4909 Rusten Rd INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: ~
3830 Pilot Knob R~ad Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675 r t~ ~ ~.a µ c~ ?
SITE ADDRESS: ' ' ~ ~ ' ' APPLICANT:
~ ::~~~,tf ~v t,t~ , :
PEFtMJT SUBTYPE: TYPE ~F WORK:
, ~
. .
, ,
~_i; ~ i~ ~ ~ t r ~ i~ r~ ~ .
: ~ ~ a'_""F'~
ht ~ e~~~ ~,s~~ ~
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Permit No. Permlt Holder Date Telepho~e ~
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
RDOFING
RQUGH
PLUMBING
PLBG
AIR TES7
Rpl1GH
HEATING
GAS 5VC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPL4CE
AIR TEST
FINAL PLBG I
~
FINAL HTG I
ORSAT I
TEST
BLDG FINAL
I
BSMT R.I. I
~
BSMT FINAL
DECK FTG _ I
~fi' OECK FfIVRL /d~ I
INSPECTION RECORD
` C;ITY ~OF EAGAN PERMIT TYPE: ~ ' ~ '
3830 Pilot Knob Road Permit Number: ~ ••%i J~~
Eagan, Minnesota 55122-1897 Date Issued: I ~
(612) 681-4675
SITE ADDRESS: ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ APPUCANT:
~ t<<<~~ , ~
~ : ~~•-;Tk~N kl~ , , ~i~~r•tr .
ii;li. 'i i i i i ~ i.~i
PERMIT SUBTYPE: TYPE OF WORK:
. .
, ~ . i~,. ~ , .
: ~~f~r~ ~ i~~.
l i'a•.Iil it l~ ~~f.; I i iii f'I ,
~
~~~~~!il~ , NI?iS~.i~ I i! i~ i~~
~ i~l~'~t 1'11:~, f INf~f
i~~;11'k . I r11' I~~fnl~ 1 H~~
~ ~
L~ i ~ ~
Permit No. Permit Holder Dete Telephone N
. ELECTi~IC ~/S G O4S ~
, PLUMBING ~,~0
i-ivnc c ~ 3~
Inspection D Insp. Comments
FOOTINGS ~
FOUND
FRAMING 3 p~ ~
d
ROOFING
ROUGH . /h ~ ~ ~
PLUMBING ~
PLBG
AIR TEST
ROUGH 2/
HEATING ~a ~
GAS SVC
TEST
INSUL •~tf/,
GYPBOARD
FIREPLACE -'LJ~
FIREPLACE
AIR TEST
FlNAI PLBG 1 - ?L y'Z~ -
FINAL HTG
ORSAT L//
TEST l
BLDG FINAL ~
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
-a_ . - .
~~¢~i~icate o~ ~ccu~anc~
~~t~ ~ ~g~
~an~t~ac~t s~ ~xi[ii~ ~~ratio~c
Thes Certificate issued parsuara to tlu requi~r+nents of the Uniform Building Code
~ certifying that at the tinu of issuance this strr~cture was in comp[iance with the various
~ ondinances ojthe City regulating building construction or use. For the following:
u~ a.~ra~o~:gr rs~„ siea. r+~.
~Y ~YP~ R3~L11 ~~8 ~ ~ Type conu. _
Ow~ at Suild~mg,,,,~„ e~IIl ~1~C Addtesa
Building La~al
~ ~
~ Bm~IdeEOl~ual
~ ~s '
POST IN A CONSPICUOt1S PLACE
Address 4~ 1tvs7'IIV ttonn Zip 5512~_
LAT ~ ' .9 ' BIIC 1 $Ull (:F.f1AR NRT($1TS
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date: ~(P Yes No Inspedor:
Final grade (6" from siding) c.~
Permanent steps (garage) ?
Permanent steps (main entry) r/
Permanent driveway
Permanent gas ~
Sod/Seeded grass l/
TraiUcurb damage ~
Porch ?
Basement finish
Deck ~
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the ou4side lawn faucet before freeze potential exists.
Contact engineering division a[ 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Conlractor Copy ~
u°~ 0 ~835 ~ ~ -s~23~~
05 ~
Req est OaI Fire No. ough~ln InspeMlon Requiretl Ins ection Other Than Rough-In
n 3 (You must Call inspector when rea ~ Peatly Now ~ Will Notify Inspector
p5 ? Ves ? No pa~e Read
I~nsed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (Slreel. Box ar ROVte No.) Cily
~ ?
Section No. Town Ip Name or No. fiange No. Coun
Occ n[(P INi) Phone No.
~ 0 ~
Powe p0~~ar Atldress
~t~ Q - ctH~ J-r?
Electncel Coniractor (Co pany Name) Contracwfs License No.
OOZy(o
Mailing Adtlress (Conirac~or or Owner Making Ins~alla~ion)
117 5 Ci ? M ~ ov ~v
Aut~orizetl SignaWre (COniracmr/Own r Meking 6istallalion) Phone Num~er
yZSI-$63p
MINN TA 5T E A OF ELECTRIQTY THIS INSPECTION REQUEST WILL NOT
Phone (612) fi42-0800 R~m 5428 I I I., ~ I I I1I BE ACCEPTE~ BY THE STATE BOARD
1821 nlvereily Ave., SL Paul, MN 55106 UNLESS PROPEfl INSPECTION FEE IS
ENCLOSE .
1~~_~y"~/ RE~UEST FOR ELECTRICAL INSPECTION ,~r'~~~ ee-ooapo~-os
D ~ See Instmctions for compieting ~his ~orm on back ot yellow copy. ~3a~ y~
//9 4 ~ X" Be/ow Work Covered by This Request
Ne Add Rep. Type of Building App~ance"s VPrted Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heatin
Apt. Builtling Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specily) Contraclors Remarks:
Compute Inspection Fee Below: - ~ }
N Other Fee # Service Entrance Size Fee 1~ ircuits/Feeders Fee
Swimmin Pool 0 to 200 Amps .!!d ~ 0 to 700 Amps p
Transformers Above 200-Amps ~ A6ove 100 -Amps
$1 pS Inspacror's Use Onry: ~ TOTAL
Irrigation Booms . a1 ~~r-~
5 ecial InspeCtion ~ - - .
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN.1 ONT ~
I, the Electrical Inspector, hereby Rough-in oai O
cedify that lhe above inspection has F~nei a~ g,~
been made. p
OFFIGE USE ONLV
This request voltl /8 months hom -
PERMIT ~o~o9i ~
y CITY OF EAGAN
3830PilotKnobRoad PERMITTYPE: BuxGOxN~
Eagan, Minnesota 55122-1897 Permit Number: 0 2 s s 7 4
(612) 681-4675 Date Issued: 12 ~ 1 g~ g 5
SITE ADDRESS:
4909 RUSTEN R~
LOT: 9 BLOCK: 1
CEDAR HEIGHTS
P.I.N.: 10-16725-090-01
DESCRIPTION:
a~"'~
~i~i~.dirit,~~~Permit 7ype SF DWG
;6~ilding Wt~~k Type NEW
~"UBC ~_~7CCUp~~f~ay'aa. R-3 U-1
fy Gon~truc£~;;on '~"~~,e vtv
.4'~~ Zon~ng ~ : ~ ~a. R-1
;`V 2 BuiIdinc~ Lengtfi ' ft" 64
g. BUi~dir~g bC.isfth~ ' 49
C~nsu~ C~tsd~„ 0434 ALT. RESIDEN7ZAL
<w~uc.~ y~ ~
p q~ ~ ,~y~,::?•
tU4 1:.{ ~ g~, y-
1
V~rc~ ~
94 I6
7 ; ~ ~
'sF t r m«y^ E j
L
w.
x t t~ ~i r i 4 ~m ~ F'` K f`k ~ I~
~,f~ ~ e~~ Cun F...~i s_:b ~ a.r' t ~ 4`e"~i a~:
Cw`?,'YBe~. te ...v
. `tL_~-~'^X:c
REMARKS:
STAR PLUMBING
FEE SUMMARY:
VALUATSON $160,00@
Base Fee $1,187.25 MISC FEES $1,892.50
Plan Review $415.54 Total Fee $4,425.29
Surohargs $80.00
SAC $850.00
SAC ~ 160
SAC Units 1
Subtotal $2,532.79
CONTRACTOR: - p,ppiicant - s7. ~=c OWNER:
RYLAN~ HOMES 18546363 2003544 RYLAND HOMES
900 E 79TM ST 101 900 E 79TH 3T W 101
BLOOMINCrTON MN 55420 BLOOMINGTON MN 55A20
(612) 854-6363 (612)854-6363
:T hsreksy aaknowledgs that I have reatl th~s al?Pliaata.an ar~d s~et~ ~h~t ~he
.infnrmntion is eprrect ~nd agree to compiy W3th all epp~~~able 5tat~ of hln.
S~atutes arrd City afi Eagan tfrdinancas.
_ . _ , _ ~ _ _ ~ e e , ~ ~ ,ti . . ~ ~ ~ _ ~
irx~.r~ R~~I rn~~
APPLICANT/PERMITEE SIGNATURE ISS~
UED
B~~G TUR
k Y7~~r~Crz~ '~k~k~}4h~A°~n.q'~';{MH;,9°'.~:.~.~_rm.~ . . . . , ,-r,....
, CITY OF EAGAN ~as'.
I' .G 3830 PILOT KNOB RD - 55122
at ~ ~ 1995 ING PERMIT APPLICATION (RESIDENTIAL
681-4675 }
New Conshucfion Reoutraments T ~P'~~ RamodeVReoair Reauirements
\
? S repiaterod sMe wrveys ? 2 copies M D~an
? 2 copiea oi plena (4+dude beam 8 window slzes; poured fid. design; etc.) ? 2 ske surveys (exterfor addriions 8 dedcs)
? 1 energy celwlations ? 1 energy wlculationa for heated addftions
? 3 copies of hee proservatlon plan H lof p~atted atter 7f7/93
required: _ Yes _ No '
DATE: ~Z-6'~gS~ CONSTRUCTIONC05T: `U~~~~
DESCRIPTION OF WORK: ~ ~ S ~"`4 f'¢ <</ l~^-~
STR ET ADDRESS: Y~ U~ s I-e~ ~c~
L
O
T / B L O C K ~ S U B D./ P. I. D. C z°~~ ~~~'"-~S
v
PROPERTY Name: , lC~"^~O Phone
OWNER
~ Street Address~
City: State: Zip:
coNrw?croR Company: R~l~-~-~ ~~~"'~S Phone ~5~~~~3~3
,S{~ /o!
Street Address: %U~ C 7`~ t~`Sf Gu~s~ License z°~~ 3SYY3
City: ~~czn^~-~`'~-'~'~- State: Zip~ ' SYZO
ARCHITECTf Company: Phone
ENGINEER
~ Name: Registration
Street Address~
City: State: Zip:
Sewer 8 water licensed piumber: S~~' ~~'"~`~enalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information i corcect and agree to comply with all
appficable State of Minnesota Statutes and City of Eagan Ordinances. n~~y~~
Signature of Applicant: ~ ,
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No DEC 0 6 1995
Tree Preservation Plan Received Yes No
OFFICE USE ONLY ' ~
. .
BUIL~ING PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
~ 02 SF Dweliing o 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool
0 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch ? 09 12-plex ? 14 Fireplace o 21 Miscellaneous
0 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
~ 31 New ? 33 Aiterations ? 36 Move
0 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) <~r`+' Basement sq. ft. MCNVS System ~
(Allowable) Main level sq. ft. /,~li City Water ~
UBC Occupancy a c~-i ZN' sq. ft. ~~z-- Fire Sprinklered
2oning /L-/ sq. ft. PRV
# of Stories f rtrMr sq. ft. Booster Pump
Length sq. ft. Census Code. /a/
Depth ~/9 Footprint sq. ft. Z~ 3 0~ SAC Code o/
- o~ e ~ Census Bldg
f'~° , l~G Census Unit ^L
APPROVALS ~I
P~anning Building Engineering Variance
Permit Fee Valuation: $ °~d '
Surcharge
Plan Review ~y=
License ~~~7 "
Yx i~. ~ = ~y
CtySACAC z3.~~=sz = l,z~r /,Grixis =
Water Conn. s s~ 3a r` ZZZ Z 5: ~6s~
Water Meter ; x/ z. Tr = 3'
Acct. Deposit ~ X ~ y. r> 73 _
S/W Permft ~ 6 i~ X S~ 59 y' ~
SIW Surcharge
Treatment PI.
Road Unit N~ l.~
Park Ded. ~ 22 x ry.~ yz5
Treils Ded ~ 3~~ x z~ , a y° `F~ ~ , s,~ ~ ~ _ ~
Other : ~g Zd.,~,~~Z = Z~L.
Copies ~l. 7 ~ 77 x °
s-y = >
7ota~: ~y ~ z ~ ~ ZS Y ~ ~ ~ L ,
% SAC ,~'J
SAC Units -
. lss ~'~s b~
~ ~ ~,;~e;
~ _1> i ~ ' ~
~ - rt x."e°~` 4 5~:
v:,i1 . ~+.:~i ~ , . - . - ~ . . a .sa,~Y~i'~ . . .
n°''~~ PLOT PLAN
' THlS !S NOT A BOUNDARY SURVEY '
FOR R71.9dQ~QMES___.____. - KURTH SURVEYfNG. 1NC.
PROPOSED 4002 JEFFERSON 5T. N.E.
I HENEBY CER7IFY 7HAT 7HIS PLOi PLAN YAY PREPAREU BY ME GRADES COLUMBIA HEIGFfTS. MN. 55/7t
OR UOER MT DIREC7 SUPF.RVISION , 7NA7 7~{IS PLAN CORpECTLY (61Z) 788~8769 FAX (BIZ) I9B'~6OZ
9/0VS 7ME PIhCEYFJ(~ pF ~ pROPOSED DU14Q 7NE LAND
N[NEON OESCPIBED I1D 7HA7 1 AM A pULT UCENS: MO OARAOE SLAD • y I~ ~
5~~~"C_ ~~LR TME~))S OF THE S7ATE OF YIfNE50 DATE ~IS
~ roa or• e~ock •~~Z ~~9 0• IRON MONUMENT
BEARINGS ARE PER PLAT
DASEMEM FLOOR 9 • • SP I KE SET
M I NNESOTA L I CEN N.~ co ~~-3 • EX I ST I NG ELEVAT I ON
f 1 • PROPOSED ELEV.
~ = DRAINAGE ARROW
~ 30
f---~ ~
~
SCALE IN FEET
C1952.~O~J 5 es•o~•~i•u i~~.2s ~95 ~
~
~ ~
l O I~i~ ioRJ"
AP-3'~4~ 1 S-~ r.~ ~.~.~-.~cc.'~/
HW L 5 cD ~ ti1C?.?.~' '~°+s fl I
952~~
NWL , l3 ~S ~ 1~.. ,
9So~o o ~
DRAINAGE g UTILITY EASEMENT$ o ~
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APPR.o~t ~ 4 ~2 ~o r+T ~
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s ~
~AGA1~T EIVG ERING DE_~ V
1~1~ STG
gZ.o ~D
LOT 9, B~OCK I,
CEDAR HEIGHTS,
DAKOTA CO., MN.
E~l-O , ~ C „
G AR., l-. 3 c ra2
„ lOT SURVEY CHECKUST FOR RESIDENTIAL •
- ~ o BUILDING PERMI APPLt T N
m _
W ~ PROPERTY LEGAL: o~ ~
< ~
W u u
< a TE OF SURVEY:
a m
a
~ ; LATEST REVISION:
~ o ~
~ :
DOCUMENT STANDARDS
yy7~0 O • Repistered Land Surveyo~ sipnature and company
~ • Building PertnitAppticant
D~a ~ • Legal descriptlon
~O O • Address .
~~7 0 • North arraw and scale
ql~ a O • House lype (ram6ler, walkout, splR w/a, sptlt entry, lookout, etc.)
41~~ 0 • Directlonal drainape arrows with slope/qradient 96
Q/Q ~ Proposedlebstlng sewer and wate~ services 3lnvert elevatlon
~ ~ • . Street name _
O O • ' Driveway
ELEVATIONS ,
C9' O 0 • S~ ryic9 .
a a o • Properiy comers •
D~O O • Top of curb at the driveway
o E7 a • Elevatlons ot any epstlnp adJacent homes
Prooosed
~ • Garege floor
~o o • Frst Itoor
a~O o • Lowest exposed elevatlon (walkouHwindow)
~b o • Property comers
m~D o • Front and rear of home atlha faundatlon
PONDING AREA M aoolicab~e)
• ~ Easement Une ' . '
~O O e NWL ~ •
~0 O • HWL
~o G • Pond # designatlon ~
? ~o • Emergency Overflow Etevetlon
/ I?IMENSIONS
~ O ~ • lot IinasfBea~infls 3 dimansions
W~a , o . Righbof-way sod stroet widtl~ (to back of curb)
ai o a • Proposed homa dlmandons Includlnp any proposed deda, overhanps preater than 2',
porches, ete. (Ga, all slruclures requ(rinp pertnanent tootlnps)
~ a o • Show all easeman~ of record and any City udlttfes within those easemenb
~ O ~ • Setdacks of propoaed structure and sideyard setback of adjaeant e~dstlng strucYures
, o o G • Retaining wall requireme if any
` ' Reviewed:
me !0
~ .
,
• ~ . , ,.....:u.,_.:,. ,
. r r ~s~,
, , t t. i fk c y~ ,~}t x~ "'~~"L ~ Z„
O 14'. ~ , ~ . ' r ~ :~,~h i
n
. ` ' ' . t ~.r . .
' ~ .:J~ / 6F~ ~
Vi .
CONNECT TO EX. MH 9Y
CORE DRILL/CONCRETE SAW ~ t
& ADJUST RIM TO MA7CH EX. Q~MR~1.~
'k.4~~
7 GRADE. 't,":, :
(FIELD VERIFY LOCAl10N
& ELEVATIOP~)
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r::, .,~f~ t~LEV~+TI ~1~ T ` > ~ '
P POSES y,rrE-t,+86 : ~ _
t : ~ ,4TlOPv ' HOUt~= '
, r~ U~{~!G 9529 a~
Hc ,ITE. 962.5 'S
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DEVELOPER ` , ~t~~~ ;
ON DEYELOPIAENT C0. ~~R ~S y~
,~~a uciun a~ vn_ SUITE 140 EAGAN, MN. ~,•,,;~~<<
~
,
x CABO MEC 92 COMPLIANCE *
Suilder RYLAND HOMES Submitted By A.H. 'I"RACEY
Model WESTON C STD GLASS Date 5/5/95
LotJFlan/Addrese Degree Day Base 8000 Minxieapo7.is
Type single Family Hause Volume 41400
Filendme WE3TON Control No. 5925
Uo Totals ~ Proposed ~ Required
Component Area Uo Total Uo Total
Wd115 2713 .105 285 .110 296
Ceiling5 1705 .032 55 .626 44
Floors 79 .047 4 .Q40 3
Floors {ppen} 9 .D35 0 .026 0
Bsmt Wall(U) 1446 .080 116 .fl91 132
Thie Houee Qualifies With Tatal
Total ~ 460 ~ ~~75 U-Value Calculations
Specifications Uo Calculations
Walls Size O.C. Insul. Sheat. Component Area U-Val Total
A Frame 5.5 16 1.9 2.06 Fxame Wsll A 1846 ,052 97.2
B Frame 5.5 16 19 2.06 Frame wall S
C Frame-Gaz. 3.5 16 13 .45 Frame-Gar,C 222 .082 18.2
D Masonary 8 N/A 11 N/A MasOnazy D * .080
E Masonary N/A N/A Masonary E *
Ring Joist 15 2h 13 3.0 Ring ~7oist 305 ,059 18.1
Window A 294 .48 141.
Doors Panel alass S.C. Wi.ndow B
A Metal .19 .62 .88 Window C
B Wood .46 .62 .gg Door A-Panel 42 .19 7.98
C Other poor A-(31ass 4 .62 2.48
noor 8-Panel
Cei~lings ~ O.C. Insul. 5heat. noor B-Glass
A W/Attic I 24 38 N/A Door C-Panel
S No Attic { 24 30 .63 Door C-Glass
C Other + Totals 2713 285.1
uo=iut/At) .2as
Floors O.C. Insul. Covex
A Non Cond. 16 19 1.23 CeiZing A 1335 .025 34.0
B Overhang 16 30 1.23 Ceiling 8 356 .035 12.A
C Other N/A 5 Ceiling C
SkyighC A 14 .5 8.4
Windows U-val S.C. Skylight H
A Alum T.B. .48 .BB Skylight C
& Wood .52 .86 Totale 1705 55.0
C Vinyl/FG .98 .88 Uo=Ut/At .032
-
3kylights U-Val' 3.C. * Basement wa119 > 50~ below grade
A Standard .60 I .BB
B High Perf. .32 .5 NOTICE; Users of this software are responsible
C Other ~ for the specifications and dimensional data
used to generate this report, The developerp of
HVAC Equip Ratinc the softwaYe are in rio way responsible for the
Oas AFUE .76 ~ mierepe~entation of any building due to errora,
HP HSPF 6.8 omissa.ons, or any other miause of the software.
AC/AP SE'~R 10 ~
TTOiBC~O'd NNIW Ol ND1~J7a 15~'IQIW Cldti~!,21 WOa~ 6£:£S S6Eti-Li-J~tiW
~ ~
Page 2 of 3
8uilder RYLAND HOME9 Submitted By R.H. TRACEY
Model WES:'ON C STD aLASS Date 5/5/95
Lot/Pl~n/Address Degree Day Base 8000 Minneaoolie
Type 5ingle Family Houee volume 9140Q
Filename WESTON Control No, 5925
eae~°nao'~ccvc~o¢a==>a ~v=x===~omaacQ~anavaxaan=='m~a~xavmFVaaan~acs~== "~3vaa~
Dimensione
Walls { Frame A ~ Frame B ~ ~Gar.Com.C~ ~ Maaon.Dj Mason.E
Bas=ment Bsmt. 290 Above Gr 736
ist Flour 12A8 lst Floor Below Gr 73'
2nd,Floor 704 Crawl.
3rd Floor Mi~c.
Misc. Misc.
Misc. 190 j Mxec. i
Ring Area 305 ~ ~
windawe
Aluminum 268 26
Vinyl/FG
w°~g f 1 I I ~
Doors (G=G].ass Area - 0=0paque Area)
Metal G 4
0 24 18
Wood C3
O
Other G
O
,
Ceilings I w~1335ttiC N370ttio I Other
Std.Skylitesl ~ i4 I
HP Skylites I
Other ~
I
-
I Floors I Non Cond. Overhan ~ Slab
79 I 9
Windows Qty. Aescription qty. Descriptian Qty. Description
5 2820 1 4010 4 3650
5 3250 1 305Q 2 3030
4 2•~50 1 6068 C4LASS DOOR
Do~rs IQiy~I~~e~~~LtDOOR ~~ly IENTRY~W/SING SDLIT ~ty.I Deacription
~
--------------------~==a~°==~~e~=~=~eraeas=
'
LTO/E~kl'rl NNII•J Ol NQ1~73~ 1531'¢7I'~I (INH1,~,y :,I[l,yj Ob:ET Sb6Z-.'.F-dFJW
~ CITY USE ONLY ,~a~o5
L "J BL ~ RECEIPT
SUBD. DATE: g~O
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675.
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES ~ EACH NO. TOTAL
Shower ~ 3.00 x ~ = 3~
Water Closet 3.00 x ~ = q'
Bath Tub 3.00 x 'Z = C~ -
Lavatory 3.00 x _ ~ S -
Kitchen Sink 3.00 x 1 = 3"
Laundry Tray 3.00 x ! = 3-
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x = 3 J
Floor Drain 3.00 x i = 3'
Gas Piping Outlet " minimum -1 3.00 x 1 =
Rough Openings 1.50 x _
Water Softener 5.00 x =
Private Disposal ' Dakota Cry. license 20.00 =
U.G. Sprinkier' home underconst. 3.00 =
ARerations " to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL ~
SITE ADDRESS: ~Q~ ~S~ ~p~
OWNER NAME~
INSTALLER NAME~ ~'~8~~~
STREET ADDRESS: 6~~~ W~ U1~~y.(~ (,J
CITY: STATE: Z~P: ~
PHONE ( )533-435'~
OFFICE USE ONLY ~
L _ BL _ RECEIPT
r •
SUBD. ~ATE:
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOS RD
EAGAN, MN 55722
(612) 681-4675
Please complete for. . ail wmmercial/industrial buildings.
~ multi-family buildings when separate permits are IIQt required for each dwelling
unit.
DATE: ~RsO CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION _ ADD ON REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIREDI _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED7 YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. 5tate surcharge of $.50 per
$1,000 of ~ermit fee due on all pertnits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
C~TY~ STATE: ZIP:
PHONE SIGNATURE: T
APPUCANT
OFFICE USE ONLY
METER SIZE: DATE: INSPECTOR:
L~ gL ~ CITY USE ONLY RfCEIPT ~L
SUBD. ~ DATE: 9~
1995 MECHANICAL PERMIT (RE5IDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
~ (612)681-4675
Piease complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: ~ l 2t l~(
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00 z+-~•~o
Additional 50 M BTU 6.D0 (,.oo
? Gas Outlets (minimum of 1 required @$3.00 each) ~ (2•00
? State Surcharge .50 , So
TOTAL y~-SJ
SITE ADDRESS: ~~o~ (Lt,~5TEn1
OWNER NAME: R~~~?~, KawtS PHONE
INSTALLERNAME: P~-~~01'`~El ~'~t~AlvJfr ~G~I~
STREETADDRESS: ~~09 ~1~uut~~A Avr /J,
CITY: d~o{~1.Yf~ P~RL~ STATE:~ ZIP: S~~
~ J
PHONE { ) 53~"
CITY USE ONLY ~
~ _ B~ _ RECEIPT
SUBD. OATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(672)687-4675
Please comp(ete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are ~ required
for each dwelling unit.
DATE: CONTRACT PRICE;
WORK TYPE: ` NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ~$25.00 min(mum fee pj 1°k of contract price, whichever is greater.
~ Processed piping - $25.00
~ State surcharge of $.50 per $1,000 of permit fee due on all permits.
CONTRACT PRICE x 1°/a
PROCESSED PIPING
STATE SURCHARGE
70TAL
StTE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP•
PHONE
SIGNATURE:
SIGNATURE QF PERMITTEE CITY INSPECTOR
:~,R'.~'.( ;~~':miXiX$~
~i;'cY~Yh„:v;Y,t~: Y,;i%Y,::i:StY.1@ ~!:'i:.Y,(~i;;i/.ri". ~ {:i;:7ifri0;:...
C.ITY l)F ~-baCvt1'J
L'A~irI:I:F:I~?;: i; YI:T..i{tii.~J=1'_ (JOa £'%5
):~Al'c:;: 175;'i?'i'/f7r3 7':NE:; i.:I.;r.t9;aE~8
in:~
~~nrsr:;; N~,:~~r?r~:r-~, r.~„a;;,.
3~:.:10 9rlCi:l ~4`)C.?`3 P;I.1`:i i E:\~ f;S? C;i:).Cl.~
c?l.::i'i :J(Ji]A 45a.f.1.`.-) rEt.;:~ri-r! Ii1J i:i.,`'iQ
'3q:;;Q 90(l'! •bj0^ Fil.lFi7E~J RL~ 0„7`i
'Ycrt:71. ~;~;~c:ei.~rt. 1i~~a.er~1.: :"i:l..t'P.;
C!i,0~c.'is?7'
u<,~:r-: :;.r.,~: ~r~r~.r.,v
)~~J'.:~)4.~-'.i;::~.~ 1~ ~Y,.~i~K~~h f:.~:'I~~i)M1:~f,K ~)~{)Y.`.:~:~~~~~:).i~i~'l~i~i~i }~:)i i.~)~:~~~
~ PERMIT
~C~TY OF EAGAN
3830PilotKnobRoad PERMITTYPE: euz~ozN~
Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 0 2 9
Date Issued: 0 5/ 2 6/ 9 8
(612)681-4675
SITEADDRESS: 4909 RUSTEN eo
LOT: 90 BLQCK: 1
CEDAR HEI~HTS
P.I.N.: 10-16725-090-01
DESCRIPTION: o e c K
Bu~.i.ld"in-g Permit Type DECK ~
B~uitdi:ng~i~kork Type NEW
~Buildi,ng Len~th 16
Buf'ldinq Wiidtfi~-, 16
Census Code ~ 434 ALT. RESIDENTIAL
. ~
r
r
~ "
, ~ f".
~r
4', _~%'FY C °'x~+
t ti -
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~l';.,, ~w s ~ ~ f~ ~ ~
r r"~~ t ; i,:~ i ` a..~ i:~ .
~
. t ' ~
REM~F~~s REVIEWE~ BY MIKE 6ARCK
FEE SUMMARY:
Base Fee $50.00 COPIES $.75
Surcharge $.50 Total Fee $51.25
Su6COta1 $50.50
~
'FHONTZERTQONST P 18914359 2006031 TAORAlO"' MIKE
]4101 fRONTIER LN 4909 RUSTEN RD
9URNSVILLE MN 55337 EAGAN MN 55122
(612) 691-4359 (612)707-9633
I hereby acknoaledge that, I k~ave read this applfcati,on snd state thm~ th~
information is correct'and agree ta comply with all applicable State of Mn.
Statutes and City of ~ag~n Ordi,n,~nces,.~ ~
~ ~ _ ~ _ . _ _ - ~ - -
AP ANT/PERMITEE SIGNATURE ~ ( ISS ED BV: SIGNAT RE
~~~;U 1998 BUILDING PERMIT APPLICATION (RESIDENT
CITY UF EAGAN ~
3830 PII.OT KNOB RD - 66122 `
V 681-4675 Qt_
New Construction Reauirements RemodeVReoair Reauirements " a
~~e~ vy~c55a~
? 3 registered ske surveys ? 2 copies oT plan
? 2 copies ot plans (InUUde beam & window aixes; poured fnd. design; etc.) ? 2 ske surveys (exterior atldRions & decks) ~ I`~0
• t energy calwlations ? 7 enerpy calalations for heated addftions
? 3 copies af tree preservffiion plan H IM plalted after 717193
required: _Yes _ No -
DATE: 5-8- ~lQ, CONSTRUCTION COST; ~3, 5D0 • Op
DESCRIPTION OF WORK: ~ C~e d a~- Dt C lL
STREETADDRESS: 9°ID~ 12U.5~@~ ~0.C~
LOT: BLOCK: SUBD./P.I.D.#: ~`~Ft~( ~ LfOIGt.V ~I~-
Name: F'i D V a Vti.. ~ f'I I I~~ Phone ~ D~- H!0 3 3
PROPERTY F~m
OWNER
SReetAddress: `}~Dq j2u5-~H.v~ iZOG1.G~
City EA~t^-- State: M N Zip: 5~ 1 Z~
Company: ~'b Vl-I~1'C V Cov~ s~ ~u c~o~ Phone tt: ~1 l- 43 S ~l
CONTRACTOR
Street Address: Ig 161 ~VDY1'h-G v I.V~ . License ~t Zb D io b 31 D
c,ry 1gu.vv~Sv~ ~ ~t~ srau: F'tnl z~p: ~533 ~
ARCHITECT/ ~I y~
ENGINEER Company: Phone
Name: Registration
StreM Address:
Ciry State: Zip:
Sewer & water licensed plumber (new construction ony): Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the infortnation is cortect and agree to comply Hrith all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant G'~wLWL~~~
. Q 1:/ ~
OFFICE USE ON~Y
D
Certificates of Survey Received _ Yes _ No MAr - 8(~
Tree Preservation Plan Received _ Yes _ No _ Not Req re
~
. a
r' ~
OFFICE USE ONLY ~ ~
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? OZ SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory O 20 Public Faci?ity
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _-plex ~I'J5 Deck
WORK TYPE
~1 New ? 33 Afterations ? 36 Move
? 32 Addition p 34 Repair ~ 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq, ft. Fire Sprinkiered
Zoning sq, ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. Y3U
Depth Footprint sq. ft. SAC Code o~
Census Bldg i
Census Unit v
APPROVALS
Planning Building _~i~ Engineering Variance
Permit Fee Vaiuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S!W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies S ~(3)
TotaL• _ - -~`~"if ~
% SAC ~ , ~ ~
SAC Units ,~1~
, .f
, PLOT PLAN
~ ' THI S I S NOT ~1 flOUNDARY SURVEY '
F~R gY.LANQ_d4MES_____.___ KURTH SURVEYING, INC.
. PROPOSED 9002 JEFFERSON ST. N.E.
I HEREDY CFATIFY TINT THIS PlOT PLAN vAg PREPApEO BY ME GRADES CO~I.MBIA HEIGHTS. MN. 55~Z~
OB 1+OEa YT UIFECI SUPFNVISIaN , lryhT TMIS PtAN C017BEC7LT I61~1 78E'8769 F~x (61I) 788-]BOZ
91oVi TME PLMEUFM OF A PPOl~OSEO OUI4Uf iHl; ~/JJp
MCaCON DES[BIBEU M1I THAT 1 AY A D0.Y UC[NS-. MD Q~RAOE TLAD • ~7~' ~7 ~ j0 ~S
1~+~~s OF 7FiE STntE or u~rr+tso OATE
'roP ar OLOCK • ~ ~~~•9 ° • IRON MONUMENT
DEAR~NGS ARE P[R PLAT
onseM~T FLOOR • J~14_'
9 SP I KE SET
MINNESOTA UCEN N.~ V • EXISTING ELEVA710N
t l • PROPOSED ELEV.
E-- = ORAINAGE ARROV
~ 30
SCALE IN FEET ~
C19S2•O~~ S es'os•+i-v i~i.zs ~
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AP-3'4• 1 S-r ~`c c~/ ~
~
Nw ~ 5 ce ~ ti1cuT ~ 1
9 ti~-, o I .
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gi0~~ o o ~
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1~u ~TC ?.5.
~D
LOT 9, BLOCK t.
CEDAR HEIGHTS,
DAKOTA CO„ MN.
~I ~~J1 ~1~~1 •
~11~~'~., l_ ~ C/.1(L
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4909 Rusten Rd
Lot: 9 Block: 1 Addition: Cedar Heights
PID:10- 16725- 090 -01
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Property Claim Solutions LLC
4655 Nicols Rd, Suite 202
Eagan MN 55122
(651) 994 -2028
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA087008
10/20/2008
ePermit
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
$88.50 0801.4085
$1.50 9001.2195
$90.00
Owner:
Phillip S Porter
4909 Rusten Rd
Eagan MN 55122
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4909 Rusten Rd
Lot: 9 Block: 1 Addition: Cedar Heights
PID:10- 16725- 090 -01
Use:
Description:
Sub Type: e- Siding
Work Type: Siding
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Property Claim Solutions LLC
4655 Nicols Rd, Suite 202
Eagan MN 55122
(651) 994 -2028
PERMIT
City of Eaan
Construction Type:
Occupancy:
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
$90.00
Owner:
Phillip S Porter
4909 Rusten Rd
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Issued By: Signature
Building
EA088294
02/25/2009
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA131242
Date Issued:06/10/2015
Permit Category:ePermit
Site Address: 4909 Rusten Rd
Lot:9 Block: 1 Addition: Cedar Heights
PID:10-16725-01-090
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Phillip S Porter
4909 Rusten Rd
Eagan MN 55122
(912) 490-2595
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA154148
Date Issued:02/22/2019
Permit Category:ePermit
Site Address: 4909 Rusten Rd
Lot:9 Block: 1 Addition: Cedar Heights
PID:10-16725-01-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Christopher Iversen
4909 Rusten Rd
Eagan MN 55122
Minneapolis St. Paul Plumbing Heating Air
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156305
Date Issued:06/25/2019
Permit Category:ePermit
Site Address: 4909 Rusten Rd
Lot:9 Block: 1 Addition: Cedar Heights
PID:10-16725-01-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description: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 -
Christopher Iversen
4909 Rusten Rd
Eagan MN 55122
Minneapolis St. Paul Plumbing Heating Air
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167770
Date Issued:03/29/2021
Permit Category:ePermit
Site Address: 4909 Rusten Rd
Lot:9 Block: 1 Addition: Cedar Heights
PID:10-16725-01-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Christopher Iversen
4909 Rusten Rd
Eagan MN 55122
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature