The URL can be used to link to this page

1573 Rustic Hills Dr ìü íÿø þýýüÿûùûúø ÷üüýýøöùý éýþ äÿ á îä þý ÿþýüû÷õ ß ø ÿýüû ÷ýüû÷õ ß öõßûó ûáÿ ø ÿ øäåÿûü Ú òÿú óûçó ññóòÿ ó þó é æ õõû ææó ý ûéøææ ûæ é øþóè òÿþüõ æóüñó é úêäàêëëéîëéëî ó÷ ÿñ Üÿêäàêéîéíî Üÿäé òñ ðï ûû õ Þææü íøÿüø÷ îãäÿ á çðöîîä ðöîîí ïîìíããã ñþüõ ñ ñçñ ûû ññæó óûüõñûûþ æð ÿ øüæ å é ûûßó ÿ ÿü ÿ CITY OF EAGAN Remarks Addition RUSTICE HILLS ADDITION Lot 3 Blk D Parcel Owner L i Street 1573 Rus _i Hill D i y State Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 4 0 STREET RESTOR. GRADING SAN SEW TRUNK 1968 45.85 1.53 30 SEWER LATERAL WATERMAIN WATER LATERAL 1,3 1972 170.98 8.55 20 WATER AREA 1977 79.55 5.30 15 f STORM SEW TRK 1979 332, 05 33.21 10 * STORM SEW LAT • CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK - CITY OF EAGAN i 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ONE: 454-8100 ,- BUILDING PERMIT Receipt # To be used for Est. Value Date ,19 Site Address 1 OFFICE USE ONLY I ' 1 1 ! Lot Block Sec/Sub On Site Sewage Occupancy . MWCC System Zoning Parcel No. On Site Well Type of Const City Water (Actuaq a a Name ?- (Allowable) 3 Address # of Stories Length o City Phone Depth F Total S p Name . . Footprint SF. 0 Address APPROVALS FEES 0. City Phone Assessments - Permit F Water/Sewer - Surcharge w W Name Police Plan Review t z 1E Address Fire SAC, City - '0 Engr. - SAC, MWCC ?W City Phone Planner - Water Conn. Council Water Meter 1 hereby acknowledge that I have read this application and state Bldg. Off. - Road Unit that the information is correct and agree to comply with all applicable APC - Treatment P1 State of Minnesota Statutes and City of Eagan Ordinances. Variance - Parks Copies Signature of Permittee TOTAL A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of M innesota Statuteb;ind City of Eagan Ordinances. Building Official Permit No. Permit Holder Date Telephone x Plumbing ,?L Y? 1_/.<. ?r•_?t> ?'? Electric , po Softener Inspection Date Insp. Comments Footings I a w Footings II Foundation Framing jalS7" Roofing CrG/1 S Rough Plbg. ?/ %G 0/ ?i Rough Htg. Q?s Y7 Isul. g?7 Fireplace Final Htg l?•?•? C?iFty? %r'1, Ads, Final Plbg. c ,?? Bldg. Final .?•,9•r e'.,Q •«tc?i• '4?li -.SV- Cert. Occ. ?1 rJ C4, Temp. LP Deck Fig. Deck Frmg. Well Pr. Disp. PERMIT # ?s 1. L MECHANICAL PERMIT 7?? RECEIPT # CITY OF EAGAN x , 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address. BLDG. TYPE WORK DESCRIPTION Lot-__ Block / Sec/Sub Res New N Mult Add-on ame Address Comm. Repair City Phone C1 I- (, bc Other FEES Name RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 O City --j<?) ?. Phone (RES. HVAC UDES A/C ON NEW ONSTRUCTION C GAS OUTLETS M M ( INI UM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air . M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE 20.00 STATE SURCHARGE PER PERMIT - 50 Vent CFM $ . (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other FEE SIC: SIGNATURE OF PERMITTEE TOTAL If ' ! FOR: CITY OF EAGAN PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PHONE: 454-8100 Site Sec/Sub y Name fYIw777hi,-J Zl~lir-i Address ??'? L?µ!le.•s?/ L c City ;0e-•• w a i Phone Name 3 Address O City /_ :e.?.. ,...f Phone FEES 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 S/C IF PERMIT PRICE GOES BEYOND $1,000.00` SIGNATURE OF FOR: CITY OF EAGAN PERMIT # S ?Z RECEIPT # 7 G' DATE: BLDG. TYPE WORK DESCRIPTION Res. ?- New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL 2- Water Closet - $3.00 $ 1 - -I Bath Tubs - $3.00 3 -.2-Lavatory - $3.00 4 -I Shower - $3.00 - I Kitchen Sink - $3.00 3 Urinal/Bidet - 53.00 Laundry Tray - $3.00 3 " Floor Drains - $1.50 / Sy --IL-Water Heater - $1 50 --J--Whirlpool - $3.00 3 -Gas Piping Outlets - $1.50 /• (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - 510.00 Private Disp. - $10.00 5-Rough Openings - $1.50 7 ?J FEE r -} STATE S/C: J`' GRAND TOTAL: 5Q, L (Irdifiratt of (lorruvanry citp of eagan Mgwtmmt of iWbtng 3wati,m>1 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. Use Gasification SF ITNIC/CAR Bldg. Aimit No. 1:3638 Otr WXY Type 13 Zoning Iliwict Type Conat owner of Bwlaing 'A77J.l F CiYi .:i ,':.ir + Add,.. 1 o 107 M) L\ , : QSaL7l W &"ngAdd= 1573 W -Mc k1Ii:5 yowny'3, B1, MISIM KITTS ACID tog7 Date; - A)G ii, 7, Building Offidd POST IN A CONSPICUOUS PLACE CASH RECEIPT t CITY OF EAGAN 1 3830 PILOT KNOB ROAD .EAGAN, MINNESOTA 55122 M DATE 19 RICCEIVED FROM i.- AMOUNT $ ae DOLLARS goo E]CASH 4 CHECK FOR BY / LEI G? White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You BLDG. PERMIT N0? '41 /, 72 01-3210' Bldg. ermit 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 Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. C--.e TOTAL 1,11) vk/I CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE RECEIVED 19 AMOUNT $ & -DOLLARS 100 ? CASH ? CHECK FUND CODE AMOUNT G Thank You 74224 BY White-Payers Copy Yellow-Posting Copy Pink-File Copy cp1eaFf??c, AA r di wR.?,?.w? CITY OF EAGAN 454-8100 DEPT. OF BUILDING INSPECTIONS Correction Notice Located at 15' 7'3 61 I have this day inspected this structure and these premises and have found the following violations of city codes governing same: When corrections have been made, please call 454-8100 for inspection. Date '- = "' 2 Inspector City of Eagan DO NOT REMOVE THIS TAG CITY OF k%GAN Permit No. Date- 7 -'430 R:*-i .-"qob Road Meter No: 319 I q -5-36 Size: -6/9 "ADS It P.0 .3ox 21199 Reader No: 4 3 F ?A S Date: Eagan, MN 55121 Owner. tzlaff Const. Site Address: 15'73 :'t";tic ';ills Drive L3 B1 Rwstic Bills Plumber .fiatthew Daniels, ??I??n//c++. Conn. Chg: 52-9-t)(41 ?•AA A D$ j jt*ing: 1.1 IT 1%51%xv Acct. Dep:Q Permit Fee: 1!j C8 1 Ott:. -V?avdw NE ply with the City of Eagan Surcharge: roAeto Tr. Plant- I "! aQJdi Meter. S.tr? v ` /??J .?,.r? Misc- By& Q(j?,`4,Li WATER SERVICE PERMIT SEWER SERVICE b-3-87 mg' No. of Units: nor ^ _ w ress: - i523 Rmatic Ti411o flri.o T1 R1 Futatic =rills Address: u.. t rhoj. nalm l-01 s Tnr agree to comply with the City of Eagan CITY OF EAGAN 3e30 Pilo: Knob Road P.O. 'hox 21199 Eagan, MN 55121 Date: Connection Charge: 1 5 nn? Account Deposit: ' ,era Permit Fee: > > Permit No: Datm 6-3-'7 Meter No: Size: Reader No: Drive L3 B1 Rustic ?sills nc. Zoning: r` 1 No. of Units: 1 I agree to comply with the City of Eagan Ordinances. By nn. Chg: r 5 - tlO5 _ tlnad ct. Dep: 15 _ ()OWl ,mit Fee: i o - Onnd rcharge: _ 50nd Plant I Rn 00T.11 ter. 67. eepial WATER SERVICE PERMIT fif Surcharge. BY Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: CITY OF EAGAN N0 13 6 3 7 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454.8100 BUILDI - / a 73 6 NG PERMIT Receipt # , To be used-for SF DWG/GAR Est Value $89,000 Date MAY 18 _ 19_U Site Address 1573 RUSTIC HILLS DR OFFICE USE ONLY RUSTIC HILLS ADD Lot 3 Block 1 Sec/Sub Site Sewa On e Occupancy R3 . MWCC System X R1 Parcel No. On Site Well Type of Const y City Water (Actual) W Name RATZLAFF CONSTRUCTION INC (Allowable) i 16107 DODD LN Address # of stories L n th -jg-- City ROSEMOUNT phone 432-0353 g e Depth 56 S F Total . . o Name SAME 431-5333 (COLLEEN FootprintS.F. ca Address APPROVALS FEES V City Phone Assessments Permit $ 465.00 44.50 r Water/Sewer Surcharge W W Name Police _ Plan Review 747.50 tz X- Address Fire SAC, City 1OD_00 V c+ Engr. SAC, MWCC -,91 00 aW City Phone Planner Water Conn. 595.00 Council Water meter 67.00 1 hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit 305.00 thatthe information is correct an gree to comply with all applicable APC Treatment P1 180.00 State of Minnesota Statutes a d ity of Eagan Ordinances. Variance Parks Signature of Permittee _ Q (P., f Copies TOTAL 2 444.00 A Building Permit is issued to: RATZLAFF CONSTRUC N 4INtd on the express c ondition that all work shall be done in accordance with all applicabl tatte of M inneso a Statutes and City of Eagan Ordinances. Building Official ?. ? This request void /?/?' 18 months from ® 4888z3,121 JT CY?P Licensed Electncal Contractor 1 hereby request inspection of above Owner electrical work installed at: Street Address, Be. or Route No. /Y7 3 12 ?, 7ol ? Of•`/ls tow City 464AI ecUOn No. Township Name or No. Range No. County -/e4- j6 • i Occupant u1/J(PRINT) / /?,, Phone No. Power SS?lier S/a Address c?C/ 20 r.rC, Electrical Contractor (Company Na tel Contractor's License No. A& o 0o Q d // Z-S ']_Contractor or owner Makinp Ins?ta i)hau on) 6tJ/? s U (9// ?G 6 ' s K : I!i'i Y /t'? J RJA Authorized Si nature IContractor O er Making Instollat innl C sue- Phone Number ' yz 3 , if,/ 3-"' MINNESOTA STATE BOARD OF ELECTRICITY 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 Phone (612) 642-0600 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00000.01-06 ??yyp ppIl, See instructions for completing this form on beck of yellow copy. ®• _,4"O,O O "X" Below Work Covered by This Request New Add Rep. Type of Building Appliancea Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting FiXftueS Apt. Building Dryer Electric Heaun Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm ther (Specify) Other Isoo,afyl _UTer uccify Other Other Compute Inspection Fee Below At Fee Service Entrance Size H Fee eders H Fee Circuits 2-pp 0 to 200 AMPS 4®v 0 to 30 Am. Above 200 Amps ps 31 to 100 Amp, Swimming Pool Amps =100-Amps Above 100_Amps Transformers ms ?o Partial Other Signs ction s TOT emorks - ' I) AL FE S ?pJ f Rough-in Dn[e I, the Electrical t u?19 / Inspector„ hereby certify that the above Final C opts 7y!? inspection has been made. this meueat void 10 monthsfrom 4 CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION ease Pr MDTP,: PAYMENT OF FEE AT TIME OF APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR WATER INSTALLATIONS WILL NOT BE SCHED- ULED UNTIL PERMIT HAS BEEN APPROVED. 1) PROPERTY ADDRESS: ?? ?] /)Lt S?iG f17LLS 2j2 - LEGAL DESCRIPTION: - (Lot/81-0&k/-Subdivision or Tax Parcel ID IF EXISTING STRUCIL"RE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: Mon Year PRESENT ZONII?/PROPOSID LSE: Q COMMERCIAL/RETAIL/OFFICE 0 INDUSTRIAL f-I INSTITUTIONAL/GOVERNMENP R-1 SINGLE FAMILY R-2 DUPLEX (Two Units) R-3 TOWNHOUSE (Three + Units) ( Chits) R-4 APARTMENT/CONDOMINIUM ( Units) 2) NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 3) :a• NAME: 144t77N6u1 1/f}Nr C5 J ADDRESS: CITY, STATE, ZIP: PHONE: qz 3- 3-730 MASTER LICENSE# -3Ol%/, 4) •• • i?• {' NAME: X?u Cd ADDRESS: CITY, STATE, ZIP: PHONE: Plumbers License: Active Expired Not recorded dal ?Q] CONNECTION TO CITY SEWER FM CONNECTION TO CITY WATER 0 OTHER 6) • r C3 PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE APPROVED PERMIT TO 1, 2,(1) 4, ABOVE T ° J (Circle one) - J 1 FOR -CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ SEWER PERMIT (INCLUDE SURCHARGE) $ WATER PERMIT (INCLUDE SURCHARGE) $ 7 ?-o $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP S $ ?,5 ACCOUNT DEPOSIT - SEWER $ $ / 5 ACCOUNT DEPOSIT - WATER $ ? -2 5 cZ $ WAC $ L 0'O $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ O Cam? $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ 7 $ TOTAL - -73?z - 2- c// RECEIPT RECEIPT DO ES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO Q DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: AP PROVED BY / - ? ? : y 0 Zt 7 ? LG ,cu TITLE: DATE: / ?F / /363 1987 BUILDING PER. APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL 1 SET OF SPECIFICATIONS AND 1 ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND ^ - ?i??e Icu.f? & STRUCTURAL PLANS, SET OF To Be Used For: Si Valuation: 3 I,0:?CD Date: 140,013-, )99'7 Site Address )576 fttGlnCj 41 S OFFICE USE ONLY Lot Block On Site Sewage _ Occupancy 3 MWCC System ? Zoning Parcel/Sub LuS'T1C_ }{IL1G ?O1?lDnl On Site Well Type of Const City Water ? (Actual) Owner 6'kw?6 ?oVick (Allowable) # of Stories Address Length S8 ` Depth 5( City/Zip Code (G?tla /1? ?12 L a S.F. Total Footprint S.F. Phone l L( S-?i? (? APPROVALS FEES / Contractor ??TLIlk 1? GnET kC-nbrA Assessments Permit a1-- Water/Sewer Surcharge 44 ? Address 11P1617 DQJQ1 /-}ne_ Police Plan Review Z32. jO Fire SAC, City loo- City/Zip Code ?as?MOUJIT- /I,, N!fj Engr SAC, MWCC S2S. ?? 43a-f Planner Water Conn S2S. - Phone )dY3 (tea 3? j333 Council Water Meter l6 7. aa A E ? f Iew Bldg Off Road Unit 305 rch./ ngr. YYy F0 z1p-W - plenS APC Treatment Pl Igd. Variance Parks Address Copies TOTAL City/Zip Code Phone # 28 4C9 123 x = SE:) -7?o ? ?2 x 8 6 X 44 = 22 32 x 2? 9o (44-' 0•* 465.00+ 44.50+ 232.50+ 625.00+ 525.00+ 67.00+ 305•U0+ 180.00+ 2,444.UU:% Rattzlaff Construction . 16107 Dodd Lane Rosemount, Mn 55068 DELMAR H. SCHWANZ LAW 8tahtivow sea arow«.e unaw Use 0 The ft* Of 000001010 14750 UWTH ROBERT TRAIL RQ8#M01,110. MR OTA 55M SURVEYOR'S CE"PICATE a N 89 ° 41' 65" Vi/ 1 D \o ToP ?? W i? Q O Drainage & Utility Easements 61Q/4>11M q0'00 /07 1 -7 Ole 2.84 It D, r .i 0 q /1 a Lot 3 Block 1 RUSTIC HILLS ''?r+3 f ADDITION, according to the recorded plat thereof, 0--; J-,`- Dakota county, Minnesota. Dakota MoD -%09 .? . ? rya VNOW Id S 8V 47' 5-7"C 1 hereby certify that this survey, plan, or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Mlnneeate. Dated May 13 1987 y e? o ? Scale: 1 inch - 30 feet CS wood hub la tOl*- existing elevations 0 er 1 proposed ?M fopjy elevations 111,61 O ??o?-tea Delmar H. Schwartz Mkmanote Registration No. 6025 ---- MAY II, I I V ',---R DAVID NOWACKI 51,Tr ADDP.-? 1573 RUSTIC HILLS DRIVE EAGAN, MN C0'-777 qCTOR RATZLAFF CONSTRUCTION, INC. ADDRESS 16107 DODD LANE ROSPMOUNT, htbp,- DETE3".I-:IE F7OPKIi?G 5OliA12= ^r r,-.r- Ijp _'• !' 1. Total er:nese^ srn1!_ area .. , 1797 1156 _. 'Total. root;ceilin? area .... 432-0353 !/ = I 6197 7 sa. ft. r Total _:•_posed w„1"? area ._ccr = 1152 a. Tota'_ ..,.11 wi.ncow area . ... ....... .......... ..... 142.51 b. Tctal Hcor area .......... ....... .......... ..... 90 95 C, Totasliding ginss door L __a ... .......... . ..... ....... .......... ..... 57 e. T_ot.-_ ...__l fra^_, rr= -_ - :) ..... _ ..... 145.78 Tot.._ .._ all area a'e _'cc . .. ......... ..... 920 Total r;. joist area ..... ........ ......... _ ..... 107.9 Tota'_ exposed =ounda-'_c-: area = 42.9 h. Total coundation v*inHo' ar e=_ ..... ......... .... Tot,._ foundation area ebc-e = e ..... ..... 42.9 oeC e:.',]i Ile Ili'I, value c_ _6 _.. .. <. p - _.._. 142.51 "0" 58 = 74.25 b. 90.95; "U" 47 = 42.74 C.. 'lull - d. 57 "D" 04 = 2.28 e. 145.78 ° ''till .09 = 13.12 920 Y lu11 .04 36.8 107.9 IIU,I .04 4.31 ll n ); I = 42.9 .08 = 42.9 > . .... ........................... .ot ?I 196.93 -. ?3C 6000 ,"2. Total exposed roof/ceiling area = 1156 r j. Total sktiLi_ght area ........................... k. Total roo_/ceiling _r=ing area (average 1.0`.). 115.6 1. Total net insulated roof/ceiling area ........ 1040.4 Determine "U" value for each roof/ceiling segment. R T z k. 115.6 X "U" .02 = 2.31 1. 1040.4 X "U" .02 20.80 4 ..........................................Total = 23.11 I` total of G4 is the same as, or less Lhan i"_, you have met the intent of SSC 6006(c)1. itlternate Building Envelope Design is utilize the total envelope vstem method, the values established the sum of items ?3 and #4 shall not he greater than the sum of items and .:'2. + 2•_ 30.05 = _ 227 72 + 4• 23.11 = 22n.04 -2- PERMIT City of Eagan Permit Type:Building Permit Number:EA165648 Date Issued:11/12/2020 Permit Category:ePermit Site Address: 1573 Rustic Hills Dr Lot:3 Block: 0 Addition: Rustic Hills PID:10-65000-00-030 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Jay B Klein 1573 Rustic Hills Dr Eagan MN 55121 (952) 236-9859 Lifetime Construction & Restoration 21 Century Ave S St. Paul MN 55119 (651) 464-9920 Applicant/Permitee: Signature Issued By: Signature