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1566 Rustic Hills Dr
ûú ÿ þ þýý üûüùû øýýûöö ýôéýþ ÷ü þýô ýüûúùøóëöòöüúùø öúùøóëöôóë÷ø ì öø ü òüòññíüø ù ðÿ ýïü öî ìøöäììöïüöìö ûöìê õ öÿóóøÿþ õöõö ìÿ ý øêò õöõ ø õö ê ò öûìéö ööïüöûù óÿõ ìùìê îçæçê êñ òø ýüö öÿ è ü çæçê åêå è ü þê ñð ôïî øø ÷ó öúì ôöì åòüù÷ ò ÷ü ö ÷äãô ÿ ãô á àññâââ öûù óÿ äö øø õöì öö ÿöìøùó øø ûý õã ý ü òùõ ÿ íö ê øø ë üùýÿ üö 1101 C/C ?d JOE 0(7MLY-3/6/07 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 13065 BUILDING PERMIT Receipt # To be used for Est Value '.131,000, Date 3 U 19 6 Site Address 11, L:i DR Erect ? Occupancy 'Z3 Lot Block 1 Sec/Sub. .i I S'P I C i i I LLS Remodel ? Zoning R 1 Parcel No. Repair ? Type of Const V Addition ? No. Stories vi Z 3 0 a .o 0< Phone W W Name a Address W City Phone Int Impr. ? Sq. Install ? Approvals Assessment - Water & Sew. _ Police Fire Eng. vvu? wu I hereby acknowledge that I have read this application and state thatthe Bld . Off. 10/29/ information is correct and agree to comply with all applicable State of g Minnesota Statutes and City of Eagan Ordinances. APC Signature of Perr Var. Permit $ 525.50 Surcharge 6 i3.5 0 Plan Review 262.75 SAC 57D.00 Water Conn. 500.00 Water Meter 63-50 Road Unit 290.00 Tr. PI. 1 Copier Total , i A Building Permit is issued to: A r A VAL ;a'. I N L' 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 Penult No. Permit Holder Date Tone M Plumbing H.b.A.C. ba?/ C < 7 El*ctft r/99 n Softener '' n153Cv ? ? ?' 8' Inspection Date Imp. 1 Comments Footings1 Footings 11 B Foundation Fronting /fcG d S , s + a G . i , / sd -Fl, tcl rcV.f++ Roofing Rough Plbg. -10-" sew,ac Rough Htg. / C Insul. L . r E1. Xiv r Fireplace L' 0 vlr ?P 1/FS 1 'c [ 17'--MS Final Mg. 4 9 Final Plbg. 0 Bldg. Final C hec K S4, r% aeo n e. e Cert. Dec. J /? // !- a Pis; 01+ -fr-^77 4: Lf--- ?aj L ce,7'ere 4 6e\ IDock Fig. 7 J t g C .. Deck Frmg. I Well Ift. Mo. Trrfiftrafr of (Orruvarnry eitp of eagan ar rn# of lutlb* groan This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure woos in compliance with the various ordinances of the City regulating building construction or use. For the following.- Us 0"Xifialion " DW/GAR 6Idg. PEnnu No. -I Xt r)5 Y Type R3 Zoning Disuia Type Cant v owoaotHoildiog -MIT A. W-11-'. '•:Ki KAIMUI AVE, WLS `.' S, P1, x5mC ITs BuiwogAdda b PJISC ;'i Goa6ty ; Dale: <; in :sz BuBding Official POST IN A CONSPICUOUS PLACE n CONTRACT PRICE Site Address Lot .;` Block -?_ Name c m _ ?o Address r c City Name -?M C Address p City TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: Sec/Sub Mutt, Comm. Other WORK DESCRIPTION New Add-on Repair L M BTU M BTU M BTU M BTU CFM FEE: SIC: TOTAL: FEES RES. HVAC 0-100 M BTU ADDITIONAL 50 M BTU (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS $24.00 6.00 1.50 EA. 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) SIGNA RE OF PERMITTEE FOR: CITY OF EAGAN • PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 CONTRACT PRICE: cb PHONE: 454-8100 Site Address Lot v N c Name PERMIT # RECEIPT # DATE: N I L L5 DR, BLDG. TYPE WORK DESCRIPTION Sec/Sub Res. j? New Mult. Add-on L. 0 m S / Comm. Repair Address 6!w` 1. I ?3k `.7- City A PPLr U a t t_ ,1Phone C C 3 O Name SCOT: V11LCN Address City M ? %- Phone COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE -$12.00 MINIMUM - COMM/IND FEE -$20-00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 SIC IF PERMIT PRICE GOES OF PERMITTEE FOR: CITY OF EAGAN Other RES, PLBG. ONLY - COMPLETE THE FOLLOWING: NQ. FIXTURES T SAL Water Closet - $3.00 _1"Bath Tubs - $3.00 Lavatory - $3.00 u-• 0 n Shower - $3.00 Kitchen Sink - $3.00v -Urinal/ Bidet - 53.00al?•e Laundry Tray - $3.00 • y O Floor Drains - $1.50 Water Heater - $1.50 _-t-Whirlpool - $3.00 1 Gas Piping Outlets - $1.50 /-&t (MINIMUM - 1 PER PERMIT) Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE 1{ , c STATE SIC: C,, `'' GRAND TOTAL PERMIT # v?J CG PLUMBING PERMIT JT RECEIPT # CITY OF EAGAN 3830 PILOT v UC CC KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: O. PHONE: 454-8100 Site Address ITklio ' BLDG. TYPE WORK DESCRIPTION Lot Black Sec/Sub Res. V New i t_> Mult. Add-on Name Comm. Repair Address ?'G a Other c City ???4r? Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL ?-Water Closet - $3.00 $ Name -1 Bath Tubs - $3.00 c 3 Address C L- Lavatory - $3.00 0 City Phone ?-Shower - $3.00 A. Kitchen Sink - $3.00 L: FEES COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet - $3.00 Laundry Tray - $3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains - $1.50 ? ? / TOWNHOUSE 8 CONDO - RES. RATE APPLIES R I N I L $1 Water Heater - $1.50 • - 00 A ' ool - $3 / Whirl MINIMUM - ES DE T A FEE - 2. M M / $20 00 00 p . 50 i .r in Outlets - $1 -Gas Pi . MINI - COMM IND FEE - U . p g STATE SURCHARGE PER PERMIT - . 50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener - $5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 f •;, . ;' L---__ ? Rough Openings - $1.50 E SIG rTURE OF PERMITTEE : FE STATE S/C: GRAND TOTAL' FOR: CITY OF EAGAN INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: 41 1 1;`-t1C IIrLLS ap fill"M HILLS PERMIT SUBTYPE: APPLICANT: i t.'; I i ?. l `c 4) 1 3 TYPE OF WORK: 7 C?F :1'1{IP'r I$IN 1I AR (if I . /+Ft?Clllf Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING T d 0 - ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Remarks Addition )I RUSTIC HILLS ADDITION Lot 8 Rlk t' Owner ?l,'f ,irk (. ?L; ., Street 1566 Rustic Hills Drive , 1? V 4' L Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 19110 1855,41 185,54 10 STREET RESTOR. GRADING SAN SEW TRUNK 1968 45.85 1.53 30 t SEWER LATERAL 19RO 3454-96 230,30 is WATERMAIN WATER LATERAL 1972 170.98 8.55 20 WATER AREA 1977 79.55 5.30 15 • water lateral 1980 STORM SEW TRK 1979 349.31 34.93 10 STORM SEW LAT 1980 • service $ CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE ! ?! 19 Racarvan • `?? FROM AMOUNT $ ec DOLLARS ao T CASH E] CHECK BY White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You BLDG. PERMI'r NO.: 01-3210 ,Bldg. ?Permj 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Metei 20-2252 Acct. Dep. 20-3713 Water Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL CITY OF EAGAN Permit No: ?,562 Date: 3 -!n''-N 3830 Pilot Krob Road Meter No: 8S7 d 0 Size P.O. Box 21199 Reader No: 03 P 9 ! ZO Date P Eagan, MN 55121 nn. Chg: 500. 001-1d '111 pIgoNI ati kt?0' cct Dep: r 1 in ??{'gA 1 rmit Fee: ; E" urcharge: _or&% comply with the City of Eagan r. Plant ? ` r, ' ' Ordinances. t 4 eter. P- isc.: B;? '? WATER SERVICE PERMIT CITY OF EAGAN 3830 Pilot Knob Road P.O. Box 21199 Eagan, MN 55121 Zoning: Owner. Scot Address: _150 Site Address: l Plumber - ?ei? SEWER SERVICE PERMIT PERMIT NO.: 9712 3-18-'7 DATE: - No. of Units. Const. I agree to comply with the City of Eagan Ordinances. f BY Date of Insp.: Insp.: Connection Charge: 475.OORd Account Deposit: 15. 001)d Permit Fee: 10.00pd Surcharge: • 50P`1 Misc. Charges: Total: Date Paid: CITY OF EAGAN Permit No: Date: 3 -1 3830 Pilot Knob Road Meter No: Size: P.O. Box 21199 Reader No: Date: Eagan, MN 55121 Owner. 'jcorc Vaienrlne LA[ISL. Site Address: 1-.6 Fustie Hills Drive ?L? 1 uC c ??r? 5 Plumber. "eierke Trenchinc. Conn. Chg: 3:;0.Ot,d Zoning: Y'-L Acct. Dep: 1 - 00pd No. of Units: 1 Permit Fee: 1C - Ua: d Surcharge. - 50p? 1 agree to comply with the City of Eagan Tr. Plant 15>; - 00nc1 Ordinances. Meter. LraT50"At - Misc.: By WATER SERVICE PERMIT CITY OF EAGAN - C NO 13065 3830 Pilot Knob Road, P.O. Box 21-1 99, Eagan, MN 55121 PHONE: 454-8100 Ago y BUILDING PERMIT Receiptp $137,000 SF DWG/GAR 86 DECEMBER 30 To be used for Est.Value Date 19 Site Address 1566 RUSTIC HILLS DR Erect 29 Occupancy R3 Lot 8 Block I Sec/Sub. RUSTIC HILLS Remodel ? Zoning RI Parcel No Repair ? Type of Const V . Addition ? No. Stories a SCOTT A VALENTINE Move ? Length 60 W Name 3920 BLAZSDELL AVE SO Demolish 1:1 Depth 44 o Address Int. Impr. 11 Sq. FL City MPLS Phone 823-1086 Install ? o 21 5755 Approvals Fees - Name SAME 7 °u a Address uSTO^, ?Ji f-ont vtt?^1t/'T' S - Assessment Permit $ 52 5. 5 E City Phone `13 ?-OI z 3 °I Water & Sew. Surcharge 68.5( Police Plan Review 262.7c e Name Fire SAC 575.0( Address Eng. Water Conn. 500.0( 'z City Phone Planner Water Meter 63.5( Council Road Unit 290.0( I hereby acknowledgethat l have read thisapplication and statethatthe 10/29/8 Bldg Off Tr. PI. 156.0( information is correct and a to mply with all applicable St a of . . Minnesota Statutes and Ci Ordina S. APC Parks [vl•?t?M k. ` Var. Date Copies Signature of Permits Total $2,441.2! A Building Permit is issued to: SCOTT A VALE T E on the express condition that all work shall be done in accordance with 444 %Qplicable St too ota Statutes and C ity of Eagan Ordinances. Building Official This request void 87 10 months from C 7 89 0.13 7.30 IZ/ Request Dale Fire No. Rpugh-in Inspection Required? []Ready Nuw?'lWill Notify Inspec- -jkyes ?NO for When Ready r Licensed Electrical Contractor 1 hereby request inspection of above ' ? Owner electrical work installed at: Street Address. Box or Route No. City a- P- a action No. Township Name or No. Range No. County Occupant (PRI T) , Val Phone No. Power Supplier Address F,<t rm r i _ 5 Electrical ontractor (Company Nam 1 Contractor's Li nse No. _P_? ? e`.u ?ee?st Del n Mailing ddre s (Co tontractor or Owner Malone Install ationl J 5 P . BUG ? /3 Authorized Signature (Contractory caner ak'no Installation) - Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST fLL NOT Griggs-Midway Bldg. - Be. N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (6121 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION yyEB-000001-oa JIM _ ? See instructions for completing this form on beck of yellow copy. /.3DPZ? W&W (a "X" Below Work Covered.by This Request NewlAdal llep.l Tvoe of Buildino J Appliances Wired I Equipment Wired I oner ite p Fee Service Entrance Size p Fee Feeders/Subfeeders p Fee Circuits 16. 1 0 to 200 AMPS 0 to 30 Amos 0 to 30 AnIDS, Above 200 Am s 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100_Am s Above 100-Amps Transtormer5 Irrigation Booms Partial,' ther Fee Signs Special Inspection S /fD TOT FEE `-r '--" 1, the Elecbical Inspector, hereby certily the, the above Final Dale inspection hes been /n /1? ? P G-G? made. wad '611 e months f; am E 3208 / ST 8/ S? 70 ?lU Request Date ?? ire No. RouGh-in Inspection Required? ?Reatly Now Will Notify Inspec- ^^ s1?& ?Ves _ KN. for When Ready Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address. 8oz or Route No. City 15GG Rvsnc- Ntus Oe. 6clisaa ecLOn o. Township Name or No. Range No. County CIQY.MCPI ccupent (PRINT) Phone No. Ivan WM qS4-CIog4 Power SUPoller Address ' - N.S.P. 3000 mcuuarU- UC-t. P=, MM. SWIM Electrical Contractor ICompa , Namel Convactor's License No. Mailing Address (Contractor or Owner Making Instailationl 28%s DOaa R CAc phs Ma. 55A21 Author- ignature IC traclodOwner Making Installation) Phone Number 95z-399 MINNESOTA STATE BOARD OF ELECT4CITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 - BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Ph- IA191 R49-ORDO ENCLOSED. Sll,?18'g REQUEST FOR ELECTRICAL INSPECTION EB-00001-06 r? p IF sea instructions for completrnp this form on back of yellow copy. L 0 8 "X"- Below Work Covered by This Request AdJ R.P. Type of Ruildino Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo it oader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other pecifv Othcr (Sp,adfy) t er Spocffy Ot er Olhm Compute Inspection Fee Below N Fee Service Entrance Size a Fee Feeders/Subfeeders p Fee Circuits 0 to 200 Amps 0 to 30 Amos O t. 30 Anls Above 200 Amps 31 to 100 Amps 31 to 100 Amps ` Swi nvning Pool l t? Above 100-Amps Above 100_Amps Transformers Irrigation Booms Partial, Of er Fee Signs Special Inspection $ 10:50 OTAL F Remarks I, the Electrical Inspector. hereby certify that the above inspection has been made. This ropiest R CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: B U I L D I N G Permit Number: 0 3 2 S 0 0 Date Issued: 07/09/98 SITE ADDRESS: P.I.N.: 10-65000-080-00 1566 RUSTIC HILLS OR LOT: 8 BLOCK: RUSTIC HILLS DESCRIPTION: PERMIT TEAR OFF, Buildin-q Permit Type Building 44erk Type r,''Census Code 'J s eE j , t REROOF STORM DAMAGE REPAIR 434 ALT. RESIDENTIAL REMARKS: FEE SUMMARY: CONTRACTOR: - Applicant - ST. LIC MITCHELL BUILDERS 15783073 2011071 2092 HIGHWOOD AVE ST PAUL MN 55119 (651) 578-3073 OWNER: NORMAN THOMAS 1566 RUSTIC HILLS DR EAGAN MN 55122 (612) 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. /' L J APPLICANT/PERMITEE SIGNATURE 01998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF FAGAN 3830 PII.O KNOB RD - 55 122 681-4675 Ne Construction Requirements Remodel/Repair Requirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions 6 decks) ? 1 energy calculations ? t energy calculations for heated additions ? 3 copies of tree preservation plan if lot platted after 7/7/93 required: _ Yes _ No DATE: -7--7-98 CONSTRUCTION COST; -rr DESCRIPTION OF WORK: STREET ADDRESS: ,, UT: BLOCK: OFF- (Z rccUf7 rj)cf f7`IG? 221 cff SUBD./P.I.D. #: lZ? M14?i 3? Name:/?GftnfAV `?(TrM 9S Phone #: 6Ol PROPERTY Last First OWNER StreetAddress:I56iA 4isTlc. Hl cos ik&F- r^ City Fi %64N State: AeAl Zip: p 6a l ` Company: xf (Tc--,f .tom /Gfl?dt tj Pho?re #:,S-76 07 CONTRACTOR / Street Address /elf/ Gt rk?1? (J g I-I&c se # c2-)11C'7 city S I-944-tIL State: Zip: 4222I ARCHITECT/ ENGINEER Company: Phone Name: Registration #: Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. Penalty applies when address chang I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Basement sq. ft. MC/WS System _ Main level sq. ft. City Water _ sq. ft. Fire Sprinklered _ sq. ft. PRV _ sq. ft. Booster Pump _ sq. ft. Census Code. _ Footprint sq. ft. SAC Code Census Bldg Census Unit Building Engineering Variance Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: Valuation: $ % SAC SAC Units NAM ALLIED TINFRIDE VC. fi " UCL Tv m, 13 yGL 1P 1999 FIREPLACE PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD - 55122 651 681-4675 Date: 3d c;V Description of Work: _ Construct new fireplace -Gas -Masonry Alterations to existing Install gas insert only _ Install gas line only Other G(JGod G,i(rmI'm(l 2C )/(rylfCe Job address: /C(C 7-) ?G /'f / / 0, P / `V e Lot: O Block: Subdivision/P.I.D. #: Applicant (circle one only): Owner Contractor Permit Fee: $60.50 Name: Iyd r mailk 7?3 Phone #: rJQ? 3 PROPERTY Last First // OWNER Street Address: /?t/9 /? fCtC '1Y_ Y/l lS J)rl / t! / City /' Q Qt {1 State: M&r zip: _3 / Company: rl y e S 1c?? u 1 LIL& a T Ne SYho? #:/?'? © i (area code) FIREPLACE c? p 9 1 INSTALLER Street Address: rJ n I C/ l- v f i 13 City y N S (? U to (- State: Zip: t GAS LINE INSTALLER Street City State: Zip: 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 an ty of Eaganrdinances. f` d Signature Phone #: (area code) . ...; OFFICE USE ONLY BUILDING PERMIT TYPE ? 16 Fireplace WORK TYPE ? 31 New ? 33 Alterations ? 39 Gas Line ? 41 Wood Stove ? 32 Addition ? 34 Repair ? 40 Gas Insert GENERAL INFORMATION Census Code 434 SAC Code 01 REMARKS Chimney/flue must be inspected before concealing. tOn .1'ql (01 414,4C, Anne and Tamas Strasser 1566 Rustic Hills Drive Eagan, Minnesota 55121 June 27, 1991 Mr. Eugene Van Overbeke City Clerk - City of Eagan 3830 Pilot Knob Road Eagan, Minnesota 55121 Dear Mr. Van Overbeke: This letter refers to Project 543R, Skyline Road/Sibley Hills Drive (Streets and Utilities) and is filed in objection to a special assessment in the amount of $1059.98. (Reference C10-65000- 080-00). We purchased our home at 1566 Rustic Hills Drive in May , 1988, and assumed full payment of our assessments. The developers of Skyline Heights are now requiring that we absorb the costs they have incurred in building new roads, gutters, storm sewers and other costs germane to their project only. They alone profit from the sale of the lots in this housing project and should be solely obligated to cover those costs through the sale of lots and through assessments to the new residents. In the course of the development of Skyline Heights, residents of Rustic Hills addition and surrounding neighbors endured the following: - Loss of an essential outlet to State Highway 13 - Erosion and mudslides from deforestation of Skyline Heights and the roadsides along Rustic Hills Drive due to hasty bulldozing of the land with no detailed plan and with flagrant disregard for the local ecological balance - Loss of an important emergency access to State Highway 13 There have been no benefits accrued from Project 543R and now through unmitigated avarice by the developers of said project, we are expected to enhance their profits. We stand in objection to the assessment of $1059.98 and refuse payment. Sincerely yours, I- -- Anne and Tamas Strasser /3db? 1986 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS - RESIDENTIAL INCLUDE 2 SETS OF PLANS, CER 1 SET OF ENERGY CALCULATIONS COMMERCIAL RENTAL UNITS FOR SALE UNITS OF SURVEY - CHECK WITH BLDG. DEPT., INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For:. X /j[Wyl Site Address /5GC, - Lot $ Block Valuation: I*3?r000 Date: Parcel/Sub.. A 4i WX&lliG.?rv Owner ScoT///`- 14, Address 3QZ0 /?Ia?SdP//? City/Zip Code 1V2 , -5509 Phone g /?S 6 ?- 7Z / - 57?? Contractor _ (? 4 ^ / City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone U Erect ? Occupancy 93 Remodel Zoning R•i Repair _ Type of Const SL Addition # of Stories Move Length (00 Demolish Depth 44 Int.Impr. Sq Ft Install APPROVALS FEES Assessments Permit ' Water/Sewer Surcharge Police rian Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off/O vs Treatment P1 APC Parks Variance Copies TOTAL So S ? NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. 3? ?.3. - 122 x ??' Cv p. 1 `. x32 = 512 x s? ' Z?tGel 1Q K 22 ZZf ?(S ) r1coo ?x 3¢` 2°4xC?> x 3z ? 544 x q`- ` Z31 3 1 3& Z'1 EXTERIOR ENVELOPE TAVVERACE/"U" COMPUTATION OWNER I I ?A1 FA1 //YF SITE ADDRESS . . 7? CONTRACTOR p /L DATE /?7r B? PHONE 1. 2. r. 3. Determine working square footage of each. Total exposed .. wall area sq.'ft. x' Total roof/ceiling-area (J U sq...ft. x .02.6= Total .. floor/cant.'area sq. ft._.x ,05 = Total exposed wall area above floor 2 3 4 6 a. Total wall window area . . . . 2 5 $ b. Total door area . .. . . . . . . . . . 7y' .c. Total sliding glass door area . . S? .d. Total fireplace wall area . . . . . O e. 'Total wall framing area (average 10%). 2 3 5 f. Total net wall area above floor . . I BI g. Total rim joist area . . . . . . . . Z Total exposed foundation area = 9 ? .h. Total foundation window area . .. . . . 3 .i. Total net-foundation area above grade. . f Determine "U" value of each wall segment. a,... Z 8 X. „Ulf 33 _, Cgs b. .2- - x T]V lift - 14- . O I C. 0 x It t l „ -_ I l l C d, O x i "Un ? = y V f x dU„ -z . x ., , llf, 3 = ?s g• 'LIZ X , : Un Q = J h x „llff _ V SUBTOTAL = 23 J. 4. TOTAL = 2 3 If-item #4 is the same as, or less than item Fl, you have met.the iYitent of 'SBC 6006 (c) 2. lnr. Air .68 w/ S.R. E SIDING S.R. .45 _x to Stud 84 (!j' X Shtg. 2.:/6 - Siding /b 2 l Ext. Air >< 17 ;i Total "R" 1/R= „U„ THRU CLG MEMBER Int. Air .61 S.R. (52°) 1591 Clg. Memb. 4-- s Ins. ( . ") 26. 33 Still Air .61 Total "R" = 324,9 1/R = „u„ _ • 03 THRU CONC BLOCK Int. Air .68 y? C.B. `115, •(IQUFY/kr'OV?I., Opt. Ins. Ext. Air 17 Opt. S.R. Opt. Sid. Total "R", - 17 ,C3 1/R = „U„ = =0 . THRU INS. WALL Int. Air - 68 W/ S.R. 6 SIDING S.R. ~,45 JJ Ins. q_ao SHTG. moo(? Siding l'2 Ext. Air .17 Total "K" =2 I/R = „U„ _ . o¢_ THRU CLG. INSULATION 91 Int. Air .61 S. R. (5") 59 ( Ins. 11) (13 4` ,00 Still Air .61 Total "R" = 45.80 I/R = „U„ _ ,•02 THRU RIM JOIST Int. Air :68 / btJ Ins. ??•00: Wood .1.69 Shtg. ?"6L Siding Ext. Air .17 Opt. Brick Total "R" =.2 .31 Total exposed roof/ceiling area 1 U-G j. Total skylight area,,,,,,,,,,,,,,,,,,, , k. Total flat roof/ceiling framing, area............. 0- 1. Total net insulated flat roof/ceiling area..... J 6 9 6 M. Total vault roof/ceiling framing area n. Total net insulated vault roof/ceiling area.... Determine "u". value for each roof /ceiling segment 7. x. `nun M. x „u„ _ n. x „u„ _ 5. ....... .. .. ..........................."Total = 4 If total of #5 is the same as, or less than 4!2, you have met the intent of SBC 6006(c)l. Total.exposed floor/cant. area o. Total floor/cant. framing area (average p. Total net insulated floor/cant.-area Determine "u" .value.f or each .floor/cant. segment . p- Y liu , _ .6. ........................ ...... Total = If total of N6 is the.same as, or 'less than k3, you. have met the .intent of SBC 6006(c)3. ALTERNATE BUILDING ENVELOPE DESIGN To utilize the total-envelope system method, the values established by the sum of items 4.)I5 and..f6.shall not be greater than the sum of items ff1,_H2- 2. .. 3 .. o _ 343 2-7 .r ,Prepared by?? J, L_ Date jjr1-8.t GOLD COPY PERMIT RELEASE FORM PERMIT # ADDRESS R ? PICKED UP BY ?/- z5/ A{-? 2 CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION tlMw-: PAYMFTTT'' OF FEE AT TIME OF APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR VATER n,L4parS.aTTONS WILL NOT BE SCHED- ULED UNTIL PERMIT HAS BEEN ; APPROVED. r * - •xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx (Please Print) 1) PROPERTY ADDRESS: 1566 Rustic H1113 Dr. _ LEGAL DESCRIPTION: T.ot 8 Rlork T RvB?r Hills Add IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: i Nbn Year PRESENT ZONING/PROPOSED USE: COMMERCIAL/RETAIL/OFFICE Q INDUSTRIAL INSTITUTIONAL/GOVERIZ1ENT 2) XMXR-1 SINGLE FAMILY 0 R-2 DUPLEX (Two Units) R-3 TOWNHOUSE (Three + Units) R-4 APARTMENT/CONDOMINIUM NAME: Scott Valentine Cont. ADDRESS: 3920 Blaisdell Aye CITY, STATE, ZIP: Mp13. Pfn. 5409 PHONE: ' ( Units) ( Units) 3) u r a• NAME. Weierke Trenching For City Use Plumbers License: ADDRESS: 660 cliff Rd. Active i CITY, STATE, ZIP: Eagan Mn: 55123 Expired Not recorded PHONE: 454 3626 MASTER LICENSE# 007 691m9 - staff =Mtial 4) •• • is ,.. Same as applicant NAME. ADDRESS: CITY, STATE, ZIP: PHONE: -5) n w• a • a : a • ?• a• ® CONNECTION TO CITY SEWER x fcxCONNECTION TO CITY WATER Q OTHER 6) •i PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE ? PLEASE MAIL APPROVED PERMIT TO 1, 2, 3, 4, ABOVE (Circle one) 7) 4?7 FOR CITY USE ONLY PERMIT # ISSUED S7, 2- Pd w/Bldg. Permit It c 3 - S? $ $ C9 C) $ 57?.CJv c c FEES: $ e SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) $ r SEWER TAP $ ACCOUNT DEPOSIT - SEWER $ j s;-, 0--b ACCOUNT DEPOSIT - WATER $ WAC $ SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ WATER TREATMENT PLANT SURCHARGE $ OTHER: $ ( z S? $ Z) TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: TITLE: DATE: ` / /?/ 7 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date 0 2 / a--) / 05 Site Street Address 15101D PuSt_7G +J111 Q _V Unit # Property owner --hwnws t? )tman I Telephone# (69 60 SI Jgg3 Contractor HI" I`S Address 31070 buCtCA Rd City t-(A Telephone# (65l) &0c) I ?`4 0 State/) JL Zip 550-3 The Applicant is: _ Owner v /Contractor -Other Alterations to existing dwelling _ Add plumbing fixtures (excludes water softener and/or water heater--complete next section if installing these appliances). Septic System Abandonment -Water Turnaround (add $125.00 if a 5/8" meter is required) .Other: $ 50.00 _ Water Softener i Water Heater _ new I replacement $ 15.00 Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $ 115'V)b I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. M 1??C1? I Applicant's Pr ted Name Applicant's Signat i S 2005 urb 1 C)_ - N sT?c QR?VF y?<< L? (o 0 L? oC^? l O I ®6 \ "On 7q.26 D=7054 9- 50+jD`' I / ? \ Scale: I"=Z0' \Y v _I j OQ I ? `? y \ i' W I r_ I O1 ? ry F' ?1( ti ° .. EGANF F I E L D & N0WAK, INC. Surveyors by_ Bruce W. Grivna Minnesota License No. 17253 D m mm I ; _ _ °I \D??? " 1 s? o? Q?. NOTE: Bearings shown are assumed. ?Im\i T 10 00 iG ,.? SURVEY FOR: SCOTT VALENTINE DESCRIPTION: Lot 8, Block 1, RUSTIC HILLS ADDITION. We hereby certify that this is a true and correct representation of a survey of the boundaries of the land above described and of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. Dated this 22nd day of October, 1986. F `c'LLi 1 lyo 00 41 0 1{ . 1 W I O I ? ? t m m \ \ 90 ?S ?'7 i' Fro posed N s?,?s d9 aN 61 o ., 7 N ` 0 ,w ! 30.00 44 GG ---- ?^ _--- - ~ ? ? e? .}I N \ A \ ) -T- T ?? I L_J ?? I(1 1 \? ? nlah6ale ---•O m a IL ? ? ?Manf.ele ? Nail S 89'47.57" E r- x n ri- x x1-512-18 -k x x x Off. Wire Pence Drainage E Uhi lity Easement 15 r. C::?D Indicates proposed elevations. PROPOSED: Top of Block Garage Floor g S d ss.7 Basement Floor ?'z-51-•--?- ; r '-\00 For Office Use r *too Permit#: / , I )u-1 E AGA N Permit Fee: Date Received: ♦ /—(. 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 9 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694Staff: buildinginspections(acityofeagan.com f i•='6 0 ?01R L111 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date:119, Site Address: i 5(ttiLP ' Se- 14111S l.S 10Y1 Unit#: Name: "-'-bVY --PjrC -4JA O,ralaY) Phone: (p51- 6V-1- 35S3 Resident/ 1) , Owner Address/City/Zip: S6(P t.o 1/��--e.t i f 1 Zr ltS 0;r Applicant is: Owner Contractor Type of Work Description of work: C ,s- ,t�-1- ��t.J he-trkc ct Construction Cost:. Multi-Family Building:(Yes /No ) Company: C(`e tJ vkek.Q,r)-% t1(111,4,1(Contact: ,LLP Address: DWi) I i 41-1) City: 1Lf h Contractor State: M Zip j � �, ( ✓ t�i�j/Y/ ora, License#: Lead Certificate#: ,rU/4- --IO,R 1 ei 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: p 2i Mechanical Contractor: VA)l..Yyl ill d\*- C.,Le Z- Phone: (05 I 1 CZ ' 3I,o Old 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 may be classified as non-public if you provide specific reasons thatwould 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.citvofeagan.com/subs gibe. 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.qopherstateonecall.orq I hereby - - _-- •- this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; t'= I understand thi 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 - e appro • plan in the case of work which requires a review and approval of plans. X �.�' x ,�[A Applicant's Printed Nam Applicant's Signature /_ //, ( olJs /- 'i- ',/ 7/ 0 DO NOT WRITE BELOW THIS LINE /5(761GtSt (1 �� � SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family 4 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* S' 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 oti-a ' Occupancy .126-/ MCES System Plan Review / Code Edition oto/g. SAC Units (25%_100% ) Zoning g -/ City Water Census Code 4/3'V Stories / Booster Pump #of Units / Square Feet PRV _ - #of Buildings I Length .Yd Fire Suppression Required -- Type of Construction Width 3U REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required ,j( Footings (Addition) .4e- Final/No C.O. Required 41 Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Hood je Roof:$.- Ice 8>/Vater Final Pool: Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows 4 Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final 4 Braced Walls Erosion Control Shower Pan Other: Reviewed By: , Building Inspector RESIDENTIAL FEES 0.q0 4i/ /#t Pg X616 Base Fee if/3 Surcharge Plan Review , .li$ tt- MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 • H re i 4:71 > P C c _... ON �} i J o -CI v CD �'. M L1 4..• •r. O �..y a) .ct eh Z Cu O v'i • O L O L_ "" ♦'' 0 CL o -- L H co C CO Z OO I— O CD CD . O C L L LA '� O E N • > O a ) 0 L.. Z 4•0 .c Z o ... CD LA LA C — ++ 2 Ca C z7 C U C.7 C as 00 u.. C F.. 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V O • COs ( z I a LQ/L 15 / "21 v# >>f9n IS/ GUY ENGINEERING CORPORATION 8609 Lyndale Ave#202 Engineering & Forensic Bloomington MN 55420 952-933-6161 Services info@guyengineering.com I HEREBY CERTIFY THAT THIS PLAN, SPECIFICATION, OR REPORT WAS PREPARED BY ME OR UNDER MY DIRECT SUPERVISION AND THAT I AM A DULY LICENSED PROFESSIONAL ENGINEER UNDER THE LAWS OF THE STATE OF MINNESOTA December 12, 2018 PRINT NAME+ N PRIEVE SIGNATURE+ lilA .F DATE' Dec. 12, 2018 LICENSE * 46203 CHRIS BILJAN GREAT NORTHERN BUILDERS, LLC 3320 TERMINAL DRIVE EAGAN, MN 55121 RE: Thomas & Brenda Norman, 1566 Rustic Hills Drive, Eagan, MN Guy Engineering Corp File Number: 18-008-037 Per your request, our office reviewed plans and photographs regarding the overhead door bracing wall panels. We understand the door header was installed with the LVL header continuing into the wall but stopping at the inside face of the garage side wall framing rather than continuing to the outer stud at the corner. We understand from our discussion that nails are installed into the ends of the LVL header through corner framing as per "Garage Front Portal Framing" detail on page 3. This condition cannot be field verified due to the presence of finishes and siding at the garage. We understand wall sheathing at the front garage wall is continuous from the door to the wall corner and at the opposite side of the overhead door with sheathing stapled in place along with 3 inch nails at 3 inch spacing and double stud walls. We understand metal strapping is present for the inside face of the door opening to span across the header from framing above and below. Ensure the top end of straps appear at the wall top plate with straps extending down across the header to studs below. The straps can be installed at the stud adjacent to the opening given the presence of trim for the overhead door. It is our opinion that framing, sheathing and attachments are adequate to provide wall bracing per the detail on page 3 and per code requirements for wind bracing of the front garage wall. Given the end nailing condition cannot be verified, we recommend installation of 3 total Simpson HRS6 straps or equal between the GUY ENGINEERING CORP. FILE NO. 18-008-037 PAGE 2 OF 2 1566 RUSTIC HILLS DRIVE, EAGAN, MN DECEMBER 12, 2018 inside ends of the LVL header and adjacent framing at both ends of the front garage wall with straps equally spaced. Infill blocking into the gap alongside the stud at the wall corner. Provide 2x blocking as needed at the face of the header to provide a uniform plane for nailing of end straps and the larger straps alongside the door. Any blocking to be glued w/PL400 and nailed with 3 inch nails 3 inch spacing. No additional framing or fasteners are required at the front wall of the garage as relates to wall bracing. Recommendations shall be implemented by experienced contractors, in accordance with all State and Local regulations, and with valid building permits as required. The recommendations are general recommendations. Contractor/s are responsible to account for and consider all construction methods and ancillary or incidental items necessary to effect a completed project. Contractor/s has sole responsibility for all aspects of means of construction, including design, implementation, maintenance and removal of all temporary shoring, bracing, and supports necessary to complete the work. Analysis of various loads as may occur during demolition and construction are the responsibility of the contractor. The engineer has no responsibility for analysis of such loads or for providing design of construction supports, shoring, and bracing. Contractor should obtain professional guidance and analysis of loads during demolition and construction, for design of all temporary shoring and bracing for demolition and construction. Contractor/s are responsible for providing all safety equipment, training and supervision. Engineer has no responsibility for any safety measures. We anticipate this correspondence meets your needs. Respectfully, Nathan E. Prieve, PE PERMIT City of Eagan Permit Type:Building Permit Number:EA162560 Date Issued:07/20/2020 Permit Category:ePermit Site Address: 1566 Rustic Hills Dr Lot:8 Block: 0 Addition: Rustic Hills PID:10-65000-00-080 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 10,000.00 Fee Summary:BL - Base Fee $10K $191.75 0801.4085 Surcharge - Based on Valuation $10K $5.00 9001.2195 $196.75 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 - Thomas L Norman 1566 Rustic Hills Dr Eagan MN 55122 Xlnt Built 8500 Normandale Lake Blvd., Suite 350 Bloomington MN 55437 (612) 562-1487 Applicant/Permitee: Signature Issued By: Signature