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3338 Rolling Hills Dr
íü ô ë þýýüûúÿûú ÿ ùüüýýðððë÷ýþ ÿä þý ÿþýüû ù÷àúÿýüû ùýüûù÷à ø÷àêûõ ûÿ úÿúîî äÿûü Þ ôÿë õûæõóóõôÿõþõè å÷÷ûååõ ý ûèúååûåè úþõçôÿþü÷åõüóõè ëéâéííè í èî í öù ÿó Ýÿéâéè ð èð Ýÿ è õó òñ ûû ê÷ùõêÚ ð íê êæòøòø ñáïáî îããã óþü÷ó óæóûûóóåõõûü÷óûûþ åò ÿúüåäè ûûà õ ÿ ÿü ÿ lKertif cate of Ccaepanq (FU4 of Wagan Tep"tMent of Vni[bing anareed" 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 Classification: SF DWG Bldg- Ftiisuit Na 20552 Occupancy Type RUM Zoning District R' Type Coast. VN Owner or Building EMS 00W1 Address 785 ST MT DR, EAfaAN L-KO $2, BM OW IM-12M Bn; a 3 R FM" DEtIVE Locality Date: " Building Official POST IN A CONSPICUOUS PLACE J CITY OF EAGAN' 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS• INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: 0l. ,,???3N?1 firil PERMIT SUBTYPE: TYPE OF WORK: Ni II 0A /..'4 PJ 91 INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. ,,?.?,a J';; ['I M A P j l» 14 b` 1, 8 ft - k I I 1 V C P Mt. CH IR V 41 HI fit r APPLICANT: Permit No. Permit Holder Date Telephone # S/W PLUMBING -(o.70 HVAC 9,3 89 -mss ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I /mss Foundation Framing Roofing Rough Plbg. ?'l7 ' Y Rough Htg. Gy ? f Isul. /? _ Gui?oows o! /?rSJj¢?L?' Fireplace 3 PD - Co t, ne t Aaa7' Final Htg. c ITi' Q ?' C ?' y C ? L. S. Orsat Test / ?• Final Pibg. I Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final 'R/ Cl 3 W Deck Ftg. Deck Final Well Pr.. t)isp. -9 K69592-, - q3 0-IC 3'F ?L'3 w 3o IJJL a 7d '7d Request Date Fire No. Rough-in Inspection Required? D Ready Now WNill Inspector Nobly I es G No d e / WM1e Reatly? I licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) City Section No. Township Name or No. Range No. County Occupant (PRINT Phone No . // C? /T Power Supplier ? Adtlress 7O &g, GLGi 0 Electrical Contractor (Company Name) Conractor§ license No. Mailing Address (Contractor or Owner Making Installation) ? a G4N Ss 3 7a? Aumpri2 Igndture ICOmredOrvDWner Making Installation) Phone Number ?j r"r MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Origgs•Midwey Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 56101 UNLESS PROPER INSPECTION FEE IS Phone (612) 662-MO ENCLOSED. fq? REQUEST FOR ELECTRICAL INSPECTIONa'. Ee-Wpei-os See Instructions for completing this form on back of yellow copy. K 9592 X" Below Work Covered by This Request ?? ew Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specity) OommAndustrial Furnace 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 fV 0 to 100 Amps Transformers Above 200 Amps Ahoy QO _ Amps Signs Inspectors Use Onty ? OTAL Irrigation Booms ` ?O ?,?? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby certify that the above inspection has been made. Rough-in Qate 4 f Final e f-lYy? OFFICE USE ONLY This request wid to months from Address 3338 ROLLIW, HILLS DRIVE Zip 5512 1 Lot 30 Blk 2 Sub BUR OAR HILLS 2ND THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date ?- Yes No Inspector: Final gra a (6" from siding) t/ Permanent steps (garage) Permanent steps (main entry) r/ Permanent driveway t/ Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish Deck 1/ 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 5 811 a ? Rogue t Date it o. Rough-in Inspection Repaired? O Ready Now Jill Notify inspector 10-21- 9 2 ?es L No When Ready? 1 licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) City 3337 Rollin Hills Dr. Eagan Section No. Township Name or No. Range No. County I Dakota Occupant (PRINT) Phone No. Pederson Homes Inc. 423-3086 Power Supplier NSP Address Redrock Electrical Contractor (Company Name) Contrador5 License No. Approved Electric Co. CA00181 Mailing Apdrese (Contractor or Owner Making Installation) 12425 Danbury Wa osemount Mn. 55068 Authorized Si rare contrsdon nor kin all n) Phone Number 11 423-4138 MINNESOTA STATE BOARD 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 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 ENCLOSED. 1?a7 ?RE!UEST FOR ELECTRICAL INSPECTION A ee.oowtryoe ? See instructions for completing this form on back of yellow copy. ` _ D L" ?1 ?r l • "X" 8e/ow Work Covered by This Request 's o oCV lr0 New Add Rep. Typsof Building AppliancesWireo Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other lspecifyl Contractors Remarks: Compute Inspection Fee Below. # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps ,off 0 to 100 Amps d' Transformers Above 200 _ Amps Above 100 -Amps Signs Inspectors Use Only: TOTAL Irrigation Booms 1?/ T 7 ?IFV Special Inspection 7 Alarm/Communication THIS INSTALLATION MAY BE OR ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 Ill _ J 1, the Electrical Inspector, hereby Rough-in Date) O.a f? certify that the above inspection has been made. Final Da OFFICE USE ONLY This national void to months from i 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 15 tN? 3830 Pilot Knob Road, Eagan MN 55122 (lop Telephone # 651-675-5675 FAX # 651-675-5694 I ( a r? ?' New Construction Requirements RemodellReoalr Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Carl of Survey Recd _ Y _ N (20% maximum lot coverage allowed) l set of Energy Calculations for heated additions Tree Pres Plan Reod _Y _N, 2 copies of plan showing beam & window sizes; poured found deslgn, etc. 1 site survey for additions & decks Tree Pros Required . -Y _ N 1 set of Energy Calculations Addition -indicate if on-sde septic system Onsife Septic Systmy _ Y _ N 3 espies of Tree Preservation Plan if lot platted after 7/1193 _ „ f'? lA }(}?,(xlx.?') Rim Joist Detail Options selection sheet (buildings ngs with ith 3 3 or less units) C la Date S / 13 / 05 Site Address 333S 1 2 - o L-L r n ! y N i i L S Construction Cost l? nnr? Da.r ?F Unit/Ste # Description of Work -3 5 4< >r ! i)24.;r Multi-Family Bldg _ Y X N Fireplace(s) 0 _ 1 - 2 Property Owner QrL[ Ra, 4 Telephone Contractor -llc'5H to y p IN iZA =IAA1394 MF II&X' _ Address 1 6`00 X k1 n4a ST State ItAN Ally Zip 5-5-30,; City %2 4?rr fi Telephone # (/0 S-1 9 P 3 ' SI/U ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( Mechanical Contractor Sewer/Water Contractor 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. 7,- L) ' Jo s lav - Applicant's Printed Name Applicant's Signature. OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace !i 21 Porch (3-sea.) ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plea ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ,p( 32 Addition ? 33 Alteration ? 34 Replacement Valuation g®GU Census Code h J`t SAC Units # of Units # of Bldgs Type of Const_ Footings (new bldg) _ Footings (deck) Footings (addition) _ Foundation Drain Tile Roof V Ice&Water Final Framing Fireplace - R.I. -Air Test -Final Insulation 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 ? 30 Accessory Bldg ? 31 EM. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building' ? 43 Rerocf ? 46 Windows/Doors 'Demolition (Entire Bldg) - Give PCA handout to applicant Occupancy MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width REQUIRED INSPECTIONS FinaVC.O. Final/No C.O. Plumbing _ HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco - Stone - Brick Windows Retaining Wall Building Inspector °3 S.0f V /5,2 0 d Z/O `- 7G Ev 0/k IIE '' '? I I ; 13.38` x845.6 I 10 3 ' Ih 10D 4L / O j OT - I 30 0) q m I a S r843,6 1 W , 16 :13.62 ? / O / 843.3 r ? / S00°13'02"E E?X 195E, t_I.i1 z VOTE: NO SPECFIC SOILS .1 HVESTGATION HAS BEEN COMPLETED ON TH13 LOT SOILS TO BY THE SURVEYOR, THE SU1TAbILITY OF SUPPORT THE SPECIFIC HO NOT THE USE PROPOSED 15 RESPONSIBILITY OF THE SURVEYOR DENOTES PROPOSED SURFACE DR O AINAGE DENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FOUND X000.0 DENOTES EXISTING ELEVATION (000.0) DENOTES PROPOSED ELEVATION I r w P.R.V. RE IREFD NOTE: BOLDING DIMENSIONS SHOWN ARE FOR HDRIZONTA 8 VERTICAL LOCATION OF STRUCTURE AACHITECTUAL PLANS FOR BUILDING B DIMCNSIONS. ONLY. SEE FOUNDATION SCALE: 1 INCH - 30 FEET PROPOSED GARAGE FLOOR - PROPOSED LOWEST FLOOR - B ¢ 7g FEET PROPOSED TOP OF BLOCK - g40. 1 114-1• Z FEET FEET WE HEREBY CERTIFY MITTELST EDT CONST REPRESENTAT ON OF AOSU VE OFATHEE BOOUSNDARI SIOF; THAT THIS IS,;A TRUE AND CORRECT Lo130, Block2, BUR OAK HILLS 2ND ADDITION, according to the recorded plat fhe?eof, Dokola County, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 22ND DAY OF MARCH . 1993 PROPOSED GRADES SHOWN WERE TAKEN FROM THE GRAN DEG, DRAIN_ FOR MM1 OW MWON HILLS 2ND ADDITION L"w"MD BY 1?RR.A S ASSOC,INC AST DATED 2-j?D8. SIGN JA E R. HILL, INC. JOHN C. LARSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 19828 w ... O ~ O r' W O rn T- T w O D t 77 N ° James R. Hill>/ _ r M Z 0) v I N D inc. n o m " Z PLANNERS /ENGINEERS /SURVEYORS w < 2500 W. CTY. RD. 42 9 BURNSVILLE, MN. 55,337 • 612-890-6044 VEYOR'S UJI 1846.6 F 01 =I 13( r CERTIFICATE MITTLESTAEOT BROS CONSTRUCTION, INC. EXISTING / BEN MARK HOUSE L_v F d' ELEV, .M9 40 / 41 I ` x 846.4 150.6p S 00° 1 02 161 --.. ., >13 46 i 0 847,7 i M I? - M I mY p4 .0 KIN J \m I OD b I ?? I Cfl 30 1.0 .5.0 I X$ y0 m1 8 ?, I ao ? I ? 0 I 10 1x846.3 _ `!U' 24.3 _ II , _` 30 .4 a BEN Eq' 01 z J? 849,5 13,\\a RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements 3 registered site surveys showing sq. ft. of lot. sq. ft. of house; and all rooted 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 711/93 Rim Joist Detail options selection sheet (bldgs with 3 or less units) DATE ? V iq l02- SITE ADDRESS ?6 ??,?1,Ir`? ? ? l ) TYPE OF WORKC' C- ) `r_N, _ C APPLICANT STREET ADDRESS `1b6T))1 n. t TELEPHONE # VU-bbO-%-t ELL PHONE # FAX #W:)\' ZIP 55 1 )_\ PROPERTY OWNER" l ?kJZ?- TELEPHONE# bO_ nsU ?UZ?UG? ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINN LSOTA RULES 7670 CATEGORY I MINNESOTA RULES 7672 (d submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Cade Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: ____ Plumbing system includes: Mechanical Contractor: Vlechsurical system includes Sewer/Water Contractor: MULTI-FAMILY BLDG _Y /N FIREPLACE(S) _ 0 _ 1 _ 2 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 Eaga din ?ces., Signature of Applican OFFICE USE ONLY Water Softener _ _ Water Heater No. of Baths RemodellRepair Requirements • 2 copies of plan 1 set of Energy Calculations for heated additions 1 site survey for exterior additions & decks Indicate if home served by septic system for additions Phone # Lawn Sprinkler No. of R.I. Baths Air Condiiionim, Heat Recovery System VALUATION )3400 Fee: $90.00 Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 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. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or- N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. Footings (deck) _ Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof - Ice & Water _ Final _ Pool _ Ftgs _ AirGas Tests _ Final Framing _ Siding _ Stucco _ Stone 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 Total Building Inspector RESIDENTIAL BUILDING PERMIT APPLICATION 3 ?? f CITY OF EAGAN 1 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New construction Requirements • 3 registered site surveys stowing sq. ft. of lot, sq. R. of house: and all 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 if lot platted after 71193 • Rim Joist Oeleil Options selection sheet (bldgs with 3 or less units) DATE I?? 30 . (]a ,??.? YYLL??¢ p RemodeUReoair Requirements 4 l y _ -? • 2 copies of plan U 1 set of Energy Calculations for heated additions 1 site survey for exterior additions & decks Indicate if home served by septic system for additions VALUATION SITE ADDRESS .333 f wcunW /T/c r ,r o55?2, MULTI-FAMILY BLDG -1"'Y _ N TYPE OF WORK A??7-jo FIREPLACE(S) ?0 _ 1 _ 2 APPLICANT 14116G1,41-1 05,7 STREET ADDRESS ?3?6 160u v--e- /'le er OP. CITY lIr/y-C/g- STATE .//t/ ZIP _S5-07J- TELEPHONE # 6.r-/ 0A &W 6 CELL PHONE # FAX # PROPERTYOWNER 6c/lel-IA"9 xaS'4111111 TELEPHONE# 6 tr-1 6e6.6d6,r? COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ (v submission type) • Residential ventilation Category 1 Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: _ Plumbing system includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor. Phone # Phone # Fee: 570.00 -------------------------------------------------------------------------------------------------------------------------- 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. /J Signature of Applicant OFFICE USE ONLY Water Softener Water Heater No. of Baths Phone # Lawn Sprinkle No. of R.I. Baths - Air Conditioning - Heat Recovm System Certificates of Survey Received _ Tree Preservation Plan Received - Not Required Updated 4102 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 ? 31 New * 32 Addition ? 33 Alteration ? 34 Replacement Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const L I :O?-440-p 0 ? 20 Pool 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 'Demolition (Entire Bldg only) - Give PCA handout to applicant Occupancy i U2 MC/ES System Zoning City Water Stories _I Booster Pump Sq. Ft. )WO PRV Length Fire Sprinklered Width 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 Ftgs Pool AiriGas Tests Final _ Framing _ _ _ _ - Siding Stucco Stone _ Fireplace _ R.I. - Air Test _ _ _ Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By i Z 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 5 VEYOR'S w f846 NI LIL 13 J _I (DI z J? 0 844.5 d? I -P 16.71 CERTIFICATE MITTLESTAEDT BRO CCONSTRUCTION, INC, LZ / BENI.NF1K L _v I ELEV, ?8440 / 846.4 150. S 00° 1 02 30fln i D rte- ? 3 10 I e4?7 ¦ M I ?? 1 m `A 41 CO (A g I ? O 943.6 5 ? .00 15 3.46 - O 00 C A \ W6.3__ 13.54 ;p MP CF PIPE • .;.?.. ,.; ?.f..E104.za, i) E?X 157, i 11- / ? _ v 1 ® I - . 8 - - -:-- •13.3 5.6 10 3 W ¦ LOT `i 0 ?I 30 g ? I °1 'J 1 16 m I;?13.62 O ? 845.7 .B. SOO°13'02°E w -P J z TOTE: NO SPECIFIC SOILS ,INVESTGATION HAS BEEN COMPLETED ON THIS LOT SOILS TO By THE SURVEYOR. THE SUITAIIILITY OF SUPPORT THE SPECIFIC* HO NOT THE USE PROPOSED IS RESPONSIBILITY OF THE SURVEYOR DENOTES PROPOSED SURFACE DRAINA O GE DENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FOUND X000.0 DENOTES EXISTING ELEVATION (000.0) DENOTES PROPOSED ELEVATION PROPOSED GRADES SHOWN WERE TAKEN FROM THE GRAID N , ORAIN- AYE !! EROSION ?r F pwrwo OR MIR C4M HILLS 2ND AMT" LAST pY 2- R A S ASSOC, INC "? tie. SIGN JA E R, HILL, INC. B e JOHN C.LARSON,LAND SURVEYOR MINNESOTA LICENSE NUMBER 19828 M T W rn < W James R Hinc. - m - m O < i o r' Cti y p N MI 2 O rr z in Z n Z 0 m PLANNERS / ENGINEERS / SURVEYORS 2500 W, CTY. RD. 42 0 BURNSVILLE, MN. 55337 • 612-890-6044 ARM, REQUIRED NOTE: BULOING DIMENSIONS SHOWN ARE FOR HORIZONTA B VERTICAL LOCATION OF STRUCTURE ONLY. SEE ARCHIrECrUAL FLMS FOR BUILDING 9 FOUNDATION DIMENSIONS. SCALE: I INCH - 30 FEET PROPOSED GARAGE FLOOR - $47, g FEET PROPOSED LOWEST FLOOR - q40- I FEET PROPOSED TOP OF BLOCK - 848.2 FEET WE HEREBY CERTIFY TO MITTELSTAEDTBROS,CONST. INC.THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF. Lot 30, Block 2, BUR OAK HILLS 2ND ADDITION, according to the recorded plat theFeot, 001010 COunfy, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 22ND DAY OF MARCH , 1993 I n S?D X93 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New construction Reautremems • 3 registered site surveys showing sq. ft. of lot, sq. N. of house; and fill roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window saes; poured found design, etc.) • I set of Energy Calculations • 3 copies of Tree Preservation Plan g lot putted after 711/93 • Rim Joist Detail options selection sheet (bogs wt h 3 or less units) DATE ," 1A,i I V? 1 1 f SITE ADDRESS o i?O lil TYPE OF WORK ti? UJ t_ x APPLICANT \ 1? r STREET ADDRESS TELEPHONE 4 ;? -BO-QO CELL PHONE # MULTI-FAMILY BLDG _ Y /j. N FIREPLACE(S) _ 0 _ 1 _ 2 FAX# Od PROPERTY OWNER _6W II C?[ IQJL TELEPHONE # 1 C51- (U0 6 ` (??(C6; COMPLETE THIS SECTION FOR ^NEWm RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 0 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 # (? ri 0 MAY 2 1 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 Ea an?n Inances. Signature of Appli an Ln ?I LdLy OFFICE USE ONLY ls?o. 2?) RemodsVReoair Reauiremenle • 2 copies of plan • l set of Energy Calculations for heated additions • l site survey for exterior addtoons&decks • Indicate H tome served by septic system for additions VALUATION I ® f oOy Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 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 - Mufti ? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 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 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldgr ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing _ Foundation _ RVAC 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 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 CITY OF EAGAN 3886 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number. Date Issued: th SITE ADDRESS: P I.hl - • 1 -0-2515491-J00-017 DESCRIPTION: 33551 kcI'_LI.N(' N'LLI'.; DK L01 :SW 8_0 L CU Id 0.'.K Iill I. E. °MU Eci)r'll,? ?crm-i. 1. [yp- o-3uild?ny h:atrL: I'/pc L'f7 G' Or.nUp•A nc y'., t.o ri jc+. onino s?n91. •fig itutl.C:liq 4JidCPI C' S: URG fl El;! R ., M V I' R 7 5. REMARKS: W PLBR - t: LUVCR hiE"C11 I'RV FEE SUMMARY- V AItIAT.1.0N I!, tie F. hlRn iy t4'v IBW eur-charee tiAC SAC „ 1 .1 C Un.i.Y ,ubtcr.,;1 699. U0 .`•./88)..4)61 1 r) $1,, 9o1.£i; T,.? L,? 1 rt", I.?? .33 CONTRACTOR: A p p c: nI - 1. 1 [ OWNER: t1IITCLSl"/11-f)T F:f20THF"RS 11554175 OVIh!? hIITTELS'IAF0' [;RO?? CCi4^i 788 SUN 1 8 5 J1JH45r . 0r ?RGi 111"1 III N 5872"d IAGAN 1%M CIS 7. (61'') 456 ?125 (G' ')"'S? 91. i f:-.,.=lion .'nd ayrae a coc'1) y _I'et? tec, jilt! CI[y of "sq,:n Ord.iI':noes. CtA APPLIC N /P MITEE SIGNATURE ISSUED B : SIGNATURE I REACTIVATE - PERMI f ,9 CITY OF EAGAN 1993 BUILDING PERMIT 681-0675 APPLICATION $ 3/101te- - _kAR 2 2 REM 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 / do_ / (9 7E. Valuation of work /oF JL56 Site Address: '333e IL.,JL_L_ x3co H'LL? DlLts?? STREET SUITE # Tenant Name: (commercial only) LOT BLOCK SIIBD. P.I.D. 0 Description of work: The applicant is: ? Owner gContractor ? Other (Describe) Name Phone Property LAST FIRST Owner Address STREET STE # State Zip City /1 i? G rT-!!,? r41•t9laT Phone i6rA 5 Company 6 Contractor Address Gaj,/S%5r ha, License #cW,34f43 Exp.'?V City La%.ANJ State /A& Zip rv?i2? Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber e-Wi- Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: - OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation la 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'l. WORK TYPE .Q 31 New ? 32 Addition ? 33 Alterations ? 34 Repair GENERAL INFORMATION El 11 Apt./Lodging BaaseZInt Finish ? 12 Multi. Misr' "-q7"1frwim Pool ? 13 Garage/Accessory ? 18 Comm./Ind. ? 14 Fireplace _ ? 19 Comm./Ind. Misc. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous ? 35 Tenant Finish ? 37 Demolish ? 36 Move Const. (Actual) V_ N Basement sq. ft. MWCC System YES (Allowable) v - N 1st F1. sq. ft. City Water UBC Occupancy R-3. M-i 2nd F1. sq. ft. PRY Required Zoning 2 -1 Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code /01 Depth 5 2 On-site sewage SAC Code 0/ sus 1 APPROVALS SuS c? ? -- Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site ? Wallboard ? Footing ? Final ? Framing ? Draintile ? Insulation ? Fireplace 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: SAC % p0 SAC Units veiuatim: s 11'71000 GARAGEI 3D X ZZ = L.60 Z 63L4 X I 6?=r' 2?Ixzy= 5'](0 15= $4yo .?OL:e?e 3ox2y =?20 I x 11 = 11 CREP)T'uN rarSx . 317Y h)A1rj L CL5 6" T- J?(e I'/z T II`'LC I"1 lo, 14j 5-q:, 311L1'7'i C r) °O/ .^,v 4113 5y, 'ILI o y 62 1356 Illor MAR-22-'93 MON 14:19 ID:JAMES R HILL INC IEL NU:bld C7VJ-bG44 i010 rul •, 651640 ..?__ ?_ ] SURVEYOR'S CERTIFICATE W 1846.1 0 J =I 01 z .j 0 ix 844 5 r, rw S 4 -P vl I 3 S 4M W co Q1 MITTLESTAEDT EXISTING i BENCH MARK HOUSE l_ v J i E°P? 4740 x 846,4 °4 150.6p1 SOO°13'0211E 52.33 58452 xe 80 10 8477r(? _ _ _ _ _ _ I, -.IV O.t I'G f 777ppp.? c> m ap .0 D \a J O GI J ? I? 10 L_ O ?- ..m ap o '3- - -! I - 24.. LOT I ?? ?•?+ oe.ss -- -Reas.7 150. O S00°13102°E EXIST. MViK HOUSE _ A' BENCH V..S" TOP 1 •??• 8?462M. / L_IV-i t .?. t._ I-M 9LT z - k?.G1,N ENGINEERING DEPT NOTE: NO SPECFIC SOILS -INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE SURVEYOR, THE SUITABILITY OF SOILS- TO SUPFORT THE SPECIFIC HOUSE PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR DENOTES PROPOSED SURFACE DRAINAGE 0 DENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FOUND X000.0 DENOTES EXISTING ELEVATION (000.0) DENOTES PROPOSED ELEVATION CONSTRUCTION, INC. I n ? 10 3 30:)d i a? OW 10 _ ?I )2 -P W 8 PaReva FaIMQMOG°CD NOTE: BULDING DIMENSIONS SHOWN ARE FOR HORIZONTA 8 VERTICAL LOCATION OF STRUCTURE ONLY. SEE ARCHITECCUAL PLANS FOR BUILDING B FOUNDATION 01MtMSIONS. SCALE: 1 INCH - 30 FEET PROPOSED GARAGE FLOOR - '3171 FEET PROPOSED LOWEST FLOOR - $40.1 FEET PROPOSED TOP OF BLOCK - 84$.2 FEET WE HEREBY CERTIFY TO MITTELSTAEDT BROS.CONST. INC.THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE,BQUNDARIES OF: Lot30, Block2, BUR . OAK HILLS 2ND ADDITION, oocording to the recorded plot thereof, 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 22ND DAY OF MARCH '1993. PROPOSED GRADES SHOWN WERE TAKEN FROM THE GRADING, DRAIN- AGE IN EAMON PLAN FOR MJ 0" "ILLS 2NDMADWTKIN FKPAKO BT WSR%AB a ASSOC,INC. LAST DATED 2-S 88 w 0 m 0 m w r- _ m O x < O () > p W 0 a1 i to N> C1 O 0 > p l m Z 0 0) m e4 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 R. HILL, INC. LOT SORQEY CaLCxLi/T FOR R282DLpTIAL TIIILDIII nRXXT APPLICATION Date of Survey: J'?'e 3 b0c@QNT 2?MM 4na 9'0 8'D D D Registered land Surveyor signature and company B O' D 0 uilding Permit Applicant Legal description O' O D Address 8' D 8' 0 0 D North arrow and bar scale house type (rambler, walkout, split w/o, split sntry, lookout, etc.) 0 D Directional drainage arrows with slope/gradient to D' D D Proposed/existing sewer and water services 0? O 0 Street name Driveway ZUVATIONS D 0? 0 rxistimc Sewer service 8' D D Lot corners D' D 0? D D Top of curb at the driveway 0 Elevations of any existing adjacent bones D 0 Proeesed Garage floor D LEI' 0 First floor 0 ? Lowest exposed elevation (walkout/window) D D D property corners D ? Front and rear of home at the foundation G - PONDING AREAS of aVnlieablel Easement line WWL 0 a 0 oL D 0' 0 Pond f designation D 0' D Emergency overflow Elevation 11( D 0 DlxExszoxs Lot lines D' D O' D 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 structures requiring permanent footings) D 0 Show all easements of record and any City utilities within D D those easements Setbacks of proposed structure and setback of adjacent D D/ existing homes D Retaining !!? squipments, it any Reviewed: Name / Date a i NE LAME R ?t D CITY OF LAKEVILLE BUILDING INSPECTION DEPARTMENT 20195 HOLYOKE AVENUE, P.O. BOX 957 LAKEVILLE, MINNESOTA 55044 612-469-4431 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 in Sections 502.2.1.1, .2 and .3. Building Address: ???? Al &/L Contractor or owner: 0? „mp 4 muter ?) Building Element "R" Values Area (sa ft). of Ext.Walls Ceilings Design+Required 38 Walls* (exterior).. Design-URequired 22 J ?,3 (without foundation) Floors* Design-3e Required 20 (overheated spaces) Windows** Design2 _7Required 2 'Z SI Q,(e °7 Foundation Walls DesignIlk, Required 5 (when insulating full depth of foundation wall) Design _ Required 10 (when insulating only to frost depth & footings extend below) Slab-on-grade Design!.ZLRequired 8.83 floors Doors Designiq 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 t ," Minnesota State Energy Code. Signature Date: .--3 2/ 7 3 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES EACH TOTAL SHOWER 3.00 -- e'a WATER CLOSET ? 3.00 BATH TUB 3.00 6 LAVATORY 3.00 ? l KITCHEN SINK 300 2 5'- LAUNDRY TRAY 3.00 HOT TUBISPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING OUTLET • minimum • t 3.00 ROUGH OPENINGS 1.50 _ WATER SOFTENER 5.00 PRIVATE DISP. - Dak cty. tic. 15.00 U.G. SPRINKLER • home under oonat. 3.00 ALTERATIONS ' to adsting 15.00 WATER TURN AROUND 15.00 SITE ADD] OWNER N. INSTALLE' ADDRESS: CITY: PHONE #: STATE SURCHARGE .50 v TOTAL: STATE:,ZIP CODE: SIGNATURE OF PERMTTTEE 1993 PLUMBING PERM T (RESIDENTIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN SS122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIALANDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUIILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. _ NEW CONSTRUCTION _ ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1% OF CONTRACT FEE. STATE SURCHARGE: $.50 FOR EACH $1,000 OF SI1 FEE MINIMUM FEE: $ 25.00 CONTRACT PRICE X 1% STATE SURCHARGE TOTAL SITE ADDRESS: $ TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CM: PHONE #: CITY OF EAGAN STATE: ZIP CODE: APPLICANT 1993 PLUMBING PERMIT (COMMERCIAL) CTFY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 / V?4 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE! HVAC: 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS (MINI1 jM I @ $3.00 EACH ADD-ON/REMODEL (EXISTING CONsTRucriON) STATE SURCHARGE TOTAL SITE OWNER INSTALLER: 2 J -_-:3 l Il FEES $ 24.00 6.00 _ O? $ 15.00 50 6? l ts- TELEPHONE #: 12481 Rhode Island Ave. So. ADDRESS: S&iage,-h"-N 5;378.1122 894.0005 CITY: STATE: ZIP CODE: TELEPHONE #: ,S NATU E OF PERMITTEE 1993 MECHANICAL PERMIT (RESIDENTIAL) CPPY OF EAGAN 3830 PILOT KNOB RD EAGAN MN S5122 (612) 6814675 SMOKE DETECTORS (Battery operated o.k.) ARE REQUIRED ON ALL-LEVELS OF THE HOUSE - _-- -- f I Un!0 IN ALL SLEEPING ROOMS. ON LEVELS CONTAINING SLEEPING AREAS. CENTRALLY OCATE SMOKE DETECTORS IN HALLWAYS. t L I I 1 EXSITING HOUSE t - AMMN TOMPMFLOOR .. _ 11t811tlW F10ll7E 6lK'POUI[tATIGN HBGHI OF W"GHOM ------------______-_--_-_-_? ----- ___ r e ___ ---------- ------------- ------ ------ -, ,---------- . 1 . :. 1 WATCH FM.OFEXWMHDM I , m N N .y 1 + r -- - - - 1 _ ? ADDrffON 7 7; I SLAB ON GRADE f Gr KH. CONO.F C. +L [ Ho8'COw-Fra. 1 i i HFk9'CON6 FM ySEA MY. 1 (A ,: o---------------------------------.V_-------? l 7 f I I 1 i ` GARAGE GYP.BD. REQUIRED IMON WALLS TO ROOT Rr PROTECTIED WITH i MNTCH Fm aF E'Jwfmaw-PAE - FAGAN t , 1 BY ;;g - DATE i W 0 U. QO a r. ?pp 4 O rA 0 m DEPT. L, c N O N N N 3 m A E 2 A C 0 J 07 IJ N J m a 0 N 7 N © CITY USE ONLY ?' L , f?BL ?? ^ RECEIPT#: / 5aO;2 SUED. ?LJ1 / tB'tXXO 2 RECEIPT DATE: 1997 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 backflow preventer for underground sprinkler system FIXTURES Shower Water Closet Bath Tub Lavatory Kitchen Sink Laundry Tray Hot Tub/Spa Water Heater Floor Drain Gas Piping Outlet " minimum - t Rough Openings Water Softener "for dwellings under construction Water Softener *for existing dwelling U.G. Sprinkler "iordwelling under const. U.G. Sprinkler "fo IOnS "to existing residence Water Turn Around Private Disposal System "Oak Ctylic. (new and refurbished systems) Private Disposal Systems * Abandonment EACH NQ. TOTAL 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x 1.50 x = 5.00 x = 20.00 x = 3.00 = 20.00 = o oa 20.00 _ 20.00 - 65.00 = 20.00 - STATE SURCHARGE .50 TOTAL 264-5,9 I hereby acknowledge that I have read this application; state that the information is, correct, and agree to comply with all applicable City of Eagan ordinances. it Is the applicant's responsibility to notify the property owner'that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance actNities to the facilities --constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: OWNER NAME: INSTALLER NAME: UEN6-RYAN NLUMBJ-NU TELEPHONE#: 463-i144 STREET ADDRESS: 14745 So Robert Trl CITY: Rosemount STATE: MN ZIP; 55068 SIGN TURE OF PERMITT ??? OFFICE USE ONLY J R r a _ EXSITING HWSE - - ADOITgN'FDIdATCHR? -. . .. HEN3HT ?F E7P9fl11Cil1?19E 31 Or y m Woo OFEKNG ADDITION _ .. -. - . _ ,pp>on,r,?ern. otarc:nnr?aa?ae T 2 It Or m u 6' Q. 10' 4' J I.. If N - l0 Y _ 4 C LU LL m O 0 N N A N a z 0 m „ m . - -. w £ z Q C7 A 518" TYPE-X GYP.BD. REQUIRED DECK IING, BEARING WAL IF GYP BD?CEIL UST ALSO BE PROTECTED WITH YPBD- EajnKq +W?E ODOR ?,u,,,?u &GE DOOR MUST B SING A SELF 0 ODD 3/a" TICHT FITTING SOLID TIGHT m m T; ; C! A SELF HAVING A FIRE PR CTION -- ^ w TING OF 20 MIN i RA _ cn A O N m a P ? ? '0 w N I 16.2002--' 5:31PM--UK FRRIBAULT mLy mo? Foy N i r I t? I y 1 DRAWEN BY; J q I ?1 FCOSZQ?G ' WOO -552-552SX T'd 2046-LEG-69L STORAGE ADDMON PAGE 30F3 nnaa NIm83W dZb=ZI 20 Sa inf \N ?c)OWVA Co l i 4 l l S ov, V--? ñ þ ý þýý üûøû ú ùýýÿíýþ ûôì ÿ þý÷ üûúùø ÷ ô ô ÷ôùø ó ö ÷ ô ô ã ôüØ ã ôùø ã ûé ûô ü ô óû ú ò óû ú üØ ý åôì ßò þ ý ô í æêäêðä öù üûô ô íè æê ê õøôø ÷óò øø ñ øû ú÷ òØ ßòêýÞäò ô þ ãóþ ãó ÝßÜßð ô úù ö ë ô øø éô ôô ô øùö øø ú ü éã ü û ñùéþ ìô ê øø õ ô ü ûô û ùü ûô PERMIT City of Eagan Permit Type:Building Permit Number:EA165320 Date Issued:10/27/2020 Permit Category:ePermit Site Address: 3338 Rolling Hills Dr Lot:30 Block: 2 Addition: Bur Oak Hills 2nd PID:10-15501-02-300 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 - Jason A & Carrie L Wicklund 3338 Rolling Hills Dr Eagan MN 55121 (651) 260-5169 Blackwolf Exteriors, Inc 2039 Michael Lane River Falls WI 54022 (715) 426-4008 Applicant/Permitee: Signature Issued By: Signature