1914 Covington LaneBUILDING PERMIT
„e ?: :;i? D6'yG/GAR
T. `. ?
Site Addle?a 1914 C017INGTON LN
Lot Block Sec/Sub.
Parcel No.
W Name
; Addr@
b t
oll
6 ? Name SAMF'
u Address
Citv -- Phnna
I hereby acknowledye thot I hove read fhis
the informorion is correc??6nd ogree to c
Srote of Minnesoto StopGtes ,and City of/
Sipnaturo of Permittes ?
A Building Permit Is issued to:
all work sholl be done in acca
Buildinp Offlciol
CITY OF EAGAN
3830 Pilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121
9599
? PHONE: 454-8100 1 4?11i; ?j
Recefpt # ?K
$59, 000 r%„#e OCTOBER 11 sa 84
.
and state that
oll opplicoble
Erect L7 Occupa
Remodel ? Zoning
Rspair ? Type of Const. V
Enlarge ? No. StorisA
Move
Demolish ?
? Length ??
Depth
Grade ? Sq. Ft.
Watcr &.Sew.
Police
Firs
Eny.
Planner
Council
Bldg. Off.
APC
Var. Date
Pinn check _
SAC
Water Conn.
Road Unlt L n u. V u
Parks
?
Total `v i 'ii . ? U
HOMr;S I: iC on ths express condition thot
iplicoOle State of Minnesoto Statutes ond City of Eapon Ordinonces.
Pe?mit No. Psrmit Holdar Data
Plumbiny
".VA.C. 3
ei.ctric ? qn 3(-+ l? + 1.-_ ? ? - )-o A
Softener
Inspeetion Oate insp. Other
Footingc f Sc/ Qlr
Foundation
Framing
Rough Plbg.
Rough HVAC
Inwlation . ??
Final Plbg. 1314
? r
Final HVAC
Final ? l
Cert/Oec.
Water Describe Location:
Well •
Sewer
Pr. Oisp.
1. Date I Il-)- I
3. Job Address "
4. Owner
5. Contractor
6, Address ?-
MECHANICAL PERMIT Permit IVo.
CITY OF EAGAN Fee 2
-T
Fill in numbered spaces S/C i
Type or Print legib/y jflt, Z-,
2. Installation Cost
??1-2- ?
Blk. -' Tract r<- J'a
Phone ? ? 5 =
?
vI-Z-
7. CitY?. ,;?: ?./J>v State /--111 " :i Zip
8. Building Type: Residentiat;i- Commercial O Institutional ?
9. Work Description: NeW-Eg- Add O Alter O Repair CJ
10. Describe ! Fuel Type
1 11.
C?S I
No•
? Equil2ment BTU - M. Ea.
Forced Air `-DOO No. Equipment CFM
Ai
dli
H
Mfg. r
an
ng:
Boilers 5
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
?_
? Gas, P+ping Outlets
12. I hereby certify: that the above information is true and correct, and I agree to
comply witb?J gddinance;,and codep'governing this type of work.
Signect:- for
Rough ? Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Receipt PLUMBING PERRAIT • Permit No.
CITY OF EAGAN Fee. ' .--
Fil1 in numbered spaces S/C
Type or Print legibly Tot
1. Date ' 2. Installation Cost
3. Job Address Lot Blk. _ Tract '
4. Owner
5. Contractor %1? •- Phone
6. Address
7. City State 2ip ,
8. Building Type: Residential ? Commercial ? Institutional 13
9. Work Description: New Q Add ? Alter ? Repair ?
10. Descri be
11.
No, Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet
Other
Laundry Tray
?,_ Floor Drains
Drinking Ftn.
Slop Sink
?f
?- Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances dnd codes governing this type of work.
Signed: _ .,: . ,. .
{ ?-- ?for -
Rough Final `
InspeCtions: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks -
Addition pARK RIDGE 1ST ADDN Lot 13 slk 3 parcel 10-56750-130-03
owner street 1914 COVINGTON LANE state EAGAN hW 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1982 149.13 14.91 10 89.49 C009986 12-27-84
STREET RESTOR. 1985 491.99 32.80 15 459.20
GRADING
SAN SEW TRUNK LIL 1982 147.21 9.81 15 107.97 C009986 12-27-84
SEWERLATERAL 1 8 - 120 23 2 j 584.42
WATERMAIN
WATERLATERAL 1985 396.35 26.42 15 --
WATER AREA 1982 147.21 9.81 15 107.97 C009986 12-27-84
STORM SEW TRK 1985 370.93 24.73 15 346.21 C009986 12-27-84
STORM SEW LAT ?c 1985 109.58 7.31 15 -- ?'
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit
WATER CONN. G]O.OO "
6UILDING PER. if
SAC
525-00
rr
n
PARK
) SjJ HOUS
'EATING TEST RECORD
ADDRESS I G
?
D? ?
???'=??"?
?APT. OOR CIT???-SUBURB
OCCUPANT IjAypc" x OWNER 6VC'
HEAT LOSS DATE HTG. INST.
SOLD 8Y INSTALLED BY
Eleetricol Work By Gas Lina By ?
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. -1,-"OTHER
GAS DESIGN ? CONYERSION
MAKE MAICE OF BURNER
Mod s I Model
5eria l ?
Max. BTU Rating -
INPUT MAKE OF FURMAC
Model -A ?
ONTROLS
THERMOSTAT7y Heat Plug
Ya Ive
Yent Sizs
KIND OF LINER
NONE
Limit Droft Hood
Limit Ssttin9 :2 Filters Size
Fan Setting Chimney Location Inside
Pilot Type ? Chimney Construction
Pilot Make
Pilot Model
Out a i de
?
$mcke Bomb Wiring
Pilot Timing ' Draft ? Test Tag
L.W. Cut DFf
Pressure Percent CQ
a Door Preswre
Dote Tested Ligh 'ny InsT.
Input CFH Z
Percent 02 Company Testing 70ee
Stack Temp. Psrtent CO Name of rester ?
Fwm 235
CITY OF EAGAN
3830 Pilot Knob Road
P. O. Box 21199
Esgan, MN 55121
Zoning:
r;
ress: R,
LZ ddress: ?? r ? _ No • R" , RFCaL1iRE
No.: t? }? L?o 2lo !o ?oi?l wtlb the Ciyr of Eeqan
woM.
WATER SERVICE PERMIT
PERMIT NO.:
,
DNTE:
. No. of Units: =
?cti arge: . ,,•• y••
D ;t: _s.oo pa
Permit Fee: 10. (I ?') 1) ci
Su?charge: • 50 n,_,
Misc. Chorpes: 6 3.00 'rer
? Totul:
gy ?i?', ' • .4 ? : JDote Poid:
Date of Insp.: iic Irup.:
I ?Yas bcom* wilh 11N phr ef Bops
Or1lMnoa.
SEWER SERViCE PERl1A1T
PERMIT NO.:
d i 2 -64
DATE:
No. of Units: 1
Conrnction Chorps:
/1cwunt Depwit: _
PerrnR Fee:
Surchoros:
Misc. Chorpss: „
Totol:
Ooh Paid:
This request void (?? ( I q ( ? ? ? ?`I
18 months trom Z b ( -
A;yqq7';A L ?? a 3 PA. 3a.5 C)
Request Date Fire No. R@qphe
n?lnspection ?Ready Now ?II Natity
Inspec-
f'_l 6 v[1 ? L/ d
[(3.Y? ? No ,
tor When Ready
EaLj.r-ensed Electrical Contractor I hereby request inspection of above
n Owner electrical work inaialled at:
Street Address, Box or Route No. CitY
L ?
ecuon . Township ame or No. ange No. Cowity
Occupant (PRINT) Phone No.
RV,51.
Power Supplier Address
t
cal Contractor ICompany Namel
Elect Contractor's License No.
j?
/'? I L /
Maiiing AdJress (Contractor or Owner Making Instailatwn)
/ 6? g ? f/Tfi'C.. _ -il
uthorized Si n ture actor/Owner ng Installation) Phone Number
9#v/-
MINNESOTA STATE BW[rsD OF ELECTRICITY I„Is irybrtc;Iiurv ntuutbi rvILL rvui
Griqpa-Midway Bldg• - Room N.191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Peul, MN 65104 UNLESS PROPER INSPECTION FEE IS
Phone (6121297-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION , IEB_0000'-04 ?
Il, See inatruetions for complotinp this farm on bsck of yetlow copy.
A nq q 7i n "'X"' Below Work (.'overed by This Request
NeoilAddl Rep.1 Tvae o1 Building I Applinncea Wired I Equipment Wired I
p Fee ServiceEntrenceSize p Fee Feeders/Suhfeedera # Fee Circuits
O O 0 to 200 Am s 0 to 30 Am s I'L j:V a to 30 AmI)s
Above 200 Am ps 31 to 100 Amps 31 to 100 Amps
Swinvnin Pool Above 100_Am s Above 100_Am •
Transformers Irrigation Boorns partial.`Oth
-`K y
Date Paid
SEWER & WATER DEPOSIT - CITY OF EAGAN
Buyer ( / 2ew)
Received by
City of Eagan
paid to the City of Eagan $30.00 for sewer and water deposit by
Ruscon Homes, Inc. on ehalf of buyer for home located at
/9
??_?? (Lot /31 Block 5) Eagan, MN
This amount will be held on account for the buyer of the above
named address and will be applied against their final bill should
they sell, with any balance being refunded onls after the name and
address of new occupant is provided to the City to establish a new
account. This deposit is non-transferrable to any subsequest
owner.
. . •
•?? ALL CONTRACTORS UST BE LICENSED TH THE CITY OF EAGAN
INCLUDE Q SETS OF PLANS,
? CERTIFICATES OF SURVEY
SET OF ENERGY CALCULATIONS
To Be Used For: Valuation: c4&,,990.?? Date
Site Address: 19].4 Covington Lane ?'?' ?? ?
Lot: 13 Block: 3 Sect/Sub:park Ridee Erect: x
Parcel #: Remodel:
Owner: John
Address: F31 2 roAar Lake ROad
City/Zip Code: St. iouis Park, MN
Phone $: 546-7745
Contractor: Ruscon Homes Inc.
Address:1000 E. 146th St.. #I00
City/Zip Code: Burnsville. N,N. 55337
Phone #: 432-1433
Arch./sng;4ark Nage1/Probe Engineering
Addressc 1000 E. 146th St.
City/zip code:Burnsville, :9N. 55337
Phone#: 432-2044/432-3000
Repair:
Enlarge:
Move:
Demolish:
Grade:
Occupancy:
Zoning:
Type Of Const:
# Stories:
Length:
Depth:
Sq. Ft.:
12-3
?-
'jo
98
APPROVALS
Assessments:
Water/Sewer:
Police:
Fire-
Engr.:
Planner:
Council:
Bldg. Off.:
APC:
Variance:
Permit: 00
Surcharge: - LT ?
Plan Rev. : J55. °-'
SAC : SZ 5 . -°
Water Conn: 410
.°'
water Meter b3.
Road Unit: 'L?'p
?arks :
?? /,g/a •sd
.??
?,? -w? ,?h ??.._U1
??" `??'? ' ?
? ?" ' ? t,: 7? ?
N ?
n ??
-P o
-P o
G o
? ?
_ Ul
? ?
Ul
-P lSl
? ? ?
? ? a
c 8
o
• CITY OF EAGAN N? 9599
3830 Pilot Knob Road, P.O. Box 21•799, Eagan, MN 55121
PHONE: 4548100 ?
BUILDING PERMIT ReceiPt #
Te 6a und Mr SF DWG/GAR Esr. Value $59,000 pote OCTOBER 11 19 84
SiteAddreu 1914 COVINGTON LN Erect
? R3
Ocwpancy
Lot 13 Block 3 Sec/Sub. PARK RIDGE Remodel ? Zoning __RT-
Parcel No. Repair ? Type of Const, V
Enlarge ? No. Storie5
? Name ROSCON HOMES INC Move ? Length g
-
? 1000 E 146TH ST., #100 Demolish ?
Address Depth ?
Grade ?
City BURNSVILLE phone 432-1433 Sq. Ft.
o Name SAME
OU
4 Address
City Phone
?w Name mark na4e1/probe enar
x??-, Address 1000 E 146th st
?W City burnsvillgane 432-2044
I hereby ockrawledge that I h reod rhis al
the inlormation is correct nd ogree fo
$taM of Minnewto $ta es nd Ciry o a
SiOnoture of Permittee
A Bullding Permit is issued to: SCOI
all work shall be done in acCOrdapefWlfh oll
Buildlrp OfHtlal ? J GC
and stote ihat
oll opplicable
AVOroralf Faos
Assessmenl
Water 8 Sew.
Police
Fire
Enp.
Planner
Council
Bidg. Off.l 0/11 /$ 4
APC
Ver. Date
Permit J 31 U. U V
SurcFrorye 29.50
Plon check 1_55i?0
SAC - 525.00
Water Conn. 470, 0
Water Meter 63, 0
Road Unit 260 _ OQ
Parks
Tatal
$1.812.5?
lu
on the express corditlon thot
of Minnewta Statutes and City of Eaqan Ordinancea.
.'i.. r...
AOBE coHsuLitNO ino Hctns
ENGINFEAING PLRNHlAS ond ?AND iUAV[YORf € f?'
COMPRNy, INC.
?1000 WT 1461h STI1[Li, EUfIHSVILI[, IIINMCSOTA, 55337 PN 43t'3000`;11,
Ce7"zZf CQZ
y=?rr ??rcP?,? , .
, ??oT ?3i 3i O,t1".rL.c: R/?7(? L19?'oTA 'GGY!NT)! /Y??NN?kwJ'?4
. v N 'Q'?3Z
•3s,, SJ? .? \? 1 '/ 9,$n?
n\ ?,? h pq?sSj
,r794/.446e .4-N b (i w
ar?c?rYV?shs?M?r \•i^?V•.?
? . `n? . NoArF? ,
r= ? ? sc? i?3o
? M 51 e2i4, a
a 's
.. -2 . ?
? ! $cp ^? (?jp?oi L'?7?OYE"1 45K/SrlkCo
??2`?-CLyYv a?? `'? ?'O.t7? DE+`laTG'S 'f?,QpAxwgp EL rwI
?4! 4 .
`122.S?p. O ` " ? "` `•
.SO. FJu?tD,1,Nb ? n N (?', i54RFqce? DR+l+N?Ni6 `.` -
5?1" K t:tntE
?? . .•..., 10?p6 .
Q ' ? ?--? 22.?j , • x * ' P`.
m sl ? ,, ?,?v,sNEO ?'vna,a.Ge ??e ?t?'?o•? - 9z2.8?
20 5 ° . ,' ? "'
: . - fs20T.1?
+ ?..
T?1 40?? 1 ? ??? ? ? ; ;
wr .
hireby cartity that thi• is a.true and cortyct rapresentation otVa tract ot'
tnd at shovn' and Qescribad herton.. M preparod by me. on this.¢?. dq ot.`:;.. ,
o;+ 1 ??• ' '
?.
60L-0.Y 2.Qj.0:7La/A/vne_ NiV_ Yw_
: .
? • . .
_ _?z`? f'?r' ?`?
?_ ?-
_
, .- - - EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
. _ ,•, . - .
OWNER
tAl- 3 _y :. : _ _ • w --
.
SI7E ADDRESS? . . _ :. :,. ._ . • . . -F., •:- ,-?r....-? .
-.. .r ?:r. : . . - .. . i:. :: .. . • -- . :. . _
.
_
:
•
•
: .
.
.
-
?
- ,s_ .
, ...
..
..
.
,
_.
. . ....
., .
.
,. .
?
_,.. .. d,V. ..
?13? `.-
- PNOHE
- CONTRACTOR is 6ATE
IZu?C?i:s tl _
- . . .
, _ .. .- • _
. ...
•- Determine working square footage of each.
1. Total exposed wall area ......,1•5?r%lf re ? sq. ft. x, j1- ' /.'7G ?.
• ' . -?
2. Total roaf/ceiling area .... .A241 ,C'I, sq. ft.x 0. Z6 ?
Tatal exposed wall area above floor =_
a. Total wall windaw area ..................:....... 144-
.
b. Total door area ................................. _??
Totai sliding giass door arza .................... . 4- r-
c .
.
.
• d: Total firep7ace wall area .........................
e. 7ota1 wall framing area (average 10:)...:........
: f. Total net wall area above floar ................. ?«C,G_ •
g. Total rim joist area ............................. i=so
Total exposed foundation area = /
h. Total foundation window area..................... 9. 45 .
t. Toal net foundation area.abvve grade ,........... /('14.
Deteraine "U" value of eazn_wall sag:,ant. •
v "U"
a
33
.
•
h. X "U° .13 = -4 ,94
X $pull
33 = Z?1,C
c
.
.
d. ----- X Hull
e.=? 'X ,aUlt . I o = /U, 3-?
f. X1,U 11 J n43 = -4(%, 1Z .
9. X glues - Oq = .5 5Z
L ?Y
h. 9.4Xsouto• 6,r?
;. /0:1. G= x ,lu" . o? _
3 . ......:................ ..._......Total = " .. 7 S ? '
If item 13 is the same as, or less than item '1, you have met tne intent
of 53C 60C5(c)2. ?
? ... _ , .
r'.
? : . ? y ? ? n x ? :, _ ' - ?': a r r ? r 1 •: . . ? ' '
? << . • J ? [?'4 ? '? i:' f ?t?., 1
.- ? ?,:. - . .. ,. . . . .. . ? ` _•. . ..
Total exposed roof/ceiling area n` 6
i,
? ? • Total gross roof/ce9ling+area.,= O
. _. .. . . ... ,
a. Total skylight area ........................ --
.. k. Total roof/ceiling framinq area ............
1. Total net insulated roof/ceiling area.......
Determine "U" value for each roof/ceiling segment.
_.. ,:.... .. . ... X loua . _ . , . .
. . . k. ' tC'4 fl X °Vu 0 ZA °. . ' tl,' ZH cHeaaIZ.32"1US'A- ovGa.:
.
x uUn.07i ° •r??l?J '2Sa Ib'e31?. •. .
Q ..................................70Ldl ? .
If total of #4 is the same as, or less than #20 you have met the intent of, SBC G006{01. . . . . . . . • . '
To utiltzed the total envelope system method, the values.established 6y the
sum of items #3 and @4 shall not be greater than the sum of itens $1 and 12. ,.
. ? . . . . 'f 2. °
3. + 4. _
MATERIpLS
Exterior Air
5lding Material
3heathiTq
Insulation -
ShBfltrOC.IC Znteriox 6ix
Stude
Rim
Conc. Slka.
Therm. Besiatance "Rit
ry 1I;eer.t#
•I7
_E,V E;I Pu i"
I ? 28 11z • 13.zJ
>
. ? .. .
p SPECiFICATIONS/SELECTIUf15
FA7,F.S PATF LST. CLOSING DATE_?.2/- .
? H0"AF, 0{4NER ?tlN.QI LlaOR/ }1n0F16 PHONE
HOfAB ADPflES5 1e,3/-1 CEpACp ?AYF le? ?! .s?1dL?!< YAR.f? 50?d ?/6'J?3
I.DT ?.7 BLOCH?ADUITIO[V /A.P,(? ?CZQG£ W0021 SITE ADDf2E55_/J/S? CaUi.vG7e.J LA/Uf
FINAIVCED 8Y: AGENT PHOHE
.",5RIEC; C,CqSS/G IAODEI,//_ /dQOO S@UARE FEET /Qad ELEVATIDIV// ?a 0
PRSFERS GARAGS ONo LEFT, AICHT_(facing hoUSe) ENERGY PACKAGE INCLUDED)les .Z,y
Buyer understands Ruscon Homes reserves the rip,ht to change the above and place the home on the ?lo as
the grade and continuity of the subdivision dictates. 'rX //[[ 64A 2L
v7hLK-OUT - / sac - ? a ? r?OF ---_.-
NaT NTL?? S}1ING7,E5
SLIDING GlASS ?OOR UP?0'NN - Typg?
S'NINGING GLASS DOOR llP= U0:1N= PAINT
°XTERIOR COI,OR?I(?I??ivr
4lIND0111 TYPE CASf///FR/T
DAT}f TRIM TO INCLUDE:
>JALI(-TNRU TO fMSTER
FISF,RCLASS TUB lun
CERAMIC & CAST IRON TUB
OPTIONAL CERAh1ZC
BATH FLOOR
M. 3/4 BATR FLOOR
$' ABOVE TOB U[Q, --7
c
$' IN RNOt;ER !r!. 9/4 BATH -^
P'IREPLACGS
UP DOYIN--%?_FOOTING" ONLY
BRICK FACE STOIiC FACE
BRICK TYPE L4L-FI1.1L MDD.
fiTONE TypE
HRICK
BRICK ON HOUSE: PULI,
HRICK OIV QARAGE, z? FUL1 `
BRICK TYPE -
SIDING (FROC]T ELEVATION)
MASONITR x CEDAR PTR
HORI7.OHTAL_YERTICAI,,V DIAG.
NANIE OF SIDING
SIZG OF SIOING
RIOINC (SIDE & RRAR)
FLOOR COVERINCS
LIVING ROOfd (` 1tiZF%?g- BEDADOM#1?
DINING ROOh1 CN7r? HEDAOOfifn°2 C _&1ZcY+:-
KITCHENI/o.SVL? OTHER:
M?? HATH ?1 t?i4! , M. SA1'H
GIV'tRY VIkW
LIGHT PACRAGLS
INTERIOA ? EXTERIOR__j& _
CAHINETS
COLOR
COUNTER TOPS
NUMAfiR k COS,OR-L'i - 6'?) -T 1?+'P e ?-«.?'Y
OPT
D
I
NS INCLUDED I
N
SALES PRICEe
'
,
'I
n
-
1.J?S??.'??S???L a n /1 1
/l -a / A
2.?QEf_JL?.tTlw/cin.il NQ?.
7.?eiate?r ,pai?,
k.iP.f / .La>a0 _?'T/PC
5•?Ad1GF -Fl£C SfCi C+CEAA? 3Lm
6.
7. f/.L[e .1lE 0.V 41 ° ?( N T gj?jmg
8. O7ine•?r F [Pcqts
APPLIANCES PRDVIDED SY ROSCO[V
COLOR 6a nncn?j?
MODEU,' . GAS/P•,LSC.
RFFRIGERATOR ET /PC?f" i
RA[VGE 3/.q/] ?
TISNSPASHER DISPOSAl CS
nAq}[ER
PRYER -
hIP PUAIFIF.R
CENTRAL AIR -
HUfdIDIFIER -
SFRVICrS
DRYER RANGE CLLL-
BurFes
10.
SPECIAL IVOTES
?uYG.e G m AWL-MIFRAIC40 QA OonP
/1/OUEO Yn nnI(',. SIOL AS <aP -+r &n?f
YY- 'Hu yE?r i.laiyn .Oorc-i.P q (' ??
(2,4as,n)6 l< Ar Vu PosslQee
F!AlEE AGENT 12;Aeev Bel"oEs.# _
HOh7F, p]{ONE r/3a- 9v/8
2f84
CITY OF EAGAN
APPLICATZON FOR PERMIT
SEIVER AND/OR WATER CONNECTIODI
1) PP.OPEFIPY ApDRESS:
r.FraI, DESC.4ItiPI0N:
(PLEASE PRINT)
u?wDlcxac/auwcuvision or 'fax Yarcel I.D. NLmt
_^- E:tiIS:'_ :G SP.4CCTU:2E, DA??' G,' ORIGii1AL 'rUILDL`1G PEF:1T ISSU?A;C°:
PP.rS?,'i Ll R-1 S!??GZE FPmaLY '---- -- -- •
? R-2 DUPLEX (7LCp Wi ITS)
? R-3 TC1rvTII-IIX;SE (TI-II2E:" + UNITS) ( Wi ITS)
0 R-? ApAR'IN'E`?'/CONIDQ?LTjTILL.l ( Wi ITS)
p CMIE?CIAL/RLTAI7,/OFFICE
? LMUSTRIAL
? INSTITUTIONAL/GOVg2NNIESI'
2) APPI,IC»+"I' (PLEASE PRIHT)
CTTY. NA6IE:
ADDRESS:
STaTE, ZI?:
PxoINE: Ruscon Homes, Inc.
1000 F`ast 146th St Suite #100
Wrnsviile. MN 55337 '
432-14'33
3) pLt;•ffiER NAME: Star Plumbing PLEASE PR1NI) FOR CIiY USE ONLY
ADDRESS: 1018 Mound Springs Ter. PLUM.?ER S LICENSE:
Aetive
CIT`!, STATE, ZZP; Bloomington, MN 55420 Q Expired
PHOi9E: $$1-4149 PLUHBER LICENSE k 3329M 0 Hot of Record
arr ni ia
4) 0?[7pn,,yT/Cf,rl? (PLEASEPBINf)
?`?= John 01 on .
ADDFtE55: 631 da i aka R-d
CITY, STA'I'E, ZIP: St _ m,; a park Mt3
PIfO:IG: 546-7745
5) INpICl,TE WHICH PEPMLT IS BEING REQUE$TFD:
El COtiTIfX.TION TO CITY Sa]ER
? CO:INOCPION M CITY hiATER
? OT'F'.ER (PLEASE DESCftIBE)
b) rQIQii:: 0:ZE: -
? PI,ZASE f:OLD APPRWED PERMIT FOR PICI:-UP BY ONE OF
PI.?\SE ?*AIL PROVID PFR?LLT 'II? 1. 2,?3 4 ABOVE
(Circle onel
7) SICZZkTL'?E: DATE:
?,J
??.
-Oct 9,1Y984
. • . . . . # i p i ?:ss:? t? ? ! ?IL?F.?:il?!?;i?i? ? 1? 1? ?It ?' ?KSaoaafr w
F 0 R C I T Y U S E O N L Y
PERMIT " ISSUED
F°rS: $ Ja_-S n
$ /p . ,S-o
$
S
S
$
$
$
S
$
$
S
$ •
$
grp?Eo nocur?+ (I'IC:.',:DE SUP.CHe?RGE)
WATER PERUIIT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATEP. TAP (I.ICiUDE CORPORATIODI S:OP)
SE;JER Tnn
ACCOUNT DEPOSIT - SEWER
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRUNK NATER ASSESSi1E:IT
TRUNK SE[9ER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BENEFIT/TRUNK WATER
OTHER
TOTAL
ANIOUNT PAID/RECEIPT #
DOES UTILSTY CONNECTSON REQUIRE EXCAVATION ZN PUBLIC RIGi-IT OF WAY?
? YES IF YES, THEN'A "PERMIT FOR WORK WZTHIN
? PUBLIC ROADWAY" MUST BE ISSUED SY THE
NO ENGINFERING DIVISION. LIST AS A CONDS-
TION.
SUBJECT TO TFIE FOLLOSJING CONDITIONS:
APPROVED BY:
TITLE: .-z9
DATE:
1 aJ? Rs l? ? i? ?:i? /?? ?e s!? wL? 1a ? w al! wf? ?la ?t? w?i1 ff? w.? wE ? sa Fi? ?t? ?c? ?a sw w?
?-----------------
I Fo??Offce??Use ?/?
? Pertnit#: S? y?
I Pertnit Fee: n0 ?
I I
? Date Rewived: ?
I I
? Staff: I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Ll" 3 C£3 Site Address:
Tenant:
Suite #:
RESIDENT I OWNER Name: n nr uu ,a: t---n Phone:
Address / City / Zip: ?dt:
Applicant is: _ Owner ? Contractor
TYPE OF WORK Description ofwork -TII(N - CL?r t'_<?
Construction Cost ?T O'A Multi-Family Building: (Yes _! No ?
CONTRACTOR Name: License #: ? o a- 1 q SC v
Address:
C
City: State: yvtiA_ Zip: 5!in 4c)
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
submission type) • Energy Envelope Calculations Su6mitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents fhat you submif are considered to be public informafion. Portions of
the informafion may be classiiied as non-public if you provide specific reasons that would permit the Cityto`
conclude that the are frade secrets. . ':
1 hereby acknowledge that this information is complete and accurete; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to staR without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approv hafplans.
x lLN i IoHi_ x
ApplicanYs Printed Name Applicant's Signature 'S
Page 1 of 3
'of Oilice Use
I
W-
City of Eap j Permit l ro
Permit Fee: ✓ nn
3830 Pilot Knob Road I UG 26 2009]
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff:
- - - - _ ,
2009 RESIDENTyyIAL. PLUMBING PERMIT APPLICATION
Date: Site Address: I W 1
Tenant: Suite
RESIDENT/ OWNER Name: NI (u Phone: - 1 n 9 3v7 (7
Address / City / Zip: 5 512
CONTRACTOR Name: (2 W Q 1'0 -7 i License k~ j 70 f?M
Address: t
City: CL State * A N Zip:
Phone: Contact Person:
TYPE OF WORK -New V "Replacement _Repair Rebuild Modify Space _ Work in R.O.W.
Description of work: y -
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
C_ RPZ / _ PVB) Main Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge)
'Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL, FEES $25
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Nam Applt nt i a e
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
for 9S