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3413 Rolling Hills Dr íü û þýýüûú ðú ÿ ùüüýýðÿð÷ýþ îÿä î þý ÿþýüû ù÷àúÿýüû ùýüûù÷à ø÷àêûõ ûÿ úÿúîî äÿûü Þ ôÿë õûæõóóõôÿõþõè å÷÷ûååõ ý ûèúååûåè úþõçôÿþü÷åõüóõè ëéâéííè í èî í öù ÿó Ýÿéâéè ð èð Ýÿ è õó òñ ûû ê÷ýóõòòÿ ð îê êæòøòø ñáïáî îããã óþü÷ó óæóûûóóåõõûü÷óûûþ åò ÿúüåäè ûûà õ ÿ ÿü ÿ 4 (Ur#if iro#e of (Orruvaury Citp of Cagan T 9eis Cerufuate issued pursuant to the requirements of Section 3006 of the Uniform Budding Code certifying that at the time of issuance this structure was in compliance with the envious ordinances of the City regulating building construction or use For the following: Use cumfodas SF MC Bldg. Hsmk Nab 630 O="_7 Type RM41 7.t Dueler R1 rya c. Vt omwd t 11MUSALD QQNST Add. 1212 31JEBRI11. BAY RDA Bftnl.F 3413 RAF UDE HZ S S nR VE T ? r R4 ? 1?1R ( f?f T I S 2m 8127/92 POST IN A CONSPICUOUS PLACE Control No. RECORD I Jv CITY OF EAGAN PERMIT TYPE: ?? 1t 1? 1 Na 3830 Pilot Knob Road Permit Number: Nf1163• Eagan, Minnesota 55123 Date Issued: 06102 X92 (612) 681-4675 SITE ADDRESS: LOT s a H 1. Of' n_ n APPLICANT: :1+433 POI LIk1) HILLS OR MCDOMALII COM4T INC SUP OAK H T I L S 2141D (612) 5P18-1061 PERMIT PUBTYPE: TYPE OF WORK: NI,W 1E&lL.TIOATE RE, DDS{ FMTMS OIT Y 8/11 /42-PLM B8VIE14M 8/11 /92 MMKD ORET.-688-7061 INSPECTION TYPE .DATE INSPTR. INSPECTION FRAN IH DATE I INSPTR. I f4r? UI. A l 10 H FINAL F114V V11 At I Rk=NARV"t RECElpt a PRV S64 PI-06- • STAR PtHh - Penult No. Permit Holder Date Telephone N S/W 42 PLUMBING jf 5 }7c? G /pp ??/ "?/Gl? HVAC ELECTRIC ELECTRIC Inspection Date Inap. Comments Footings I / ?P/l t A?. I Foundation Framing 7 ,:0,00 b L I Roofing 117 2 I Rough Pibg. -/ _ Z fy Gib Rough Htg. [Sul. -z/-gt U Fireplace 711 C ' Final Htg. 1-G/(qZ 0/1 Orsat Test Final Pibg. f Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final I/d, Deck Fig. A2 W Deck Final Well Pr. Disp. .OS-04.c+ Z;fWAf-J- lfr CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-189 (612) 681-4675 SITE ADDRESS: 1WIN LIAlk 1111 1 ?n4 PERMIT SUBTYPE: ,'A'•; 11: t! i 1 1 r.l I ',II INSPECTION RECORD PERMIT TYPE: Permit Number: 7 Date Issued: 10 -1r)601 -020 04 'r : 2 H1 OCK r N I I LS OR ?PPLICANT: Ill I Is[ 1- 41 t612) 46?-6694 TYPE OF WORK: Fiil I 1 11.1 Nr1 0.17011 0; /16/46 I AM[ '. At 11- RA I I (1N INSPECTION I fjl11NINFi DATE INSPTR. • TYPE 1./ it f f tU DATE INSPTR. V 1111+,11 1 11 I' l fill I I NA I REMARKSs A SEPARArf PERMI IF IS RFOt1IREr) FOR AMY P1111114rHi1 OR IFI Pl:1'Rr(,At WORM L? Permit No. P milt Holder Uate Telephone # ELECTRIC PLUMBING J/'a. HVAC 47 Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ,?G 1 ROOFING ROUGH PLUMBING ? - l A RETEST Gof , , l? / J ? ?C?""' ROUGH HEATING GAS SVC TEST ?- -` INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST t FINAL PLBG - v FINAL HTG 403 ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL - - Num - - 11124141: F I-FPr pa42 „ N,e n r-Yi st - iH wtisty eau iwe- rw? t r!5 64, Y 'Address: 3413 ROLLING HILLS DRIVE Lot 2 Blk 4 Sec/SubBU-P OAK zn LS 2ND These items were/were not complete at the time of the final inspection. pate: 8/27/92 Yes No Inspector, 4141 Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry i/ Permanent driveway l? Permanent gas Sod/seeded grass Trail/curb damage Porch I? 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. Knnesirn White - City copy Yellow - Resident copy Pink - Contractor copy G? K0449.? I ,sy «_ , s Request Date r Fire No. Rough-in Inspection Req tl? QT-/es GNO ? Ready Now ill Notify InspeclSi When a I g Kicensed contractor ? owner hereby request inspection of abov2 rical work at, °y Zf? -7 Job ..ons I."es, Bus o cute Nip City Section No. Township Name or No. Range No. Cou Occupant (PRIM 1 0 ' Phq No Tad Power Supplier ^ J /? o 1 111 Adores EI y to al Cantracto ICrdp el y ?I F 04 Co ract 's - en e Mai Er 1 o vactof) Owner Making Inslo fr d long Aul rizep S/gnaNre n tonOwner Mak sl IIaOOn a o tuber _ MINNESOTA STATE BOARD OF ELECTRICITY • THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 Unlysrsity Ave., St. Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. "- AZ K 04491 REQUEST FOR ELECTRICAL INSPECTION ? Ske instructions for completing.mis form or back of yellow copy. "V Below Work Covered by This Request o-ow4 EB-00001-08 ??e, l b ` 7s ew d - Pep, Type of Building Appliances Wired EquipmentWved Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building ryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other tSpeCIfyl Conlractors Remarks'. Compute inspection Fee Below.- Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps fp 0 to 100 Amps - 00 Transformers Above 200 _ Amps Above 100 _ P- T IT Signs Inspector's Use Only:^ ^f d TOT L Irrigation Booms ' ??ry?/ ,, ,, i Special Inspection ` ??-' ACV Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MON S. I, the Electrical Inspector, hereby Rough-in ? t certify that the above inspection has been made. Final ae OFFICE USE ONLY This request void is months from III I II IIU IIII 8REQUEST FOR Mihnes State 211 University Ave., dRm. S-112 Electricity Paul MN?555104 J , j 0 P233 4 6 5. 5 9 * Pze,e (a,z? 642-0e00 ? p79( Home Dup ex Apt. Bldg. Other: New - Addn Commercial Industrial Farm F. mod R. air Ai r Cond. Htg. Equip. Water Hir. Load Mgmt, Other: Dryer Rance Elec. Heat Temp. Service "X" above the work covered by this request. Enter remarks in this space and on the back of the white copy only. Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Offer Fee # Service Enhance Size Fee CiraiLs/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps oo Street Ltg./Troffic Sig. Above 200 Amps Above 100_Amps Transformer/Generator INSPECTOR'S USE ONLY TO 41 17N Sign/Outline Ug. Xfmr, . i Alarm/Remote Control L Swimming Pool b.?,.n the dates sia d i herb mM mar ins ed the elecmml lm Irrigation Boam R.,h.h ?k 29 S ecial Ins ection 2 p p Final _ 2 Investigative Fee D - s THIS INSTALLATION MAY BE ORDERED DISCONNECTE NOT COMPLETED WITHIN 18 MONTHS. 'T - 6 5 5 ® 23 O E US ONLY This request void 18 months from validation data printed in this box. / PLEASE PRINT OR TYPE I Request ` Rough-In inspection required2 es ? No Inspection Other Than Rough-In: Randy Now ill Call R d (You must call the inspedar when rmdr) Date m y: IItcensed contractor ? owner hereby request inspection of the above electrical work of: Job Address (Streak, Box, or Roate No.) City Zip Code 3 3 en AX--r t"rss k - I -NA, Township Name or No. Range No. Secfion No.' fire No. County I r? Occupant S (A,l ivt E 14) ES Cn ?P`7 Phoae o. a -Colin 9?{ Power Supplier Address Electrical Contractor (Compony Normal Contractor License No. Master tic No. (Plant Eled. Only) b - AZjer Q Jdailisg Address (Contractor or Owner Performing Insmllafion) 02$ iJ MA-) 11 SS/a? AuMori signature (/ ConM1ncror or Owner Pe orming lns Ilafion) w Phone No. a-3 EB- 7 1 5 STATE BOAROJOPY•SE ISTRUCTIONSON BACKOFYELLOWCOPY RESIDENTIAL BUILDING PERMIT APPLICATION --? f CITY OF EAGAN `T 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft, of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window saes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Delay Options selection sheet (bldgs with 3 or less units) DATE !? " /Z - 0?- 1 q), 7s RemodelfReoair Requirements • 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 CKJ VALUATION ?SaU SITE ADDRESS O4L/ill6 11445 Die MULTI-FAMILY BLDG _Y !-N' TYPE OF WORK $_. 04! DC9 /:::7 FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT I r? L/G # 7?Z 6VS STREET ADDRESS 7-15 (5 G ArWwR CITY Au6/ 7 TELEPHONE 451 33 ` 5,6 CELL PHONE # b-a36 v FAX ZIP ? l - 2-PROPERTY OWNER ?tT?IG EGG ?/ TELEPHONE# COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA 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 Heat Recovery System Fee: $90.00 Phone # Fee: $70.00 Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or ' nces Signature of Applicant G? OFFICE USE ONLY Water Softener Water Heater No. of Baths Phone # Lawn Sprinkler No. of R.I. Baths Certificates of Survey Received - Tree Preservation Plan Received - Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. 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 ? 38 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 CITY-OF FEAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT Control No. 0554 PERMIT TYPE: BUILDING Permit Number: 000630 Date Issued: 06102/92 SITE ADDRESS: 3413 ROLLING HILLS OR LOT: 2 BLOCK: 4 BUR OAK HILLS 2ND DESCRIPTION: ..,„ (-Building Permit Type SF..DWG. Building-'Work Type NEW USC Occupancy. R-3 N-1 Construction Type VN Zoning R-1 Building Length 70 Building Width 33 REMARKS: RECEIPT 6 l- O IC--) 1 SJ PRV - STAR.PLBG FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC 8 SAC Units Subtotal VALUATION $783.00 $508.95 $70.50 $700.00 100 1 $2,062.45 SSW PL86 $141,000 MISC FEES $1,610.50 Total Fee $3,672.95 CONTRACTOR: - Applicant - ST. LI OWNER: MCOONALD CONST INC 16887061 000237 NCOONALD CONST INC 1212 BLUEBILL BAY RD 1212 BLUEBILL BAY RD BURNSVILLE MN 55337 BURNSVILLE MN 55337 (612) 688-7061 (612)688-7061 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 MITES SIGNATURE 14 61u,-d, / Mz? I SUED C. IGNATURE CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 (gyp MAY 10 Recd SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy talcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, I copy of energy talcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which request is made or lot Chan a is requested once permit is issued. Date - l !9 l 9 Z valuation of work / 0 r4, Sod ?fxc/u?r??a Si Location: 34t3 Re ll,?? 'l?s Ar•, ?oaanl /Vl/? SSbzl Cad ?`?x¢ STREET STE # Tenant Name: LOT BLOCK X SUBD. P.I.D. # uv 00,k 6/iG1S ? lg Description of work: The applicant is: ? Owner ,Contractor ? Other (Describe) Name Phone Property LAST FIRST Owner Address STREET STE # City State Zip Company /hc po-A& f J Cons#ruc.-f, on , !'"c, Phone - 6 ?8'- 7o6 / Contractor Address l2lz BLe6i61 13a? Rd. License # 0002376 Exp. City Eum sy Qr. State MAf Zip .SS337 Company Phone Architect/ Engineer Name Registration # Address City State Zip I) Sewer & water licensed plumber 34,v -PIU W}IK 5 . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this correct and agree to comply with all ppli Eagan Ordinances. / ication and state that the information is State of-Minnesota Statutes and City of Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation 0 02 Single Family ? 03 Two-family ? 04 Multi-fam. T.H ? 05 Apt. Bldg. WORK TYPE 090 New ? 91 Addition ? 92 Alterations ? 06 Garage/Accessory ? 07 Fireplace ? 08 Deck ? 09 Basement Finish ? 10 Swim Pool ? 93 Remodel ? 94 Repair ? 95 Tenant Finish ? 11 Res. Add./Porch ? 12 Comm./Ind. New ? 13 Comm./Ind. Add ? 14 Comm./Ind. Rem. ? 15 Public Fac. ? 96 Move ? 97 Demolish ? 99 Undefined GENERAL INFORMATION Occupancy Zoning Const. (Actual) (Allowable) # of Stories Length Depth APPROVALS Planning Engineering R^3 _ Basement sq. ft. MWCC System ES R-1 1st F1. sq. ft. City Water YE 5 v-N 2nd Fl. sq. ft. PRV Required YEs Y- N Sq. Ft. total Booster Pump Footprint Sq. ft. Fire Sprinkler On-site well Census Code /O/ 33, On-site sewage SAC Code / Building 51-x.; Assessments Variance REQUIRED INSPECTIONS ? Site ? Wallboard Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: ISAC% !00 SAC Units / ? Footing ? Final ? 16 Agricultural ? 17 Building Move ? 18 Demolition ? 20 Miscellaneous ? Insulation ? Fireplace ? Framing ? Draintile r ?93, O 0 veiueti«,: s o' So8.9 GAtaAUr I 'Apx ?Z=` 7oL( X00.00 /00,00 r ZK/2= (`ZN) rl S, 9) 61 95, 0? &5M T 30,00 '40,0-0 39X2(0 % 988 dr-0 It Y. IA= _ X00 . O J -i 10704 Isr Fwore- ?N h ??voYC_ ?D?a $??c53='Sy;UGO ya,R2N y'k PIONEER T / • 1?d?N? 2422 Enterprise Drive Mendota Heights, MN 55120 LAND SURVEYORS • CIVIL ENGINEERS (612) 681-1914•FOx 681-9488 engineering LAND PLANNERS • LANDSCAPE ARCHITECTS 625 Highway 10 Northeast Blaine, MN 55434 * * (612) 783-1880•Fox 783-1883 Certificate of Survey for: McDonald Construction, Inc. House Address: Rolling Hills Drive Eagan, MN Model Name: 89-355 \ ?a \ li \ ?ierf n\ ?'\ /?\ `\ Aug 9\ r••.+>n?._-- r' ?., -:? r- r. RCD ?l- \ \ ?' aR 10 ;.7V 8 32 y / \ .ory 5i? y // krg .? \ z< \ AD ryh / \ 10 'P rc" 878 / 'V6 !2'?P°.o r9 . 'F tS ?x w9( 0, 'P e4? n I!r°\\\ X31.1 ^a°y? c9Rgcg. OO 14v?/ py7.l?f ill r \ o 00 / Q aA\ ?. r S-0, 17 7 \ \ \? \ \ ?•pv 4 5 \ 3 /?Q/?/ Jed 0 \ \ ` /? \ sue, EAGAPI ?1V M o ?? eflG r;?? -?-rv?. _.?. 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION a _D Denotes Proposed Elevation Lowest Floor. Elevation_ $Z5.0 Denotes Drainage & Utility Easement Denotes Drainage Flow Direction Top of Block Elevation 833.1 ---o- Denotes Monument Garage Slab Elevation: 8,3.2.1 - El Denotes Offset Hub Bearings shown are assumed LOT 2 BLOCK 4 BUR OAK HILLS DAKOTA COUNTY. MINNESOTA 2ND ADDITION 1 hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that 1 am duly Registered Land Surveyor under the laws of the State of Minnesota. Dated this 11 YA day of M F r A.D. 19 Pn,l. !.1.1 .r1?'. nrl rl C-Y1S? C+nvS. I r 1 r.,' ' Scale, 11DCt =30f9et ROBERT B."IKICH L.S/REG. NO. 14891 1 1. 079 91081.21 MINNESOTA STATE ENERGY CODE CALCULATIONS BASED ON CHAPTER 5 OF THE MODEL ENERGY CODF- 1983 EnrmrnN C..r Adoption Effective Owner Phone Date Site Address LD i L4, Q LC) _K 1. -EWR OAK HJL.LS ZND ADDrnoN Building Classification: Type Al (Single Family & Duplex) 4_ Type A2 (Residential, 3 stories or less) (Over 3 stories) (Other) NOTE: Comulete pages 3 and 4 first. GENERAL INFORMATION 1. Building Perimeter 2. Wall height (ground to eave) ft. 3. 1. X 2. (above) gross wall area :/v (asq.ft. 4. Building dimensions (L) ..+ X (W) =L(4__Lsq.ft.roof & floor area 5. Sq. foot area of rim joist - 1 r jo ize 2 X r1 f X _(Perimeterr) ) ?V q.ft. If ?) 12 6. Doors - Area ? (r?? p Thickness in U. factor \( a Type of Construction Perimeter ft. Manufacturer 7. Total door's perimeter',,''' 1 ft. 8. Windows: cturerty7y4_ ?L 1 GS?I ? 1a$? State approved U factor _l(l/ TYPE SIZE IREA (Sq.Ft.) NUMBER OF TOTAL k k l -r l EACH UNITS SQ FEET 9. Total sq.ft. Glass(i 701 eV _ 10. Fireplace area: Width X Height = XX sq.ft. 11. Exposed foundation: Height X Perimetert`07 X1'a- 00t q.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- X2.. Framing area = 10% of gross wall area. 13. Gross wall ar e a sq. ft. Window area r ? ft A ( )1 9 5 i . 8q. U w ndows = ??JjlI ? Rim j i t ? ?2 Q o s a rea A?! L7 6q.ft. 1 L U rim joist= Door area A ` sq.ft. . U door area=M Other doors area AW&q.ft. U other doors=te UxA - - /I -e UxA = -T VlP UxA = ( ?f UxA = Exposed fndn A o6>k sq.ft. U foundation=I CJ UxA - Framing area A 001 n 111 sq.ft. U framing area=? UxA - Net wall area A11](IV sq.ft. U wall= l "? UxA = (13B) TOTAL . . . . . . . . . . ??a Ux = 14. Gross wall area x 0.11 (A-1 single family & duplex) = allowable UxA/Code (13. above) x 0.23 (A-2 other residential) x .23 (other buildings) x .28 (over 3 stories) II ?TUH must be larger than or same A U Code X11 =? OF. as 13B above 15. Ceiling framing area (Af) equals 104 of ceiling area 15A. Gross ceiling area = (L) x (W) I =_sq.ft. 15B. Joist area (A f) = 10% ceiling area = 4 ,l sq.ft. 15C. Net ceiling area (Ac) (15A - 15B)?=f UI L1O?? sq.ft. U ceilingx Ac = 1 x t B)V' U framing x A f = x IOV5? 15D. TOTAL U x A ..................... .......L -Y-1-I tT/ 16. Ceiling area (15A) x 0.026 (A-1 single family & duplex) allowable UxA/Code x 0.033 (A-2 other residential) X 0.06 (other) I' BTUH must be'larger than or same A(15A)1 x U Code V =1?4 OF. as 15D above NOTE: Use U and A values obtained from pages 11 3 and 4. CERTIFICATION: I hereby certify that I have calculated the "U° factors and "R" values herein and that the building here described meets or exceeds the state of Minnesota Energy Conservation Act. Date signature -2- so f. -v_vo r--? X411 ?Lk ?4? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: BUILDING 027071 02/16/96 SITE ADDRESS: 3413 ROLLING HILLS DR LOT: 2 BLOCK: 4 BUR OAK HILLS Y-Z?? P.I.N.: 10-15501-020-04 ln? DESCRIPTION: Buildfn-g,Permit Type Building,%Work Type Census Code „^5 BASEMENT FINISH ALTERATION 434 ALT. RESIDENTIAL REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK • FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: OWNER: - Applicant - MEDENIS JAMES 3413 ROLLING HILLS OR EAGAN MN 55121 (612)452-6694 I hereby acknowledge that I have read this application and state that the information is correc"t and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. f ? PPLICANT/PERMITEE SIGNATURE CITY OF EAGAN ?? . 3830 PILOT KNOB RD - 55122 all04' 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New construction Retiuirements Remodel/Repair Reauirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured Md. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan H lot platted after 7!1!93 required: _1 Yes _ No DATE: a IIa I g?. CONSTRUCTION COST: /( A DESCRIPTION OF WORK: STREET ADDRESS: dL ' LOT BLOCK SUBD./P.I.D. #: . PROPERTY Name: M OEN?S 'T/49 C-S Phone #: n OWNER ??? 5 D??l/r? Street Address- 3 W 3 ROB ? ?? g City: e?5Ar AA) State: MN Zip: CONTRACTOR Company: Street Address: City: State: _ Phone #: License #: Zip: ARCHITECT/ Company: Phone #: ENGINEER Name: Registration #• Street Address, City: Sewer 8 water licensed plumber: change are requested once permit is issued. State: Zip: Penalty applies when address change and lot 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)l I OFFICE USE ONLY REC E MC D Certificates of Survey Received Yes No E B IF, , Tree Preservation Plan Received Yes No ------ OFFICE USE ONLY ,r 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 ? 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 e--?16 Basement Finish ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 13 Garage/Accessory ? 20 Public F..aciiity ? 14 Fireplace ? 21 Miscellaneous ? 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 MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC : Water Conn. Water Meter Acct. Deposit SNV Permit SAN Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ % SAC SAC Units PERMIT # W REACTIVATE . CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-0675 knfnn .SINGLE & MULTI-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, I copy of energy talcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re nest is made or lot than a is re nested once permit is issued. Date l / _-4-- / 12 Valuation of work 1260, Site Address: `?13 f? als ? ?a 4M y (3A, STREET SUITE R Tenant Name: (commercial only) LOT _ BLOCK 1` y? SUBD. CAR ©A? i (IS P.I.D. if ? 4 Description of work: D EL jVc'-00_ N6,-S. C' )..( The applicant is: ? Owner ? Contractor ? Other (Describe) Name M12 (?oo?Al Cone , Phone ??8-70Ca? Property LAST FIRST Owner 1 Address IQ 12 431ue X0 fbAy R z+ STREET STE A' City 3tJAryS yc& State d? A Zip 6533 7 Company o Phone ?S $ ' 70 6 I Contractor Address Q 1 A /.3 f ue to, It t, AX%* Q ? License #doo?37 ` Exp. 43 lI City OUR s u. kle 1*i,, State (rl? ?? Zip SS 337 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. A Signature of Applicant: ./pa' v I Q (?? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 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. Add'l ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory 110 X ? 14 Fireplace 15 Deck ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous WORK TYPE a 31 New 11 32 Addition 11.33 Alterations ? 34 Repair ? 35 Tenant Finish ? 36 Move ? 37 Demolish GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st F1. sq. ft. City Water UBC Occupancy ?Z- 2nd F1, sq. ft. - PRV,Required Zoning Sq. Ft. total Booster Pump # of Stories Footprin t Sq. ft. Fire Sprinkler Length On-site well Census Code ?- Depth On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED IN SPECTIONS T)?Z 6 N L ? Site YFooting ? Framing ? Insulation ? Wallboard- 13 Final ? Draintile - , ? Fireplace Permit Fee vatwtim: g' Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surchargge Treatment P1. Road Unit Park Bed. Trails Bed. Copies Other Total: SAC % SAC Units 2422 Enterprise Drive Mendota Heights, MN 55120 ,612) 681-1914•Fex 681-9488 engineering LAND PLANNERS • LANDSCAPE AROMTEDTS 625 Highway 10 Northeast Blaine, MN 55434 * K * 1(612) 783-1880•Fox 783-1883 Certificate of Survey for: McDonald Construction. Inc. \ O B /n \ \ ??? \ SO sue. \ \ \ A7 \ ?/ \ yo \ yo \ \ \ P. 7 n.3 r Q?? X530 / \ \ ?)1r y8se a Ory QQ s- / / ? fr27.7 \ \ , ry?• \ 10 b' 8 /R o / ti '? ?g0op, t9°O ti r A'?. n \ tiT/`\`cP \ a T? lr o \ \ \ I ?o J otv?? `6 // '!.e/ / p p 1.14 YR??eI ? \ \ \ C \ \ ?fk'1 ,Uas N1b /QO \ \ sy F , House Address: Rolling Hills Drive, Eagan. MN Model Name: 89-355 . 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION • 9oa7 Denotes Proposed Elevation Lowest Floor Elevation: $25.0 Denotes Drainage & Utility Easement Denotes Drainage Flow Direction Top of Block Elevation: 8'2,3,.l -a- Denotes Monument Garage Slab Elevation: &.3-2.1- s - Denotes Offset Hub Bearings shown are assumed LOT 2 BLOCK 4 BUR DAKOTA COUNTY, MINNESOTA 2ND I hereby certify that this survey, plan or report was prepared by me or under to under the laws of the Slate of Minnesota. Dated this t 17p day of M N' Prat i-11 -el? hrlrt C/Yi<1 GIP,15. Scale,:. 1 inch =3 01eB1OAK HILLS ADDITION e direct supervision and that I am duly Registered Lend Surveyor _ A.D. 19 r j , I -? ROBERT B. SIKICH L/ EG. NO. 14891 Fn ntnat It CITY USE ONLY L ?//?? B,,L//?? ?? RECEIPTS#/: SUBD. y6jet, CYO ? a DATE: 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES - EACH NO. TOTAL Shower 3.00 x _ Water Closet 3.00 x _ Bath Tub 3.00 x _ Lavatory 3.00 x Z = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet * minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal * Dakota Cty. license 20.00 = U.G. Sprinkler * home under const. 3.00 = Alterations * to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL ad • S'o SITE ADDR OWNER NA INSTALLER STREET AC 31113 14 *&a'o CITY: eg4d - STATE: Al Al ZIP: vr5/aa2 PHONE #: (6Jc;L a - l$?D j SIGNATURE n -. OFFICE USE ONLY L BL RECEIPT M SUBD. DA 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. ? all oommercial/industrial buildings. P multi-family buildings when separate permits are nW required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: - NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of Qgrmit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: OWNER NAME: INSTALLER: ADDRESS: CITY: PHONE* SIGNATURE: OFFICE USE ONLY STE. # STATE: ZIP: APPLICANT SIZE: DATE: INSPECTOR, For Office Use e + j: : i #: (lifalifk)AG N 7r+ ! Permit Fee: fi/t /_02-6 RE CEI v Date Received: j'"�`t 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 MAR 14 2018 Staff: buildinginspections(acitvofeagan.com L 2018/ RESIDENTIAL BUILDING PERMIT APPLICATION Date: 36/'/ /8 Site Address: P(13 v�lf� /i�s �/�"- Unit#: Name: 71 j`c1 t ✓e-,L 4•.m :73416"'" Phone: 3 'o„_ Z/ Resident) ?/� ' /? 4ci1' i2' 01�ni3!' Address/City/Zip: tJ��vey. Applicant is: Owner .I Coptractor Type of workDescription of work: El,iP 4c L i/c J-� ��-,i( ,�2'2 -115 F t i 441 Construction Cost: Multi-Family Building:(Yes /No ) Company: w.ti� l� .s cls... DZ .A.‘4.4.//1 ji Z Contact: e-e t .145 Contractor Address: .>`/93 '. - t.✓�., I City: State: ALA/Zip: 5$ 3 7-k Phone: `7 5Z-' 1 3-o if mail: License#:13e-o- �5z- R 13 Leal Ce Leal #: If the project is exempt from lead certification, please explain why: 3,.11} COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting'documents that you submit are considered to be public information. Portions of the iinformation may be classifieci;as non-public if you provide specific reasons that would n the C o conclude.lh they are tradeecrets. 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 website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.oro I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. xreALK- yM—S x . Ap icant's Printed Name Ap: cant's Signature DO NOT WRITE BELOW THIS LINE J J 1 tb Ili`//SQA r p,� V4 d 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 y� Lower Level _ Pool _ Accessory Building WORK TYPES i� _ New — Interior Improvement _ Siding — Demolish Building* _ Addition — Move Building _ Reroof _ Demolish Interior tAlteration _ Fire Repair _ Windows _ Demolish Foundation Replace Repair Egress Window Water Damage _ Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation Occupancy pe.. "/ MCES System '-' Plan ReviewCode Edition A®/.1 SAC Units (25% 100% ) Zoning 1i— I City Water ^ Census Code y/ 34 Stories Booster Pump #of Units / Square Feet — PRV — #of Buildings 1 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 Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof: _Ice ater Final Pool: Footings Air/Gas Tests _Final Framing V30 Minutes 1 Hour Drain Tile Fireplace: _Rough In Air Test _Final Siding: _Stucco Lath Stone Lath Brick EFIS x Insulation 6 Windows Sheathing Retaining Wall: _Footings Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In Final Braced Walls Erosion Control Shower Pan Other: 1 Reviewed By: /��II , Building Inspector RESIDENTIAL FEES /5110 U Obry `s'' Base Fee //g" Surcharge �,VWo ie- MCES �DYjS.I g� .- Plan Review 7 j , MCES SAC +: a r City SAC �/ �J Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA154195 Date Issued:02/28/2019 Permit Category:ePermit Site Address: 3413 Rolling Hills Dr Lot:2 Block: 4 Addition: Bur Oak Hills 2nd PID:10-15501-04-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Abdirahman S Iman 3413 Rolling Hills Dr Eagan MN 55121 Great Plains Windows & Doors 6866 33rd St N, Suite 100 Oakdale MN 55128 (651) 207-4571 Applicant/Permitee: Signature Issued By: Signature -1 ((VFor Office Use/ s�e ;, � '�'` Permit#: / -• ....« E AG N Permit Fee: /9 7•02-D EC E 1 V E Date Received: 3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 q (651)675-5675 I TDD:(651)454-8535 i FAX: (651)67 9f EB 2 5 2020 Staff: buildinginspections v{'7.cityofeagan.com lip till ay 2020 RESIDENTIAL öILDTNG--PERMIT APPLICATION Date: 2/25/2020 Site Address: 3413 Rolling Hills Drive Unit#: = Name: ABDI Iman Phone: 320-224-4169 R' sent/ 3413 Rolling Hills Drive Eagan, MN 55121 Oar , Address 1 City 1 Zip: Applicant is: Owner 6/ Contractor �A (2_ Cad e"--) Description Replacing 3 existing windows one window opening needs to be opened larger Type a wed fowork: Construction Cost: $2350 Multi-Family Building: (Yes /No ✓ ) company: Window Concepts of Minnesota Contact: Steve Mickelson Contractor Address: 291 Eva St city. St Paul State: MN zip: 55107 Phone: 651-604-8276 Email: steve.mickelson@windowconceptsmn.com BC163493 NAT-23718-2 License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans d sup ' c is thatt subtimfaie4Onsidered to be public information. Portions of the information may be classified as nan-PainkiftbrovidesPecifielvasonctitatwould permit the City to conclude that they are(rade secrets. 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 website at www.citvofeaaan.comtsubscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.. Call 48 hours before you intend to dig to receive locates of underground utilities, www.gopherstateonecail.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I 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. ,? Steve Mickelson - � /'' r,. Applicant's Printed Name Applicant's Signa re .DO NOT WRITE BELOW THIS LINE3 13 Kbilisil, il 4 416 Li SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) yam` 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 At Windows _ Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall 'Demolition of entire building-give PCA handout to applicant — DESCRIPTION Valuation Val° Occupancy ,re,--[ MCES System -- Plan Review Code Edition 1V7/- SAC Units ` (25%_100% P Zoning /2. £ City Water Census Code Al 74 Stories — Booster Pump #of Units / Square Feet PRV #of Buildings l Length — Fire Suppression Required ` Type of Construction 04 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) , ' Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_IceyVater _Final Pool: Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Ne Insulation Nte Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: , Building Inspector RESIDENTIAL FE Base Fee //t i Surcharge Plan Review 7' ,- MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA165507 Date Issued:11/04/2020 Permit Category:ePermit Site Address: 3413 Rolling Hills Dr Lot:2 Block: 4 Addition: Bur Oak Hills 2nd PID:10-15501-04-020 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 - Abdirahman Sulub Iman 3413 Rolling Hills Dr Eagan MN 55121 (320) 224-4169 Capital Construction Llc 416 Gateway Blvd Burnsville MN 55337 (952) 222-4004 Applicant/Permitee: Signature Issued By: Signature