3289 Rolling Hills DrINSPECTION RECORD
CITY bF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: 101- I . • t. 1 APPLICANT:
?ci i ril ifll I ? 1llt Tic ci
1:1•tl: ?1fif. 11111:, .11411 r » I , y Wj.' si -ti
PERMIT SUBTYPE:
TYPE OF WORK: 11 w
INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR.
1 i rlrl l i'?c? ccur ! t•t?,
1 rJ'.crl r, I r c?;. I 11:1 I I i?c
:c ll,.l' fr1 i'I It,, I Illli,l! Ir! ??r .
It IMAkit, W 1,tltk KLAMM MUTAI
it 11-114*,f"ff Lxl'Tirf l1 11V 111 1', ,Ill PL I? AANl
J
Permit No. Permit Holder Date Telephone A
S/W
PLUMBING Ffe-xx
HVAC
ELECTR
ELECTRIC
Inspection Date Insp. Comments
Footings l
Foundation
Framing W
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg. /
Orsat Test
Final Plbg. C Plbg. Inspector - Notity Plumber
Const. Meter
EngrJPlan
Bldg. Final /
/
Deck Fig.
Deck Final
Well
Pr. Disp.
? . .'s
%erti f icate of cCCupanC4
Mt4 of Was,
WO 1--tat of **M1* an6ptctioa
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 c{assifiatioa: SF M Bldg. Perndt No. 2322Q
y Tfl- R3/M1 Turing DLwx:t R1 Type cont. VN
o.nff of Building HAI LMM HUES RC 14055 MM AVE S, B' V TT 7 R
Building Address 328Q FDLLIM M SIX M L3, B5, BUR OAK K= 2ND
Due:
&Wding Offid?l
POST IN A CONSPICUOUS PLACE
??? INSPECTION RECORD
---CM OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: ' V' i rM17l _p f1 p-
I f11 11 NO 111111; OR
PERMIT SUBTYPE:
APPLICANT:
?. :•. i 1 f•IiFN
(6 ?. i ? 4• tf l ?- ti Ib 3 b
TYPE OF WORK:
3
Permit No. Permit Holder Date Telephone i
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
O
025 0l. alc /05
Request Date Fire No. Rough-la InpsaClion Requiretl
t call inspector when ready)
(You Inspection Other Than Rough-ln
? Ready Now ? Will Notify Inspector
Gr0-? i
-?Yes ? No Date Ready
I>(?Icensecl contractor D owner hereby request inspection of above electrical work at:
Job Address (Street. Box or Route No.)
32 RICU-wc: Nair s P2?s City
EGA"'
Section No. Township Name or No. Range No. County
?yy
OLcupani(PRINTI
S t EVE 5 ("C ()e i iAE«) St ii L Phone No.
Power Supplier Address
i
Electrical Contractor (Company Name) Contractor's License No.
S;)Ml6G_ t?cac--kizicS?rzs?c? ttil? ycy?
Mailing Atltlress (Contractor or Owner Making Installation)
-? as CCL ira x /tLI S - 'ZkCk e 1J1.0 Mti 5 02 3
Authorized Signature Contractorlowaar Maki stallatmnl
11 Phone Ncumber LEI
MINNESOTA STATE eOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642?0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
Ill See instructions for completing this form on back of yellow copy.
0 54 0 ' X" Below Work Covered by This Request
,TMC9 EB-00001-08
ew Add 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 lspecilyt Contractor's Remarks:
Compute Inspection Fee Below.,
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 211V O1 I- 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps
Signs Inspectors Use Only: / TOTAL
Irrigation Booms ?C1f GU /OS
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE OR CPNNECTED IF NOT
Other Fee COMPLETED WITHIN 16 S.
11
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-In
p,>rr r er"
Final
ri s
, -?
to
OFFICE USE ONLY
This request void 18 months from
Address 1289 RtII.r.Ttx 1TTLls nRnE Zip 5512 1
Lqt . 3. BIk 5 Sub BM OAK zIT1U 2ND
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE. FINAL INSPECTION.
Date: 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
/ U
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN l
3830 PILOT KNOB RD, EAGAN MN 55122 1111
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 Detail Options selection sheet (bldgs with 3 or less units)
DATE 6 O" Z
Remodel/Repair Requirements
• 2 copies of plan
• 1 set of Energy Calculations for heated additions
• 1 site survey for exterior additions & decks
• Indicate 9 home served by septic system for additions
VALUATION 000.
SITE ADDRESS y L L MULTI-FAMILY BLDG -Y _N
TYPE OF WORK ?poo(-? FIREPLACE(S) _ 0 _ I _ 2
APPLICANT
STREET ADDRESS COO H15 t iJENV9/E ICS / YU
TELEPHONE # ?i3'o?'97y1S0.35` CELL PHONE #
1 /Rr STATE A ZIP L<31140
FAX #7Sa -97-'1-!(0 !V
PROPERTY OWNER \. T/ Slt2/n.tldP? TELEPHONE# 66'681 -503
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSoTA RULES 7670 CATEGORY 1 _ MI
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted e s
• Energy Envelope Calculations Submitted JUN 72 7 2002
Plumbing Contractor: Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler y-
_ Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
Phone #
Phone #
Fee: $70.00
--------------------------------------------------------------------------------------------------------------------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE, USE ONLY
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
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or_ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-'sea.)
11
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
I
? 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
Occupancy MC/ES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
f?
Length Fire Sprinklered
Width
REQUIRED INSPECTIONS
- Footings (new bldg) Final/C.O.
_ Footings (deck) _ Final/No C.O.
- Footings (addition) _ Plumbing
_ Foundation _ HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final - Pool - Ftgs _ Air/Gas Tests - Final
- Framing _ Siding _ Stucco _ Stone
- Fireplace _ R.I. - Air Test - Final
Windows (new/replacement)
Insulation _
_ Retaining Wall
Approved By Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan NIN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements
3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas
(20% maximum lot coverage allowed)
1 Soils Report if proposed building is to be placed on disturbed sail
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 7/1193
Rim Joist Detail options selection sheet (buildings with 3 or less units)
Mnnegasco mechanical venNarion form
90 e?z)
Remodel/Repair Reouirements Office Use OnN
2 copies of plan showing footings, beams, joists Carl of Survey Recd -Y N
1 set of Energy calculations for heated additions Suits Report -.
1 site survey for additions & decks Tree Pres Plan Recd Y _ N.
Add'Non-indreate if on-site septic system Testa Septic System Y_.N
..{w1.. tkn., arc Ararlo car-ret and the reason.
Plans are conslderea uuuc mrorrnauun unlcaa Vu ?.... •- - - -
Date _ 7 UZ Construction Cost -
lf n
?l
? /
?7 lls Unit/Ste#
Site Address _ ?t/
j
/Ct
y . ?? I? 02
,i
X
z
k
r W
or
Description o
Multi-Family Bldg _ Y k N Fireplace(s) 2
?e S5 n / a- Telephone #
?A
Property Owner ?
Contractor
Address city
State
)
Zip Telephone # (
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW ISUrL-lurlnu
Minnesota Rules 7672
Minnesota Rules 7670 Category 1 - New Energy code worksheet
Energy Cade Category Residential Ventilation Category 10 rksheet New
Submitted
type) 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 pl in the case of work which requires a review and
approval of plans.
C7 sc? 1a ?aC C? \?c?
Applicant's Printed Name Applic 's Signature
DO NOT WRITE BELOW THIS LINE
Sub Types
? 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. AR - 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: Water Damage_ Yes
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) _ Sheetrock
Footings (deck) _ Final/C.O.
Footings (addition) _ Final/No C.O.
_ Foundation _ HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/G as Tests _ Final
_ 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
MCIES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
CITY OF EAGAN
CASHIER: S TERMINAL NO: 84
DATE: 05/07/97 TIME: 15.,i9:1.i
ID:
NAME. STEPHEN SIMONDET
'?1q 9001
55 9001
3289 RLLNG HLS
3289 RLLNG H_S
50.00
0.50
Total Receipt Amount:
CRO73325
USER ID: NANCY
50.50
CITtOF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-15501-030-05
DESCRIPTION:
,klui1di
Builds
Census
PERMIT
PERMIT TYPE: B U I L D I N G
Permit Number: 029916
Date Issued: 05/07/97
3289 ROLLING HILLS OR
LOT: 3 BLOCK: 5
BUR OAK HILLS 2ND
rn .,Permit Type DECK
ng 4p-rk Type NEW
Code ` 434 ALT. RESIDENTIAL
s.
V// J
REMARKS:
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR:
OWNER: - Applicant -
SINONDET STEPHEN
3289 ROLLING HILLS OR
EAGAN MN
(612)681-8036
I hereby acknowledgi,that I have roe;1 this
information is correct and agree to eompl?
Statutes and City of Eagan Ordinances.
A LICANT/PERM URE
appli,oation and state that the
with all applicable State of Mh.
6-u' SSUED BV: E
I
J
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) C7 S Z)
I_ CITY OF EAGAN
/// lK? 8830 PILOT KNOB RD - 55722 `?Lp?
7
881.4675
New Construction Requirements Remodel/Reoair Requirements J / 1
? 3 registered site surveys e 2 copies of plan
e 2 copies of plans (Include beam & window saes; poured fnd. design; etc.) e 2 age surveys (exterior additions & decks)
? 1 energy calculations e t energy calculations for heated additions
? 3 copies of tree preservation plan if lot platted after 7/1183
required: _Yes X No
DATE: S ') 7 CONSTRUCTION COST: I?Saa ??
DESCRIPTION OF WORK: ?Cc (?
STREET ADDRESS: 3oL`6? ?afllYm Nrl Vir,yt
/
LOT_ BLOCK 5 SUBD./P.I.D. #: - 1 I Cr< 2
PROPERTY Name: S i mm. ra i - S+ep, Phone #: 4,g( -5[o? A
OWNER .. ,.m.
Street Address:- x wq 1ICONVI A V-11It
City:. Ea3n •. State: (h j,.J Zip: S5 1 N I _
CONTRACTOR Company: Phone #:
Street Address: License #:
City: State: Zip:
ARCHITECT/ Company: Phone #:
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer & water licensed plumber (new construction only): Penalty applies when address change
and lot change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is coned and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances. //?? /
Signature of Applicant:
OFFICE USE ONLY RECEIVED
Certificates of Survey Received _ Yes _ No P,gAAy 0 5' 1997
Tree Preservation Plan Received Yes No Not Required BV-
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ?
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ?
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ?
? 05 SF Misc. ? 10 _-plex X 15 Deck
WORK TYPE
* 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Variance
?L
O
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S1W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
% SAC
SAC Units
YII,
'L' G12 tlY[ 6477 :IiLLBAK(, IWAL.,
Bd/9'ai199q 10:39 6124591999 WESTCRU?Dl .9 ASSOCIT PACE 92
,y1dNf
(?rr?t4f?r??r ?r#? ?tru,??
prepared tor:
LOT 3HLOCK 5,
,
HALL.MAR I BUR OAK HILLS 2ND ADDITION
aecordlnQ to the Hoarded plat throat
HOMES DAKOTA COUtfr/, ~ESOTA
SCALE : 11, - 190'
residence address: F MINE 3289 Rolling Hills Drive
Engon, Minnesota gy
EAGEPT.
a?fW> ,......_. - ?t BLOCK 5 j
OP: lQ
?OSN LOT 2 nn rmx uu . ;'
%raw
u N 69°39'13" E '41.2I91 a tt???A_lJ
aMa - - - M.11 .? I I L
- - - - - - - - - - - -
q I WG;C a tMb7' r Brea y
D;&'?
Iu51zt6m PER FLAT k q i ra
e I
L 0 F o I l e cn i'
?T
UN r l ' se /?i x+a
l 110 p9aP0®1 ?. °a/
l F !j ??HOUBE ??ltA6K }uve ° d
O I r 7.1' pq
y rl l
-ey^' Oki, ad." I 30.66
r tG ^_
? ?J } \ L O
12,9 I! F?
LOT 5 S 89°36'1 W
y.,.eeest 1
car 4 • =aum NO
F.Blea. .AM. na Rm"M UENCRAPARK D N9 TTCW m
rb><t: /Ifrv:et ??+1•^^ 7.?L. Gt2N9fIfVC79C1N
1,a TL.t NIrL,,.,! - ,q ggi.LO wy }n tY
9 'T N+hr ems: •?. , Y
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
023229
04/06/94
SITE ADDRESS:
P.I.N.: 10-15501-030-05
DESCRIPTION:
SF DWG
NEW
R--3 M-1
V-N
R-1
32
59
2
7
REMARKS:
S & W PLBR - KLAMM MECH
(LICENSED EXPIRED - OK TO ISSUE PER JAN)
FEE SUMMARY.
VALUATION $135,000
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
3289 ROLLING HILLS OR
LOT: 3 BLOCK: 5
BUR OAK HILLS 2ND
Building-Permit Type
Building Work Type
U8C Occupancy,,
Construction Type
Zoning
Building Length
Building Width
Building stories y'
$762.00 MISCELLANEOUS $1.828.50
$495.30 Total Fee $3,953.30
$57.50
$800.00
100
1
$2,124.80
RP'CMfiR?TFTO" - mpp icanc - 5i. LiU. OWNER:
L MES OF MPLS INC 18923636 0001179 ALLMARK HOMES INC
14055 GRAND AVE S B 14055 GRAND AVE S
BURNSVILLE MN 55337 URNSVILLE MN 55337
(612) 892-3636 (612)892-3636
B
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 M-n.
Statutes and City of Eagan Ordinances.
GGG? ?
APPLICA T/PE . IT SIGNATURE
rn &Pij? 1 nii
ISSUED Y: SIGNATURE I
J
13 119 CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675 /
?3, ?' 3.30
?: -.? Z $ ;rte:
ov:5`I f
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy---
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 3- a8 Valuation of work
Site Address: 3 asi RaLL T&)(, H `IL1.`5 b22uc
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCK ?Z
ti4 Hz,c'S aN11
SUBD. WP406C
P.I.D. #
Description of work: XN64E i9?nlG/
The applicant is: ? Owner Contractor ? Other (Describe)
Name Phone
Property LAST FIRST
Owner
Address
STREET STE #
City State Zi
p
Company W'14M & Na»B's TNC Phone g9a'3c? Co
Contractor Address/465S &9'446,40, So. SuTms6? License # ooh79 Exp.?/-y5
City z?vlz"Cux4z State ?f Zip S15 ?)r)
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber kLAYAP f16'CHiHtx..1AL- 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: ca w
OFFICE USE ONLY ,
Jr?
1%
1
BUILDING PER MIT TYPE ,
? 01 Foundation ? 06 Duplex ? 11 Apt./lodging ? 16 Basement Finish
j 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessor y ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Addl. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
®'31 New ? 33 Alterations ? 35 Tenant Finis h ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATIO N
Const. (Actual) V/N Basement sq. ft . /0y y MW CC System ,
(Allowable) 1st F1. sq. ft. 7-a 7-y Ci ty Water
UBC Occupancy _/ 2nd F1. sq. ft. 940 PR V Required
Zoning Sq. Ft. total Bo oster Pump
# of Stories z Footprint Sq. ft. Fi re Sprinkler
Length az On-site well Ce nsus Code
Depth s9 On-site sewage SA C Code o/
ni
APPROVALS Ce t
nsus U
Planning Building As sessments
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 Surchargge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
® Footing
G3 Final
0 Framing
? Draintile
Insulation
? Fireplace
Veimtiao: $ 3 S, Oe? o
T- Gtr,
IS. IL4- 1S71
32XZj,S= ?yy zt zofi - ?oio
?. F 20 l?
ed9vk?g = ?szya?
SAC %
SAC Units
04/95/1994 10:30 6124691899 WESTERN & ASSOCIT PACE 02
(OPrtiftrate
prepared for:
HALLMARK
HOMES
.I12"4
Jac Ouruev
494 -?
LOT 3, BLOCK 5,
BUR OAK HILLS 2ND ADDITION
according to the recorded plat thereof.
DAKOTA COUNTY, MINNESOTA
: 1'r = 300
reside
3289
Ec
BY,
DA
LOT
LOT
BENCHMARK
?f?d%&, ar.s
880.84
No+e : 4rru &e a f.'en
lap kb/w geeu.-m- 8A3,20
Anl*n/ Sewer Jr_vwr . ggs.50
f'44M pram red -dS B C/y .Q 6'y"
1/? CORSTRt7C)
ektf
4 ;A 6.4 Jk
k
O
0 Denotes Iron monument
sass v Denotes existing elev.
(087.0) Ddnotes proposed elev.
10rster$rrn & .tlssurialitrs, 3nr, 91 ?-\\ Denotes Off-Set hub
19q(0,4i = Top of block elev.
---- LLVD SURMORS ---- (p100 = Top of fin. garage floor
BW 210TH STREET WEST UXEVILLE. INWIM TA 55044 ew•(e'1? m Top of basement floor elev.
PHONE (814) 468-1869 FAX: (812) 488-1e98 Indicates direction of surface drainage
/-
Iem,bym ly 4tl adesacaeq wnepeeramd by MOM aodamyA,WUpsriden.b tonmtto dw 6ml ofaW knadedbe Wd bdkf, wu weand Is swodaw me Goodtow
Rawmmes" Proadurn Pm like Ptwiw ortand 8unayins odople/ by aarAelltlnke deoftly o(Profsdeue amwywi, cud ate f at • ddy Bowed Isud Barvayasneda
Malmo ofaw BMaefsennelem T s ondflmro shown lbe foaaaae of ea MMgp tlhabed b dd 64 ad ate lomem ofdleWgewmwad mwh,ifeay,pam aces odd
lend. Ne adday is wnmed aaogtl le 6e o6wlferwfiom WManrvay wmpreparod. hh bdl?aad osdtss. edadd BaNdryh wonked oeydy/fp?19be a?Nad eostofdiswmy.
Cdr's: iMalMa Nye, f`r IP•7?a 4 14A
Field eoOr` -Aflnnesofa Reg/sfrafron No. 19790
job N0. l14B7' ¢h?a4 J...W
Devi R. NWttryns
R-96Y 6124691699 04-05-94 10:29AM P002 #04
t
$• D
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D •
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•
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LOT SQRVzY cnc=BT TOR
PROPERTY 122ALi --
Date of a eye 1.r/
??@SLNT STa3MMMB / /it
Reqistered land Surveyor signature and company
8uiiding Permit Applicant
Legal description
Address
North arrow and bar- seals
Souse type (rambler, walkout, split w/o, split wary,
lookout, *to.)
Directional drainage arrows with slope/gradient =.
Proposed/existing sever and water services
Street name
Driveway
?0
0? D
D ZLE?TiONB
?aLStLinQ
Sewer service
D Lot corners
Top of curb at the driveway
Elevations of any existing adjacent homes
J
D D
0 Proposed
Garage floor
0
D D
0
• First floor
DAD
D Lowest exposed elevation (walkout/window)
l?D
D Property corners
Fr
nt
d
o
an
rear of home at the foundation
ODD
D PONDING aRERS (if ep813eab1el
Easement line
D D MM
P
D
' 0 Pond
d # designation
D
D D Emergency overflow Elevation
biNENSiONS
D ?0 0 Lot lines
g' D D Right-cf•vay and strest width (to back of curb)
ADD O Proposed home dimensions including any proposed •deeks,
overhangs greater than 2', porches, otc. (i.e. all
?D D structures requiring permanent footings)
Show all easements of record and any city utilities within
those easements
?D D Setbacks of proposed structure and setback of adjacent
existing homes,
D D Retaining vaj;?=equirements, if any
8YDRAHT W/11' I --
6+27 a"x 6` TEE SEA 45 B BEND 1
sae.ti M.H. - _ L ----- -
/ 878.5 4 23 =a .I I
_ 8" TEE
ATE VA VE / ,.34 8 4
_ .104.4 /1 It
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8 9 28
8 8 3.5
D.1.P. _ 39.2
64.9
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3 61
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8 .° GATE VALVE 4 5 8" BEND W 8-5, 1.0
7 - 662.5
40 E
Z2 5 l-62 6+c
5 lY 683.3 10 4
?-. EASEMENT W 887.5 \ I
S 6 76.5 I I 5 8 66.2 ^
l2J
SEE DETAIL FOR WATEkMAIN r-ROFILE
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h ID-
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THE P .C!,
J?',ACY Or U T ILI'.-Y L CCOATI0.':3 ?
ANVOR ELEVATIONS. THIS DNIA, 13 FOR
I INFORMTION PURPOSES ONLY AI?'D
PERSONS USING IT SHOULD VERIFY TH2I
INFORM40ON ON THE SITE.
I I I
1301-F
C _ ??7. ' 22 Y ° 8" BEND
9+9e 33 s C?? H. J 9+30
\ 5 \ - C--
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, ` CITY OF EAGAN D '= C l 4 0. s . S
?P WI
o. ACCURACY pF S P'. , J ^ ^,?, 1 I ro
U Id `ht LC .? r N_? AD
'' OR ELEVATIONS. THIS :,iy Iv {-Grp } 30.
,.: ? ? • g^ DIP ?RMATION
V- - --, o PURPOSES ONLY Ai:D > i
.;ONS USING IT SHOULD VERIFY T`?? 4s. o: ll H?LLS
?`'? I; _JRMATIONONTHESITE. a9o.a a4 1? R: ROLLING CI?
S 885.5 63.0- --
' 1`26 I 2 - f
NOTE I 375 J?
WATERMAIN STATIONING Z4 I o?
O+OC = MH O d -- j 1 4
' '70.4
,,J . a
a+08 8" GATE VALVE
?'? CY 893.22 ?3.c ???
3 ci I'' 4Z "893.2
3= > _ i ,85.5 as G..,
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17 I `_ _ _ i rE'` II -?
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?_ I .v 888.0 23 - - =3...
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r _ 39.2
95-? g D.I. P. ----?--
21 ? =? 64.4
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'` ? .? \ _. 103.6`\\ ?_
ELEC .419 7+1 a' \
?35.s` 1747 II 123.7- i 58.8 /? 39?. ?• 442 .!'471.'?rl '- 45° $" BEr:? •V t!?I
t, INNES?T'A SI L:+LH..Y, :)U[. UALCnLA tU a
I),\S ED UV r.IInP"I'ER __6 F THE
',)RALL'MARAHOMESOf MPLS.,INC. MOUE Ej,RGY Co --o E-1?)t7 EDITION
14055(iRANOAVE.SO.S11111 "'- Ad??>tiun E([r.tllvc I11J84
BURNSVILLE, MN. 5331
LICENSE 8O0R1179
lwner , f Phone te?-z s 9E
;Ite Address) 3a gq RoUiNG 1-11 LLSb2_, EA+GAN, IV1N•
:ontraCtor r11AI-L11)Aiz)< -?0)Y)I I) Phone
:uilding Classification: CTy-pe A1) Sirlyle Fa:nily? 6 Duplex ) V Type AZ (Residential
(3 stories or ess
(Other) __ (Oler 3 stories)
;ENERAL INFORMATION I
1. Building Perimeter ft.
z Wall height (ground to eave r? ?'r'= ydbl,' ft. V = 9,ic.r,' o- l.a 3?3
2 LEFT SII)r
3. 1. X 2. (above) gross wall af•ga 2z'(? ft.
2
I. building dimensions (L) ?. x (N)_? ?;•? )S I I 10 ft. roof s floor area
5. Square fcot area of rim joist - Floor joist size (2 x ? /q- ) 2
l y- x Perimeter : Rim joist area - ILII•?? ft
12
U 41, - ,
6. Doors - Area I_4345(u Y 0. 5
Thickness in. Ujactor
Type of Construction 7LG4 _ 5u4iar?o( I'erinieter = 3 ?? ft.
Manufacturer G?75?'?? L/)Te
7. Total door's perimeter 3) QO ft
H. Windows: Manufacturer_RRyffe?d J?L) INdt7(.I?Stateapproved
U factor • 3 S 1 V
TYPE SIZE AREA (F .2) NUMBER OF
EACH PARE UNITS
PRT_fo 1>00K /
X U U.) S
PhT-LO boob ), x L I (?. ?7
G?SEm6747 a4 Y/i-g
II ??Y3fv (,o•OO a -
( 4• y, ln0 ( 0 0 0 L?
it ?Ox7d f()•50 _ _
- 7 O xx 310 - --S lsz
-
-
it ar/Yya --I. o0 a.
`1-RRP[7_U? ziZRe6u?rlR ?? F, • S`1 ? ?
t mil-" 3 ?3??
TOTAL FEET
2
46,Sc
3 3 .'7 1-
) -A,00
q o.oo
34.00
a?. as
14,00
a ?, • ?17
g o al It ass 1
2
10 Fireplace area: Width x height = _S(L_x 5 _ 3? Ft
-J S 2
11 . Exposed foundation: Height x Perimeter ,? La(a G LI-. Ft.
)MPLETION OF THIS FORM IS REQUIRED FOR ALL NEI4 CONSTRUCTION, MAJOR REMODELING AND f3UILDi'IGS bEll
I)VED'WHERE ENERGY, OTHER THAN THE 14INIMAL CODE ALLOHAPICE, 15 USED.
:rreamn.ng area vD% of grass wall area.
13. Gross wall area ag $(p. 00
_ . f 2
Window area A Y
393. 3(p ft.2 is
windows
'1
x'A
13 lf'
Rim joist area A r' 2
)'c 5 ft.
-
U rim joist = Ql{-0
J
z A
_
J
Door area A 3 g . ft.L J door area - )-g f x A _.
= r•-I
Fireplace area A 36 • 2
f-, S I
U fireplace = ?
U
x A 1,
= 'f
Exposed foundation A q,+, U foundation 0 g( U Y A =
Framing area A a 8(? ft. J framing area - • Ogg U x A = CZ tJ.3?
Net wall area A 1898.98 ft. J wall OSO U x , = q4
(138; '.;...L . . . . . . . . . . U x A =c??q•rj?
4. Gross wall area
(13. above) x 0.11 (A-1 single family ; du.:.-,ax allowable U x A/Code
x 0.23 (A-2 other residentia'.'
x .23 (Other building
X (Over 3 stories)
5. A a g
Ceiling framing
x L Ccde
area (Af) equals 10°. ?f Iinn c? I" BTUH
j !
•y-Ip ?F,
area ( or Mus
13B
the t be lar er th
2bove ?rf •4
same as)
.5A. Gross ceiling area = (L) 3a x (r) 3(D,?Jr ??/ 0
ft.Z
.5B Joist area (Af) = 10" ceiling area ft.2
5C. Net ceilino are a (Ac) (15A - 156) _ 9 q q ft.2
U ceiling x A C= 999x,. oaa _ = a?• g?
U framing x A f= x
, Oa f a 33
-
- -
.5D. TOTAL U x A .... .......... p? 4. 30
!6. Ceiling area (15A) x 0.026 (A-1 single family 3 duplex - code allowable U x A
x 0,033 (A-2 other residential)
x 0.06 (other)
A (15a) ///0 BSUH Must be larger than 1FD (above)
X U Lwe =_a8•S(n F (or the same as)
NOTE: Use U and A values obtained F,op, nFs 1, 3 and 4.
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR. EACH UNIT.
NO. FIXTURES EACH ,zarAL
SHOWER 3.00 o
_J, WATER CLOSET 3.00 q o 0
BATH TUB 3.00
3 LAVATORY 3.00 . as
KITCHEN SINK 3.00 3.00
- i LAUNDRY TRAY 3.00 3. 06
HOT TUB/SPA 3.00
WATER HEATER 3.00 3.00
FLOOR DRAIN 3.00 J. ov
_L GAS PIPING OUTLET • minimum - 1 3.00 . av
13 ROUGH OPENINGS 1.50 a
/ WATER SOFTENER 5.00 o0
PRIVATE DISP. • Daity. ue. 20.00
U.G. SPRINTCT ER • home under =%L 3.00
ALTERATIONS • to edding 20.00
WATER TURN AROUND 20:00
STATE SURCHARGE .50
TOTAL: sa. o U
SITE ADDRESS:
??n //i?.r ??«
lD?
OWNER NAME:
INSTALLER: 7?Zr? 11idr+r u?
d
CITY: G c C[ c STATE: y?/Z w ZIP CODE:
PHONE #: (Ga ) 9908 e
SIGNATURE OF PE E
1994 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN' 55122
(612) 6814675
PLEASE COMPLETE FORALL COMMERCIALQNDUSTRM L BUILDINGS;: ALSO FOR ML.ILT]
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED, FOR EACI
DWELLING UNIT.
_ NEW CONSTRUCTION
_ ADD ON
REPAIR.
WORK DESCRIPTION:
CONTRACT PRICE:. $
FEE: 1% OF CONTRACT FEE.
STATE SURCHARGE: $.50 FOR EACH $1;000 OF flp$q FEE.
MINIMUM' FEE: $<25.00
CONTRACT PRICE' X 1% $
STATE SURCHARGE $
TOTAL
SITE ADDRESS:
TENANT NAME: STE. #`
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE..
PHONE #:
FOR
CITY OF EAGAN APPLICANT
1994 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
.c
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
K NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
FIREPLACE INSERT
DATE _q/2S
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) 100
ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 20.00
STATE SURCHARGE .50
TOTAL 27. 6-
SITE ADDRESS: 3 2
1 }-Fi I 1 s
OWNER NAME:_ (Ac, l l . A v V, 44,., , , c TELEPHONE #: j22 -2 -3c 3-6
INSTALLER: 0
ADDRESS:--7) vi w 1-? r'4 I S +
CITY: S? v STATE:_ _ VV? tV ZIP CODE: S S 3 7 S?
TELEPHONE #: 1*?Jp - Rol
Mn?
4GTURE OF RMITTEE
1994 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
r
1994 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL 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
I% OF PpMgAC";I'! FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF PERA?iIT FEE.
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLY)
INST.
ADDRESS:
CITY:
STA
ZIP CODE:
TELEPHONE #:
SIGNATURE OF PERMITTEE CITY INSPECTOR
CITY USE ONLY
/#:.?2"1LwL
L 3 BLS? [[.l RECEIPT
SUED. ? d/?/r' /?i? ??? DATE: 7 ? ? 40
1996 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
4- Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: b) aL
FEES
? Minimum Fee: Add-on/Remodei (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)
? State Surcharge .50
TOTAL L ??!
INSTALLER NAME- preferred heating & air
STREET ADDRESS:- 7643 Logan Avenue South
Richfield, MN 55423
Bus: 866-7611 Fax: 866-0125
CITY: ZIP:
PHONE #: ( } I
J?0 Pa ?? P._ n an Q¢w-- l?i?
/3?
CITY USE ONLY
L _ BL
SUSD.
1996 MECHANICAL PERMIT (COO
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
DATE:
Please complete for: all commercial/industrial buildings.
? multi-family buildings when separate
for each dwelling unit.
DATE: CONTRACTf PklCE:
WORK TYPE: NEW CONSTRUCTION
DESCRIPTION OF WORK:
FEES: . $25.00 minimum fee 4r 1% of contract price, whichever is greater.
• Processed piping - $25.00
• State surcharge of $.50 per $1,000 of jigrm fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
5iTE ADDRES3:
OWNER NAME:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:.
CITY:
" PHONE #:
SIGNATURE:
SIGNATURE OF PERMITTEE CITY I
are 114 required
IMPROVEMENT
STATE: ZIP
Use BLUE or BLACK Ink
-----------------I
E CEIVE I For Office Use 1
~ City of Eakan 1 Permit I
1 7'
JUN 0 9 2014 1 Permit Fee: /D4 •
3830 Pilot Knob Road I 9~ l j
Eagan MN 55122 BY. A I Date Received: A-1 1
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: I
I I
nn 2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 2J Site Address: 3Z ~UJIJI. UU6 wwS T h U~ Unit
Name: (10,16 S 1 WbG1 T Phone:
Resident/
3n oL1Jn, i~ r k ffc~ 1P4 f
Owner Address/ City/ Zip: (2 ~
`
Applicant is: Owner Contractor
E _ ~ _ ~ ..Description of work: AEG I /V L.:
Type of Work I ®v
i nn
)
i Construction Cost: Multi-Family Building: (Yes /No
Company: / "I (.d y s IVYI ~l 1 " C,~ Contact: e,~4~ PJCL
Contractor Address: 7u 1_)k U a vv" M W City: ~1~lU~v)
s Stater Zip: s Phone: LYE Email: f (_(~A ~ Il lam'
License t51 Lead Certificate l~T- ~~41Z
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
I
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and su ortm documents that ou 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. rti
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.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 Minnesota State Building Code must be completed within 180
days of permit issuance.
x (Qtie
x
Applicant's Printed Name Appli 'nt's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163450
Date Issued:09/01/2020
Permit Category:ePermit
Site Address: 3289 Rolling Hills Dr
Lot:3 Block: 5 Addition: Bur Oak Hills 2nd
PID:10-15501-05-030
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 -
Craig J Sievwright
3289 Rolling Hills Dr
Eagan MN 55121
Platinum Builders Llp
20830 Holt Avenue
Lakeville MN 55044
(612) 919-3220
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171088
Date Issued:07/29/2021
Permit Category:ePermit
Site Address: 3289 Rolling Hills Dr
Lot:3 Block: 5 Addition: Bur Oak Hills 2nd
PID:10-15501-05-030
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: 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 -
Craig J & Kathleen C Sievwright
3289 Rolling Hills Dr
Saint Paul MN 55121--234
(612) 558-3251
Crossroad Construction
17121 Lincoln St NE
Suite 100
Ham Lake MN 55304
(763) 434-0202
Applicant/Permitee: Signature Issued By: Signature