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3389 Rolling Hills Dr
íü ðøô þýýüûúÿú ÿ ùüüýýððë÷ýþ íîÿä í î þý ÿþýüû ù÷àúÿýüû ùýüûù÷à ø÷àêûõ ûÿ úÿúîî äÿûü Þ ôÿë õûæõóóõôÿõþõè å÷÷ûååõ ý ûèúååûåè úþõçôÿþü÷åõüóõè ëéâéííè í èî í öù ÿó Ýÿéâéè ð èð Ýÿ è õó òñ ûû ê÷ýøÿü ð íðê êæòøòø ñáïáî îããã óþü÷ó óæóûûóóåõõûü÷óûûþ åò ÿúüåäè ûûà õ ÿ ÿü ÿ drA i .{ r. y 4. .? 4 'C s J: x i.4tv,,,l-:^LLUJ rUM uxii r livlon VJ/ IOf 7J CITY OF EAGAN 0.lSAAt: DritIOD 452-3495 .?, 10 g t 5 ?!Fr„ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Sr DW(;/W Est. Value $141.000 Date OCT 1s 199L_ Site Address '1389 RM111I6 HT1.1,3 no Lot -8 Block 4 Sec/Sub.1KHR nAIC H11- S 2NI Parcel No. W Name Mf_1 MAiJ) CW9T81tC?I0N INC 3 Address 12t2 RI.11RATI_1_ BAY no c City j1tTRr!SVTI.1_K Phone 688.-7061 to Name SAME °" Address City Phone Name - Address I hereby acknowlege 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 Permitee A Building Permit is issued to: ` MCDONALD ?CO NST INC on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official OFFICt USE ONLY Occupancy R-3 M--1 FEES Zoning I1 (Actual) Const Bldg. Permit TAA - no (Allowable) V-N Surcharge 70.50 * of Stories - Length 101- Plan Review 509.00 Depth 34'. SAC, City 100000 S.F. Total SAC, MCWCC 650!!00 S.F. Footprints - 660.00 On Site Sewage Water Conn On Site Well Water Meter 93.00 MWCC System X 30.00 City Water .Y- Acct. Deposit PRV Required X S/W Permit 30.00 Booster Pump S/W S rch • U arse 00 Treatment PI 276. APPROVALS Road Unit 3 7 0 . 00 Planner Council Bldg. Off. Variance Park Ded. Copies 00 TOTAL 3,574. Permit No. Permit Holder Date Telephone WATER p??? ?? !n SEWER PLUMBING ?? ?/.~J - OIS? 1195 4/eh/ H.VAC. -ZOaa.2 ELECTRIC 8? Inspection Date Insp. Comments Footings I Foundation Framing Z-Z`9 5 Roofing Rough Pibg. ?? `?? p y? CJ /0 2 % ?? 6 Rough Htg. _) Isul. ?- Y' 91, h 12- Fireplace 7 . • cy S its ?? /SAO Final Htg. Orstat Test Final Plbg. q Plbg. Inspector - Notify Plumber ConsL Meter EngrlPlan b Bldg. Final d (? Deck Fig. Deck Final Well Pr. Disp. &rfifirate of (Orrupaury Citp of (fagan Depwhun t of lit h)htg juspatim 77tis Cemjbur issued pursuant to the requirements of Solxion 306 of the Uniform Building Code oeWfy&g that at the time of iurrance this sous m wns in compliance with the vrious ordinances of the City regulating building consoucdon or use For the following: tin CIRMTkadao RF Tw"R 61dg. ft No 19R 15 o=vw77* R3/M1 ZoningDimiet R Typecom VN ow-ot Andes 1212 TTT ]JAY RDrAwxp9=, BwuinsAd&,= 3389 BM-TaG tmlr G IMIM Lmft sA,By, 1XIB err mm _q 9m DOC Q3/24142 Buift Oecise POST IN A CONSPICUOUS PLACE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: I ??I ? trr?. NIl.I ?? Elli W11, 0A0, 11 1 1 1 .'NI) PERMIT SUBTYPE: ,y APPLICANT: !li p r? w I'll '.111 1 11 I t. 1 i 'i l 1 ak i F. TYPE OF WORK: 1:11 1 I II 1 Nli N,' I tN4 tot. I Permit No. Permit Holder Date Telephone S/W PLUMBING HVAC ELECTRIC' ELECTRIC Inspection Date Insp. Comments Footings l ?? 93 Foundation Framing Rooting Rough Plbg. Rough Htg_ Isul. Fireplace Final Htg. Orsat Test Final Plhg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Fig. Deck Final Well Pr. Disp. SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot'Knob Rd. Eagan, MN 55122-1897 DATE I(')- I h -91 OFFICE USE ONLY METER # !VV64 ya ff 19 Q PERMIT DATE 10121191 CHIP # ?6 l PERMIT # 12353 METER SIZE p 41S11 S B.P. RECEIPT # C 15891 1 ISSUE DATE B.P. RECEIPT DATE 1011819 X PRV -BOOSTER PUMP .? DR. SITE ADDRESS 33 - L PERMIT REQUESTED LOT *8 BLOCK SECISUB it ()ak 11311 s TT Ia. . VSEWER _?-6 TER TAPS APPLICANT: ADDRESS: , COMM/IND 1-212 CITY, STATE ZIP -KNEW PHONE: Lawn Sprinkler PLUMBER: c Ahead of Dorpe ADDRESS: Crud V?ILL CITY, STATE t JW ml alr-L>,,- ??'IN ZIP S JJ PHONE: _? - ?11y OWNER: - ADDRESS: PITY, STATE ZIP 40f PHONE: SIGNATURE PLEASE ALLOW TWO WORKING DAIS FOR PROCESSING. CALL 454-5220 FOR SEWER PERMITS, CONTACT ENGINEERING DEPT. ESIDENTIAL EXISTING Meters are to be Installed ptic Meters on Water Line. be given for Deduct Meters. N?# wcp- ?f WITH CIT?y. 1EN METER ISSUED INSPECTIONS. FOR STORM r SEWER & WATER PERMIT CITY16FEAGAN 3830 Pilot I'1 hob I?.0 Eagan, MN 55122-1897 ^'R?'uTCT"3 METER # OFFICE PERMIT DATE 10121191 PERMIT # 12153 B.P. RECEIPT # C 15891 B.P. RECEIPT DATE 1 18/91 CHIP # METER SIZE ISSUE DATE I Qo ??;t?ILLS DR. SITE ADbfjE Is LOT #8 BLOCK ! SEC/SUB Fur OiLlr Hi-118 TT APPLICANT: ?F ??.? I EI ter- t E d ? -r -C ADDRESS: CITY, STATE _ ZIP PHONE: +7 Di- I PLUMBER: c ADDRESS: CITY, STATE El' cc MJ ZIP _!??4wx PHONE: OWNER: ADDRESS:- CITY, STATE PHONE: - _C PRV -BOOSTER PUMP ZIP PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. SEWER PERMITS, CONTACT ENGINEERING DEPT. Lawn Sprinkler Meters are to be Installed Ahead of Dome tic Meters on Water Line. Credit WILL) be given for Deduct Meters. I kr COMPLYWITH CITY OF -1 AC.Am bRDINANCES SIGNATURE WHEN METER ISSUED CALL 454-5220 FOR INSPECTIONS. FOR STORM PERMIT REQUESTED VIEWER CATER TAPS - COMMIIND !RESIDENTIAL NEW EXISTING ///5-/f/ 103 0 5 44888 ® Request Dale Fire No. Rouyh,in Inspection Regraretl? ? Ready Now :1 Will Notify Inspector _ ?/ ? Yes = No When Ready? I Icensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street. box or ld No I City Section No Township ame or Ran a Ns. County /J aG..i OccuPaPt IP I O Al 9-•'- IV Phone tilo. / a 3 Power Supplier Address Elstints C ac or IGompany? amel - Contractors icense No. Meim tlress I gtrac[pr ner Makiny Inatelleao I Auingfl d S cnaI C I 1 10wn Making lnslalla cinl P be, MANE46IVISTATE BOARD OF ELECTRifffY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 Unl,im,ity Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (6121642-0800 ENCLOSED. j? f,?/9? REQUEST FOR ELECTRICAL INSPECTION ? See Instruovons for completing this form on back Of yollOW COPY 1 4 4 8 8 8 "X" Below Work Covered by This Request s^"?'A• EB-00001-OB G ew Add Rep. I Type of euiltling Appliances Wired EquipmenlWired - Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm.Andustrial Furnace Farm Air Conditioner --J7 Other IsPecifyl Compute Inspection Fee Below: Convactors Remarks'. A Other Fee # Service Entrance Size Fee # Circuits/Feeders as Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 -Amps 0 Amps Signs tnspecmrs use only: l TOTAL Irrigation Booms , . c Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 78 MONTHS. I, the Electrical Inspector, hereby Rough m Date certify that the above inspection has been made. Final z oat9 'D • ?? y? OFFICE USE ONLY This request void 15 months from _ _ ////8/9/ f0385? J 01 9 5 A a Request Date / Fire Ni Rough-in Inspection Regmr ? ? Randy Now ?ty Insp i Wh n R d ? es G No e ea y I tensed contractor ? owner hereby request inspection of above electrical work at: Joh Address (Scree Tali R e o.l /p A!k City Section No. To ship N e or No. ange County OCCOPhni IP TI Pro rf o. Power Supplier S Address Elect" I Tractor mpany Na el 12,01 it ' i CoMrador§ License No o1;4 aa9 Mai in Address Contractor orr er Making Installation) O .nvw?C Aulho 'ied Signalum IOOmractoriOwner Making Installati nl 5S/a hone umber 3?- 5? 3 MINN OT STATE BOARD OF ELECT TTY THIS INSPECTION REQUEST WILL NOT 1821 U Griggs-Midway Bldg. St Raol, S-173 BE ACCEPTED BY THE STATE BOARD 1621 University Ave., ., 51. Paul. MN N 55104 UNLESS S PROPER INSPECTION FEE IS Phone (612) 602-0600 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-DOOM-08 ? See instructions for completing this form on back of yellow copy. i4x /.,) ?6 s 9- j? J 01195 X" Below Work Covered by This Request E' . v ew Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other(specuy) Contractor's Remarks: Compute Inspection Fee Below: # - Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Abp 0 _ Amps Signs Inspec or's use only: Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTH I, the Electrical Inspector, hereby certify that the above inspection has been made. Rough-in u Rmal ??? - oat oar l OFFICE USE ONLY ' This request void 18 months from ?_ - y REQUEST FOR ELECTRICAL INSPECTION Eea 00108 ? ? See instructions for completing thle lormyn back of yellow copy f A? ?Qaa?fZ `X" Below Work Covered by This Request ` r e Adtl Rep. ype of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other(spscity) Contractors Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps U to 100 Amps Transformers Above 200 _ Amps Above 100 Amps Signs Inspectors Use Only: - TOTAL Irrigation Booms 3 6 •Da 3p Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED D C NFCTED IF NOT Other Fee 117, COMPLETED WITHIN IS MON I, the Electrical Inspector, hereby Rough-in -a certify that the above inspection has been made. Final f Date OFFICE USE ONLY This request void 18 months from 0097?C8 a ., o?"d °a°? Request to Fire No. Rough-in Inspection Requ NOTICE: You Must Call Electrical Inspector II A Rough-In Inspection / es ? No Is Required. I licensed contractor ? owner hereby request inspection of above electrical work at: 7 ddressss'!' iSStreet, Box or Route No.) ) 30 ?(S 'Oywa/ City Section No. Township Na No. Range No. Co O pant (PRINT) Phon No. Po r Supplier Atltlre A EI rival Conlraclw (COmpen?Name) ?' / Q Contractors License No. AU d 7 l t C La a r s n / Mailing Address (Contractor or er Makinp In;tallabon) A t A- r ? / , 'Yl d ( ? V f?'7e &l Authorize S nature ontractor/Owner Makirg I allati Phone Number 7 7- ?!o MINNESOTA STATE BOARIS OF ELECTRICITY 1 THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 8-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 r, S? UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 ENCLOSED. J2 231dB Request Dete I Fire No, 1 Rough,in Inspection Requihw' $Featly Now Q Will Notify Inspector G Yes _ No When Res0y? I & licensed contractor ? owner hereby request inspection of above electrical work at: JOC? e ? real. Box or Rome No. r10 / /? 1115 3 /G^ /C C City ' -- Section No. Township Name or No. Range No. County Occupant lPPINT) // Phone No. Power Supplier Atlhress Electrical Contr n %;MHjS q KE Contra?ctJ Licenense No. ? - /tW z Makng Addis es(CgOtr?p t VALLEY,knMN 55124 A r turj AuthonzeC Syn orlowner Making Installation Phone Number Cl /-6 36,, MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Griggs-MlGway Bldg. - Room &113 BE ACCEPTED BY THE STATE BOARD 1621 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0600 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EM0001 4)8 l"N / w See imo uctgns for completing this form on back of yellow copy J 5 L 31 "X" Below Work Covered by This Request ?` ; e Add Rep. - Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: / -/ Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuas/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 -Amps Signs Inspectors Use Only: ?., TOTAL / Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in bete certify that the above inspection has been made. Final pale l 7_/ OFFICE USE ONLY - This request mid 18 months from BUILDING PERMIT To be used for SF I: Site Address 3389 ROLLING HILLS DR Lot 8 Block 4 Sec/SUb.BUR OAK HILLS 2N. Parcel No. W Name MCDONALD CONSTRUCTION INC o Address 1212 BLUEBILL BAY RD City BURNSVILLE Phone 688-7061 CITY OF EAGAN N2 19815 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt # C 15 q l )AR Est. Value $141,000 Date OCT 18 1991 Name SAME Address City Phone ?w DO w ' a Name - Address City - Phone I hereby acknowl a that I have read this application and state that the information is core and agree to comply with all applicable State of Minnesota Statute City of Ea an dmances. Signature of Perm itee A Building Permit is is to: MCDONALD CONST INC on the express ob clato hat all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official OFFICE USE ONLY Occupancy R-3 M-1 FEES Zoning RR=1 (Actual) Consl V-N Bldg. Permit 783.00 (Allowable) VV=N Surcharge 70.50 F of Stories 509 00 Length 70' Plan Review . Depth 34 SAC, City 100.00 S.F. Total SAC, MCWCC 650.00 S.F. Footprints 660 00 On Site Sewage Water Conn . On Site Well Water Meter 95.00 MWCC System X 30 00 City Water X Acct. Deposit . PRV Required X S/W Permit 30.00 Booster Pump S/W Surcharge .50 Treatment PI 276.00 APPROVALS Road Unit 370.00 Planner Park Ded. Council Bldg. Off. Copies Variance TOTAL 3,574.00 ..r Address: 3389 ROLLING HILLS DRIVE Lot 8 Blk 4 Sec/Sub BUR OAK HILLS 2ND These items were/were not complete at the time of the final inspection. Date: 03/24/92 Yes No r? TnqnPrtnr- Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas tf 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.{ PE MEEYM1RR White -- City copy Yellow - Resident copy Pink - Contractor copy y DATE: OCT 21, 1991 - lam- ?\ 1 Rl! ROLLING HILLS DR (MCDONALD CONST INC) R . Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. 1? ll 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. fl. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window saes; poured found design, etc.) • 1 set of Energy calculations • 3 copies of Tree Preservation Plan if lot platted after 111193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE ( fJ -n2' SITE ADDRESS TYPE OF MULTI-FAMILY BLDG Y N FIREPLACE(S) _ 0 _ 1 _ 2 Ceder WAY Exter m, Inc. APPLICANT 9920 Z111a Street eoonFlapids, MN 55M STREET ADDRESS ?M TELEPHONE #"k66 '_735 ELL PHONE # STATE ZIP FAX # _X3 -755- J 390 PROPERTY OWNER ()ll , 1 1 C?l?l ??? TELEPHONE# ?? - Vr Colo" COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MIN 2201 F]LES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • Ne de Worksheet Submitted • Energy Envelope Calculations Submitted JUN 0 4 CUU? Plumbing Contractor: Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor: Air Conditioning - Heat Recovery System Phone # Phone # Fee: $70.00 -------------------------------------------------------------------------------------------------------------------------- I hereby acknowledge that I have read this application, state that t 'nformation is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan r finances. Signature of Applicant OFFICE USE ONLY Water Softener Water Heater No, of Baths Phone # Lawn Sprinkler No. of R.I. Baths Remodel Repair Requirements • 2 copies of plan • iset of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate if home served by septic system for additions VALUATION S W ?J Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Aft - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mufti ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plsx 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) - FinaVC.O. _ Footings (deck) - Final/No C.O. _ Footings (addition) - Plumbing Foundation _ HVAC _ Drain Tile Other _ Ice & Water Roof _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ _ Framing - Siding _ Stucco _ Stone Fireplace _ R.I. _ Air Test - Final - Windows (new/replacement) _ Insulation - Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector ??j(p lP 3 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION ` ) SF CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date I (-) I n 4 ,((?? ( R Site Street Address bl 'tt? I 1 Unit# Property Owner I ? ?YV Telephone# (?i5)) ?I&fo --5GT ?r Contractor H . 7 , plp r fo"Z K? Telephone # (b51) X65 ' 13 yO , Address 3670 DrM AD City State-U,LL ZiI15S ? The Applicant is: _ Owner contractor -Other Alterations to existing dwelling $ 50.00 -Add fixtures to rooms, excluding water softener and water heater -Septic System Abandonment -Water Turnaround (add $121.00 if a 518" meter is required) Other: Water Softener Water Heater $ 15.00 replacement - additional Lawn Irrigation System RPZ_ new - repair -rebuild $ 30.00 State Surcharge $ .50 Total I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and aDDroved. , Applicant's 'Printed Name 1991 BUIL'91I?LICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: Skx?e F J Valuation Site Address Lot 16 Block Parcel/Sub ??' ?r IIS? Owner Address City/Zip Code Phone Contractor k G? C-b1--t4?, •nAJTJ Address 1? J-) City/Zip Code j?/h1?ui11PF 55337 Phone LEA - 70(QI Arch./Engr. Address E c}vc?cS Jo4-- Date: 10-1(p-G? 114 1 0 o D FEES t Occupancy R_3 M _I Bldg. Permit / 83.0 O Zoning R-1 Surcharge 70.So Actual Const V-N Plan Review _5'o9 00 Allowable V-N SAC, City IDD,00 # of stories SAC, MWCC (?SO.00 Length Water Conn. 0.00 Depth 34' Water Meter 5'00 S.F. Total Acct. Deposit 30.00 Footprint S.F. S/w Permit 3400 S/W Surcharge .-C-O On site sewage- Treatment Pl. 2J7(p, 00 On site well Road Unit 376),0° MWCC System Park Ded. City water Trail Ded. PRV Copies Booster Pump SUBTOTAL APPROVALS Penalty Planner Lot Change Council TOTAL 7n Bldg. Off. p51PiG?// Variance ? 5 agrees that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. City/Zip Code yaLUATLCA w (: ARAGE ------------ Z0 YZI& 440 zqo 680X l = /ozoo GSM T 26)r.,y8..' 988 Ilx 1Z= 13Z 112r? x?'?= Is" 96d) 1s'7ww? ?tZa x53 = S?'1 ??e N D F(..ODIZ 3BXa?/z? roti5'xs3= ss,sas ?yo 6zs' N TA T ENERGY O CU 61 I -405 dj?SED ON CHAPTER 5 OF THE O Et)ERGY CODE - 1983 EDITION Adoption Effective Owner Phone Date Site Address ? a I C? Ur --nnl-Ock ?t 7 ct4R PAK PILLS Zrl7? Contractor ' AQ"1i JxlL 60I -rl NG , Phone Building Classification: Type Al (Single Family & Duplex) Type A2 (Residential, 3 stories or less) (Over 3 stories) (Other) NOTE: ComDl to pages 3 and 4 first, GENERAL INFORMATION ' 11 1. Building Perimeter hWtJ??T? ft. 2. Wall height (ground to eave) N ft. 3. 1. X 2. (above) gross wall area TfOOM 1 j sq.ft. 4. Building dimensions (L)--=- X (W) - = 1 1gz sq.ft.roof & floor area 5. Sq. foot area of rim joist - Floor - 10 joist size (2 X ) X 150 (Perimeter) _ sq.ft. 6. Doors - Area 9J, 0 Thickness 12 in U. factor A Type of Construction Perimeter ft. Manufacturer 7.' Total door's perimeter ft. 8. Windows @ Manufacturer J V ? G # YY M:" ? State approved U factor TYPE SIZE AREA (Sq.Ft.) NUMBER OF TOTAL H EACH UNITS SQ FEET ? ?J V L`?'TL-? 9.. Total sq. ft. Glass 295. -75 lo. Fireplace area: Width X Height = X = sq.ft. 11. Exposed foundation: Height X Perimetera X Ina _ 194'S q_s. ft. COMPLETION OF THIS FORM IS REQUIRED FOR ALL NEW CONSTRUCTION, MAJOR REMODELING AND BUILDINGS BEING MOVED WHERE ENERGY, OTHER THAN THE MINIMAL CODE ALLOWANCE, IS USED. -1- 12.'Framing area = 10% of rojss wall area. 13'. Gross wall area ?!/? sq.ft. • Window area A 2161 sq.ft. U windows =. 13co Rim joist area ?A/Jz A sq.ft. U rim joist= 119+1 Door area A ?' //?? sq.ft. U door area= 1 }? Other doors area A I? sq.ft. U other doors= ,AI Exposed fndn A 0',52. sq.ft. U foundation= -? Framing area A2( 01 ft. U framing area= 'nqG? Net wall area A q 13:17-sq.ft. U wall= (13B) TOTAL . . . . . . . . 14. Gross wall area x 0.11 (A-1 single family & duplex) _ (13. above) X11- A-6?,F UxA = UxA = UxA = I " UxA = 1 1 UxA = 41 -70" UxA = (p0" UxA = r UxA =?Z,a allowable UxA/Code x 0.23 (A-2 other residential) x .23 (other buildings) x .28 (Over 3 stories) BTUH must be larger than or same A x U Code o 11 I OF. as 13B above 15. Ceiling framing area (Af) equals 10% of ceiling area 15A. Gross ceiling area = (L) (W) .- = liz sq.ft. 15B. Joist area (Af) = 10% ceiling area = 19 sq.ft. 15C. Net ceiling area (Ac) (15A - 15B) _ lol -a> sq.ft. U ceiling x A C = DLZ x ??= Z?j, (Q U framing x A f = 1023 x 15D. TOTAL U x A ............................. Zta. 35 16. Ceiling area (15A) x 0.026 (A-1 single family & duplex) = allowable UxA/Code x 0.033 (A-2 other residential) x 0.06 (oth BTUH must be larger than or same A(15A) Mz/ x U Code IDZ(0 F. as 15D above NOTE: Use U and A values obtained f ages 1, 3 and 4. CERTIFICATION: I hereby certify that I have calculated the "U" factors and "R" values herein and that the building here described meets or exceeds the State of Minnesota Energy Conservation Act. Date Signature -2- • • *9I-4V5 1111 I' 8,?3xC ?5+38+ Z71 5+z?,s)= ff l f& 17 3 Z.- = l ? tax a 3Z ZV = 13,v X = o IZx0zF?Xen = F-P/0 = 2110 1z, elwa:C-Top -1?,ox 1= lt5;1 0 Z4Ag = l I. z5x ?' = 5r0, 2S. ZoX(CO = Il?0 44,d ?s e so,. PTI o = 4Z ,rte R VALUE U VALUE WALL ' SECTION R TOTAL 23.0'j STUD SECTION Inside air film - . :68 Interior wall 14y (Wall) U R Insulation (q10 Sheathing Z.OCo Off} j Siding . ?? Outside air film .17 Inside. air film 68 Interior wall n •(V( stud Sheathing Siding Outside air film . 15 R= iry]$ (p 5p(Framing) U A z. ow '(P-7 . oq 5 .17 10.53 R TOTAL 2ND WALL SECTION. Inside air film R= .68 Interior wall Insulation Sheathing Exterior wall covering Exterior air film' R ..17 (Wall) U • R . z R TOTAL Interior afa film R= .68 F t Rl.t Insulation ?q.d JOIST inch soft wood R=1.88 (Rim U = k_ Joist) ' Sheathing 2.O('0 O4( Exterior wa?l covering .(P7 -? Exterior air film R= ,17 R TOTAL 2-4. 4(0 Interior air film R= :68 (lnsulation)For=K&"r 19.00 1 \ b--? Exterior air film R= .17 R TOTAL 2.1-971 •" ?\ Exposed Block 1.??"? •??`,rade 3. ,EILING WITH VEILTED ATTIC SPACE ABOVE R VALUE FRAMING R VALUE CEILING 0.61 AirFilm 0.61 ?O O Insulation 45-o 4.38 Joist 0.56 Ceiling 0.56 0.61 AirFilm 0.61 47-ma Tota1R 4(o.70 .DZ7?j U=1/R . OZl Window infiltration 0.5 cfm/lineal Residential door infiltration 0.5 requirement Non-residential door infiltration foot of crack cfm/square foot or door and minimum code 11.0 cfm/lineal foot of crack Ub 12" concrete block no insulation =..47 R 2.1 Ub 12" concrete block insulated cores = .26 R 3.6 Ub 12" lightweight block - .32 R 3.1 Ub 12" lightweight block insulated cores = .12 R 8.3. U single glass = 1.13; with storm window .54 U double glass = .55 U triple glass = .41 All exterior walls and ceilings must have a vapor barrier (0.10 perm max.). Vapor barrier must be on the inside (heated side) of wall. Vapor barriers of the polyethelene thin film have no R value. A ** * * it 7427 Rlt: ?f.ri•° hrlve y PIONEER LAND .,,MvKYC". CIVIL n.GnEl" - - ? ?,t ••?vlt•r>t ll,.,,,lily, r.w 55170 T'eng peering. - ,.-..., na,wn«?M.'L :..?--.:E Ir t?t 6A I 1914 *K?` Celti?icate of Survey for:--M0 DONq?p GoNemTRVc-T!oly Z h w '^b ?°' Nv+ r e w `? \ le I T PIT ?-3 'Dot' a N s? Q --t_ i ? R ?JORTtI 128.98 N SGJ°38 1.3 1 I? ? t 0 U' s• •N - - Sp Q V 0 1 l ? 1 N --a OO mot, ?•f nTD Va OO o R t`a qq R.. 900.0 Denotes errslin? Elemlion soo.o Denotes prop cwd Elevolior, -- -VenolesDrYrrrtage(Ufilr? tasemenl Venoles Drn/na eflow Arrows ?o d l D,©` EAGART EAIGIRTF.FRTA* yr , f DEPT f'r7UpgsEQ i-lousf ELryg7-1ONS Lowell f7mr• Eleva(ion 843.33 Top n('Bbck F_levahorr ! 65-1, 14 o Denoles monurrtenf Carol-, S/oh Revofion 8 0.33 Bearitt shownare assumed LOT S , Sack 4 , 13UR 014k AWILLS 2ND OAAcoT,4 CCUAirr, MIAW&POTA 5116ject To EAS'6Mf/vrS I he'Phy eefilly that rht+ upVev, plan 01 rernrt W4+ "-r.,-d by ale r 111!r my d"I,ct Sunervris4n.. and thnt I en+.luly R•gIH •r •'I I and ^•n nVn. Wide, the lµ•0 of the Stele of fdinnl+ote. OBf!d thfp _f? d,V of A.D. IO,QA /y .IF.., fn. P - qI - A Fvj< F ev SCgln - 1 rnC ; 40 ? eel foJEl(tf - Mevc Hie beck (rvc&) ??? Fvef yI?Q 21- 4U1:3, 07 n Flr,nr q. $1K1 rn. 1.+191 REACTIVATE jt,)ntkLQ PERMIT # 14421A., CITY OF EAGAN 1993 BUILDING PERMIT 681-4675 APPLICATION VAR 1 5 RECD 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 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 Valuation of work Site Address: STREET SUITE # Tenant Name: (commercial only) LOT BLOCK SUBD. P.I.D. N Desion of work: 4 The is: Owner ? Contractor ? Other McScriW applicant Name DL..I Q. Q _L?QQC Phone ?/So2 3 V,9,5- EL LAST FIRST Owner J Address 3389 PD/ N $ T1/%/1s zi7 . STREET STE # City ?cP aa.j State °y Zip Company ?riL/Y Phone Contractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: 'Z? ?Gco OFFICE USE ONLY BUILDING PERMIT TYPE . ? 01 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. ? 10 Multi. Add11. ? 15 Deck WORK TYPE 31 New ? 33 Alterations ? 35 Tenant Finish 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. (Allowable) 1st F1. sq. ft. UBC Occupancy 2nd F1. sq. ft. Zoning Sq. Ft. total # of Stories Footprint Sq. ft. Length On-site well Depth On-site sewage APPROVALS Planning Building Engineering Variance REQUIRED INSPECTIONS ? Site ? Wallboard 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: ? Footing IDFinal vetmtim: S Framing ? Draintile fr '4. BKseihenj, 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 t,r T SAC Code &*,wtt n c1?i$IGfA G.rst`{'?' D Assessments ? Insulation ? Fireplace SAC % SAC Units PERMIT (7W- ?jzs CITY OF EAGAN bls ?3 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 021304 (612) 681-4675 Date Issued: 06/25/93 SITE ADDRESS: P.I.N.: 10-15501-080-04 DESCRIPTION: 3389 ROLLING HILLS OR LOT: 8 BLOCK: 4 BUR OAK HILLS 2ND Bnflldihi Permit Type Building ?-4rk Type rJouilding Lern4th Building Width`!, i:. '; r' DECK NEW 10 14 ??;Our t1 REMARKS: FEE SUMMARY: Base Fee $25.00 COPIES 1.00 Surcharge $.50 Total Fee $26.50 Subtotal $25.50 CONTRACTOR: - Applicant - ST. LIC OWNER: BROTEN DESIGN & BUILD 18913875 0005768 OELVGO IKE 7664 142ND ST W 3389 ROLLING HILLS OR APPLE VALLEY MN 55124 EAGAN MN (612) 891-3875 (612)452-3495 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 Min. Statutes and •City of Eagan Ordinances. AP LICANT/PERMITEE SIGNATURE ISSUED BY. SIGNATURE J REACTIVOE _ PERMIT #', -• (30 MVE0? VE J U N 2 1 1993 --------------- CITY OF EAGAN 1993 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, 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. /Z 0 0 , Date / Z( / Val u t' on of work / d- 3 3 Y 5 ? , " Site Address: / -• STREET SUITE # T nt Name: (commercial only) LOT BLOCK SUBD.f,*?, ? P.I.D. N Description of work: The applicant is: ? Owner 111 Contractor ? Other (oeseribe) Name bewto ZILF Phone-15z-3¢qS Property Own r LAST . FIRST -? e 1 ?s KJ Add z ?.l i '6 ?? ? . ress r STREET STE R pp???? City (?tC? A) State 110 A) Zip Company f -GT } 73,1S ' Ul Phone gt - 3-975 Contractor Address X664 (4? ?-?. ?• License #66W;_?01 Exp. City State MN. Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. -- -fix ??- Si f l gnature o App icant: - BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. WORK TYPE 'at 31 New 32 Addition OFFICE USE ONLY ? 06 Duplex ? 01 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add11. ? 33 Alterations ? 34 Repair GENERAL INFORMATION ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace 915 Deck ? 35 Tenant Finish ? 36 Move ? 16 Basement Finish ? 11 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 31 Demolish Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code d Depth On-site sewage e SAC Co APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site ? Wallboard Footing Final ? Framing ? Draintile ? Insulation ? Fireplace Permit Fee !?sf 00 Yatuatim: 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 nu Other Total: SAC % SAC Units PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. SITE OWN O. FIXTURES ?OT-AI EACH SHOWER 3.00 WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING OUTLET • m nimum - > 3.00 ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE,DISP. • Dsk.Cty. lie. 15.00 U.G. SPRINKLER • home under cont. 3.00 ALTERATIONS • to adsting 15.00 JS D O WATER TURN AROUND 15.00 STATESURCHARGE TOTAL: INSTALLER: ADDRESS:- CITY: PHONE #: STATE: ZIP CODE: 7? Z 3 93G? /??? MEE SIGNATURE OR? 1993 PLUMBING PERMTf (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 1993 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 681-4675 PLEASE COMPLETE FOR ALL CONAZERCIAUINDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUP DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. NEW CONSTRUCTION _ ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: FEE. 1% OF CONTRACT FEE. STATE SURCHARGE "0 FOR EACH $1,000 OF PER71' g FEE. MINIMUM FEE S 25.00 CONTRACT PRICE X 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: PHONE #: STATE: ZIP CODE: FOR: CITY OF EAGAN APPLICANT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 SHOWER 3.00 .Oo WATER CLOSET 3.00 BATH TUB 3.00 3.00 LAVATORY 3.00 la..0 KITCHEN SINK 3.00 3,00 LAUNDRY TRAY 3.00 3.00 HOT TUB/SPA 3.00 a, ao_ WATER HEATER 3.00 O FLOOR DRAIN 3.00 x.00 GAS PIPING OUT. (MINIMUM - 1) 3.00 ?•?? _ ROUGH OPENINGS 1.50 4 OTHER _ _ WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 ?- v SUBTOTAL ST. SURCHARGE .50 a TOTAL: S - %Ag;pMM PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------ ----------- --------------------------------------------- WORK DES IPTION NEW CONST ADD ON REPAIR _ OWNER NAME SITE ADDRESS: y ?S V / AC /h h.?l, IJ/'. p /J/ A? LOT: 0 BLOCK SUBD. / 44 l 1& G? INSTALLER: ADDRESS: 2a2 Gwe- Z A /1 ' CITY: (imaq e (5Vb yu ZIP: PHONE #: ILL2 `'?l " OOMME1tG1DffTR$AT:i PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: CITY OF EAGAN FOR CITY USE ONLY PERMIT # RECEIPT # 1 DATE : ?O o? f1 FEES 18 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) CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 FOR CITY USE ONLY PERMIT # RECEIPT # 0 3 DATE: / .A4 9/ PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST ADD ON REPAIR FEES OWNER NAME : V C' \No e,, C1c.\ C? \ g?1S l SITE ADDRESS: A? S LOT: BLO SUBD. IOwV ??'? INSTALLER: CL??<C 2\?\ P ?\ ?? ADDRESS:, CITY: J??? ZIP: PHONE #• (,0`(OL ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SUBTOTAL: $? STATE SURCHARGE: .50 TOTAL: $97 S0 ?FATURE OF PERMITTEE Rt., PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE FOR: CITY OF EAGAN FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING s $25.00 $25.00 MINIMUiH FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE TOTAL: (SIGNATURE) •F +* * *?I?fVEE 61 ?T "No IIUn V { vows . CIVIL rNyN[[ns 1.°Nn nL.ILNNCM L LrMCe! °iC ILM.?HI -11 15 2427 Fnt: ,fo iL! h,t.•n r,lrnrlr•Iq I!n,rtl it;, !d -) $5170 (f) 12) Ci81 1914 Certificate of Survey {or.! !.C 0-0-/VALD C,0N-ST90C-T jQf4 -??- >b 4?,!r,? 124.98 N t2q N t IDK'i d 0 1rz 1- vn N l ,r 1 o P-17 . ?•7 ? P - N s? 4 ?- 'P N: C G D -a e?Q i , Y. ` h R J ?• ? o q 1 t 6' ° _ t n B ?HO1 0 . ?,r • ? J L N ? i°? /f- 1 p i . a' Fro ?s , R„ r 900.0 Denotes cxrshn fffvv/lon r eoo.o Denotes propnsyd Etevalion -- Uenoles Drnrnoge ?Ufdd Easement Ornate; Dtnnnor e l7ow /brows o 00 P90PoSEU_ I LOUSE tyrogT f oIVS Lowell Floor- Elevatlon r _ 8431; Top ot'8lock Flevolion a 857• 3; o Denole; monur»menl yar•ok Verb Revofiarn g 0.33 8earinp shown ark, assumed LOT S , BLOCK ?° , gv? OgKOTA COUN1rI M/NNSfeTR s'ugJECI QAl<' PILLS 2ND To EACCME1vr5 I I herrhY reHlfY thin ,hlr e,Irvrv. pl°e, nr terLnrt p•ee p,rp°red by pR a er mV dir.rt soPppV?vi. inn and Ih.?t 1 :In+,h,ly f1r0 •' ,^•I 1 and ?•rrnyp, undr, the Im-, of the Stele pl rdinnetolm. Dated this _?? r1aY of q_(7, Cale JnC ; ,4( f eel ,e?e,;,r -.?1<r? yv J t bock -CNry9d?, . Zi..p?f /ll/1. o7 nreprnl n, KI,,1, . flrr: till. 1?11r01 PERMIT City of Eagan Permit Type:Building Permit Number:EA118265 Date Issued:10/30/2013 Permit Category:ePermit Site Address: 3389 Rolling Hills Dr Lot:8 Block: 4 Addition: Bur Oak Hills 2nd PID:10-15501-04-080 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - 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 by law in ALL single family homes . Jason Ball 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 - Tin Ba Nguyen 3389 Rolling Hills Dr Eagan MN 55121 Action Roofing & Siding Llc 1315 Southview Boulevard S St Paul MN 55075 (651) 457-2642 Applicant/Permitee: Signature Issued By: Signature