instructions for completing this farm on Eack of yellow copy. m ?Hl/ y O "K' Below Work Covered by This Request Z 4? / e! U aue? New Add Rep. Type of BSilding Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor's Remarks'. Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps trove 00 Amps Signs Inspector's Use Only: TOTAL e Irrigation Booms ) C)G. )zJ P 109, Special Inspection Alarm/Communication THIS INSTALLATION MAY BE OR ONNECTED IF NOT Other Fee COMPLETED WITHIN NTH ,jr I, the Electrical Inspector, hereby RougM1-in ' /1\ S!J oa _/``C? / ( / T certify that the above inspection has been made. Final oate OFFICE USE ONLY This request vote 18 months from l I 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements 3 registered site surveys showing sq. ft of lot, sq. It. of house; and all roofed auras (20% maximum lot coverage allowed) 1 Soils Report if proposed building is to be placed on disturbed soil 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form CA I IC4 -/-9 Lck ! : RemodeVReoair Rec uirements Office Use Only 2 copies of plan showing footings, beams, joists Cad of Survey Real -Y -N I set of Energy calculations for heated additions Soils Report _Y _N 1 site survey for additions & decks Tree Pres Plan Recd _Y . -N Addition- indicate ilonske septic system Tree Pres Required _Y _N On-site Septic System _Y _N Plans are considered public information unless you state they are trade secret and the reason. Date ? / / If / -0J y Construction Cost -17,1,3-00 Site Address 8.s R o ! ! h /' W- t[5 . Unit/Ste # 6464AI Description of Work v .tn 3 5415,s Multi-Family Bldg _ Y ? N Fireplace(s) - 0 - 1 1/2 Property Owner M rG AQ e ( -( SG *.,vq j< ct R 67 Telephone # ( G 51 6 8 (- ?S 7 9 Contractor (/?i (S Gl. • C ??0 /L 7 Address 318!' P?o ((10% A City 6?? State GLJti zip ro - q Telephone#(&5() COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (d submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plant, Y _ N If yes, date and address of master plan: i c ? Gy Licensed Plumber Telephone #( ) Mechanical Contractor ( I 7nh Telephone #( Sewer/Water Contractor • Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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. M(ck4-6'c K0RTE -? Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace 'p 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant - ' Description: WaterDamage _Yes 1906 Valuation Occupancy MCES System Plan Review 100% or -25% Code Edition Z1zC Aee?o Census Code VW Zoning City Water SAC Units • Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length ;t Fire Sprinklered Type of Const Y? Width REQUIRED INSPECTIONS - Footings (new bldg) _ Sheetrock - Footings (deck) Final/C.O. _ Footings (addition) Foundation _ Final/No C.O. HVAC 9W6'0 e,rs, -l""g ?~" ?? _ Drain Tile Other Roof _ Ice & Wa ter. Final Air/Gas Tests Final Pool Ftgs Framing _ _ _ _ - Siding _ Stucco Lath _ Stone Lath -Brick Fireplace - R.I. - Air Test -Final _ Windows _ Insulation _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total /20, 806y- A b k' ) IF C7F tck+ l E- 3,0 S- (- - t (5 Or I T (/3 5S- W ???c? (5 d??y fU bc JUL 0 5 2007 Address 3285 ROLLING HILLS DRIVE Zip 5512 La . 2 Blk 5 Sub CDR oAR tm.T.s 2Nb THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 9/y Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch ? .. Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the 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 593, 9 --- Et) ASS M6NT 376 RO l (NL t iL?S 021VE O ? ?'? 1 Gf$ i C-;* $V, .3 8?' 5 e Io r N? z c ? .b ' ' ` I p Q Y NO w 7 v1 *? 0 I ? v w Q o a V) I 4J !O L s - 1 N C- ;-, s_ - 'Svc,- In ?o ?a $91 2.33 , E" a-+g9z.b' 0 a LL) Qa9 J? v cp -l- I 's 1 ? 0 rv L-- ??"? ? g95.7 i i 4 Sc ALC- 1?? ='vo' ALL BEAp_jWC6 A$5W6EU QDENoT67 IRo?{ MoNUM?lJT V I hereby certi€x-oTthat this survey was prepared by me or under my direct supe'rvision'an'a that I am a duly Registered Land Surveyor under the laws of the State of Minnesota, Date :.&c,. -" fe a r'? ..=„oy n.- Bohlen Registered Land Survevor Nn moor o.? 0 D,°??50,5 L ?$ 3 In" N ? 10; k s 7 8?,g 0 0 Nu?? ? D AO Nj -o m M' 2- J Q l1 1;0LJk J 2 V" Z I, $y,,i3 r? t I the f Mn. --,?----- 336' surl ___DE?.GIZ1PTlOh1 .??. Vier, i E3UtZfz o?,k. {SILL<? 2 tN0 L?.DDITION i DGa,Kz? TA Gbvh,lT'(? Ml r.INt-So TA ' RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Dead Options selection sheet (bldgs with 3 or less units) DATE to I Sr I ?-7 Water Softener Water Heater No. of Baths SITE ADDRESS 3 2 /?? r.u.JGG /-& ,( 04Z MULTI-FAMILY BLDG _Y N TYPE OF WORK 8?14 b 5"zre4 firc k_ o,J IJec l < FIREPLACE(S) _ 0 _ I _ 2 awe ?-` ?s? Gb n s+YkF?; o Y, APPLICANT E 0 Do 2oVh1L ??L n1 ? x?r,?.? - STREET ADDRESS CITY STATE JJ?JL1ZIP - TELEPHONE # . - - CELL PHONE # P /'* 4.2 FAX # PROPERTYOWNER J5'4IARa?J kaa-c4 TELEPHONE# L_/_ 6V - gj 7? COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CA-rEGORY 1 _ MINNESOTA 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. _ Mechanical system includes: Sewer/Water Contractor: Phone # Phone # Fee: $90.00 -----------------------------------------------------------------°----------°----------- I hereby acknowledge that I have read this application, state that the information is with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY RemodelfReoair Requirements .?? • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate I home served by septic system for additions VALUATION 12 Phone # lawn Sprinkler No. of R.I. Baths Air Conditioning Heat Recovery System Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 31 New 32 Addition ? 33 Alteration ? 34 Replacement ? 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/Adds. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors "Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation I yff r Occupancy MC/ES System Census Code ¢ ?i? Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. _ Footings (deck) y Final/No C.O. 7) ' Footings (addition) _ Plumbing - Foundation _ HVAC - Drain Tile Other Roof _ Ice & Water _ Final Pool _ Figs _ Air/Gas Tests _ Final 7` 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 '?? X10 "re,P (3LOc-K- ei, 893.9 BAse t,A r-M-i' EL- 885.$ N,a 3 3 I-W ` Im 71 8,95.1 " 1 i i - SO ' T t ?.SEPT. -,--- -- 33 e , Sc- RLE t" = ?vo' ALL BEARtN6b A55UMEb ODE14oTO ROM MoNUmENT RruiEwE n L-c'T 2 i3L?oC-Wjv? ?U?Ziz C, p V-- N}L.L,!? 2- 1"O At'-Dp}TIoN i D Q K to iA GA V ??{'r ??? Mt lV r%4 SoTA I hereby certiU-ghat this survey was prepared by me or under my direct supervision an that I am a duly Registered Land surveyor under the laws of the State of Minnesota. Date:,Z,_LL9?e .? LeRoy H/Bohlen Registered Land Snr%rny,,,, n. rl a ; 3715 P.OLL(NL? WILLS OfL}VE \ ri 138,0 ??ss L__ the f Mn. _'_"!-28-2002 14:19 RED ROCK CONSTRUCTION 952 346 1016 P.02/02 t 150 West 88th Street • Suite 4 -1016 Red L?Oc/( / Bloomington, Minnesota 55420 A to 10 Construction Inc. Fax: (952) 346-1018 Email: steve@redrockconstruction.com TO: FROM: DATE: RE: Building Inspections City of Eagan Lynne Lerberg Office Manager June 28, 2002 3255 Rolling Hills Drive Within the last two weeks, Tom Elbert requested a permit for work at the above address under the name of Red Rock Construction. It is our understanding that the permit has not been issued yet. Mr. Elbert is no longer an employee of this company, and is planning on doing this work on his own. He will re-apply for the permit under Tom Elbert Construction. Please do not issue a permit for work at the above address to Red Rock Construction, Inc., as we will not be doing this work. Please call me if you have any questions. Thank you! horn Elb?r-?=bS1 208- I?9>- TOTAL P.02 r--S\. CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: S-r3_y? BUILDING 023575 05/12/94 SITE ADDRESS: P.I.N.: 10-15501-020-05 3285 ROLLING HILLS DR LOT: 2 BLOCK: 5 BUR OAK HILLS 2ND DESCRIPTION: Bu'ilding'.Qermit Type SF DWG Building Work Type NEW "UBC Occupancy'`;,, R-3 M-1 Construction Type V-N Zoning R-1 Building Length 44 Building Width 54 Building stories 2 -h 4 Je REMARKS: S & W PLBR - MATTHEW DANIELS PLBG FEE SUMMARY- Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal VALUATION $156,000 $835.50 MISCELLANEOUS $1,828.50 $543.08 Total Fee $4,085.08 $78.00 $800.00 100 1 $2,256.58 CONTRACTOR: - Applicant - ST. LIC WHITNEY HOMES CREATIONS 14549150 0008344 4160 LANTERN LN EAGAN MN 55123 (612) 454-9150 OWNER: WHITNEY HOME CREATIONS INC 44160 LANTERN LN _AGAN MN 55123 (612)454-5332 I hereby acknowledge that I have read this information is correct and agree to comply Statutes and City of Eagan Ordinances. APPLICANT/P MITEE SIGNATURE application and state that the with all applicable State of Mn. SUM? R r ISS ED B : SIGNATURE ? Ls5?3 CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION ? %P i ? 681-4675 d?.D? r ??4 _64I0 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of en calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. F alty applies: 1) when permit is typed, but not picked up by last working day of month which request is made, 2) address is changed or 3) lot change is requested once permit issued. Date / 0 / 94 Valuation of work Site Address: 32_85 1hG1s Y)at? STREET SUITE # Tenant Name: (commercial only) LOT Z BLOCK S SUBD. g"Q4 0Ykr- a11u5 P.I.D. # r)? A'ooirxrrd Description of work: 5 F E> The applicant is: ? Owner $5 Contractor ? Other (Describe) Name Phone Property LAST FIRST Owner Address STREET STE # City State Zip Company 1,414tr_ $Mff ciP"Ape.ts ,%nwa Phone qs4-5337_ Contractor Address 9/66 Z,474Tzled 4A7V6License # $344- Exp. q5 City P"l}6A?j State /0/0 Zip 551`2-3 Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber M "eb' b A7JA07-5- Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUIL DING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ,1?^02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Acces: ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add11. ? 15 Deck WORK TYPE 4 31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) ?,V Basement sq. ft. 1/_39 (Allowable) 1st Fl. sq. ft. /3 UBC Occupancy _ 2nd F1. sq. ft. 122L Zoning ??- Sq. Ft. total # of Stories z Footprint Sq. ft. Length y? On-site well Depth On-site sewage APPROVALS Planning Building Engineering Variance REQUIRED INSPECTIONS ? Site ? Wallboard Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: ® Footing q Final RI Framing ? Draintile C Fi veiuetim: Ctsw 2Z{ P 1/ 39 3 &?-?9 = '7?6'?2 h rJ` ??X zp v ?6O l?zzv?..sv= ?G?°gG . 7 '.' ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous 10 1 y r2I,6? 03, 3,9 ? 37 Demolish ;C System y Water I Required ester Pump e Sprinkler isus Code Code isus Bldg sus Unit o? ssments I$ Insulation ? Fireplace ar . zD, ?+- 3r Z(?ss 70. 3X 7- tfd6 L ?, 9(, ,vt/G I l/ yo, ? y SAC % SAC Units a? ? SSaC ?, HEE .633 EN 3 ACnQEyy f' _TDP. ???? LL., 893.9 .325 1?,O?.LI?JL? 1-><tLLS ??1VE "..6A?EMENT E4. SSS•$ U3 \ cv, r? 3 t-x ?S5 1 D I Na ` N X5.5 IT _--'11•k -fib- : 8tig.9 i y -?n ??, g9i•b ?? Nll1`0 t N gam' 3 ?- zo.33 a +g92.b 1 in IC _ m- t) 0 ?J ti Q Q W° .? ¢10 p0 N N8 ' VW 0 0? -v IV~ ? ? ? ? ?r m Q o°l ? 9,0+'30,5 a? 3cs -fir s - J "7- Vol N 4?y,o 3m,o F,w i93,p D ^0, 5 - - - - - - S 69?,l3 g$? S 1 S? `` 41,zg ? 9y? +? /?1? N ?°1 ° 3819 E orw9 3 0 3 4• ._% ? ?9sa 1 By ----- - D u5c j GANEN RING DEPT. I pExR?P ? 1pt? L C>T :2 e?L C>4-V - 5 ?.c..!?LE t =?jo J3>Oq-r .Q/-,V- HILL' RILL. BEJP,R(W& A45uMEO Z tv0 A0 1T1AN f o:pENo?E/j IRot? M9NUME-N-r pp Kp ?q c_ovt\lT'(, EAGAN Mt?NESoTA REVIEWED I hereby certL hat this survey was prepared by me or under my direc££''supervision an a that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. Date:-Mq,. 7, /S9? //4 r+-ft tom- "- LeRoy H Bohlen Registered Land Surveyor No. 10795 ri, U ut m a 5 LOT SURVEY CHECKLIST FOR RESIDENTIAL a N f- er''? ?-1? ? ? ? ? G?M ? ? f,YO ? [?0 a ?3 ? 0 0 SUI PROPERTY LEGAL: LDING ERMIT AICATION DOCUMENT STANDARDS Registered Land Surveyor signature and company Building Permit Applicant Legal description Address North arrow and Oar-scale House type (rambler, walkout, split w/o, split lookout, etc.) Directional drainage arrows with slope/gradient %. Proposed/existing sewer and water services Street name Driveway entry, Existina 0' ? 0 Sewer service P- ? ? Lot corners V ? ? Top of curb at the driveway 0 ? Elevations of any existing adjacent homes Proposed L'I' 0 ? Garage floor [? ? ? First floor C'I? ? 0 Lowest exposed elevation (walkout/window) 0' p ? Property corners ? ? Front and rear of home at the foundation PONDING AREAS (if applicable) ? ? Easement line ? 13'? ? NWL 0 Cr ? HWL ? 0' n Pond # designation 0 &- ? Emergency Overflow Elevation DIMENSIONS D? ? 0 D-?? ? 70 0 E' ? ? . ? ??6 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 Reviei October 1992 Date of Survey: S LZ lvBEND - -- _ ~ 'Nno6.3 25 'IN ac ST. SIGN ?? , F{YD W,I- 60 .-of- - - t 130 DIP U. 80-g -'-- 35.0. 7 q i yii a (\ ROLLING N a 3 J. d W !j - -- 8 ?c c 63.0-_ - - - - ?? -- r2 MH ro I 2 375 Box NOTE ._ M.H. 124 WATERN1 1N _ TIC'IIN i ?G.4 O+Ou _'4H _ e 73G ?' a,? GATE 1 I i 6 3l II - a ol I I IE CITY OF EAG4,N DOES NOT GUARANTEE a s. sG-g HE ACCURACY,OF UTILITY LOCATION' - E?iQ1OR ELEVATIONS. THIS DAM 1-0 'FOR --- --i- _ , 114I R,?ATION ?S t "' TE-? .?.IN.G IT SHOUL-L" .?. - =HYDRANT I41, I?°'!VN THE SITE. t.=C? M.H. 23 Zi ?_; 5 4 p Z? twill m? 8" TEE Lp :.54 a _, i I - - ; -? o 8 x 5 T` TEL - GATE VAI:VE 044 37 2 39 - 2 8TD.1. P. M.H 21 M.H. 2 ' ELEC 41 4 ? 'r 1 e o u ?- V d I ae.s-'?i?l _ea' ? 74; i?i f 2'?%' a?? ? '442 ? ? 47 ,'%? 45 8 BEDC - O _ W Q Z N F f f T m ' S C P L F. ',.. IM N °0 Z d z v I f N = v _ ?, a, Un aj N Cu Cn ? °° _ ? ? 0 0 .J ~ z 16. z er J Y Z F 0 „t 5C w <I n 890 0 - - z LC w Q I m W 0 -52 WATEkMAIN $$0 ?4 6 0.40% 130Lf pVC @ I 870 t 1 1 y THE CITY OF EAGAN DOES N6T - UAHANTFQ 60 T14E ACCURACY OF UTILI'T'Y OCATIONS I f ND/'OR ELEVATIONS. THIS'?DAI i? 13 FOR PURPOSES 01D, PLl-i?•.3. ?Uvl!}VqG IT f -- S DR 3 5 -- $AO wf I -it Y: I W 830 a z 0 - (' I. C, J ml` 820 N'? I N U) D N .v co OI j O t z cr. W I? Z Z w0 >0 Q a ui 5 °? J W AI J_ Q =o (D q z O J C) J + cD M mot; 00 ? .. N r O W u- cD m 14t Io? 38 ONE AND TWO FAMILY --ENERGY CALCULATIONS - AVERAGE "U" COMPUTATION „OWNEit: KORTE SITE ADDRESS: EAGAN DATE: 4/21/94 CONTRACTOR: WHITNEY HOMES CALCULATIONS BY: SWANTZ PHONE: 451=1019 Determine working square footage of each that applies. 1., Total exposed wall area .............3264.2 sq. ft. x 0.110 -359.06 2. Total roof/ceiling area ............. 1368 sq. ft. x 0.026 = 35.57 3. Floors over unheated space.......... 0 sq. ft. x 0.050 = 0.00 4. Roof/ceiling area (no attic space).. 0 sq. ft. x 0.026 = 0.00 5. Unheated slab on grade...... ..... 0 sq. ft. x 0.160 = 0.00 6. Heated slab on grade ............ .... 0 sq. ft. x 0.120 - 0.00 TOTAL WOOD WALL AREA 3165.00 a. Total wall window area........... 250.00 b. Total door area .................. 38.00 C. Total glass door area............ 54.00 d. Total fireplace wall area........ 0.00 e. Total rim joist area ............. 222.00 f. Total wall framing area.......... 260.10 g. Total net wall area above floor.. 2340.90 c? TOTAL EXPOSED FOUNDATION AREA 99.20 h. Total foundation window area........... 0.00 i. Total net foundation area above grade.. 99.20 J. Total unheated slab on grade area...... 0.00 k. Total heated slab on grade area........ 0.00 Determine "U" value of each wall segment a. 250.00 x "U" 0.360 = 90.00 b. 38.00 x "U" 0.070 = 2.66 C. 54.00 x "U" 0.360 = 19.44 d. 0.00 x "v" = 0.00 e. 222.00 x "U" 0.043 = 9.64 f. 260.10 x "u" 0.106 = 27.58 9. 2340.90 x "6" 0.046 = 108.43 h. 0.00 x "U" = 0.00 i. 99.20 x "U" 0.062 = 6.13 j. 0.00 x "U" = 0.00 k. 0.00 x "U" = 0.00 7 .......................................TOTAL = 263.88 If item #7 ie the same as, or less than item #1, you have meet the intent of SBC 6006(c)2. NOTE: FOUNDATION WALLS Full basement (Rambler) entire exterior wall must be not less than': R-5. Half basement (Split Foyer) entire exterior wall must be not less than R-10. % / TOTAL EXPOSED RCDF/CEILING AREA 1368 1. Total skylight area.. .............. M. Total roof/ceiling framing area........ 136.8 n. Total net insulated roof/ceiling area.. 1231.2 Determine "U" value for each rocf/ceiling segment. 1. 0 x"U" 0.00 M. 136.8 x"U" 0.028 - 3.89 n. 1231.2 x"U 0.025 a 30.95 8 .................................:.....Total - 34.84 If the total of #8 is the same as; or less than #2, you have met the intent of SBC 6006(c)l. To utilize the total envelope system method, the values established by the sum of items #7 and #8 shall not be greater than the sum of items #1 and #2. WALL SECTIONS "U"= 1/R WALL FRAMING AREA CONSTRUCTION.' R-Value 1. Interior air film 0.68 2. 1/2" Gyp. Bd. 0.45 3. 5-1/2inches soft wood 6.84 4. 7/16" OSB 0.67 5. Vinyl Siding 0.62 6. Exterior air film 0.17 Total 9.43 Value 0.106 NET WALL AREA ABOVE FLOOR 1. Interior air film 0.68 2. 1/2" Gyp. Bd. 0.45 3. F/G Ins. 19.00 4. 7/16" OSB 0.67 5. Vinyl Siding 0.62 6. Exterior air film 0.17 Total 21.59 "U" Value 0.046 RIM JOIST AREA 1. Interior air film 0.68 2. F/G Ins. 19.00 3. 1-1/2" softwood 1.89 4. 7/16" OSB 0.67 5. Vinyl Siding 0.62 6. Exterior air film 0.17 Total 23.03 "U", Value 0.043 --FOUNDATION AREA ABOVE GRADE 1. Interior air film 0.68 2. F/G Insul. 13.00 3. 10" Conc. Blk. 2.33 4. 5. 6. Exterior air film 0.17 Total 16.18 "U" Value 0.062 ROOF/CEILING FRAMING AREA 1. Interior air film 0.61 2. 5/8" Gyp. Bd. 0.56 3. Cord depth 3-?1/2" 4.38 4. Insulation 29.00 5. Exterior air film 0.61 Total 35.16 "U" Value 0.028 INSULATED ROOF/CEILING AREA 1. Interior air film 0.61 2. 5/8" Gyp. Bd. 0.56 3. Insulation 38.00 4. Exterior air film- 0.61 Total 3:'.78 "U',' Value 0.025 r PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTf. ------ - ---------------- NO. a SITE OWNER FIXTURES EACH TOTAL SHOWER 3.00 3.0c> WATER CLOSET 3.00 (?. oo . BATH TUB 3.00 S ao LAVATORY 3.00 loo KITCHEN SINK 3.00 -:7; m LAUNDRY TRAY 3.00 -. HOT TUB/SPA 3.00 WATER' HEATER: 3.00 . o0 FLOOR DRAIN 3.00 . c? GAS PIPING OUTLET • minimum -1 3.00 3. t ROUGH OPENINGS 1.50 5{ WATER SOFTENER 5.00 PRIVATE" DISP. • DaLCty. km 20.00 U.G. ;SPRINKLER • home unded eonat 3.00 ALTERATIONS • to adating 20.00 WATER TURN AROUND 20.00 STATE SURCHARGE 50, TOTAL: Aga: INSTALLER: Gi ktrtt} afro's :L/ye , ADDRESS: /5?13o l'?ror zJ LCD iY CITY: Yf7?xr?t _ STATE: X71 e ZIP CODE- r!?5 $ PHONE #: 1994 PLUMBING PERMIT (RESIDENTIAI;) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 68'1-4675 PLEASE COMPLETE FOR ALL COMMERCIALANDUSTRIAL. BUILDINGS: ALSO?FOR.fi FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED, FORS DWELLING UNIT. NEW CONSTRUCTION ADD ON uFnsro FEE: 1% OF CONTRACT FEE STATE SURCHARGE-. '$.50 FOR EACH $1,000 OF 'FEE. M[NUq M FEE: $ 25.00 CONTRACT PRICE X 1% $ STATE. SURCHARGE $ _ TOTAL CITY: STATE: ZIY CODE: _ PHONE #: FOR CITY OF EAGAN APPUCANT 1994 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3836 PILOT KNOB RD EAGAN =MN 55122 (612) 681467S PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. /NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE FIREPLACE INSE T DATE 7 FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00, GAS OUTLETS (MINIMUM 1 @ $3.oo EACH) " ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 20.00 STATE SURCHARGE .50 1994 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 6814675 0.5 TOTAL PLEASE COMPLETE FOR ALL COMMERCIAL4NDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: CONTRACT PRICE: NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF P5' FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF MA?;,R FEE. TOTAL $ SITE ADDRESS:, OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY. STATE: ZIP CODE: TELEPHONE #: SIGNATURE OF PERMITTEE CITY INSPECTOR 1994 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PH.OT KNOB RD EAGAN MN 55122 (612) 6814675 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements 3 registered s to surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) 1 Soils Raper: if proposed building is to be placed on disturbed soil 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Enerly calculations 3 copies of Tree Preservation Plan If lot platted after VV93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form RemodeVReoair Requirements 2 copies of in showing footings, beams, joists 1 set of Energy Calculations for heated additions 1 site survey for additions & decks Addition • indicate if on•ste septic system ?0 Jq ?o_oa CedofSutyey eoi Y _N Soils Report; V , _';..N Tree Prigs Plan iecd - `-Y N, TreePresRec red "Y N On=sdeSeptic ysiem..,x, Y N Date J / ' V Site Address Construction Cost a- Unit/Ste # _ Description of Work SCI C CLV13 Multi-Family Bldg n _ Y XNV l Fireplace(s) - 0 - 1 - 2 G Property Owner ?' I I II ?hL x" l P Telephone # CC35,?) J? Contractor Z)lZV1 LCCt'bG/ ?G/1S "??G?""C-?%lJ? / Address ti (0 `f7 /?JP/YJDY i sz/ Xl . /(/; City S'? ??(ti'Lt Te State /7) / Zip _:54,F-V Telephone#(/p67) ?• ? C COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDI AG - Minnesota Rules 7670 Category 1 Energy Code Category . Residential Ventilation Category 1 Worksheet (J submission type) Submitted . Energy Envelope Calculations Submitted _ Minnesota Rules 76 ? New Energy Code orksheet Submitted in the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y - N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is comi etc and accurate; that the; work will be in conformance with the ordinances and codes of the City of Eagan am the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is no to start without a permit; that the work will be in accordance with the approved plan in the case of work which rec ires a review and approval of plans., Lt Applicant's Printed Name Applicant's Signature C/?), 60 jb?j 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX 4 651-675-5694 New construction Requirements 3 registered site surveys showing sq. ft. of lot, sq. fl of house; and all roofed areas (20% maximum lot coverage allowed) 1 Sobs Report it proposed building is to be placed on disturbed soil 2 copies of plan showing beam & window sizes; poured found design, etc. I set of Energy Calculations 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form RemodelfReoair Requirements 2 copies of plan showing footings, beams, joists t set of Energy Calculations for heated additions 1 site survey for additions & decks Addition - indicate Nonske septic system ao?? c On GeRot San?j R`?$* Ott `Y? ? Sotisf?eportj; ? ?,Y TtaaPtetp(ahlia? , lf? std, TreePes,,ggprqd,4,Z?ES Y °N Photo ep65System? , ? .Y"_fJ; 41, / / Site Address 7 0l/ ' Construction Cost C( 5-02 na ?/ i Unit/Ste # Description of Work I C P S r Gr e Multi-Family Bldg _ Y N Fireplace(s) _ 0 _ 1 - 2 Property Owner r e Telephone #651 ) ?) - 5 7!T 4 //?l ?Gi Contractor ` GCCd? tG/J S`G?r ndi7 + - - ? Address S(P417 V lAoh)Qi"i'k?l h IV City S'??lCc%?TZy State Jr1 /Y Zip Telephone # (//67) h! 3 r. y3 O COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 - Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (+1 submission type) Submitted - Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y - N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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. , Applicant's rinted Name Applicant's Si lure Use BLUE or BLACK Ink I I For Office Use 41r Permit#: City of EaEd~ ,0'5. Permit Fee. 3830 Pilot Knob Road II I Eagan MN 55122 ; Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 5 a~ Site Address: 3~ s dRL-~_o ~*e It', Ir 0. Unit Resident/ Name: tKc' K rAc- Phone: G s 3 - ~i (O Owner Address / City / Zip: 3 ,-6'~ Applicant is: Owner __'C'Ontractor Type of Work Description of work: 'SA )A!2, t)Aa, I~ 1 Q►4 ~eS ~ Gt I U ~I 1A U (M ("CAP L I ~kAiV ~ 11 ~~ut re Zinc Construction Cost: -7) ~OC7 Multi-Family Building: (Yes / No C vt )-rc. Company: nr-~hevn ? CJ~ o,FS JRC, Contact: a--Dyt u 4 5 err Contractor Address: ( 6]:7 ~11/t~ ~c J! -e L (l . S. City: (Q ?Q9~ State: W Zip: Phone: 6 (-d_M -5763 Email: iQSQ COin1Ya (~oV ~q WtcGI , c6 License aC ~Ic? 7 09 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: 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.oopherstateonecall.org 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 Minne a S ate Buildin Code must be completed within 180 days of permit issuance. x ~so+l-2-e-rcey x Applicant's Printed Nam Applicant's Sig ture Page 1 of 3 Use BLUE or BLACK Ink r----------------- I For Office Use � Clt of �a a � Perrnit#: �� -1 � Y � � j,, � 3830 Pilot Knob Road j Permit Fee: �Il�-4� I I � Eagan MN 55122 � Phone: (651)675-5675 � Date Received:� � � Fax: (651)675-5694 I � � Staff: �_ I �------- ---------� 2014 MECHANICAL PERMIT APPLICATION ' ❑ Please submit two (2)sets of plans with all commercial applications. �� Date: '-1 �� Site Address:_�O�� J ��GuY v� �/ wS XJ 1�-- Tenant: Suite#: Resident/Owner ' Name: Y��1�Y�- Phone: 6 c� I ! � J ! 7 T � Address/City/Zip: S^�� ' Name: �vO jIV�f- 17`IL��C��I ��i� nse#: Contractor address: /.57�3 G-f��f9`-� ��Y� �2,OJ City: �� /�/I�'//�- ' �5�3�� . 9 2 � ��D State: �/U Zip: Phone:_ � Contact: . Email: New Replacement Additional Alteration Demolition Type of'Work Description of work: L �- NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by Gity : Cade: Please contact the Mechanical Inspector for information on permitted'screening methods. RES/DENTIAL COMMERCIAL Furnace New Construction Interior Improvement P@1'1111t Typ@; �Air Conditioner Install Piping Processed _Air Exchanger Gas Exterior HVAC Unit _Heat Pump Under/Above ground Tank �Install/_Remove) Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) $100.00 Residential New(includes$5.00 State Surcharge) _ $ TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee *If contract value is LESS than$10,010, Surcharge=$5.00 =g Surcharge"` *'If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005 ""`If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE 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 ��1 � �r��- X � ` ApplicanYs Printed Name ApplicanYs Si nature FOR OFFICE USE RecLuired Inspections: Reviewed By: Date: Underground — Rough In Air Test Gas Service Test Jn-floor Heat Final HVAC Screening PERMIT City of Eagan Permit Type:Building Permit Number:EA124019 Date Issued:06/18/2014 Permit Category:ePermit Site Address: 3285 Rolling Hills Dr Lot:2 Block: 5 Addition: Bur Oak Hills 2nd PID:10-15501-05-020 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 K Korte 3285 Rolling Hills Dr Eagan MN 55123 (612) 326-1919 The Fireplace Guys LLC 680 Hale Ave N #110 Oakdale MN 55128 (952) 326-1919 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA173880 Date Issued:12/09/2021 Permit Category:ePermit Site Address: 3285 Rolling Hills Dr Lot:2 Block: 5 Addition: Bur Oak Hills 2nd PID:10-15501-05-020 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 - Grant & Karin Jordahl 3285 Rolling Hills Dr Eagan MN 55121 (651) 324-6718 Crossroad Construction 17121 Lincoln St NE Suite 100 Ham Lake MN 55304 (763) 434-0202 Applicant/Permitee: Signature Issued By: Signature