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4910 Rusten Rd INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: r+{, 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 ' 1 ~ , ! l1 ~ 1 . ~ . , y. ~ ~ . SITE ADDRESS: . „ ~ ~ APPUCANT: ~ . ~i ~ N Ril , , ; ~ 1 5~.. ~ i . ' . . . ~ i i , ~ ~ t . ~ ~ t _ . ~ , 1 ~ . PERMIT SUBTYPE: TYPE OF WORK: ~ ~ . . : r,,,r . . , i.~~. ~ ~ ~ Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FaUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG J~ ! Z~7 ~1~ DECK FINAL ~ INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: r' i Eagan, Minnesota 55122-1897 Date Issued: " (612) 681-4675 SITE ADDRESS: ~ ` f ~ ~ « ~ ~ ~s ~ it ! ~ + ~ APPLICANT: , . , ~~~.rrh Frn , , . ~ , ii, ~ ~ ~ i ~ ~ . . ~ PERMIT SUBTYPE: TYPE OF WORK: : ~ ~ ~ r;• a ~ ~ „rr ri; ~r.~i . • I r~i. 1 h.'~ill I~ , {~IfI~~I7 i tt 1 I Is~i 1 Ni'i i 1 1 i.•,'.1, 1•~ . :.i F'J11~fi 11 1'1 1+141 1'~ /41• i t~ 1~f111 Ic! 1') ~~1~~4 1 tl~~ ~ ~ t I i. I i 1~ I~ I l)i~},1' ~ ~ ~ J P~rmit No. Permlt Holder Date Telaphone M ELECTRIC ~/,~(~IS'5 ' /p 97 ~'O PLUMBING HVAC InspscUon Dab Inap. Comments FO~TINGS FOUND FRAMiNG ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARO FIREPLACE FIREPLACE AIR TEST FINAL PLBCi FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD r CIT~f OF EAGAN PERMIT TYPE: ~ ~ i' ! ~ ~ ~ ~ ~ ~ 3830 Pilot Knob Road Permit Number: F•. H>i il Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: t ~ ? F ~ ~ i ' APPLICANT: ~ ' i ~ ; ,I~;TFN Rfl ~ . ~ , i~c, ;I~~t~i~ . ~ ~ !i! : 1'~ , ~ ' i ~ ~ i: . PERMIT SUBTYPE: TYPE OF WORK: . , . . ~ i: ; ~~i~~i~~ . i ; ~,tt r ' ~,;~I ~ >r~: ~irlf ! Nli IN`.1~1 r1111+h1 I tHf 1'~ r~~r t I, ~~I~~.i{ ~ 1'•I 1'1 I~1~ / i,liil~~ll I f! )t I~ ; I ~1:.! ~'I ~ti. t 1 NAi rtd~f•.r , ,:r ll I'i ti? . I il~; 1'I Ist, ~ ~ ~ J Permit No. rmit oldar Date Telephone i ELECTRIC J~' ~ PLUMBING ~ G 533 ~ ~ HVAC s Inspectio~ te Inep. Comments FOOT7NGS C~~ FOUND ~Z~~ FRAMING 1~ ~j~ ROOFING ROUGH ~ PLUMBING - ~ ~ ~ - ~ PLBG AIR TEST ROUGH HEATING - ~ 6 GAS SVC TEST INSUL ' j ~~h r S e40 ~oc .~-otr _ ~ ~ ~ ~ GYP BOARD FIREPLACE ~ FIREPLACE AIR TEST FINAL PLBG _ A f FINAL HTG ORSAT TEST BIDG FINAL !o~ BSMT R.I. BSMT FINAL DECK FT(3 DECK FINAL . , . - . z.._ - - - . . `~s • • y , ~ ~ti . j I._.?"'~ . ~ ~e~ii~cate n~ ~ccu~anc~ ~it~ o~ ~agan ~e~axta~eet o~ ~Ni[ii~g ~a~rectiox This Certifecate issatd pursuant to the reqairements of the Uniforrn Building Code certifyuig that at ~he time of issuance this structure was in co~npliance wirh ihe voarious o~inances of the City regulating building carsrruction or ase. For the following: u~ c~t~;~: SF ~G s~. e~,~;~ No. 2b887 ~r ~ ~~L1 _ zo~ aw~a VN Tya c«~~. R 1 o.~. ~r e~w~~ !~tldl~ ~S4 wea~~ Q00 E 7~ ST~ BI]~GIN emw~ ~ 4922 I~S3ffi~l AO~AD ~r 1~s B2, iF1~it ~ i ~ ~ - POST IN A CONSPICUOUS PU?CE ta~r~ ~q'T:c ~ Address 4922 Ri1sIEN 1i~D Zip 5512 2 Lot 25 Blk 2 Sub ~ t~IC~rs THESE ITEMS WERE I WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: ~P~7 ~'j ~p Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Pecmanent driveway Permanent gas J/ Sod/Seeded grass ` ~ Trail/curb damage ~ Porch 1~ 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 outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installiag underground sprinkler system. ~ White - City Copy Yellow - Resident Copy Pink - Contractor Copy /Q a~ OFFlCE USE ONIV This req~esl wid 1 B months han wlidolion dme printed in Ihis 6ox. ~ I~~~~ ~I ~~II~~I ~~~I~ ~~~~~~~~~~~~~I I~~I~B-~~., ~~.~.~~°~~s * ~ 4 4 0 1 5 5 PLEASE PRINT OR TYPE Req~~e/si Dob RwgMn irvspecfion req~iredR ~Yes ? No Inspecliw~ Olha 7nan RougMn: ~(Ready Now ~ W O Cdl v ~ Q ~(VO~ m~st mll tha inspecior when readyl Onte Ready: I, ~ licensed conhocfor ? owner hereby requesl inspecfion of ilie above elechical work at: Jo6 Address (Sheet, Box, w Route No.~ Ciy Z~p ~ode h~ `'~I ~D S ~P ti ~ .~'t~ Sefion No. Township Name or IJo. Hange No. Fre Na Cwny D.~ ~ f*~ Occupant Plrone No. (3.QC k~C< vJ- i ,43 o w 7O 7- 8 3~f'I Power Supplier~ Addreu ~ i'] ~ Ekcficol Conkacbr (Canpa~ry Name~ co~n«ro. u« ne. row~re, u<. nw. (rb~r ei~. a,M -lr Wf ~~~e~G<c C~oIS2~ Muili~ Address (Conkactor or Owror Perfoeming Insmllotion~ , l ' L 7 S ~f .+~lj- 7- ~ , ~Q(~ AuNrorized Si onhaclw « O«ner PerForming In Ilalim) ' Phare No. ~ ~~=c. Y7 `F EB00007 hl l/96 ~p~ gpppD COPY - SEE IN5IAUCTIONS ON BACK OF VELLOW COPY ~j9 ~ REQUEST FOR ELECTRICAL INSPECTION 7D~ 4.4 0- i 5 5~ 8121eUniversity A ea Rm. S- B,~SL Paul, MN 55104 ' Phone (6i2) 642-0800 ~ Home Dupltac Apt. Bldg. Oiher: - New Addn Commercial Indushial Farm $~"P~~'v~ Remod Re ir Air Cond. Htg. Equip. Wafer HM. Load mf. Other: Dryer Ronge Elec. Heaf Temp. $ervice "X" above Ihe work covered by ~6is request EnFer remorks in ~his space and on the bnck of the white copy onfy. Calcufa~e Inspecfion Fee - lhis Inspection Requesf will na~ be accepted wi~houl Ihe covec/ fee: O[her Fee q Service Entrance Size Fee R Circuifs/Feeders Fee Mo6ile Home Pork Stall 0 to 200 Amps 0 ~0 2Am~s Streef Lfg./Tmffic Sig. Above 200_Amps Above 700- mps TransFormer/Genemtor ~NSPECTOfl'S USE ONLY ~~i T i Sign/Outline Ltg. Xfmr. • Alarm/Remote Control Swimming Pool I hereb certi I i nsmllarion d Ferein on ~he dores s Irtigafion Boom RoogMn Da~~ $pecial (nspection Invesfigafive Fee Final / Dor~ THIS INSTALLATION MAY BE ORQERE~ S NNECTED IF NOT COMPLETED WITHIN ONTHS. 0- ~ 9-845 ~ ~ f , ~ ~ ~s~~ Req esl D le • Fire No. Rough- Inspection flcyuiretl Iris ectian Other Than Pough~ln ~ (YOU musl call inspectw when ~Batly) ~ Reatly Now ~NVill No~lty Inspaclo~ ~es ? No Dete Reatl I.~licensed contractor ? owner here6y request inspection of a6ove electrical work at . Job AdCress (S[reap Box o~ ute Na.) Ciy s~L, ~ , Sectian No. Tawns ip Name or No. qenge Na. Caunry ~'fJ Occup n(PR T) Phone No. . ~ _e~ z_ ~ - Powe~S ier Address ~ " l ,L~J n.L~:~C' ? Elect~ice Conttac[or (Company Name) Con~reclor's License No. ~ ~ O` Mailing Atltlrees (Conlractoror wner Making Installation) 1 C' k~ M e v /U Futhori tl Slgna[ure (Contractor/Ow Making Installation) Phone Number '~Z g -g630 MINNE A T B ARO C IdTV THIS INSPECTIDN REOUEST WII.L NOT Gri99 itlwey B~d - Poom 28 BE AGGEPTEO BY THE STATE 80AR~ ieY1 iverelty Av St Paul, MN 551 W UNLESS PROPER INSPECTION FEE IS Phone (612 602-0600 . . ENCLOSED. ~~~,~i;.~f REaUEST FOR ELECTRICAL ~NSPECTION ~'~tl ` ee-ooooi-os g ~ See instruclions lor completing ~his form on back of yellow copy. A~2 ~f ~ "X" Below Work ~~~vered by This Request Net qdd Rep. Type of Building Applianca'~ Wired Equipment Wired Home Range Temporary Service Du lex Water Healer Electric Heating Apt. Building Dryer Load Management Comm./Industrial Fumace Other (Speci ) Farm Air Conditioner Olhar(specRy) ConUatlor's Remarks: <L Compute Inspection Fee Selow: ~ h r ~ff' # Other Fee it Service Entrance ize Fee # Circuits/Feeders Fee Swimming Pool ~ 0 to 200 Amps r~~ p 0 to 100 Amps c+' Transformers Above 200 Amps ~ Above~700 -Amps ' Si ns Inspecmrs Use Only: ~ TOTAL Irrigation Booms l~/, ~ Special Ins ection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MON7HS. ~ I, the Electncal Inspector, hereby Roug~-in o ~ pJ certily that the above inspection has ~ Final Oate been made. • OFFICE USE ONLY This ~equest voitl 16 manfho ~mm s- 2005 RESIDENTIAL MECHAIVICAL PERMIT APPLICATION , City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 ' Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when pertni[s are required for each unit Date lp l,~~ l b~L Site Address ~ V li. u r'J i e f7 I~-~/~- Unit # Property Owner ~ 1 C~~''1(~-C 1 ~Gi S~~~/ G1 ~~~f Telephooe J a)~ GI ~I '~"0 ~S Contractor BURNSVILLE HEATING & A/C, INC. SUite 120 ' Stree[ Address City State Zip Telephone#(~]S~) UUUS Bond -1 ~~S g C~- a- ~ a~ Ezpires: D ~ The Applicant is _ Owner ~ Conuactor _ Other Add-on or alteration to existing dweliing unit $ 30.00 ~ furnace _Additional ~Replacement air exchanger 71-- airconditioner lNew ~''Replacement other State Surcharge $ .50 Tota~ ' $ b . ,5 I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan i the case of work which requires a review and approval of plans. I`7G`~'~1 1~1 ~ ('i~~i~~7~~ Pi~f!S11Y-l Applicant's Printed Name ApplicanYs Signature ~ JUL ~ 6 2005 ~ By I 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family 6uildings when separate permi[s are not required for each dwelling uni[ Date / / Site Street Address Unit # Tenanf Name (if applicsble) ~ Previaus Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond Expires: The Applicant is _ Owner _ Contractor _ Other W ork 'Cype New Construction _ Underground Tank _ Install _Remove *`see below fnterior Improvement _ Install Piping _Processed _Gas Nature of Work: "*When insiaUing/removing underground tank, call for inspection by Fire Marsha! and Plumbing Inspector PClR71E F¢¢S: $70.50 Underground tank installation/removal - $50.50 Minin:um(includes Sta[e Surcharge) or Contrect Value $ x I% Permit Fee • If ep rmit fee is $1,000 or less, add $.SO ~ $ State Surchazge If ep rmit fee is over $1,000, add $.50 for every $1,000 ermit fee $ Total Fee I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not m 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. ApplicanYs Printed Name ApplicanYs Signature Approved Sy: , Inspector Date: ~ ~ ~ -j 3 ~ RESIDENTIAL ~ ~ ~ BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 65'i-681-4675 , '71 . ~ ~ New Construction Reauirements RemodellReoair Renuirements • 3 registered site surveys showing sq. ft. of bL sq. R. of house: and all mofetl areas • 2 copies ol plan (20% maximum lot wverage allowed) • 1 set of Energy Calculafions for heated addilions • 2 copies of plan showing beam 8 wintlow sizes; poured found design, etc.) • 1 site survey foreztenor additions & decks • 1 set of Energy Calculations • Indicate if home served by septic system for additions . 3 copies of Tree Preservatbn Plan if lot platted afier 7/1193 • Rim Joist Detail Options seleclion sheet (bldgs with 3 orless units) V= DATE ~Z VALUATION ~ SITE A~~S II O!l,(.L1J~-eiYl 15~ • MULTI-FAMILY BLDG _Y ?N 0(1 y` 4~~~0 R~o~~ o~,Z~SOS FIREPLACE(S) f_ 1_ 2 APPLICANT ~ L STREET ADDRESS "1 ~ G~ u~~.. CITY ~~a.A9%~ STATE ZIP Eo S ~ c1 a TELEPHONE # ~g'S~~ ~~''64~9 CELL PHONE # FAX # ~9 S~J ~$"g`6''fb PROPERTYOWNER /~~GU~~~ K~R.SL,etl~s TELEPHONE# C6I~~~Q ol$qfr' COMPLETE THIS SECTION FOR ~NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ ~{I~NLSO'!'A KULI:S 7fi70 CA"I~I:GORY 1 ~IIVNESOT:11tULL'S 7Ei72 (d submission type) • Residential Ventilation Category 1 Worksheet Submitted • Ne y Lqd~N~rkS~i e[t~ tted • Energy Envelope Calculations Submitted D ~ U~S ,~u~ 3 0 2002 Pl~mbing Contractor: Plionc # _ PlumUing syslan includcs: Water Soflener _ Ia~~i Sprinkler gy~~ ~Vatcr Hcatcr _ l~Io. of RI. 13aths No. of liallis Mechanical Contractor: Phone # Nlcch.mic.il syslcm includcs: Air Condilioniun rcc: $70.00 Hcal Rccoccry Systcm Sewer/Water Contractor: Phone # • ° • 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 Eag Ordinan Signaiure of Applicant 1"y 011~~~~ti'VIX~v 1 OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updaled 4/02 OFFICE USE ONLY . ? 01 Foundation ~ 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS O6-plex ? i 6 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? O9 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt • SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? O6 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 Occupancy 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 Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.L _ Air Tes[ _ Final Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ~.'~'t`k~'tY~dX~-~i ~i'4F;?-~'e9r1k8~~'mY~:'MYtk':<f't;;~~CY,SS~CUfP,C~'t~'S>Y>kY,C%YX„3;; ~ ~,.~7Y i)~ 4"f~.~'iA~ ~'qS~':C~FC~ Ju Y~T;NI~A'_ N~. '.~;3 ~AT~. !;:3/^4?`~i '?:N'", i~-.:Y?~.`:0 Tn;; ~~r-.•~~:::, r,~~sEC,c~ tc zrasrr,~aN3 :#"r_'i~J 9f.J0_ 4910 k~l.IST!'?V ^?t `1.!3`a 21:i`,' '3tJ~]i 4310 ~;U37~`Ai f;L~ ^,SC) f~b _ , ) 7~.i;'_.. IiFPim"..~i''r, (1~1r:'.!ili'~; ~ . ...~',J:.I t'.~. _-~n~oA ~ "_it l:L: _~r~+ ~ - < . ')X~n~ • v..~n"~!v'~ . ...r&'n b , w~ t.:~:':Y~ 5 Y ~Y:.::t ".t ~ : PERMIT CI~Y OF EAGAN PERMIT TYPE: ~ 3830 Pilot Knob Road B U z L D I N G Eagan, Minnesota 55122-1897 Permit Number: 029553 (612) 681-4675 Date Issued: 0 3/ 0 4/ 9 7 SITE ADDRESS: 4910 RUSTEN RD LOT: 28 BLOCKa 2 CEDAR HEIGHTS P.I.N.: 10-16725-280-02 DESCRIPTION: 6ui1#inc~`-P.ermit Type BASEMEN7 FINISH 1Buxldxr~~ Wa~k~ Type ALTERATION ,',Certsus Cbde 'L„ 434,A1T. RESIDENTIAL t` ` ~ s ~ ~.w~..:,,_ " 4l,:,, ~ (~'.%x~ ~ ~ t r Y ~F ~~j ~j~ ' ~ ~ -t t {l~s ~t~' ~~.~}k' r~~i~~. j lf 1~~(~ i~~' ` ~ I_{I"- 't~ , . REMARKS: SEPARATE PERMITS ARE RE4UIRED FOR PLUMBING S ELECTRICAL WORK FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 ~ CONTRACTOR: OWNER: - Applicant - zasrROw c~ar~ ' 4910 RUS7EN RD EAGAN MN 55122 (612)707--8347 I heraby acknowledge ~hat T have read this appl,ication and st:ate triat the infiormation is correct arid ag:ree to Cnmply with all epplicable State of Mn. 5tatu s and City of Eagan.Ordinances. ~ ~ _ ~ ~ ` 1,-? ~rx~n R~~r~l m~ ~ APPLIGANT/PERMI SIGNATURE ISSUED : I NATU E ~0~~_~ ~ $~'o. sv 997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~ CITY OF EAGAN 3/3 ~~~-0~' 8830 PILOT KNOB RD - 55122 681~675 bew Construction Reauirements RemodaVReoair ReauiremeMs ? 3 registered ske surveys • 2 copies of plan ? 2 copies of plans (indude beam S window sizea; pouretl fid. design; etc.) s e auneys (exterior addkbna & dedcs) ? 1 energy calwlations ? 1 energy ealalations 1or heate0 additlons ? 3 copies of tree preservatlon plan if bt plet[ed aRer 711/93 requircd: _Yes _ No ' DATE: Z1ZSIG1 CONSTRUCTIONCOST: ~ 2•~-~ DESCRIPTION OF WORK: v'~~~ N r ~~'+'~in ~ IP 'tY7C' f. HU~}~ f i STREET ADDRESS: ~q I C~ ~ iSi~ v~ ~i~-r~ ~ LOT ~ BLOCK o2- SUBD./P.I.D. / PROPERTY N8f112: ~~~il e 1dPC~ CJC~'iVt,J Phone ~b~' OWNER nr* Street Address: `~~10 ~s-hn ~nca~ City: ~ Ac~'AV~ State: ~ Zip: Ss~2Z CONTRACTOR ~~y; ~'rYyL~ Phone Street Address: License City: State: Zip: ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer & water licensed plumber (new construction only): ' . Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this appliCation and sfate that the iniortnadon is cortect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant.J~ ~'~'r~ OFFICE USE ONLY RECEIVED Certificates of Survey Received _ Yes _ No FEH 2 5 1997 Tree Preservation Plan Received _ Yes _ No _ Not Required BY:~ r n . •tl~ . OFFICE USE S~NLY ' : ~ BUILDING PERMIT TYPE 1 ? 01 Foundation ? O6 Duplex o 11 Apt./Lodging ~ 16 Basement Finish a 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool 0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex o 15 Deck WORK TYPE 0 31 New ~ 33 Alterations o 36 Move ? 32 Addftion ? 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MClWS System ~ (Allowable) Main level sq. ft. City Water / UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. 3 Depth Footprint sq. ft. SAC Code r~ I Census Bldg 1 Census Unit n APPROVALS . . Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge • P~an Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S/W Surcharge ' Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units ~ ` . BL ~ CITY USE ONLY RECEIPT ~~15~ SUBD. DATE: 1995 MECHANICAL 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 pertnits are required for each unit New construction Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: FFFC ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU ~Z 5,00o C3T~{ 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 TOTAL 3~ • SITE ADDRESS:~9/n 2u S~e~, Y"~c Q. OWNER NAME: ~v ~a~„Q I~o ~ PHONE INSTALLER NAME: K~~+~i^'~ 4' A c~ STREET ADDRESS:~~ ~L~ ~~~y e~ IC4 AU ~U CITY: ~r~~~ ~ ~k. STATE:~_ ZIP: ~SY2~, PHONE ( ) .~~i~5-Y3~i ~ • I ~ CITY USE ONLY L _ BL _ RECEIPT SUBD. DATE: 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)681-4675 Please compiete for: ? aii commercial/industrial buildings. ? muki-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 minimum fee pt 7°/a of contract price, whichever is greater. ~ Processed piping - $25.00 ~ State surcharge of $.50 per $1,000 of permjt fee due on all pertnits. CONTRACT PRICE x 1 % PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: ~U c~evr k~l~ . OWNER NAME: _ eC~v/avr n-~e TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: ~~n'~ STATE: ZIP• PHONE SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR , ~ ' CITY USE ONLY L O~~ BL ~ RECEIPT SUBD. DATE: ~02~ 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 383D PILOT KNOB RD EAGAN, MN 55122 (612) 681 ~L675 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 3 Bath Tub 3.00 x Z = 6- Lavatory 3.00 x 5 = i3 = Kitchen Sink 3.00 x ~ = 3' Laundry Tray 3.00 x ~ = 3' Hot Tub/Spa 3.00 x = Water Heater 3.00 x = 3- Floor Drain 3.00 x I = 3- Gas Piping Out(et " minimum - 1 3.00 x '1 = 3- Rough Openings 1.50 x 3 Water Softener 5.00 x = Private Disposal ' Dakota Cty. license 20.00 = U.G. Sprinkler ` home under const. 3.00 = Alterations " to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: ~ g~~~ ~p~ OWNER NAME: ~'y ~ INSTALLER NAME: ~~~~iu~ STREET ADDRESS: W~~~~~ CITY: 1~. ~e'~' STATE: ZIP: 5~73 ~ PHONE ( ) ~~"~3~ ? OFFICE U5E ONLY L _ BL _ RECEIPT SUBD. DATE• 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681 ~675 Please complete for. ~ all commerciaVindustrial buildings. • multi-family buildings when separate permits are p~S required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: _ NEW CONSTRtJCTION _ ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ 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 ~NSTALLING 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% ot contract price, whichever is greater. State surcharge of $.50 per $1,D00 of permit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: C~T~'~ STATE: ZIP: PHONE SIGNATURE: - APPLICANT OFFICE USE ONLY METER SIZE: DATE: INSPECTOR: PERMIT ~ 2 s f y 3 ~ ~ITY OF EAGAN 3830PilotKnobRoad PERMITTYPE: aui~orH~ Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 8 S 8 (612) 681-4675 Date Issued: 12 / 2 9/ 95 SITE ADDRESS: 4910 RUSTEN RO LOT: 28 BLOCK: 2 CEDAR HEIGH7S P.I.N.: 10-16725-280-02 DESCRIPTION: Building-_Permit Type SF pWG Building Wo,rk Type NEW UBC Occupancy~ R-3 U-1 C4rt~sCructio~ Ty;p~e V-N Zonittg - R-1 r Building Length 60 euilding W'idth 37 Building stories 2 ~S9y;~-re ~eet~ " 1,781 Census.rC:ode~ 0101 1- FAM. DETACH , „ s - - - - ~ t`'.. - ~ , _ `L - t REMARKS: 5& W PLBR - STAR PLBG FEE SUMMARY: VALUATION $156,000 Base Fee $1,167.25 MISCELLANEOUS $1,892.50 Plan Review $408.54 COPIES $4.00 Surcharge $78.00 Total Fee $4.400•Z9 SAC $850.00 SAC ~ 100 SAC Units 1 SubtoCal $2,503.T9 CONTRACTOR: - nppl~cant - s7. ~IC OWNER: RYLANp HOMES 18546363 2003544 RYLAND HOMES 900 E 79TH 5T 101 900 E 79TH ST W BLOOMINGTON MN 55420 BLOOMINGTON MN 55420 (612) 854-6369 (612)854-6363 I hereby acknowled'ge that T have read this application and state thaC Che infiormation is correct and agree to comply with ali applicable Sta~e of Mn. Statutes and City af Eagan Ordinarrces. ~ ~ ~~Z APPLICANT/PERMITEE SIGNATURE ISSUE B: SIGNATURE INSPECTION RECORD CITY OF EAGAN PERMITTYPE: aur~orN~ 3830 Pilot Knob Road Permit Number: 026888 Eagan, M innesota 55122-1897 Date Issued: 12 / 2 9/ 9 5 (612)68t-4675 SITEADDRESS: P'I•N.: le-i6~zs-zae-e2 APPLICANT: LOT: 28 BLOCK: 2 4910 RU3TEN RD RYLRNO HOMES CEDAR HEIGHTS (612) 854-6363 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW • . FOOTIN~S FOUNDATION FRAMING ROOFING INSULATZON FIREPLRCE ROUGH IN PLBG ROUGH IN HTG FINAL PLB6 FINAL REMARKS: S& W PLBR - STAR PLBG ~ _ _ L _ J i CITY OF EAGAN II rr 3830 PILOT KNOB RD - 55122 ~ 7, 'f o n~'~ 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 ~--Q~Orl~ f~,' ~~v. New ConsWation Reauirementa RemodeVReoair ReauiremeMS ~~~,A /Z ~ 4 ? 3 iegisteied 8i[e surveys ? 2 topies of plen ? 2 mpies of plans (u~duGa beam & window aaes; pourod fid. design; etc.) ? 2 site surveys (exterior addkions & decks) ? 7 energy calalations ? 1 eneigy plwlaUOna for heated addftione ? 9 tapbs ot hce P~nation plan ff lot plaCed eRer 7l1J93 ~eqWred: _ Yes _ Na DATE: ~~~ry S CONSTRUCTION COST: Uv~ DESCRIPTION OF WORK: S•'^~ F`~`~ 1y STREET ADDRESS: ~g~~ YLUS k" ~Ur-~ LOT ZK BLOCK 2 SUBD./P.I.D. ~t~~~`~ PROPERTY Name: ~'9/~""'~ PhOn2 OWNER "°T rwa~ ' Street Address• City: State: Zip: CONTRACTOR Company: ~ ~~-~-1 Phone 8~6363 StreetAddress: 900 _G, 79 S~•LlJ• License#~ z~3s`~`~-~ City: ~'J~ou~^~~ ~ State: M~- Zip• S~Y2o ARCHITECT/ Company: ~yl~---~ Phone ENGINEER ~ Name: Registration Street Address~ City: State: Zip: Sewer & water licensed plumber. r~l~ h~G. Penalty 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 rrect and,9grce t~ wfth all applicable State of Minnesofa Statutes and City of Eagan Ordinances. 1 Signature of Applicant: . / OFFICE USE ONLY Certificates of Survey Received _ Yes ~o p E ~ ~ y ~gg5 . Tree Preservation Plan Received _ Yes _ No OFFICE USE ONLY .e~., .y~. BUILDING PERMIT TYPE ~ ~ ~ n 01 Foundation o 06 Duplex o 11 Apt./Lodging o 16 Basement Finish ~02 SF Dweiling o 07 4-piex o 12 Mutti Repair/Rem. 0 17 Swim Pool 0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory o 20 Public Facility 0 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous 0 05 SF Misc. a 10 = plex ? 15 Deck WORK TYPE ~r`31 New o 33 Akerations o 36 Move 0 32 Addition o 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) ~ ti Basement sq. ft. ~ oCPS MC/WS System a~ (Allowable) Main level sq. ft. ~3 City Water Gl UBC Occupancy 3 C i 2~ sq. ft. i z~3 Fire Sprinklered Zoning .~e-/ sq. ft. PRV # of Stories 2 4b:~r sq. ft. Booster Pump Length 2 sq. ft. Census Code. /p/ Depth ~ 7 Footprint sq. ft. SAC Code ~i d ~ Census Bldg i ~Sr°e ~l~ Census Unit i APPROVALS ~,~iZ' Planning Building Engineering Variance ~f Permit Fee Valuation: $ , o0 0 Surcharge Plan Review License /S'33 x = 73~ ~s""T MCNVS SAC ~ s~- City SAC /o- ~7 n Z8. S= 3°`~ o~3 Water Conn. z,a>x ~ ` ~z. 6~x~.~r~ = ~i~) Water Meter z x iZ. s = Z~ _ Acct. Deposit 5,~= / Glo_ ~ S/W Pertnft ~i D~ 3 x /~s ~ 9 7S 5/W Surcharge j f~~ y~y~ Treatment PI. ~ / Road Unit Z - G'/L~ Park Ded. - - z Trails Ded. Z6 / ~ Z~. ~ox ~p ~ . S Olher 2-x ~2'r lC,~ . fy' Copies ~.m~ / y~3 X rr`~" z° x< z z~----- Total: / G ~n 6~ x ° ~ ~ ~p~(pfi~ %SAC ~tc~~ SAC Units " ~ 1~~ Z vo J - - - - - i ~ ~AG ' o~ 7~ ~ ~ ~ P L 0 T P L A N PROPOSED m FOR RYLAND HOMES • 1N(S !S NOT A 80UVDARY SURVfY ' DATE I9s cRnoes ~~ezar cernrr nat n+i: xm n.w vAS va~ia~ er ~ I RON MOMIMENT 'f9 5 9 W m uoe~ w oixFCr sirernsia .~uT nus vuw easccnr f(URTH SURVEYING, INC.~qR, B£ARINGS ARE PER PLAT QRRAOE AAB - Q wovs n~ n~r~tee+r oF vuROS~ euic ne ~vo SP IKE SET 9Tb ~ d lEIIEQI DEfCRIB~ 1 I NI A q1~ LIC /002 JEFFERSON ST. N.E. .~q~ V,~ ~ ST INO ELEVAT I ON TOP OF BLOCK • pxvEraa uoe~ v nf ATE Of YIN COLUABIA HEIGFiiS. IXJ. SSi2t pROPUSEO ELEV, e~sa~Errt Ftoon • 6' (8171 7G 9~78B~FAX !BI]1 7l8-7607 DRAINAGE ARR011 al2 1• ~.OOKDCIT WftJD7^t MINNESOTA LICEN . tco ~ 5 3 ~~-p, p~ 1 al~ 0 20 o ~ ~ a'Oy ~ 1 ~`4i j ~q~~~/ ~ SCALE IN FEET „ ~v ~ Vr ~ N 87'34'37'IJ l68.26 ~ ~ ^ ~ o ~ __n : ~ -N ~~8 ~ - ~ ~ , U . / q ~ g i~ Z • V~ : f l.. 4, kJ q ~C6~ / ~ o ~ fp ~ ~ + ~ 4 ~ 4 l ~ f ~ / ~ / ~7 N 3 I S~ 4639y 1 ; I V' ~ ~ ~ ~ ~ - j o `'~.5, ~ 'i ~ c=-1 ~ p ~ ' / aq Y ~ Q N ~ Z ~ Q l~r~ p 9~ Q J W \ ^ ~ L, ~ ~ N Q~ ry ~C : J < nl ~ _ ~ :i _ (i~ ~ 7 ~ ,.y ~r _ :+a } a O ~ ~J f : 9 ~V~ ~ ~ ~r; Q? ~ o 3 ~ o; w ~ E'-'- ~ ~y a t~J ~ : m W z ° ~.3°~ ~ ~ N' ~ : ~ r J ~ . F- S~ O j~ y d f~ > 7 ~ ~ r ~ r a N > W ~ , Q ~s.S a~ ? ~ m c~ ° ~ ~ ~ ~ ~ r`J ~ ~ I J ~ ° . ~ - _ 975, a) m ~ r LD _ _ _ i ~ ~ ~ 2 C- ~ ~ +y7c~. ~ o : j - -1~ ~ y / ~ o RU`?TET~ ~9~7~r3~ [~.cc.~~O ~ ` ~ p _ ~ o r„ . ~ ~ ~ ~ y'y"i; ~ ~9 ~'y. ~ ~ _ d~ LOT 28, BLOCK 2, NV89EiE~.e~~e ~ ry.~ A ~ CEDAR HEI GHTS, S 8p~z5'~a-E DAKOTA C0. , MN. ''3~8, q93A~ N 993 ~ _ 6CN[vA °q" - 3 }faN.~- o ~ LOT SURVEY CHECKLIST FOR RESIOENTIAL • ~ ~ 0 BUILDING PERMIT APPLICATION K > PROPERTYLEGAL: ~ Z W w u a a„", DATE OF SURVEY: a m ~ y LATEST REVISION: o ~ 4 iG i . DOCUMENT STANDARDS ~ ~ • Registared Land Surveyor sipnature and company ~ ? • Buildi~gPermitApplicant ~ 0 • Legal descriptlon ~ ~ • Address i9' o O • North artow and scale ~ • House typa (rambler, walkout, spltt wlo, splft entry, lookout, etc.) O/ o O • Dtrecdonel drafnege artows with slopelyradlant % ~p ~ • Proposedlebstlng sewer and vrater services S invert elevatlon m/~' ? • . Street neme _ I~ ? O • ' Driveway ELEVATIONS , Earistlna ~y- S7 ~ • Sewer service 0% ~ • Properly comers o~ g ~ • Top of curb at tfia driveway o~o ? • Elavatlons of any ebstlng adjacent homes ro F~' ~ ? • Garege flaor g a • F'ust noor ~/p O • Lowestexposed elevatlon(walkouUwindow) ha~ O • Properly comars ~Y ~ o • Front and rear of home at the foundatlon PONOING AREA fif aoolicable) o ~ O • Easement Ilne ~ ? ~~O e NWL • ? ~O • }~yyL ~ ~ . ~ ? ~SY • Pond # desipnatlon ? m~ ~ • Emergency Ovarflow Elavatlon DIMENSIONS ~p O • Lot IineslBeaAngs 3 dimensions a~ ? O • Right-oi-way and street width (to back o! curb) q~ o • Proposed home dimenslana fncludinp any proposed decks, overhanfls preater then 2', porches, etc. (l.e. all structures requirinp pertnanant fooCnps) ~ • Show all easemenLS of racord and any C'ity udliGes within those aasements ~~o O • Setbacks of proposed structure and sideyard satback of adJacant eristlng sWctures O F]~O • Retaining wall requfremenls, I ' Reviawed: ~ Z ~ Na f Oate July 1995 . . ' . , . , ~ . I ~ ~ . . . _ . . . ~ s~ ~ . .:tY_ x' .ti4 ~ ,e _ 'i eK` t~~. ~a r:!' a.J t( . S~ i i mJ tl'~ 'dVF~, , t+` ig ~'~i.~,~ 1 { .a • ~r ~ ~s Y . ~ . pQ 4 . * W~S~+oa/ ~ + N~~' f~! ~ y..~ 952.9 ~ ~ F • ~ ~ ~~a~~ 962.5 ~ ~ r . s ~ ~ yyYE=0+52 " ° ° y~` ~ 8 ~ ~ . , ~,t MH-2 ~ 7 , ; . : ec~ ~ x- ' 30 1 WYE=~+95 ~ ~ , , ' ~ ~ : ~ ~ ' 9rJa.3 „ ' x + q~ r, ~ ~ x: 968.5 , :i~ ~ 4 ~'f.~ ~ „ , " yryE~1t33 , ~ . ~ ~ ~ ~`v ~ ! ~ ' ~ . ~ ~ \ = a, l~ ~ ~ % G . ~ ~ ~ , ~ , ~~i,;w~ y 963.9 s. 11,:1/4. BEND, a'~ ~ ' ~ , t S ~ , ^Q w~~fi ~ l~ ~ ~s0~'W . . . ' K '~~8~." lrf ~~i~1 ~ / \ . . ' . . ~ / ' a' } • i ..,Fi 's . SE ~~~~J 35 , 2 g ~ ~ ~`k ~ ~ ~~~x ~T ~ ~ 1 Jw~' . . ' / ' r ,~L X ~ F 969.5 ~ , ,~g i, ^ ` ~ . i,,t ~e~"~"{t4 ~ ~ o-;1Hf ~ ~ J ki~ - ~i a.a3`~ .M. ,p~ ~.yi. / ~ "y~.~p~j~' ~ ~ y~~a +89 y ' ; ~ ~ . . 'f • ~ ' 4 ri' ,~.f 1'3.3~~ ' i ~ ~ ' w' : > s , ~~sN, ~ sN ~ ' r . ~i ~ / . 7 k . ; ~ti.~"e~Y Y t ' r 7'~ 1~ ~ tti j 1.1P~ r~ ~ ~ ~~~;,F;4~~~~ ~ g73.7 2 ~'~f ~ C~ '~~+a~ ~'v~{~~~;it l~~~r c.~~'i,` . f fs ~ t{ IY Ptiir'~ ~ ~ ± ~ ; HYDRANT i ~ , ~ ,1 LEt~~~T4,~O~?S: ^Tl'(~ rs ' ` ~ ; ytyEet+69 '-6" DIP ~ ~ f`t..~, t, „ POSEa'~ r.~.> .;.r r ' t 1 1 /4' BEND 6"~" TEE Q 979.7 ~ ~ ! , s ~ ~i"i 10%: PU~ ~M~„~~,, ; ~ r`~ ' 6'- ~ uit~~ } ~ GROUW~ EL. ~ ( t ~ _ ` ~ ~.N~.'il~~~ tt ~w p~ ~ x~ 26 E~~ P,: r~ ~,~~~a~.~ , $ . ~ . „Y. ,l rv y- r p ' , e i = , ~ . i tr.k . ' . 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'+e i~; ~ ,e T:j'~ a ~ ~ t ` . . _ .J,. + ~ . . . 4 , . , , ~ - ' . ~ . . . ~ ~ 4_ r s . ~ . . sy# STA'..s+00 - F.;~. ' ~ . . . e 't~ ~ L. . . . t_ , pE' a 981.6 . . : . ~ ~G .S .a`.8 . ~ . kr , ~ " ,..~,ti; ~ S . . E N : Q : 969. 1 . , . .w . . . _ , ' 2~ 8 Ta;3+25 ' P . = 969: ~ ~ . . . . . E .g .~:.958. 0. . . . . . . . E N :958. 0: . . . . . . - _ A::1:+23 . . . . . . , = 95$:9 S = 946. 0 . . . : E : W : ~ . 946. 0 20'= " :DIP CL 5. ~ .0.40X : . i-- 4 - ~ DEVEIOPER LYELOPMENT CO. CEDAR MEI~HTg $iN METRO 8L4D. SUITE 140 EAGAN. AAN. CO EDINA, MN 55439 1 -49 1 p1Y PRO~ECT / 9S-D - + CJ~30 M=C 3z COMPLIAD7CE • Builder RYLAND FiOXES Submitted By P..H. TRACEY Model G3fcVA ' LCW E GLASS Date 5/3/95 Lot/Plan/?,dc'ress Degree Day Base 8000 Minneapolis T•~pe Single Fsnily House Volume 41400 Filename GENfi'VA Control No. 5796 -------~----------~----P-----i---~-Y-- Uo lotals Pro osed Re i_ed Com onent Axea Uo Total Uo Total Walls 3039 .105 320 .110 334 Ceilir.g6 1336 .026 34 .026 35 Floors 235 .04'1 11 .040 9 " " r^loora (O~en) 24 .035 1 .026 1 B6mt Wdll(U) `1246__Ob0__100___091_-114 - Thia House Quaiifies with Total ^otal I S6~ ~ i 493 U-Value Calculations SpecifiCdtions Uo Calcuiatione - ~ WalJ.s Size O.C. ~Insul. Sheat. Component Area U-Val Total A Frame 5.5 16 19 2.06 Frame Wall A 1916 .052 100. B Fracne 5.5 16 ~ 19 2.06 Frame Wall B C Frame-Gar. 3.5 lfi 13 .45 Frame-Gar.C 297 .082 24.3 D Masonary B N/A 11 N/A Masoaary D * .080 Nasonary N/A N/A Masonary E w 3 R=ng ~TOist 15 24 13 3.0 Ring Joist 351 .059 20.9 Window A 422 .38 160. Doors Panel Glass S.C. Window B I A Metal .19 .62 .86 hiindow C B Wood .46 .62 .88 Door A-~anel 40' .19 8.74 C Other poor A-Glass 7 .52 4.'s4 Door B-Panel i Ceilings O.C Ineul. 5heat. Door B-Glase A W/At:.iC 24 38 N/A Door C-Panei B No Attic 1G 19 E3 Door C-Glass ' C Other Totals 3039 319.6 Uoa(Ut/At) .105 Floore O.C. IZneul. Cover A Non Cond. 16 , 14 1.23 Ceiling A 1336 .025 34.0 B Overhang 16 30 1.23 Ceiling 8 C Other N/A 5 Ceiling C Skyioht A Windows U-Vs.l 5.C. Skylight 8 A Alum i..B. .38 .88 Skylight C 8 Wood .52 .68 Totals - 1336 34.1 C Vinyl/FG .48 .88 Uo~Ut/At .026, ------y-~g---~-- - Sk. li hts U-val S.C. * Bassrnent walls > 50~ below grade A Standard .6G .88 B High Perf. .32 .5 NOTICE: Users of thie software are responsible _C__Other_ for the specifications and dimensional data. used to generate this repcrt. The developers of FiVAC Equip Rating the software are in no way reeponsible for the Ga$ pFUg ,7g misrepesentation of any building due to errore, HP ~SPF 6.8 omissione, or any other misuse of the software. ACJHP S$ER 10 L00/c'06'd NN1W Ol NOI~J32i 153'1QIW CNC'11,21 W021~ LZ:~i 566'[-90-N'lI' Page 2 of 3 Builder RYLAND HOMES Submitted By R.H. TRACEY Model GEN£VA B LOW E GLASS ~egree Da Base 80009Ninneapolis ?,ot /81an/Addx ess ~,Pe Single Family kouae Volume 414D0 ?ilename GENEVA Control No. 5796 ~ ~ ~ ~ ~ ~ ~ ~ 6 C v ~ ~ ~ ~ ~ ~SV v Y a _ _ _ _ _ C ~ _ _ _ _ _ _ tp s R s i ! C ~II 6 6 ~ Dimenaiona Walle ~ Frame A ~ Frame B ~ ~Gar.Com.C~ ~ Dfason.D Nason.E Easement 8emt. 315 Above Gr 624 lst Floor 1125 lst Floor Below Gr 624 2nd Floor 1248 Crawl. 3rd Floor Misc. Misc• Misc. MiSC. IMisc. Ring Area 351 . ~ - Windcws ~ ~ Aluminum 422 I I ~ I ~ Wood I Vinyl/FG -------------_-----------_----P-~--=----- Dooz's {G-Glasa Area O=O a e 4rea) Metal G 7 O 28 18 tVood G 0 Other G 0 ~ Ceilinga ~ Wi~336ttic I No Attic Other ~ Std.Skylites fP Skylites I ~ Other Floors ~ Non Cond. ~ Overhang I Slab 235 ~ 24 windows Qty. Description Qty. Description Qty. Deseripticn 1 5412 1 3860 5 3260 11 3250 1 3060 4 3030 2 2640 1 2812 1 6080 GLASS DOOR Doors `Qty.l Description Qty. Descriptio:~ IQty.l Deacription I ~ 1 GAR. A'ALL DOOR I 1 fENTRY W/DBL SDLITE =ooananvn==ea~eoamaee--ooca~e=~c=smoasam¢ecsaa~~n=¢s==s=aa~av~vz==aacc==5az====a L00iE00'd NNIW Ol NOl'J32i 1S3M0[W aNtlU.~! WO'J~ 82~£T S55S-90-N1f . •~~uJ.:i~...•~J.J.J.~r .i.J. .i...~.. i.~.i ~ . . •i.. .~i..i . . . . . .1~ . . r.I..~,~ ~...t r.~i.l': ~ . . . ~ ~ . . ~-.~~~~i~.~.i...... J ' .`~.~'~L~:~1 . PiM1" ~ ~ .y..1... . . I . . . ~ ~ r ~A~~..~.~' ~~n~~ti`I..i'-~~A'Y'('~~/i' ! ..i - . ~ .iR...4 ~:r.~. r~ r,.,,-.r.)''~. "~,;_I ,'~~rir''~'' '~;:II .,~.,[)`l "I!.'-- ^t't_r; eic):i.Cl tl_IS;.i ~ _ "iC~ •~s.^(.1 'i`~;7~. ~:~'?1_rl !:~~~<~T~~,,i r.+r~ rl ~,[1 ~ r, .:.~i "ip~:.,.;5';'• "'~F ,yi,r~, n...~... v-~.i f~n . . i;:.,,i..,..b. i.i.~J. .~.f'.~~ pi...`r•`r , . . . . , , PERMIT ,~IT~ OF EAGAN PERMIT TYPE: 830 Pilot Knob Road B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 3 9 0 (612) 681-4675 Date Issued: 0 6 J 3 0 J 9 8 SITE ADDRESS: 4910 RUSTEN R~ LOT: 28 BLOCK: 2 CEDAR HEIGH7S P.I.N.: 10-16725-280-02 DESCRIPTION: B~ilding~~Permit Type ~ECK ~uilc~~ing Wq,rk 7ype NEW J~ Gensus Code 434 ALT. RESIOENTIAL _ i , i~, _°,7n- _ it~ __,i4,, v~..\, ` ' y < i 1~,, ; 3~~ i i ~ ~ : . _ _ . _ _ u. e ~ ~ REMARKS: PLAN RVIEWED BY BIIL ADAMS FEE SUMMARY: Base Fee $50.00 MISC FEES ~.50 Surcharge $.50 Total Fee $51.00 Subtotal $50.50 CONTRACTOR: OWNER: - Applicant = KASHEVATSKSV MIKHAIL ~ A910 RUSTEN RD EAGAN MN 55122 I { (612)890-1832 ~ S hereby acknowledge that I have read this application and sCats thaC the information is carrect and agree to comply with all applicable State of Mn. 5tatutes and City of Eagan Ordznances_ ~L J cu.r ~ APPLICAN RMITEE SIGNATURE ISSUED BY: SIGNA URE ; 0199~ UILDING PERMIT APPLICATION (RESIDENTIAL) ~ ~ ? CITY OF EAGAN ~ 3830 PII.OT KNOB RD - 65122 681-4676 2~ New Construction Reauirements RemodeVReoair Reouirements ? 3 registered site swveys ? 2 copies of plan , ? 2 copies of plans (inGude beam 6 window saes; poured fid. Eesign; etc.) ? 2 sfte surveys (e#erior addkions 8 decks) ? 1 energy calculaUons • t enargy calculations tor heated additions ? 3 copies of tree preservation plen ff iot platted after 7lt/93 required: _ Yes _ No DATE: 6'~23-9L~ CONSTRUCTION COST; 20 C~ DESCRIPTION OF WORK: ~c~ STREETADDRESS: ~1~1`J Rt~S'}~h ~~R~n ~ Mi~ 5~~°L2 J.9'f; 6LOCK: 2 ./P.I.D. CJ~-eQ,C+-ti I~~-~--~V~o Name: K4S41e UQ~SK t' y i~~Q~ ~ Phone ~c~ O` Pg3'L PROPERTY F~~ OWNER StreetAddress: ~g~~ RL~S~h ~ ~ City ECK~~ n State: M~ Zip: `~512 `L Company: Phone CONTRACTOR Street Address: License # City State: Zip: ARCHIT'ECT/ ENGINEER Company: Phone Name: Registration StreM Address: City State: Zip: Sewer & water licensed plumber (new conshuction ony): . Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this applica8on and state that the infortnation is correct and agree to comply with all app~ipbl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ~r~~~~ OFPICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required 1 - OFFICE USE ONLY , ~ BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex O 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4plex ? 12 Multi RepaidRem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Firepiace ? 21 Miscellaneous ? 05 SF Misc. ? 10 _-plex 15 Deck WORK TYPE 31 New ? 33 Aiterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Aliowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zonin9 sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. ~-~1"z y Depth Footprint sq. ft. SAC Code _QL Census Bidg _L APPROVALS Census Unit ~ Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge ' Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies c~ ToWI: % SAC SAC Units J ~~`S`~ ~ RESIDENTIAL BUII.DING Permit Application City Of Eagan ~ 1~(p , a-S 3830 Pilot Knoh Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCiion Reaui2menfs RemodellReoair Reauirements Otfice Use OnN 3 registered site surveys showing sq. h of lot, sq. R M house; and all raofed areas 2 copies o( plan Cert of Survey Recd _ Y_ N (20% mauimum lot mverage allowed) 1 set of Ene~gy Calalatlons for heffied additions Tree Pres Plan ReW _ Y_ N 2 copies of plan showing beam 8 window sizes; poured found design, etc. 7 site survey for additlons & dedcs Tree Pres Reqd _ Y_ N lsetofEnergyCalcula6ons Addifion-iiMiceteifon-sitesepticsystem OnsiteSepticSystem _Y _N 3 copies of Tree Praservation Plan if lot plaHed after 711193 Rim Joist Defail Options selection sheet (61dgs with 3 or less uniLs Date ~ / _ / ' Construction Cost ~ i Site Address b R K S~~ w ~ t~' UnitlSte # P ~O ~'P~S e~,~-l- ` ( S Description ot Work ~ U 1 w G u -F-, Multi-Family Bldg _ Y L/1~ Fireplace(s) _ 0_ 1 _ 2 Property Owner VV 1 ~ c ~ ra -t ~ L~ ~ g ~-/-r c -~-~j S~ 1~ . Telephone # ~ 1 ~ ) ~`1 `1 " ~ ~ U ~ Contractor 1 120 V f ~`J ~^r ^'~7 ~ Address 3`7 ~ K~Cl u-) 1'Y. n*~ i~S (.v n a City C~1 c7 State ~'J'~ Zip ~n, ti . Telephone # ~,57 ) 5 ~ - ~ ~ ~ ~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventllation Category 1 Worksheet • New Energy Code Worksheet . (J submission lype) Submitted Submitted • Energy Envelope CalculaUons Su6mitted ~ Have you previously construcied a buiiding in Eagan with a similar plan2 _ Y _ N If so, 25% plan. review fee applies. Licensed Plumber Teleihone # ( ) Mechanical Contractor I' U 4~1 hone ) SEP26200 Sewer/Water Contractor ~el one ) ~ I hereby apply for a Residential Building Permit andyaclcnowCe ge at e 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. l n 1M ~ ~ ~ K-~~ ~ ApplicanYs Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Di 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 (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 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 81dg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nhr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinkiered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinallNo C.O. _ Footings (addition) _ Plumbing Foundadon HVAC Drain Tile Other Roof _ Ice & Water _ Fina] _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Smcco Stone _ Fueplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ 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 June 24, 2004 City of Eagan Scott Petexsan Here is the information you requested for 4910 Rusten Road if there is anything I can do, please call. David Sample Valley pools and spas o~c~r~ad~~ JUN 2 S 2004 By P I~ O T P L A N PROPOSEo FOR RYLAND HOMES iz(,2.. j95 GRADES ' TTiI S 1 S NOT A 80LNDRRY SYIRVEY ' DATE i tfnear carri rr nc~r n~i s xor vcx+ vxt vaeen~ ax uE r, o• t RON MOMJMENT ar ~ vr oiaECr swem~+w . r++~r n+ic v~.~v carccnx KUR7Ff S1IRVEYING. fNC_~ 91 BEARINGS ARE PER PLAT c~a~ce stne • 9~5• 9 ~"s ~ °LFC~ °F ~ °~0~ ~ ~O /007 JEFFERSON 5T. N.E. ,'Ab~ y • • SP IKE SET roP oF s~dcx • 9~6 • 4 ~xEU+oescpie~ r ~ w x uiruc CW.L~,i61,1 HEiGtiTS. !N. 55{7i ~ ~ ~'~tSTING E~EVA710N 6 ~ wneraa uae~ vs ~ ase oF w~ xr . ~ . . ~ [Bl7l 7G 91~69~fAX I61]1 ~ea-7BO2~ ( ~ ' PROPOSED ELEV:~~ eeseiExr r~oon - QRA I NACE ARR05f . ~opKDUT W ffJDOw! `~Z S' MINNESOTA LICEN . i~ t l 3 ~p~ Q~ f~'T~ 0 20 o ~ ~ aeY' 1 ~s`~A - ~ N ~ ~ SCALE IN FEET . - V ~1u Oy~/ N ~ N e~'34']7'4/ 168.26 . ~ ~ o ' _ u, ~ ~ ~ ~ ~ v Q~ o : ~ `i` l.._ O ,~~,~j \ ~~-g•~. _~,q6A<j / - / i o C ~ o ~ _ ~ c~„ .4 a ' r ~ ~ ~ (p ~ ~_r;! 2~ ~ L1, 7~ ~'o ~ ~ • ~ C~l ~ ~ /S~ .u+v. ~ ~ ~ ~ : ~ ~-~9 1 : r _ _ ~ ; (Y ~ o „~.s. r~ n- / Y~ l, p ~ ~ ( ~ N Q 'n ~ ~ f~ ~ ~J P r a ~ r ~ ~ ~ ' 9 ~ ~I ~ ~ ~ ~ , ~ p ~,7 ~ ~ J/t ~ ~h Q .~r J Z z ~ 3~ o`~ ,S - - ~ ' ~ r w F b 1-ti ,.y d ~ r ~ N ~ ° r',' Q ~s.s a~ ~ ~ - ~ ~ o G=, ~ ~ J ; ~ ~ ° ~ , ~ " 975. g) ~ ~ . ~ 1_ } Z~ ' C ~ Z o . ~ ~ . 1 Gj - ss~tL. t 0 : ~ ' e~~ _ - _ ~ ~~~~~'6a " . .Y / ~ t T$1~ ~ O I r AJSTEhI ROAb ~q~-r~,3) sir-c.~'.° =Z~ ~ ~ _ . ! / ~ ~ q'-y~: ~ ~97y. ! N n ~~T Z8, BL~L'K 2, 4SS89Fi~~l•6'i~-6 ~ z.\ ~ ~ A CEDAR HEI GHT S, S 8p 25 ~-°`E 143.8q u ' 3~' DAKOTA CO. , MN. q9~' 993 ~ ~~tcYa .,p~„ - 3 4tau- LI o P L O T P L A N PaoPOSeo FOR RYLAND HOMES cR~~es ' iTilS I S NOT A 80tNi)ARY SURVEY ' DATE ~2 ~ ~L ~9 S I lEA~'f C6iii FY TNT IHI S 0.0~ PLM1 YAS PF8i1R~ 9'~ IE ~ o• 1 RON ~ lAOtJIIMEkVT . c~~5. 9 m umtw oir~n sirerviriw . nui ixii tti+w ca~cnr KUR7H SURVEYING. INC_ / ~j BEARINGS ARE PER PLA7 c~a~cE stna - ~ 4sYi 1NE PLACfiBft OF A PA~POS~ BUIL ~ ifE L11O ( bR SP IKE SET - ~ roa ov a~orx - 9~6 I~REdiOESCRIB~ ~11 WAW.rLIC . 1002 JEFFERSON 57. N.E.~ ~,~(S71NG ELEVATION ~ parEraa ~rce~ vs nf tire oF ui COLUABfA HEIGtItS. 6N. 55171 ' 9 ~ . . . l6i2I 7ds-i768- FAX [6111 7ed-)602~ ( 1-• PROPOSFA ELEV.~ enseto+r t-iooa - r~~- F= DRAINACE ARR05! ~ppyp~T W~~.}DO~+~L 9Z 4~ G ta~ MINNESOTA LICEN . tco t t 3 ~ pi t~1~ 0 20 . . - O ~ ~ a~ ~ ~ . . . . - . . , V ~ ~ ~ SCAIE IN FEET . . . tO ~ N 87'34'37'U 168.25 ~ ~ ~ . i ~ ~ ' . ~ 1 O ~ - y T ~ , . N - J.~ . ~ ~ ~ ^ ~ ~ : l---- ~n ~c~ ~j~'=g' J , ~q6A~ ~ . ; _ - l O ~ . ' ~ U ~ . 4 ~ W i\, 9 •C. . ~ Q < _ ! - - - ~ . 4 0 , r ~ ' ~p ~ tv ~ L1` -'ya~ . / ~ ~ ~ ~S~ ~ v ~p~ y : . ~ %39 ~ . ' ~ ~ ~ J ~ ; ~ ~ o ~.a. 'i Q ~ ~ ~ / ~ r' z ~ ~ ~1 , . " . o o ~ . ~=.t P .n ~ ~ ~ ~ p ~ ~ i./ < h :r .J N 0 1~~ ~ _ - c?J~ f. ~ ~ r P ~ ~ : 9 ~ V r ~ C} ~ ~ / h o; J , . ~ p ~3 i~- ~ j~ ~ ~ Q ~ 1 0 W < ~ 3~a 2 ~ ~ ~ ~ f ~ ~ ~ r.l~ a _ < o ~ r ~ - j J ^ ~ ,s.s Q' ~ c, ~ ~ J ' ~ ° ~ _ ~-1 ~ ~ 975 8 ) ~ ~ ~ ~ - ~ ,p } zo ~ / ~ / ~ z ~ t~~~~~ ~ ~ ~ ~ - _ ' ' , ~'`~'''ba ` - ~ ~ ~ r ~IZV'~6 ~`JT~~ [V.F~v C~Lf,]., EIEG. ~ ~ '1 r p . CJ~ . / ~ . r Orv ,q~, ~ ` ~V n LOT 28, B~OCK 2, µv89Fi~-J.a~~e S ep. ~ r.~,. ~ ~f A , ~a- CEDAR HEI GHT S, ZS ~ E ~ q3. 'q93~~ ' DAKOTA C0. , MN. B' 993 •°l~ ~'`.NGYA .'.p~" - 3 sTa~?.~- s,I o . . - . . . \ i ~suapx ~re bAVID SAMPL~ ~ saies i, I ~ , (952) 894-1RSd Ext. 733 . ~ m~e v ~ ~ "The Way to Rel~ Sixce 1974" www.valleypools.com i_'__ . . . . . . _ 301 E;.Eliff Road - Burns5111e~:(952) 894-1,q80' ~ 9uFnsVdle MN 55337 AnAOVer (763) 57b0762, ~ . 7-800=671 7480 Brainertl.(218) 829 9004~. ~ax`:-~~,(952) 8944~4934. HuCson'(715) 387,-0111 ~~`FP~'' x.. . _ _ : 2004 RESIDENTIAL BUILDING PERNIIT APPLICA'I'ION C~~ 1 n~o ~ e _ ~ a City Of Eagan ' . . _ ~ cY 3830 Pilot Knob Road, Eagan MN 55122 r~ ~ ''~SS~ ~j Telephone # 651-675-5675 FAX # 651-675-5694 NewConsWctionRenuiremenla RemodeUFteoairReauiremenis ' Office-Us'e'Onl`Y 3 registered site surveys showi~ sq. fL of lot, sq. R of house; and all roofed areas 2 copies of plan Ce4 of Survey~ecd r_ Y= N (20% maximum lot cnverage allowed) 1 set o( Energy Calculations for heafed addNons Tree Pres ~Id~E{eo~ Y3~ n N. 2 copies of plan showing beam & wfndow saes; poured found design; etc. 1 sfte survey for addNons & decks TreePres Req1iired "~~Y ~`-N lsetofEneyyCalculations Add'Aion-irM'~cateNonsitesepficsystem OmSdeSeptic~~.$yStem ,~_~,,,,;;.~N 3 copies of Tree Preservatbn Plan'rf lot platted after 711193 Rim Joist Dehail Options selection sheet (bkigs wilh 3 or less units ~u,,~ ~n,, <3- I ~i - o Date ~ / d ~ nstruction Cost ~ Site Address ~{!s ?1 UniUSte # . ~z-~ ~'r~z Description of Work 6`GO4'c ~z JT Multi-Family Bldg _'Y Fireplace(s) _ 0 _ 1 _ 2 PropertyOwner i(,~~~'~~ ~~~a~~/9~~C`~ Telephone#(~~) ~/'~^i- . Contractor ~~P ` C~ a: Address d~ ~ C. F 2fl g" City . 7~~1~~~ - State ~ Zip 33 ~elephone # ( 4J~~`J `r~- / f~~' ~ `~ti a ~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Mianesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code CategOry . Residential Ventilation Category t Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted ~ Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. r ` Licensed Plumber n~ ~~n ~`~i~i Telephone j II - 1't MechanicalContractor ~~I15~ ~~',uR Z~~~ 1°JI Telephone#( ) 'ul1 Sewer/WaterContractor U~ _ Telephone#( ) gy ~ . ~ I hereby apply for a Residential Building Pernut and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City f Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, d work is not to start without a permit; that the work will be in accordance with the approved plan in the e of w k which requires a review and approval of plans. ~ C ~ App icanYs Printed ame Applicant's Signature OFFICE USE ONLY J Sub Types ' ? 01 Foundation ? 07 05-plex O 13 16-plex ~ 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garaga ? 22 PorchlAddn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? O6 04plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscel~aneous Work Types ~ 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Altera6on ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/DOOrs ? 34 Replacement `Demolition (Entire Bidg) - Give PCA handout to applicant Valuatlon ~l~ V Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinallNo C.O. _ Footings (addition) _ Plumbing Foundation ~AC Drain Tile Other Roof _ Ice & Water _ Final ~C Pool ~ Ftgs ~ AulGas Tests ~ Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fueplace _ R.I. _ Au Test _ Final _ Windows Insulation Retaining Wall Approved By: , Building Inspector Base Fee surcnarge C.• v ~ ~~t7L ~ Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Piant License Search Copies Other Total ~ \ S . ~ POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS ~ ~ GENERAL INFORMATION v ¢ o z a Applicant - name, address, phone & fax numbers, signature ~l ? ? Property owner nacne 1~ ? 0 L,egal descriprion a~ address of pmperty ~?-1$~ North arrow, scale (1" = 30' or 40') and date ~a~na~.aiws is s~4~k~k f+• ne s~4/~e~ Location and name of all streets adjacent to property s/~, ~.p~ Site Plan drawn to scale showing location of house, pool and other e~ or proposeci structures /ioeese de;.ienreays de+,'~ rtF/eetF C4r/wr~ ~lo4st ~ S~se? olEek~~ J~ Directionai drainage azrows (existing and proposed) (,eX, etrnswJ shew+~ do ne~' re+~'~ee+~ 4~~'aino>e Pq{fCrn~ a~i~ro.~i:e~le.. ELEVATIONS ~@X' ~S. P%ae1'.e~t Existina ? ? House corners 161 ? ? Properiy corners On pmperty lines at point of ineasured dimension to pool (see belowKi+~tf Ss/n~ If applicable, ground elevation at each end of retaining walls and at wall's greatest ight y ~-fn be ~en+e~ed Prooosed ~ ? ? Finished pool deck comers Top of retaining walls (if any) and at each different elevation (if it changes) d~ 3~ f'~~ Pool bottom (or max. depth) ~ t,t C4n ~ocai l~ f n P~Sew~-evti$-1 DIMENStONS Existin9 All property/lot lines scd~Q IAJe~"e~:,. Q~a~ lo'f /i:ae~tornor5 fm ,bt fit~e( v@ri ~F'i est , ,,~F,~,` Prooosed ~ ? Pool ~rr~issins~ Pool plus imegrated deck/pario ( No o[eut~ o., bac~c s;de e~' poe/?~ Shoctest distance from outside edge of pool deck to lot lines and house ~~~~~h9~ Reviewed: 3~ 3~ ~ Y - Name G:lI'ECH/JR 2002/Pool Permit C6ocklist ` . ~q PROPOi'cFp. ~r ~L. LOT L.+~2 r. ~ ' 3 CRA,bEB ~ c~ JQ2~ 1`iety• DATE'. f2. IL 95 ~ N .AND HOMES ~o P~` o. IRON 1AONllMENT p r nut na t a~ ? u N v a s r~ n~~ a r ~ ~ BEAR I NGS ARE RER PL1~L h j • cnn~aE st~a _ ~nrav~na.n+~tTMi~?uwcaa'nc ' ~ KURTH S U R V E Y I N C. 1 N C.~~~ 3, ~ c SPIKE SET ! ° p~ °F'~T~w~o~r~iic laot JEfFERSON S7. N.E. - , q~ ~ • ~ISTINO ECEYATION ~~1.0 ~OP_Oi e~oui • _ ri nE ere a COllM81A HEIpiTS. IN. .SS.('!i J• PROPOSEO EIEV. `F aetato+r ~ooa.. o ~ r6n~ 7G b.9~AX ~6~9~ lea-7ao2 p E AaROtl: . RAINAC -~b~KDUT WfNDWd 0 x-Z~ LICfTJ \ . iL ~ ~ 3 ^p, A~ . ~ Q,~ 5~~, `~y a ~ ~ r ~ r a~.,?l~ / QJI~~I'~/~ ~ \sW ~ . SCALE iN FEET ` ~ ~V~E:. . - ~ -p ~ ~ . ~ . j~.~:J~ S . ~.>1` g(i/, r. `'N N 87'34'.31'N 168.26... 3 QC3 (9 , ~ 995 ~ ~ ~ v ~ l _ 2 _ 5 _ ~ ~ .3~~G.,~~.-t~92~, ,o - : i. . ~ _ _ _ _ _u, _ ` ~ ~o,~~ ne('+~ ~i.: ~ ~ ,n ~1T~e.n ~ qe' o ! ~l: , 4.. W o ~ ~ 5 i pa.,ti>.n~sfc 0 < - ~'S 4• 4 l° i f ~:,~~r~e~k ~ (D ~ ~ ~ 2~ 3~v' ~•aa / c~ 1 ~;b~.3S. :.I ~ ~ r ~ ° w Y . ~ / ~ ~ ~ ~ _ /S'~ ,HV.~ ,~rer.ec ~ 9e~.v :1 _ ~ . 1 ;ti,y!, iFi+-p....Lo-c l ,'y p'~ ' ~ J~. ' : ~ ~ ~ . I ~ ~ ~ o O?.,7 ~ . . . . ~i`T"A~~~..kK-~ o` o 'r :.P Z . 1?Ji~ ,j y y `l~'~' :w n i,: i i' S~~.d' h ~I ~J N Q .~D ~F e ~ J' p.. f~:~ ' e. F.. ~ :I - ~ 7 , ~ ~ ~ J : p ~ U f , 1 A ~ ~ ~ ~ ~ . l~ ~ ~ ~ I~ ~`J' ~ .t-~rj c ia.!R' C.. . r - . . ( ~ ~ ~ ~ ~ 1~ 9 .r ~7 :5. 1 : ~ t r 3 p ~ ~ ~ / ~ : P~-£t~w~ra ( /Y ,t 0 J-.. ~ 9J8. o ~ o J ~ ~ ~ " . ,U~ ; ; / ' z Z _ ~~:3~ ~ Q F~- b ~ • . ~ ; N. J ^ J,%'' ~ ~ ~ ~ v. ` 2 ~ . ' ~ ~ ° ~ ~ ~c.,i; " ~ 9i5 e) i,' A `;_s; vr~, . : F . Lo ~ . ~ z L.~ ~+~s~~ ~ ~ ~ . . - !1, 1// ~ ~~)SO 33.0 . I o a ~ S ~5Y6N Rr~~ ~9~43~ E~~. ~ t _ , ~ , . p ~v ~ ,9 ~ ~ ~ ~ CE j ~q ~ _ l. . r--. q C: !a' ~ 28, BLOCK 2, iD~ (i=~ ~`l 1, WSB s. eo•~5 ~ - I- r .R HEI GHT S; . 1~,,~~, ~ ~1 ~ . ~a-~ „s. e, S/LT = ~l; 9 ~ T- 93 1TA . C0: , MN.~:r _ - e93•~ f~iVCL ° - - . f..~ . . : : . . . ..y.:..Tn:-A.. : :Y/`~ t1i f . , . , - l ' ..A„ - 3 nau.- o ~,,n ~x.s.. ~i.-, ~ -j ~j o~~ ~ c~ o f (,ac~ ~~~~7~ , ~ ,-,tci ~S PERMIT City of Eagan Permit Type:Building Permit Number:EA160519 Date Issued:03/16/2020 Permit Category:ePermit Site Address: 4910 Rusten Rd Lot:28 Block: 2 Addition: Cedar Heights PID:10-16725-02-280 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 - John Schaffler 4910 Rusten Rd Eagan MN 55122 Champion Window Company Of Mpls 5100 HWY 169 N, #B New Hope MN 55428 (763) 574-2054 Applicant/Permitee: Signature Issued By: Signature