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