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3449 Rolling Hills Dr#ff or rNt ? 1? . ou"Vey. Non! ?! uenlr~? iric, ?:at l! 0166 t, BOAR DAk N1?,?,s 2NIJ AbbtrtON, city o1• ? igan, 111(ktlEQ't:HUHty'j`?I.INN85tltA Al1d rC9Ui?vitig tils?lrl?lit? iif rUcdtct, _W511 MCI& H, I% M4 k I ' I t1: t f 81 fm ho I W I 11.11 ? I I A9b lafl uaxr< ' c + ? t ` tfi l! Willi I a q , ?1Cfk?f?, a P , , ?.V It 0 y aA , t fit?l IM ,.20 "` ?t.lt s¢ 5A, 48' 80:90 A -,4 'LOT 90, POOto +t es ?_; L?="..:,L+.JSI?YE $JN?tJ1Y11...+fts$ Tf1. 1 ^rii.?Hll tfiff ?fIA4-IHr t? e is SUM 1. 9111?,J`.,?}j9?, EAdAN t Jd kAlil' • n11yCi D 'PT sum" +uut li tl/ut ?Au:bl ?.___?A?}??? IIkiL+IAEM+? kraut = ? Kauai Aldi r Ic Mat as datldi Iwo jId :I :ND9 Nd.: g3di'?bd tl1501(: P t . I tt d4Wai?a!i0a1#YNIbIsH,.elF t, t ,1-FIPAt?l:11 uW;t151. 1l6ArlatlF/6NL i4v Kertificate of Cccupanc4 4Mt of Wagan Te0artaccut of Vniliing 3ad#odion 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: `¢ M Bldg. Petme No. 1213 Occupancy 'type Zoning District Pie VN ConsL Owner of Building PSM HMM Address I/ MUn AV L2, is is, EM Off M 2M Building Address Locality 'T q/2q/q2 Date_ Building Official POST IN A CONSPICUOUS PLACE REACTIVATE FOR DECK 6/93 INSPECTION RECORD Control No. JEAN R?.RiMANN - 686-01 0141 CITY OF EAGAN PERMIT TYPE: i?u I i n I «A 3830 Pilot Knob Road Permit Number: R 41 13 Eagan, Minnesota 55123 Date Issued: to/16/90 (612) 681-4675 SITE ADDRESS: L O7 , 2 pinch . 1 APPLICANT: 3449 ROUIKQ HILLS DR R S M HOMES OUR OAK HILLS ?MD (622) 440-6401 PERMIT S,4BTYPE: TYPE OF WORK: M REMARKSi a & W CONITRACTOR LAKESIDE PLOD Permit No. Permit Holder Date Telephone N S/W PLUMBING HVAC ,GP °1 n? 4 C? O ELECTRIC ELECTRIC Inspection Dete Insp. Comments Footings I ? Foundation Framing 3 1RL Rooting Rough Plbg. Rough Htp. / Isul. Fireplace Final Htg. Orsat Test /l )c Final Plbg. Adl Plbg. Inspector - Notlfyr Pkanber Cont. Meter Engr./Ptan Bldg. Final 9/yea / Deck Pig. Deck Final well Pr. Dlsp. ?/ K3 661 we ? o Reque OJate _ Fire Rough-in Inspection Re??qu//imd? IJ Ready Now Q ( Inspector When hen Ready? / <ra' C No Lensed contractor ID owner hereby request inspection of above electrical work at: Job Address (Street. Box or ROUte o. -3 L-11-i 51 4 Z/ .//.s L', City s A) Section No. Township Name or No. Range No. County ? I ? !t Occupant) NT) Phone No. h M Power Supplier S? Mtl/'.._+`I/ww cam'! ?•-? Ele cal Contractor (Company Name) Connector's License No. n Ni Address ICOntradm or Owner Making installation) Autnonz Signature IConnadon net Making ns1 Ratio Phon Number ?9?-ii?) <3 MINNESOTA STATE BOARD OF ELECTRICITY r THIS INSPECTION REQUEST WILL NOT GHggs-Mldway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. SI. Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS Phone (612)6,12-0800 ENCLOSED. yob REQUEST FOR ELECTRICAL INSPECTION 661W See instructions for completing this form on back of yellow copy. E bo a 9 X' Bi Work Covered by This Request Nei Atltl Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duple. Water Heater Electric Heating Apt. Building Dryer Other -(Specify) Comm./Industrial Furnace Farm Air Conditioner Other ispeody) Contractor's Remi Compute Inspection Fee Below.: Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Z;Pciinl Signs Inspector's Use Only TOTAL ?O Irrigation Booms n /w.. Special Inspection c V _ Alarm/Communication THIS INSTALLATION MAY BE ORDERE ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby certify that the above inspection has been made. Rough-in Final Date py to OFFICE USE ONLY This request void 18 months from Addlress: 3449 Rnf.T.IIC HILLS DRIVE Lot 2 Blk Sec/SubBDR OAK Ha IS 2ND These items were/were not complete at the time of the final inspection. Date: 9/29/92 Yes No Insperfor, Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass F/ Trail/curb damage I VI Porch ? Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. _Oil necxuo ruw White - City copy Yellow - Resident copy Pink - Contractor copy J SO? PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit $ IS•Sb 03 PHUNG,CAO Date / 2J / _ 3449 ROLLING HILLS DRIVE Site Address EAGAN, MN 55121 Unit # (651)683.0244 I Property Owner ?- - - - -- -- --T lephone # ( ) Contractor NORBLOM PLUMBING C0, (612) 827-4033 Address City State MINNF:APnf 1S, MN ip Telephone # ( ) The. Applicant is Owner Contractor Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 Adding fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water turnaround (+ 5/8" meter if needed - $121.00) Other: _ RP7 _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system `r X \ _ Water softener Water heater \ \ $ 15 00 \C n X replacement additional ,` `? " nr ) . _ ,` 1 1 $ .50 State Surcharge -- 15. SO Total $ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing 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 die 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 s Signature .. PERMIT Control No. 0925 -? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: BUILDING 001213 08/10/92 SITE ADDRESS: 3449 ROLLING HILLS.DR LOT.: 2 BLOCK: 1 _BUR.OAK HILLS 2ND DESCRIPTION: .-Building Permit Type SF DWG Buildin4l4ork Type NEW '..UBC Occupancy R-3 N-1 /...:Construction Type _.V-N _,_WZoning R-1 . .,.,Building Length 54. :.r .:Building .Width._ ---_ i:._......_.. 52. .. f 21 REMARKS: ! (--) ZQ'Z]2? l W CONTRACTOR.- LAKESIDE PLBG . FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal VALUATION $650.00 $422.50 $51.50 $790.00 100 1 $1,824.00 .$103,000. . MISCELLANEOUS.....-..___.._ .31.610.50.._._... Total. Fee.. $3,434.50 CONTRACTOR: - Applicant - ST. LI OWNER: R S N HONES 14406901 000345 R S N HONES 16817 DULUTH AVE 16817 DULUTH AVE PRIOR LAKE NN 55372 PRIOR LAKE NN 55372 (612) 440-6901 (612)440-6901 I hereby acknowledge that I have read this application and state that the information is,p correct and agree to comply with all applicable State of Mn. Statwtes and/Pity of Eagan Ordinances. A L_ MIA ni . SS ED Y: IGNA RE PERMIT # REACTIVATE _ 1113 CITY OF EAGAN $3 43?'.A0 1992 BUILDING PERMIT APPLICATION 681-0675 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, 1 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 r lot change is requested once permit is issued. Date _C / 5 / qa Valuation of work '0(JJW0 Site Address:_ ?w ,te , STREET SUITE t Tenant Name: (commercial only) LOT _ BLOCK _ S . P.I.D. N Description of work: 4a The applicant is: 0 Owner ontractor O Other (Describe) Name Phone Property LAST FIRST Owner Address STREET STE 0 City State Zip Company 5 tree Phone qq0- Ct01 Contractor Address 1641e`7 bkSt1_kV , KI) License. #N6 Exp. City P4ZLbt.._. State VWO Zip _'55S'l a Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber LQ?CesL?? w. L"s.t Processing time for sewer & water permits is two days once area as been appr ve . I hereby acknowledge that I have read this aPPpl' on and state that the information is correct and agree to comply t all ap 1' abl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 ;Ef Foundation ? 06 Duplex ? 11 Apt./lodging 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Addl. ? 15 Deck WORK TYPE 'W31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) V_ µ Basement sq. ft. (Allowable) V- N 1st F1. sq. ft. UBC Occupancy R_3 M _t 2nd F1. sq. ft. Zoning A-1 Sq. Ft. total # of Stories Footprint Sq..ft. Length On-site well Depth 52 On-site sewage APPROVALS Planning Building Engineering Variance REQUIRED INSPECTIONS ? Site ? Wallboard © Footing 13 Final ? Framing ? Draintile ? Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surchargge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: Valatian: S 1 b? ??Q C7A _AGC i Z$ k .2- _ 05 X 16= 8960 BSMT: ?5K32= 800 K 36 1 3'76 b4 0 ST ?L oo Li13mT= r3?6 X S3= 2, 92 8 Jo?,Sz$ _ -ORW bi ?'T6 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System YES City Water PRY Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments SAC % SAC Units S a n C or•I G'ert?f?eate SURVEY FOR: R 5 M (tomes Inc. DESCRIBED AS: Lot 2, Block 1, BURR OAK HILLS 2ND ADDITION, City of Pagan, Dakota County, Minnesota and reserving easements of record. e dh N89' 51'481 E 85.77 -e 805,1 0 r- w C ???_ 5 1 h° ` 1 1 l 1 taco' T 1 4L00 00 I'S 1 881. as am LIM 1 8 E.;.! NeK 1w try IR ra. = e8? 8J S A E.IS! Herne. 8 t T. ta0E 8 ta?•l T.T13 .0 a 1 a 8 to -go sarq• t3 Sa 00 1 974.0 8 }A 00 89%,3 { i ass Bar la 88L9 1 pr1YS >i1 u? 97e,8 1 f?9. r-• i1. 19'1103-0 86 es_Z?p,2! 54.4 l to aBZ.% 1 flR %ROL ? ? L LS 1?, _ ?- - _? _- LOT SO PROPOSED ELEVATION S Top of Foundstlons -882.5 Geroge Flag . 882.1 Basement Floor a 87q,3 Approx. Bawer Service Elav.. K/A Proposed Elsvallons Existing Elevallons Drainage Directions ..... r DenolesolledStake . 0 HEDLUND Planning Engineering Surwying no, an Owntro1Nw•M."'" i?.lMS"' 141M.$046 554200 FOOTAG EAGAN SCALER 11 Inch •30 Feet ro?p:ltIA3G DEPT BENCHMARK. -rN N @ %I eleu• 88(0.81 MIN, SETBACK REQUIREMENTS Front - 4 House Side - Io Rear - 20 Qaregs Side • o IHERESYCERTSY THAT THIS 19ATRUE AN000RRECTREPREBENTATION OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS 9UW VEYE D BY ME OR UNDE R W OMEOT SUPERVISR) H AND OOE S NOT PURPORT TO SHOW IMPROVEMENTS OA ENCROACHMENTS, EXCEPT AS SHOWN. ou• 303 7-9112- 4-d INDOREN,LAND SURVEYOR MINNESOTA LICENSE NUMBER 14378 JOB NO.: q2 R- 3'!0 0.4mg2-2. ?y:La?er" stir.1?L?.aerYwtaw+CawsR.4.i.e?8s:?: i?r+..'. «iG.M.r""••'..•?.. .Yt...?.!!Wa?.M?!-r?:•.%.?-::+?."::t'ti:,: eY?Rr?+tlwti+??AiXMSE:?h?tun?...?1'?:?arrl'yei+n r. n..:. ?, ,.. +?.. .. ,n - 1 .1.- .r -. r?i-.i :.,,?•i-.iii, ?, ,,? ,.. EXTERIOR I'NVEI.()I•I: AVI{RACE ••U•• COMPUTATION R-. SITE ADDIUiSs L,-r 2 CONTRACTOR TZ. S• M. I- nM c J N C, DATE PI IOWE Determine working square footage of each. 2. 1. Total exposed wall area ....... 14 0 Z O sq. ft. x •(( = ?09. 2. Total roof.ceiling area ...... Itsr,}.o sq. ft. x •025 = 31. ,^ Total exposed wall area above floor - 19O 2.0 a. Total wall window area .................................... 13 4.-y b. Total door area ........................................... 'YO-8 _ C. Total sliding glass door'area ............................. 31.2+ _ d. Total fireplace wall area ................................. _ O C. Total wall framing area (average 10t) ..................... _LQ 0L2 f. Total net wall area above floor ........................... .503.`L g. Total rim joist area ......................................' _I Z5. O Total exposed foundation area = 100. h. Total foundation window area .............................. O _ i. Total net foundation area above grade .................... 100.3 . Determine ••U" value of each wall segment. a. I36• y x ••U•• . 55* = 75. C) _ b. yo . g x ..U.. . o 7L 3. c. 31. Z x •'U•• 55r 17.3 d. o x .. U., b C7 e. I9O.Z x ••U•' *12 Z7•?-- f x "u.. 'O yz 3 1 _ = -AP _ .0 y7 - - 100 3 : aP3 8.3 I 3 .................. ................Total !9 e If item q3 is the same as, or lean than item 01, you have met the Lntew of s8c 6006(c) 2. ?,?,,,,,,, +• 3 3 •q) c 9l+w 6 X209•+) 'mil ` '` .4-f44 59 c: Cr on G Co 3 z Total exposed roof/ceiling area lZ? M. Q J. Total skylight area .................. .:................... D Y..' Total roof/ceiling framing area (average IWO ...........•. 1. Total net insulated roof/ceiling area ..................... Determine "U" value for each roof/ceiling segment.. 3 b x "u' b - k. !25•y x "U" , ozs = 3.1 1. 11 z8•Fe x -u.. • of Z3.7 4 ..................:......... ......Total e7 (o' If total of 14 is the same as, or less than 02, you have met the intent of seC 6006 (c) 1. w y (Z.16. a) G. 9'?t. r. 2 31. ?) .w+! .fie. a .c.. . ? S 1,0 (O o e b CC 31 Alternate Building Envelope Design To utilize the total envelope system method, the values establisho2d by the sum of items q3 and q4 shall not be greater than the sum of items ql and q2. REACTIVATE PERMIT # CITY OF EAGAN 1993 BUILDING PERMIT 681-4675 APPLIC ON . 0/'a/3) SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date ( Zz / 03 Valuation of work Site Address: Nqq 11???? ??? ?? ?o STREET SUITE 0 Tenant Name: (commercial only) LOT BLOCK SUBD.6kVK OC?.K Oats z P.I.D. N Description of work: 7QGir. The applicant is: Owner ? Contractor ? Other (0"cribe) Name cv-rn^wnn J21-vine- Phone O/W Property LAST FIRST Owner f aVc- A? Address STREET STE M City State Zip SS?2? Company Phone Contractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. K rA ,/ /,y , -< \ Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Owg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. WORK TYPE 31 New 932 Addition ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'l. ? 33 Alterations ? 34 Repair ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace 15 Deck tic ? 35 Tenant Finish ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning B of Stories Length0 Depth J2?c/Z APPROVALS Planning Engineering REQUIRED INSPECTIONS ? Site ? Wallboard Basement sq. ft. 1st F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance Footing C Final ? Framing ? Draintile u ? Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. to- Copies Other I° Total: _X1 Valuation: $ ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRY Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments SAC % SAC Units el'39I L o2 B CrrY OF EAGAN L B MECHANICAL PERMIT RECEIPT # ?6 S (612) 681-4675 DATE RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. OWNER: S /Yl Ls FEES SITE ADDRESS: TT -3 D t 41 k ? r ADD ON/REMODEL (EMSTING CONSTRUCTION ONLY) $ 15.00 INSTALLERa 1 HVAC: 0.100 M BTU 24.00 PHONE 12481 Rhode Island Ave, So. S f !Pi 553781122 ADDITIONAL 50 M BTU 6.00 1 avage, v ADDRESS: 894.0005 GAS OUTLETS - MINIMUM 1 @ $3 EA. ?, 0 b ': [ L(Y: SURCHARGE- $ .50 SIGNATURE- TOTAL: $ 3 J' 5 COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCL414INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: CONTRACT PRICE: FEES 1% OF CONTRACT FEE. STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE. $ PROCESSED PIPING - $25.00 *..'_IMIMUM 1WEE - clic m OWNER: TOTAL. $ SITE ADDRESS: TENANT: SUITE #: INSTALLER: ADDRESS: CITY: ZIP: PHONE #: CITY SIGNATURE: SIGNATURE: CITY OF KAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 FOR CITY USE ONLY PERMIT # RECEIPT # /O ??? 5 DATE: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6 TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST _25^_ ADD ON _ REPAIR OWNER NAME: lti.? ?tC•G Ciiy Co ?S? SITE ADDRESS: 3yY9 ?fodAxwe zy"uct OR LOT: 2 BLOCK / SUBD. 160A efX ?yi,ctS gPl-cl INSTALLER: 449 tt.f /4 G ,c4 G -1 h ? ADDRESS: eldYG57 ?i,??29 ?/ldc Sy NO .2 3 -------------------------- COMPLETE THE FOLLOWING: FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 SHOWER 3.00 3. w WATER CLOSET 3.00 L-w BATH TUB 3.00 3 L') LAVATORY 3.00 4•t0 KITCHEN SINK 3.00 -3 •?) LAUNDRY TRAY 3.00 -7.o HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING OUT. (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 91•9) OTHER _ WATER SOFTENER 5.00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 SUBTOTAL $ 27 J'Z ST. SURCHARGE .50 TOTAL: S gs--w COMMEAG+Lj1NDUSTR$AI, PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ----------------------------- CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: CITY OF EAGAN FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL: (SIGNATURE) CITY: J/?CG ZIP: 553?F vunac. ? • ?Sy •??/ W L BL ( CITY USE ONLY RECEIPT #: ! gSS %o ! SUBD. RECEIPT DATE: 1998 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 ? backflow preventer for underground sprinkler system - -- ---- ----------- FIXTURES ---------------- EACH ------------------------------------------------ # TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = 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 ' for dwellings under construction 5.00 X = Water Softener ` for existing dwelling 20.00 x = U.G. Sprinkler ' for dwelling under const. 3.00 U.G. Sprinkler ' for existing dwelling 20.00 = Alterations ' to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System " MPC lic. 75.00 = (new and refurbished systems) Private Disposal Systems " Abandonment 20.00 = RPZ (new installation only) 20.00 = STATE SURCHARGE 50 ?O S TOTAL - to- ce---mp-ty- with---- al--l--applicabl ------eCi--- ty--of--Eagan-------ordinan--- - s ce-.- I ----- have -is- -and- - agr- -re-to--o-o- hereby acknowledge that I read this application, state that the information correct, 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 th' ermit whhiinn.-C,itty property/right-of-way/easement. L4' 1 I?, Q1 1 t N Cr 7 yl 1 Oe - C-7 0IV/V , />-'//V <4t ? D?il SITE ADDRESS: ie OWNER NAME: INSTALLER NAME: STREET ADDRESS: CITY: TELEPHONE) 1Lj O6 3 -'dj 7) ATE: MA ZIP: Iz id CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3449 Rolling Hills Dr Lot: 2 Block: 1 Addition: Bur Oak Hills 2nd PID:10- 15501- 020 -01 Use: Description: Sub Type: e - Furnace Work Type: Replace Description: Furnace Comments: Fee Summary: Contractor: Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460 -6022 X253 Quesetions regarding elec 952- 445 -2840 Cindy Lilienthal 21210 Eaton Ave ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan cal permit requirements should be directed to Mark Anderson, State Elec - Applicant - Owner: Matthew Patton 3449 Rolling Hills Dr Eagan MN 55121 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 $50.50 Mechanical EA079632 09/06/2007 ePermit cal Inspector, I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature ÿîÿ ÿ þýý ûùûü úýýð ìýþ ý íó 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 ãëø äòýúõò ñäõ ó õ ìãöñ ãö áàßà ë üúø ë ëì ë ùù ëëé ô ôùúøëùùüþ éã þý òúé í ê ùù÷ ôþ ý ýúþ ý PERMIT City of Eagan Permit Type:Building Permit Number:EA121619 Date Issued:04/09/2014 Permit Category:ePermit Site Address: 3449 Rolling Hills Dr Lot:2 Block: 1 Addition: Bur Oak Hills 2nd PID:10-15501-01-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - 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 by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Matthew Patton 3449 Rolling Hills Dr Eagan MN 55121 (651) 402-7046 Home Depot At Home Services 656 Mendelssohn Ave N Golden Valley MN 55427 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA178101 Date Issued:08/01/2022 Permit Category:ePermit Site Address: 3449 Rolling Hills Dr Lot:2 Block: 1 Addition: Bur Oak Hills 2nd PID:10-15501-01-020 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Matthew & Carrie Patton 3449 Rolling Hills Dr Eagan MN 55121 Champion Plumbing Llc 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature