4860 Rusten Rd ~ ~ ~ ~ ~ CITY USE ONLY
PERMIT RECEIPT DATE:
f:008 lt~SIDEftTI~L M~EC~RIC~tL ~EgMIT ~k~P~LIC~cTION ~
crrY og ~ae~,x
sgso~woT~~~ 1~~ t ~ g
~E?HAA M1V 551 EE
6b1-6$1-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: ~ ~ ~ ~ U ~
SITE ADDRESS: b ~O ~U.~it~l ' l~ ~
OWNER NAME: ~~1 lfl~ TELEPHONE ~ ~ 9 -
INSTALLER NAME: TELEPHONE
STREET ADDRESS:
CITY: STATE: ZIP:
Place a check mark next to the permit work type
Add-on, modification or alteration to existinq dwelling unit i U J~~ 30.00
~ ~s r
. furnace replacement I~ I ~ ~ 7 70 Z ~
• airexchanger ~~l
• air conditioner I
• other 1
Nature of work: ~V ~"VY 1 fl ~Gi,~
-FOr q ~ra v~-
State Surchar e v"~~ $ 50
rota~ $ ,3 0 ~ D
~
SIGNAT'[JREOERMITTEE
va2
RESIDENTIAL
BUILDINC PERMIT APPLtCATION
/ q, CITY OF EAGAN ~ ~ .
~ b~ 4 I 3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675 C~,~ 4 ~{_CJ~a--
New Constructian Reauirementa RamodellRewir Reauiremante
• 3 registered sita surveys showing sq. fl. of l06 sq. ft. of house; and all roofed areas • 2 copies of plan
(20% mazimum lot coverage allowed) • t sel of Energy CakWaliare for heated additions
• 2 copies of plan showing beam 8 window sizes; poured found desgn, ek.) . 1 site survey far erterior addiUons 8 decks .
• 1 sel ot Energy Calculations . Indicate d home served by septic system for additions
• 3 copies of Tree Preservatmn Plan if lot platted after 7/1/93
. Rim Joisl Detail Optlons selection sheet (bidgs with 3 w less unifs)
DATE I O- o~ - O o~ VALUATION
SITE ADDRESS CDO ~ 5~'1 ' MULTI-FAMILY BLDG _Y ~N
TYPE OF WORK i ~ h' n FIREPLACE(S) _ 0_ 1_ 2
APPLICANT~~y}~ ~C~`t-i eir~ ~
STREET ADDRESS ~ g O ~l1 ~ . CITY ~Ci 9G~ STATEM Yl ZIP 5.~
TELEPHONE#(„~l-y,~~/-S~l1CELLPHONE#(~~!-`{Oa-~a0`T X# Lob'1-~1.~`I-F~~'7~
PROPERTY OWNER ~?l Q~R~I er-1-~ TELEPHONE #(,,~i
I-~-I.-~i
`f- Sa~~
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ ~11NNF,SOT:1 RULL•S 7670 CA'fL'GORY ( MI~INFSOTA RUI.CS 7G72
(d submission type) • Residential VenGlation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor. Phone # _
P1umUing s•ysCem includes: _ Water Sottener _ Lawn Sprinklcr P'ee: $90.00
~Vater Hea[er No. of R.I. Baths
No. oF Baths
Mechanical Contractor: Phone #
Meclianic.~ syslem uuludes: Air Conditioning Pee: ;~70.00
Heat Recovery Systcin , i ,
~ ~ ~ ~ ~ ~
Sewer/Water Contractor: Phone # ..T n
i, i u u i JC i
JLl ~ "
I hereby acknowledge that I have read this application, state that ihe information is correct, an~ to co~ ply
with all applicable State of Minnesota Statutes and City of Eagan Orr7~~'nances. n -
SignatureotApplicant Ufl"I I (~1 orn~
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 07 Foundatlon ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. Aft - 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 ? 1B Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ~ 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Oxupancy ~ ~L MC/ES System
Census Code ~ Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Canst ~ Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinallNo C.O.
_ Footings (addirion) Plumbing
_ Founda[ion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
~ Frazning _ Siding _ Stucco Stone
Fireplace _ R.I. _ Au Test Final Windows (new/replacement)
~ Insulation _ Retaining Wall
^ Approved By~~, Building Inspector
Base Fee
Surcharge / / ~~.1/~.~ ~(~Z,G~
lir~
Plan Review
MGES SAC I( `
City SAC
l~
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies ~
Other
Total
PERMIT# ~ ~v RECEIPT~ATE:
~'008 ii~51DERTI~tL ~LUlld$IN6 ~~iMIT ~~'~LIC~kTIOft
CrrY o~ ~s~arr
3$SO ~ILOT KPOB RD
g,as,a~v, ~x 551 ~P
B51-6$1-4695
Please complete Tnr: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITEADDRESS: H S~Q ~US~ ~CJ •
OWNER NAME: : ~f'1 Q~GL~I ~i'1~ TELEPHONE ~5 I 1'I J'~''9 -8 a~~
(AREA CODE)
INSTALLER NAME: TELEPHONE
(AREA CODE)
STREET ADDRESS: y
JQ -
c_
CITY: STATE: ZIP:
_ SEPTIC SYSTEM, new/refurhished (requires two sets of plans and MPC license) g 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
~ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ W ater tumargund - e~risting dwelling unit 5/8" meter if needed -$11$)
Other. 3C1„d_~ UV~E ~~r~~
_ RPZ: new installationlrepairlrebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: _ water softener _ water heater $ 15.00
n r~ n nn n
~ i_~~~I,LI ~ L5 ~
state surcnarge II fl~ OCT 2 9 2002 !i II $ .50
uu U
Total $ 5~'.S '
E
I hereby acknowladge that I have read this application, state thatthe information is correct, and agree to complywi~h all applicable Cityof Eagan ordinances. It
is the appliranYs responsibilily to notify the property owner that the City of Eagan assumes no liabiliry for any damages caused 6y the City during its normal
~ operational and maintenance activities to the facilities constructed under this permit with' City property/righ.t-.c~~.J~pray! sgment.
1 Q ~1 0~
SIGNATURE OF PERMITTEE 1f02
: RESIDENTIAL ~ ~ ~a~~
~ ~ BUILDING PERMIT APPLICATION
~ ~ ~`g~ CITY DF EAGAN ~"n - 4q l~ ~
3830 PILOT KNOB RD - 55922
651-681-4675 n,~ _ ~ ~ ~ ~ ~ c~ ~
T
. NewConstrudion Reouiremenis RemodellReoair Reauiremenla
. • 3 registered stte surveys shmving sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies ot plan
~ (20%maximum lot coverage allowedJ . 1 set of E~rgy Calculations for heated additlons Sc~ I a.
, • 2 copies oi plan showing beam & windax sizes; poured found design, etcJ • 1 site survey for eztenar addNOns 8 decks ~
. 1 set of Energy Calculations - . Indicale if home served by seplic system for additions
• 3 copies of Tree Preservation Plan if lat platled after 711/93 I~/
. Rim Joist Deta7 Options selection sheet (bldgs rrith 3 or less uni4s) ~P
DATE ~,l 4 VALUATION ~~-S, O O O . °
°
JOB SITE ADDRESS G ~~Ca ~ uS~~ ~C
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? c~~/0~-
PROPERTY OWNER a r .t~ r
TYPE OF WORK S/~ /9~+-~ r ~c w FIREPLACE(S) ~ 1_ 2
I APPLICANT /faGc.lf- m~icl~~,~.r1~~9 PHONE#
ADDRESS P7ox -3~ ~ L.q KY~'r~,I~L ZIPCODE--S-~^°y`~
PAGER # CELL PHONE #~C~z) 38~ g° 6 FAX #~~~z~ 997- 3ay°
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPI -
D -~[~Od~ ~
Energy Code Category V MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Subm APR 0 3 2D02
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672 gY
- New Energy Code Worksheet Submitted
Plumbing Contractor. ,~~J~~ G~~ r~~ A L- Phone ~ g"f-l) 9-~ 9`I `I
Plum6irg System Includes: ~Vater Softener Lawn Sprinkler Fee: $90.00
1~ Water I-Ieater ~ No. of R.I. Baths
.3 No. of Baths
Mechanical Contractor: ~ EC~iAn1~ Ci9 G Phone G~IO 9-~ 7/~
Mechanical System Includcs: r Condilioning Fee: $70.00
_~eat Recovery System j~•S (,t J: ~
~ U; r~~~~~`~gG S' z z~a
; Sewer/Water Contractor. J'"/3?C m~ N Phone #
.s
All above information must be submitted Prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
' with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
Certificates of Survey Received~ J'- Tree Preservation Plan Received _ Not Required _
1~ O Updated 2002
t'~o't ..~.~oA~-~.~- ~ C~ ab Cr~u.~ d~UK.~ h` - 3
~rt~.p_,.,..-~ ~ JA
C~''P~'` u v c~ Si ~
OFFICE USE ONLY ;
? 01 Foundation 0 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
~ 02 SF Dwelling ? D8 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
~ 31 New ? 35 Int Improvement ? 38 Demolish (Interior) 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46" Windows/Doors
? 34 Replacement /~Cf~ (~jp *Demolition (Entire Bldg only) - Give PCA handGLt'ta applicant '
Valuation ~r~c? Occupancy 1~ I MC/ES System P
Census Code Zoning o~- r City Water
SAC Units _o I Stories Booster Pump
Nbr. of Units Sq. Ft. j~ r PRV
~
Nbr. of Bldgs Length 36 Fire Sprinklered
~ ii
Type of Const W idth ~
REQUIRED INSPECTIONS
~ Footings (new bldg) ~ FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Ci Foundation _ HVAC
Drain Tile Other
Roof ~ Ice & Water ~ Final Pool Ftgs Air/Gas Tests _ Final
~ Framing _ Siding Stuceo Stone
Fireplace _ R.I. Air Test Final Windows (new/replacement)
~ Insulation ~ Retaining Wall
Approved By , euilding Inspector
-
Base Fee
Surcharge ~'J~~T o~ ~
Plan Review 5 Y J~ ~
MGES SAC ~~'G2- ~ 2 ~ ~`j
Sy
c~tysac 1 ~s~ ~ js312
Water Supply & Storage ~ n ~L ~
S&W Permit & Surcharge
~ ~ oG
TreatmentPlant q~7 '~Q~ h( ~ ~
~
Plumbing Permit
Mechanical Permit s~t~ ~ Z 2 28
License Search ° G
Copies ~ ~ ~ 3~
other CJ PP~ Lit~~C.~ ~7 J ~~S
Tota~ I 2- 2- 2~I1 S~`l- ^
~
/G3~~`~
04163.!2662 ~0:38 E•1214',l~ti; P FnqZIEk PdGE el
r •
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a~~.ct eaeaYranxcz xa~x ~ i
ldinarrota ~qy Gad~? I P~smi.t ~ i
D9tChqcle SoL`trate Vsraioao 3.0 I 1
I I
1 Chaolcod bY/n+t~ I
1 !
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8T]?Ti : liianalAti
SOQiA: 3
C~1s~i7CTT~ s][8R ~ 83aqle lsqaiiy
DJ~1'R~ {-9-200Y
D~21C ~ ALi~Iffi: 4J03J02
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Fmt3aat ~rsidrnea~
Ymt 2 glk 1 8latar ~s
C.(~]Ili~t S~TIGti:
7tnbert M~1ea~wy Ceut.a~ Eamns
~LIi11iC1~: P718838
~tqqpir~d tD~ ~ A{7
Yonr tloma ~ 318
22. iS ~tt~sz 'Phaa Cods
Ar~a ar Cavity Cont. Gllasiaq/Door
8arisater A-Va].ua R-Valua V-Va1t» qi1
.._~,._'___~~__~--~---------------------°---__^^w_____-__-----------------°---~~
C6TT-'''m"`~ 121~ 14.0 2.0 82
1~YS,8: lfoad Psam~, 16" O.C. 2065 19.0 3.0 109
881~: Coac. 8.0' hb/8.0" ~q/8.0' iarrsl 1110 il.d I.0 S~
t~Li187~0: 1Pi.ndors or poors, ~?l~ovw dradr 37~ 0.350 13i
~ ~ 0.350 14
~VAC KXJTPt~l1l: !'urnsaa, 9x.V .R~
--w-°----- M......_....__ _ _
OCJ~'L7~IaiG'~ Su?T~ix: i~ pz~apoaed bnildinq dasiqn ducril~6 Lor~ la
eo~toirtant with th~ buiiClnq plane, spseititations, and oh.h~e caleulation~
sUnaoitta8 eeitA LAo app tia1. Tha ptopoaad buildiaq baY boan
de~eiyn~d ko maoG r of Mian4~ata Enaryy Codo.
Bui].dar/DOSiO~= nat~ !f
64/63/2962 66:38 E124471393 P FRAZIER PAGc 02
"r -
, ' A~regate Make~UG Ai blterna~live ar~f Vantilatian Dacua~errtation
(Can be Used e~ a Sup~plmnent ta Pmmic AppNcatia~
B~da Addras: Pat~ent c~enoe___w_ ~ QaEa
+ 4~.,_
I_Gt~: -1 Ea~ ~ ~Coda: ~ ~
Compl~0ed By. _ I Co. Name: Hot~aR MdVwamay Q~m Hwnes J
Pa1ht.A~l~eteAkemakve i F~diaustowto.s c~AA
4${saw kimder: ~ P r VanEsd ClWhaa Dryor t5D
~anw Fl~alsw. Not Appliabia ~W Kied~eu~ F~diaust ~ 0
Gaa W.erlh: Nane ~ _
SalidFUblliserlh:
CP/Nann_ I Pbt FtaqWrad ~ ~
' ~
_r _.T_.__._ ,
` ---h.~
~ ----Z--~----
~ MakaUp Air Re~~uirdnants~~u ~ ~~F_ o~mra~ vawum None ~
_
Erehau~n Ds~riues ~ Lky~r ~ KiEcAen Tala1 ~
~~F~ffaust C,~paeig ~ 0 0 150
~,_~v__~__-_... ~
i
~ ''.~_^--y.._ _
Paesive I~on 150 i
~F'aasiw Upenie9(s) fi~ ~igid ~ Rmc Dirsu i I
_ m~ _ - ~
~ ~-T
~
_
~ '
Make-Up ~
, , ~ - I r...__
Y.~~-$ .~~(----~--~~_.h.,.... M ~ ' ,
Vdtd{~011 ~ Minimum Waqeirad
w__.. ~--.-u..._,. ~.w
i 8q. Ft Bedrms ~ ToW V~ntilatlan ' PaaplsVontllation "Suppl~une~al VaMlNaian ~_M~
~~d~ , 172 ~ 75 97 '
'Paopla irre~aASd vsritila6on in nuxas rdtha requirod minimum peaph is dsdudad 6am Me roquired minimum ~
I aupplrmamnt,T}xsia~aeeda~meEner~rCodeda6ni6andSu~lame~l-TOblminusPaoptr. I
i
~e - ~ SuPD~aman4J _r._
' HRY or ERY t 77z cfm. ~ HRY or ERV 1~~~ i 0 afm.
r-T_._-
~ -
....,,.._tl.... ~ ~-i-
~F'wopib. , 17P SuPpbmen -
tM: ~ 0cfm. Totel: I172cfm- '
~ ~ , ~
i----° ' ~
~ ~ I-----... _ I ~ °
. , oFE[ c~~Ftc..c C~~`~
, ~
~
~ ~ TR~~.~~E a ~.z _ .
~4~ v
x p~-`~ cr~~ o acar~ ~ F irt s~~
~ ~-M , ~ ~
" ~~~s~~~ss~..~ aa~~
~ , ~ , < . _ .
. ~ _
(SEE ATTACHMENTS)
Development 1~ i~m~S l~ S~'~ ~ v~`' ~J~ ~ ~~-U~
Lot Number 2- Block Number ~
Address I b b~ ~ U~~~~
Builder ~-SI~~CQ~ m~-N~~'~~~
p 612 ~7
Tree Protection Re uireme~ts:
Tree Fencing
Oak Tree Pruning (Immediately seal wounds during April 1 to Juty 31)
Therapeutic Pruning
Retaining Wall
Other:
Replacement Trees:
Not Required ~ R
~ As Follows: ~ f'Z ~ (a
Attachments:
'x Yes
~ No
Additional Notes:
\
~
o~~~, `f- zZ _a
H:lghove~2000fi1e\treepres\Tree Preservation Plan Summary-2000
FROM : FRX N0. : ~ Rpr. 19 2602 02:08PM PI
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~~B~RT MC /YFq~~ FF,4~C ~Co arer She~t
,.~~I ~c,~~R,~ y
- Date: S~ f ! ~ ~ ° ~
To•~r__.Fe ~ ~~ot/~
~Custot~ Built Homes % P s,~
3 6~7 a
(612)~ P.O. Box 366 FAX: ~9~ 6.S/- ,~36
(612) 463-3465 Fax Lakeville, MN 55044 phone:
~icense # 8844
# Pages: {including' cover) ~
MEM~:
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~FROM : FRX NO. Rpr. 19 2002 02:06PM P1
~'^-.w.^.....
c~su~TNO ~ R,¢CiEKT McNEARNEY CUSTUM HOMES
A~~~ ~^~"'~s ~ ~~~s rao,ECr No. 109~2.00
NGINEEAiNL~G e~ ~ -
COMPR~7 ~ IN~ . PAGE ^ T '
L 1000 EAST tbtl~ g7pEET. gCiRNSNLIE.' y1NNESOfA 553}7 PN 43q-7000
CERTI~ICATE OF SURVEY
Legal Description: ~oT 2 HLOCK 1 THOlv1AS G. SLATER ADDiTIOPt.
DAKOTA COUIVTY. MINNESOTA. ~
ry="6..~ o~o-rES ex~snNC ~vn~nonr
~:q,,, DENOTES PROPOSED ELE1/ATIOIV
INDICA7E5 DIRECI'(ON OF SURFACE pRAINAGE
= FINISHED GAR/~GE FLOOR ELEVA'f10N
= AASEMENT FLOOR EL.EVATION
~ 70P OF FOUNDATION ELEVA710N
SCALE : 1" 30'
~OPf:S' 'I'H~iO R~15TEN RGMD
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A.aFSf = 2090 SO. rr ~
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Y y Yhat this is a true and correct ~aprtsse ian of a troct ag ghpwY~ brid tlagcribed
hereon. As prepcred by me this ST day of _Ave.IC_
d-;z-oz : ho~ ss~ ~s ~i~+~G9a,p~. . 2p02.
.~e'wt'-G~!_' ~ ~
---~_.Minn. Reg. No. 19obL
FROM : L y FRX NO. Apr. 08 2002 11=20AM P1
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e G~~ p A K SA ----"'Y_"~ ~2
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- n ~
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.
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3 - ro" 0+4K.
~ IQo ~ c.t r'~~ i? CA .enJ c'Y r/u
''1. orwrwr u.-w~cevw~c-v r~~ ~crnu ur~iacc
. WNSULTINC ENpNEERS, ROBERT McNEARNEY CUSTOM HOMES
• RO(3E PLANNEftS and LAND SUR~EYORS PROJECT NO. 1O92Z.00
• ENGINEERING
COMPtiNY~ INC, PAGE
~-1000 EAST 146th SiREET, BURNS~iILE, MINNESOTA 55337 PH 432-7000
CERTIFICATE OF SURVEY
Legal Description: ~oT 2, BLOCK 1. THOMAS G. SIATER ADOITION
DAKOTA COUNTY, MINNESOTA.
~`~`NJ DENOTES EXISTING ELEVATION
~~e;y,~ DENOTES PROPOSED ELEVATION
INDICATES DIRECTION OF SURFACE DR4INAGE
- ~ = FlNISHED GARAGE FLOOR ELEVATION
~`~~•~.T &45EMENT FLOOR ELEVATION
~ = TOP OF FOUNDATION ELEVATION
SCALE : t" = 30'
cmP~SS ~ 4E6o R~fN Roap
7 AAEq z, j0, 796 SQ, ~
e. A~ = 2ag0 9m, ~ y~~,E~~
04YKA.~` : 6.8 ~ 4-l b~ ~i ~V~.;:o~ ip.7
\ J"
JT .
~P i\ ` ao r
. p ~.~1 3. ,
Pp~~PG~`t,
k60 J
0 5`'`,y0 ' ~ T
o~ /~"l a ~
~aj ~ ~;`~-'7-'o.N
q~l?+ 3t1. m`w
1~m't~~y~~'/ ` ~ c
~ i' rr~ ~.NiC
a /Y" l~6};~6_-°"-~~ /1 r
agy~,~, Is•p~K ~ l?2~Ks"'l~(9"4~" / ~ O V~
~b`QA~' ~'49f5~
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~ ~ ~ (i~°-'J ~ :
:
S '~'Ya+~ ,'y~,~}J~ yp^ e ~'.~14''~~
~6'K~ . q~_~r~8 26= . . aJc`~''(2~?~ .c~9?:3~~~ ~ ---N
~ o -a E_ ~ f z'~ ~
J' 200 ~ 1 ~`si~j ."Ivi
o°C` y`'i S'b ~q~y e' ~
yy. ~,r4~ o~~ f1 1 l+ G~ o i~ :i=(2
W~ ~~i8'',qx ~OND F} P- 34
9f,~~
b, 6 ~9(q56~ l~ N 1~j1 ° 1~..p~-_ Nwc_ 93~f.o
SEN1 , 3o.Ss ao ~o o~~"i~~'' ' ~ ~ Niuc = 936.8
R~S~ ~ N ~ 1 1 37. I2'~3"ta'oaK~ E~V. = 936.5
ROP w,x y 3 s~ c~3•~ o ~`",'cs~a~~~ ~a-ZB-°~
ti ~ o ~9r" f~
~ ~t I ~ ~ Zp0 ~'if w 1 , ~
J ~ m `Y . %
.o ~y~ ~ ~ Zy o
~ ~y~.o 0 3 (i~5?~3 _~~/S~ '
gIf M n
/ $J 2Qa~.. ~ Sy.5 °-~¢n~ T m/v
g5 I n
ay9, ~ ~-^@'~ ~~ir ~ ~ ~ti~~'me ~
~ L~ "n~ ~
u~ 8a'F;r2:' s~ ~r _-,za.ez- l _L,
(y;y. ~5f - ` ~32,t ~`~27 218.76
~y~,~~ ~f~a=sss rl~s r,ao S89'03'43"W
N
O
(~(5¢0~
~9~ ,N6 TR~E PRotEG~toN ~ncE
ews1~ ~ Sl~f fENC~
_ ~
I hereby certify thot this is a true and correct representation of a tract as stiown and described
hereon. As prepored 6y me this ~ day of AP.eI~ , 2002.
'.EJ. A~12-OZ ; A?p SFI ~~711I as('9R96E. ~Q~/ P~~~ l9oB6
Min~. Reg. ~No.
Re~ei~t~ - ~-rS-oz
TI;Oh"AS SLATER ADDITION LOT 2 BLOCK 1 TREE PRESERVATION WORKSHEET
(Revised 4•18-021 • •
Development Type = Single-unit residential
Existing Allowable Actual Actual Required Cash '
Trees Removal Removal Preserved iti ' Eauivalent
34 Trees ~20% 9 Trees 25 Trees 4 B trees $1,200
7 TreG~S r ''~26 5% 73.5% :
A
t ,
""'TIGATION GALCULATIONS
(Applicant to mitgate: 2 Trees)
Category of Tree Number of Mitigation Total
To Be Removed Tr
aa~RPmoved Per
Tree
(Bl Mitigation (Bl
Specimen Trees 0 6 0
Hdwd Deciduous 21-30" 0 4 0
Soft Deciduos >24" 0 4 0
Conifer > 24" (12" dbh) 0 4 0
Hdwd Deciduos 6-20" 2 2 4
Soft Deciduous 12-24" 0 Z ~
Conifer 12-24' (<12" dbh) 0 2 4
total = 2 TOTAL MITIGATION 4 Category B Trees
. . ~ ,
MITIGATfON4SUMMARY'~~' ~ ` ~ ~ ~ ~ "
` . ~ • : Nurriber of Mitigation ~~Number of~~"B ` Tree Requirement ~ ;~Cash Equroalent ~Y ~
~ Trees Requifedn ~ Trees Providetl ,Balance (Ba'frees) aalance ~ j-
,~y~` : r r~~ c' ~t ~ ~.q~;,,d ~k c s J t"~Ii(4iS ~ ~t~ ar iE
/ E~S , , r .r ~ ~ ~+,`~-"~ia 7f r:r ~ sP n
' ~ 4 , 2 _ 2~~' ~.$6Q0 _
NOTES: Revised tree inventory per G. Hove site review
~
• LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMITAPPLICATION
~
PROPERTYLEGAL: L0~ a QIDC~ I~o:~a.5 G. 5~~~~~ /~~~~n~
~ATE OF SURVEY: `f- o:?
LATEST REVISION:
m
a
c
m
o DOCUMENTSTANDARDS
Y ¢ °a
O z Q
m-'/ • Registered Land Surveyor signature and company
~r ? ? • Building PertnitApplicant
~ ? ~ • Legal description
~ ? ? • Address
? • North arrow and scale
6'~0 ? • House type (rambler, walkout, splk w/o, spld entry, bokout, etc.)
• Directional drainage arrows with slope/gradient %
• Proposed/existing sewer and water services & invert elevation
~o ? • Street name
d~~/o ? • Driveway
? a . Lot Square Footage
~ ? ? • Lot Coverage
? ? • Benchmaik
ELEVATIONS
Existina
? ? • Sewer service (or Proposed)
¢f ? ? • Property comers
B~ • Top of curb at the driveway and property line extensions
? • Elevations of any exisUng adjacent homes
• Adequate footing depth of structures due ta adjacent utility trenches
I~ ? ? • Watenvays (pond, stream, etc.)
Prooosed
q~i ? ? • Garage fioor
rA /CI ? • First floor
ei'/ ? ? • Lowest e~osed elevation (walkouVwindow)
ri'/ ? ? • Property comers
o? • Front and rear of home at the foundation
/ PONDING AREA (if aoolicablel
F7/ ? 0 • Easement Gne
[3 ? ? • NWL
? • HWL
f~ ? ? • Pond # designation
? 6J~ ? • Emergency Overflow Elevatian
/ DIMENSIONS
d/ o ~ • Lot IinesBearings & dimensions
~Y/ • Rightof-way and street widfh (to back of curb)
• Proposed home dimensions including any praposed decks, overhangs greater than 2', porches, etc.
~ (i.e. all sVuctures requiring pertnanent footings)
• Show all easements of record and any City utilfties within those easements
~7 ? • Setbacks of praposed sW cture and sideyard setback of adjacent e~assting sWctures
i9' • Retaining wall requirements, if any
~ /~Cu,S~ `f~/s'UO2
Reviewed: ~ D
Name ' / Date
WNSULliNG ENqNEERS, ROBERT McNEARNEY CUSTOM HOMES
ROI3E PLANNERS and LAND SURVEYORS PROJECT NO. 10922.00
ENGINEERING B~K
COMPAI~~, INC. PAGE
f000 EAST 146th STREET, BURNSVIILE, MINNESOTA 55337 PH 432-3000
CERTIFICATE OF SURVEY
Legal Description: ~or 2, BLOCK 1, THOMAS G. SIATER ADDITION,
DAKOTA COUNTY, MINNESOTA.
l`~5~i~ DENOTES EXISTING ELE~/ATION
APR ~ 2 REC~D C`~f'`~'-~' NDICAT S DIRECTION OF
/SURFACE ORAINAGE
FINISHED GARAGE FLOOR ELEVATION
= BASEMENT FLdOR ELEVATION
= TOP OF FOUNDATION ELEVATION
SCALE : 1" = 30'
A~~2ESS ~ 48bo R~~~N RoaD
~oT AREi7 : 30, 796 SR, FT
NSe. A,~z} = Za9a sq, Fr
Cvu~ < 66 0 ~PS 'o~ ~
/ . ~ ~P ~
~PGPa~ ` ~o~f~~ .
~ F. P ~ `S W
~1P?eea~WaUWN1 ~ P\~P`' ~'L 6~ ~
a~
a UiP~ `~`'~`L`' • ~ ~ 1
~ ~1~ ,~,V- y aEOA'~ ir
b~h ~ ~k~ o. w
1 q`~`~ : / ~
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A~~~ ~ NC
t 9 •~,'S7 i
S~ ~ ` '~'K / ~ r
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t~-b4~~`~ ~ ~55~71 ' ~ , ~ ~
~SE,i~ ~'o~ ~v ~
, .
~ ry(c'I LSy-~ anl~
~ ~ ~i~~c~ q.~on~ 1,, ~a"ank ' N
,s6 ~ •~5k,~/ pq•eal~ ~y47,R~ ~I
~,s6• ~ qJ~~ co 26. o ~(y.SZ,~ m
~ . op~ ~ ~o "'0 •14'~onl6^, 12"Rpic vN
`Q 2-~~ ~1 Cr~'I! CR~~ ~y`~, /ai
y' h° ~s6~ o~~~,.~---~ \ N o 0 0~ . zr ^ PoND A P- 34
. ~'J \"~o , ' 1 lg^eHK
(9~~q1y'~1 1 1 W NQ o I~O~F"'f?A p~~ Nwc= 93~f.o
~
b"~'~'~ 3o.3~
6J a a e onK a
e
3~ I Nw~ = 438. 8
RUSj~N~ • N ~ 1 " 5 z,~,,aAK E~EV, = 936, s
Rpp,D ~ ~1"oaY-~ rn 36"] (q45:~,. •-48,~/ ~3-28-~~
I,o >v"'- ~p ~ o ~ ~q5r,,~1.4,s
~ ~ ~ IA w y ~ ,
~wi ~ ..a„-P^"` ~ 2,~~ fi~~~ppK' w , `.,,.~~e~5 K ^ ~
~ 7
r. Lyj~ 0 3° 6 (qy5 .~4'naK ^ I°
(q5/~1`~
d"oHK 28'qK s 959'S , v'_'"r` 51~~ v/ a
958,~ y9- g~~Fr n~ • \16°MK
~p ~5~ o i_o_';voK 5/• ~y~^oaK
L /D"OAK ~ Z4¢55J /o,~aqK _ e~
~ $'bSKr ~ -~-124.92-- /
(952 C?5~ ~32,r ~e,~~8a 218.t6
~95y,~~ ~a~=9.~, S89'03 43°W
~
N
N a
'x~~ .
~ ~ f}'~ n~l ~e\NR ~ .
~~~0~ ~ t~~~ V v .
~9596~ eX+s~,N6
~q/
hrv""~ _ ~ /~~~D~
Y,__A<..>!~ ~!°I~:E~,II~TGI?EPT.
I hereby certify that this is a true and correct representation of a tract as shown and described
hereon. As prepared by me this _IS? day of APRIC- , 2002.
Rsv, 4 ~z o2 : ADD SF/. Ta LL~YTN cs~~9R96E. ~~~P ~~py,.,~--- Minn. Req. No. I9o86
Address 4a6o xnsi~~v xoai, Zip 5512,~_
LAt ~ $]k I $Ub THOMAS G. SLATR
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: - ~ Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Peimanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please ver~y with the builder the removal of test caps fram the plumbing system and the shut-off of water supply lo
the outside Iawn faucet before free2e potendal exists.
Confad engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ~
White - City Copy Yellow • Residenl Copy Pink - Contractor Copy
6514598277
AUG-20-2002 11:49 RM Anna & Kora 65145482TT P.01
~L2 .':!~~~Y' . . ~ ~ ss
Y
.
~ " A'~krv ~~.~fi
t . .
_
;
f ~~60 ~•st~~ ~
" f a~aN F'1~ ~ =7~
Cectweoerd's' unqw danp~ea dea~p~ 651• ySg'Ba
proservae etruccural contect botwaen
the floor end tootinq ar~ walis, and
does not chenqe the thldcnaea ol the This floor Is poured ae norrrtal, over ihe CactusBoard'".
floor or atructure of the foundatWn. 7he
i/2" dlmple6 on the footlnp aHOw lateral
fbw N the f{oor ~ blocklnp the tlow ot 1' ;
water to the sfons alonq a sactlon due ' `f r~
to an extra wide fooGng.
I I ~ i ;ji..
i, ~
~ I' I~
s
(
~
~s~o • '
_
d.n un~e.
' ' a
{i ~/~re.~~
L
- `i n
l~IiC~uiBbard" IP Nlaxpenslve. {ighl.
n~ata topethsr, and easy ta ehip vla
t' UPB. Put tn snd ro wet basement
s:. r
.~•i. - problems on ALL the new homes you
';""e ~ 1 work on wlth Csctus9oard"l
re i.7a r,
~ 71.00
't i ~ I fjl!17Y1 r~- 91 - f-- x
. ~
• • • • • • • • . • • • • ~ • o e e a ~ ~ ~ s • • e ~ ~ • e • • • • • h a a e • • • . nf~j~~~F,
~q".'>.~ ~ ~ • ~ ~ ~ O ~ O ~ • O ~ O • O • O 0 • ~ ? O 0 ? O tl • • • • • • • O O O ~ • O • 0 •'~F
. .Y i.- , Y I, f'4
~F [!e! . q n x
~/C•J~{[NT/L~7 ~~~y f~JS~PGG t ro
I ~ SYS /y ~7- I~ ~J~ /~n7•'C Gu/nilZ/~
~ i ° - . _I ~CCU~ 0 - ~•u,~ .
' ai~~ it~ -i.a... _-i r ~.r---
, -a r~ , r_. No~as:
I•, u u ,a - n~'(/~/ 1. Material-.040" f8ebre Forming) Gray
C
~ • r~" "'.o•.+~ Virgln Supe! Hlg~ ImPact Polystyrone.
;
_
Complete Besement 3ystems
304 8eisreda Ave~ue
~92oDf 9esament5ystemsfnc, North MI8f11tat0, MN 58003
507-825-3293 pr 800-638-52'85
- 4;~~ 1 3 0, 2~
;
2007 RESIDENTIAL BUILDING PERMIT APPLICATION ~ S ~~5
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 ~ ~
Telephone # 651-675-5675 FAX # 651-675-5694 f\~ f~e 2
v
New Constmcfion Reaviremenls RemodellReoair Reouiremenls Office llse OnN ~ f'3~•
- 3 registered sile surveys sirowing sq. R of lo[, sq. R of house; and ati roofed areas 2 copies of pian showing footings, 6eams, joisis Cert of Survey Recd _ Y_ N
{2~Nmaximumblcoves~eallowed) isetofEnergyCalcutalionsForhea[edaddi['rons Soils.Repat ~ _Y~_N
1 Soils Report i( pmpwed building is to be placed on disturbed soil 1 site survey foradditions 8 decks TreePres Plan Recd' „-_Y _ N,
2 copies of plan showing beam & vnndow sizes; poured found design, etc. AddiNon - indcate d on-site sepfic syslem ~ Tree Bres Required. Y_ N
isetofEne~gyCalculations - On-siteSeptlcSystem. _Y~_N
3 copies M Tree Preserva6on Plan d lot platted after 7/1/93 -
PomJoistDetailOplionsseleclionsheet(6uildingswith3orlessuni(s) fi~P~
Minnegasco mechanical venfilation form ~ ~
Plans are considered ublic information unless ou state the are trade secret and the reason.
Date ~ l / /~_r Construction Cost
SiteAddress y~~,0 1~~.S~e"~ 1`~ UniUSte tt
Ea e.ti rv,N s~
Description of Work ~~C.V~
Multi-Family Bldg , Y ~a N Fireplace(s) _ 0 _ 1 _ 2
Property Owner ~r ~~OJ~ Telephone # ( 5 ~ ) f~ / ~ ~ ~
Contractor OC f`6~~
Address C~tY
State Zip Telephone # ( )
COMPLETE THIS AREA QNLY IF GONSTRUGTING A NEW BUILDING
~ Minnesota Rules 7670 Ca[eeorv ] Minnesota Rules 7672 .
Energy Code Category , Residential Ventilation Caregory 1 Worksheet • New Energy Code Worksheet
submission type) Su6mitted Su6mitled
. Energy Envelope Calculations Submitted ~
In the last 12 monihs, has the City oF Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone # ( j
Mechanical Contractor Telephone )
Sewer/Water Contractor Telephone J
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 pf an in the case of work which requires a review and
appro al of plans.
`~oc'~ ~ro~J~
Applicant's Printed Name Applicant's tgnature
,1? - ~
DO NOT WRITE SELOW THIS LINE
Sub Tvpes
? Oi Foundation ? 07 ~5-plex ? 13 16-plex ? 20 ~Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Ait - Multi
? 03 01 of._ plex ? 09 07-plex 17 Garage ? 22 Porch/Addn. (4-sea.) . ? 33 ExL AIt - SF
? D4 02-plex ? 10 D8-plex ~ 18 Deck ? 23 Porch (screenlgazebo/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 1D-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex g0, 25 Miscellaneous
. _ _ .:.i
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
~ 32 Addition ? 36 Move Building ? 42 Demolish Fountla6on ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 WindowslOoors
? 34 Repl8cem2nt 'Demoli[ion (EnUre Bldg) - Give PCA handout to applicant
D@SC~IpflOfl: Water Damage _ Yes
Valuation C7 17 Occupancy MCES System
Plan Review 100% or _ 25°/a
Census Code `'~2 ~ Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const f/ Wdth
REQUII2ED INSPECTIONS
_ Footings (new bldg) . _ Sheetrock
Footiogs (deck) _ Final/C.O. ~
7' Footiogs (addition) ~C Final/No C.O.
Foundaiion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final
_ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insuia[ion _ Retaining Wall -
Approved By: I L , Building Inspector
Base Fee
Surcharge ~ (?~7 ~
Plan Review ~
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
, .
r, '
n A CONSULTING ENGINEERS, ROBERT McNEARNEY CUSTOM HOMES
~ IlO17E PLANNERS and LAND SURVEYORS pROJECT NO. 109ZZ.OO
ENGINEERING aoaK
/ COMPAIVY ~ INC . PAGE
1000 EAST 746th STREET, BURNSVILLE, MINNESOTA 55337 PH 432-3000
CERTIFICATE OF SURVEY
Legal Description: ~or 2 BLOCK 1 THOMAS G. SLATER ADDITION,
DAKOTA COUNIY MINNESOTA.
DENOTES EXISTING ELEVATION
A~~ ~ 9~~c`~ ~y~,y,r DENOTES PROPOSED ELEVATION
INDICATES DIRECTION OF SURFACE DRAINAGE
` FINISHED GARAGE FLOOR ELEVATION
gZ-~ = BASEMENT FLOOR ELEVATION
- b = TOP OF FOUNDATION ELEVATION
SCALE : 1" = 30'
A~Of~SS: 4Bbo Ru57eN ,PO~rD
~07 AXeq , 30, 796 S4, Fr, ~
NSE. A~ = Zo9o 94, F,T ~~~,E~ ~
P , ~ ~
CO~ = 6 B ~ . ~"~y ~ oP `P S
LP~ ~l/
,
, P . /1 ~o ~
,S q s~\
` ' ~P~ k
ap~inin9Wa1lWtlt ` `r,_ a1~`aG P~j, 6~
~~~~o~P yo~
N
$e ReQu~red 1 Gpr'~ ~ `L~~ • ~ La~,yg l` ~ .
0 ~
v p ~ ` j ~
,;p~7 0. `w ~
~i ~
~ ~,~~•-,~v~ y~'/ ~ ~ U
A~,p rp~l1 N~ q~ ~,~y~~ \ n~ c
I ''T1 N
ib"a+K '~wi 6~~
S~ l 1 5yqti K . •(q46-~ ~ Q
~GYiGtr $~a ~ ';~y"g~~ •oa~ ~ _1
0 ~ ~~,-E;1 7d_o; J !6"a I ~ , r~-
~r ~ ~yz ~k~
_
-s g~~"~~`I on rc~5 ~ ~Z„ ~ ~y"OAW ; ~ N
~s~,s6~ q1~~ ~a, 26. O • ~7,:~' ~5
~ (q4~.g~ ~ /
~ o ~ •
tQ ~ 1'~'~ 200 'p , ~ 1~~ a Ivi p
`'',~o ~s~J p ~ N Go o . i/ ~ / DND ~41~-34
'q 1 \ ~9~.y 1.~ ~p o i0°°~(.n` 18"~ Nwc- 93~,0
~ ~y'„D~ /q56~ 1 ~T{ ~ frgl~ / NWC = 938. ~
30.3~5 ~ '
~vS.~~N e o N ib' = 936, 5'
oAK
R~p,O ~ ~2~or,~'~ y 3 6~ ~5 F o •c9%+~~~/ (a-zs-~~
a ~ o ~ lR~~" ~.~a+'
~ ~'.br ~ oa ? ` K ~
~i ~ ~a'°`•"_ ~ 2• ~}~~ronlr w ` ° ~s" 3
N •~5~' n
~ • (~'~n-'~ ° 3~ 6~ (9y5 •14LaK ~/i~~ .
B CWK 2B'AK • yj 5 qrJ~.~, ~4S/~
• fb`?`~K
~ 45N:8) l~yr~-
~ • ~ g•F~~ o • ~n
7p ? ~95~ !P_"~' 1(45/ ~y~~OAK
~Qy~y L ~g+pq,e. ~ ~2~f_~llo~~yy,e _ ~ tc
l~~ $"OAKr -''{Z'M1.BZ-' • _Ll
5y (P~`~ 032.~ ~e_~~8o 218.16
,
(959.~ H~6=95e, S89'03'43"W ,
N . _ . .
N
~ ~t`.. :t••.~: i
~5~ ~ ~ i ~ M p ~
C59~ ex+s~iNd _ :
~.fa~~ /5 ~ d ^
, > PY~T('x E~;',r~3'.
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I hereby certify that this is a true and correct representation of a tract as shown and described
hereon. As prepared by me this JS? day of APRIt, , 2002.
REY, F1-IZ-OZ ; ADp SF/, To GL~P7N oF&'4R96E. ~~.~P ~ p~,_£.~- Minn. Reg. No. 19086
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA138343
Date Issued:08/23/2016
Permit Category:ePermit
Site Address: 4860 Rusten Rd
Lot:2 Block: 1 Addition: Thomas G Slater
PID:10-76150-01-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
David Vega
4860 Rusten Rd
Eagan MN 55122
(320) 241-9481
Hoffman Refrigeration & Heating
5660 Memorial Ave. N
Stillwater MN 55082
(651) 439-5770
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA155653
Date Issued:05/29/2019
Permit Category:ePermit
Site Address: 4860 Rusten Rd
Lot:2 Block: 1 Addition: Thomas G Slater
PID:10-76150-01-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
David Vega
4860 Rusten Rd
Eagan MN 55122
(320) 241-9481
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA156705
Date Issued:07/15/2019
Permit Category:ePermit
Site Address: 4860 Rusten Rd
Lot:2 Block: 1 Addition: Thomas G Slater
PID:10-76150-01-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
David Vega
4860 Rusten Rd
Eagan MN 55122
(320) 241-9481
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature