3294 Rolling Hills Dr
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+ `HOUSE HEATING TEST RECORD
ADDRESS j20,_,_, APT. FLOOR CI -SUBURB
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY
Electrical Work By Gas Line By
TYPE OF HEAT GA FA--,L`HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS.-DESIGN CONVERSION
MAKE MAKE OF BURNER
Model a Model
Serial Max. BTU Rating
INPUT n MAKE OF FURNACE
Model
rV? l?VVY I I
THERMOSTAT eat Plug Vent Size
voIV* - KIND OF LINER SIZE NONE_
Limit Draft Hood Regulator 7 j2?
Limit Setting ' n Filters Si:.1L K2 7-,X_ t Number. Fan Setting tack imney Location Inside Outside
Pilot Type hl Chimney Construction
Pilot Make
Pilot Model Smoke Bomb Wiring
Pilot Timing _ Draft Test Tog
L.W. Cut Off
Pressure Percent CO Door Pressure
Date Tested Lighting Inst.
2
Input CFH Percent OZ
Stock Temp. Percent CO Con"ny Testing
d5N Hasty of Tester ZS L
Form 235
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 7 / r 19 r
WCENED .
FP4U
AMOUNT
8 DOLLARS
too
? CASH CHECK
BY
C 14439 WNte-Payers Copy
Yegow -Posting Copy V?F'f
Pink-File Copy `??'
Thank You
SEWER & WATER PERMIT
CITY QF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE J u 1 V 9, 1991
OFFICE USE ONLY
METER # 4 VV?j 7 672 7 PERMIT DATE
CHIP # 0(0 ?(°?r° PERMIT #
1
'L l 146
I
METER SIZES A 510'k S 4 S B.P. RECEIPT # C1-443 9
ISSUE DATE B.P. RECEIPT DATE 7 / 12 > l
PRV _BOOSTER PUMP
SITE ADDRESS` 3 = : n g Hills Dr.
LOT BLOCK - SEC/SUB -r Oak Fij 1 1 2
APPLICANT: L1r a.,.,k1 tQC4,-?,Y-
ADDRESS: 121') laVwoh,ll PAS. JA
CITY, STATE ZIP
PHONE: i,
PERMIT REQUESTED
?SEWER -ItWATER TAPS
COMMlIND PRESIDENTIAL
NEW EXISTING
Lawn Sprinkler Meters are to be Installed
PLUMBER: C j AC Ahead of Domestic Meters on Water Line.
ADDRESS: I D I S c C; AX? Credit WILL, NqT be given for Deduct Meters.
CITY, STATE ??er •r, i r,, b ' j? ZIP f 1 -
PHONE: 2k Li - y 1,t4 - ? :
OWNER:
ADDRESS:
CITY, STATE ZIP
PHONE: NAl
t PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220
SEWER PERMITS, CONTACT ENGINEERING DEPT.
r-
ISSUED
FOR STORM
SEWER & WATER PERMIT
CITY & EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
METER #
CHIP #
OFFICE USE ONLY
PERMIT DATE 7/12/91_
PERMIT # 12140
B.P. RECEIPT h B.P. RECEIPT DATE-.. / 12 / 91
METER SIZE
ISSUE DATE
DATE U] y c? , Inn i
SITE ADDRESS' 7 D? .
LOT 1...I BLOCK ' SEC.'SUB Ir Oak Hil l
APPLICANT: t-k(LOA2818
ADDRESS: : 2i " . J
CITY, STATE •+! ?Sil• !tip, i ?! - ZIP E,
PHONE:
PLUMBER: Star 'PI: -14_ C4
ADDRESS: 101 IVIo? ?? idt ??Tr ?: r: 'r = y? rs
CITY, STATE ', Y ,' LU ZIP 7
PHONE: ? -i -
OWNER:
ADDRESS:
CITY, STATE ZIP
PHONE:
_ PRV _ BOOSTER PUMP
PERMIT REQUESTED
?SEWER -.!!-WATER TAPS
COMM/IND 'RESIDENTIAL
?NEW EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT,be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF
EAGAN OF DINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
` T x_ -.?,,.,?, . ,q?l.E..j..,r?,R, .vr. .+x-; r,wq,?i-..rya ?'?n?:"?1S'i: aver•'suvr.^.^ , ' *Trr-'7^r'-,--r.?
CITY OF EAGAN?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for Sr DW/GA6 Est. Value $1279000 Date JULY 11 91
Site Address All
Lot 41 Block
Parcel No.
Sec/Sub.
W Name HCOONALD COLI=TRtl 101 INC
3 Address 1212 WMILL DAY LID
City V/1LLE Phone 688-7061
ZF Name SAM
00 Address
'- City Phone
Phone
Signature of
A Building P
on the exorf
Building Official
I have read this application and state that the
agree to comply-Kith all applicable State of
shall be done in accordance with all
and City of Eagan Ordinances.
U -W
OFFICE USE ONLY
Occupancy R -A, *.1 - FE ES
Zoning Rz1-
(Actual) Const
V1-- Bldg. Permit 734.00
(Allowable) yt- Surcharge 63.50
# of Stories 477 r00
Length 70- Plan Review
Depth 26- SAC, City lODr00
S.F. Total 650000
S.F. Footprints SAC, MCWCC
On Site Sewage
Water Conn 660.00
On Site Well Water Meter 95000
MWCC System 30.00
City Water Acct. Deposit
30r?
PRV Required S/W Permit
Booster Pump
S/W Surcharge r30
276.00
APPR
S Treatment PI 370
00
OVAL Road Unit x
Planner - Park Ded.
Council -
Bldg. Off. Copies
Variance TOTAL
_ Permit No. Permit Holder Date Telephone #
WATER ?y
rJ
gEWER
PLUMBING I T.?7
H.V.A.C. //-?///g/
ELECTRIC n
I p( 42d n ,500
Inspection Date Insp. Comments
Footings I
Foundation G
Framing
Rooting
Rough Plbg.
Rough Htg. g?4 ful
Isul.
Fireplace
Final Htg. d q ?f
Orstat Test
Final Plbg. ??^9( O Plbg.Inspector - NotifyPlumber
Const, Meter
Engr.lPlan
Bldg. Final 8
Deck Ftg.
Deck Final
Well
Pr. Disp.
.19
(Urfifirate of (Orrupanig
Citp of (Eagan
Ervatti?1 ntl of
This Cerdikate issued pursuant to the requirements of Section 306 of the Uniform Building
Code ceWf*g that at the time of issuance this structure was in compliance with the various
ordbonces of the City regulating building construction or use- For the following.
Me aaufick6= SF DWG/GAR BW. Pcnak Pro. 18577
yTYW R3/MI ZJookgDbuict RI TYX Co" vn
?a _0CWT. INC. Ad&= 1212 ELLEML BAN WD, B VIL
3294 F40LLD+1G HI= DMM 1/41, , BM OAK
Build Addwz 7, - 8/2A/41
?a ot?.t
POST IN A CONSPICUOUS PLACE
"?4
CITY OF EAGAN nJ? 19409
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 (`I
BUILDING PERMIT Receipt # 1
To be used for SF DWG/GAR Est. Value $127,000 Date JULY 11 91
19_
Site Address 3294 ROLLING HILLS DRIVE
Lot 41 Block 2 Sec/Sub. BUR OAK HILLS 21
Parcel No.
w Name MCDONALD CONSTRUCTION INC
o Address 1212 BLUEBILL BAY RD
City B'VILLE Phone 688-7061
c Name SAME
8< Address
City Phone
Name
Address
a W City Phone
I hereby acknow g that I have read this application and state that the
information is cor ct and agree to eompl rith all applicable State of
Minnesota Statutes n City of Ea? n Ordi lan s.
Signature of Permits
A Building Permit is ssu to: NALD TRUCTION
on the express condi hat all wok shall be done in accordance with all
applicable State of Minnesota Stat tes and city o agan Ordinances.
Building Official
S
Occupancy
Zoning
(Actual) Consl
(Allowable)
# of Stories
Length
Depth
S.F. Total
S.F. Footprints
On Site Sewage
On Site Well
MWCC System
City Water
PRV Required
Booster Pump
APPROVALS
Planner
Council
Bldg. Ofl.
Variance
OFFICE USE ONLY
R--3, M-1
R-
Vn Bldg. Permit
Vn- - Surcharge
70-
26-
_XX_
Plan Review
SAC, City
FEES
734.00
63.50
477.00
100.00
SAC, MCWCC 650.00
Water Conn 660.00
Water Meter 95.00
Acct. Deposit 30.00
30.00
S/W Permit
• 50
S/W Surcharge
276.00
Treatment PI
370.00
Road unit
Park Ded.
Copies
TOTAL $3,486.Cn
7,/12/91
DATE:
RE:
3294 ROLLING HILLS DRIVES L419 B29 BUR OAR HILLS
XX Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
? CALL PUBLIC WORKS (454.5220) FOR YOUR PERMANENT WATER TURN ON.
/.y\our Sewer & Water Permit for the above property cannot be completed for the following
v reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REOUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
Adaress 3294 ROLLING HT LT S DRIVE Lot 41 Blk 2 Sec/Sub BUER OAK HILLS 2ND
These items were/were not complete at the time of the final inspection.
8/29/91 Yes No
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry LI/
Permanent driveway
Permanent gas v
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.
PFCRlfO NRP
White - City copy Yellow - Resident copy Pink.- Contractor copy
a 772 ,? s°°
Request Ie ve No. -
3 0 - Rough in Inspection
Requiretl?
? Ready Now VIII Notify Insp or
w R
- ,As ?. p ea
I{Lrcensed contractor D owner hereby request inspection of ab a electrical wo a( 05
Jab Aatlress ISt et. x or Re No.I City
Section No../
L To n hip Name Range No.
12 or
Gounry
occupant lP I n Phone o.
Power Supplier S -/? Aatlress
Elactn I oniractor I cmpapy No el Contr or's License No.
Mailing as ICo t riewi u O r aking Installatio
lI
II.?
Aul onz gn/a IGonlr uOwne Makin bills on) ?
/ Pno umber
3
MINNESOTA E BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Eg. St Room 5-173 BE ACCEPTED STATE BOARD
1821 Uniniveni Ave.. 51. Paul. AN 5 55104 UNLESS PROPER R INSPECTION FEE IS
Phone (612) 64642-0000 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION E6-OW01 oe
r
? See instructions for completing this form on back of yellow copy. S W517
1 1 7 7 9 9 $/&/g/ "X" B69ow Work Covered by This Request ? 'k-", ( b 3;z q tc (
ew Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial urnace • '
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 Abov 0 Amps
Signs Inspector's Use Only TOTAL
sY
Irrigation Booms
Special Inspection 4- Lam, W
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCO14NECTED IF NOT
Other Fee COMPLETED WITHIN 18 NTHS.
I, the Electrical Inspector, hereby Rough-in oat
1
certify that the above inspection has
been made. Final
,? . Z Date
OFFICE USE ONLY /-
This request voic 18 months from Jrd
7c?4--?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681.4675
'tit-. -1 '?--
New Construction Requirements
• 3 registered she surreys showing sq. it. of lot, sq. % of house; and L roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window saes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan h lot planed after 7/1/83
• Ran Joist Detail Options selection sheet (bklgs with 3 or less units)
DATE ?11?11d?
SITE ADDRESS
TYPE OF WORT
APPLICANT !` I 6
STREET ADDRESS _7(ff
?
TELEPHONE #(y
RemodegReoalr Requirements
• 2 copies of plan
• l set of Energy calculations for heated additions
• l she survey for wderlor additions & decks
• Indicate h home served by septic system for additions
VALUATION MW
MULTI-FAMILY BLDG _ Y J/ /N
FIREPLACE(S) _ 0 - 1 - 2
PHONE #
FAX #
PROPERTY OWNER TELEPHONE #IQ J?
COMPLETE THIS SECTION FOR -NEW- RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 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:
Water Softener
Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Phone #
Fee: $90.00
-------------------------------------------------------------------------------------- --- --------------- --
I hereby acknowledge that I have read this application, state that the Information is y TaZ ply
with all applicable State of Minnesota Statutes and City of Eagal?bi);lgnces.
Signature of Applican
............_ .................. _ . .........•..•.....
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex 0 20 Pool ?
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) III ?
? 03 01 of- plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4=sea.) ?
? 04 02-plex ? 10 08-plex r] 18 Deck ? 23 Porch (screened) ?
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg-Yor- N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout applicant
Valuation Occupancy MC/ES System
Census Code Zoning City,Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRU,I
Nbr. of Bldgs Length Fire Sprinklered 11
Type of Const Width
30 Accessory Bldg
31 Ext. Aft - Multi
33 Ext. Aft - SF
36 Multi
Siding
Fire Repair
Windows/Doors
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 Stucco _ Stone
- Siding
- Fireplace _ R.I. _ Air Test _
- Final - Windows (new/replacement);'
Insulation _ Retaining Wall
Approved By
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
Building Inspector
Total
1991 BUILDING PERMIT APPLICRTION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: SW 4e Valuation: ,. Date: -7-9 -91
Site Address 329
Lot L41 Block _2
Parcel/Sub 13w-OAJL {6 i-% ?ND ArsDo
Owner
Address
City/Zip Code
Phone
Contractor
Address 1-219 $j.,.b.lj Lq4 PJ.
City/Zip Coded ?SVi??eT 5337
Phone (o$51 --7 01,1
Arch./Engr.
Address
City/Zip Code
Phone #
OFFICE USE ONLY
n
FEES
Occupancy p.- M-1 Bldg. Permit 734,00
Zoning Q-1 Surcharge
Actual Const Plan Review '?7,00
Allowable - SAC, City 100.0
# of stories SAC, MWCC 4 6D, 00
Length 0 - Water Conn. (0&0100
Depth 6 Water Meter 7510
S.F. Total Acct. Deposit 3p.oo
Footprint S.F. S/w Permit 30.00
S/W Surcharge .50
On site sewage_ Treatment Pl. 2r76.00
On site well Road Unit 70100
MWCC System ? Park Ded.
City water Trail Ded.
PRV Copies
Booster Pump
SUBTOTAL
APPROVALS Penalty
Planner Lot Change
Council TOTAL " 7
Bldg. Off. C
Variance
4 of
agrees that all work shall be done in accordance with
of Minnesota Statutes and City of Eagan Ordinances.
. U L C) fJ
?sMT.
r
3 Ll x 2? _ 88y
6X moo= 120
o 1 14 x 14 = l4
os6
G?12 P.-b-G ,
30 X Z 2 = G(o0
tr x Z ? ? 2
b3?a x ?? = y 5'10
8s,?, T=, ?,, ,? x s 3 3 Z 12
G N'D .?i.Faa 12.
a?%2x may= ?3S x 3 . L49
I Z 6,3C, 3
0rt
I?
d
P-
Alf
ersginc?er
nn ??L
7)
CIVIL ENGINEERS
g ,. LAND FLANNERS• LANDSgAYE A
X422 Erttcr prise dive
A1t•nduta Hnightc=49tJ 55720
:?--- ---- ----
1612) 6$1-1911 --
Certificate of Survey far:.-/VG ±! V! 'A L- 12 4 0 " s77
H IL garo
O r? 34,y5
N
q `
J ,U ??1 pv?JV
?' as ?A/ X89'
c
% Ari•(1,
• 900.0 Denoles exislin??i F
900,0 Denotes ropoHd J
NORTH
M-70 NS9048228"E
.ko7. L..)q yq;,v5
° W to
N
q 5
Ijr?z
9
Ile
Vi
0
ys
S'ssq _ ?
'Alt,
:N
O
N
0
w
syo ?
t Cowesf Floor ?levcrlion = _ SSS.rro
-- ` -- Uenofes rain4e ? ut ? ps?r??.f 7/C ?r?'?_",•
?- . Clenofes D.zarna e Flo"t,-M,o? y -8 `tom- R 7G ?. ??7? d' ?31ock L a >tiOn _ g?b, i b
o Denotes manumenl (7ar014 5106 Flevafion 83 .83
Beartnt shownvrv aspurned
LOT / , L3L00? 2 , B(J)q aqk ?ltLGS 21qD
DAKOTR COVNrr, f MINNSSOTR R16-76cr To . agvcME1v J"s
1 hereby certify that this survey, plan or report was Prepared by me or under my direct sope,vislon and that I am duly Regialeted land ^.u ruryor
under the lows of the State of Minnesota. Q@ted thi$ he,, day of A,D, 19_7.x.
S(.Gl'/G 1?nc 4 fee/` Rcvf 1-1-7f "1 4A0e5rabL
Q// /q ory 61Ax-i?? te
-/ f f l7.05 n@Ewr B. SIKICi t..S, u IU. 1nR9
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE (612) 454-8100
FOR CITY USE ONLY
PERMIT #
RECEIPT
DATE:
1ftlr PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------
WORK DES IPTION COMPLETE THE FOLLOWING:
NO. FIXTURES EA. TOTAL
NEW CONST ADD-ON MINIMUM 15.00
ADD ON SHOWER 3.00 yd0
REPAIR WATER CLOSET 3.00
BATH TUB 3.00
LAVATORY 3.00
OWNER NAME: S IA c. /U KITCHEN SINK 3.00
LAUNDRY TRAY 3.00 :?,M
SITE ADDRESS: 0? 111pilL /0-P. HOT TUB/SPA 3.00 -3,04
WATER HEATER 3.00 N10
LOT: BLOCK a SUBD. UO 06 JJZ FLOOR DRAIN 3.00 s_nn
_?L gl 4
GAS PIPING OUT.
INSTALLER: V e Is-)a flu m (MINIMUM - 1) 3.00 'S. o3
ROUGH OPENINGS 1.50 y.M
ADDRESS: J WC v0 OTHER _
WATER SOFTENER 5.00
CITYO l I'6L / qo' ZIP: yv V PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE 6.?0
SUBTOTAL
ST. SURCHARGE 50
SIGNATURE OF PERMITTEE i X10
TOTAL: V
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
- - - - - - - - - - - -
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
CITY OF EAGAN
ZIP:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
(SIGNATURE)
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE (612) 454-8100
? quo
mg "qwl
FOR CITY USE ONLY
PERMIT #
RECEIPT #
DATE: 3 ?1
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST
ADD ON
REPAIR
OWNER NAME:
FEES
ADD-ON MINIMUM
HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS - MINIMUM
OF 1 PER PERMIT
` SUBTOTAL:
SITE ADDRESS: Y\' `
_ k 1 S I`? STATE SURCHARGE:
LOT: ` BLOCK SUBD. U ( lJ?\? 115 ?d TOTAL:
$15.00
24.00
6.00
3.00
$0700
.50
$!75a
??? 1 l?_ U \
INSTALLER:
ADDRESS: o ?SSI NATURE OF PERMITTEE
CITY: V_) ZIP:
PHONE #: 4(, o--(Q"D
00?7MEROYAL/LNDUSTRIA.:L' PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
----------------- _---
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE
TOTAL:
(SIGNATURE)
CITY OF EAGAN
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA140589
Date Issued:01/04/2017
Permit Category:ePermit
Site Address: 3294 Rolling Hills Dr
Lot:41 Block: 2 Addition: Bur Oak Hills 2nd
PID:10-15501-02-410
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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 -
Ryan Vetter
3294 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:Mechanical
Permit Number:EA146667
Date Issued:11/06/2017
Permit Category:ePermit
Site Address: 3294 Rolling Hills Dr
Lot:41 Block: 2 Addition: Bur Oak Hills 2nd
PID:10-15501-02-410
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Ryan Vetter
3294 Rolling Hills Dr
Eagan MN 55121
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167346
Date Issued:03/10/2021
Permit Category:ePermit
Site Address: 3294 Rolling Hills Dr
Lot:41 Block: 2 Addition: Bur Oak Hills 2nd
PID:10-15501-02-410
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
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 -
Ryan & Anne Vetter
3294 Rolling Hills Dr
Eagan MN 55121--235
Signature Home Services
7373 West 147th St
Apple Valley MN 55124
(651) 731-1147
Applicant/Permitee: Signature Issued By: Signature