3453 Rolling Hills DrM*--?=?• C&Y OF EAGAN J. ,
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for SF V1dL;/rA4k Est. Value d 1,000 Date WAY 4 19??
Site Address 3w5? W%-11'%, hI LLS Lk
Lot Z Block I Sec/Sub. BUR OAK. HILLS OFFICE USE ONLY
Parcel No. ZN Occupancy B- 3 M_1 FEES
R 1
Zoning
W Name i' a i' S TAD CO/CdATUU t1 OM LTD (Actual) Const V-N Bldg. Permit (26.00
Address '(,o STLVER LAKE €D (Allowable) -Y--H
h
S
4$•
City '~1;0tl Phone 636-3751 #ofStories sb urc
arge
Plan Review 313.00
Length
p Name Depth 52' SAC
City V Y1.00
,
O
< Address S.F.Total 575
00
U SAC,MCWCc .
City Phone S.F. Footprints
Water Conn
S RA - w
On Site Sewage
r
w
O
Name
On Site Well
Water Meter
40.00
U i
L
s= Address MWCC System X
30
00
az Acct. Deposit .
4 w City Phone City Water
S/W Per
it 2000
•
PRV Required m
I hereby acknowlege that I have read this application and state that the Booster Pump S!W Surcharge 1.00
information is correct and agree to comply with all applicable State of
Mi
t
t
d Cit
f E
n Ordinances
t
St 228
00
y o
aga
nneso
a
a
u
es an
. Treatment PI .
Signature of Permitee APPROVALS Road Unit 3411. W
A Building Permit is issued to: Ci!ATEAU HUMES LTD Planner Park Ded,
on the express condition that all work shall be done in accordance with all Council -
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies
Building Official Variance TOTAL
Permit No. Permit Holder Date Telephone
WATER
SEWER
PLUMBING
H-VAC v"7? ?IO
ELECTRIC
Inspection e
94?61
Cate Insp. Comments
Footings i
Foundar,
_
_
?
Framing
!
Rooting ??
S
Rough Plogg
Rough H;5 - S^ ?T Jj?f
Isul.
Fireplace i ?
Final Hlg`
7_0
y
Final PiLV
Const. At t,, ` Plbg. Inspector - Notify Plumber
Fngr/Plan
Blog. Fina! --
Deck Fly. -
Deck Final
Well
Pr Dicp
PERMIT #
PLUMBING PERMIT
RECEIPT # L2
12&2
CITY OF EAGAN
3830 PIL OT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 451-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block Sgc/?o Res. New
Mult. Add-on
m Name + I ' i Comm. Repair
Address Other
c City Phone `t ' I t RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
-Water Closet - $3.00 $
Name -
Bath Tubs - $3.00
Address 00
Lavator
$3
.
y
p City Phone '' ? t Shower - $3.00
TKitchen Sink - $3.00
COMM/IND FEE - 1% OF
APT. BLDGS - COMM RA
TOWNHOUSE & CONDO -
MINIMUM - RESIDENTIAL
MINIMUM - COMM/IND
STATE SURCHARGE PER
(ADD $50 S/C IF PERMIT
RFVnNn 4ti nnn nni
FEE
RATE APPLIES
-$12.00
-$20.00
T - .50
OF PERMITTEE
FOR CITY OF EAGAN
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
__?_Water Heater - $1.50
Whirlpool - $3.00
-Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL:
l
i
CONTRACT PRIC
Site Address -
Lot BI
m Name -F
Address -
c City
Name
3 Address i
O City
MECHANICAL PERMIT
CITY OF EAGAN
3630 PILOT KNOB ROAD, EAGAN, MN 55122
TYPE OF WORK
Forced Air M BTU $.
Boiler M BTU $
Unit Heater M BTU $--
Air Cond. M BTU $
Vent CFM $
Gas Piping Outlets # $__
Other $
FEE
S/C:
TOTAL
BLDG.TYPE
Res.
Mult
Comm.
Other
WORK DESCRIPTION
New
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU
-$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 SIC IF PERMIT PRICE GOES
BEYOND $1,000)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
PERMIT #
RECEIPT #
DATE:
For Office Use Only: y'
(9rrtifiratr of (Orrupoury
itp of (Eagan
r?rh>uztf n# ling ,?n??rtimc
This Certificate issued pursuant to the requirements of Section 306 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:
ux cwdfi xtioa SF I76t1?y/GAR Mg. Permit No. 16411
Oatto.ay T* R3/? M 1 zoning District Rl ,ya Com. VN
Owner of Bo,lding HAMAD 0D/CHAIM B21ES Addrew 1900 SILVER LAKE ROAD, MW BRIGHIM
Building Address 3453 -Palm Hmm DRIVE I«01ityL I, BI, BUR OW, Hn S 2M
A / Date; WMM 24, 1989
BuMing OfIkW /'C
POST IN A CONSPICUOUS PLACE
lb.
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
-,:) . L f ? a
1e `
WCEi4E0
MOM. LAO
AMOUNT $J
L
8 DOLLARS
ff 'ry 100
? G`ASH 0 -CHECK
By - Y
I Copy
C
` Yellow- DOWN COPY
Pk*-FBe Copy
Thank You
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMIT DATE -1/22/8,)
WATER PE IT # 0' '+ - SEWER PERMIT #
METER # a B.P. RECEIPT # ' ` 304
READER # B.P. RECEIPT DATE
METER SIZ ra ,e w
ISSUE DATE "? rrff - PRV - BOOSTER PUMP
SITE ADDRESS 3453 ROLLING HIL L' DRIVE
LOT BLOCK Z_SEC/SUB
APRLICANT:
ADDRESS:
CITY, STATE ZIP T'?J 1
PHONE: v = ti 1
PLUMBER:
f
ADDRESS: I `1
?;?f Y?i. A
CITY, STATE ZIP
PHONE:
OWNER: -` - -
ADDRESS:
`
..c
CITY, STATE - ZIP !/ L
PHONE: ' = -
PERMIT REQUESTED
v
- SEWER
- COMM/IND
NEW
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM
ENGINEERING DEPT.
WATER -TAPS
RESIDENTIAL
- EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMIT DATE
WATER PERMIT # SEWER PERMIT #
i ri' ly
METER # B.P. RECEIPT #
READER # B.P. RECEIPT DATE 5? `
METER SIZE
ISSUE DATE - PRV -BOOSTER PUMP
SITE ? DPRESS ° S ' T'rrLt, nr,^ -
LOT r.L_BLOCK SEC/SUB
APPLICANT: - -?
ADDRESS:
CITY, STATE ZIP ?--
1
PHONE:
PLUMBER: 'N -- +
ADDRESS: 6
CITY, STATE ZIP _
PHONE:
OWNER:
ADDRESS: -
CITY, STATE ZIP
PHONE:
PERMIT REOUESTED
- SEWER - WATER TAPS
_ COMWIND - RESIDENTIAL
NEW - EXISTING
I AGREE-TO PLY
WITR e OF
EAGAN ORDINANCES: _
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT AA
NGINEERING DEPT.
CITY OF EAGAN NY 10%xi
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
lf
BUILDING PERMIT PHONE: 454-8100 Receipt # C vU_I
Tobeusedfor SF DWG/GAR Est. Value $97,000 Date MAY 4 - 19_B4-
Site Address 3453 ROLLING HILLS DR
Lot -I Block I Sec/Sub. BUR OAK HT L LS
Parcel No. 2ND
w Name HARSTAD CO/CHATEAU HOMES LTD
o Address 1900 SILVER LAKE RD
City NEW BRIGHTON Phone 636-3751
IZZo Name SAME I
pU
ua Address
City Phone
Name
Address
City -
Phone
I hereby acknowlege 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 agan Ordi ancas:
Signature of Permitee??'_ ?,/,/?/'
A Building Permit is issued to: CHATEAU LIES i TD
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official r r I
OFFICE USE ONLY
Occupancy R-3 M-1 FEES
Zoning R-1
(Actual) Const V-N Bldg. Permit 626.00
(Allowable) V-N Surcharge 48.50
# of Stories
56 ,
Plan Review
313 , 00
Length
Depth -52' SAC, City 100.00
S.F. Total SAC, MCWCC 575,00
S.F. Footprints
On Site Sewage Water Conn %A0 00
On Site Well Water Meter 90.00
MWCC System
3
City Water 0.00
Acct Deposit
PRV Required SrW Permit 20.00
Booster Pump S/W Surcharge 1.00
Treatment PI 228.00
APPROVALS Road Unit 340.00
Planner Park Ded.
Council
Bldg. Off. Copies
Variance TOTAL 2, 951' 50
r-h
BLDG. PERMIT NO. L I B I ?LCY ce k
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
75-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
TOTAL
<.r
cSU
0z
This request void Y gUJ3?
1months 9 5 6 31 /Q l r9q
Reg uest Uate Fire No. Rough-in Inspecti
on
Required?
eady No 11 Notify Insppc-
?
es ?NO for When Ready
Licensed Electrical Contract., 1 hereby request inspection of above
? Owner electrical work installed at:
Street Address, Box or Route No. City
3-4s \'1h ;IBS r ;Y _ ??
ecu on o. Towns ip Name or Range No. County
Occupant (PRINT)
Phone No.
Oct Cl. e_GV e,?- 3? 375
Power Supplier Address 1/
c5 Wv a e- Ye /?Gew
r )Company Name)
Electrical Contraf Contractor's License No.
;? °4- l -7 ( 1G
Mailing Address (Contractor or Owner Making Instailation)
43-x}
f
X705 Z
S
1l
LA
.
Authorized Signature (Contractor Owner Ma ing Installation) ne Number
70
MINNESOTA PLATE BOARD dF ELECTRICITY 1-11 THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. SL Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
;,h- 1x19i RA9.nRDn ENCLOSED.
5//31F9 REQUEST FOR ELECTRICAL INSPECTION EB-00001-05
V
See instructions tar tompletirq this torn on back of yellow copy. r1q?3f /Y
. ® 9 5 6 3 1 "X'' Below Work Covered by This Request
Hdd Rep. Type of Bulldinq Apptiancea Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heating
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm then Peru y olher IS p.; r.i lyl
t q pccify Other G, Othur
on Fne
N Fee Seryice Entrance Size It Fea FBBdersrSubfeadars # Fee Circuits
0 to 200 Amps 0 to 30 Amps $, 0 to 30 An
Above 200 Amps 31 to 100 Amps 31 to 100 Am
Swimming Pool Above 100-Amps Above 100--Amps
Transformers Irrigation Booms 1 525 Partial, O ther Fee
Signs Special inspection
s
TOTA E
Remarks loUrs? ?C
Bough-in Dat?, /1_
J (/ the Electrical
Inspector, heroby
certify that the above
Final
O t U^}?j f spection has been
de.
This request Vold 18 months from
1989 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
14(111
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MOST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY
CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
Nn JAN a
To Be Used For: Valuation: Date:
Site Address g??g ?un4
Lot Cy! Block IIII
Parcel/Sub nl?
Owner C-?D-
Address ?,?22 Q S, /I ?, ZA'---
City/Zip Code
Phone C,S 6- ? 75 1-
Address /9ci?j Sc Cf?..
City/Zip
Phone 43?' -325-i
Arch./Engr.
Address
City/Zip Code
Phone #
970?-
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F
ONLY
R- 7vi-t
R-I
v- N
fir. ?r
Sep
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
TOTAL
On site sewage-
On site well
MWCC System ?
City water
PRV required _
Booster Pump
APPROVALS
Planner
Council
Bldg. Off.
Variance
Council
NOTE: Sewer & Water Permit fees and account deposit fees will be included in the building
permit fee. Processing time for sewer and water permits is two days onoe a licensed
plumber has applied for a permit at City Hall.
VALUATION
GARAGE - t *? }.
TZ xZ2= Z?4 0' ?
Zvx ZZ = LI LI o
'l o' i x ?y 9s5?
5Sryl T'
a&XHB.- i-zgg
to L ?
Il 'y
13?Nx13= 1?7og?
HuL.s--
2/z x 17= ?-I Z
1oX z = 2c>
11
z x
IyZy xyq=_.X497'?G
9 (?iy
MAY 02 189 10:57 TO CITY OF EAGAN FROM HARSTAD COMPANIES
MAY'02 189 10:40 MERILA & ASSOC., INC.
T-268 P.02
P.2/2
CERTIFICATE OF SURVEY
FOR: CHATEAU}- HOMES
? 158.7tiv NB?•?t'?-S"?
5,7
s
Scale: T = 30'
O pdtftAt?+ Ir6ei i'1911.
Sanitary Sewer
Invert Elev. m 8-78.0
Q?
DoWtee PrOPOWd 814l'yet:LOn
x DMOtA B IW* 8110VOLM
@A2.bOR10p•ctE ,He?n6ltti P,,loar
LEGAL DISCRIP11O11
at t block I
BUR DAK HILLS 2ND ADDITION
Dakota COU11 - Ninne6ota
a
?? ?O As `,O
a4,7
9t?,o
1
e
to
4 a057.0 .lt°J
41.
VS. F
a ?LAW
MERILA & ASSOCIATES, INC.
ENGIN96RL SURVEYORS. SITS PLANNERS
I 640173rd Avenue North I Sulte a e8
i Brooklyn Fork. Minnesote68420
Telephone: (612) 7696
to erafnys. W utility eeseaeet
lp T ?j EAGAP
1_-1... R E V I E W E
V'
EAGAN
BY
DATE
Y $?
00,10 %
We hereby certify that this is a true and eorrect representation of a survey of
If anyboundaries
eonoand oil Visible grncrrooaeland and hrnent4oif any, from or on soldland.
MeweeY??;S./V/G? dayol?J-L!'Tr 16 a?
77; ?, y, .. IV d:._ dr' / Minn, Res. No. zP 3
job No.a,6 ^ 23-7. Book - Paee _-- - -
0
04
1 '
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
SITE ADDRESS L_v'7 R4RK QAI< N7--> i bbw.
CONTRACTOR CNYa7L>?v ?O?1?S DATE PHONE
Determine working square footage of each.
1. Total exposed wall area .
sq.
. G
ft. x 01 ?j
2. Total roof/ceiling area y
i / Z4 sq. ft. x O?0 Z(0 = 3 T• .
3. Total floor/cant. area . `Z J sq. ft. X ®'t75;7
Total exposed wall area above floor = -z 44
a. Total wall window area . . . . . . . .
b. Total door area . . . . . . . . . . .
c. Total sliding glass door area . . .
d. Total fireplace wall area . . . .
e. Total wall framing area (average 10%).
f. Total net wall area above floor . . .
g. Total rim joist area . . . . . . . . .
Total exposed foundation area = 1,09), Qj
h. Total foundation window area . . . . .
i. Total net foundation area above grade. Ipeg g
C X 'full Q. 44o, 3(o.-77
d. Z4- x full SUBTOTAL -
4. TOTAL - Z 7J Z
Determine "U" value of each wall segment
a. i4-11 x "u" O. ? = -I .25
e. t x 'lU.l?? .
f. x ..U.. O.O?
. t 3 Z x "u" 0.041 = I
g
? -
h . r^ x "U"
i. X ?.U?? Of
C) lC,- _
If item #4 is the same as, or less than item #l, you have met the intent
of SBO 6oo6 (c) 2.
Total exposed roof/ceiling area
1 321 {
J. Total skylight area
k. Total flat roof/ceiling framing area . . . . . . 0.
1. Total net insulated flat roof/ceiling area 10. R
m. Total vault roof/ceiling framing area . . . . . 42
n. Total net insulated vault roof/ceiling area 3.78
Determine "U" value for each roof/ceiling segment
x uUn - _
k. O+ x "U" 0 p 7_ _ re I
1. 8100`1 x "U" p. O Z .
M. 4Z x "U" O, 0 2A = I
n. -j'-79' x "U" O. 0 5 =
5. . . . . . . . . . . . . . . . . . . . . . .Total=
If total of #5 is the same as, or less than #2, you have met the intent of SBC
6oo6(c)l.
Total exposed floor/cant. area Z?
0. Total floor/cant. framing area (average .10%) . . ( Z
P. Total net insulated floor/cant. area . . . . . . ?! .
Determine "U" value for each floor/cant. segment
"u" 0,05 0
P. 110 0 x "U" 4 =
6. . . . . . . . . . . . . . . . . . . .Total= 3 .1
If total of #6 is the same as, or less than #3, you have met the intent of SBC
6oo6(c)3.
ALTERNATE BUILDING ENVELOPE DESIGN
To utilize the total envelope system method, the values established by the sum
of items #4, #5, and #6 shell not be greater than the sum of items #1, #2, and
#3.
1. Z (-v7R.28 2. 34-,32- 3. (O,IIg = 30 q,?7
4. (i 72 Z 5. 4-0' 5Sr 6. 3.97
q.,? 4" Pr (?/\
Ic?S x8.8= 1452
Zoo F/ GLC? P?(
1 b J? 8
la?Z•S
-CoTLL
Co?2-
13 21
ibb 1 -7 Z-
'11A AokelT
Ic,sxD.8=13Z
(3(o Xo,B = 108.8 .
cam 4pcb '.
2X l o ' Zd
Z.5?? t B= 4 s
-w la L, = I Z 3
W (")Ow s"ew L.6 46
L 74 Z¢ er4-.
GPI-2osb
L? - w36
G4/-ZoSv ?
G 31- 203
7, 33 xZ=
?qg v 3=
r ,c z.
G. e?" x 4 =-
G•G G 4 4-
. <
SK 3
Zo TbL
?4.(0(?
to
27.8
l?
154• 11°l
boo?- SG N
j5j-rk.,? w? 2 SL = Lt t 19,0 4-c- 4 o v 4
GAl2 l -7, -7 r
PQ-(i O u 2-G ;
2,rol, ' 1a.I4.
Cities Digi
ity Control
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2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements
3 registered site surveys showing sq. ft of lot, sq. ft of house; and all roofed areas
(20% maximum ht coverage allowed)
1 Soils Report If proposed building is to be placed on disturbed soil
2 copies of plan showing beam &window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan If lot platted after 711193
Rim Joist Detati options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
Remodel/Recalr Recuirements
2 copies of plan showing footings, beams, joists
1 set of Energy Calculations for heated additions
1 site survey for additions & decks
Addition - indicate d on-site septic system
Telephone #1
Date ? / 19 /
Site Address :3 V53 11; Construction Cost ?s 01 loo
20 /!4 Unit/Ste #
Description of Work Te a C11 1 C? ?P - O 1
Y
Multi-Family Bldg - N Fireplace(s) - 0 - 1 _ 2
?t
Property Owner Z?t+ ?D1A.0-e&A4 Telephone #(6f)Y?
Contractor [?/>? %??dQ GC(Cb? G'O? Su??/d?
Address 661'47 //
State /7) Al y
i 27Y7 I i'?c/ /L /V City SA,114, -I t-re/'
Zip ur5?I?? Telephone#(/v57) y3? 7 ? ?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code worksheet
submission type) Submitted Submitted
. 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?
- Y - N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
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I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the. work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Applic is Printed Name Applicant's ature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3453 Rolling Hills Dr
Lot: 1 Block: 1 Addition: Bur Oak Hills 2nd
PID:10- 15501- 010 -01
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
e- Fireplace
Gas Fireplace (new)
Contractor:
Hearth and Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 633 -2561
Improvements to the home may requ
concealing.
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
e smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
Carbon monoxide detectors are required by law in ALL single family homes.
Owner:
Jeffrey M Boudreau
3453 Rolling Hills Dr
Eagan MN 55121
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
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
Building
EA091133
09/14/2009
ePermit
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