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3390 Rolling Hills Dr Werti cate Cc anc _ of WitV o f r Cfagan Meoartment of q3xitbing 3nbrecd" 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 vwious ordinances of the City regulating building construction or use.-P6rthe following: SGFM 830 Use Qassfiwfion: Bldg. Pennit No. Occupancy Type Zoning District Type CowL Owner of Building BOW J. Address 4N 3M ST, FAR4=KN L17, B2, HM OAK HIUS 2ND B7 I.Il +T DRTV6 Locality rt 1 ?' Date: Building Official 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: toll 17 y L OC V: APPLICANT: 3:190 ROLLINEI HIt.15 ON MAIIRFIR THOMAS 81112 «AK HI1.1.`y 2MP (612) 86H-.6679 PERMIT SUBTYPE: S1 14JU FOOTING 1N-140 1 AIION f IRf 1'LACJ lit MARI ! NRV TYPE OF WORK: FRAMINH FINAL 9 & M CONFRACI01t - 51AR P1.96 Control No. 0650 tf 11 I t fi t "(1 0000,40 •6/1®/92 Nru Permit No. Permit Molder Date Telephone N S/W PLUMBING 7 / HVAC 7 ELECTRIC ELECTRIC Inspection Dale tnap. Comments Footings I Foundation j .1 Framing Roofing Rough Plbg. ??J v Rough O o ` -!l NP- ?l? ,ems fit' 15111. Npt f?Psrd?/?1?9a S Fireplace Final Htg. Orsat Test Final Pibg. g _'Z Plbg. Inspector - Notify Plumber COW. Meter Engc/Plan Bldg. Final 112 J?-e Deck Ftg. Deck Final Well Pr. Disp. 5 -? 0 may. Address: 3390 ROLLING HILLS DRIVE Lot 17 Blk 2 Sec/Sub BUR OAK HILLS M These items were/were not complete at the time of the final inspection. pate: 9/24/92 Yes No Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. vcinm xx? White - City copy Yellow - Resident copy Pink - Contractor copy 03478 ?? 470 / 1? a Request Date G Fre No. Rough-in Inspection Required? ? Ready Now Will Notify Inspector ? Wh R d RShes ? No en ea y I'Wlicensed contractor ? owner hereby request inspection of above electrical work at: I Job Address (Street. Box or Route Not 33(70 /' Y'11s Drr`Je'e City Ea qlj Section No. Township Name or 1,115 . Range No. County Da /< .4,2 Occupant (PRINT) ? Phone No. F6f-45 oyr+ er Go/ ?s Power Supplier 5 Address 3aoo ax ? l or?' Elect, ontractor (Company Name) Contractors License No. Mailing Ad., ss ICOntr for or Owner Making Installation) L L 6 a +.+ ; a a A, u r„.1- e AUlhorizeo ign ure IContractor.'Owner ng Installation) tl Phone Number ?-, 7??? MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642.0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Or t %. E11-00001-08 v?A III, See instructions for completing this form on back of yellow copy, q'°'-?0? O G/? ? . 3 4 7 8 X" Below Work Covered by This Request a 'Jew tl Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industral Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: 1? v ,.3 O s Compute Inspection Fee Below: L/O Co T # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Abpye 100 Amps Signs ®v 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-m p Date / certify that the above inspection has been made. Final Ic`AZ Dare 9'-1 OFFICE USE ONLY This request void to months from Sa RESIDENTIAL 3-2 7 BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651.681-4675 New Construction Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house: and all rooted areas (20% maximum lot coverage allowed) 2 copies of plan showing beam & window sizes: poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE 7/3 RemodelfReoair Requirements 2 copies of plan • 1 set of Energy Calculations for heated additions • i site survey for exterior additions & decks Indicate if home served by septic system for additions VALUATION SITE ADDRESS 33Ru u"I?'` el H i) I& ?>= MULTI-F TYPE OF WORK S%? r a t R"®E'ic- FIREP APPLICANT fLFGH ??rErz•e YBLDG _Y _N -0 -1 -2 STREET ADDRESS S? KIGC Slr ?2 E Z4 -N- CITY 16) 11 STATE MPJ ZIP ?Sz?7 f? f3$$ TELEPHONE # (ASR-63co8 CELL PHONE # (W7-) (07A--c2.5C>3 FAX # 11a) PROPERTY OWNER TELEPHONE# -Z?7I ID°I COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDI Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ NIINN: (J submission type) • Residential Ventilation Category 1 Worksheet Submitted New • Energy Envelope Calculations Submitted Plumbing Contractor: _ Phone 4 Plumbing system includes: _ Water Softener _ Lawn Sprinkler Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: _ Mechanical system includes Sewer/Water Contractor: Air Conditioning Heat Recovery System ----------------------------------------------------------------------------- I hereby acknowledge that I have read this application, state that the in with all applicable State of Minnesota Statutes and City of Eagan C)? Signature of Applicant ONLY RULES 7672 Code Worksheet Submitted Fee: $90.00 `lJ \11 Lre 570.00 Illl 0 2002 g # °v_----------------- ation is correct, and agree to comply OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received - Not Required - 1 Updated C02 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 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. - Footings (deck) Final/No C.O. - Footings (addition) _ _ Plumbing Foundation HVAC Drain Tile _ Other Roof _ Ice & Water - Final _ Pool _ Ftgs _ 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 Control No. 0650 A 4. CITY OF EAGAN PERMIT TYPE: ?? 3830 Pilot Knob Road BUILDING Eagan, Minnesota 55123 Permit Number: 000830 (612) 681-4675 Date Issued: 06/18/92 SITE ADDRESS: 3390 ROLLING HILLS DR LOT: 17. BLOCK:.2 OUR OAK HILLS 2ND DESCRIPTION: SF DWG NEW R-3 M-1 V-N R-1 66 ...;. 5 4 .,. .. t i ?? i { 3r 1)) ! r I Building Permit Type t Building^Work Type UBC Occupancy Construction `T,ype Zoning Building Length Building Width r_. i t REMARKS: Co I PRV S & W CONTRACTOR - STAR PLBG FEE SUMMARY VALUATION Base Fee Plan Review Surcharge SAC SAC 8 SAC Units Subtotal $804.00 $522.60 $73.50 $700.00 100 1 $2,100.10 $147,000 MISCELLANEOUS $1,610.50 Total Fee $3.710.60 CONTRACTOR: - Applicant - ST. LI OWNER: MAURER THOMAS 18686579 000413 THOMAS J MAURER 15013 STEVENS AVE S 409 SRO ST BURNSVILLE MN 55337 FARMINGTON MN 55024 (612) 868-6579 (612)868-6579 f I hereby acknowledge that I have read this application land state that the informati-o•» is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. L _ ACPLICANT/PERMITEE SGNATURE ISSUED A$10 UJR?d `\ PERMIT M RATIYATE 130 CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 1J,910.h0 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, l copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans,1 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 re uest is made or lot change is re guested once permit is issued. Date L? / / 9z Valuation of work //o,ooo f Site Address: 33yc2 Qo?11rJ69 ?, s )?!. STREET SUITE 'A Tenant Name: (commercial only) LOT BLOCK 2 11'/ SUBD. AdK A/J' S' P.I.D. Description of work: The applicant is: ? Owner [21 Contractor ? Other (Describe) Name S Phone Property LAST FIRST Owner Address STREET STE K City State Zip Company '-TAomgT 'Ti yak -tr Phone' ??- 4s7?1 Contractor ,3 X91. Address 9/0 9 3 s? License q000'iQ-?A Exp.7-43 City }J®? rYI,'17S l a f? State /;?, X119, Zip s'3 02 °? Company ?4 n r d Phone /5'? - b 7 7 Gl Architect/ ' Engineer Name Registration' Address City State Zip Sewer & water licensed plumber .S r A r ?L rJac Processing time for sewer .& water permits is two days once area has been approved. i 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: L OFFICE USE ONLY BUILDING PERMIT TYPE ? Ol 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 ? 14 Fireplace ? 19 Camp./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORD TYPE 31 New ? 33 Alterations ? 35 Tenant Finis h ? 37 Demolish 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) V-N - - Basement sq. ft . MWCC System Yc (Allowable) V -t4 1st Fl. sq. ft. City Water YES UBC Occupancy R-'I M -? 2nd F1. sq. ft. PRY Required Zoning 9-1 Sq. Ft. total Booster Pump of Stories ? Footprint Sq. f t. Fire Sprinkler ??7 Length L° - On-site well Census Code /off Depth sq, On-site sewage SAC Code lot APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTI ONS ? Site ? Fo oting ? Framing ? Insulation ? Wallboard ? Fi nal ? Draintile ? Fireplace Permit Fee v.tmtim: g 1?Irl?ppp- Surcharge Plan Review (WARgUg• zz. u24%529 n I Z 22- Z,&,/ MWCC SAC City SAC gsnir 7el2 K16 =12672 Water Conn. . - Water Meter ,?4f jc 2y = S7(? Acct. Deposit S/W Permit ;I4X 30 = 720 S/W Surcharge 3 X `S.7 ? y Treatment Pl. 1320 X/S: /^ 3001 oa Road Unit Park Ded. )sT Fi.oo2 Trails Ded. Copies 13s1ip10 1c53 -'71?68 Ot her Total: ZNA F?oarZ SAC % Do 3?nty? ??2 SAC Units $oUS3 = 42?I?? 1 y6oltio r: SIGMA SURVEYING SERVICES INC. 1911 Seneca. Read •Sm.Ie E Eaw, MMnQwW 55122 Phone: (612) 452-3077 ]?M Tai ANTI YTa1TT EASEMENTS ,n[ ?Zrit?w l ?itrhe??`?onol2ueleo?c - I i?1 ..OwM Nimes! Cwnpmml" 94 ' 4 ?• 4 wo,t,l T w?Mpi l?N?OLOT[lIM[f, oys` '_, ri,?1 i S.,f ps"N , i1[/647µ4 STREET Cra'j?at, N 81b05 7 \V/ s1 d M N r 7? N ? 7 ?- 6 ? c C =t- . ? ` 1 by .1t l 1 X?}• 1 )1 sr ? A 1a o - ?A 8si.s Lor I ' , f X .s i ?,q 10.01) - f ,Z? J y o- ? 1o 1 ?e-r-- ?,a r 1 z.,"v kgy8 , ayBk?b A 1? 1 .r6 J' 1 8 u ` N ? A ? o i to . J q3 N, „ Jr Tor5?5 X? 1 g , 1N ss ?: J ?W ?r 7 i L Scale I I "=301 -LEGEND- o Denotes Iron Monument e Denotes Wood Hub Set 9149.4 Denotes Existing Spot Elevation (xBs0-5) Denotes Proposed Spot Elevation ?- -? Denotes Drainage Direction R DEPT PRO S?G? GE ELEVA?ION 4so .S FLOOk PROPOSED TOP OF BLOCK ELEVATION= 55",5 PROPOSED BASEMENT FLOOR ELEVATION= - $`15, *NOTE: Verify all Bldg. Dimensions and Floor Heights with Final House Plans. -PROPERTY DESCRIPTION- SURVEYORS CERTIFICATION- Lot 17, Block 2, BUR OAK HILLS I hereby certify that this survey, plan or 2ND ADDITION, according tonAthepn,,,"ii report was prepared by me or under my direct supervision and that I am a duly recorded plat thereof,-:Dakota-.a°, Registered Land Surveyor under the laws of County, Minnesota. th State of Minnesota. _ 6?iz1gL Date: ` Wayne 0. Cordes, Minn. Reg. No. 14675 s t? to Z C s 8Y7s.3 \ i? \opso MINNESOTA TA C__? O THr_ULATION3 ?I_2 ?yJ BASED ON ON CHAPTER 5 OF OF THE HWEL ENERGY CODE X1983 EDITIDH Adoption Effective Owner 1 ?. Phone Date Site Addre-sus( ?Loo?' `)1 i? 2 cr C AK ?? « -2•?a /y pn riv Contractor 1 t tF / Ill 1?/??e? ??, ??`?one: Building Classifications Type Al (Single Family 6 Duplex) Type A2 (Residential, 3 stories or less) (over 3 stories) (other) NOTES Complete pagda' 3 and 4 first, GENER_AS. INFO M&UM 1. Building Perimete 2. Wall height (ground to save) 3. 1. X 2. (above) gross wall area s 1 s .ft. 4. Building dimensions (L)am .g (W) 10 sq.ft.roof s: floor area 5. Sq. foot area of rim joist - Fsl 7 jc s siie (2 X Q _ X (Perimeter) a ?/'Sq.ft. 6. Doors - Area-7710 12 Thickness in U. factor l` r Type of construction Perimeter Manufacturer 7, Total door's perbfieter ft. 8. Win( U f TYPE SIZE AREA (Sq.Ft.) !?-? (( EACH approved NUMBER OF TOTAL UNITS SQ FEET 9. Total sq.ft. Glass o,!?? ' 10. Fireplace areas Width X Height X = ? /s?q.ft. 11. Exposed foundations Height X Perimeter?X?= Q 1wq.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- •- ••=••y -u = ius of gross wall area. 13. Gross wall area rft.- 1 sq.ft. "Wlndbw area A _ U windows = 1?? UxA Rim joist area boor area A.-j ( i ' ?Isq.ft. U rim joist= UxA = w ft. U door area UxA - Other doors area A--A IV k. f t. Exposed fndn A 104,0 sq.ft. Framing area A 1 .ft. Net wall area A ' sq.ft. el- U other doors- % UxA U foundation= _I •-t UxA U framing ate UxA U wall= 1 UxA (138) TOTAL . . . . . . . UxA 14. Grose wall area x 0.11 1A-1 single family 6 duplex) = allows (13. above) ble U A x ode x 0.23 (A-2 other residential) x .23 (other buildings) X .28 (Over 3 stories) A? U Cod 1 1 ° 2?TUN must. be larger than or same e oF. as 138 above 15. Calling framing area (Af) equals 101 of ceiling area 15A. Gross ceiling area = (L) j x w ( _)?_ ? sq.ft. 158- Joist area (At) = 101 ceiling area = l '741/.c?-sq.ft. 15C. Net ceiling area (Ao) (15A - 158) V ad.ft. U ceiling x AC l(/x 1??(j?"V = 1 U framing x A f 15D. TOTAL U x A ............................'.?I1 C? ^ 16. Ceiling area (15A) x 0.026 (A-1 single Tamil 6y duplex) =.allowable UxA/Code x 0.033 (A-2 other residential) x 0.06 (other) I} ,.?? /„ ?7BTUII must be larger than or same A(15A ` x U Code = Atop. as 15D above NOTE: Use U and A values obtained from pages It 3 and 4. VERTIFIMAT10111 I hereby certify that I have calculated the "U" factors and "R" values herein and that the building tiara described meets or exceeds the state of Hinnesota Energy Conservation Act. Date Signature. -2- _Y VALUE U VALUE WALL ' SECTION STUD SECTION 2ND uALZ SECTION. RIM JOIST. Inside air film .68 Interior wall (Nall) U • Insulation 11.0 , 0 3 Sheathing 2.0(p Siding ,(p1 Outside air film .17 R TOTAL Z3 •? 3 Inside. air film .68 Interior wall .4 0 stud ((p") R= ,(f?ji 64.?5(Framtng) U . R Sheathing Z,O6p Siding (P-7 Outside air film .17 r^ R TOTAL a. S Interior wall sulation (Hall ) U + R 1xtertor will covering's 1 Exterior air ftlm' R +.17 lnterior'sir film Ra .68 Insulation 101.0 1 1i1 inch soft wood R=1.88 (Rim U ' If s Joist) Sheathing Z ??? `mot l Exterior wall covering i01 1 Exterior air film R= .17 R TOTAL z.4 • 4(O Interior air film R= .68 Insulation 5.0 Foundation I? Zgj 1 (Fdn.) U Exterior air film R2 .17 R TOTAL . 3 ^3 'Exposed Block r ad e 3. -1 SG WITH VSNTEn ATTIC SPA ?' ABnVB R VALUE FRANING ' R VALUE CEILING 0.61 AirFilm o.61 ??• O -Insulation 44-v -4.38 Joist 0.56 ceiling _ 0.56 -s0?.61 AirFilm o?1. a2? 12' I Tota1R_ 45 . ITS IV U = l/R . y2-Z.. window infiltration 0.5 cfm/lineal foot of crack Residential door infiltration 0.5 cfm/square foot or door and minimum code requirement Non-residential door infiltration 11.0 cfm/lineal foot of crack Ub 12" concrete block no insulation .47 R 2.1 Ub 12".concrete block insulated cores a .26 R 3.8 Ub 12" lightweight block a .32 R 3.1 Ub 12" lightweight block insulated cores s .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 berriat (0.10 perm max.). Vapor barrier must be omthe inside (heated side) of wall. Vapor barriers of the polyethelene thin film have no R value. L? L.LQBL CITY OF EAGAN SUBD . __Lllwt Clt f L, L ?"? P(612) N681675 RESIDEWTAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST X NO. ADD ON REPAIR OWNER NAME: SITE ADDRES S 1 : A_Q INSTALLER: GENZ-RYAN PLUMBING J ADDRESS: 14745 South Robert Trail CITY: Rosemount zip: 55068 PHONE: 423-1144 USE ONLY ALSO, FOR TOWNHOMES AND CONDOS COMPLETE THE FOLLOWING: FIXTURES EA. TOTAL REPAIR /ADD ON 15.00 SHOWER 3.00 WATER,ICLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 KITCHEN SINK 3.00 3c? IAUNDRY TRAY 3.00 -5 °G HOT TUB/SPA 3.00 WATER HEATER 3.00 ?1 FLOOR ;DRAIN 3.00 sL_ GAS PIPING OUT. (MINIMUM - 1) 3.00 .3 ROUGH ;`OPENINGS 1.50 /n, CO OTHER ,j _ WATER ;SOFTENER 5.00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 W. TURNAROUND 15.00 STATEISURCHARGE .50 TOTAL:, S Sd. 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 OWNER NAME: SITE ADDRESS: TENANT NAME: SUITE J: _ INSTALLER: ADDRESS: CITY: PHONE $: FOR: CONTRACT PRICE: 1 1% OF CONTRACT FEET STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE;1 CONTRACT PRICE x 1% $ STATE SURCHARGE $ ZIP: TOTAL: $ (SIGNATURE) CITY OF EAGAN L ?? B CITY OF EAGAN 2 ? MECHANICAL PERMIT SUED. (612) 6814675 RESIDENT L RECEIPT # DATE PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. OWNER: FEES SITE ADDRESS: d 23, ADD ON/REMODEL (EXISTING CONSTRUCTION ONLY) $ 15.00 INSTALLER: GENZ-R HEATING HVAC: 0-100 M BTU cii? PHONE #: 423-1144 ADDITIONAL 5o M BTU 100 ADDRESS: 14745 South Robert Trail GAS OUTLETS - MINIMUM 1 @ $3 EA. j `y CITY. Rosemount ZIP: 55068 SURCHARGE $ .50 SIGNATURE: TOTAL $ 3 1= COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCLUJINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: CONTRACT PRICE FEES 1% OF CONTRACT FEE. STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE. $ PROCESSED PIPING - $25.00 „ '=INIMU!63 FEE - 0^.5.0 øú þ ý þýý üûúîû ú ùýýíýþ ûôì ÿ þý÷ üûúùø ñôûùø ÷ôùø ÷öõôó öõò ø û ñ ûñ ððìûø ù ï üîû ô í øôë ô îûô ô ú ô êé ôööø ý éôéô ý ø êñ éôé ø é ô ê ñ ôú è ô ô ô îûô úù ö é ù ê í æääêäêðä öù üûô ô æê ê ç û ýê õô ÷óò øø ò ö ô êâ øüô ô ñûùò ñ÷ ò ô ò ë þ ãó ÝßÜßðð ô úù ö ë ô øø éô ôô ô øùö øø ú ü éã ü û ñùéþ ìô ê øø õ ô ü ûô û ùü ûô PERMIT City of Eagan Permit Type:Building Permit Number:EA117734 Date Issued:10/22/2013 Permit Category:ePermit Site Address: 3390 Rolling Hills Dr Lot:17 Block: 2 Addition: Bur Oak Hills 2nd PID:10-15501-02-170 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 - H. Joseph Stirmlinger 3390 Rolling Hills Dr Eagan MN 55121 (651) 587-0904 Action Roofing & Siding Llc 1315 Southview Boulevard S St Paul MN 55075 (651) 457-2642 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA161420 Date Issued:05/26/2020 Permit Category:ePermit Site Address: 3390 Rolling Hills Dr Lot:17 Block: 2 Addition: Bur Oak Hills 2nd PID:10-15501-02-170 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Nathanial Dahl 3390 Rolling Hills Dr Eagan MN 55121 (612) 240-7522 The Fireplace Guys Llc 680 Hale Ave N #110 Oakdale MN 55128 (612) 326-1919 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA164988 Date Issued:10/13/2020 Permit Category:ePermit Site Address: 3390 Rolling Hills Dr Lot:17 Block: 2 Addition: Bur Oak Hills 2nd PID:10-15501-02-170 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight 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 - Nathanael & Lisa Dahl 3390 Rolling Hills Dr Eagan MN 55121 Roofs R Us 941 W 80th St Bloomington MN 55420 (612) 282-8092 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA173465 Date Issued:11/15/2021 Permit Category:ePermit Site Address: 3390 Rolling Hills Dr Lot:17 Block: 2 Addition: Bur Oak Hills 2nd PID:10-15501-02-170 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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 - Nathanael & Lisa Dahl 3390 Rolling Hills Dr Eagan MN 55121 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA173466 Date Issued:11/15/2021 Permit Category:ePermit Site Address: 3390 Rolling Hills Dr Lot:17 Block: 2 Addition: Bur Oak Hills 2nd PID:10-15501-02-170 Use: Description: Sub Type:Residential 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 - Nathanael & Lisa Dahl 3390 Rolling Hills Dr Eagan MN 55121 Applicant/Permitee: Signature Issued By: Signature