3310 Rolling Hills Dry INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: 1 ; 4/ 10 0I: r
I r! , H71 1 DR
Hill, [lilt !III 1 hlii
PERMIT SUBTYPE:
APPLICANT:
1, , ;,, t. t 111111
,It (bJ") 411-
TYPE OF WORK:
rlt 11
Iitl l 1 11 .! iVf?
G3 :' i / i t +
6!k/Ifi/93
INSPECTION TYPE .•
. t? •??I I i tFr? I I,.,?
PUMA14Is : ', bW I oN I RAt 1 of, .- is 1 t1V( k MI 1 11AH 11: Al
Permit No. Permit Holder Date Telephone #
SAN
PLUMBING Ifts
HVAC l 9/ J- -
ELECTRIC
ELECTRIC
Inspection
Date Insp. Comments
Footings I pp
b'' Z @ ?? ?S
I
Foundation Z
Framing
Roofing
Rough Pibg. ?S 7 n
Rough Htg. At
Isul. ! ' S3 s L - vzle, op
Fireplace 111
Final Htg.
Orsat Test A)
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final S 3 v c r
1
Deck Ftg.
Deck Final
Well
Pr. Disp.
r
2
?i
y
Weeti f irate of V cntp c?
Witt' of pagan
of 61"j"
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the tint of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
Use Clmirkwiorc SF DWG Bldg. Pamir No. 21716
O-W-y TYW R3/M 1 zamg Dwria R 1 Type cons. VN
PRTUMSEAEur EPOSOMiST 785 SUNSM DR, EAGAN
o Btl???? 3310 ROLLING HIIIS DRIVE S L37, B2, BUR OAK HMS 2@D
Bumos Adams I-Mlity
Dar
BwkEM Official
POST IN A CONSPICUOUS PLACE
Pow
1
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: 1 : 1 1 1 1 ' ' 1 H i s
3830 Pilot Knob Road Permit Number: H I 1 f.
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: 1 111 1; APPLICANT:
14 1
, ;1,." Ii 1;II IN6 H I I I -I)R 111 it'll; I111 rl:,11
;;ill, "At H I I 1 ,1111 I 1'. 10
PERMIT SUBTYPE: TYPE OF WORK:
il 1; Fit N I t 114 1'.!I ;',1 BRAT 1 UN
R1 MARV', A %f.1"ARA T F FE RM I 1 V; RI- 011111 01 0 104 ANY P1 IIAH I Nl3 014 (1 I- C TR 1 1 Al 4U)kK
Permit No. Permit Holder Date Telephone N
ELECTRIC /09 36A
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
[
f.G/
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING 7
?
GAS SVC
TEST
i. -
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL ?L
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: 1:111 1 It 1 N6
3830 Pilot Knob Road Permit Number: 0 .
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: I 4fy ,? ,,, I APPLICANT:
1 ki H91. 1 T HO H i l l Uk 1 01 1 N MRt?k
raid. +'AI III I L 2Np i 4. 1 ) 452-4032
PERMIT SUBTYPE: TYPE OF WORK:
NI w
7
Permit No. Permit Holder Date Telephone M
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG C/%G ? --- -- -- -
-
-
-
DECK FINAL Z - --
-
-
Address 3410 RrKT.TIC HIMS Dave Zip 5512 1
Lot 37 Blk 2 Sub Bug oAK I$YS Zero
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 l?
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-0f--way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy - Pink - Contractor Copy
REQUEST FOR ELECTRICAL INSPECTION Qr% EB-00001.09
(? see Instructions for completing this form on beck of yellow copy.
?jfnfp "X" Below Work Covered by This Request
New 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
Omer (specify) Convector's RemarpGsEE%4:?
Compute Inspection Fee Below.,
# Other Fee # Service Entrance S Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps to 100 Amps
Transformers Above 200 bove 100 -Am s
Si ns Inspectors use only: TOTAL
Irrigation Booms Z'In, .?
Special Inspection
AlarmoCommunication THIS INST DERED DISCONNECTED IF NOT
Other Fee CO ED,",T'H1% i ONTHS.
I, the Electrical Inspector, hereby Ro h-in o
certify that the above inspection has
been made. Final
OFFICE USE ONLY
This request void is months from
L 71202
Rep est Dat
_? ire No. Rough-in Inspection
etl?
? Reatly Now ill Notify Inspector
R
d
?
Wh
Ves [ No en
ea
y
X, icensed contractor O owner hereby request inspection of above electrical work at:
Job Address (Street. Box or Route No.)
331o R0I ;n +1? l15 ?rjve City
Eci 0-
SennOO No. Township Name or Range No. County
Occupant (PRINT)
1v1 (feIS?1-rAed+ brdth2,rs Phone No.
4-5l6-91
Power Supplier
ju Red Roc,K Address
flVA
or+
Electrical Contractor (Company Name)
Ev on E u; r(,) ?nr Contractors License No.
c44oo6R-q
Maili Ig Address (Contractor or Owner Making Installation
5555 Harn sh+ r?
ri°or lA ?e IU
Authoriz Sgnature Gonvacta(Owner Maki g Installation( Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Mical 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.
Req est D Ate
//?
-/ Fire No. Rough-1 Inspection Required
(You u t call Inspector when ready) InRs action Other Than Rough-In
I__I Ready Now E] Wilt Notify Inspector
'
4? Yes ? No Date Read
icensed contractor ?owner hereby request inspection of above electrical work at:
Job Acidness (Street, Box r Route No.)
3
?/D 0 ' 0
E'lvE City
4A
11
EX
'
, .
f
Section No. Township Name or N . Range No. County
Occupant (PRINT)
1A E 161A,1 Phone No.
Power Supplier Atltlress
Electrical Contractor (Company Name) Contractor's License No.
.EVE/v v ?Lt< G.?1oo?a
Meiling Atltlraes (DDntreclor or Owner Making Installation)
r
Authon2 Signature (ContractonOwner Making Installation) Phone Number
/y7
MINNESOTA STATE BOARD OF ELECTRICITY
I THIS INSPECTION REQUEST WILL NOT
Griggs-Mldway Bldg. - Room 5-128 II I III II I I I I
I I I I I I I II BE ACCEPTED BY THE STATE BOARD
1821 University Ave„ SL Paul, MN 55104 1
I UNLESS PROPER INSPECTION FEE IS
Phone 16121 fi42-0800 !
1 ENCLOSED.
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. ft. of house; and all roofed areas
(20%mAimum 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 711M
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegascw mechanical ventilation form
Remodellfteoair Requirements
2 copies of plan showing footings, beams, joists
1 set of Energy Calculations for heated additions
1 site survey for additions & decks
Addition - indicate if on-site septic system
?3' 5
Office Use Only
Can of Survey Recd _Y _N
Soils Report _Y _N
Tree Pres Plan Reed _ Y _ N.
Tree Pres Required _ Y _ N
On-site Septic System - Y _ N
Date ( g
Site Address .33(? / o i Construction Cost ?[? 00
12011i7lo If t/9 DV_ - Unit/Ste #
Description of Work I'PSIC?t° rj .$( ak-c
Multi-Family Bldg _ Y _C N Fireplace(s) - 0 - 1 - 2
Property Owner Y e-lr?Y VCY,S'?YGt?C, Telephone #(
Contractor Lampe K4 ?rhn-y OYS
Address J-79
State MIY)o (, A)• !L/?.l r (?/ P C?L?
eSOfa? Zip City Po re Ul li
Telephone#(&SI)la9S-3&fV
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateizorv 1 _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J 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.
??f-l l'l /P ll P VI,C{'1 GII?,? C1?u'-?'_ ? ?_ .f?d2LP? ?C?f'JGf??'f"ey'
Applicant's Printed Name applicant's Signature
ao,00
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 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 PGA handout to applicant
Description: Water Damage L 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/Gas 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
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
5 °I 0 ??olv
.,Z095 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Telephone #1,
New Construction Requirements Remodel/Repair Requirements Office Use Only
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and of roofed areas 2 copies of plan Cad of Survey Rood _Y _N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Rood _Y -N.
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pros Required _Y _N
I set of Energy Calculations Addition- indicate if onske septic system Onsile Septic System _Y _N
3 copies of Tree Preservation Plan If lot platted after 7/1193
Rim Joist Detal Options selection sheet (buildings with 3 or less units)
Date I I / Z
Site Address 331 / O b
D E011(n Q HIS /' Construction Cost ll7 r oo o
) y a Unit/Ste #
Description of Work rgY?nY t w(.{???/U f??a?1VIIL?T
Multi-Family Bldg -
Y ?N Fireplace(s) __ 0 - t _ 2
Property Owner ?Q 11
-/1r. V-e s)_ra if k- Telephone # ( )y5la-9 y o U
Contractor Lam ,2,e ->` /Xnol-s
Address 278
State XhA1 4f2 /(-)- rat ryl'etu city ea?rllmlG
Zip .5//3 Telephone#( 65-6 6095 3
? ?o555lvSro
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category l Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calculations Submitted "V o .
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies. -
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
-t> yq,2s
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 Printed Name
&well e V1wWagn&L.
Applicant's Signature
gr1,25
OFFICE USE ONLY
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/Adds. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 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
Valuation Occupancy MCES System
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) - 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 - Brick
Fireplace _ R.I. -Air Test -Final _ Windows
Insulation - Retaining Wall
Approved By,
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
6.79gq
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
.$/ /Y,-s-2i
Date ?2 57 / 05
Site Street Address 3310 RrM l n o ?VIHS D t Unit #
Property Owner 300 yE rs t r ae ft Telephone # (651) 4S6 p100
Contractor P11212 wOrKS Telephone # (?51) 369 130
Address 3(0 0 oocia Rd City1Eu90_k'l State zip 15i512L?
The Applicant is: _ Owner IVSL Contractor -Other
Alterations to existing dwelling
- Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
-Septic System Abandonment
-Water Turnaround (add $125.00 if a 5/8" meter is required)
Other. $ 50.00
_ Water Softener 1 Water Heater
new replacement $ 15.00
Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00
State Surcharge $ .50
Total: $ 1550
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
M ivid g
WUA-
Applicant's Printed Name
Applicant's
T
FEB 1 0 2005
?S,so
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-15501-370-02
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
3310 ROLLING HILLS OR
LOT: 37 BLOCK: 2
BUR OAK HILLS 2ND
G2o cl
BUILDING
021716
08/16/93
DESCRIPTION:
SAAldirn? Permit Type SF DWG
wilding 1 `0' Type NEW
,- IJBC. Occupancy\. R-3 M-1
Construction Type VN
Zoning R-i
Building t.ength
Building Width
59
52
REMARKS:
S&W CONTRACTOR - KLUVER MECHANICAL
FEE SUMMARY-
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
VALUATION
$657.00
$427.05
$52.50
$750.00
lee
$1,886.55
$105,000
MISC FEES $1,744.50
Total Fee $3,631.05
CONTRACTOR: - Applicant - ST. LIC. OWNER:
MITTELSTAEOT BROTHERS 14569125 0003443 MITTELSTAEOT BROS CDNST
785 SUNSET OR 785 SUNSET DR
EAGAN MN 55123 EAGAN MN 55123
(612) 456-9125 (612)456-9125
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of 15agan Ordinances.
J APPLICANT/PERMITE IGNATURE ISSUED B . SIG URE
REACTIVATE ^ CITY OF EAGAN
ERMIT is, '?? I D) 1993 BUILDING PERMIT
P F
7p
;?+
Y? AIUli 111, 193 681-4675
L1? `
APPLICATION
SINGLE & - sets of plans, 3 registered site surveys, 1 copy of energy
talcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, I copy of energy talcs.
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.
te Valuation of work
3
te Address:
3lD?
STREET SUITE N
nant Name: (commercial only)
[
T
o BLOCK -22- SUBD. ®?A a P.I.D. M
of work:
D
escription
e applicant is: ? Owner Contractor ? Other (Describe)
Name Phone
Property LAST FIRST
Owner
Address
STREET STE •
City State Zip
5 e Phone vG-7??5
Company
Contractor 11
Address `. ? S4ue A4z License # Exp.'9sf
City )ACi.4sJ State./.' Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with al applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
0 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
P 31 New
? 32 Addition
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
? 35 Tenant Finish
? 36 Move
? 37 Demolish
? 16 Basement Finish
D 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
Const. (Actual) V- H Basement sq. ft. MW CC System
((Allowable) V-0 1st F1. sq. ft. Ci jty Water
UBC dccupancyR 3 M_i 2nd F1. sq. ft. PR Y Required
Zoning F?1 Sq. Ft. total Bo oster Pump
# of Stories Footprint Sq. ft. Fi lre Sprinkler
Length On-site well Ce nsus Code
Depth 5 2' On-site sewage SA C Code
11
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
? Wallboard
Building
Variance
? Footing
? Final
? Framing
? Draintile
, , 11
to 1
of
i
? Insulation
? Fireplace
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:
SAC % 100
SAC Units _??
8?????? ? y I V? t V MY
o X 2 2 .`"
? ru = 6%40
E 74r2-1: J76K /Ss
"4,owenL.e...a?
L- 6
L.L 5
a3v-54
isessments
Iy3o
?J'
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Acces
? 14 Fireplace
? 15 Deck
S?b?fa
, `t vq -_336x 4'4: l t9 i44
! bxt4 c"3bN
l y 11 11 K 3q
?F"
SURVEYOR'S CERTIFICATE
l?RSK
0 9
?_l: I ' i
60 $00013'02"E
®I.5 N
10 i
0
1I
01
z
?1874,8
T
9 1
I30
76.2 .3.0 o w
I
?I
a•
_• I EL?
8?-
E; NO SPOCpIC SOILS 4NVESTOAT10N HAS B COMPLETED
ON THIS LOT BY THE SURVEYOR. THE ?jLllY OF.
SOILS TO SUPPORT THE SPECIFIC HOU$E?P 08EO IS
NOT THE RESPONSIBILITY OF THE SURVEYOR
DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET
! DENOTES IRON MONUMENT FOUND
X000,0 DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
1 10
I--
a W
--:? j ?--
a
10
S00013
1-7 3r^
L i I?
i`G I-'i)
(Y 74 -? I
E
By
RAGAN ENGINEERING DEPT
NOTE: BULOtNO DIMENSIONS SHOWN ARE FOR HORIZONTAL
a VERTICAL LOCATION OF STRUCTURE ONLY. SEE
ArCHITEC°rUAL PANS FOR BUILDING 8 FOUNDATION
DMC:NSIONS.
SCALE: 1 INCH - 30 FEET
PROPOSED GARAGE FLOOR =X71' 6 FEET
PROPOSED LOWEST FLOOR =972 f FEET
PROPOSED TOP OF BLOCK -Sgcj, Z FEET
WE HEREBY CERTIFY TO MITTELSTAEDT BROS. CONST. THAT THIS 15 A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 37, Block 2, BUR OAK HILLS 2ND ADDITION, according to the recorded plat thereof,
Dakota County, Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROPyCHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION IH15 6TH DAY OF AUG. '1993,
PROPOSED GRADES SHOWN WERE SIGN WJO'HN R. HILL, INC. KEN AA6E d FE#DSIONg CON .JNa, PLAN
i FOR BUR OAK H1I?LLSL,pp2NO ADDirioN pM7ARDEAD DY 2-S1114e.? ASSOC, INC. C.LARSON,LANO SURVEYOR
MINNESOTA LICENSE NUMBER 19828
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2500 W. CTY. RD. 42 • BURNSVILLE, MN. 55337 * 612.890-6044
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LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING
PROPERTY LEGAL:
Da
DOCUMENT STANDARDS
APPLICATION
of survey: 06 //93
Registered Land Surveyor signature and company
Building Permit Applicant
Legal description
Address
North arrow and bar scale
House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
Directional drainage arrows with slope/gradient $.
Proposed/existing sewer and water services
Street name
Driveway
ELEVATIONS
Existing
G C? ? Sewer service
0' D ? Lot corners
L9' 1)) 13
V Top of curb at the driveway
O
? Elevations of any existing adjacent homes
Proposed
F3?D ? Garage floor
D 0 First floor
? Lowest exposed elevation (walkout/window)
C•?:u D Property corners
R? 0 D Front and rear of home at the foundation
PONDING AREAS (if applicable)
D OK D Easement line
D C1' D NW L
? 0' D
'? HWL
D 0
? Pond * designation
D D?? Emergency Overflow Elevation
DIMENSIONS
D Lot lines
? Right-of-way and street width (to back of curb)
D D Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc.' (i.e., all
f structures requiring permanent footings)
fl D Show all easements of record and any City utilities within
? those easements
? ? Setbacks of proposed structure and setback of adjacent
r) U7 D existing homes
Retaining yall Spq4Wements, if any
Reviewed: 4
Na e / D to
October 1992
kC LAME F, E:u>
CITY OF LAKEVILLE
BUILDING INSPECTION DEPARTMENT
20195 HOLYOKE AVENUE, P.O. BOX 957
LAKEVILLE, MINNESOTA 55044
612-469-4431
MINNESOTA ENERGY CODE -ALTERNATIVE COMPLIANCE
This form is only applicable to detached one-and-two family dwellings. The
requirements herein are based on amended Section 502.2.1.7 in lieu of the
criteria specified i n Sections 502.2.1.1, .2 and .3.
Building Address: L ff 31 $1.04.k BuA®A1t Hl" ',N!b / bb Ai
Contractor or Owner: 0fl-Lg e ?e ,Lmt?cr )
Building Element "R" Values Area (sq ft) of Ext.Walls
Ceilings Design!qAZ_Required 38
Walls* (exterior), besign?Required 20 3
(without foundation)
Floors* Design?Required
20
(overheated spaces)
Windows** c?
Design2-ORequired 2 2 Sj R
l
°%
,
e
Foundation Walls DesignJ2,LeRequired 5
(when insulating full depth of foundation wall)
Design - Required 10
(when insulating only to frost depth & footings
extend below)
Slab-on-grade Design9--I-Required 8.83
floors
Doors Design 14 Required 2
Footnotes:
* For the insulated cavity of opaque walls, floors, and rim joists.
** Maximum window area must not exceed 12 percent of the area of
exterior walls, not including foundation walls.
CERTIFICATION
I hereby certify that I have completed the above information and that it
complies with Minnesota State Energy Code.
Signature Date: /
c .
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE: BUILDING
Permit Number: 028116
Date Issued: 07/01/96
SITE ADDRESS:
P.I.N.: 10-15501-370-02
PERMIT
3310 ROLLING HILLS DR
LOT: 37 BLOCK: 2
BUR OAK HILLS 2ND
DESCRIPTION:
Permit Type
rk Type
r
BASEMENT FINISH
ALTERATION
434 ALT. RESIDENTIAL
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REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY.
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: OWNER: - Applicant -
HEINLEIN MARK
3310 ROLLING HILLS DR
EAGAN MN 55121
(612)452-4032
I hire' 6,kriarwiad.9e 'th4Lt" 1' have rea#-thit'Ap?plicati?orr and state that tithe
informatj)o =:,s arreci' an!d.. agree °tp c.6mply with' all applj.cable State of Mn.,.
Sta ates ',afld`City sf tacan 0edinences.?_
v 2? _ AN,
/P.
? l l11 ?
A PLICANT/PERMIT SIGNATURE ISSUED BYSI URET?
CITY OF EAGAN {
3830 PILOT KNOB RD - 55122 'i???•?Q
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
Ott I I L 681-4675
Remodel/Repair Rgouirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (Include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks)
? 1 energy calculations ? 1 energy calculations for heated additions
? 3 copies of tree preservation plan if lot platted after 7/1/93
required: _ Yes %_ No o?%
DATE: - / G .' CONSTRUCTION COST:
DESCRIPTION OF WORK: 174 f L?`?
STREET ADDRESS:
LO.T 2 BLOCK
SUBD./P.I.D. #:
PROPERTY Name: He;, MAR111- Phone
OWNER
Street Address: l
City:
r
11461W Stt/ate:j MAJ Zip: ?l a
CONTRACTOR Company: ! l l e f liz
Street Address: F1 e
City:.
ARCHITECT/ Company:
ENGINEER
Name:
Street
City:
State:
Zip:
Sewer & water licensed plumber: 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 ?is7correct nd agre to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. _ / / /
Signature of Applicant:
OFFICE USE ONLY - - -_ _ ?_
J U N 2 5 1996
Certificates of Survey Received Yes No
---------------
Tree Preservation Plan Received Yes No
Phone #:
License
State: '
Phone
Zip-
Registration #
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New de-1,33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
OFFICE USE ONLY + '.. .€
? 11 r
16
Apt./Lodging
de?
asement Finish
? 12 Multi Repair/Rem. ? 17 Swim Pool
? 13 Garage/Accessory ? 20 Public Facility
? 14 Fireplace ? 21 Miscellaneous
? 15 Deck
? 36 Move
? 37 Demolition
Const. (Actual) Basement sq. ft.
(Allowable) Main level sq. ft.
UBC Occupancy sq. ft.
Zoning sq. ft.
# of Stories sq• ft.
Length sq•ft•
Depth Footprint sq. ft.
APPROVALS
Planning Building Engineering
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
MCNVS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code. y35
SAC Code D/
Census Bldg _ I
Census Unit O
Variance
% SAC
SAC Units
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE: BUILDING
Permit Number: 0 2 7 4 6 4
Date Issued: 05/03/96
SITE ADDRESS:
P.I.N.: 10-15501--370-02
3310 ROLLING HILLS OR
LOT: 37 BLOCK: 2
BUR OAK HILLS 2ND
DESCRIPTION:
)Juildimg Permit Type DECK
Building Work Type NEW
Census Code "`?. 434 ALT. RESIDENTIAL
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t
REMARKS:
FEE SUMMARY:
Base Fee $45.00
Surcharge $.50
Total Fee $45.50
CONTRACTOR: OWNER: - Applicant -
HEINLEIN MARK
3310 ROLLING HILLS DR
EAGAN MN
(612)452-4032
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
L_
A L T E ISSU BY SIGNATURE
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ?S• Sly
f ! 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
RemodellReoair Reouirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks)
? 1 energy calculations ? 1 energy calculations for heated additions
? 3 copies of tree preservation plan d lot platted after 7/1193
required f_ Yes _ No
DATE: / '. V&1, CONSTRUCTION COST:
DESCRIPTION OF WORK: ll?? V1
STREET ADDRESS:
LOT BLOCK _ SUBO./P.I.D. #: 1/h
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: *CI17AL'\
Street Address* - 3 -3 /'O
Phone #. r ?a /U 3
City:i State: Ao/tj Zip:
Company: Phone
Street Address:
License #:
City: State: Zip:
Company: t ?y Phone
Name:
Registration #•
Street
City:
State: Zip:
Sewer & water licensed plumber: 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 correct and agree tmply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. 1-57 A ,
Signature of Applicant:
OFFICE USE ONLY I -" V, (a W-2
Certificates of Survey Received Yes No I+j 3 ®g996
Tree Preservation Plan Received Yes No `1
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SAW Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. '?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Basement sq. ft. MC/WS System
Main level sq. ft. City Water
sq. ft. Fire Sprinklered
sq. ft. PRV
sq. ft. Booster Pump
sq. ft. Census Code.
Footprint sq. ft. SAC Code
Census Bldg
Census Unit
Building Engineering Variance
Valuation: $
% SAC
SAC Units
• 78.9
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YOR'S CERTIFICATyE
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TE; No SPECFIC $OIL$ -INVESTUATIPN HAS D _ GOMp?,ETED
ON THIS LOT 8Y THE SURVETOO. THE S 1TY OF.
SOILS TO SUPPORT THE SPECIFIC HOUSEI0 _ P 'MIS
NOT THE RESPONSIBILITY OF THE SURVEYOR
r -- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET
• DENOTES IRON MONUMENT FOUND
X000.0 DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
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DEPT
NOTE: BULDING DIMENSIONS SHOWN ARE FDR HORIZONTAL
9 VERTICAI. LOCATION OF 'STRUCTURE ONLY. SEE
ARC1 ECI`UAL PLANS FDA BUILDING 9 FOUNDATION
DIMEENNSION&
SCALE: 1 INCH - 30 t? FEET
PROPOSED GARAGE FLOOR =J' 77? `i FEET
PROPOSED LOWEST FLOOR =4t 72/ FEET
PROPOSED 'TOP OF BLOCK `?$8C1 Z FEET
WE HEREBY CERTIFY TO MITTELSTAEOT BROS. CONST. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 37, Block 2, BUR OAK HILLS 2ND ADDITION, Dowding to the recorded plot theieol,
Dakota County, Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 6TH DAY OF AUG, 1993.
PROPOSED pR?GO1RADES $"OWN WERE ORA FORSBIII .URQ OAK HILLSII,pp?10 ApD 74 N
7A DATEDY ATH.O ASSOC, INC,
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- m R. HILL, INC.
C
JOHN C. LARSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19828
James R. Hill,. inc.
PLANNERS / ENGINEERS / SURVEYORS
2500 W. CTY RD. 42 0 BURNSVILLE, MN. 55337 • 612.890-6044
CITY USE ONLY H
L 4.7 BL ?J RECEIPT
SUBD. 4eeV(- 4LL DATE: ?///'&
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NQ. TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x _
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x
Hot Tub/Spa 3.00 x _
Water Heater 3.00 x =
Floor Drain 3.00 x _
Gas Piping Outlet * minimum -1 3.00 x =
Rough Openings 1.50 x _
Water Softener 5.00 x =
Private Disposal * Dakota Cty. license 65.00 =
(new and refurbished systems)
U.G. Sprinkler * home under const. 3.00
Alterations * to existing 20.00 - -
Water Turn Around 20.00
STATE SURCHARGE .50
?U
TOTAL Q.6.
SITE ADDRESS: 3310 AI Y= 49 OWNER NAME:
INSTALLER NAME:
STREET AD DRESS: (/ ( D
CITY: /u STATE: ZIP: (°7
PHONE #:
SIGNRTUhM UF PERMI TT
OFFICE USE ONLY
L BL
SUBD.
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for all commercial/industrial buildings.
multifamily buildings when separate permits are not required for each dwelling
unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? - YES _ NO. IF SO, PLEASE PROVIDE THIE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES _ NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES - NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of pwu3ji fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE
METER SIZE:
RECEIPT
DATE: STE. #
i
STATE: ZIP:
SIGNATURE:
APPLICANT
OFFICE USE ONLY
" DATE: INSPECTOR: II
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA107923
Date Issued:11/02/2012
Permit Category:ePermit
Site Address: 3310 Rolling Hills Dr
Lot:37 Block: 2 Addition: Bur Oak Hills 2nd
PID:10-15501-02-370
Use:
Description:
Sub Type:e-Windows/Doors
Work Type:Windows/Doors
Description:House
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, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
JOHN P VERSTRAETE
3310 Rolling Hills Dr
Eagan MN 55121
Window World AKA Probuilt America
2211 11th Ave E, #130
N St. Paul MN 55109
(651) 770-5570
Applicant/Permitee: Signature Issued By: Signature
06/27/2017 10:14 6516464532 BOEHM HEATING CO PAGE 02/02
Use BLUE or BLACK Ink
For Office Use /
ty of Eai 1 I Permit#: /
3830 Pilot Knob Road Permit Fee:
Eagan MN 55122 Data Received:
Phone:(651)675.5675
Fax:(651)6755694
Staff:
a,.
2017 MECHANICAL PERMIT APPLICATION
0 Please submit two(2)sets of plans with all commercial applications.
Date: Site Address: 30/0 I1 t I i it E3 R1 l\S
Tenant: `1 Suite#:
Name: Pe__4e. . Phone:
Resident/Ouwner _
Address/City/Zip: 3310/gmt!i rS 1*i t\S �Q5 r•'
•
Name: 1 ce1'Y1 Net+► C$�141 ti I/V1 ei CX)
� � y License� 33aa
Address: 15198 Selby City:
Contraittor 1
State: 1/Yln Ziip: 'e s t Phone: &O S(- x 'l r iY iO
Contact:z-a-(pe0epi,r1 Email: 0 4�iC Bloc hr»I�ect7,' c•Ceen
New Replacement Additional Alteration Demolition
Typeof Want Description of work: +"reD�Q.ce kt"4CEc7� 4C.
• NOT'E• mounlil � 'shied
: ,Rtiit�':,;";.,. �'altd.grorriitl�rMou�d y�,,���.y '(i��•�ot ':�ty',•
�{• .til . 'QICV�Mir/N7lly ... MJ•A' ,...
IC�tstilidarilfret#oraoR'.
RESIDENTIAL COMMERCIAL
JFumece —New Construction —Interior Improvement
Permit '
T ,' "' . ,CAir Conditioner Install Piping —Processed
• .'Ips ,'`';'•',
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 State Surcharge
$100.00 Residential New,Includes State Surcharge =$ TOTAL FEE
COMMERCIAL FEES
Contract Value$ x.01
$60.00 Permit Fee Minimum
$75.00 Underground tank installation/removal,includes State Surcharge =$ Permit Fee
Surcharge=Contract Value x 50.0005 $ Surcharge
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 vh11 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,end work is not to start without a permit;that the wont will be In accordance
with the approved plan in the case of work which requires a review and approval of plans.
AN • ht/ANV -r-------
Appl caiannt's Prints Name s Appl Ig ture
.•`:,.• •,."':a,',: .51•::•?';.ti'>:Nppt7riC':',. V.::,,a�i;+.••. ,:�y .,4yy .)t.1���'+pr.. wl,�;.,. •.ern, „M1rs•:.t.c tic BY•sr•
•FOR OFFiCE,• '1'�. .. .., ,. ,.. ..•,•,x ?'t«,., �,,
:"•,.rG...,l.n..•:,.�, .,�::,.,. ,,w:.dyt.,..,,•;,,...•,.,n•,c�:•,ad„A.•ro! .�. ,.t' �,,1 �i3 ,�, ,. .,., ;p:i"^ �; „r..,' r`•�
,•,,•r;r•• .,,,••.,..,{,, ,�, ,, r :n;. 9a,v.ri�;",;< •.B�' .r�: nor..:. ;•;r,:: :'•;5,,
Required htalam:`. u
l
�#
1•y 1 '
Underground
•�;iir '�J�.Ttit�'
t�, -- •IGes:�eivi��'��!'' :_ •,In�1'i�tl'r ' �ft;'., `:Fi�taY: i�dC••5r�ee'plrag::' ,
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169130
Date Issued:05/17/2021
Permit Category:ePermit
Site Address: 3310 Rolling Hills Dr
Lot:37 Block: 2 Addition: Bur Oak Hills 2nd
PID:10-15501-02-370
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
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 -
John Peter Verstraete
3310 Rolling Hills Dr
Eagan MN 55121
(651) 983-8100
Capital Construction Llc
416 Gateway Blvd
Burnsville MN 55337
(952) 222-4004
Applicant/Permitee: Signature Issued By: Signature