3398 Rolling Hills Dr
I
WJCMA33 FOR FUSPLAC"/2/43
RARIMI KWERSM507239
(tertif iratt of Orrupanry
(Citp of eagan
ar;rtmtt of %i bl" 3wertim
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the lime of issuance ddss,,rwwe mw in compliance with Me Avious
ordinances of the City regukang building consmwwn or use For the following.
we chums im SF UWGIGAR 04 Remit No. 160
- - - Type r VN
O°c?'p'°cy Type -- ---- - -- - Zw* DbWo R l
6/11/Q2
POST IN A CONSPICUOUS PLACE
INSPECTION RECORD I Control No.
CITY OF EAGAN EIgArTI AM FOR Y1M- U a-6/2/93 PERMIT TYPE: Olt I 1 01 N8
3830 Pilot Knob Road RAI?IDALL NIGaRM52-7234 Permit Number: 9001611
Eagan, Minnesota 55123 Date Issued:
44/43/92
(612) 681-4675
SITE ADDRESS: 1. 01: 1b p 1.0C K ! APPLICANT:
d".4gfl ROLLIX6 HILLS OR SEVERSON HOMES INC
BUR OAK H I L I S 2ND (612) N9A-4144
PEF.IMITr.§UBTYPE:
TYPE OF WORK: NEW
INSPECTION TYPE
51 ? f. .DATE INSPTR. INSPECTION TYPE
FOOTINI? DATE INSPTR
IRAN iNN INSTIL A T ION
AI I.BOARD FINAL
FIREPI. At-, t'
RFMARKSt RECEIPT
PRV
STAR PL96.
L
Permit No. Parrnlt Holder Dab ToMphone N
Sm
0? o j kit j
PLUMBING VZ- +J a
HVAC SO/AlA
_i .
A19
ELECTR1 ?(Ie raj. +g
ELECTRIC
Inspection Data Insp. Comments
Footings I ` & ,:?Z ' \C
Foundation
Framing
Roofing
Rough Plbg. r5 - ?
J
.4
Rough Htg.
Isul. ?jZ l ?? o/ ?- S' hP2
Fireplace 4
Final Htg.
Orsat Test
Rnal Plbg. Plbg. Inspector - Notify Plumber
Cont. Meter
EngrJF1Ian
Bldg. Final Z- f? a
Deck Fig.
Deck Final
well
Pr. Disp. /
ao"?.?
s
YZ--
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
h111, HAI 111 1
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
lot:
R01 I. [NG Hlt I
f S. 2f/1)
PERMIT SUBTYPE:
16 1 11?. ?, ; APPLICANT:
tfR
TYPE OF WORK:
till 1 1 It 1 His
i I l RA 1 1 r1N
F
I"( MARKS: SEI'ARAIf VI UMIiIN?i 6 FI I-1 IRI('AI PI R1417'. lei 1r111 1:f 1)
Permit No. Permit Holder Date Telephone e
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing JJ?4 -3
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
well
mom.
w r ?s All 77/t5l
n?r673 /Kvs
fir,
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
' t I'' 1-3" - Z r -' fd 1 3 ' .-, c? .
SITE ADDRESS: 11r t t M tt(.t APPLICANT:
I,lil I INil HII t', Irii i?tl''•? +?1?1 r! iii I ii H.
1.3111• ?rttP Fi I t t .:'F1tI { r. I .') !,'-rN '. I
PER!MITi SUBTYPE: TYPE OF WORK: 1,111 it
fitssst?sNC,
RG /:'is /9E;
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FI
[
1 A
e
--
DECK FINAL l
4-/
?1
o? (h
?J
-
I
Address: 3398 ROLLING HILLS DRIVE Lot 15 Blk 2 Sec /Sub &JR HILLS 2ND
These items were/were not complete at the time of the final inspection.
Date: 6/11/92 Yes No Tnqppr?nr, -(7
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.
PFCIRFO WFR
White - City copy Yellow - Resident copy Pink - Contractor copy
C'0 ic4(oa s
Request Date Fire No. Rough-in Inspection
Re uired4
? Ready Now Will Notify Inspedw
Yes G No When Reedy9
licensed contractor D owner hereby request inspection of above electrical work at:
Job Address (Street. Box or le No.) City
3 s rivc
ins il) ?4 ah
Section No. Township Name or No. Range No. Co
Occupant (PRINT) Phone No.
Paw., Supplier
1NSP Address
//
f
3
000 tdC
..
Electrical Contractor (Company Namel Contractor's License o.
G G>+F
Mailing dress( o Ir t acr Or Owner Making Installation)
g V,? N 3
lil
Aum d Sig tore ICOmracforvOwner ng Installation) Phone Number ??9
$ 7-d'rir
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room 5.113 BE ACCEPTED BY THE STATE BOARD
1621 University Ave., St. Paul, MN WN UNLESS PROPER INSPECTION FEE IS
Phone (612) 64241800 ENCLOSED.
E6-00001-0e
5Y,51 REQUEST FOR ELECTRICAL INSPECTION jr
W See instructions for completing this form on back of yellow copy.
"X" 8e/ow Work Covered by This Request ?•+ '
J15 4
New Add Rep. Type of Building ApploncesWiiad Equipment Wired
Home Range Temporary Service
Water Heater Electric Heating
g
Apt. Dryer Other (Specify)
V
ustrial Furnace
Air Conditioner
Contractor's Remarks: / c 3 p ci yam. a c
/- 514% lee c; - /.6%
Compute Inspection Fee Below: 4MG/EA
At Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps ve 100 Amps
Signs Inspectors use only, TOTAL
Irrigation Booms 6! U/? 49.s0
Special Inspection
L
Alarm/Communication DISCONNECTED IF NOT
THIS INSTALLATION MAY BE
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in r Date j
J o Z
certify that the above inspection has
been made. Final
USE ONLY
This request void 18 months from
U q ?--n
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 RemodebReoair Requirements Office Use Only
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and L roofed areas 2 copies of plan Cart of Survey Recd Y _ N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Press Plan Reod ` Y '_ M
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _ Y _ N
1 set of Energy Calculations Addition - Indicated on-site septic system On-site Septic System _ Y _ N,
3 copies of Tree Preservation Plan If lot platted after711193
Rim Joist Detail options selection sheet (buildings with 3 or less units)
Date .)V / / Lis Construction Cost T, So?/
Site Address 3,5 92 Unit/Ste #
Description of Work Q,D Il LQ (Q (A n ?rI n, .?5 c yl i V l/?i [a/??m' /w?J
Multi-Family Bldg - Y _ N Fireplace(s) _ 0 - 1 - 2
Property Owner -1)0,n (,-fc` c 1.. Telephone # ((e I ct) q to g - 7(4:.='L
Renewal By Andersen
Contractor 1920 County Rd. ,C" West
Address Roseville, NIN 55113 city
State 651-264-4777
( )
Telephone #
License # 20130983
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category is Residential Ventilation Category 1 Worksheet is New Energy Code Worksheet
(J submission type) Submitted Submitted
Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
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 in the case of work which requires a review and
approval of plans. / -' LVU
pplicant's Printed Name A licant's Signature D i
IBV- I
vv. vea 4vvy iliV li. JV rm ?oJ a!1 i4aa ttL'WAL bl°&1VUt3t47,
Tune 7, 200]
City of F.am
3836 pilot Snob Road
Eagan, MN 55122
To Whom It May concern:
Elder Jones is authorized to ptff baiidingpm.mits forRenewal by Anders, ple.e.How
Elder ones to provide this se
date beyond 616101; ant rvice forns in HaM. 'thin atuhoxization Is valid for any
dati! a
to the City. P" newal by Andersen tanager expressly revokes it in wilting
I request this antliodmfion 8 ed- d0us1y. 0 to not deliy in the prvicesatug ?
our baildin any Picasc can me if there arc
contacted at 763-502-4706. =Y gndona.. I can be
Your immgdietc attention to titis matter is ,
ated.
OSinoeialy,
d R &Z*Pum
ation ger
Renewal by Andersen Comoration
C'r.: TCmw_Fltier 7anec -
? ?S' puD!!p?'
- ?OnEq}gyd? Ztty
,.1 §
WOU
Received Time Jun. 7. IAN
2$ 2? RESIDENTIAL
BUILDING PERMIT APPLICATION
MI CITY OF EAGAN
M 3830 PILOT KNOB RD, F.AGA
AGAN MN 55122
651-681-4675
New construction RNuirements
• 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 slaving beam & window saes; 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)
Z
DATE U? 02-
SITE ADC
TYPE OF
APPLICANT
STREETADDRESS 03 V/ A-LJi!'JC gce rzo
TELEPHONE CELL PHONE #
PROPERTY
/DO n
ALTI-FAMILY BLDG Y ?N
FIREPLACE(S) ?0 _ 1 _ 2
11,0015 STATE / ZIP -?55S/09
FAX OM-Y.ry " a13
TELEPHONE # 651 94y-7,SW
----------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor. _
Mechanical system includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
Fee: $90.00
g !I
Phone #
Phone #
----------------------------------------------------- ----------
I hereby acknowledge that I have read this application, state that the i
with all applicable State of Minnesota Statutes and City of Eagan in (
Signature of Appl a
---------.-__------- ----------- --------------- ---°-----------
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _
Water Softener
Water Heater
No. of Baths
Phone #
Lawn Sprinkler
No. of R.I. Baths
Remodel/Repair Reouirements
• 2 copies of plan
• 1 set of Energy Calculations for heated additions
• 1 site survey for exterior additions & decks
• Indicate if home served by septic system for additions
2 ?.a5s
VALUATION 60006'a
9
Not Required _
-----•--------
ee to comply
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
O 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 - lee & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final
- Framing _ Siding _ Stucco _ Stone
Fireplace - R.I. -Air Test - Final _ Windows (new/replacement)
Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Building Inspector
Total
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
DESCRIPTION:
Control No. 0166
PERMIT TYPE: BUILDING
Permit Number: 000160
Date Issued: 04/03/92
3398 ROLLING HILLS DR
LOT: 15 BLOCK: 2
BUR OAK HILLS 2ND
Building Permit Type
Building Work Type
.UBC Occupancy
Construction Type
Zoning
Building Length
Building Width
t•
1
REMARKS:
RECEIPT # C 0 ( 311 D
STAR PLBG.
56
50
L
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
PRV
VALUATION
$643.00
$417.95
$50.50
$700.00
100
1
$1,811.45
SF DWG
NEW
R-3 M-1
VN
R=1
$101,000
MISC FEES $1,610.50
Total Fee $3,421.95
COI T ?g?I Applicant - ST. L
'HOMES INC 18904744 0001 0 WMiSON HOMES INC
2500 W COUNTY RD 42 2500 W CTY RD 42 165
BURNSVILLE MN 55337 BURNSVILLE MN 55337
(612) 890-4744 (612)890-4744
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 Ci of Eagan Ordinances.
L -
APP CANT/PERMI IGNATURE ISSU Y: SIGNATURE
CITY OF EAGAN
(! fi 1992 BUILDING PERMIT APPLICATION
U 681-4675
$3V4i.9'
1AR
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural pl ans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which request is made r lot chan a is requested once ermit is issued.
We YY1A(2 A / S Valuation of work 0(>0 00
, °
Site Locati
STREET STE S
t/?C
Tenant Name:
LOT BLOCK SUBD. ? U O Nli S P.I.D. #
2h0 p
Description of work:
The applicant is: ? Owner )$( Contractor ? Other (Describe)
Name SLV '? )lOME. s ? z---. Phone ?90 ' 9-) qq
Property LAST FIRST
Owner Address 25 M LJ, OOvQVj, 71 L??, SD I ILI
STREET STE A
City cJ1L> SJl' ' (? State hi Zip Z
Company ? ??Vt ?a IVWY1 ?,n1 Q_) Phone
Contractor Address License #Q1 3J(g
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber ?TlZt?, F?-l)f? ?))0 Fr 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 a applica tate of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
I
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Garage/Accessory ? 11 Res. Add./Porch
'K 02 Single Family ? 07 Fireplace ? 12 Comm./Ind. New
? 03 Two-family ? 08 Deck ? 13 Comm./Ind. Add
? 04 Multi-fam. T.H. ? 09 Basement Finish ? 14 Comm./Ind. Rem
? 05 Apt. Bldg. ? 10 Swim Pool ? 15 Public Fac.
WORK TYPE
Y
? 16 Agricultural
? 17 Building Move
? 18 Demolition
? 20 Miscellaneous
*90 New ? 93 Remodel ? 96 Move
? 91 Addition ? 94 Repair ? 97 Demolish
? 92 Alterations ? 95 Tenant Finish ? 99 Undefined
GENERAL INFORMATION
Occupancy R-3 M-1 Basement sq. ft. MWCC System YE S
Zoning (2-I 1st F1. sq. ft. City Water IF
IF
Const. (Actual) v_N• 2nd F1. sq. ft. PRV Required
(Allowable) V-N Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length ?- On-site well Census Code lot
Depth So On-site sewage SAC Code
APPROVALS
Pl anni ng Building ?l I ?z ?c Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site ? Footing ? Framing ? Insulation
? Wallboard ? Final ? Draintile ? Fireplace
MCC SAC Fees: Valuation: f I? O O
Permit Fee &LI 3. DO G-A a_AGE 3L Xz2 ? (24
e
SAC It Surcharge 56'so XIS= !0 Boo
&
Plan Review 19, 95 T( a('xza= 1Rb
10 0% ^-_
~100, 00
?i:->?uxcsc?
070x26= S-40
City SAC !DO. 00 6X Ll? 2y
SAC Units Water Conn. 6r15, 0o
t
W
t
M 1 ZxiS= 19 080
s
er
a
e
er 95,00 I
T FLOOR "
Road Unit 380,00 esrAT
y 17-72
Treatment Pl. 300,00 + X 7= 7
Read-Uaat Ac„n?a 3o, oo
d
t i K W = 4
. w}?rmo
kax O
30,00
Cap-t" s5w 6/4 so 128 XS3s 67499
Other Sa "EN PORCH,
------ • iox12- 172.0 x z5= 3000
3
Total: 100,859
SURVEYOR'S CERTIFICATE
839.7
SEVERSON-.
vIEWED
BENCH MARK
TOP OF PIPE
ELEV. -- 6 3927
HILLSIDE` DRIVEuN
\ M
125.04
/ 839.6
x ,
00-0) ; 840.0 O 71
3 10 1
h MI
I
,-r N In
z
O,
to
a
?J
Ja I
H
:?a O 841.2
r.
m
mF ?
?w
aN 843.1 x
0
fv
(349P1 11 2
649.0
1 10
7
u
1 842.9
1478
OYan a "' DVAD
125.00 N89°381
BENCH MARK
TOP OF HUB
ELEV. .846.44
^
LAM- 1 h
I
1
I
N
0
O
N
DEPT
838.4
WI
LL
0
?I
J
JI
Ol wa
83
o
841.7
w
? 2 ai
8 V
I
x
844
5 0 J
1
.
-
10 O
IF o I Cr
8433
842.9
842.9
n - 30.00
E
433) 30
10 1
NOTE: BUILDING -DIMENSIONS SHOWN ARE FOR HORIZONTAL NOTE
B VERTIC AL • LOCATION OF STRUCTURE ONLY. SEE
ARCHITECTUAL FLANS FOR BUILDING a FOUNDATION
DIMENSION
- DENOTES PROPOSED SURFACE DRAINAGE
0 DENOTES IRON MONUMENT SET
• DENOTES IRON MONUMENT FOUND
X000.0 DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
O DENOTES WOOD HUB SET
NO SPECIFIC SOILS INVESTGATION HAS BEEN COMPLETE
ON THIS LOT BY THE SURVEYOR. THE SUITABILITY OF
SOILS TO SUPPORT THE SPECIFIC HOUSE PROPOSED IS
NOT' THE RESPONSIBILITY OF THE SURVEYOR.
SCALE: 1 INCH - 30 FEET
PROPOSED GARAGE FLOOR - 045,1 FEET
PROPOSED LOWEST FLOOR - '955. 1 FEET
PROPOSED TOP OF BLOCK- 845, Q-FEET
WE HEREBY CERTIFY TO SEVERSON HOMES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 15, Block 2, BUR OAK HILLS 2ND ADDITION, according to the recorded plat
thereof, Dakota County, Minnesota,
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 2ND DAY OF APRIL '1992-
PROPOSED GRADES SHOWN WERE
TAKEN FROM THE GRADING,
DRAINAGE e: EROSION CONTROL
PLAN FOR BUR OAK HILLS 2ND
ADDITION PREPARED BY MERILA
a Assoc., INC. DATED 2-3-88.
IT - x
n
0
P N 0 (n
O
m
m I i i j
Z -4
o m0
;13 -z
G)
U)
O R. HILL, INC.
e A -?`-"'-
JOHN C. LARSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19828
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
2500 W. CTY. RD. 42 9 BURNSVILLE, MN. 55337 9 612-890-6044
S88052E839.4
)-35 -- -- 30.01 -,%-
i
641.2 8
2 6.33
0
1'w
/0a=,/
0 &S
a
(044,5)
T 14.78
'.XTERT.OR ENVELOPE AVERAGE "U" CCXPUTATIO\
Gv1nER F=?&- o? JmGS, J?? 1?=T 1 s f3?u?k 'Z3,4krz Dak N,,a g
SUE ADDRESS Itj ' ZN? A?a'iv,
CON*TRACTOR DAiE PHONE Q' LO
Determine working square footage of each.
1. Total exposed wall area ...... 2 sq. ft. x •'„ _ 5?,
2. Total roof/ceiling area ........ _lL5f_ sq. ft. x _'n")N = z
Total exposed wall area above floor = --?-I S Z
a. Total wall window area..... .. .. ... !1 z .tom]
b. Total door area .. ...... ........
;. Total sliding glass door aria ................... 32, a.4-
'70 ta7 fireplace wall area....... ... ....
- a. Total wall framing area {average lOro)...'......... _ ?7f3.o7
f. Total net wall area above floor ................. /6n97-,60'
g. Total rim joist area ........... ................ g,oo
Total, exposed foundation area --)9 ?Ip
h Total foundation w ndcw area..
i. Toal net foundation area above grade ............
Determine "U'value of each wall segment.
a. I Z. L'q X "U" LO
b. 37 ?7 X "U" o S 1, S°l
d. X "U" _
e. 1-7 d5 .07 X ..U.. DS ` coo
f. X „U„ a 3 =cQ
g. I S8 no X "U"
h. X 11UH
IIUII
X 10
--LL 141P
3. .......... :.......:..... .....:.Total /2S, Z
If item 13 is the same as, or less than item ;fl,-you have met the intent
0 f S3C 6005(c)2.
Total exposed roof/ceiling area = S
J. Total skylight area.
I.. Total roof/ceiling framing area (average 10.).. I-z S,q a -
1. Total net insulated roof/ceiling area...,....... /t.'44 ;, *
Determine "U" value for each roof/ceilinq seo„ent.
j.- x 'lull
k. I25,.11cv X "u" oS =
l •_11?o X ..U.. 023 Zfi
4 ..................................Total
if total of M 'is the same as, or less than r2, you have net the invent of
SBC 6006(c)l.
. Alternate
To utilize the total envelop
sun of items 0 and .`.4 shall
25 `0
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Building Envelope Design
e system method, the values
not be greater then the su
+ 2. 32.'73
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established by the
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I
-'?y-' CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
021797
08/25/93
SITE ADDRESS:
3398 ROLLING HILLS OR
LOT: 15 BLOCK: 2
8UR OAK HILLS 2ND
P.I.N.: 10-15501-150-02
DESCRIPTION: 1
Bju ldh Permit Type BASEMENT FINISH
Jf Ruilding?'Wgrk Type ALTERATION
f
i
F.
g
5i-
REMARKS:
CC?
SEPARATE PLUMBING & ELECTRICAL PERMITS REQUIRED
FEE SUMMARY:
Base Fee $35.00 COPY $.50
Surcharge $.50 Total Fee $36.00
Subtotal $35.50
CONTRACTOR: - Applicant - ST. LIC. OWNER:
LARSON CONST D A 14519293 0008706 NICKELSON RANDY
843 19TH AVE N 3398 ROLLING HILLS DR
S ST PAUL MN 55075 EAGAN MN
(612) 451-9293 (612)452-7239
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 nd City of Eagan Ordinances.
a /. - -11914 APPLICANT/PERMITEE SI ATURE ISSUED BYT SI?ATUR
DEACTIVATE (Va
PERMIT #
A t7 1?
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION
681-0675 4 J
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 #6 16 1993
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 f3_ Valuation of work
Site Address:_ 33grg X ?911jo1 15)ill5 dr.
S TREET SUITE N
Tenant Name: (commercial only)
LOT BIACK'?-: SUBD. ? -, P.I.D. k
Description of work: X71 i/)
The applicant i s : ? Owner M Contractor ? Other (Describe)
Name Phone ;-
Property LAST FIRST
Owner t'
33M' `C'0/1 &I
?i_I
/,'J;Ily
Address .
-
A
STREET STE •
City zow State d Zip
Company Phone yy/ ?V'
Contractor Address 07(13 1??J Af AV License # 664 )01 Exp. 3,ye±_,?'
City State 4I7 Zip Y-r0'2f-
Company Phone
ArchitecU
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 re d this application and state that the information is
correct and agree to comply with applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
I
OFFICE USE ONLY
BUILDING PERMIT TYPE
D 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 B-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
? 2 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
.916 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) 1st F1. sq. ft. City Water
UBC Occupancy 2nd Fl. sq. ft. - PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code 43y
Depth On-site sewage SAC Code
T-
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site ing Framing ? Insulation
? Wallboard Final i e ? Fireplace
Permit Fees, yd I valuation- $
Surcharge
Plan Review
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies ?v
Other
Total:
SAC %
SAC Units
REACTIVATE -L
PERMIT
(07z'-" D
RECEIVED
J U N 0 2 1993
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 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 4 J / Valuation of work /6BD.d0
/?
!/? ??°
3348 ?
o
na
Site Address:
STREET SUITE /
Tenant Name: (commercial only)
LOT BLOCK ? SUBD. W z P.I.D. N
Description of work: 6 re r_
The applicant is: ti?Owner ? Contractor ? Other (Describe)
"?L3 9
Name /vicAel:ra-, Aw_b rct_ Phone 43?2
Property LAST FIRST
Owner IWI
?3 98 6l/
s .
.as
Address
STREET STE t
City Sm *0?j State /1??•J Zip Sr?Z/
Company 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:
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. ? 10 Multi. Add'l. ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# 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
? 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: $
? 16 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
Assessments
SAC %
SAC Units
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-15501-150-02
DESCRIPTION:
PERMIT
PERMIT TYPE: jgT7bg5NG
Permit Number:
Date Issued: 0,6 / 2 0 / 9 6
3398 ROLLING HILLS DR
LOT. 15 BLOCK: 2
BUR OAK HILLS 2ND
Permit Type DECK
ork Type NEW
434 ALT. RESIDENTIAL
UZUI
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Lic. Search Fee
Subtotal
$45.00
$.50
5.00
$50.50
COPY $.50
Total Fee $51.00
C C ONS'G?W/NNFFNSON RANDY
F7RF2VE'Y C6N$"fRUCTI0N _ mHH1116985132 0@07141
2180 PRINCETON AVE 3398 ROLLING HILLS DR
ST PAUL MN 55105 EAGAN MN
(612) 698-5132 (612)452-7239
hrax ?ef3;t4sti t?re:,rsad :this aPpli?rm end st`? that the
a ? ?s r 4' 4a, 01 afire a comply, k1 a. ?pPli a6 e Stake c Mn-
APPLICANT/PER EE SI NATURE ISSUED BY. IGNATU E
CITY OF EAGAN S
3830 PILOT KNOB RD - 55122
b J 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) t16-1-
New t16-
New Construction Reouirements Remodel/Repair Recvirementa
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks)
? 1 energy calculations ? 1 energy calculations for heated additions
? 3 copies of tree preservation plan if lot platted after 7/1/93
required: _ Yes - No
DATE: elo - 4Z - 9?a CONSTRUCTION COST:
DESCRIPTION OF WORK: DCG e
STREET ADDRESS:
LOT IS BLOCK
SUBD./P.I.D.
PROPERTY Name: Phone #: ?/sz- ?zs9
OWNER FIRST
Street Address, 3 .3 9 X° /L?
City: g State: Zip:
CONTRACTOR Company: // Cor sv
l? 58 s/3z
Phone*
Street Address: E. / Sd ?ri vc ?1c s 474oin License #: Z/ L/
City: 'Sr Pa . / State:. Zip:
ARCHITECTI Company: Phone #:
ENGINEER
Name: Registration #'
Street Address,
City: State: Zip:
Sewer & water licensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
I hereby acknowledge that I have read this application and state that the infor ation is correct and agree to `comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
!JXa -?
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
Yes No
Tree Preservation Plan Received - Yes - No
-h? - MELT
JU ;i SH
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _ plex
WORK TYPE
t6 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
]a 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Variance
191
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S1W Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MCNVS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
% SAC
SAC Units
? _l I
EYOR'S CERTIFICATE SEVERSOkrVIEW
==It
839.7
/ 125.00
BENCH MARK
70P OF PIPE
ELEV. c839.27 By r
_ 3; - ?
HI L/ -7
? DetsN
LLSIDE DRIY? BNC RING DEPT
\ - 838.4
M
125.04 639.6 S88052'02"E839.4
y
^ 50.35 30.01 -11
I 840.0 o V\ I -
I 1
3 10 ZS-
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N I L0 uM? s
Z3s?oo,.l°
D p O 841.2 E
'a J o
QW J N
aN 843.1 x
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+C1.0 1% 2
849.0
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841.2
9
Z tj N N
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MCM
j I 0839.E
. ?_ /Y? 3ra'.6
10
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642.9
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.
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8433 ' 8429 842.9
1478 <
0.31
- 50.33 30.00
N89038'13"E
BENCH MARK I?a3'3? I
TOP OF HUB
E LEV. e 846.44
h
30
pR V0 REQU'R,F-NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL NOTE:
a VERTIC AL- LOCATION OF STRUCTURE ONLY. SEE
ARCHITECTUAL PLANS FOR BUILDING IN FOUNDATION
DIMENSIONS,
f- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET
• DENOTES IRON MONUMENT FOUND
X000.0 DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
? DENOTES WOOD HUB SET
NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED
ON THIS LOT BY THE SURVEYOR. THE SUITABILITY OF
SOILS TO SUPPORT THE SPECIFIC HOUSE PROPOSED,IS
NOT' THE RESPONSIBILITY OF THE SURVEYOR.
SCALE: 1 INCH - 30 FEET
PROPOSED GARAGE FLOOR - 045,1 FEET
PROPOSED LOWEST FLOOR - '950. 1 FEET
PROPOSED TOP OF BLOCK - 845. -FEET
WE HEREBY CERTIFY TO SEVERSON HOMES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot t5; Block 2, BUR OAK HILLS ?-ND ADDITION, according to the recorded plat
thereof, Dakota County, Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 2ND DAY OF APRIL 1992
PROPOSED GRADES SHOWN WERE SIG
TAKEN FROM THE GRADING,
DRAINAGE IN EROSION CONTROL
PLAN FOR BUR OAK HILLS 2ND
ADDITION PREPARED BY MERILA
a ASSOC., INC. DATED 2-3-88.
U)
m
-I 0
r N O < O N D
- p
r m - M x N > `r
z v -i D O m 7c
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(A CO
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R. HILL, INC.
JOHN C. LARSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19828
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
2500 W. CTY. RD. 42 • BURNSVILLE, MN. 55337 • 612-890-6044
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3398 Rolling Hills Dr
Lot: 15 Block: 2 Addition: Bur Oak Hills 2nd
PID:10- 15501- 150 -02
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 2,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $2K
Surcharge - Based on Valuation $2K
Total: $70.00
- Applicant -
Construction Type:
Occupancy:
Owner:
Daniel T Leach
3398 Rolling Hills Dr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to
final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required Bat tery operated types
are acceptable if the wall/ceiling finish (i.e. sheetroc k) has to be removed to install a smoke detector. Tim Schenk
Elder -Jon es Building Permit Service 1120 East 80th Street, Ste. #211 Bloomington, MN 55420 952- 345 -6040
$69.00 0801.4085
$1.00 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Issued By: Signature
Building
EA076261
12/23/2006
ePermit
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
7 !0116
Use BLUE or BLACK Ink
For Office Use
Permit*: /- //{ /
Permit Fee: to 0 ° h r
Date Received:
Staff:
2016 MECHANICAL PERMIT APPLICATION
0 Please submit two (2) sets of plans with all commercial applications.
Date: 10/4/2016 Site Address: 3398 Rolling Hills Drive
Tenant: Dave Knutzen Suite #:
Name: Dave Knutzen Phone: 763-287-0732
Address / City / zip: 3398 Rolling Hills Drive Eagan MN 55121
Name: K & S HEATING AIRCONDITIONING & PLUMBING INC License #: 43689
Address: 4205 HWY 14 W
State: MN zip: 55901
City: ROCHESTER
Phone: 507-361-2332
Contact: HEIDI BROWN Email: hbrown@ksheating.corn
New y Replacement Additional Alteration Demolition
Description of work: air conditioning replacement
NOTE ::Roof mountedandiground mounted mechanical equipmenf is.requiired to be screened ay Citjr.,
CodePlease t. OntettlilltMechanical Inspector far Information on permit ed screening methods
RESIDENTIAL
Furnace
Air Conditioner
_ Air Exchanger
Heat Pump
Other
COMMERCIAL
_ New Construction _ Interior Improvement
Install Piping _ Processed
Gas Exterior HVAC Unit
Under/Above ground Tank ( Install / _ Remove)
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge
=$60.00
TOTAL FEE
J
COMMERCIAL FEES
$60.00 Permit Fee Minimum
$70.00 Underground tank Installation/removal
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
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.
x BRIAN KEEHN
Applicant's Printed Name
Applicant's Signare
e
FOR OFFICE USE
Required inspections
Underground R.oug
ewe
as Service Tesii;flodeHeat
HVAC Screening
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163493
Date Issued:09/02/2020
Permit Category:ePermit
Site Address: 3398 Rolling Hills Dr
Lot:15 Block: 2 Addition: Bur Oak Hills 2nd
PID:10-15501-02-150
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 -
David E Knutzen
3398 Rolling Hills Dr
Eagan MN 55121
(651) 353-1945
Capital Construction Llc
416 Gateway Blvd
Burnsville MN 55337
(952) 222-4004
Applicant/Permitee: Signature Issued By: Signature