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4758 Ridge Wind Tr M ' ~r Please send copy for water meter to: Genz-Ryan • 14745 S. Robert,Trail Rosemount, PAN 55068 Copy for sewer and wlter connection goea to~Star Plumbing Thank You Ruscon Homes, Inc. ; CASH RECEIPT ~ ' CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 - ~ ~ DATE ~ : f 9 / w~ci~v~o / FROM / ~ . ~ ;.1. ~ . . / ~ AMOUNT $ I, 6 DOLLARS ~ o0 ~ ? CASH ~ CHECK roir` ~-t i. ~ ! ~ ~ ~ - ~ ~ ~ . ~ , iv/ c , FUND CODE AMOUNT ~ ~ I jf;~! ( I . - , ~ Thank You BY ~ - ~ . : White-Payers Copy Yellow-Posting CopY Pink-File Copy J°~ ~ HOUSE HEATING TEST RECORD ADDRESS-,l~~~~ lL1G1`E.4!1lt~D~~r~~dc~v~, AP7. FLOOR CITY~SUBURB OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY Elschieal Werl~ e.. _~~3 ~(f ~~-Gos Line By TYPE OF HEAT GA FA~HW STEAM SPACE HTR. UN~T ,U~HER GAS DESIGN RE~dd~~RSIQ MAKE ~ MAKE OF BURNER ~s~ Modsl Ssrial ~ ~ Max. BTU Ratiny INPUT MAKE OF FURNACE Model CONTROLS THERMOSTAT Heat Pl~g Vent Si:e Volre KIND OF LINER ~ SIZE~NONE Limit Dh~sfi..klaad L'-~ Ra~ularor Limit S~ttiny Filters Size ~ X~ ~~X~ Number ~ Fan Setting , ~ (~imn~y Location Insid~ /Y Outside Pilot Typs ~Z Chimnsy Construetion !a+~ ~ y'~~~ Pilot Maks r'~~- Pilot Model Smoke Bomb ~ Wiring ~ Pilot Timing Draft } Tssf Tay L.W. Cut Off Door Pressure ~ Liyhtiny Inst. , ~°~l~ Date Tested ~-~S Prossurs • Percent CO Input CFH Percent 02 ~0 Company Testing Slack T~mp. ~7~Percent CO ~ Nome of Test~r Form 235 CITY OF EAGAN Remarks ~~v ~ ~4~ Addition P•~RK RIDGE 2nd ~ot 13 Blk 4 Parce~-10 56751 130 04 ow~e~ Screet 4758 RidQe Wind Trail state Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ~ ,~j` " - ~ -a7-~- STREET RESTOR. ( 1 SS 492 . ~O 32 . SO 15 •7,.' „2U GRADING SANSEWTRUNK 1 SL 1. .3 ZO.b2 ZS I/Cr^••?f`T C~ IU,33 "~'o~.7-c~S SEWER LATERAL ~ , ~,1 ? WATERMAIN OU 1 85 642.54 64.25 10 i~'-~=~ L- i~ ~F WATER LATERAL ~ WATER AREA / l J C-/D -~5 STORM SEW TRK 1 85 7~ .93 24. ~3 ZS 3`~ ~ "'1J 3 - a -!QS STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT • ~2662 WATER CONN. „ n BUILDING PER. ~3H4 n SAC n PARK F r ~~j_ CITY OF EAGAN Y 4 3~~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~ ` PHONE:4548140 ~ sU1LDING PERMIT Rece+o~ # T~ M wtd fer ~ r` i; Est. Vaiue ~.`:1 , i? ) f 1 Dute 19 Site Addrees 7 r' ~ ~ T,' Erect ~ Occupancy Remodel ? Zoning Lot Block ~ SeclSub. AI; ~ Repair ? Type of Conrt. ~ Pareel No. Addition ? No. Stories i;',~ 1 i3t, Move ? Length ' ~ Name W Demolish ? Oepth Z ~ 4 j~ ~ tZ v 1~~ Int. Impc ? Sq. Ft. Address ~ Cih, • r Vt'., Phone 4,5s~. - 1~ Install O ' ApProvols F~.s ~ Neme ~AM1; o~ Address Assessment Pertnit . u~ City Phone Wote~ b Sew. Surcherge ~ Police Ptan Review Y' O ~W Name nRr'~3i. Ffn SAC ~i~.i34 W 1'~ i~ Address ~ r Enq. Weter Conn. t W City Phone 3 l-~~~' `y > 4{onn~r W ater Meter 0 ~ Counci) Raad Unit - ~ ~ - I hercb acknaw~ed e that I how read this opplication ond stote that y 5, i.L ~ . v l~ Y 9 Bld . dff. - ~ Tr. PI. tha information is wrcect and ogree to tomply with all applitabl~ A~ Psrks 5tate of Minnesaro Statutes and City of Eagan Ordinancas. Var. Dste Copies Sipnaturo of Permittet ~ . !7 , Total h 8uilding Permi~ Is issued to: ~ t;3 ' on th~ exprem condition Ifw~ all work sholl he done in caordonte with all oppliaobla 5tate of Mlnnesoto Statutes and Cify o3 Eapan Qrdlnoncas. Buildinp Official Permit No. P~rmk Halder Dst~ Tsl~phon~ #F Plumbin~ G ~ ~ ~ H.v.A.C. ~J C~ ~ ~L ~ ~ ~ ~ L ~ { r- _ - ( 5~~~. Ehctric ~ ~ ~ ! ~ ~ SofteMr I~apsetion Oab Insp. Othsr Footinys 1 Footings 11 Foundatlon Framing 3 Roofing Rough Plby. ~ Rough Htg. Insul. Ffrspiace F~nal Htg. Final Pibg• - - s" F{nal 0 ~ ~ Cert/Occ. Water ~~~b~ Lowtion: Weli Sewer Pr:" Disp. Receipt PLUMBING PERMIT • Permit No. C17Y OF EAGAN Fee ' i f~ ~ Fill in numbered spaces S/C ~ Type or Print legibly To~ 'J _ . 1. Date ' 2. Installation Cost ~ ~ • . , 1 • . ~ 3. Job Address Lot Blk. Tract 4. Owner _ ~ L~ 5. Contractor ~ , f.~, : Phone 1_ 6. Address ; y- ; ~ ~ ~ 7. City State , Zip - 8. Building Type: Residential Q"~ Commercial ~ Institutional ? 9. Work Description: New ~1 Add ? Alter O Repair O 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other ' Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for _ sy~'f; Rough F inal f Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ~ R~aipt ~ MECHANICAL PERMIT P~rmit No. ' ~ CITY OF EAGAN : t?~' FN - j: X', Fi/l in numbared ~acee S/C . S O Y ~ Trpe or Prinr legialy Tot ~?.J.:eO 1. Date 3U /85 2. Installation Cost 1 00 3. Job Address 4 ~'ir.<, h.1 J Lewii.u 13 Blk. 4 Tract 4, Owmr ;ae,c~~n ti0~ets ' 5. Contrsctor ~ t',e.hh~:.~~~r: i Phone 452-~56~ 6. Address S~ULi Er~c:eoYC Lri~r~ 7. City F"ga~~ Stats 2ip 551~2 8. Buildi~g Type: Residential Commercial O Institutional O 9. Work Descxiption: New CX Add ~ Alter ? Repair ? 10. Dascxibe ~~ati~~ systeik FuelType ..st.~3 ~.1 r,<,s 11. No• Equi~meat BTU - M. Ea. No. EQUipment CFM Forced Air Air Handliny: Mfg. Boilers YX Mech. Exhaust Mfg, bath E~:,~~ Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : . r . ~ for Rouph Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Wp~ ~VICE PERMR 3830 Pilot Knob Road P. Q. Box 21199 PERMIT NO.: Eagan, MN 55121 D/~TE: ` - ` ' " ' No. of Units: ~ Owr+e~: .~~.-cn ' F Slte Address: _F• i~'.1.:~.,,.~v~lil8g~'51~~1118SI = li4 Fa r~ '~~e ;n Plumbsr. ~ - - n ~ , Metar Na.: _ p~a~. 5 J G. G i l c1 S~ze: ~p~~~. 15.00 pd Rec No.: d ~ Permit Fee: fl nc I pw~ te eaw~l~? wNli 14 Cit~r ~f Eay~w Surthnrpe: •`S O~rii~wwa Mlsc. Chorpes: 1'--•00 ~a~~ !1/~ Total: 3.00 a~ By Dots Paid: Date of Insp.: ' CITY OF EAGAN SEWER S~~ P~M~ ~ 3830 Pilot Kno6 Road pE~IT NO.: ~ P. O. Box 21199 Eagan, MN 55121 ~TE~ Zoninp: ~ Nc. of Units: Ownsr: ^ S~ Addr-~. ~ ~ ~ L r ; ~ ~ z r : r' . . . . ~ i ; , .x~ - t'~>rT '~.v~~~~ Plumber: - . 1 MrN to aen~/1f~ wll6 !M CN7 ef ~eld~ Connection Charpe: ;~`i ~ Or~w~wa~. /lcaount Deposft: P~mdt F~s: Surcharpe: - BY Misc. dwrpes: Dote of Irup.: Totol: Insp.: Dot~ Paid: CITY OF EAGAN WATER SERVICE P~ 3830 Pilot Knob Road pE~AIT NO.: P. O. Box 21199, D^~: Eagan, MN 55121 No. of Units: ? Zoninp: Qwntr; Addross: a T ~ ` - Sit~ /lddre:s: , , . , ; ~r. Plun+ber. _ ' y~,~tian Choroe: +~i.~ _ ~ T- Meter No.: pepcsit: Siu: peRnit Fee: r~' Reoder ~ iM ~ ~ Surchcroec ~ ~ =.:u ~ Mtse. Cta+nes: .j~~n ~~c:~s ~~OM' Totol: " . pat~e Poid: BY Imp.: ~ Date of Ir~sD.: ~ RESIDENTIAL BUILDING PERMIT APPLICATION ~ ~f 53b/ CITY OF EAGAN ~ 3830 PILOT KNOB RD - 55122 ~ O ~ ~ 651-681 ~675 lew ConstrueGon Reavirements RemodeVRewir Reauirements 3 registered site surveys showing sq. 8. of lat, sq. ft of house; and all roofed areas • 2 copies of plan (20%maximum lot coverage allaxed) • 1 set of Energy Calculatiore for heated addilions 2 copies of plan Showing beam 8 windovr sizes; poured found design, etc.) . 1 sNe survey for eaderior additions & decks i set of Ene~gy CalcWations • I~icate if hane served by sepUc systam for additions 3 mpies oi T2e Preservation Plan if lot platted aker 7/1193 Rim Joist ~etail Oplions selection sheet (bldgs with 3 or less unils) )ATE S- ~~-0~ VALUATION k L~~O6. IOB SITE ADDRESSX y~S~ I~ ~~asL wlv~C l~"'a-c I J F MULTI-FAMILY BUILDING, HOW MANY UNITS? V J 'ROPERTYOWNER S+ ~.I~~ ~u-'t''"~Y"41'''` R ~ i~~'ISk~-~'~d-C~,~Q..1 'YPE OF WORK ~Z EQ I a. C~v~ ~w~ ~ Y~'OOT FIREPLACE(S) ~O _1 2_3 ~PPLICANT~C S~ PHONE #,~~5~_ ~ ~a 4DDRE55 56- ~^'I e- ZIP CODE~C S~~ °Z a 'AGER # ` CELL PHONE # FAX # ~ NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Ener9y Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category t Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RLTLES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing SysLem Includes: _ Water Softener Lacm Sprinkler Fec: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical System Includes: _ Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # UI above information must be submitted prior to processing of application. hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with ~II applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant~ ` ~ :ertificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1l01 OFFICE USE ONLY ] 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ] 02 SF Dwelling ? OS O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ] 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 E~ct. Alt - SF 7 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ] 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage 7 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous ] 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ] 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair 7 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ~ 46 Windows/Doors ] 34 Replacement "Demolition (Entire 81dg only) - Give PCA handout to applicant laluation Occupancy MC/ES System ;ensus Code Zoning City Water iAC Units Stories Booster Pump dbr. of Units Sq. Ft. PRV Jbr. of Bldgs Length Fire Sprinklered "ype of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinallC.O. _ Foorings (deck) Final/No C.O. _ Footings (addition) _ p~~b~g _ Foundarion HVAC Drain Tile Roof _ Ice & Water Final Other - Fr~IIB _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fireplace _ R.I. ~ Air Test _ Final _ Siding Stucco Stone _ Insulation _ Windows (new/replacement) Approved By , Building Inspector - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3ase Fee iurcharge 'lan Review AC/ES SAC ;ity SAC Nater Supply & Storage i&W Permit & Surcharge -reatment Plant 'lumbing Permit Aechanical Permit .icense Search ;opies )ther fotal , CITY OF EAGAN N~ 10 3 8 4 ~ - 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 PHONE: 4548100 BUILDING PERMIT Receipt # ~ Te M uwd 4er SF DWG/GAR ya~~e $52 ~ 000 po~e JUNE 13 . ~q 85 SiteAddren 4758 RIDGE WIND TR Erect W Oetupancy R3 PARK RIDGE 2ND Remotlel ? Zoninq R1_ Lot Block~-Sec/Sub. Repair ? Type of Cona. V Parcel No. Addition ? No. Storin RUSCON HOMES INC Move ? ~,engtn 38 W Nanie Demoliah ? Depth 4 6 z Addreaa 14530 PENNOCK AVE Int.lmpc ? Sq, pt. ~ Citv APPLE VAL phone ~32-1433 ~nstau O O Neme SAME Apprerah fn~ A~~ Assessroent Perm~t S 289.OC r City Phone Water 3 Sew. Surcharge 26 . Polica Plan Revlew ~4.. S C G°` Neme PROBE ENGR ~w Ffro SAC 525_OC Address SA~"lE Enp. waterConn. 500 _ OC ~W City Phone 432-2044 planner Waterrneter _fi3~OC Council Road Unit 9 R fl _ 0 C 1 hereby ockrowladga that I how rcod fhis cpp~icotion ond stote thof g~dy_ p{{. S~Z I~H S Tr. PI. 1 32 _ 0 ~ the inlormafiw~ is corrcct and agree to wmply with cll applicobla AP~ Pa~a StaM of Minnesota Stotutes and Ciry of Eayan /Or~diron L1J~.6.~4 4/9"~~v~ ver. oeta ca~~es SlpnMUm of PermiMe~~ Tatal S 1, 9 5 9. 5( w 8uildiny Permit Is issued ro: RU5 ON HOMES INC ~~e eX~~ oll wark shall 6e done in acoordance with oll oppli b tote of M newta ea ord Ciry o7 Eapan Ordinancet. Buildinp OHieiol -°'m'~~ A . ' ' ' 5EPJER & ViATER DEPOtiIT - CITY OF EAGAIV Date Paid Buyer~~~ Received by City of Eagan Paid to the City of Eagan w30.00 £or sewer and water deposit by Ruscon Homes Inc, on behalf of buyer for home located at 4'/~' ~~/fiJl7CISV/~.D /L~~/~Lot~~/ Block~~agan, MN This amount will be held on account for the buyer of the above named address and will be epplied against their final bill should they sell, with any balance being refunded onlv after the name and address of new occupant is provided to the City to establish a new account. This deposit is non-transferrable to any subsequest owner. S~ REQUEST FOR ELECTRICAL INSPECTION ~ ee-ooooi-os D~~~~ ~OY See Instmctions iw compleling t~is ~orm on beck oi yellow copy. ~ ~p,' -{L~~O l f y~~/9$ _ "X" 8elow Work Covered by This Request h4.'1. ~ 7'~ype of Building Appliances Wired Equipmen[ Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace ~ Other (Speci ) Farm Air Conditioner OMer (specity) GonVacrors RemaMS: ~ ~ ~Compute Inspection Fee 8elow: # pther Fee # Service Entrance Size Fee # Circuits/Feeders ' Fee ,Swimming Pool 0 to 200 Amps 0 to 100 Amps ransiormers Above 200_Amps Above 700 -Amps Si ns inspeciors uu oniy: ~ TOTAL Irrigation Booms Q ~ ~v S ecial Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MON7HS. I, the Electrical Inspector, hereby Ro~9n-m ~ ~a~a certity that the a6ove inspection has Final 'Det Y~.. been made. o ~ % J~ OFFICE USE ONLY Thia request vatl 18 mon~hs from y3loso 0~ 0 m 0 21 ~ 8~ ~ ~o?o ~ Repu t Date n ~ Fire No. Po gh-In Inspection Require InsOec~ion Other Than ugh-In ~ ec0 p 5 (VOU must wll inspector ~ n reatly) ~ qeatly Now ~Jill Nolily Inspeclor ? Yes ~NO Date Read I? licensed contractor ~wner hereby request inspection of above electrical work at: Job Addresa (Sireat, 0ox r Roufe NoJ / Ciry ~676'8 ~,~d e ~ •,o( Seciion No. Township Ne or No. Range No. Counly OccupaW~EqIWT - Phone No. ,J o ~,n ~4 e ~ Power Supplier Address Elecin al Co Vacror (COmpany Name) ~ Contrac[or s Llcense No. N1.PA W ~ G' 1~ Mailing Atldr s( onlractor or Owner Making Installation) Authorizatl $i amre ( n~r ~orlOwner ng Ins~ ~ Phone Number 686- 6/8~ MINNESO ATE BOAHD F LECTRICITY THIS INSPECTION REOUEST WII.L NOT Gtlggs- ay 81tlg. - Roo 128 I, I I I I I I I II BE ACCEPTED BY THE STATE BOAFO 1821 University Ave., SL Peul, MN 55104 UNLESS PROPER MSPECTION FEE IS Phone (fi12) fi42-O800 . ENCI.OSED. r y/$~ REQUEST FOR ELECTRICAL INSPECTION EB-000p01-04 7/ / ~ See ins~ruc~ions lor com0~etinq this form on beek o~ Yellow co0v 77O / 7 4 "X" Below Work Covered by 7his Request AAd Rep. TyDe of BuilEine Aooliuncea WireA Equiyment Wired Home Range Temporary Service ~uplex Water Heater Lightiny Fixtures Apt. 8uildinc~ Dryer Electric Hea(m Commercial Bldy. Fumace Silo Unloader Industrial BIAg. Air Conditioner Bulk Milk Tank Farm ther Peu v L~th~r ISPacHy1 t ar SVecr y Other O~h~r omyute Inspection Fee Below p Fae SarvicaEMrenceSize fr Fee Feeders/SUbleeders N Fee Cir~uits (1 to 200 qm s 0 to 30 Am s 0 t~ 30 Am s Above 200 qmps 37 to 100 Amps 31 to 100 q y Swimmin Pool Above 100_Am s Above 100_<lmps Trensformers ation t3oorc~s Pdrtial-~Other Fee Signs Special Inspection 5 ~ Nema.ks d~ TOTAL Eyyj~ ~ ' a~~~ Fough-in ~ De~e ~ ~he Elec ~ Insueclor, hereby car~i~y thet t~e above Final v=. insDection has been c,J. f ~ae. tl~b repuest volA 78 months iwm ~ rn~s ,~n~es~ ~o~e g~5~~87 18 months (rom . 4~364 ~.i~ ~ ~ . Reque t ~al Fire No. ~ BouAh-in Insper.tio _~ry R,e~p}~"red? ~Beatly Now~Will No~ify Inspec- ~y ,~CJ.~as ?No tor When Ready ~Licensed Elect ical ConVactor I heraby re0uest inspacfion of above ~;Owner elecM1ical work installed at Sveet Address, Box or Houte No. y" SB ~PiD~~. T.P, eamn o. Township Name or o. Range o. Coum , ;~~s',~DT~ OccuOd t IPRINTI Phone No. S qyy Po er Supplie~ Ad s ~~r F.G ~ ~ ~l G~o Electrical Convac[or ~ComDanv Namel Contracmr~s l.icense No. MailinB ~+ddrrePss IConV/a/czor or Owner Maki stallationl d ~~7J O / ` - ~ ~ ~ ~ /i ~f/ Authoriz mr Cgyt~actor O r kine ~nstallationl hone Numb-r ^ C / f. ~ ~ ~!7 J 1 ~Q THIS INSPECTION HE~UEST WILL NOT MINNESOTA S1ATE BOAflO OF EIECTqICITV Grigps-Midwey Bltly. - Noom N•191 BE ACCEPTED BY THE STqTE BOARD UNLESS PROPER INSPECTION FEE IS 1821 University Ave.. 51. Paul, MN 55704 Phone 1672) 297~2111 ENCIOSED. REQUEST FOR ELECTRICAL INSPECTION Ee~0o0°~ ? See ire[ructions for conpleting this (vm m baek 01 ysllow eopY. ~ Lt O L~ 71" . ""X'" Befow Wosk Covered by This Request ~ ~ Nep. TYYe ot 8uiltling AOP~~arcea'Mirad Equipment Wired Home Pange Temporary Service Duplex Water Heater Lightiny Pixtures Apt Building Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloacfer Industrial Bldg. Air Crnxlitioner Bulk Milk Tank - Farm me. oeo ~nc, ~suec~~vl t . uecify ther pthe~ ompute lnspectiun fee Below p Fee ServiceEntrence5ize q iee Faedars~5ubfee.tlers W Fee Circuits U to 200 qm s 0 to 30 A s 8 0 to 30 An! Above 200 Am{u 31 ta 100 Amps 31 to 700 A Swinuning Pool Above 100-Amps Above 100_/>mps Transiortners ~R~gation Booms Partial; Otber Fee - Sigis . Special Inspec!ion 3 ~ TOTqL FE~ Bertmrks ~ ~ RouBh-in Date ~ y1 1. ch¢ Elect7icnl ~~~QI I~pectoq herobY ~ cerlilv thet th¢ abpve Final ^~e peetion Iag been ~ ~ ~de. l~breQUest wiG 18 montlu from ~ This reeues~ void 1/(,~ ~ 2/ </S p18 months from -1 ,J b D t--~ ~Gti.-k R.~' c~ c~-~ .~3. z~ Pequegt Date Fire Na_ Rovgh-in Inspe fon ^O+- ~ Hequirytl? ~Neady Nuw ill Notity. Insoec- % ~Ns ~NO Ior When R¢atlY icensed Elec[rical Contractor 1 herebY ~eV~es~ insoeclion ot above ? Owner ' electriml wak iretslled ar. SVeet Atldress, Box or Rou[e No. Ci[y _ T 7 ~ !r ect~on o. Towns p nm o No. flange o. Cwmy T Oecu ' PflINTI Phon¢ No. us c~~ Povmr Supplier ~ AAtlress ~C.~e~'i~"/ ~ G~' 9' R~. Elec[rical ConVactor ICOmpany Namel Con[~ clor's License No. Q~/ ~ ~+~~~~0 /~ddress ICwtrac or or Ow~r Making I~ataila6oN f`/ . b~~~7~ Authoriz ign re ontrac dOwn Making Iretallati 1 PM1 ~ Nunb¢r my ~e~^// Gl NINNESOTA STATE B RD OF ElECi111CIT' THIS INSPECTION REQUEST WILL NOT Griggs-UiAwey Bltlg. - Room N-191 BE ACCEP7ED B~ THE STqTE BOARD UNlE55 PROPER INSPECTION FEE IS 1821 UnivargitY Ave., St. Paul, MN 55~01 Phore 16121 297~2111 ENCIOSED. o. * ..?89 :~0 + 26•00+ 144•50+ :25°00+ 500°00+ 63°00+ 280 • 00 + 132°00+ 1r959•50* • ` , 4- V ~+'C ~r ~ _ 1 l 1985 BUILDING PERHIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS XUST BE LICENSED WITH TEIE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS '~2,CZ7b . w To Be Used For: Single Family Valuation: $~Hate: Site Address: 4~58 Ridge Wind Trail OFFICE USE ONLY Lot: 13 Block 4 Sect/Sub Park Ridg~rect ~ Occupancy ..:2J?n Remodel Zoning ~ Parcel ~l Repair _ Type of Const ~ Enlarge (1 of Stories Owner PETERSON, Mark Move _ Length 3g Demolish Depth ¢lo Address 7720 4th Ave. So. Apt. 306Grade Sq Ft City/Zip Code.-- Richfield 55423 Phone 869-5625 APPROVALS Contractor Ruscon Homes Inc_ Assessments Permit Water/Sewer Surcharge ZJo.°° Address 14530 Pennock Ave. Police Plan Review 144,50 Fire SAC 525 , City/Zip Code AoDle Va11 ey. Din. 551 z4 Engr Water Conn 5Cn. Planner Water Meter ~ 3.°° Phone 432-1433 Council Road Unit 28p.`~ Mark Nagel Bldg Off sJ Parks Arch./Engr. probe Enaineerina APC Treatment Pl 132. = 14530 Pennock Ave. Variance 4 Address 1000 E. 146th St. TOTAL / 5~' sV Apple Valley, Mn. 55124 City/Zip Code gurnsville. Mn. 55337 Phone S _432-2044/432-3000 24 x 3~ = 0~4 x S~ ~ I-~~s~ - . 2c~ n 22 - 4~b n ~ r - 4~~-0 ~ ~149~ ~ B~o1L. ~b ~voe 5`4 AOBE CONSUlTINO EH3INEERS ENGINEEAING P~pNNERS ond LAND ~URVEYORS COMf~t~NY, INC. L 1000 EAST 146M STREET, BURNSYILLE, MINNE507A S533T PH 432-3000 C~T~Z~ZCCt~ dSLL?"'Yey ~CQt I~G.?CT'LA~t~osZ: LOT 13, gLACx 9- PARK RIDbE Z~10 ADD~'T1ohi~ DAKOTA CoU1JTY~ M1lJNE~T~• ~`~45.-a~ DENOl'E5 ~XISTlh16 EI~YA~~ON• C945•c) pENbTES PRoPOSED ELEVA'T10N. NorzTH INDICATES DIRECTIOtJ OF SUKFACE SCALE t'' = 30~ DR~nINA6E . FIN ISHED . C.,AR.AGt F~DOR ~~~vAT~otv = 9¢s.33 3O FKANT BUILAi,W ~ , _r ~ ~SFT"PaACK LWE ~ ' 44~9~ N B9~ 4l~ ,SZ ~W ~ y5e.5~ ~J 6/ a3.z;i 140.00 - . 95a_Si -~n o _ 4 -V7 ~ ~ ID ' ~1'/4.0~ ti- ` ~y.~~l ~1$ / ~ I LL! ZZ.~7 4 ~7_r~ ~ ` I ~ ~ . Q , I M Q N I 23, v7 ~94-S.o~ ~ I . ~ O O N ~ ~f ~ - . ~ ~ /8.o yWi ,Wn 0, 7~ 1 ~ W I i~- y v I u°. ~ ~ LoT 13 I' I ~ i O / ~ I} ~oo p °o f ~ ~ ~ (yas.~ ~ ~ I ~,~,~~.3~ (~y~.~ ~ I~ ~a ~ ~ ~s ~ ' ~ ~4l ~J 41,M/ ~ 1 40.00 95d~~ y~• r N 89° 4z' S2" W DRqINA6E AUP Z5 ~ ; _ , ~ ~ - 1 i • USIItTY EASE?Jltl'T I hsreDy ~ertify that this ie a true and correct representation ot a traet of land as ~ham'and deecriDed hereon.. As preparad by ma on thi• /dr~/ dar ot /J,J~1~f , 1985 . ~ /J~-ti ?tirttt. 1tes. No. /~a85 ~_'~"P' . G(~~ ' ~U «ED . .~-ti',~ _ ~ , . . . ,ti~ , . • ~ ~~.:'i.r~• \ . . . . . . . . ~ M1 ~ ' EXTERIOR ENYELOPE AYEftAGE "U" COMPUTATION "~~'G•: OWNER - r;'- . . • . . ~ " a . ~ • ' . ~ ~ . r y + i _ r e" • .,T . f . ~ ' . : .,,.:,•l. . ~.rs ~ ~SITE AU~RESS~~` ..r - , r. _ . ~ ~r , F. . - . . . 1' .;.ii ,fT . ~:1 _ . _ . _ . . . - . ' ~ i: 1 : . - CONTRACTOR ' I~u~r.=siJ'~ ~ 1.lor•~~' UATE ' ~ PHONE , A3Z _ l~1~ - . . . . , . , , . Determine working square footage of each. 1. 7ota1 exposed wall area ~~Z ~ ~sq, ft. x ~~1 ~ ~ , 2. Total roof/csiling area 8~- sq. ft.~~x ,oz6 = 7Z~ ~ . Total exposed wa7l area above floor = 1667. Z a. Total wall windaw area /L"~,Z ~ b. Total door area ~R • ~ . . c. Total sliding glass door area . f3~ • • d: Total fireplace wall area - , ' e. 7otal wall framing area (average l0:)...:........ ~ ~ . f. Total net wall area above floor 27~~.f~ ~ • g. Total rim joist area q9yT,_ , Total exposed foundation area = 95, Z ~ , h. Total foundation window area.. - i. Toal net foundation area above grade~,........... 95,~-' petermine "U" value of ea~n wall seg:r._nt. • a. /Z~i,Z ~ ~'z-= 2.~'0 ' ~ b. ~ x "u" .13 ° - c. ' ~g g „UN .33 = Z C~I. d. 1 x uuu r e ~ . e. ~~Q•/, y X~~U~~ , I D = /4,1 Z f. ~ Z~O, Q~ X~~~~~ . bA3 i.,~ . 9• ro g ~~~~i . 04 h. - X ~.ll,~ ' _ ~ 9~.~ X _ o~? _ ~ 3 . ......:.............t.t~t:.~:,-,....Total ~ / O ' If item n3 is tfie same as, or less than item ~1, you have met the intent of 56C oOCb(c)2. r~ yyT1y ~r .~.L i t - ~ . ~ . : ~ , F ~ . ~ . , . + r ~ ; ~ , + i'~ i , , ° I . ~ V ~ i ~ 1/ t ~ . ' ~ ~ ! - • ' ~ j ' . { F.~ . ~ u_. ' Total exposed roof/ceiling area S~o¢ . , i . ~ ~ . - . . ~ • - Total gross roof/ce11 ing area = ~ . • ~ ~ , . . . . . . Total skylight area ~ • , k. Total roof/ceiling framing area ~ ~ 1. Total net insulated roof/ceiling area....... . • Determine "U" value far each roof/ceiling segment. , , X ' . . . ~ • ~ . : . ~ k. ~8G-,4'.. _ .x . ozA' = z,~7 u.~~•.~,iz,3Z~~,us~~a~~: . b~i ' ° ~255 I~.'~G 3~1~. ~77.~ x ~5,5~ b ~ 4........... ........................TOtd1 a ~ If total of ~4 9s the same as, or less than #2, you'have met the intent of ~ SBC G006(c}1. . . , . ' To utiltzed the total envelope system rtiethod, the values.established 6y the • sum of items i3 and B4 shall not be greater tfian the sum of itens 91 and ~2. t. ' + 2. m ~ 3. + 4. _ ~ MATERIALS ~ Therm. Resiatance "R" $xterior Air . L g 5lding Haterial . . tos "Iu ~M~~ Sk6athing L.OL , Ingulatiou s'r~ • She9tTOCk ' .95 li Interiox Air .17 5tude ~.5 ¢;~Pu I" . Rim 1~5 Cono. Blka. 1.2s:~t•~s,z1 ~ ~ . . . . . ~ . ~ a/~~ ~ ~ ~ CITY OF EAGAN ~\~r~ APPLICATION FOR PERMIT ; ' SEWER AND/OR WAT~R CONNECTIOpT ' ~ (PLEASE PRINTj 1) PPOPF~YPY ADDRESS: 4758 Rid e Wind Trail T.craI. DESCRI?TION: L13-B4 Park 'Ridge Phase II (Lot/Block/SUbdivision or Tax Parcel I.D. Niacd~er) ir ~tIS=_ :G STRCGIT„i2E, D.1TE O^ ORIGIidAL 'ciiILDT:IG P~:•!IT ISSJ~~;G: ~ . P~Sc^_~i ~~:`II2X:/P~,'°OSr.~~ li5~: ~ R-1 Su~IGLE FP?~SLY , ? R-2 GUPLES (ZS~l7 Wi ITS) ? R-3 RGWTIliGQSE (TfiRF"' + (~TS) ( Wi ITS) ? R-4 APAEYIP~.^:T/CC~r~IDQ~1L1IL1~,1 ( [WTTS) ? CCf~CIAL/RErAIi,/OFFICE , Q L~USTRIAL ? INSTITUTIONAL/GOVIIY~NP 2) pppl,IC~~"P (PLEASE PR1NI) NAbtE; Ruscon Homes, Inc. ADDRESS: 1453U Pennock Ave. CITY, STATE, ZIP: Apple Vallev MN 55224 P~`~~ 492-1433 3) pI,~,~qgg> PtEASE PR1NT) FOR CITY USE ONIY NAMEE 3tar Plumbing , ADDRESS: 1018 Mound Springs TeZ'. P`UH Aeti~~HSE: ~ CITY, STATE,,ZIP; Bloomington, MN $~+20 0 Expi d , PHOi~IE~ $$tj~!}1iF9 PLUMBER LICENSE N 3329M- of R cord - ~ ~ - " arr ni ia ~ 4) Q~[JppNT~('f,,r1E~ (PLEASE~ PHIN~) NAP~: PETERSON, Mark ADDRESS: 7720 A~th Ave. So. Apt. 306 CITY, STA'I~, ZIP; Richfield, Mn. 55423 ~ P~~~= 869-5625 5) INpICF,TE WyICH PERFIIT IS BEIh'G RF]QUF,STF~: ~ CO.~rION TO CI11' S~IER ~ CO:.^IE~PZON 'in CITY WATE[Z ? OT'ET.ER (PLL•'ASE DESCFtIBE) 6) L`,~IG.;~ 0:~: ? PI,~1SE E?OID APPRpVID PEfh+1IT FOR PICFC-UP BY ONE OF AHC1~,'E _-PI:~1SE :tAIL PROVID-PER~LIT ~ 1, ~2,~ 4 A&7JE ~ - (Ci.rcle one) 7) SICtiv'~.1L'~E: Dr1TE: ! R pilil~i.Ni~ i A ~t~ sl 11a?w ~:~asa~,. . . . ~ , . • . . ~ ~ Y ~ ~~ii:i 1~ ~ !l.1~:f~1~:~.?~/ 11~ f~ ~ ~it P F 0 R C I T Y U S E O N L Y PERtilIT ISSUGD FE~S: S ~C7.S~U S°:•:Eo noq~~rT II:IC:,uD~ SUP,CHARGE) $ /U j U . WATER PERf1IT (INCLUDE SURCHARGE) $ ~ 3 0~-o WATER METER/COPPERHORN/OUTSZDE READER $ WATEP. TAP (I.ICLUDE CORPORATION STOP) $ SES4ER Tnn $ /S."~ ACCOUNT CEPOSIT - SEWER $ ACCOUNT DEPOSIT - WATER S S °v. WAC $ >~-~o C~ SAC $ TRUNK !~ATE.°, ASSESSMENT $ TRUNK SE[dER ASSESSMENT $ LATERAL~BENEFIT/TRUNK SEWER S LATERAL BENEFIT/TRUNK WATER $ ~~~~OU ' OTHER $ TOTAL . ~ U AMOUNT PAID/RECEIPT p 5~7~ DOES UTILIT'i CONNECTION REQUIRE EXCAVATION IN PUBLIC RZGHT OF WAY? C~ YES IF YES, THEN A'"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE O ENGIN~ERING DIVISION. LIST AS A CONDI- L--~ TION. . . SUBJECT TO TfIE FOLLOS•IING CONDITZONS: i APPROVED SY: , i TITL£: ~ ~ DATE: ~ ~ ~as ~w nc~ wt~r r~ ~ w ss~ ww ~a.~ ~t~ ~~i~ ~i~ r~~ se si+ ~.a R~ ra wr w~ ~ a.,~ 2005 RESIDENTIAL BUILDING PERMIT APPLICATION ~~(~j City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telep6one # 651-675-5675 FAX # 651-675-5694 New Construction Reauiremenls RemodeVReoeir Reauirements Ofice Use Onlv 3 registe2d site surveys showing sq. fl af l04 sq. ft of houu; and all roofed areas 2 wpies ot plan Cert of Survey Recd _ Y_ N (20% maxunum lot coverage allrnved) 1 set of Ene~gy CalcuWtions for heated additions Tree P2s Plan Recd _ Y_ N. 2 copies of plan showing beam 8 wi~ow sizes; poured found design, efc. 1 sife survey for addNons & decks Tree Pres Required Y_ N 1 set oi Energy Calculadons AddiUon • i/Mkafe iton-sife sepNc system On-sRe Sepfic System _ Y_ N 3 copies of Tree Preservation PWn H lol plafled aker 7/1193 Rim Joisl Detail Options seleUion sheet (buildings wiUi 3 or less unBs) Date~/~~_/ ~ S ~ ( Construc1tionCost ~/~_702 C~ SiteAddress ~-J 7S~ R I l/(~ pi (,~~I/IJ T2 UniUSte # ~ ~ Description of Work ~ S!rl~~U f~ i U1 Multi-Faroily Bldg _ Y~ Fireplace(s) _ 0_ 1 _ 2 Property Owner ~ a~nn ~ ~ (J L Telephone # ( ) Conhactor ln U~ 1~ fi J, ~ u I ~ `J ~ Address City State ~p f Zip Telephone ~ 9sa ~~g~- r po~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672 Enefgy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) 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 planZ _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone ) Sewer/WaterContractor Telephone ) 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. ? ,4~ ~S' ~ ~ Applic ' ted Name App ~ ant's Sign e OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? D2 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage O U6 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish ~nterior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteretion ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Oemolition (EnGre Bidg) - Give PCA handout to appliwnt Valuation Occupancy MCES System Plan Review 100°k or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Smcco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge , Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total