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3425 Rolling Hills Dr
REQUEST FOR ELECTRICAL INSPECTION rNh@EB-00001-08 ? See instructions for completing this form on back of yellow copy. °' n7584 "X" Below Work Covered by This Request ?•?• _ w Type of Building Appliances Wired EquipmenlWired ! Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other-(Specify) Comm./Industrial Furnace Farm Air Conditioner Other apecilyl contractors Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Cimuds/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspectors Use Only: TpL Irrigation Booms I O ,GJ Special Inspection ( o Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby if Rough-in Date cert y that the above inspection has been made. Final oat OFFICE USE ONLY This request void 18 months from Request Date / Fire No. RougMsin Inspection Required? r' ? No ? Ready Now - ill Nosy Inspector When Ready? I Icensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street. So or Route No .1 ` ? (Street So City Section No. Township Name or No. ange No. Cou Occupant(PRIN) Phone No. Power Supplier Atldress?? ?/G../ Eledncal Cont or (Company Name) Contractor's License No. ©® 9 Medlin ddress (Conntt?r-)for or Owner Making Installation) Aulhorized gnawre IConlracior/Own r Making Inalallatio Phone tuber MINNESOTA STATE BOARD OF ELECTRICITY y THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED By THE STATE BOARD 1821 Univershy Ave., St. Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS Phan. 1612) 892-0800 ENCLOSED. ?(p q REQUEST FOR ELECTRICAL INSPECTION E8,00001-08 ? See instructions for completing this form on back of yellow copy 0756 1 "X" Below Work Covered by This Request N ew r._ ep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer OtheF(Specify) Comm./Industrial Furnace Farm Air Conditioner Other Specify) Contractor's Remarks: Compute inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps to 100 Amps Transformers Above 200 Amps Above 100 -AMPS Signs Inspectors Use Only: TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee . V COMPLETED WITHIN 18 M the Electrical Inspector, hereby certify that the above inspection has been made. !7 Rough-In o 1^ r i? Final ate < ^ / r 41, dr 114 OFFICE USE ONLY This request void 18 months from 75 61 aa?? , R,quj Rate Fire No. R Tin Inspection e ? ? Ready Now ill Nobly Inspector _ es ? No When Ready? I licensed contractor D owner hereby request inspection of above electrical work at: Job Address (Street. Box or Rout, Nc City Section No. Township Name or No. Range No. Coun L Occupa '(PRINT) Phone No. Pcwer Supplier Adtlrass n N Eleclncal Co r (company Name) ` Con actor's License No. 0,,19 z? Maian dress IConlra nor or Owner Making Installation s 3 ANho 2 Signature IConlraM Owner Making InstallaL 1 Phone Number Fe i6 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-MlCwsy Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55180 UNLESS PROPER INSPECTION FEE IS Phone (612) 642.OSM ENCLOSED. Address 3425 PULTNS IMI S DRIVE Zip 5512 2 Lot 13 Blk I Sub Rag nax rirr.r.s 2Np THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 03/29/93 Yes No Inspector: Final grade (6" from siding) t/ Permanent steps (garage) Permanent steps (main entry) Permanent driveway t/ Permanent gas Sod/Seeded grass t/ Trail/curb damage Porch Basement finish t/ 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. White - City Copy Yellow - Resident Copy Pink - Contractor Copy INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ` 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: I i"I 1 00 1 t 1:1 111 1 APPLICANT: . i i:; I I t4 11 (1. 1. i f1R r Itli;' Iillill MiV 11111~ H 1 t t 'Nli c h 1 1 14?14- t'63( PERMIT SUBTYPE: {.; 1. TYPE OF WORK: Wf 01) 1 1 Is I 1 ;."1, 1 rylr , , L11. /43ryl ?a , INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSf3TR. flit! ;Ilnl. RrHAI k%j AF(.'E 1101 N p1ty VL ft1? - n 1: MI- VH Permit No. Permit Moiler Date Telephone S/w PLUMBING HVAC ELECTRIC C ??rg c c? 9? °° ELECTRIC Q Inspection Date kap. Comments Footings I ?' 20 d3 S Foundation Framing Roofing Rough Plbg. Rough Htg_ j/I ?f j a dwadd- Isul. , CA Fireplace / /d,Z Final Htg. Orsat Test Final Pbg. Pibg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Fig. S 20 g 7 1 Deck Final well Pr. Disp. P-1713 PP m 'r AW Wertitcate of cccupanc4 C?t? o? Cagan ?artmcat oar ?ai[bia9 ?a?cctiloa 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 ordinances of the City regulating building construction or use. For the following: Use Classification: ST D W G Bldg. Permit No. 1%6 Occupancy Type Zoning District Caost Owner of Building KEY" ? Address 14450 B ??, B ? 3425 FUMM HILLS INUVE L 13, is f am CIE=, 2M B Address Locality i 03/2Q/93 Due: Building Official POST IN A CONSPICUOUS PLACE ? Forpffice'lJse I Permit #. I ???L1?'t Permit Fee. 9 ? Date Received: j Staff: I -----------------I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: / - /O ^ 09 Site Address: 3 4k e2S^ j&4)_1 16. S 191--- Tenant: Suite #: RESIDENT IOWNER Name: n4^-- 1/,'O/ d4 L Phone: L?/-GBH-G$G5? Address/City/Zip: a? rt ©//it tE/ i'1 Gs Applicant is: _ Owner _X_ Contractor TYPE OF WORK rr / Description of work: I?Zd Qi d rrea ?r? ' L dLQ.sM et9 2 Construction Cost: ?7/r Multi-Family Building: (Yes _! No_Aj CONTRACTOR Name: / e F ?c2 fid L C ?i License #: Address: t{ .Z cP3 i3pc /of y !?, o? e ?r City: ? A State: M Ai _ Zip: S, -5- I LS/ -4o r- 9 7 3 L- Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (J submission type) • Energy Envelope Calculations Submitted 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: NOTE: Plans and supporting documents that yousubmit are;corfsidered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to ' conclude that are tradesecrets 11 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- x ?E?s Y /?f1a?/C x Applican?ted Name Applicant's Si Mature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation - ? 05-plex ? 16-plex ? Accessory Building ? Pool ? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi ? 01 of - Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? 08-plex ? Deck ? Porch (screen/gazebo/pergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building` ? Addition ? Move Building ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage Demolition (entire building) - give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition - SAC Units (25% 100% ) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Footings (deck) Final/C.O. Footings (addition) Final/No C.O. _ Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: _R.I. _AirTest -Final Windows Insulation Retaining Wall Reviewed By: RESIDENTIAL FEES: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies. Total Building Inspector Page 2 of 3 30 -5v ??n,L/? RESIDENTIAL MECHANICAL / (""( Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete for: Single Family Dwellings & Townhomes and Condos when permits are required for each unit Date 0:3 Site Address 37 c?5 ty C r? r7Q / / f p D A • Unit # Property Owner --bO-n V -4 ( ,Cf a-1 Telephone # (&51 ) 31 A? Contractor IT11/fh P1 r 14&( -7 t Add // St 3`1 Cit ?Cu? f ress p ree y State m N Zip Lt ) Telephone # ( 6751 Bond #: 003 643 Pry'\ Expires: )-O% The Applicant is - Owner Contractor Other Add-on, modification or alteration to existing dwelling unit $ 30.00 furnace replacement air exchanger _ air conditioner New _ Replacement _ other `/,' SSIY17? T lQ(.GC' S.tcave U 618 State Surcharge $ .50 ^ D C D C $ 30.50 Total o f IJU ? 7oo, I hereby apply for a Residential Mechanical Permit and acknowledge that the inform 6-erhanicad-CM n is complete and accura e; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the s; a 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. bwa FW-r, Applic 's Print Name App 'cant's ignature COMMERCIAL MECHANICAL Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) _ Contractor Street Address City State Zip Telephone # ( ) Bond #: Expires: The Applicant is Owner Contractor Other Work Type New Construction Underground Tank _ Install -Remove "'see below Interior Improvement - Install Piping - Processed -Gas Nature of Work: "When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector Permit Fees: $;0.50 tlndcfgrouud tank instailation'1cmovai $50.50 Minimum (includes State Surcharge) or Contract Value $ x 1% Permit Fee • If permit fee is $1,000 or less, add $.50 => $ State Surcharge If permit fee is over $1,000, add $.50 for every $1,000 pemut fee $ Total Fee I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; 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. Applicant's Printed Name Applicant's Signature Approved By: , Inspector RESIDENTIAL BUILDING PERMIT APPLICATION y9Na? CITY OF EAGAN 3830 PILOT KNOB RD - 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 it lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE FtVK.171- JOB SITE ADDRE, IF MULTI-FAMILY PROPERTY OWN TYPE OF W APPLICANT ADDRESS PAGER # f) NG, HOW MANY UNITS? A7j 4. --:CT01f7_ 470,00 e 41W 4-a-6.? RemodegRegair Requirements • 2 copies of plan 1 set of Energy Calculations for heated additions 1 site survey for exterior additions & decks Indicate 9 home served by septic system for additions VALUATION S 'S-12, ORK,:J /f*V ff6fzFe Fgmf .Fi,J "A 4*-,eA FIREPLACE(S) /_ 0 - 1 _ 2 VT?(ZAt,'/? PHONE# 1051 / 8Z-D?f -3 /<DZ?zitJl, heraf ]),2. {, hli1? ZIP CODE K0 Z Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Plumbing System Includes: Mechanical Contractor: Mechanical System Includes: Sewer/Water Contractor: CELL PHONE # - FAX # <PS/ ? 33/- / {o ? Water Softener Water Heater No. of Baths Air Conditioning Heat Recovery System _ Phone #: Lawn Sprinkler Fee: $90.00 No. of R.I. Baths Phone # APR 01 2002 D Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state thaeCdi formation is c reecta gree to comply with all applicable State of Minnesota Statutes and City of Eaga ances. Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 NIEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY 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 ? 16 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex x 19 Lower evel ? 24 Storm Damage O 06 04-plex ? 12 12-plex PIb 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 -,D 00 a _3 Valuation Occupancy MC/ES System Census Code 13? Zoning City Water SAC Units - Stories Booster Pump Nbr. of Units - Sq. Ft. PRV Nbr. of Bldgs _ Length Fire Sprinklered Type of Const - /J 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 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 M ?:MC t' om/? /_/ ou . e-'- Total PERMIT # J I r / RECEIPT DATE:1 2002 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF £Ak6.AN 3830 PELOT KNOB RD Eke", HN 551 EE 651-6$1-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITE ADDRESS: -?- .Z 01,L.7 7&GGS 7QL(/E dj * OWNER NAME:: D,+-d A_ V xpAli TELEPHONE#: (os-/-,4'1' (AREA CODE)/ ?j INSTALLER NAME:r-DR>f/ TELEPHONE#: --y%- AREA CODE) STREET ADDRESS: CITY: STATE: ZIP: 5.1 2-_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 Abandonment of septic system. _ Water turnaround - existing dwelling unit (+ 5/8" meter if needed - $118) Other: _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system Replacementladditional: _ water softener _ water heater $ 15.00 State Surcharge $ .50 Total $? I hereby acknowledge that I have read this application, state that the information is coned agree to comp with all app"cable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assu an Ilabillryf r a dam. e°sed by the Ci y during its normal operational and maintenance activities to the facilities constructed under this permit thi ty prop htoo ! sement. / O 7r SIGNATURE OF P ITTEE t 142 F , _ PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: e 010 66 (612) 681-4675 Date Issued: 01/06/93 SITE ADDRESS: P<T.Ne- 10--15501-130-01 342°E ROLLINS HILLS DR LO'I`. 0013 BLOCKo 0001 SUP OAK HILLS 2N? DESCRIPTION: Buildi'ncS Permit hype SF OWG Building klyrk 7",ypE NEW U:SC 0CCUpa-ney R--3 M-1 Construction ty'pe V--N Zoning R-1 Building Length Building Width 72 52 t L REMARKS: RECETP -I' o (_„-?a,?'73 FEE SUMMARY. Base: Fee Plan Review Surolial- (Ie S AC SAC o SAC Units Subtotal P-RV VALUATION $5i?.ze1 3:55.50 $75+D.0?D 100 1 $2,300.%0 & W PI-BR - 0 C MECH $171,000 MISCELLANEOUS ---,$,1.744,50 l`otal Fee $4,045.20 CONTRACTOR: - Applicant - S'r. L.I COWNER: KEY LAND HOMES 18942636 0001,553 KEY LAND HOMES 14450 BURNSVILLE PKWY 14480 SURNSVILLE PKWY SURNSVILLE NN 55337 SURNSVILLE MN 55337 (612) 894-2636 (612)894--2636 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. q- Amo ISSUEO B SIY1?GNATUi- APPLICAN PE MITE S GNATUR PERMIT IF 19L4 CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 14,WV rn,PO.? 11-3n u 111-ho'V SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy talcs. COMMERCIAL 2 sets of architectural_& structural plans, 1 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 Chan a is re uested once permit is issued. Date _9 -7- Valuation of work 1410 -7?-cp Site Address: 3?ua Rip LLlt1e, Ft%??.5 DCLtu>= STREET STE / Tenant Name: (commercial only) LOT ?Z BLOCK Q I ... ?UR OA1- 4i LLx, P.I.D. # aP pp Description of work: S1 *",L E The applicant is: ? Owner contractor ? Other (oe=ribe) Name Phone Property LAST FIRST Owner Address STREET STE # city State Zip Company p Vn Phone °p?{ 21 o3L Contractor Address 14'qSo p7UVQ-_.Q IUF TrkwyLicense # --2?> Exp. City F?U1z,t-SUkcj t State Ma . Zip Company Phone Architect/ Engineer Name Registration IF Address City State Zip Sewer & water licensed plumber. 0, ( h??c?l?tilt.c?L 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 applic le State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: IZ Z Z -OFFICE USE ONLY BUILDING PERMIT TYPE ar + ? 01 Foundation ? 05 Apt. Bldg ? 09 Basement Fin ish ? 13 Comm/Ind New 1d 02 SF Dwg. ? 06 Garage/Accessory ? 10 Swim Pool ? 14 Comm/Ind Add ? 03 Two family ? 07 Fireplace ? 11 Res. Add. ? 15 Comm/Ind Rem ? 04 Multi-fam. T.H. ? 08 Deck ? 12 Res. Porch ? 16 Public Fac. ? 17 Agricultural WORK TYPE JZ 31 New ? 33 Alterations ? 35 Move ? 32 Addition ? 34 Tenant Finish ? 36 Demolish GENERAL INFORMATION Const. (Actual) V-N Basement sq. ft. MWCC System Y E5 (Allowable) 1st Fl, sq. ft. City Water UBC Occupancy iz-3 M-l 2nd Fl. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump )e of Stories Footprint Sq. ft. Fire Sprinkler Length- z On-site well. Census Code l0/ Depth On-site sewage SAC Code, 0/ APPROVALS Planning Building Assessments 'rigioeering -- Variance REQUIRED INSPECTIONS ? Site ? Footing ? Wallboard ? Final O 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 Surchargge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % LOO SAC Units 1 Valuation: f 'a 6AaAGES 3z?( 22=70qx/6 = jf?26Y 85t%A*T', ZL X 915 ISX6= 90 2Sx 30= ISr?"WnR, 1 b45 X l5 = a4C??5 6S+?T? 16vJ' Ib X53 = S"7155(o ZNO FLOOR ;28x31s668 ILI 882 ? 5 3 = r.-- ?rio! Zu r ,.TAN-Q4-1993 1043 FROM KEY-LAND HISS INC. / /3/ 131 &n 0,-k / 1? ?e TO 6814612 P.02 SURVEYOR'S CERTIFICATE KEYLAND HOMES T6.91 863° 09' 42° E • ! aERAIN4V PlR (PLAT" s w , LOT I*.5 o ?. O N r' . e ? ?8?8+3) fSa?j? szes a ?. ' 31.87 •_• IT, -1i 1 41 i 1 b g T????'? /y` fab i ®ARA4 Alsol 911 • `s 873 S 3 d W_K!L MARK J99'CJ! MARK ?r -• -- DRIVEWAY ?y 4 u, 3?.14 ElTOP.SYr934?? C Seim, 1? Q I ? A30.7 zs.a?T* ---?' I ' loo t2 34 S G3°3o ( R1435-67 . -r 8b28 sass ROLLING HILLS V or 27w%jm AppPLANS !CR OULO W 6 PCUNDATIDM MTV NO ?? rr N if1COWL E1ED DIM?1tl?L ON FISIs LAT BY 15 +--? DENOT99 PROPOSED SURFACE DRAINAOF ?" s EYP'lORT TH9 sra?rtc O DENOTES IRON MONUMENT SET Nor r?? 1+FS SCALE.1 INCH 30 PEST • DENOTES IRON MONLWENT FOUND PROPOSED GARAGE FLOOR - $Tt?'9 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEBT FLOOR -027• - FEET (D00.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK -$ 34.7 FEET RAN, REQUMEV) WE HEREBY CERTIFY TO KEYLAND HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lotl3 , Block I , HUR OAK HILLS 2ND ADDITP^ 0=41n9 to the reoel'4W PIm rk*odf Dowd Cowdy, ulow wta IT DOES NOT PURPORT TO SHOW.IMpROVEMFNTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION PHIS 8 TH DAY OF DECEM13M ,19E@. SIGN : LFRt, INC. *OWN win P+OIt iUREa4t ktLSAWrr MI LAWW2.e ASSOC.lNC JOHN G LARSON. LAND SURVEYOR MINNESOTA LICENSE NUMBER 15828 00 F s 1 o m? ?? ? ?.N d di 42,p 9URNSVILLE, MN, 88397 • 812490-8044 R Hill inc ?i o a ? ? . , . / ENGINEERS I SURVEIR'3RS o o ? TOTAL P.02 R-97% 612 894 6823 01-05-93 11:46AM P002 047 4 LOT SURVEY CRECELIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY EGA L2 Date of survey: DOCUMENT BTAND Rna ? 1 0/;[) 0 Registered Land Surveyor signature and company 0 0 Building Permit Applicant jK 0 0 Legal description ;// V D Address D North arrow and bar scale D 0 House type (rambler, walkout, split w/o, split entry, lookout, etc.) 0 Directional drainage arrows with slope/gradient t. D Cf O Proposed/existing sewer and water services H? D Street name 0 0 0 Driveway ELEVATIONS Existing D t? ? • Sewer service V0 0 Lot corners D 0 Top of curb at the driveway 9? D ? Elevations of any existing adjacent homes -/ Proposed FJ 0 0 Garage floor 6? 0 First floor D ? ? Lowest exposed elevation (walkout/window) Id' D D Property corners I3-13 ? Front and rear of home at the foundation -/ PONDING AREAS (if applicable) D Q 0 Easement line 0 D/ 0 NWL 0 D 0 HWL 0 [1 Pond # designation 0 Emergency Overflow Elevation 0? 0 D Lot lines [?/ ? / D Right-of-way and street width (to back of curb) D 0 D Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all -/ structures requiring permanent footings) g 0 ? Show all easements of record and any City utilities within -/ those easements H D 0 Setbacks of propose structure and setb ack of adjacent / / existing h 0 fl 0 Retain r irements, if any Reviewed: / October 1992 OWNEk: SITE ADDRESS: v4 i QiOLL111f,1?1? Ni '`3 CONTRACTOR: !? LAUp NOM?,r? OATC : IZ-qI1 - 9Z PYO"lE : Q {? ? ZIo3?o _ Pu--N ?5SC7 Determine working square footage of each q• ft. x 11 = ?L(p?. qq 1. Total exposed wall area.:... LAOq 3 2. Total roof/ceiling area ....._ ?la?o sq. ft. x 026 Total exposed wall area above floor ZZ)?j a. Total wall window area ....................... ......:............. I - - b.' Total door area ...................... ........... .............:.... c. Total sliding glass door area ......................•••••.•••••••• q d. Total fireplace mall area ........................................ e. Total wall framing area (average 10p) ............................ f. Total rim joist area ............................................. ,--1-?- net wall area above floor ............... ..................... g, h, wall area above floor ....... ......................,....... i. wall area above floor, .................................... frame wall area at fou_r4ation ................................... Total exposed foundation area= S-l k. Total foundation window area ....................... 1. Total net foundation area above grade .............. Determine u value of each wall segment (e.g. window, door, each separate wall section) l-u- 4A a. b. 1-2) q ?o X „u„ 4? = ti'1.2 d. X Nut, _ e ?qD lull o? = 21,10 f. 1?4 X tiul._ g. 1-7 14e> X „u„ X04 = ?°f.qz h. X „U.. _ X "U" _ i. s X pull _ • j. k X „ul _ X "U.._ 3 . .................................Total = k9 -T If item 743 is the s as, or less than it i1, you have met tF intent of SBC 6006 Total exposed roof/ceiling area ........ 14 (02:? - sq ft j) Total'skyli?ht area....... - sq ft x "U" Q Total roof/ceilinq framing area (Average 10%) ...... Tt0 sq ft x'"U" t7 - _ • ?J 1) Total net insulated `77 ZZ s ft x "U" U Z = 2b.44 roof/ceiling area....... q 4 TOTAL j) thru 1) ?r •? If total of 14 is the same as, or less. than h, you have met the intent of 2 MCut 1.16005:4 and 0. ALTERNATE BUILDING ENVELOPE DESIGN To utilize the total envelope system method, the values establ-fished by the sun of items 93 andd/='4shall not be greater than the sum of items ,Pl and .92. 1. 2. 3. ? Q-7.3 1 + 4. 2? •C[4 . _ ?? -? 'firafl?e CGY?StYUCb ion VA" FIG. -* .Pr" WALL =. #a CONSTRUCTION- FRAICNG 1. INTERIOR AIR FILM 0.68 2. 2 GYPBD .4 3. 5 1/2" SOFT WOOD 6.8 4. 25/32 SHEATHING 5. SIDIT+G .8 6. M-OR AIR FILM 0.17 TO M R= 10.87- U= .09 NET 1. INTERIOR AIR FILM 0.68 2.. ;"1/2" GYPBD .45 3. INSUL. 19.06 4. 25/32 SHEATHING 2.06 5.' SIDING .62 6. _ OR R FILM 0.17 lt) ma - U= .04 --- y ® 1 INTERIOR AIR FILM 0 68 . . © 2. 6 INSUL. 19.00 rIN 3. WO RIM JOIS T 1.89 / 4. 25/32 SHEATHI NG 2.06 5. SIDING .6 ® 6. EX7MOR R FILM TOTAL 0.17- U', o O U= .04 DhTlc* l ° _ -- - 3O BLOCK ? 1. INTERIOR AIR FILN 0.68 e 6 . 2. 12111B 1.28 ^- / 3. 0 5. 0 ' 4. PROTECTIVE B ARRIER 5. 6. MT= AIR F TOTAL R= 7.13 U= .14 SLAB ON GRADE r ? Y r t /tt -iG . 43 f I f ? C h y ;0 ? e ' f? ! I!t Ill 1 p ti f a ,^ r n I,I - nl , %L 7 f? 1 " A4 11? Itl i! ! NOTE: INDICATE TYPE, "R" VALUE. DEPTH AND PLACEMENT OF INSULATION. Q VD=_ i A HEAT FWW - u UP FIG. 05 ,I FTAT_ FLAW UP FIG. #6 NON-VENTED HEAT FLAW UP CONSTRUCTION R-VALUE 1. INTERIOR AIR FIT M n f;+ 2. 5/8" GYP BD SR 3. INSULATION c[ nn 4. EXTERIOR AIR FILM ^ 61 45.80 U = .02 FRAME 1. INTERIOR AIR FILM 2. 3, iSULATION 4. OR AIR FILM 0.67 AL 40.15 U = 0.024 CONSTRUCTION 1. INSIDE AIR FILM 0 6T 2. 3. 4. 5, IDE AIR TUT FILM 0-1? TOTAL U = FRAME 1 INSIDE AIR FILM 0.61 2. 3. 4, 5• OUTSIDE ATE FITM TOTAL ^ ?7 U = 1. -INSIDE AIR FILM 0.61 2. 3. 4. 5 A FILM 0.17 TOTP.L U = NOTE: USE ADDITIONAL SHEETS IF YDIE SPACE IS NEEDED FOR DETAILS AND CALCULATIONS. FIG. #7 CITY OF EAGAN L-Z"? B / MECHANICAL PERMIT SUM /1?01 f kB n?%?a (612) 681-4675 RESIDENTIAL ?- CITY USE ONLY RECEIPT # CAP Z4 `i DATE /-/'Ok - 9 3 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. OWNER: REYLAND HOMES ADD-ON A/C ADD-ON FURNACE ? SITE ADDRESS: 3425 ROLLING HILLS DRIVE ADD ON/REMODEL (EXISTING CONSTRUCTION ONLY) $ 15.00 INSTALLER; METRO AIR, INC. HVAC: 0-100MBTU 24.00 PHONE #: 447-8124 ADDITIONAL 50 M BTU 6.00 ADDRESS: 16980 WELCOME AVE. S . E . GAS OUTLETS - MINIMUM 1 @ S3 EA. 6.00 CITY. PRIOR TAKE. Z'U' S917? SURCHARGE: $ .50 SIGNATURE: TOTAL: $ 3 0 . 5 0 I/ NO PERMIT REQUIRED FOR DUCTWORK ONLY! COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCULANDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: II CONTRACT PRICE: I FEES 1% OF CONTRACT FEE. STATE SURCHARGE IS 00 FOR EACH $1,000 OF PERMIT FEE. $ PROCESSED PIPING - $25.00 Fs MINIMUM FEE - $25.00 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES EACH TOTAL SHOWER 3.00 (e~"" WATER CLOSET 3.00 -q 6 oZ BATH TUB 3.00 (o . W -q- LAVATORY 3.00 1 KITCHEN SINK 3.00 i LAUNDRY TRAY 3.00 UL` HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 1 GAS PIPING OUTLET • minimum - t 3.00 oO ROUGH OPENINGS 1.50 -1 t s ° WATER SOFTENER 5.00 PRIVATE DISP. • Dak.Cty. hc. 15.00 U.G. SPRINKLER • home under const. 3.00 ALTERATIONS • to edsting 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: SITE OWNER NAME: ),< l_c. I{CYV S INSTALLER: (Dc- ? (' a \ ADDRESS: _'LM w • \ 2 CITY: _?, A STATE: ZIP CODE::SM d PHONE #: ((lrla) d? `?? SIGNATURE OF PERMITTEE 1993 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 1993 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIAL (INDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS 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'£RMq FEE. MINIMUM FEE. $ 25.00 CONTRACT PRICE X 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: PHONE #: STATE: ZIP CODE: CITY OF EAGAN APPLICANT pp? ` 0 ` L ? CITY USE ONLY l.` L BL 'i? SUBD. k u 1(r Oct ?' I I S 2h RECEIPT #: 30 I so RECEIPT DATE: 3-30 "Od PERMIT# 4011-3 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 651-681-4675 Please complete for: > single family dwellings > townhomes and condos when permits are required for each unit > backflow, preventer for underground sprinkler system FIYTIIQFS FACH # TOTAL Alterations to existing dw Iling - inimum fee Describe: ?`n?? V{, $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet ' minimum -1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Septic System new/refurbished " requires MPC lic. 75.00 x = $ Septic System abandonment 30.00 x = $ RPZ new installationfrepair/rebuild 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground sprinkler if dwelling is under construction 3.00 x = $ Underground sprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x $ State Surcharge .50 -> -> --> $ - .50 Total -> -> -> - > $ 3 Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. ------------------ --------------------------------------------------------------------------------------------------------------------------- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicants responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: ]?y2 s OWNER NAME: : TELEPHONE* (AREA CODE) INSTALLER NAME:L TELEPHONE #: _ (AREA CODE) STREET ADDRESS: CITY: MATE: SIGNATURE OF 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) M 4 CITY E"ON f 3830 PILOT KNOB RD - 55122 v I 651-6814675 3 registered site surveys showing sq. K. of lot, sq. M. of house and aU rooted areas QM maximum lot coverage allowed) 2 copies of plans (show beam 3 window sixes poured Intl. design; etc.) 1 set of energy calculations 3 copies of tree preservation plan If lot planted after 7/1/93 DATE: /4tyc Name: Vs4 0 i1z -1)rtr1 Phone Last First DESCRIPTION OF WORK: F dv /}po ISK" Fs>«Res AW STrt-u s,0 'coot - Arwr - 5 K(rFt t}or?_ Pr-po OleCFW=c.4c- A Pe-uwM6sx)ry , STREET ADDRESS: 3q-2-r (Zee ? 4 &LI-5 -2A EAeA,Jl MA) S5/ z f LOT: I'a BLOCK: ( SUBD./P.I.D. #: Buraa oA4 "I lS 2tid PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER /?s!- ba!- oBroS- ?--E (R/L-7l/o `/B S3 C6LC Street Address: 3 ear S PU-4,rdl 6?-ZCS j . City C-7-? 4-'?) State: M K) zip: SS/z / Company: Phone #: (area code) Street Address: License # Exp. City 2 copies of plan 1 set of energy coIgdotions for heated additlons ).site survey forextedor additions & docks CONSTRUCTION COST: u * 3esw State: Company: ?LJ?:: Name: Telephone #: ( Street Address: RnIstratlon #: City State: Zip: Zip: Sewertwater licensed plumber (if Installing sewertwaterl: Phone #: (-? I hereby acknowledge that I have read this application, state that the Info graN ni conect, and wee to comply with all applicable State ? of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Yes No Yes - No - Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 02 SF Dwelling ? 08 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 08-plex ? 05 03-plex ? 11 10-piex ? 06 04-plex ? 12 12-plex WORK TYPE ? 31 New ? 32 Addition )E' 33 Alteration ? 34 Repair ? 13 16-plex ? ? 17 Garage ? ? 18 Deck ? 9 Lower Level ? Plbg ?2r or_ N ? ? 20 Pool ? 21 Porch (3-sea.) 22 Porch/Addn.(4-sea.) 23 Porch (screened) 24 Storm Damage 25 Miscellaneous 30 Accessory Bldg. ? 36 Move Bldg. ? 43 Reroof ? 37 Demolish (Bldg)' ? 44 Siding ? 38 Demolish (Interior) ? 45 Fire Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors " Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code o No. of Units 0 No. of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building E(v ? 31 Ext. Aft - Mufti ? 33 Ext. Aft - SF ? 36 Mufti sq. ft. sq. ft. Footprint sq. ft. Census Code 4 3 a MC/ES System City Water Booster Pump PRV Fire Sprinklered Engineering Variance Permit Fee t60 .56 Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: 160. S 0 Valuation: $ 3,S 0G SAC Units % SAC 2 CITY USE ONLY L J yB?L ?II11 I `` ?7 RECEIPT#: SUBD. YJ)/ (A K L? 1 S Z?;I RECEIPT DATE: /III ?Z S D PERMIT# -Y WO 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 651-681-4675 Please complete for: > single family dwellings > townhomes and condos when permits are required for each unit > backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet ` minimum - t 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Septic System nowirefurbished ' requires MPC lic. 75.00 x = $ Septic System abandonment 30.00 x = $ RPZ new installation/repair/rebuild 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground sprinkler If dwelling is under construction 3.00 x = $ Underground sprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener If dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x $ State Surcharge 50 Total Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. - - -- --- --- --- I hereby acknowledge that I have read this application, state that the intortnation is correct, and agree to comply with all appiicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: 3 42-5. eo L-L.;W OWNER NAME:.--1)4N LLS tJ - S(L TELEPHONE* i (??o CeL i f?1B+?REA/ 72. INSTALLER NAME: TELEPHONE* Y (AREA CODE) STREET ADDRESS: CITY: STATEJ I / . //1L ZIP: SIGNATURE OF ------------------ I ?:f?U?NCe','lJse / Q I j Permit#: ?rl I I Permit Fee: l?fy I Date Received: / j I Staff: Date: Tenar JJ ? ? ' ? r?ro5 ?% l2 N RESIDENT /OWNER ame: Address ! City I Zip: _ Applicant is: Owner Contractor P TYPE OF WORK r`?• r ' r?? AsK Description of work: „ u ( Construction Cost: Multi-Family Building: (Yes / NoX 1 CONTRACTOR Name: owkxt/L License #: Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING -Minnesota Rules 7672 Minnesota Rules 7670 Category 1 _ _ Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (J submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit fora 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: NOTE., Plans and supporting' documents that you submit are considered to be pubiic informati on Portions of the information may be; classified as non-public if you provide speclflc'reasons that would;perinit the City to conclude that. they are trade secrets. 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, a rk is not to start ithout a it, that the work will be in accordance with the approved plan in the case of work which requires a review and a royal f plans. i ???ar11 SG x Applicant's Printed Nam Ap tcant's Sign re Page 1 of 3 2008 RESIDENTIAL :BUILDING PERMIT APPLICATION CITY OF EAGAN CASHIER: JS TERMINAL NO: 003 DATE: 03/30/00 TIME: 09:44:34 ID: NAME: DAN OR DEBORAH VIGDAL 3210 9001 3425 RLLNG HLS 60.00 2155 9001 3425 RLLNG HLS 0.50 3212 9001 3425 RLLNG HLS 30.00 2155 9001 3425 RLLNG HLS 0.50 Total Receipt Amount: 91.00 CR125434 USER ID: JAN ù ù ÿ þýý ûüÿûü úýýð ïìýþ ñý íó ñ þýö þýüûúùø ÷ ò ýûúù ûúùø ÷ öø÷õùô ùóý ò ý òñíýùú ð þïý î ôù ìô ëëô ïý ô ü ô ê é øøù ÿé é ô ý ùêòé é ùé ê ò üôè ïý üúø éôúëô ê îæñåæêê õú þý ë çýæñåæêäêä çýñÿê ôó öòñ ùù õø ç äòýúõò ñõ ó õ ìãöñ ãö áàßà ë üúø ë ëì ë ùù ëëé ô ôùúøëùùüþ éã þý òúé í ê ùù÷ ôþ ý ýúþ ý July 8, 2009 [ © C JUL 0 9 2009 Municipal Center 3830 Pilot Knob Rd. Eagan, MN 55122 Tom: In response to permit number 81652 I am requesting and extension of 45 days. The work permit is for the siding job at 3425 Rolling Hills Drive, Eagan. This spring I had rotator-cuff surgery on my left arm. And I am not back to heavy work at this point. I appreciate your consideration. Please call me if you have any questions. Thanks, Terry M. Dakovich 4243 Boulder Ridge, PT. Eagan, MN 55122 (651)-405-9731 Home (612)-790-3055 Cell O~S Use BLUE or BLACK Ink . r________________� I For Office Use I � � Permit#: t � `t' � Clty Of �� �Il � vs��`-- � � � Permit Fee. I 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: � I I -----------------� 2014 RESIDENTIAL BUILDING PERMIT APPLICAT N � . � Date: � Li'GL("SJ 1 �p ����e Address: � ��a �� c �-�"�`�t .� Unit#: - �A� � �� /� '' / G.� Name .�-�",r,,., �1� �1.G�r���- Phone: �`�,' �-���iK1 Resident! ' C�z� (�,� I � 33i-/�f Z � :Owner ' Address�City i Zip:���5� �Z C�i -�y.j �S_� �. , / � --��-��-A�-r��-,�, Applicant is: Owner Contractor — � Type of WOt'k ' �escription of work: ��p I�,—�� �'�����r'�C'� ��'�►, ,�t _ � Construction Cost: � ��� Multi-Family Building: (Yes /No� Company: Contact: Contractor Address: City: State: Zip: Phone: Email: ' License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: NOTE:P/ans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non'-public if you'provide specific reasons#hat woultl permit the City to conclude fhat fhey are trade secrefs. 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.00pherstateonecall.ora 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. Exterior work authorized by a building permit issued in accordance with the Mi�pes a State Building ode must b ompleted within 180 days of�ermit issuance� � x �.l'�,t,� ��+r��t�-- `� ApplicanYs Printed Name Ap ca 's Signat e Page 1 of 3 Use BLUE or BLAGK fnk . �---. _�_� _,..__��.-- f For i?ffice Use i ( C�t�� j Permft#: / �(�c,N"� 1 af ����� R������p � !�'� �� � � Permit Fee: C��✓• r 3830 Pilot Knob Road 2 � 1 Eagan MN 55122 �`�� 1 ���� � gate Received: ��� j Phone:(651)675-5675 � Fax: (&51)675-5694 j 5taff: { ! 1 2014 RES{DENTIAL BUILDIr'�iG PERMIT APRI�lCAT1QN ��( Date: August 15,2d14 Site Address: 3425 Rolling Hills Drive Unit#: � �� Name: Dan A Vigdal p�o��. 651-681-0$65 � Residentl Cell-651-331-140 Owner Address/City i Z+p: 3425 Rolling Hills Dr, Eagan,MN 55121-2358 Applicant is: X Qwner Gontracto� Repair water damage to basement and first level corner. Repair any unusable wal structure. -��((�� t}f�4r�( DesCriptic7n of wQrk; Within 4'of corner. Replace siding,replace insulation and drywall,replace flaoring. � � Gonsfrucfion Gast: � ��C� Mufti-Family Suiiding: (Yes 1 No X � GompanY� G4ntact: Contractor Address: �,ty: � State: Zp: Phona: Emaif: � � License#: Lead Gettifica#E#: If the project is exempt fcom fead certification, piease explain why: (see Page 3 for additional informatian} 1�� 1 � COMPLETE THiS AREA f3NLlf tF CClNSTRUCTING A NEW BUILI?IN� In the last 12 monfhs,has the Gity of Eagan issued a permit for a simitar pEan based an a master pfan? _Yes ,Na If yes,date and address of master plan: � Licensed Plumber: Phone_ a Mechanical Contractor: p�on�: Sewer 8�Water Conteactor: phQ��,: 1Vt}TE;Plans antl supporting tlocuments fhat you submit are considered to be pub/ic information. Portior�s of fhe information traay ibe cfassified as non=pubfic if yau provide sp�cific reasons ttrat wouid permit#ire City#o " conclude that the' are trade secrets. : GAI�L BEF(3RE YO!U aiG. Cail Gopher&tate One Gatl at(651}454-Q002 far protecfion against underground utiliry damaqe. CaI148 hours befbre you intend Yo dig to receive lacates oi undergraund utiifties. www aoqh�rstateonecall ora t hereby acknowiedge thaf this irrformatioo is campiete and accurate;that the work will be in conformance with the ordinances and codes of Ehe Gity of Eagan; that I understand this is not a permit, but onfy an application for a permit, and wark is not fo siart without a permit; that the wOrk wiA be in accordance witfi the appraved plan in the case af work which requires a review and apprQVal�f ptans. Exteriorwork authorized by a buiiding permit issued in accordance with the Minn a 5tate Buifdin ode mus#be compieted within 1'80 days of permit issuance. � � Dan A Vigdal � x Applicant's Printed hlame Applieant's Si nat e i Page 7 of 3 ! ��f�'.a� �'���z� �/��' ,��: DO NOT WRITE BEI.OIIV THlS LINE ����� / SUB TYPES Faundation Fireplace Porch �3-Season) Exterior Alteration (Single Family) � Single Family _ Garage _ Porch(4-Season} _ Exterior Atteration (Muiti) _ Multi � fleck � Porch(Screen/GazebofPergola) � Miscelianeous _ U1 of_Piex _ Lower Level _ Pool J Accessory Building WORK TYPES _ iVew ! lnterior lmpravement ` Siding _ Demolish Building* � Addition _ Move Buiiding Reroof Demotish tnteriar _ Alteration _ �ire Repa'rr _ Windows Demotish Foundation ` Replace _ Repair ___ Egress Window �Water Damage _ RetBining Walt 'Demoiition o#entire buiiding-give PGA handout to appFicant DESCF�IPT1flN � Valuation � �Of� Oecupancy ,Z�'�G -. ( MCES System `� Plan Review Cods Edi#ion �,�7 SAC Units -- (25%0_ 100%0� Zoning ft—! Ci#y Water — Census Code �3�/ Stories ^ Booster Pump — #ofi Units / Square Feet ^ PRV #o#Buildings / tength — Fire Sprinklers � Type of Construction __�____ Width �' REQUIRED iNSPECTtONS Footings (New Building) Meter Size: Foatings (Deck} Finai I C.O. Required Footings {Addition} � Final 1 No C.O. Required Foundation HVAC�Gas Service Test Gas Line Air Test Raaf:_Ice &Water _Finai Rooi:�Foatings _AirlGas Tests _Final � Framing Drain Ti1e Fireplace;_Rough In Air Test `Final � Siding:�Stucco �ath _S#ona Lath _Brick � Insulation Windows Sheathing Retaining Wall:_Footings_Backfili`Fina1 Sheetrock Radon Contrai �ire Walls Erosion Contro} Braced Watts C)ther: Reviewed By: - , Buiiding Inspector R�SlDE1VTIAL�EES Base Fee ?�� Surcharge Plan Review �/7� MCES SAG City SAC Utility Conneetion Gharge � S&W Perm'rt&Surcharge fireatrnent P�ant Gopies 70TAL � Page 2 of 3 61 CI 4,:,..:# ,,,,,..., EAGANFor Office Use /'� /I ‘ % ; , Permit#. / 5/L/ V (.-.° ••.. .•• p �^ Permit Fee: 11.0. .-:-.-..; { �✓ Date Received: ,3 ,i I 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 AUULI 2 `-3 2018 1 (651)675-5675 I TDD: (651)454-8535 E FAX: (651)675-5694 Staff: I bu ildin ginspectionsAcitvofeagan,com 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 8 Z7 Site Address: S'I Z 5-2O 11 A is f Unit#: Name: IJ i i lk& 4K l eye G i 5 Phone: -703" -55-195 Resident/ Lt2c 1( 51Ils D( Owner Address/City J Zip: Ai1 Applicant is: Owner Contractor a . of Work Description of work: 4 / 1,L. (Jr{�t'r 4- OA ..e OS 0ej Construction Cost: s 11 j4,c2 Multi-Family Building: (Yes /No ) Company: illi .,■ . if I ALA_ Contact: ■" iN ' a& /C ContractorAddress: 5-Z (,(AAA kV( City: W kiScc LArC.0 State:NDN Zip:651 I 0 Phone:(e5-1 204-4917Emaii: aClokW\�GJLMer 1 k��+�1_ ,1, v' License#:S�/.0 1 / Lead Certificate#: If the project is exempt from lead certification, please explain why: Ur\--- 1592 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 and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as'non->ublic if ou , .vide . ..#c reasons that would s. it the Ci to conclude that, : are trade 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.cityofeaoan.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.orq I hereby acknowledge that this information is complete and accurate;that the work will be in confo ance 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 wo .t -# start without a permit; that the work will be in acc rdance with the approved plan in the case of work which requires a review and approv . I ... - x Applicant's Printed Name Ap, -..r ' Signature DO NOT WRITE BELOW THIS LINE `-- (7,;- &,/'1 4i hit/!S :/e-. /S/ 4/°() 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 Zb�' t Occupancy 264 – ) MCES System Plan Review Code Edition fin 2 0,6 SAC Units (25% 100% ) Zoning R-- ( City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction 6 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 Hood Roof:_Ice&Water __Final Pool: Footings __Air/Gas Tests _Final ?z, Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test Final Siding:_Stucco Lath _Stone Lath Brick_EFIS �/✓ insulation 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: f� � ' . ' ' , Building inspector i RESIDENTIAL FEES1 I+ X U1 . ; 132 32 .59 ,Base Fee Surcharge (� "` 20• o 5f fr Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA153752 Date Issued:01/22/2019 Permit Category:ePermit Site Address: 3425 Rolling Hills Dr Lot:13 Block: 1 Addition: Bur Oak Hills 2nd PID:10-15501-01-130 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Brian Gist 3425 Rolling Hills Dr Eagan MN 55121 (703) 304-5565 Blue Ox Heating & Air Llc 5720 International Pkwy New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature For Office Use } `: i i " :::: LO %. %. E AGA N : Z-1I•• RE C EI VEbate Received: 7,0 4`rg 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 JUL 26 2019 I Staff: buildinginspectionst cityofeagan.com rr , 2019 RESIDENTIAL BUILDING PERMIT APPLICATION4 41 Date: 7.26.19 Site Address: 3425 Rolling Hills Dr, Eagan, MN 55121 Unit#: 1 Name: Brian Gist Phone: 703 304-5565 Resident/ 3425 RollingHills Dr, Eagan, 55121 Owner Address/City/Zip: g Applicant is: Owner Contractor -� T of Work Description of work: Updating Deck YPe Construction Cost: $8,795 Mufti-Family Building:(Yes /No ✓ ) Company: self Contact: Contractor Address: City: State: Zip: Phone: Email: 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 and supporting docur that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specifhc reasons that-wo rdd permit the City to conclude that they are trade 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.citvofeacian.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.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 pl x 1 J rt% A. GIST x Applicant's Printed Name Applicant's Signature -----7W7 DO NOT WRITE BELOW THIS LINE - 4t1 .14,q3 l SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) D( Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi 1K 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 XAlteration _ 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 /r 63s Occupancy %-e-C, 2 MCES System Plan Review Code Edition lol S ptU Wig, SAC Units (25% 100%/L) Zoning J . -.1— City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction ,LY Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: 10( Footings(Deck) Final/C.O. Required Footings(Addition) p( Final/No C.O. Required Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test Hood Roof: Ice&Water Final Pool: Footings Air/Gas Tests Final OC Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFIS Insulation 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 FEES Base Fee r�5 �„� ''i S ^-r� 6 3 S Surcharge S S ?c 1 G Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 /"l,J//-.)//, /..!/L. C.f"--ft- /aCxA4 -a‹ - 'JAN-K-1.993 046 93 143 FROM KEY-LAND HOMES INC. TO 68112 2).02 t5- t. �ry- / y ,........ ..... SURVEYOR'S CERTIFICATE T-1) KEYLAN D S 13 U R {,� u 1, [ell t De-�l is r I IFQ e ,,f,:,„,, --7/.... _ '" 76.0I 08 .! /i ;77 a ii � tt (� V .......r.. i� SYZir7 e gi�giP e nev\"�SIAM A 1°''c����- 's . .i3)20 112 *U1 1 r- ,.... LOT r - t \ t °P.. at • -._.. t sL •$. . ( +ots '/ WWI �`+ • . __ _,• .ww. . .-rte- 9 i 1. 0 1 ' 12835.04/1 i ril \___1 : I ‘ '.7 -7.-1 ' 83211 mh. • 10.a U a •w (ego,9A - O _- i = SARA4 '- s . \g al 2 +r a w.;r r . ....nm '• , ate.�. 0 i .........., -1-;,, Pilaf 1$ARK ORGY- Y ta \io ':. , giiiii FfiriP52---/ ' 1 5 L ........_____ X ii�1....) ,....---- .+r"" M t, aT�wr, 181 n. � ��� 7,.....fro 36110914 RI s' .1��7 -- -�� � ape l� � • � t a3As oaa • M r � 11N1 ..- • *:11.114t. ROLLING , H 1 LLS 3 . L i_,".a! 1„.„, t A ir r.- in, .' ---411AMMIgAi t: 1 alim ,+o111 ' ,..- • NO t. smog o,Mve s IW N wore• 1iO a< <'': -, ....._....., • i VERTICAL �sx OP e� sne OMX MI - A PLANE r MUM! a �DWIDATICMI talo No :3 :44;. 47,,,_4 4 h1,►L�TED dl � � •' ON 11;� LAT AY �' .ems TO sum= Toe ' r i ,! �1t p�` 'INE11060 Mt DENOTES PROPOSED SURFACE DRAINAGE ttor Tng RuiroNsIIILITY or na iluffornat O DENOTE IRON MONUMENT SET SCALE:1 INCH— 50 FEET • DENOTE IRON MONUMENT FOUND • PROPOSED GARAGE FLOOR— 8114 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED.LOWEST FLOOR —f 2 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK—S3cL 7 FEES P) ri-li V REQUIMED WE HWEBY CERTIFY TO KEYL AND HOMES TaT THIS 111°A TRUE AND CORRECT .REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 1a, Block I, BUR OAK HILLS 2ND,ADD1 T ION, oc cor'dlnp to tive reobi plot th*eaf* Dakota County, Minnesota. IT DOES NOT PURPORT TO SHOW.IMPROVEMENTS OR ENCROACHMENTS, EST AS SHOWN.AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS it 11-I DAY OF DECEMBER .1ga'@'. MG -►: R. HILL, INC. P . •..,. q ii. . -. 111111,"41t ' AMMON -� *MIA rizillS sr* s AMC..iso JOHN O LARSON, LAND SURVEYOR MINNESOTA UCE ISE NUMBER 19828 al ;;ISigi PLANIE ! S UR E11' RS i 2500 W. CTY. RD. 42•SURNSV1LLE, MN. 55337 9 012400-0044 TOTAL P..02 R-97% 612 894 6823 01-05-93 11 :46AM P002 #47 PERMIT City of Eagan Permit Type:Building Permit Number:EA167885 Date Issued:04/01/2021 Permit Category:ePermit Site Address: 3425 Rolling Hills Dr Lot:13 Block: 1 Addition: Bur Oak Hills 2nd PID:10-15501-01-130 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. We encourage you to retain an electronic copy of photos until the project passes a final inspection. *Roof permits issued between December and March will be inspected in the spring or when weather warms up. 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 - Brian Gist 3425 Rolling Hill Dr Eagan MN 55121 (703) 304-5565 Minnesota Restoration Contractors Inc 12252 Nicollet Ave Burnsville MN 55337 (612) 280-4807 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA178129 Date Issued:08/02/2022 Permit Category:ePermit Site Address: 3425 Rolling Hills Dr Lot:13 Block: 1 Addition: Bur Oak Hills 2nd PID:10-15501-01-130 Use: Description: Sub Type:Furnace Work Type:Replace Description: Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Brian Gist 3425 Rolling Hill Dr Eagan MN 55121 (703) 304-5565 Blue Ox Heating & Air Llc 5720 International Pkwy New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA179830 Date Issued:10/24/2022 Permit Category:ePermit Site Address: 3425 Rolling Hills Dr Lot:13 Block: 1 Addition: Bur Oak Hills 2nd PID:10-15501-01-130 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: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Brian Gist 3425 Rolling Hill Dr Eagan MN 55121 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-7052 Applicant/Permitee: Signature Issued By: Signature