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3409 Rolling Hills Dr r+? REACTIVATE FOR DECK 7/4/93 JAMES MILLER 686-6461 ` 'ficate of cccnPanc4 CM4 of Wagan Tgsrhuad of 13nffb* 3v#pft*o% This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various oyffinances of the City regulating building construction or use. For the following: SF 3C 20867 Use ClaWfwatm- Bldg. Permit No. WHI RI OCCUP-Y TYPE ti g District SPWT IR MERM 3312 1 $? f f POST IN A CONSPICUOUS PLACE INSPECTION RECORD CITY OF EAGAN REACTIVATE FOR DECK 7/9/93 PERMITTYPE: 3830 Pilot Knob Road JAMES MILLER 686-6461 Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: i_i 1111.t'. UR Itlip (+AV III i I .'NIt 1 *a;1<) 4,,,-'. 1 1 f'+ PERMIT SUBTYPE: TYPE OF WORK: CIS w 4j IoMfl 0;' 1 1 0/! a I INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR, Vt MAPI(', : if?IJ fAIN 1 kAf i I)}v wrav Permit No. Permit Holder bete Telephone # S/W PLUMBING ?/7 •7`J`? 15I ."T HVAC 8 93 j ELECTRIC ELECTRIC Inspection We Insp. Comments Footings 1 Foundation S-)3-5:3 fl S Framing w'J Roofing Rough Plbg. Rough Htg. a` ?Q G Isul. p Fireplace Final Htg. Orsat Test Final Plbg. d Plbg. Inspector - Notity Plumber Const. Meter EngrJPlan Bldg. Final Z ?v Deck Fig. iJr,J? AV Deck Final (d 9-3 Well Pr. Disp. q ?2 7j law Address 3409 ROI r DC HU T S DELL Zip 5512 1 Lot, ' ' 3 Blk 4 Sub KJR OAK HnLS 2ND THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Dat : Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) vl? Permanent driveway Permanent gas l/ Sod/Seeded grass Trail/curb damage Porch Basement finish ? Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681.4645 before working in right-of-way or installing underground sprinkler system. Act White - City Copy Yellow - Resident Copy Pink - Contractor Copy a 8 0 s ' 0`?S jit Request Date . ire No. Inspection Rough 5/17/93 h r:C Required? ? Ready Now )0 011 Notify Inspector X Yes ? No When Ready? I %licensed contractor ? owner hereby request inspection of above electrical work at: Job Address Israel. Box or Routo No.) City 3409 Rolling Hills Drive Eagan Section No. Township Name or No. Range No. County I Dakota Occupant (PRINT) Phone No. WEnsmann Properties 469-5992 Power Supplier Address NSP 3000 Maxwell, New Port, MN Eletlrical Contractor (Company Name, Contractors License No. Joos Electric Co. AM01895 Mailing Address (Contractor or Owner Making Installation, 2104 Great Oaks Drive, Burnsville, MN 55337 Authorized Signature IComminoreOwner Making I acid Phone ' 4 755 MINNESOTA STATE BOARD OF ELECTRICITY/ THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 G BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS Phone(612)8a2-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION X, See instructions for completing this form on hack of yellow copy. 0 6 0 4 8 X" Below Work Covered by This Request 6TM Ea-00001.08 New Ada Rep: '-- Type of Building Appliances Wired Equipment Wired X Home X Range Temporary Service Duplex Water Heater Electric Heating Apt. Builtling Dryer Other, Specify) Comm./Industrial Furnace Farm Air Conditioner Other (speclfyl Contractor's Remarks, Compute Inspection Fee Below. # Other Fee is Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps o to 100 Amps Transformers Above 200 _ Amps Above t00 Amps Signs Inspectors Use.Only. TOTA Irrigation Booms (oJ 65.50 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO I, the Electrical Inspector, hereby tif th t th i b i h Rough,in Date cer a e a y ove nspect on as been made. Fnal oat _ e-li OFFICE USE ONLY This request void 18 months from 00 5\c 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. ff. of lot, sq, ft. of house: and all roofed areas (20%maxlmum lot coverage allowed) 2 copies of plan showing beam 8 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 SITE ADDRES! TYPE OF WOF APPLICANT ` STREET ADDRI TELEPHONE # ULTI-FAMILY BLDG Y FIREPLACE(S) _ 0 _ 1 _ 2 PROPERTY OWNER l?rd l 116 ? s ! fl ,I TELEPHONE # VIJ HibW COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY I _ 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 Hcat Recovery System Phone # Phone # 890.00 Fee: 570.00 I hereby acknowledge that I have read this application, state that the information is correct, a agree to comply with all applicable State of Minnesota Statutes and City of Eago inances 1 ?y Signature of Applicant __-----_________---------- _----- ________________----------------- ____..___W-___..._°_..__-_--__- OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required Updated 4f02 Water Softener Water Heater No. of Baths- Lawn ? No. of RemodeUReoair Reauirsmard • 2 copies of plan 1 set at Energy Calculations for heated additions 1 site survey for exterior additions & decks Indicate if home served by septic system for additions VALUATION 7?200 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. Alt - 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-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. _ Au 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 CITY'OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: s-7y S' BUILD/TNGG 020867 05/10/93 SITE ADDRESS: 3409 ROLLING HILLS DR LOT: 3 BLOCK: 4 BUR OAK HILLS 2ND P.T.N.: 10-15501-030-04 DESCRIPTION: Build n§-_Permit Type SF DWG ;Building Work Type NEW %UBC Occupancy., R-3 M-1 Construction Type VIN Zoning R-1 Building 'Length 50 Building Width 48 `d v?J (. .. '. ?i???_: `J is 1_c., Y'?1 ,r ?`?`_"i1i1 I'? REMARKS S&W CONTRACTOR - FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal VALUATION $779.50 $506.68 $70.00 $750.00 100 1 $2,106.18 $1,744.50 $3,850.68 PRV $140,000 MISC FEES Total Fee CONTRACTOR: - WENSMANN PROPERTIES 14340 PILOT KNOB APPLE VALLEY MN (612) 423-1179 Applicant - ST. LIC. OWNER: 14231179 0001456 WENZMANN PROPERTIES RD 3312 151ST ST W 55124 ROSEMOUNT MN 55068 (612)423-1179 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. APPLICANT/ RMITEE SIGNATURE ISSUE Y: SIGNATURW J !ACTIVATE - RECEIVED CITY OF EAGAN PERMIT # 1 93 BUILDING PERMIT APPLICATION MAY 04 1993 681-4675 5)? S 6, --------------- & MULTI-FAMILY SINGLE 2 sets of plans, 3 registered site surveys, I copy of energy talcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, I copy of energy talcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. fn which request is made, 2) address is changed or 3) lot change is requested once permit is issued. aluationof work Date MAI- V + Site Address: ?y(?i /lb /[( 4 0rf -'? STREET SUITE At Tenant Name: (commercial only) LOT .3 I BLOCK SUBD I Zzot. P.Z.D. # ; r k Description of work: S 160 The applicant is: 2Q Owner 'Contractor ? Other (Describe) Name Phone Property LAST FIRST Owner Address STREET STE # City State Zip Company /aJC t15. 1'1W4, o 4.14 > f5 • Phone Contractor Address 7 1S 0'!i rJ License # /(642 Exp. city dJS2aYac? ?, State Moo Zip ' 6(666 Company •- AW-VV-tA-JJ Phone ?/Z 3-Ji7f Architect/ # R i i & Engineer eg strat on Name PP&AIilIr S Address l L )S/ ja 14J iG C Z CCity 0W2,"'j State /",k) ZiD57 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 ' ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ®"02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add11. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ')Rr31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System YES_ (Allowable) v u 1st F1. sq. ft. City Water ye-S ? UBC occupancy ( 2nd F1. sq. ft. PRY Required Zoning IT- T Sq. Ft. total Booster Pum Fi S ink p ler d of Stories Footprint Sq. ft. re pr Length p On-site well ., w Census Code X = Depth On-site sewage 5AC Code ? APPROVALS s _?- Planning Building Assessments Engineering Variance REQUIRED INSPECTI ONS ? Site ? Footing ? Framing ? Insulation ? Wallboard ? Final ? Draintile ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % 100 SAC Units I VaLmtim: $ I L{O 000 26k22? ??2X ?6 = 9/ S? CIA 'e" ISr? z a6)< yy n? IC>T 7- 6,% 26 3- lgX/5Y2 91'7 tr'z x1 a = Its' 3%iK la= (?) (ttJ) CIS) _ ? oK?,;- ?b2? ti I j?):TEF:IOF'. £%TFLOPE kt'i -Lill 4O:7 Ul AT 101, I SITE 1-77 - -i I CONTRACTOR i ADDRESS PHONE ' DETERMINE WORKIVG SQUARE FOOTAGE OF EACH. 1. Total exposed wall area .., ?71(? sq.,ft. x -•l? z? ,?l '2. i Total roof/ceiling area . 7 "Sq. ft. i x _ i. Total exposed wall area above floor 276; a. z=..:TotaD wallwwindow: area ' . / ?? _ - ._.. ................. ....... 3r.;__Total- door. area .. - . r. ° ..... .................... _........... _ ?._a ot'a1'.sl??ing:gl'ass door: area ..........._.__....... fz _. .-.:"Total jireplac'e: wall. area .................... ......... c / e. ?rntTotal wa:ll:jraMin& area •-(ayerage' 102) ...... E _ :f::,'.Total -nEt. wall- a7tea ,above•,floor ............... :. / g. Total rim joist area ............. ..........r.. Total e:tposed foundation area /?k? h. Total foundation window area .................. i._S,Total net..foundation. area- above grade ........'. .. _ /40 We're DeterdYne.?,U'F?va?u?mf, ear-'d waj2-_s-egmeiit. a. Ifull i b. .Cj X flu.. C. IG0 A Itull z.07 44, f. ? 8 uUi' I ?2., i6 X Hull i 3 . ....................... ... .....Total z. 3 I If item 03 is the same as, or less than item 11 , you have met the intent i of SEC 6006 (c)2. i t ?i f k. ELEV . 8 1 C) , 40 t NV?-T a?= SAr.I, M?4.1? ? eLUL, + f5V942 caA.14- 4}ll L?j 4 • 4 ? 833. yf D Ii a FED) 6CD QC??HEU -? v y 00 v i tK? V ? ® / =9, NA Ms's ? / $'?,. y O ? 0 P '?j Q Q •\ Q ? 83y,Qz N ? PP 111 J I- J. JU 6PesE r,+\Er ..l ? ? ?- . 8 ZS'. 9 F a 819.1 ? f drys SGT q? \ Q ? ?? 5 e ? 9s \ S cs ?o \ - 82 J_ SI a" % `w \i y ?Jb 77 °\ hc.F'I.L t" =3c' A1..t. W"KlWh A64,JN&ED e C??Ats7i"E?i IRanl Mo?.?uMEflT Ex $1 9. S 1 D IAA" 1) (GIN'tIRING DEPT trcT 6 , &L39-C. ot? F \ l-t.S 2 ?•.?D J>Obli?oeJ? MA t-4 t A 5 ?Jo TA I hereby certify that this survey was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. I, R y Bohlen Registered Land Surveyor No. 10795 W' • LOT SURVEY CHECKLIST FOR RESIDENTIAL ° w J w W BUILDING PERMIT APPLICATIO m 4 W J ¢ ZZY/ PROPERTY LEGAL: aky? .0 4 a a E IL w W N D ate of Survey: a Z DOCUMENT STANDARDS / C? ? ? Registered Land Surveyor signature and company ? ? Building Permit Applicant ?? 0 Legal description ? [? 0 Address 0 ? North arrow and bar scale 0 ? House type (rambler, walkout, split w/o, split lookout, etc.) C7? ? ? Directional drainage arrows with slope/gradient ?. p [? ? Proposed/existing sewer and water services S' ? C?0 ? 0 Street name Driveway ELEVATIONS Existing ? 0? ? Sewer service [? ? ? Lot corners ? ? ? Top of curb at the driveway ? ? ? Elevations of any existing adjacent homes Proposed 0 ? Garage floor 21? ? ? First floor 00 010 ? Lowest exposed elevation (walkout/window) V ? ? Property corners 0? ? ? Front and rear of home at the foundation PONDING AREAS (if applicable) ? 8 / ? Easement line - ? L7 ? NWL ? ? HWL ? 5- ? Pond # designation ? 9/ ? Emergency Overflow Elevation entry, W,0 ? Lot lines GY ? ? Right-of-way and street width (to back of curb) ?? ? Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) ? ? Show all easements of record and any City utilities within those easements ? ? Setbacks of '?d s cture and setback of adjacent existing es ? 9,,- Retain' i ments, if any r Reviewed: ?/q5// q / J October 1992 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWN-HOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE HVA,AE- 0-100 M BTU ADDITIONAL 50 M BTU WAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (EXISTING CONSTRUCTION) STATE SURCHARGE TOTAL SITE OWNER FEES $ 24.00 -6.w "o $ 15.00 .50 ZL_/ INSTALLER: GE:NZ-RYAN PLUMBING & HEATING CO. ADDRESS: 14745 South Robert Trail CITY Rosemount STATE: MN ZIP CODE: 55068 TELEPHONE 612) 423-1144 G ATU OF PERMITTEE MECHANICAL PERMIT (RESIDENTIAL) CIW OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. _- Z Z SITE SHOWER WATER CLOSET BATH TUB LAVATORY KITCHEN SINK LAUNDRY TRAY HOT TUB/SPA WATER HEATER FLOOR DRAIN GAS PIPING OUTLET • minimum - ROUGH OPENINGS WATER SOFTENER PRIVATE DISP. • DaLcty. iic. U.G. SPRINKLER • home under cont. ALTERATIONS • to costing WATER TURN AROUND STATESURCHARGE TOTAL: EACH TOTAL 3.00 'y' 00 3.00 p 3.00 ° a 3.00 9 . dd 3.00 13 3.00 .3 = DD 3.00 3.00 3.00 3.00 Y-f 00 1.50 D 5.00 15.00 3.00 15.00 15.00 .50 '? va 41 00 Uv OWNER NAME: ??.9?0 ®irti?aJ ??ii• o 6? >((9wKw__o SIGNATURE OF PERMITTEE 1993 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 CTI'Y: STATE: /l ZIP CODE: 5-5 PHONE #-. 1993 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 681-4675 PLEASE COMPLETE FOR ALL COIVIMERCIALJINDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY B= 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: $.50 FOR EACH $1,000 OF 1!k?113T1 FEE. MINIMUM FEE $ 25.00 CONTRACT PRICE X 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: TE # OWNER NAME: INSTALLER: ADDRESS: CITY. PHONE #: $ STATE: ZIP CODE: FOR: CITY OF EAGAN APPLICANT REACTIVATE . nr PERMIT # CITY OF EAGAN 1993 BUILDING PERMIT APPLICATION 681-4675 SINGLE LTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy talcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, 1 copy of energy talcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work Site Address: STREET SUITE # Tenant Name: (commercial only) LOT s BLOCK 0 3UBD.9f4R 6Ak "I"S P.I.D. N ZaD gbab >wo^! Description of work: Z>e.C-1L The applicant is: Owner ? Contractor ? Other (Describe) Name M"(( ?f c.N." c _ Phone fnglo °(9'- G Property LAST FIRST Owner ?ls ? ` ?y ? c ,Y+= Address ® ? STREET STE # ???? City 1= State rn? Zip =1 L0 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. O Signature of Applicant. Nl? OFFICE USE ONLY BUILDING PERMIT TYPE ? OI Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Addl. WORK TYPE 9 31 New ? 32 Addition ? 33 Alterations ? 34 Repair ? 11 Apt./Lodging ?'16,"ent Finish ? 12 Multi. Misc. . nw_. 0' 17_.Sw o Pool ? 13 Garage/Ac6essory ? 18 Comm./Ind. ? 14 Fireplace ? 19 Comm./Ind. Misc. 1Y15 Deck ? 20 Public Facility ? 21 Miscellaneous ? 35 Tenant Finish ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning d of Stories Length 15 9 j Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? Site ? Wallboard Basement sq. ft. 1st F1. sq. ft. 2nd Fl. sq. ft: Sq. Ft.' total Footprint Sq. ft. On-site well On-site sewage Building Variance Footing Final ? Framing ? Draintile Y?_ 0 ? Insulation ? Fireplace Permit Fee JIl (G 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: ? 37 Demolish MWCC System City Water PRY Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments SAC % SAC Units 16 P),1,C. ELEV . F ;)l cDA.y 1 WNe-ri- ot? SA", n?,lS t rs V--A2-?n N -r cat t--o i 6LAL , + f?UR2 CDA.t< rr? s s N ` <V / gZ3 y "o 's. 5 \ \ hti. -? moo' }b mT? ? / wK, \ •r' , F t k 11;3"1 Q2 v y>0 P! F.V. -? e b?tJffCE-? IR©ti! Mor-1?MEfilT / rOQ D (Ci y ? Ago. ?? Cx S19,? F' . 31 9.dr XAGAN I WGINII/ARIN' (3 DEPT ??{--RIPTiaU ?,uR.tx.. s?P.IL, 4•llL.trS b??o-r Q. amour-t-?-r, VAt t t tJ?ha 1-p I hereby certify that this survey was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State /of' Minnesota. Date i_/y- {f3 ?tl?-lC f; -- i?_Roy Bohlen R+Sgisiered Land Surveyor Ho, 10795 pw? 6MC M?N-r E=tw. 8zs".9 1 ? F? ? 819.1 S A?11 d C3 ?,?P(t?t, 5-% 73W6, 2006 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. !ks : 6b 60 1 1 Lt e , tc 5 Street Address Site t K `l ?1 Unit # Property Owner l Vl1 1 1 \? ??? I ?Yr I Telephone # PIPEWORKS 670 DODD ROAD 3 Contractor EACI*14 MN 55123 ( Telephone # ) , Address (51) 365 1340 City State Zip The Applicant Is: _ Owner Contractor -Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 - Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. if you are installing oniv a water softener and/or water heater, do not complete this section; move to the next section and check_the_ appliance(s) you are installing. ? J n I C r I I? -Septic System Abandonment l J ! I I? N 2 2 200E Water Turnaround (add $130.00 if a 5/8" meter is required) j- I b -Other: i , i Water Softener _ Water Heater $ 15.00 tE- new _ replacement Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 o 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 per it, work is not to start withou a•peraLit and work will be in accordance with the approved plan in the event a plan is re fired be rev'ewe prove Applicant's Printed Name App' ant's Sign tuns l? s-dK ÷úï ÿþ ýüü ûúûúþ ùüüïîüý óôüðä ó ô ýüõ ýüûúù÷éìõüúù ÷úù÷éìãéìÞùï ùäü õüõôóôðüù òÿ ýñüø ïùîïïñüïûïí ëÿééùÿþëëïÿ ü ùíõëëùëí õûïêñüûéÿëïïí øçóæçí íô ôù ýüÿèüçóæçí í èüóþ í óò õñð ùù Þéâïå õüÞõ÷óô Þÿä Þîåãó ÿåã áàôôßßß ûéÿ îùùëïÿïùéùùûý ëåýüõë ÿðí ùùì üýÿü PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA123553 Date Issued:06/10/2014 Permit Category:ePermit Site Address: 3409 Rolling Hills Dr Lot:3 Block: 4 Addition: Bur Oak Hills 2nd PID:10-15501-04-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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. Dean Kamrath 13791 Jonquil Ln N Dayton, MN 55327 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Robert A Borrelli 3409 Rolling Hills Dr Eagan MN 55121 Adam's On Time Plumbing & Water Heaters Llc 13791 Jonquil Lane N Dayton MN 55327 (612) 205-6060 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA131148 Date Issued:06/04/2015 Permit Category:ePermit Site Address: 3409 Rolling Hills Dr Lot:3 Block: 4 Addition: Bur Oak Hills 2nd PID:10-15501-04-030 Use: Description: Sub Type:Residential Work Type:Alteration Description: 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Robert A Borrelli 3409 Rolling Hills Dr Eagan MN 55121 Spring Plumbing Llc 11473 Kenyon Ct Blaine MN 55449 (763) 614-7963 Applicant/Permitee: Signature Issued By: Signature , � Use BLUE or BLACK ink � ForOfficeUee�--------� I� . � ��l ��-- �� C�t� of �a�a� , Pe�,�t#: ,� � Permit Fee: �d � ' � � ��1!�� 3830 Pilot Knob Ro�d Eagan MN 55122 �.� � Date Received: ' �" I Phone:(651�675-5675 ��`�-� ��;�� #��' I I Fax:(651)6i5-5694 I Staff: I 3 r� � I I '` , ;- �ai;;;� �-----------------� 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: q l� Site Address: � � � Unit#: Name: (.`t —E � , 1Q ��Li� � Resident/ a Phone: l o�- � f� �.� QWngr Address/City/Zip: � �� ^ � Applicant is: Owner y Contractor "' T f W Description of work: ��t�t'rl iT�C.�'�, i1L�-G�` ype o ork Gonstruction Cr�: Multi-Family Buiiding: (Yes /Na�) Company: �l l ,�-d'�!"�� Contact:��Q'��t'A�1 ��L+� Contractor ,aadress: ��b �v�1�'��- l� c��: =-�a��.:.v��b� � ^ `� State:�Zip:�� Phone:�� 1��'��rr�ail: �Ct:S`x.Y� __ �Cfi�.^'�1e-tl��`�:�� ' •�L-� License#: �L�� Z� Zo Lead Certfficate#: R�� LC�-Z�7''J- I If the project is exempt from lead certificatton,please explain why: , I,��.� �,� 9 3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING in the last 12 moMhs, has the City oi Eagan issued a permit for a�Imllar pian based on a master pian? Yes No If yes, date and address af masterpla � Llcensed Plumber: Phone: Mechanical CoMractor: Phone: Sewer&Water Contractor: Phone: Flre Suppresslon Contra Phone: .��.� lVOTE:P/ans and sr�pporting documents that you submit ara consldered to be public Infarm�tle�t. Fartlons of the�nformation msy be classifled as nort public it you provide specffic re�sona lhat would Rermit the Cliy to conclude that the �re lrad�secrets. CALL BEFORE YOU DIG. Call Goptrer State One Call at(651)454-0002 for protection agair�st underground utility damage. Ca1146 hours before you intend to dig to receive locates of underground utilities. www.cLon,�rstateonecail.ora I hereby acknowledge that this information is compiete 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 permrt, and work is not to start without a permit; that the worlc wi�l be in accordance with the approved plan in the case of work which requires a review and approval of plans. ExteHor work authorized by a building permit issued in accordance with the Min S�te Building Code muat be completed withln 180 days of permit iasuance. X—�a�i ��;�L� Applicant's Printed Name Appli t's S nature , Page i of 3 , � . 2� / C�, // �,�1.� �2- �/�/� � . J`TQ / Dl 1i�1 DO NOT WRITE BELOW THIS LINE / SUB TYPES Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family) � Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding Demolish Building" Addition _ Move Building Reroof Demolish Interior � Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall "Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation f�� Occupancy 1� -/ MCES System "� Plan Review Code Edition �a`�, SAC Units -- (25%_100%� Zoning » � City Water Census Code �J�( Stories -- Booster Pump ,� #of Units / Square Feet '—' PRV #of Buildings ! Length Fire Suppression Required -�' Type of Construction _� Width �,.- REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) Final/No C.O. Required Foundation � HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool: _Footings Air/Gas Tests Final �,�G Framing Drain Tile � Fireplace:_Rough In Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control '' Other: Reviewed By: �, , Building Inspector RESIDENTIAL FEES Base Fee �� Surcharge Plan Review �7 __-- MCES SAC City SAC Utility Connection Charge SS�W Permit 8 Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA146300 Date Issued:10/18/2017 Permit Category:ePermit Site Address: 3409 Rolling Hills Dr Lot:3 Block: 4 Addition: Bur Oak Hills 2nd PID:10-15501-04-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Robert A Borrelli 3409 Rolling Hills Dr Eagan MN 55121 (612) 638-8713 St Paul Plumbing & Heating 640 Grand Ave St. Paul MN 55105 (651) 228-9200 Applicant/Permitee: Signature Issued By: Signature For Office Use • 0 ,, i r / ,., 7��30 .� a ,1 ,,0 E A .• Pernlillt: WLE ...._ i y . . >� t: = RSC ETA, 7. Permit Fee: O ,w ~�1 DEC 0 9 ZuN Date Received: ia- l -' 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 i TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspectionsPcityofeagan.com 1_ 2019 RESIDENTIAL PLUMBING PERM T APPLICATION Date: \ .-D -t1 SiteAddress: _ _ Lf... (r . . .v. A : s r I 1i • • Tenant: ,` Suite#: ' Name: �/u, • Phone: ResldentlOwnQrf fill' Address/City 1 Zip: . /mg • �Jw A 'V� * I _._ Name: MILBERT COMPANY dba CULLIGAN ER License#: WC641376 CGri_traCtor,.� Address: 1801 50TH STREET EAST City; INVER GROVE HEIGHTS • State: _MN Zip: 55077 Phone: 651-451-2241 Contact: BILL MILBERT Email: gloria.abas@culligan4water.com • • Type of'•VVOrk —New Replacement Repair _Rebuild Modify Space _Work in 12.O,W. Description of work: • • _ Water Healer Lawn Irrigation(_RPZ/_PVB) x Water Softener Descriptlom Add Plumbing Fixtures ( Main/_Lower Level) —_Septic System Description:• - _New Abandonment Connection to City Water from Well RESIDENTIAL FEES $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 New fixtures, adding or removing piping (includes State Surcharge) $60.00 Septic System Abandonment , $400.00 New Residential (fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Well* + $290 for Meter and $190 for Radio Read = $540 *Sewer&Water Permit also required for connection charges 60.00 TOTAL FEES CALL BEFORE YOU DIG. Call Gopher State Ono Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstaleonecall.ory You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's wobslto at www.cityofoagan.comisubscribe, I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Pagan: 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 acco ance will) (approved plan In the cl. o work which equires a review and approval of pia .•. Applicant's Printed Name Applicant's Signature Page 1 of2. i . i PERMIT City of Eagan Permit Type:Building Permit Number:EA164788 Date Issued:10/08/2020 Permit Category:ePermit Site Address: 3409 Rolling Hills Dr Lot:3 Block: 4 Addition: Bur Oak Hills 2nd PID:10-15501-04-030 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 - Yunfei Teng 3409 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:Building Permit Number:EA167078 Date Issued:02/22/2021 Permit Category:ePermit Site Address: 3409 Rolling Hills Dr Lot:3 Block: 4 Addition: Bur Oak Hills 2nd PID:10-15501-04-030 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or 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 - Yunfei Teng 3409 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