3354 Rolling Hills Dr
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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:
SR DWG/GAR 1411
Use amificafiw Bldg. Paoit No K-3 M- I n
eY Type MDONNO- .. DWAa 1MMMMY RD., ISURMILLE
Ow- of Building 3354 ROMIM HILLS *d&- , 92, MR Omit MUS ND
Building Address I ocality
NOVENUR 12, 1992
Building OBicW
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD I Control No.
PERMIT TYPE: 131+ I ? 91 Nn
Permit Number: 001411
Date issued: !9 /11192
SITE ADDRESS: LOT! 26 I ' l I a c t . APPLICANT:
3364 ROL L I N6 HILLS nR NCUUNALD CONST INC
Bi1R OAK H I 1 1 % 2"D (612) 669-1061
PERMIT RVPTYPE:
TYPE OF WORK:
NFW
INSPECTION TYPE
l ut) I i rlt' .DATE INSPTR. INSPECTION TYPE
FRAMING DATE INSPTR
IMS111-ATION F tNAL
FIRFPLAt'?
i
iii'pAVt , VVV ?, 16 N CON'TRACIOR TAR w186
Permit No. Permit HoidN Date Telephone N
s/W
PLUMBING
HVAC °i 9a
ELECTRIC o ja A/0
ELECTRIC
inspecition
Date Insp. Comments
Footings 1 Q
Foundation
Fmmmg A /4
Roofing
Rough Plbg.
v?
Rough Htg. d/G
Isul.
Rreplace
Rnal Htg. - i 1!/
Omat Tess r
r' 1
ILL
Final Plbg. _A
!! Plbg. inspector - Notify Plumber
Const. Meter
Engr./Plan
81dg. Final
Deck Fig.
Deck Final
Well
Pr. Disp.
,r(
INSPECTION RECORD
?:t1 r1 r1rHr,
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: i rt I.- t= 1, 1114 1 APPLICANT:
,:1 1 1 N1i II 1 1 1 1114 . , r t tsf.ld1
111114 (SAY. If I I t c; .'Nit
PERMIT SUBTYPE:
TYPE OF WORK: "t w
.iI ; fjA.
F limp" -w wwwtw-,---i
L
Permit No. Permit Holder Date Telephone at
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE fa?
i
FIREPLACE
AIR TEST y
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: E 11t z p4`'
3830 Pilot Knob Road Permit Number:
-1--Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
1401 1 I Nei #f 1 1 1 f)1: ;,hf • # i?l+l t l +1fa
i;171' 4tl?# Ili 1 1 ?HI) I +?? Ash $fi
PERMIT SUBTYPE: TYPE OF WORK:
:i . t 1+ECk
Permit No. Permit Holder Date Telephone k
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
Address: 3354 ROLLING HILLS Ut 24 Blk 2 Sec/Sub BUR OAK HILLS 2ND
These items were/were not complete at the time of the final inspection.
Date: Yes No
TnnpPntnr,
Final grade (6" from siding) IX,
Permanent steps - garage vl?
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists.
.ecm[ems
White - City copy Yellow - Resident copy Pink.- Contractor copy
0
/0//`/S ? 1, ?Ve /1& /1L 0,6 W
Request Dal
v VI Fire No. Rough'n Inspection
Re o
vas G No
I
E) Ready Now III Re Inspector
. When en Ready?
I . icensed Contractor ? owner hereby request inspection of above electrical work at:
JoC rS 1511 1. a or a No.Ij 1
1.4W j City
Section No. Township Name or No. Range No. Couryp?
U
Occupy I FjWT
r Pho e
NO_
Poway Supplie
N C, Atldre
Elects sl Contract (Company Namel
1Y,..`\l
/lp
-/ Vast 5 Ljcense ?/1 ,
UIrV\\ ov
Mailing
tlr
tl
l ontractor Owner Making Installatio I
Author etl ig lure Icons to Y) ner Makin In allalionl Pho m r
MINNESOTA STATSfBOARO OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Or -Midway Bldg. - Room S173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Prone(612)$12-0800 ENCLOSED.
a
REQUEST FOR ELECTRICAL INSPECTION ; Eapooagt if
32220 See instructions 'or completing this lorm on back of yellow copy
/D pQ5 /
•
Xf Below Work Covered by This Request
K
tl Rap. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building ryer Other-(Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) contradors Remarks:
Compute Inspection Fee Below:
Other Fee # Service Entrance Size Fee # Circuits/Feeders
- Fee
Swimming Pool
) to 200 Amps
0 to too Amps 04
Transformers Above 200 _ Amps Above 100 Amps Q
Signs Inspectors Use Only: TOT f(?
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT
I, the Electrical inspector, hereby Rough-,n _ Why/
/
certify that the above inspection has
been made. F;nel Date //
p
fG" o?
OFFICE USE ONLY
This request void 18 months from
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
tp) ??k(0 3
New Construction Requirements Remodel/Repair Requirements Office Use Only
3 registered site surveys showing sq. ft. of lot, sq. It of house; and all roofed areas 2 copies of plan _ Can of Survey Recd
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tree Pros Plan Recd
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks -Tree Pros Not Reqd
1 set of Energy Calculations Addition -indicate ff on-site septic system _ 0mite Septic System
3 copies of Tree Pieservafion Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date Construction Cost r 60 C
Site Address J
&l(/yl 4 h1i 6 !??' Unit/Ste #
Description of Work G4 r<L G (f
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner ?CQ ! f W r PI s)tn Telephone # (qSZ) L9S? - aG Z
?d Sf/
?
/U
t
??
Contractor c
o
(,v?
Address /
2?g20 c [1?cd'?+ /? /6 CL1 / -
city
State Zip _ 50 9rq Telephone # (95L) yG - 83??
-COIZ- -5L _
COMPLETE THIS AREA ONLY IF
Energy Code Category
(J submission type)
• Residential Ventilation
Submitted
• Energy Envelope Ca jo
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
_ Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
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 tliis 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.
'%tr,a5 t t/ Applicant's Printed Name Applicant's Signature
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/Addn. (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 Plbg_Yor,_N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
x 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)
- Give PCA handout to applicant
Valuation //
Occupancy Ufa 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 _ Fi nal _ Pool _ Figs _ Air/Gas Tests _ Final
Framing - Siding
Stucco
Stone
Fireplace - R.I. - Air Test - _
_
Final _ Windows (new/replacement)
Insulation - Retaining Wall
Approved By 1 , 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
. xz' ?/ /C = COQ D`-/ g
P.02
4L 4K 2422 Entapnxe W'1n
Men11e1e IMielefx, fiN 56120
exas.£rona. mr. danw (612) 661-1914•Fox 661-9466
tl1 MGBf` AB e..a .Neea6 • wmsec
Maine, N^f 10 N°rtlKadel
* * * * 763MN M04
-IWO-Fox 7&7-1687
Certificate of Survey for- McDonald Construction Inc
House Address: 3354 Roiling Hills Drive Egan MN
Model Nome: 9 -457
J
- - - - - - - - - - - - - - - - - - - -- - - -
ROLLING
HILLS DRIVE R
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BS5,,L
.one ?p ena- a Ext mg lew- 0WIR?m DD 1: U.D HO W'. JUSE C1 QQw,.A-ROK
PSI.
KWO) e Denotes Proposed Demotion Lowest Floor Devation:.g5t.0
Denotes Drainage k Utility Easement
-----Denotes Dralnoge Flow Direction Tap of Block Devotion: %0.1
--o- Denotes monument l raarage gab Elevation: 659.1
-e Denotes Offset Hub Bearings shown are assumed
LOT 26, BLOCK 2 BUR OAK HILLS
DAKOTA COUNTY. WINMOTA 2ND A ADDITIZW-
I lyre m Uy due #4 °°w,, eaen m npen - ne°tl W nr ar "Wee"4"M leprdwn eM Ken 1 em
Lill AiA•nead Lend fiermy°e
e.,der dueew of du 4eu. W YY.rev, T
Re.- B-I*-qv 6A1 Eanat.Eta.vT,
q'1-92? Qr°p G.- Elmo 93 °Le°a a.6
Scale 9mm.?Qi e: , ] ?i. Foot-
MO CO l %CO. NO. 141.
9a eff17.Z3
D
-10
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 7/1193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE l-Q \ li. `? I W-N
SITE ADC
TYPE OF
APPLICANT '
STREET ADDRESS
TELEPHONE
IULTI-FAMILY BLDG _Y
VN
FIREPLACE(S) _ 0 _ 1 _ 2
PROPERTY OWNER O5CCjC 1 I ??11 IJ TELEPHONE#(j )5 ra J&tCaQ
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RU1.[S 7670 CA'f-EGORY I _ MINNESOTA RILLS 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: ----
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor:
Phone #
Water Softener Lawn Sprinkler
Water Heater _ No. of R.I. Baths
-- No. of Baths
Phone #
Air Conditioning
Heat Recovery System
Phone
0 RCS T
---------------------------------------------------------------------------------------- -----------
1 hereby acknowledge that I have read this application, state that the information; iroirect
with all applicable State of Minnesota Statutes and City of EagWrdinanceF. I A
Signature of
OFFICE USE ONLY
RemodellRepair Requirements
• 2 copies of plan
• i set of Energy Calculations for heated additions
• 1 site survey for exterior additions & decks
• Indicate if home served by septic system for additions
VALUATION (60W
Fee: $90.00
Fee: $70.00
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 PorchlAddn. (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) _ FinaVNo C.0-
- Footings (addition) _ Plumbing
Foundation _ HVAC
_ Drain Tile Other
Roof - Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Frarrng _ 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
7Y 1 b g RESIDENTIAL 4-70- as
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651.6814675
New Construction Requirements RemodellReoair Requirements
• 3 registered site surveys showing sq. 14 of lot, sq. R of louse: and A roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions
• 2 copies of plan showing beam & window saes: poured found design, etc.) 1 site survey for exterior additions & decks
1 set of Energy Calculations • Indicate if home served by septic system for addiction
• 3 copies of Tree Preservation Plan Slot platted after 111193
Rim Joist Detail Options selection sheet (bldge with 3 or less units)
DATE / 617 / 02- VALUATION
JOB SITE ADDRESS 335-Y /T07-`i")G NR-<-S ?D°t
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER ?29f 6d/ .V S-to,?
TYPE OF WORK ?/ ifs y.ti f 4?*SEMCti7- FIREPLACE(S) Z0 _ 1 = 2
APPLICANT S (A)/ "vS 7tt,"" PHONE# 6 si-6?3 -a?ay
i
ADDRESS 33 s-y 2 a C_Uti & ?F1CGS ZIP CODE 5_5_/2
PAGER #
CELL PHONE #
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor. Phone #:
Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee:
_ Water Heater _ No. of R.I. Baths
No. of Baths
Mec hanicai' Contractor.
Mechanical System Includes
Sewer/Water Contractor.
Air Conditioning
Heat Recovery System
$90.00
Phone #
Fee: $70.00
Phone #
?-? , 2 ()o -a-
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 2002
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 31 New
? 32 Addition
A 33 Alteration
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
?Y
-f'
13
13
? 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 1? MC/ES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
0[_
e
REQUIRED INSPECTIONS
Footings (new bldg)
Footings(deck) Final/No C.O.
Footings (addition) Plumbing
Foundation ITVAC
Drain Tile
Roof _ Ice & Water _ Final Other
Framing
Fireplace - R.I. -Air Test -Final
Insulation
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
? 07 05-plex ? 13 16-plex
13 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex / ?19 Lower Level
13 12 12-plex Plbg_y or_ N
Fina
?
Siding
Fire Repair
Windows/Doors
Pool _ Ftgs _ Air/Gas Tests - Final
Siding _ Stucco _ Stone
Windows (new/replacement)
Approved By 7--2- Building Inspector
L,L- t 20 .0?
Total
01/09/2005 15:23 gEAEAN ENG+COM DEV 3 96512244750 N0.041
PERMIT e t? O 5 RECEIPT DATE:
8002 PJMDENTIAL PLUMBING PERMU APPLICATM19
5830 fum KNOB BD
RAW, HN 5512 t
eall-ee1.4873
? -IS-oZ
Please complete for. single family dwellings, townhomes and condos when permits are required for each unit.
backflow preventer for irrigation system
SITEADORESS: ??S t ???((?4°J
OWNER NAME:: 15ca
INSTALLER NAME:
STREET ADDRESS:
CITY: 5 . t
0.4 4 64, IV. ,,I
as '-
7/Z- <
002
TELEPHONES #: 6 S/ - 6 63- 062 q
tARFA CODE) .
TELEPHONE #: ZZ c/ (V7:5-y
(ARPA CODE)
STATE: Au ZIP: S? ?0
_ SEPTIC SYSTEM, newhefurblshed (requires two sets of plans an0 MPC license) S 10000
includes $40.00 County fee
Note: Additional consultant fees may apply
. MOD
IFIGATIOWALT8RATtON TO Ex1STIN DWELLING UNIT, INCLUDING:
?
?! Addin
wxtures to lower l
or
l
Rb
ilt
d
i
g
eve
s
room a
d
ns, exclud
enare and water neatare.
ng water W $ 50.00
_ Abandonment of septic system.
Water turnaround -owating dwelling unri (+ 5!8" motor 0 needed - $118)
Other.
_ RPZ: now Installationlrepair/rebuild $ 30.00
_ lawn IrrigaWn System
Replacementfaddidonal: watersoftener _ water heater $ 15.00
State Surcharge $ ,50
Total $ 5z) . S-0,
I hereby ammowladga that I have read this application, state that tna irdormaaon la corram ano agree to wMy warn ali appiicabie City of Eagan canancas, it
IN Ihs applicant's reaposolblrtty to nbtdy the propony owner inat the't;dty of Began oseumas no Ilabaky for any domagee oau6ed by the City during its normai
opwadorW and melnlmwn a actirllson to the facWfioa Cmstn,WAd under this purni! within Q p aAylrigM . syleae'g7nent. /?
BION,t RL Or PERMITTEE 1102
PERMIT
?CCITY bF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
3354 ROLLING HILLS OR
LOT: 26 BLOCK: 2
BUR OAK HILLS 2ND
DESCRIPTION:
-build *hg Permit Type
Building Work Type
UBC Occupancy
Construction 'Type
Zoning
Building Length
Building Width
Control No. 1072
PERMIT TYPE: BUILDING
Permit Number: 001411
Date Issued: 09/17/92
SF DWG
NEW
R-3 M-1
V-N
R-1
52
36
REMARKS: C p,;?O1G7
PRV S & W CONTRACTOR - STAR PLBG
FEE SUMMARY-
Base Fee
Plan Review
Surcharge
SAC
SAC &
SAC Units
Subtotal
VALUATION
$545.00
$354.25
$39.50
$700.00
100
$1,638.75
$79,000
MISCELLANEOUS $1,610.50
Total Fee $3,249.25
CONTRACTOR: - Applicant - ST. LI OWNER:
MCDONALD CONST INC 16887061 000237 MCDONALD CONST INC
1212 BLUEBILL BAY RD 1212 BLUEBILL BAY RD
BURNSVILLE MN 55337 BURNSVILLE MN 55337
(612) 688-7061 (612)688-7061
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.
APPLICANT/PERMITEE SIGNATURE
ISSUED B SIGNATURE
SEP- 2-92 WED 9.C1-5 PLANCO?INSLJRANCE OFFICE
.. mI?}(?,30TA sTA'CE $N ?
BASF.B QII CHAPTER B OF THE
MR) m
adopt on Effeotivs ??- 461
building classifications Type Al (single Family i
P_01
Type A2 {Residential, 3 stories or leaG)_(Over 3 stories )_(Other)
KQTVe o ple a pagan-, and 4 first.
1se(iRBAiLIHFAR1'ION G )'?
1. Building PerimateJr ti tt.
2. {gall height (ground to Gave) ft.
]. 1. K 2. (above) gross wall area?t s+q.ft.
4. Building dimensions (L) X (H) ?PjWsq.It,roof i floor area
5. sq. toot area of rim joist - F oot jo et size 2 X po
H (perimeter) sq.it.
• it
6. Doors - Area to 5
Thickness Ln U. factor +
Type of Construct on Aar mater_ it.
manufacturer
91
s. Windows&
U factor
TYPE tI SIBS 11 AREA. (Sq.Pt.) 1111MbER OF TOTAL
B11Ct1 UNITS sQ FEET
'. S
9. 'total sq.ft. Glaas Zi715?
Total dooms parity
approved
10. Fireplace areal Width X Height X aq.ft.
..,_,,.. . •.
11. Exposed foundationi Height X Tetlk terO7 x ? ? (f??•cJ sq.ft.
COMPLB'1'ION Or THIS FORK 19 RNMIRED FOR ALL HEN bONSTRUCTIOM, MAJOR
REMODELING AND BUILDIHG9 BEING MOVED WHIRR BNERGy+ OTHER THhN TUG WHIM
cons AUA MANCRO Is USED.
«1-
site Address LOT ", Brock Z) Bart D.4K •-hu,s ,7ND Aa Do2e^1
S E P- 2-V2 W E D p9 7 1 5) _ P L A N C D I N S U R A N C E
!i. groan wail areaj?+( '_Ygltt?
1-1
Nittdow area A 7 M? ?? aq.l1. U windows r
.nits joist area h_tIAsq.tk. U vim jolsLM +.
boar area AA41%*_aq-1t. U door area I r
other doors area A4ap-ing.ft. U atller'doors"Al-
r
exposed tndn mq. ft. U foutulation? t 5
rroming area *4J.- ?U framing srea»1015
Net wall area wallf_ dA!2
?
(130) TOTAL. . • • . . . . 1
O F F I CIE P. O2
UxA "
Uxh ..
UxA b4 _._12 1 So_
uxh .. _1.5d i& .
VOL •• 4 + 0
UKh to
UxA .,
/. areas wall area x.0.11 (A-f single family i duplex) . all
113. above)
x 0.23 A-2 tithe realdential)
x .72 Other buildings)
x .76 over 9 stories)
A- (J-. hJUll huat,b0 larger khan or same
X U Code_ re as 170 above
9; Celiing framing area (111( equals lot of calling aroa'. '
5A. dross calling area •• (L} "? x (N} wpm .. aq.ft.
5g. joint area (At)'" 101 calling area ? aq.lko
BC...Ilat oailing area (AJ '(i6A - lg0) aq.lt.
U boiling g As 5+ g
0 44-
U Iraming x A f •• rye-x -vol
5b. TOTAL U 1[ A.........r........?.......i .
so calling area 11611) x 0.091 1A-1 mingle family I duplex)
allowable UM/Coda
K 04633 A_f other residential)
to'_ x good(other) r
Aoshj Erp x u Code. +?-?? '11 [bunk be'lnrger than or, 001140
• as INb above
""us, Use U mut A valued obYalnsd from page" 11 2 0114 S•
,BdIlCiga QUI I horabyy narkltp tbat I have oaieulated the aUa fautors and
hI' values herein and Erlich kite building hot6 desctlbed aaats or exceeds the
Itate of Minnesota Energy conservation Act.
Into
. 0 gna urn
?2-
S E P- M-92 W E Il 9 = 1 6 P U A H C O i I N S U R A N C E O F F I C E
goo t
00
t33?? 3
Sol
43.....
P.93
SEP- 2-92 WED_.•._ :9__. __.. 1,7.._.PLAHC0?INSURn HC OFF IY sntVC P. 04
TALUC
Inside ¦ir film :68
WALL luterior wall •45 lWali) U ¦ a
SECTION insulation Iq'o
Sheathing Z.ota s p L
siding tot
outside air film .17
R TOTAL Z?.O yj
Inside air film I 68
STUD
SECTION
2ND WALL
SECTION -
KIN
JOIST
Interior wait
u
-y' stud R= 4038 (p, f0(Framtng) U . .
Sheathing ?Z.ota
Siding* Oatalde ¦ir film .11
I TOTAL I • 5 3
Inside air film R¦ .68
Interior watt
Insulation (Veit ?U r w
Sheathing
Exterior wall covering
Exterior sir film' R •.17
' R TOTAL
r Interior air film R¦ .68
( Insulation (41.a
ICY inch soft wood RR1.88 (Rini
J0131)
Sheathing Z . @(p
Exterlne wa?i eovering #(PI
txteriar air film R¦ .17,
'a TOTAL 7-4#4(a
Interior air [ilia R+ .fib
(lnsulation)r1p*f,f4 I,yy I1•00
l
U w r
o4'
Exterior •lr film R¦ .17
,o
A TOTAL (• g9 ?c:-_-
??txpoaed Sleek
?. \?', •'? .?GrBds 7.
3 E P- 2- 9 2 W E D 9 = Y 7 P L A N C O I N S U R A N C E O F F I C E P. B S
... , . • ?ILIIIQ wi?i V?tl?a??'?'*?P??..>a417.Y.6
R VALOUR R VhLVI
rRAlum CRILINO
s.sl hirrilm 0, l_
310.0 anaulstion -15'0
o,g6 Ceiling n'r,§L
o.sl ,?irtilm s.¢1_
44-1(p _Totelft
Uml/R
lndow infiltratian O.B Ofm/lineal foot of crack
isidential door infiltration 0.5 aim/equare foot or door and mlalmum coda
reyyulrement ,
»rresldential door infiltration 11.0 ofm/lineal foot of crack
120 concrete bloek'no insulation ...47 n 2.1
120 concrete block insulated cores m 478 p 2.9
u 12e 1Ightwelght block m .72 R 301
e 13e 11gbtNelglat block insulated cores m .17 it 9.9
single glean m 1.121 with storm window .54 '
double glass m .55
.triple glass m .41
.11•9xterlor wails and'opllings must have a vapor barrier (0.10 perm max.).
'spot barrier moat be on.the inside (heetef aide) of wall.
elver barriers of the polyathelane thin film have no n value.
1
.
r'
.
J
P. 02
* * * N'Wiaw'-'?•
2422 EMerpn.e a.:.a
* P9ONE M-Wolo NWghta, MR 55120
* Lwo glmttivrv , c>w. pi qm (612) 681-1914•Pax Gel-8406
!'n Weer ng 1A'a our •.><.
925 WN o, 10 NorNeabl
it * * Blaine. 55434
(612) ) 783-1880-Fox 797-1887
Certificate of Survey for. McDonald Construction Inc.
House Address: 3354 Roilina Htlls Drive Eagan MN
Model Nome: 92-457
---------------
RCLLiNG HILLS--------- -
_ DRIVE R
¢Sby R - 450-00 --------^--
y?_?_?„jOb3'1t" '
ti Q57.7_ Pd-?
Xrvite
Bs;?
_ttta
-
r
1
1
n ors-5 s W c
hO1 1 59.5
d ? I ?
w f
9{-0.121- fifi? S syKw.be
I
t 8 ^mo• 9? u
-1 0 9.x,wr z•ar I
_ J I
858.v ao
1 KSS?a i
1
I
1
1 26
f
1
1
L-------------
R
l
Xgss`I
By I
851-•1 4
65 4.1
' N
ul O
O O
D) U
? d
m
i
¦ tp `V- LJsJ,?I,' 4{' W',..for flw. 855,E
• .?. o es xlsting leva on 64Qp) ..D NOOSE EL&60N
.cX6,y Denotes Proposed Elevation Lowest Floor Elevation: 052.0
Denotes Drainage k Utility Easement
----Denotes Drainage Flow Direction Top of Block Elevation: %0.1
-a- Denotes Monument Garage sat) Elevatian: 519.1
e-Denotes offset Huh Bearings shown are assumed
LOT 26, BLOCK 2 BUR OAK HILLS
OMOTA COUNTY. MINNESOTA D A TI
I b.•.br -< "V dw d4l .wr.r, P'.n a non,. nm Fw.q br mew u•W.r"deep wd iap. b.t I.r,• dolt R.px[ Iy l Swwyn
m,tler du r..orm.sm. ar wn•,uev, al.d NI.?S?br.1 Qltr• ?,a, 19?.
Re". 8-2'1-92eAd Erc+d.61P"1.
q-I-421 Ptep G.. Eire 9A..6e"e a.-6?
D
M 91113.23
PERMIT # CITY OF EAGAN? ,_r t
REACTIVATE _ 1992 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re Quest is made or lot change is requested once ermit is issued.
Date Valuation of work
/D/SOD?fYC?aCDin/Ci LoT
Site Address:_ 335q Ro//ihi A'Ur zx. CA5AAA1 MA 657AS)
STREET V SUITE f
Tenant Name: (commercial only)
LOT BLOCK SUBD. P.I.D. A
Description of work:
The applicant is: ? Owner 9 Contractor ? Other (Describe)
Name Phone
Property LAST FIRST
Owner
Address
STREET STE K
City State Zip
Company me- A)ALb (!ANSMae.rQA) 7-?. Phone
Contractor Address
0.1a atuf iu. 13Ry 2b- License #hM2370 Exp.
Q
City _I? jEAJSWLLP_) State MN Zip SS--337
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber S-tAFJZ
PLttin BGAJ ?- 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: v
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
0 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Addl. ? 15 Deck .
WORK TYPE
31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34'Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
1 of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
Building
Variance
? Site ? Footing
? Wallboard ? 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:
y- N Basement sq. ft.
V -N 1st F1. sq. ft.
2nd F1. sq. ft.
R-i Sq. Ft. total
Footprint Sq. ft.
S Z On-site well
On-site sewage
valmtioo: S 19? 000 -
Zc- x3os780
Igkl4= 252
l032x/5=
Goa rQ 46-a; /4 Ir8,0
zzK22= 484K1(os 7,? 44
(ST Furopt2! 135MT. tu3'2
2x7:. 14
/Oy6k53= S5`
78, 66 z
c M
C7. Jesent Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System ES
City Water YES
PRV Required M
Booster Pump
Fire Sprinkler
Census Code
SAC Code ?L
Assessments
SAC % 100
SAC Units _?
>r';g;:i„cgi;„?..?tXc;$?t;;;$'. :r4?7•X:htY,cX? t,:>1?`K?ae>:?X:6c?a';sY.r??;X r° 7ov
CITY OF EAG;AN
CASHIER: JS TERMINAL NO: 796
PATE. 05/04/98 TIME: 100304
1D 1:
NAME„ THOMAS R. HASEI...MAN
32.0 9001 3354 ROLLING HI 50.00
2155 9001 3354 ROLLING HI 01TO
Tolal Receipt Amoun+:: 50..50
CR090 i.
USER IDS JAN
r";F :,wrX.fitrkrX??rkrF?9r:Y,<Y,i7FY;t7(X'>;(:::.?:,:iY;:;;Yt>ti;:::$>XY(.n;:iYY:rFY,.
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 031905
(612) 681-4675 Date Issued: 05/01/98
SITE ADDRESS:
3354 ROLLING HILLS DR
LOT: 26 BLOCK: 2
BUR OAK HILLS 2ND
P.Z.N.: 10-15501-260-02
DESCRIPTION:
?uildn,g
Building
£/
i
i
Jt
DECK
'ermit Type
Iga.?C Type
e,
DECK
NEW
REMARKS:
FEE SUMMARY:
Base Fee $50.00
r Surcharge $.50
Total Fee $50.50
CONTRACTOR: - Applicant - ST. LIC.OWNER:
HASELNAN CONSTRUCTION 16904236 7615 WINTSON SCOTT
5522 FINCH CT 3354 ROLLING HILLS OR
WHITE BEAR LAKE NN 55110 EAGAN NN 55121
(612) 690-4236 (612)683-0624
I hereby acknowledge that I have read this application and state that the
intormation is correct and agree to comply with all a-pplicable State o:f' Nn.
Statutes and City of Eagan Ordinances.
APPLICANT/PERMITEE SIGNATURE I UE BY: SIGNATURE,
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681-4675
New Construction Requirements
? 3 registered site surveys
? 2 copies of plans (include beam & window saes; poured Md. design; etc.)
Q 1 energy calculations
? 3 copies of tree preservation plan I lot platted after 711/93
required: _ Yes _ No
DATE: 'I G / 9b'
DESCRIPTION OF WORK: !J-e- C
RemodeVReoair Requirements
? 2 copies of plan
? 2 site surveys (exterior additions & decks)
? 1 energy calculations for heated additions
CONSTRUCTION COST; k ?4, ? 3o, `V
STREETADDRESS:
LOT: a4f BLOCK: SUED./P.I.D. #: aL't
Name: ! V 1 n S7'0 /1 Sr o R L in x t? Phone #: C P 3- 0 C D- y
PROPERTY Last First
OWNER
Street Address: -3 3 S
City r4g al State: 1 r / !7. Zip: S S/
Company: Pa 53tIma,-) CUIf S'hoc.l ron Ph
CONTRACTOR
Street Address: S r f n C C-1 License # ?] ( f
City IVA +z A r, L L.2 State: rY! n . Zip:
ARCHITECT/
ENGINEER Company: Phone #:
Registration #:
Street Address:
City
Sewer & water licensed plumber (new construction only):
and lot change is requested once permit is issued.
Zip:
Penalty applies when address Chang
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received - Yes No
Tree Preservation Plan Received Yes No
State:
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
0, 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
tr- 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq, ft.
Footprint sq. ft.
--.
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MCNVS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code. '(3q
SAC Code o f
Census Bldg
Census Unit
APPROVALS
Planning
Building AtO
Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
tJe `Cry 'a
Total:
% SAC
SAC Units -
OFFICE USE ONLY
Valuation: $
• ****
2424 Enle prbe 06.
Yer.dutn Neghu. UN 55120
16127 681-1914•iax 601-9488
025 Mgh"y 10 N"WeW
Blonn, VN 554,34
'6121 783-1880•r= 783-1883
1
r Certificate of Survey for. McDonald Construction. Inc.
House Address: 3354 Roiling Hills Drive EugQn MN
Model Nome: 1457
ROLLING HILLS DRIVE R
654y -----_-.-_
R - 450.OD
}? 4 0"03'11
857.E 1'4r1c L=7 -96
>Jo-4 K 65 4.1__
TV Srrr lEe o
s J Ow121wv I Y
ti
9HO.tz X l_ 8r8. ' s" ?p 1
uae au `-- 1 %856.94
J S eoxG1+ - g 1T2b
_J '? WnAEE? LY.e) I
Ai 1 4 l6 _ I I p
t 85B -? I
SSE Pmm
f y 2a.u- ? w
O ! aeW 1S2i -? p
Irj ? ( aS s d625'fe' E '
n? I 13 fFl 58,.; rn W
O? 1 ? •I Op
I
(/1 Jr K$5 a f r /X g551i r? rj
f /J I
J I
cam...' J L? 1.JI ? ? r •t'- 1•'d .b'
T
JI %95 I - .,...? n r
....
ee 1k?{' Ja\o Ela.BSS,L
. Wp.d ens. es Exl ti levatwn pg S1=o USE ELEVOON
.E98) Denotes Proposed Elevation Lowest Floor Elevation: 852.0
Denotes Drainage k UtBity Easement Top of Block Elevation: 80. 1
Denotes Drainage Flow Direction I Garage Sob Elevation: 059.1
--o- Denotes Monument
--a --Denotes offset Hub Bearings shown are assumed
LOT 26, BLOCK 2 BUR O OAK `HILLS
DAKOTA COUNTY, MINNESOTA
1 MrfbY ttnKY daf dur WmY. Wm M H'JEr' Ml W\O DV rll[ a unOf- MV dints Wppdrv? " Md 11 Y duly R? 1011 rd WM 9uMVM
"Mer.M Yr. of e" dug. m Nw".or.. ONN 1h'. t67N &, . Ae a A.D. 191G.
tizcv- S47-9t, eAA E.n 1+ c1.wT,
9-1-9T: prep G>. Elfv j%"6o\.e e..ln/ GAIL
'NO En 5 ? l.e. nE6. N0. \fdfl
go ef113,2ZI
x v;
aR 1.
CITY OF EAGAN
L S LB MECHANICAL PERMIT RECEIPT#
SUBD. 777,u =:]a S
(612) 681-4675 DATE /O / 9,1--
RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR
TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT.
OWNER: ADD-ON A/C ADD-ON FURNACE ?
SITE ADD _
I C \ C ADD ON/REMODEL WKISTING
CONSTRUCTION ONLY) $ 15.00
INSTALLER: C L HVAC: 0-100 M BTU 24.00
PHONE ADDITIONAL 50 M BTU 6.00
ADDRESS: GAS OUTLETS - MINIMUM 1 @ $311k 3 " I . ()U
CrIY: C d? ZIP: j ?p }- SURCHARGE: $ .50
SIGNATURE. , c - -z TOTAL: $
NO PERMIT REQUIRED FOR DUCTWORK ONLY! `3
f 1
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DWELLING UNIT.
WORK DESCRIPTION: CONTRACT PRICE: FEES
1% OF CONTRACT FEE.
STATE SURCHARGE IS $:50 FOR EACH
$1,000 OF PERMIT FEL $
PROCESSED PIPING - $25.00
MINIMUM FEE - $25.00
OWNER: TOTAL: $
SITE ADDRESS:
TENANT:
SUITE 4t:
INSTALLER
ADDRESS:
CITY.
ZIP:
PHONE CITY SIGNATURE:
SIGNATURE:
L Cl/ BL CITY OF EAGAN CITY USE ONLY
/ ! ??. PLUMBING (612) PERMIT
SUBDis? (?..,/!' (612) 681-4675 RECEIPT
DATE 9'
RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
----------------------------------------------------------------------------------
WORK 7DEPTION
NEW CONST
ADD ON
REPAIR
OWNER NAME: / IC V Ph a 1[IL 1 4hkA I VUI
SITE ADDRESS: --j J V 7 1)0111h 0, "',
INSTALLER: LIQ IZO 1d k C
ADDRESS: WC? V CJ????] /,
CITY #6 Q Q ?` I'dVC /'(V1 . ZIP:
COMPLETE THE FOLLOWING:
NO. FIXTURES EA. TOTAL
REPAIR/ADD ON
SHOWER 15.00
3.00
WATER CLOSET 3.00 ?.dO
?-y
O? BATH TUB 3.00 6,yo
LAVATORY 3.00
KITCHEN SINK 3.00 -a.06
LAUNDRY TRAY 3.00 3.dO
HOT TUB/SPA 3.00
-
WATER HEATER 3.00 .
-
FLOOR DRAIN 3.00 7370
0
GAS PIPING OUT.
(MINIMUM - 1)
3.00
3.?
_ ROUGH OPENINGS 1.50 d
OTHER _
_ WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
W. TURNAROUND 15.00
STATE SURCHARGE
TOTAL
50
foa
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
SITE ADDRESS:
TENANT NAME:
SUITE #:
INSTALLER:
ADDRESS:
CITY:
PHONE
FOR:
CITY OF EAGAN
CONTRACT PRICE:
1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE
TOTAL:
(SIGNATURE)
?';_? 'f1. ''"i/fit)' ???'.J: ?• jra;: ?'.':ir
Tr',
N/aNS=:: :!:i.'r.
50 nci
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE: BUILDING
Permit Number: 030961
Date Issued: 10/13/97
SITE ADDRESS:
3354 ROLLING HILLS DR
LOT: 26 BLOCK: 2
BUR OAK HILLS 2ND
P.I.N.: 10-15501-260-02
DESCRIPTION:
(GAS)
BFl1dYt. Permit Type FIREPLACE
8(iildlgFrk Type NEW
0s Ct3de" 434 ALT. RESIDENTIAL
} 4
,xd
=a...s,;._3+.?„._::. "a?•v 'rte
REMARKS:
colt
FEE SUMMARY:
Base Fee $50.00
Surcharge -.50
Total Fee $50.50
CONTRACTOR: - Applicant - ST. LIC OWNER:
FIRESIDE CORNER INC 16332561 2009091 WINSTON SCOTT
2700 N FAIRVIEW AVE 3354 ROLLING HILLS DR
ROSEVILLE MN 55113-0847 EAGAN MN 55122
(612) 633--2561 (612)683-0624
APPLICANTIPERMITEE SIGNATURE
ISSUED 871 SIG TU E
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
3 (A L 1 1997 FIREPLACE PERAUT APPLICATION
681-4675
DATE: 7
GAS
DESCRIPTION OF WORK: CONSTRUCT W FIREPLACE
_ INSTALL GAS INSERT ONLY
_ INSTALL GAS LINE ONLY
OTHER:
STREET ADDRESS: 3 3
LOT IL BLOCK
SUBD./P.I.D. #:
APPLICANT: (circle one only) OWNER CONTRACTOR
I OZO
PERMIT FEE: $50.50
ALTERATIONS TO EXISTING
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.
PROPERTY
OWNER
FIREPLACE
INSTALLER
Name: tJ S Yo R&-;-7- ILIL4 Phone #: 6 83 - 0 6 Z
Signature:
Street Address: 33 - ??c?? l ^? ?-AS 0 !2
City: f? 4 State: V Kj zip: t, 17, Z
l L c `'o f_l YL? Y? ss ?P 633 -Zs, 1
Company: Fi YZ-4vs S ? rxC cz ez4t2aa Phone #: 8'/6-07,S ACS
U
Address: L3 License #: 2,013 90
GAS LINE
INSTALLER
City2l?L Its rt State: A d zip: 3 ZZ
Company: _
Name:
Signature:
Street Address:
City:
State:
Phone #:
Zip:
,^ 4 il?
k
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 14 Fireplace
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Census Code. 434
SAC Code 01
REMARKS
Chimney/flue must be inspected before concealing.
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA155463
Date Issued:05/16/2019
Permit Category:ePermit
Site Address: 3354 Rolling Hills Dr
Lot:26 Block: 2 Addition: Bur Oak Hills 2nd
PID:10-15501-02-260
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Scott L Winston
3354 Rolling Hills Dr
Eagan MN 55121
Universal Windows Direct Twin Cities
150 88th St W #205
Bloomington MN 55420
(612) 866-2888
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165649
Date Issued:11/12/2020
Permit Category:ePermit
Site Address: 3354 Rolling Hills Dr
Lot:26 Block: 2 Addition: Bur Oak Hills 2nd
PID:10-15501-02-260
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 -
Scott L & Linda M Winston
3354 Rolling Hills Dr
Saint Paul MN 55121--234
Minnesota Restoration Contractors Inc
12252 Nicollet Ave
Burnsville MN 55337
(612) 280-4807
Applicant/Permitee: Signature Issued By: Signature