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3374 Rolling Hills Dr atrtificate of C"ancv 19" of fts" Tt"Vill1lieur offfluffbi" 31111doedion 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: U. Classification.. SF DWG Bldg. Pemdt No. 1341 R-3 M-1 - V-N Occupancy Type 7unin District T Cam. Onner soiwin?%:J 74 ROLLING HILLS ?E-CON?T ?NO?THDALE BLVD BUR OAK HILLS ND R Locality Building Addy Aa1q l? f( Dave. OCT 30, 1992 Building Official POST IN A CONSPICUOUS PLACE INSPECTION RECORD Control No. 099i CIT? OF EAGAN PERMIT TYPE: e41 t t i' l w" 3830 Pilot Knob Road Permit Number. W 341 Eagan, Minnesota 55123 Date Issued: 68177192 (612) 681-4675 SITE ADDRESS: t U1 ; 21 14(014T :• APPLICANT: 3374 RQt LINe H1LL5 OR NEoesAAR0 cONsr Co INC RUR OAK K 1 t 1. ?ND (612) 16 7-;t9?6 PERMIT ,YPTYPE: ` TYPE OF WORK: NEW NFIMARks:: !'kV 6 & W COHINACIOR JfRpy'S PIMA Permit No. Permit Holder Date Telephone N S/W PLUMBING HVAC 9fS ?? 6? / ?© ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I ? Foundation Framing - - Z b5 Av"4,9, CaxC, .1MA Roofin g / QS Rough Pibg. Rough Htg. Y-9 f?.%?rS Bt/ s/f: L? Isul. r? XG; Fireplace Final Htg. O_ Orsat Test u J/ Final Plbg. _b?fj Plbg. Inspector - Notify Plumber Const. Meter EngrRlan Bldg. Final -3 2 t J IS Deck Fig. Deck Final Well Pr. Disp. t) INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ' Eagan, Minnesota 55123 Date Issued: 4i ` 4 (612) 681-4675 SITE ADDRESS: APPLICANT: I???1• ?If1t II 1 1 1 5 .'NIl (?• I 1 P.?? ? ?I ? PERMIT SUBTYPE: TYPE OF WORK: 7•t _- - is .tom°_szT. __- vu III •.( 1< 11' 1 1 utJ t I,A't Permit No. Permlt Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings 1 Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Flreplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan. Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: Jill .1 1,1111; APPLICANT: 1 ! ?.I I tM13 1111 1 u1: ? 1 r1 1;1 I 11: ? FIB PERMIT SUBTYPE: TYPE OF WORK: I; .1 i 11 .I if f?A I 1 14 Rt MAkf tit 1'APA I I Pt 11M I I'. AIRI VI L111 I f? 1- 11 1 0k ANY t.'1 11141t I NI, IIF, 1 1 1 1 1 k I I AI IIII1ih Permit No. Permit Holder Date Telephone K SNV PLUMBING HVAC ELECTRIC ,5 e ,;76&Z 3 9 Q P° ELECTRIC Inspection Date Insp. Comments Footings 1 Foundation Framing dal j Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. ?/- Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Fig. Deck Final well Pr. Disp. •Addrebs:3374 ROLLING HILLS DRLot 21 Blk 2 Sec/Sub BUR OAK HILLS 2ND These items were/were not complete at the time of the final inspection. Date: OCT 30, 1992 Yes No Inspector* Final grade (6" from siding) Permanent steps - garage L? Permanent steps - main entry ? Permanent driveway Permanent gas L/ 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. ,(Dr, xern`x?O wee White - City copy Yellow - Resident copy Pink - Contractor copy 2 4 4 2 /o7gs?/ Request Data ? Fire No. ougtrin Inspection Requi etl? cror ? Ready Novil h eady O 1 Yes JNo en 'e quest inspection of above electrical work at: I lcensed contractor D owner hereby r e Job Addres IStreaq ox or poule No.l r ?r /1 S c r I^VG ip 7 City h " Q h Section No. Townsh pp Name w No. Range No. County )a ko y9 r Occupant IPRINTI l? / 1 Phone No. o f I?OIn SYUa o at? Power ?Supplier -}- f ? r K3 L Address C-l C a rI 1y Electrical Contractor (Company Namel Contractors License No. Mailing Morass (Contractor or Owner Making Installation) y v? G32 S Author¢ atu IDpntr a eking In tallation Phone Number e ;7 a MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-lioul Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 Unlverelty Ave., St. Paul. MN 551" UNLESS PROPER INSPECTION FEE IS Phone 4612) 842-0M ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION K42442 See instructions for complating this form on back of yellow copy. "X" Below Wprk Covered by This Request aP N- .' ee-0ooat.0 A,?' 3 ? New dd Rep. Typeof Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Olher (Specity) Comm./Industrial Furnace Farm Air Conditioner Other (wecify) contractor's Remarks: /'q a -3 Compute Inspection Fee Below: d 31-twe / Y a # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps r5-dd 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspectors use Omy' , TOTAL Sd Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED SCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in - are f certify that the above inspection has been made. Final Date 1Z OFFICE USE ONLY This request void 18 months from /?'?/?/ REQUEST FOR ELECTRICAL INSPECTION See instructions for crompleting this form on back of yellow copy. A -l 662 "X" Below Work Covered by This Request ,z 4, ?ES-00q0l-0j0 ?- e Ado Rep. Typeot Building Appliances Wired Equipment Wired T Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other(Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractors Remarks: A/,/< Compute Inspection Fee Below.: # Other Fee # service Entrance Size Fee # CircuiWFeeders Fee Swimming Pool 0 to 200 Amps 'Z 10 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector§ use Only. TOTAL S? Irrigation Booms ?v ?? Special Inspection 1. Alarm/Communication THIS INSTALLATION MAY BE ORDE ED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 16 MONTHS. I, the Electrical Inspector, hereby Rough-In oateff -/U-`ff certify that the above inspection has been made. Fmel s Date OFFICE USE ONLY 1 This request void to months from - r ? g 6 2 f7 d y t oal 0 Request Date Fire No. ` Rough-in InspaMion ReQUiretl? O Ready Now ;{Will Notify Inspector p /P 3r/ / v ?LVes ? No When Ready? 1.25 licensed contractor D owner hereby request inspection of above electrical work at: Job Atltlress (Street Box or Route No.) / 3 3 7 y City S: c l, Section No. Township Name Qfl. Range No. Cou k0 4' Occupant (PRINT) ?/? ? / Phone No. 14? rte/S /? Power Supplier Atlbress Electrical Contractor iconically Name) Contractors License No. i4?rr.-t f F/?c fi?o c /? oQ ? z s Mailing Address (Contractor or Owner Making Installation) /SEGO T?^? pi .?-? /Jr a.a-,'se SS3o3 Authoruetl Snature ICc actor Owner Making Insta ation) Phone Number yZZ ?,?& MINNESOTA STATE BOARD OF ELECTRICITY -Fx THIS INSPECTION REQUEST WILL NOT Grigga-Mldway Bldg. - Room 5.113 g ^L, BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0600 ?--/ S ENCLOSED. 1-:211 HOUSE HEATING TEST RECORD ADDRESS3 2!4 Ffl Ll. n_ _ APT. -FLOOR _CITY L?WSUBUR% OCCUPANT IAA OWNER HEAT LOSS DAITE? 11 TG. INST. SOLOIST (??? t,ll it • INSTALLED Electrical Wwk a Gas Lima by -- a BY 5Yh i? C TYPE OF HEAT GA _FA _HW -STEAM -SPACE HTR. -UNIT HTR. -OTHER GAS DESIGN CONVERSION • MAKE CGrH iA': rIiT rc MAKE OF BURNER • Model /,AIS7(ekQ ft0l 4141 Model Swial 11 71"? Mon. n. BTU Rating _ INPUT _Yr MAKE OF FURNACE. Modal e CONTROLS I THERMOSTAT Meet Plus Vans Sias Vale a.)trR AnI:FAA KIND OF LINER SIZE NONE Limit Draft Hoed IAtOuL(L'L_ Regulate. Limit Sentng Filters Sic. f TX,? N..AerIt Fan Serving 7).tvi /!LIlH• y Chimney Location Inside- r ?-Ourside Pilot Type - -- Chimney Cons"crion Pilot Make CAI- K_. Spillage (?.' .. Pilot Modal Smoke Bomb ------- Pilot Timing 0-7 S7r. Dealt Tov Tay L.W. Cut Off Dow Presssas LiynHny Inst. Prssswa 1,1-- Po'cent COS -q- IneatCml 15 / percent 0 Sack TomP• -e /!1 Pwans CO U Date Tested IJ_2'2!jZ/ Company Testing Name s1 To.tr Certificate of Comp ncy-. # tKp d?T/2= 2005 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 RemodellReoair Requirements A n „ 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Ced of sMey Rmcf _ Y N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres P.Itin Recd 'Y _N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks F2B Pres RequuBd ,,,;:# 2- l set of Energy Calculations - Addition - indicate Ao"ite septic system on-01:18 Sep4cSyslBm _ Y ,._,N 3 copies of Tree Preservation Plan if lot platted after 711M Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date r3 L if 105 Construction Cost 5 0 5 Lod . 31 Site Address 33-- L1 t w'rg3 (-' kkS 4ru • C unit/Ste # Description of Work %&, Ln f o 3 can s 1 O 60CIC CJ) (\ -P lC) 0A C91 ? Multi-Family Bldg - Y - N Fireplace(s) - 0 - 1 - 2 Property Owner ?Ct C:4 4 4-C. (Mad\-SOy1 Telephone # &!5 ()d ?- Lo ' l PELLA WINDOWS & DOORS Contractor 15300-25TH AVE. N. STE. #100 Address PLYMOUTH, MN 55447 City State 763-745-1400 tone # ( ) LICENSE # 20165884 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category I Worksheet • New Energy Code Worksheet (4 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?n the case ofyvprk which requires a review and ap al of plans. Ta(&,&0 oYN Applicant's Printed Name Appli nt's tgnature II I S EP 2 3 2005 OFFICE USE ONLY Su b Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 08-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 Ptbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement Valuation Plan Review Census Code SAC Units # of Units # of Bldgs Type of Const - Footings (new bldg) Footings (deck) - Footings (addition) _ Foundation _ Drain Tile Roof _ 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 ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire Bldg) - Give PCA handout to applicant Occupancy MCES System 100% or 25% Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width REQUrRED INSPECTIONS Final/C.O. Final/No C.O. Plumbing _ HVAC Other Pool _ Ftgs _ Air/Gas Tests -Final Siding _ Stucco _ Stone - Brick Windows Retaining Wall Building Inspector ' Wd9E l 8 'unp aril paAiaaaa Pella Windows & Doors - Twin Cities, Inc. 15300 75TH AVE. N. STE. #100 PLYMOUTH, MN 55447 763/745-1400 June 8, 2001 City of Eagan 3836 Pilot Knob Road Eagan, MN 55122 Dear Jan: Elder Jones Corporation is authorized to pull building permits for Pella Windows & Doors -'fibrin Cities, Inc. Please allow their representative to provide that service for us in Eagan. This authorization shall be valid until such time as the division manager expressly revokes it, in writing to the City. I request that this authorization be accepted expeditiously, so as to not delay the processing of our building permits any further. Please call me if there are any questions, I can be contacted at 763-745-1432. Your iuunediate attention to this matter is appreciated. cerely, 6M1NElTE W N B n .. May rYa Y N Replacement Sales Manager y y ya cc: Kara - Eider Jones GtJ?i 1f B zi+ 1. Deana Krafty - Replacement Sales Process Coordinator WATS 1-500462-5359 FAX7 631745-1401 Windows, Doors, & Skylights inn fib cVrrrIk urur Tui sisr esi pro vas ir:er rxs TA/On/an Elder Jones Building Permit Service, Inc. 1120 East 80th Street Bloomington, MN 55420 Phone: (952) 345-6047 Fax: (952) 854-4909 To whom it may concern: We at Elder-Jones Building Permit Service, Inc. are acting as an agent for Pella Windows & Doors, Inc. If there are any questions, or if the permit has to be picked up in person, please give us a call at the number above. If the permit can be mailed back to us, we have enclosed a self-addressed envelope for your convenience. Thank you, Kara Benson ext. 147 ., Elder-Jones Building Permit Service, Inc. 1120 East 80th Street • Bloomington, Minnesota 55420-1498 952-854-2854 0 FAX: 952-854-4909 RESIDENTIAL 673 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 roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found desgn, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE Cl N SITE ADDRESS TYPE OF WORK APPLICANT STREET ADDRESS,, TELEPHONE # h PHONE # FAX # // 3 PROPERTY OWNE IChOfd*- (Offil'U a hl 1 fl7 TELEPH0NE#? V?'iIJJU COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: ___ Plumbing system includes: Mechanical Contractor: _ Mcch:mical system includes: Sewer/Water Contractor: Air Conditioning Heat Recovery System Fee: $90.00 ?,.. AUG 2 1 2002 ------------------------------------------------------------------------------------- ?--- I hereby acknowledge that have read this application, state that he information is cor ect, and ree to comply with all applicable State of Minnesota Statutes and City of Eag e Signature of 'T ------------------------------------------------ -------------------_ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4M FIREPLACE(S) - 0 - 1 _ 2 557! 7 Water Softener Water Heater No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths Phone # ULTI-FAMILY BLDG _Y y N RemodelfReoair Requirements • 2 copies of plan 1 set of Energy Calculations for heated additions 1 site survey for extedor additions & decks indicate if home served by septic system for additions VALUATION ( J OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or_ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 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 Air/Gas Tests Final - Framing - _ _ _ Siding Stucco Stone Fireplace - R.I. -Air Test - Final _ _ _ Windows (new/replacement) Insulation - Retaining Wall Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT TYPE: Permit Number: Date Issued: 3374 ROLLING HILLS OR LOT: 21 BLOCK: 2 BUR OAK HILLS 2ND BUILDING 001341 08/27/92 DESCRIPTION: -Building Permit Type SF DWG Building Work Type NEW UBC Occupancy R-3 M-1 Construction Type V-N Zoning R-1 Building Length Building Width REMARKS: PRV oa0c0oa 50 52 j S & W CONTRACTOR - JERRY'S PLBG FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SAC SAC 8 SAC Units Subtotal $639.50 $415.68 $50.00 $700.00 100 $1,805.18 $100,000 MISCELLANEOUS $1,610.50 Total Fee $3,415.68 CONTRACTOR: - Applicant - ST. LI OWNER: NEDEGAARD CONST CO INC 17572926 000206 NEDEGAARD CONST 1814 NORTHDALE BLVD 1814 NORTHDALE BLVD COON RAPIDS MN 55448 COON RAPIDS MN 55448 (612) 757-2926 (612)757-2926 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,!/°??, ? / ?/' 6? , - ( I PLI ANT ERMITE IGNATURE )a AiJ A2 ISSUED BY: SIGNATURE Control No. 0991 HY LAND SURVEYING INVOICE NO. 1277 F. 6. No. LAND SURVEYORS SCALE If, = 2 S?. Proposed Top of Block 0 Denotes Iron Monument 6 S8•(- Proposed Garage Floor 7845 Brooklyn Blvd. Brooklyn Park, Minnesota 55445 n Denotes Wood Hub Set For Excavation Only 8 5 Proposed Lowest Floor x000 0 Denotes Existin Elevation 560-1984 . g Type of Building - Q Denotes Proposed Elevation F7LM msemeA? -416? Denotes Surface Drainage NEDEGAARD CONSTRUCTION Block 2, BUR OAK HILLS 2ND ADDITION The only semnents shown are ham plats of mooed or Intonation Wv4ded by Client. , 1 hereby certify that this survey was prepared by me or, unasr my direct supervision, and that I am a duly Registered Lend surveyor under the laws of the State of Minnesota. BurvsyedbyustW 19th d yof August 19 92 ING r QC) S?ep?C ARM l pye ?roQ eVQ Milton E. Hyland, PERMIT # REACTIVATE _ CITY OF EAGAN 1992 BUILDING PERMIT 681-4675 APPLICATION SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, i copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, I copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which e guest is made or lot change is re guested once ermit is issued. Date 3 Valuation of work (00 Site Address: STREET SUITE R Tenant Name: (commercial only) LOT ;; J BLOCK _?_ n a SUB . 924 " P.I.D. i« ? z Qak Description of work: The applicant is: ? Owner J9 Contractor ? Other (Describe) Name A o,,fi r . ti no e - Property LAST FIRST Owner Address STREET STE I City State Zip Company Phone 25? -C790ye Contractor Address 1EYE PlJ .( && 6101 License # 6009.&'g Exp. 1993 City 00-a-n loniv'dh State /Y11t? Zip 654 ? Company Phone^ J` ??1G Architect/ rr ? Engineer " Name .11?iY1 1C?C Registration # Address City State Zip Sewer & water licensed lumber ''? 01A Processing time for sewer & water permits is two days once affea has been ap roved. 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. I Signature of Applicant: J U (f OFFICE USE ONLY BUILDING PERMIT TYPE . . r ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging EI 16 basement Finish 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) \/-)q Basement sq. ft. MWCC System y s (Allowable) y. N 1st F1. sq. ft. City Water YES UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning ft-I Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length o On-site well _ Census Code Id Depth s zz On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED IN SPECTIONS ? Site ? Fo oting ? Framing ? Insulation ? Wallboard ? Fi nal ? Draintile ? 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 % Io0 SAC Units I vetwtim. $ 1001 000 GAt2AGEi 2bx z`4= ?2y ?o6K Ird= 9696 (3sM T' ?2 i.x24 = ?2yYr3z 33072 ay.cay? 5'?Gx15? i364o ?5,3z? IST ?bamlt+ 213 kVb: s7Z5 2 u l? , 9- ?JIyITS 576 x ?f . 13 13s?xs3= Z1 ?K',2D?T UNr"+NisM +42cA; IZ0 nx an'. a4 c I^U=S.T 1,_NL. IAL.Ar.CHIli=(_TI'RAL h'.('.f:K7_! INN 28K REVERE CIRCLE PLYMOUTH, MN 55441 612-544-17E6 Minnesota State Energv Code Calculations Based on Chapter I of the Model Energy Code 1983 Edition -- pdapted 11118el 410- Site G e-r 23? 8l eak-,?,cr °K DAE P1 C( 0-jn AaaN BldQ. Class-, 111 Q! for Single Famlly/Duple?; A2, Over 3 Stories Q'17.t7_'". Note; The =_e;::'.tion designations r-'S-ction A", "Section B" Rtc.. r are. __on•„E?Sl ;. er'7 C. f3 in calculations not related ;from one ' only, and are .set mr, cajoulations below to the next., 1. Bldg. Walls Perimeter X Wall heights. Ars.a ground to eave Section B 100 8 Section C Gross Wal 1 Area 204' Total floor ... anniny . _ area 2 __ %--. Manufactureri State appr._ red= Type EG'ES'• .. REM CS T . t.. CS MT C MT Type S. Patio Door- Atri.}_=.ma 10. Fireplace area Wi d1.t? Total Sq Ft !I. Exposed Foundation Height area M Sq Ft .area A Foundation Exposed Height area B" Ors Ft area B 12, G. ,._.._ _. wall area mi null Window are., ".,'_-_o door , area Atrium areti Rim joist area Doc., area Fireplace area Exposed Found. Framing area equals Total .... for 'N wd ...... SCI-I°'f%ER XV0 U factur; Hei. gL..:'t:. ::., Length Number loyal unite 36 48 1 12 2,:) 60 3 41.67 24 40 2 13. .._ 12 72 1 6 . 'I. J R .._.:.. 24 60 3 3C) 0 0 it f} f} f7 f , Ci 7. Window glas s area ESqFt) 135 Height Length :. Number- = Total (feet) (feet) unite SqFt 7 7 2 -S 42 NIP, Height; 0 O OB Perimeter area A; 156 12. 03 2048 ; 3 .. 31 1 _ 42 0.33 13.96 n.33 20.79 0.041 3.75 42 0.31 13. 6 1.14 1.75 204, 3 OM95 19. Q-P. 043 57.42 ',_,._a,..= for gross aas.,.,. area: 177,714 Framing area is 10% of gr'ns=_. wall area 15,. Gr:_..__. !wall area :, Factor below = U :, A per rode Factor is .11 4or A-! single family & duple,,, ,.r_- for and ..Cher . ,___dentiai. A-2 .23 for other buildings .22 for over 3 stories Factor _ 0.11 ??? ? J!i :...: .. - 225.28 MUST OF-', - / r ul 14. Gross ceiling area 1233.96 15. Ceilin g framin g ar ea 110% of ceiling area) 121.396? 16. joist Area '10 % of ceiling area) = 123.396 17. ce iling ar ar ea ( ea .arc=:;=.. coil. area =..lu. joist area) = 1110.564 18. U ceil ing!; .021 ., Net ._=i1. are.. -23.32184 15 U fram in - 024 x joist area 0 361504 2 . g , . . 20. Total of item 18 x item 19 26.28334 21. i _. Gr-?.-a=_, :_e:el).nc; arr_==,-_; :, factor t,e;:_:w i-J x A per ;.ode Factor i 026 for duple.; A-1 sin le family . ., g .033 for A-2 and other residential .06 for other buildings Factor i w. 0,!:;:;ir... 8TUH 30.849 MUST BE :? OR 28334 (calculated abov ! U VALUE CALCULATIONS 2 X 6/ BUILTRITE R VALUE U VALUE WALL SECTION STUD SECTION RIM JOIST FDN. Inside air film .68 Interior wall .45 Insulation 19.00 Sheathing 2.06 Siding .67 Outside air film .17 R TOTAL 23.03 (Wall) U = 1 = R .043 Inside air film .68 Interior wall .45 Stud - 6 " 6.50 (Framing) U = 1 = Sheathing 2.06 R Siding .67 .095 Outside air film .17 R TOTAL 10.53 Interior air film .68 Insulation 19.00 1 k inch soft wood 1.88 (Rim Joist) U = 1 = Sheathing 2.06 R Exterior wall covering .67 .041 Exterior air film .17 R TOTAL 24.46 Interior air film Insulation Foundation (12 " Block) Exterior air film R TOTAL .68 5.00 1.28 (Foundation) U = 1 .17 R 7.13 .14 CEILING WITH VENTED ATTIC SPACE ABOVE R VALUE R VALUE FRAMING CEILING 0.61 Air Film 0.61 36.00 Insulation 44.00 4.38 Joist .56 Ceiling .56 0.61 Air Film 0_61 111.55 Total R 45.78 .024 U = R .021 CATHEDRAL CEILING R VALUE R VALUE FRAMING CEILING 0 61 Inside ai film 0 61 . r . 56 C ili 56 ng e . 4 5 .37 1 Joist(spacer) --- - Insulation 33.85 - Air Space .50 67 R f d ki 67 . oo ec ng . 06 Felt 06 . . 44 Shingle 44 . . 0.17 Outside air film 0.17 16.88 Total R 36_86 059 R = U .027 Window infiltration .5 cfm/lineal foot of crack Residential door infiltration 0.5 cfm/square foot or door and minimum code requirement Nan-residential door infiltration 11.0 cfm/lineal foot of crack Ub 12" concrete block no insulation = .781 R 1.28 double glass = .52 triple glass = .31 All exterior walls and ceilings must have a vapor barrier (0.10) Vapor barrier must be an the inside (heated side) of wall. Vapor bariers of the polyethelene thin film have no R value. a? L _ nn I BL a ``'' CITY USE ONLY SUED. &Ry- OD,l 4& EACH # 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 651-681-4675 Please complete for., > single family dwellings > townhomes and condos when permits are required for each unit > backtlow preventer for underground sprinkler system FIXTURES TOTAI Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet ' minimum -1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Septic System nowirefurbished • requires MPC tic. 75.00 X = $ Septic System abandonment 30.00 X = $ RPZ new installationtrepair/rebuild 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground sprinkler if dwelling is under construction 3.00 x = $ Underground sprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ 0 . Qb Water softener If dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x $ State Surcharge .50 -> -> - > $ .50 Total _> -> -> - > $ 0 - So Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. - - ------ --- -- --- --- ------ ---- --- ----- l hereby acknowledge that I have read this applicafion, state that the infonnatlon i% s correct, and agree to comply with all appiicable 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 andrLneintenance activities tp the n+???ir'ee rnns?????dk_rader this permit within City property/fight-of-way/easement. SITE ADDRESS: OWNER NAME: : INSTALLER NAM STREET ADDRESS: CITY: HART-SCHULTZ, CORINNE 3374 ROLLING HILLS DRIVE EAGAN, MN 55121 (651) 456-5358 TELEPHONE #: RECEIPT #: / )a I a 7 RECEIPT DATE: ) - I g ' 0 0 PERMIT # 3 C73 qd (AREA CODE) TELEPHONE M (AREA CODE) STA ZIP: StGNA PERMITTEE L c,21 BL o2 SUBD. L&41-80 l /Q t? I ?L[XaGo CIT! USE ONLY /) -) - RECEIPT#: '7 JJ ?d RECEIPT DATE: 1998 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 D backflow preventer for underground sprinkler system FIXTURES EACH # 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 "for dwellings under construction 5.00 x = Water Softener ` for existing dwelling 20.00 x = U.G. Sprinkler `fordwelling under const. 3.00 = U.G. Sprinkler `forexisting dwelling 20.00 Alterations ` to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ` MPC tic. 75.00 = (new and refurbished systems) Private Disposal Systems ` Abandonment 20.00 = STATE SURCHARGE .50 10 TOTAL - ----------------------------------------------------- ----------- -------- ...... .--------- ----------- ----------- f hereby acY.n=ledge that I have read this application, state that the information is correct, and agree to comply wYh 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 activities to the facilities constructed under this permit within City property/right-of-wayleasement. SITE ADDRESS: OWNER NAME: INSTALLER NAME: TELEPHONE #: 4/05e--3 9,1`9 STREET ADDRESS: AD, a, .d-'Q -;R-CITY: 6"' r?-A STATE: ZIP: JS/FORMS BLDGlPLBG-PERMIT (RESIDENTIAL) 1998 SIGNATURE OF PERMITTEE All a ? Pil-4 CITY OF EAGAN 3'kO Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT cp.%11? PERMIT TYPE: BUILDING Permit Number: 0 2 4 6 6 2 Date Issued: 10/04/94 SITE ADDRESS: 3374 ROLLING HILLS DR LOT: 21 BLOCK: 2 BUR OAK HILLS 2ND P.I.N.: 10-15501-210-02 DESCRIPTION: FIREPLACE NEW r (GAS) Type Type z yr, °a 14 ( j ?- ( , REMARKS FEE SUMMARY. Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: CORONADO STONE 1634 HWY 10 SPRING LAKE PARK (612) 786-2341 - Applicant - OWNER: 17862341 SCHULTZ DICK 3374 ROLLING HILLS DR MN 55432 EAGAN MN 55121 (612)456-5358 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 fiNla '.rl (SS D SIG URE I ?? CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 14 , 681-4675 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 .56,,42r Valuation of work--/'/ Site Address:_S? 661 kb N? ?L STREET SUITE # Tenant Name: (commercial only) LOT BLOCK SUBD. ,a? L11?W U LX P.I.D. # 7 - D,escri ton of work: 1 a5 a? The applicant is: ? Owner Contractor ? ther (Describe) Name SC b 0IT2 a (r h Phone L1.7 G -53?? Property LAST FIRST Owner 11S DI- V& 337g86?LAL Address ) , I STREET STE # City EA Q'1 State 111/ Zip SS o? Company 0 ni6b A.1d JQ SECIAlf, Phone '796- P 3Ur' Contractor Address i/33Y Hui License #*2,956 E x p 31--9-5- C, ty r® ` State Sz 1 zip 65!j 44P _ _ _ 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 all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: !7 6oA? 4d&-412 OFFICE USE ONLY BUILDING PERMIT TYPE ` ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ,JK14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ? 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL iNFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? Site ? Wallboard Basement sq. ft. 1st F1, sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance ? Footing ? Final ? Framing ? Draintile MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Census Bldg Census Unit Assessments ? 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 P1. Road Unit Park Ded. Trails Ded. Copies Other Total: Valuation: $ SAC % SAC Units CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT TYPE: BUILDING Permit Number: 0 2 4 7 5 3 Date Issued: 10/24/94 SITE ADDRESS: P.I.N.: 10-15501-210-02 PERMIT C I ? 3374 ROLLING HILLS DR LOT: 21 BLOCK: 2 BUR OAK HILLS 2N0 DESCRIPTION: rmit Type rk Type ?S BASEMENT FINISH ALTERATION a ,r?i I ,?}fjI ?, • ICI j,? f REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Total Fee $35.50 CONTRACTOR: - Applicant - ST. LIC. OWNER: FRANKLIN BLDRS INC 15729874 0002825 SHULTZ RICHARD 7865 BEECH ST 3374 ROLLING HILLS DR FRIDLEY MN 55125 EAGAN MN 55121 (612) 572-9874 (612)456-5358 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. J APPLICANT/PERMITEE SIGNATURE ' ISSUEMSY-90MATURE CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 3681-4675 4 J yn' 14 11-5 ) fr EC1LRl?© G C T 19 1994 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, 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. Date Z(L)- Val uati on of work S, C?UC7 Site Address: ?3 7? ICFJ??1^?1 (4il(S STREET SUITE # Tenant Name: (commercial only) LOT BLOCK SUBD. Arw P.I.D. et Description of work: ?iJeJ teje' The applicant is: ? Owner RE Contractor ? Other (Describe) Name 5 k U ?f Z 2 Phone '-I _6 - 5 73 S`a Property LAST FIRST Owner Address 33 7 ? k 0 a,n!5 9,-7/s "'L/e. STREET STE # City ?a-tea ` State Al ?A/' Zip _ S-s i Z 9 Company //n Zh C Phone S72 R 8 ? 4,F Contractor Address 7865 /'9F-ce-1, Sr-. License # ?0029XfExp. 3 i? City 44;L State /0 zi p Company Phone ?ca v' 6 ` O-A I I `l ua. 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 able State of Minnesota Statutes and City of correct and agree to comply with Eagan Ordinances. _ Signature of Applicant: i OFFICE USE ONLY BUILDING PERMIT TYPE ? oI Foundation ? 06 Duplex ? 11 Apt./Lodging ? 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. ? to Multi. Add'l. ? 15 Deck WORK TYPE ? 31 New P'33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? Site ? Wallboard Basement sq. ft. 1st F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance ? Footing ZI Final gaming ? Draintile a` _¢L '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 P1. Road Unit Park Ded. Trails Ded. Copies Other Total: Valuation: $ SS?r'j r, h jk16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Census Bldg Census Unit Assessments SAC % SAC Units PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT: - - --- ---------------------- - ------------------------ - - - - - - ------------ - ------- - - - - -- - ---------------- --- --- NO. FIXTURES EACI TOTAL I SHOWER 3.00 WATER CLOSET BATH TUB ', 3.00 3 00 f . LAVATORYS l KITCHEN SINK S Q 3.00 5.00 LAUNDRY TRAY I / 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00; FLOOR DRAIN 3.00 GAS PIPING OUTLET • minimum °- 3:00 -?, ROUGH OPENINGS 1.5 WATER SOFTENER 5.00` PRIVATE DISP. • DAkcty. lie. 20.00 U.G. SPRINKLER • eome u der"const. 3.00 STATE SURCHARGE r .500 TOTAL: at` .50 1 /1 , 11.11 SITE 1994 PLUMBTNG.PERMPT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 CITY: Ej *;Pjf, STATE:. ZIP CODE: ? PHONE #: (10IZ )s 7g-?7aZ 1994 PLUMBING PERMIT (COMMERCIAL) CL'1'Y-OF EAGAN 3830 PILOT KNO& RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIALJINDUSTRIAL BUILDINGS' ALSOFOR N `fULTI FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT RE6iji-PED -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 ; FEE MINIMUM FEE: $ 25.00 CONTRACT PRICE X STATE SURCHARGE $. TOTAL $ PHONE #: s,i4 ?-tOl3-a FOR: CITY OF EAGAN I:ICANT APP L, s? CITY OF EAGAN J-n? ij PLUMBING PERMIT SUBD. _ GtXXO D (612) 681-4675 RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. .?TyYP" WORK DESCRIPTION NEW CONST ADD ON REPAIR _ OWNER NAME: Q A/ I ?k? on SITE ADDRESS: 9 -7JN "l- 4ki. 1 INSTALLER: T Y e t JY" ADDRESS I rc ?? ?f CITY: % ZIP: PHONE `?? SIGNATURE OF PERMITTEE CITY USE ONLY RECEIPT Z 7 9 DATE ALSO, FOR TOWNHOMES AND CONDOS COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL REPAIR/ADD ON 15.00 1 SHOWER 3.00 ?•ao WATER CLOSET 3.00 oo BATH TUB 3.00 3,00 LAVATORY 3.00 40 KITCHEN SINK 3.00 ,00 LAUNDRY TRAY 3.00 oc _ HOT TUB/SPA 3.00 WATER HEATER 3.00 3.o O FLOOR DRAIN 3.00 oo GAS PIPING OUT. (MINIMUM - 1) 3.00 3,00 ROUGH OPENINGS 1.50 yS'0 OTHERW65A? aX -&22 00 WATER SOFTENER 5.00 00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 W. TURNAROUND 15.00 STATE SURCHARGE 50 TOTAL: S Y6.60 COMMERCIAL 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: CONTRACT PRICE: SITE ADDRESS: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR TENANT NAME: EACH $1,000 OF PERMIT FEE. SUITE #: $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: I STATE SURCHARGE CITY: ZIP: PHONE # FOR TOTAL: (SIGNATURE) CITY OF EAGAN L / B CITY OF EAGAN S / t? ? ? '? MECHANICAL PERMIT RECEIPT # /D ?7a 7 (612) 681-4675 DATE 9-7. -92 15 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: Nedegaard Cosntruction ADD-ON A/C ADD-ON FURNACE ? SITE ADDRESS374 Rolling Hills Drive ADD ONMEMODEL (EXISTING CONSTRUCTION ONLY) $ 15.00 INSTALLER: Dependable Indoor Air Quality, Inc HVAC: 0.100 M BTU 24.00 PHONE #: 612-757-5040 ADDITIONAL 50 M BTU 6.00 ADDRESS: 2619 Coon Rapids Blvd. GAS OUTLETS - MINIMUM 1 @ $3 EA°_? D CITY: Coon Rapids MN ZIP; 55433 SURCHARGE: $ .50 SIGNATURE TOTAL: $ Z? lsl? COMMERCIAL FOR DUCTWORK ONLY! PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIALTmUSTRIAL BUI LDINGS. 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 FEE. $ PROCESSED PIPING - $25.00 MINIMUM FEE - $25.00 OWNER: TOTAL: $ SITE ADDRESS: TENANT: SUITE #: INSTALLER: ADDRESS: CITY: ZIP: PHONE CITY SIGNATURE. SIGNATURE: L BL ? / l q n CITY USE ONLY SUBD. ?uy - Dal l ,JdL N -a RECEIPT M RECEIPTDATE: 1998 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 EACH # 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 ` for dwellings under construction 5.00 X = Water Softener ` for existing dwelling 20.00 X = U.G. Sprinkler `fordwelling under const. 3.00 = U.G. Sprinkler ` for existing dwelling 20.00 = Alterations ` to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ` MPC lic. 75.00 = (new and refurbished systems) Private Disposal Systems `Abandonment 20.00 = STATE SURCHARGE TOTAL TOTAL lJ" .50 - - - --------- ----- - ------ --- -- --- ---------- ---- -- -.--- I hereVii cknowledge 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 activities to the facilities constructed under this permit within City property/dght-of-way/easement. SITE ADDRESS: OWNER NAME: INSTALLER NAME: STREET ADDRESS: TELEPHONE M 131 c1'--l c?iS/1 CITY: STATE: zip: 'ha 5l , fa SIGNATURE OF PERMITTEE JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998 ì ý ù ï þýüýû ÿþþ ýüûú ûúù øýýþþ è þÿ ùíýõ ÿ ÿþõ úù ø÷ öó é á ùø÷ öø÷ öó é ô óéï ÷ý õù á ù íù÷ýø Üü úÞùý ì ÷â Þù ý æðý üóó÷ ü ûýððýü þ ÷ æáýððý ÷ ýð ýýæ áý ä ý Þù øýó ü ðýø æ ý çååæ åæå ôø úù ýü ý çæ ãæã Ûýùýûæ óò õñð ÷÷ý ï óý ý õ ý ãáùøïýáö ïüõ ï þýüýòô ë è øýó ü ý ýâ ý ý÷÷ýý ý ý ðý ýýü ÷øó ýý÷÷ý úý ðò ýúýù ýáøðþýüýíý æ ÷÷ýé úüýù ù øúüýù City orEtau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit* /05 7 55 Permit Fee: Date Received: Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: f . Site Address: 33714 RESIDENT i OWNER TYPE OF WORK S J Unit #: Name(iroio Purnanison Phone: 0/-? 70- ?lJ Address/City/Zip: 5371 Doll(, 'IlS pr eagem 5501 Applicant is: Owner V Contractor Description ofwork: —PTO 7./1 I SII/ 64i door Construction Cost: +" 0 Multi -Family Building: (Yes / No Company: A f\ 17tr� i r LL Contact Rivid awls Address: ^ f u ( girl /e--/ City: W J Jt[K . State: PO `+ Zip: 651n 1 Phone: 1P5/ 763 )420 License #: Lead Certificate #: 114 ! F-1-3 -3 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are consideroed to be public information. Portions of the Information may be classified as non-public if you provide spec tc reasons that would permit the City ,to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 4$4-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. ra-gith kl 01) de— Applicant's Printed Namw Page 1 of 3 Use BLUE or BLACK Ink r For Office Use I 1 I City of Ea Y I Permit Fee: j 't ~)Q 3830 Pilot Knob Road G I Eagan MN 55122 I Date Received: G ~5 I Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION` Date: Za 120117~ Site Address: t Unit Name: "rkr,,~sor. Phone: L5/ -'.a-7(a t`I t S Resident/ Owner Address / City / Zip: "x 5_S12_1 Applicant is: Owner ' Contractor Type of Work Description of work: 5r~lce l~rd iAA , ~p6,rs t ,,1er ♦L' ir.su, rtYa.-~c.~a~iea Construction Cost: o e '-6.3,q Multi-Family Building: (Yes / No ) Company: )A16cNYY it2 I gad Contact: G-A",App - City: ' *mVili , Contractor Address: L L~ `7 pJi mt A&Lr State: Irv Zip: ~~'Zb7 Phone:S License R 9"g, a S Lead Certificate NAT, F I o ` %1'Z - I If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) f~! COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.cioaherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x ~6EL &A V1, f&WP 1 '0 _96) x J'~ Applicant's Printed Name Applic fs ign e Page 1 of 3 33114 LI11q 41 115 D+ DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation Fireplace Porch (3-Season) _ Exterior Alteration (Single Family) Single Family _ Garage _ Porch (4-Season) - Exterior Alteration (Multi) Multi Deck _ Porch (Screen/Gazebo/Pergola) - Miscellaneous 01 of - Plex Lower Level Pool Accessory Building WORK TYPES New _ Interior Improvement _ Siding Demolish Building* _ Addition Move Building Reroof _ Demolish Interior Alteration Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Cj®p Occupancy Z - MCES System Plan Review Code Edition 140? SAC Units (25%_ 100%-LI-) Zoning R--1 City Water Census Code A13Y Stories Booster Pump # of Units / Square Feet PRV # of Buildings 1 Length Fire Sprinklers Type of Construction? Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee 00, Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA112168 Date Issued:07/31/2013 Permit Category:ePermit Site Address: 3374 Rolling Hills Dr Lot:21 Block: 2 Addition: Bur Oak Hills 2nd PID:10-15501-02-210 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, 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 - Tracie L Hermanson 3374 Rolling Hills Dr Eagan MN 55121 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature 441/1/''City ofEtat 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2013 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial 33 7V AzZ/ a- /& Date: 49— Tenant: — Tenant: Site Address: Name: �%��/r-�i& Me/lWA9-7/j Suite #: J Phone: dress / City / Zip: Name: 77 `7 / & 4 - `/) ' License #: Address: �lJ� �`/� 1t & S City: ib/�L% U� State: ,2)Zip: � 2/' Phone: a�;/ 7/4/� 0:3/ A//1L Email: �%� 6 Y7 /7 f GCXL , C!4-74 Contact New Replacement Additional Description of work: ete-) Demolition COMMERCIAL Fumace 'ZoCj CG _ New Construction _ Interior Improvement Air Conditioner _ Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump _ Under/Above ground Tank L Install / _ Remove) RESIDENTIAL RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Residential New (includes $5.00 State Surcharge) TOTAL FEE COMMERCIAL FEES $55.00 Permit Fee Minimum $70.00 Underground tank installationlremoval *If contract value is LESS than $10,010, Surcharge = $5.00 **If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005 ***If the project valuation is over $1 million, please call for Surcharge Contract Value $ x .01 =$ Permit Fee Surcharge* TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conforman Eagan; that I understand this is not a permit, but only an application for a permit, and work with the proved plan in the case of work which requires a revjew and approval of /,Z Z7lie1-./71,1)-5 plicant's Printed Name dinances and codes of the City of at the work will be in accordance plicant's Signature FOR OFFICE U. Required Insetted is ____- Underground From:Genz-Ryan City of Eaan 3830 Pilot Knob Road Eagan MN 55122 Phone; (651) 675-5675 Fax: (651) 675-5694 952+767+1900 02/27/2014 14:55 #023 P.001/001 Use BLUE or BLACK Ink For Office Use Permit #: / 2" Cf Permit Fee: (_/ Date Received: Staff: 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: of -a1 - l Site Address: 33114 O �Ot \ Y10� � S ► t L Tenant: -+ 0.X1Sb`c-Th `} Name: -�\-QV .XNSOVN Suite #: Phone: Address / City / Zip: 0.XV\Q,. 0.-S p1.N— Name: GENZ-RYAN License #: PC643433 Address: 2200 WEST HIGHWAY 13 . BURNSVILLE Contact: LONI PETERSON Email: LONIP@GENZRYAN.COM New Replacement Repair Rebuild i( //Modify Space Work in R.O.W. t1I�,K1 Yi kt'kreS LoC0. r ov. s ptr eldLA Cor M. Sa.t-h, M0:4, ¢L• 3/4 it Description of work: i rt 11 Lu a�n .. r _ wn . 1<i4then RESIDENTIAL Water Heater Lawn Irrigation (_ RPZ / PVB) Septic System New Abandonment Water Softener k Add Plumbing Fixtures (V- Main / _ Lower Level) Water Tumaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) / 00 TOTAL FEES $ �d CALL BEFORE YOU DIG. CaII Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understan this is not a permit, but only an application for a permit, and work is not to rt without a permit; that the work will be in accortlan(e,with tho ^^ - ^ %^ •ho case of work which requires a review and approve of plans x _))L0h‘ e cc5dr\ Applicant 's Printed Name Appli )UY4, ant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough -In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Staff: Use BLUE or BLACK Ink For Office Use I ` 2 I ' 1E C I V I Permit l c J City of Eagan JUN A' Permit Fee: 3830 Pilot Knob Road JU 0 6 1 % I Eagan M N 55122 I Date Received: Phone: (651) 675-5675 By: j Fax: (651) 675-5694 I Staff_ - v 1 - - - - - - - - - - - - 7' 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 6/2/14 Site Address: 3374 ROLLING HILLS DRIVE Tenant: HERMANSON RESIDENCE Suite Name: HERMANSON RESIDENCE Phone: Resident/Owner Address/ City/ Zip: SAME AS ABOVE [Name: GENZ-RYAN License PC643433 Address: 2200 WEST HIGHWAY 13 City: BURNSVILLE Contractor State: MN Zip; 55337 Phone: 952-767-1867 i Contact: LONI PETERSON Email: LONIP@GENZRYAN.COM Type of Work - New _ Replacement XX Repair _ Rebuild - Modify Space - Work in R.O.W. Description of work: waste and vent repairs RESIDENTIAL Water Heater Water Softener Lawn Irrigation RPZ PVB) Permit Type Add Plumbing Fixtures L_ Main Lower Level) Septic System New Water Turnaround _ Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ 60.00 CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orp I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and w k is not to start ith t a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and 4Appi f plans. x LONI PETERSON Applicant's Printed Name t's Sign ature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Staff: PERMIT City of Eagan Permit Type:Building Permit Number:EA163412 Date Issued:08/31/2020 Permit Category:ePermit Site Address: 3374 Rolling Hills Dr Lot:21 Block: 2 Addition: Bur Oak Hills 2nd PID:10-15501-02-210 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 - Nicholas C Bjore 3374 Rolling Hills Dr Eagan MN 55121 Lifetime Construction & Restoration 21 Century Ave S St. Paul MN 55119 (651) 464-9920 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA174671 Date Issued:02/10/2022 Permit Category:ePermit Site Address: 3374 Rolling Hills Dr Lot:21 Block: 2 Addition: Bur Oak Hills 2nd PID:10-15501-02-210 Use: Description: Sub Type:Fixtures Work Type:Alteration Description:Multiple Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. All tiled shower bases require a water test. Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Nicholas C & Emily K Bjore 3374 Rolling Hills Dr Eagan MN 55121 Boevaag Plumbing Inc P.O. Box 1257 Prior Lake MN 55372 (952) 292-1511 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA175723 Date Issued:04/12/2022 Permit Category:ePermit Site Address: 3374 Rolling Hills Dr Lot:21 Block: 2 Addition: Bur Oak Hills 2nd PID:10-15501-02-210 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Tankless Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Nicholas C & Emily K Bjore 3374 Rolling Hills Dr Eagan MN 55121 Champion Plumbing Llc 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature