4913 Rusten Rd ~ - r . . .
` INSPECTION RECORD
CITY ~F EAGAN PERMIT TYPE: ~ ~ ~ ~ ~
/ 3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued: '
~ (612) 681-4675
SITEADDRESS: ~ ~ ; r~ t{~ ; , APPLICANT:
. i : . i ~l ~ , , I •,!!t l~~o~qr .
~ ~ i .,_1 r . . , ,
PERMIT SUBTYPE: TYPE OF WORK:
~ i~~ F•,~
• •
, i i 13i;~ , :i11F~l~r~ 1 ! ~~~f
I I r'~f'1 t II~, !'1~11~ /(lii
i f? .+t~ rl i I~EC2 i 11;4 1'I I
r: t~l~r~il f PI 1't ~'~~fl~~Il 1 N fl i~,
~?NAI f'i tsi~ t INAI
F'1~MflftFa:;ti : ~ t, bJ 1'1 Filt I F,f: 4'I fil, .
~ ~
~ J
r
Permit No. Permit Hotder Date Tetephone k
/
' ELECTRIC ll/Y'
~ N'1/A" 7 3" ~
PLUMBING _ /D ~j ~3• ~
HVAC
Inspection te Insp. Commenta
FOOTINGS ~O/~'
oL~
FOUND F'~ Q /QG ~
!
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG -ZG
AIR TEST
ROUGH ~
HEATING
GAS SVC
TEST
INSUL % , /~if
~x.i
GYPBOARD
FIREPLACE ~
FIFEPLACE
AIR TEST ~
FINAL PLBG L C~/ XJ
`J~ 6V /P
FINAL HTG ~ q/ ~
~Y
ORSAT ~
TEST
BIDG FINAL -y~~/
O
BSMT R.I.
BSMT FINAL
DECK FZG
, DECK FINAL
~ _ ~ : ~
/ ' ~ ~ i ~ °
' t~'fei.~i~icate v~ ~ccu~anc~
~~t~j o~ ~agatt ~
~t~artatcxr t~ ~~i1i~ ~~ectian
L.
t
77iis Certificate issued pursuan! to the nqairements of Ihe U+eiform Building Code
~ ce?tefying ihat at tlu tinee of isstrance tliis structun was in complianre with the various
ordinances of tlu City regulati?eg buildeng cov~stnrcteors or use. For the followrng:
~ SF DWG/GAR ewg. e~~~ Na 27737
~r'~YP~ ~-3 U-1 zooinE aiwia R_1 lype const. yl.p
o..a~ewu~~ RYLAND HOME3 ~ onn F T9TH cT ~t_a~raevn~-IS~ i+~l
B~~ 4913 RUSTEN RD ~;~y i, Bl ~^RD R H_7 .HTS
~ ' ~ ~ ~ ~ Da~e; ~ ~ ~ ~ ~ ~
6uilA'~ OffxiaN. ~
POST IN A CONSPICl10t1S PLACE
~ a,
ti
~1 - -
~ ~ 7i INSPECTION RECORD ;;~i ~ ~ ~i,,
CITY OF EAGAN ~ PERMIT TYPE: 4;
3830 Pilot Knob Road Permit Number:
Ea an, Minnesota 55122-1897 ~ ~
9 Date Issued:
(612) 681-4675
, ~
SITE ADDRESS: ~ r , APPLICANT:
~ ~ .'~•,tf N RI) 1, I ~ r ri"r+~. ~
~
! t;~',1 i~l I ~~II I , ~ l ! { ~ ,
PERMIT SUBTYPE: TYPE OF WORK:
. .
. ~ , . . , ~ ~ I~
; ~
~ ~
~ ° = ~
Permit No. Permit Nolder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspectlon Date Insp. Gomments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL .
DECK FfG 7 ~
DECK FINAL I ~p~
RESIDENTIAL
BUILDING PERMIT APPLICATION
n-/ CITYOF EAGAN ~ . ~ ~
d~_~ 3830 PILOT KNOB RD - 55122
65'I-681-4675 ~_~9~~ 1 2- ~
NewConstrucGonReauiremenls RemodeAReoalrReauirements -YlU ~~S (/J-~~~
• 3 registered site surveys showing sq. tL ol l04 sq, it af house; an~ll roofed areas • 2 copies a( plan
(20% mazimum lot ooverage al6wedJ . 1 set of Ene~gy Cakulations (or healed addNOns
• 2 mpies of plan showing heam 8 window saes; poured (ound design, etc.) . i sile survey for exlerior addNOns & decks
• 1 set of Energy Calculations . Indicale if home served by septic system for additlons
• 3 copies of Tree Preservation Plan iF lot pWt[ed after 7/1193
• Rim Joist ~etall Options selectlon shcet (hldgs with 3 or less uniGs)
DATE ~6'U - I.F. ~ S~ ( VALUQION jC1~ lT~L~ . o-o
JOB SITE ADDRESS
~ I „I~ ~t.v
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER ~~d~) -{-I.~/~ N
TYPE OF WORK ~nulP.lf LRN'eX~ FIREPLACE(S) _ 0_ 1~/2
APPLICANT ~-~-lolv "r~ PHONE#Cn~I-7~7-~'~S'.~.t7
ADDRESS f~ Gl )~.F2 tn ~~P.~., , ~L~ ZIP CODE ~S I.Z ~
t I
PAGER # o CELL PHONE # a FAX # a
J
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RUI.ES 7670 CATEGORY 1
(check one) - Residential Ventilation Category t Worksheet Subm D~~~ Il M~ D
- Energy Envelope Calculations Submitted I I U
MINNESOTA RULES 7672 ~lUd I 3 2~ ~
- New Energy Code Worksheet Submitted ~
Plumbing Contractoe Phone By - -
Plumbing System Includes: Water Softener Lawn Sprinkler Fee: $90.00
Water Heater No. of R.I. Baths
No. of Baths
Meehanical Contractor: Phone #
Mechanical System Includes: Air Conditioning Fee: $70.00
_ Heal Recovery System
Sewer/Water Contractor: Phone #
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 ~~A iCLv\r~6t.«~
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1/Ot
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool O 30 Accessory Bldg
~ 02 SF ~welling ? OS O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Poroh (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ~ 19 Lower Level ? 24 Storm Damage
? 06 04-plex 0 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
O 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
cYi
Valuation ~ L~d ~ Occupancy ~ MC/ES System
Census Code 3 Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units 4( Sq. Ft. • PRV
Nbr. of Bldgs G~ Length Fire Sprinkiered
Type of Const ~ W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinallC.O.
_ Footings (deck) ~ FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile .
Roof Ice & Water Final ,i( Other NT S~. ~ ~/•'t~v.t~
Framing _ Pool ~ Ftgs _ Air/Gas Tests _ Final
~ Fireplace _ R.I. _ Air Test _ Final = Siding Stucco _ Stone
Insulation Windows (new/replacement)
Approved By , Building Inspector
Base Fee 70 ~
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
, Address 4913 RUSTEN xn Zip 5512 ?
IAt 8 Blk 1 $Ub CEDAR HEIGHTS
THESE 11'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: ~ Yes No Inspector:
Final grade (6" from siding)
Pennanent steps (garage)
Permanent stegs (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiU~urb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof [est caps from the plumbing system and the shutoff of water supply ro
the outside lawn faucet before freeze poten4al exists. -
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system.
White - City Copy ~ Yellow - Resident Copy Pink - Contrector Copy ~
~ OFFI E USE ONLY This reqoest void IB monlhslrom wlidofian dah pnmed in ihis bm.
~~0~9~ f15~9~
~~y-~~° `r . .
PLEASE PRINT OR TYPE ~ I ~ OS ~
R ~b ~ kough in InspecNOn rryoirtd2 ~ s ~ No Impecnan Other Than Rough-In: ~ R<ady Now all
(Yau must mil the insvenorwhen ready) Dare Ready:
I, ' ensed contracior ? owner hereby requesf inspedion of ihe above elecirical work af:
b6 Pddres~ Bw,yr Ro ~ J_ /J Cityi ~ Zip Code
~ V 7~a
i~ /~`~.iC ~vA
Seclion No. Tm.nship Name o. No. Range Na. Firc No.
Oavp Phone No.
~o ~'L/ G 3
Power p li Pd ~
EIMri r(Com ny Nome~ mct r Liun Monror tic Nn ~Vlam EIM. Only)
Maililg nlm n Perf in Insmlo'
~
AuMariz Si a ( n cior r i Peha ' I Ilaxon~ P one
I EB-00001 - b/9 5fATEBOARUCOPY•SEEINSTRUCTIONSONBACKOF~ELLOWCOPV
I~I I II I I I I 1i I~~I REQUEST FOR ELECTRICAL INSPECTIONS~~ ~
Minnesota State Board of ElecVicity s
* ~ 8 2 4 8*' Pnone 6125842-0800 m. S428, Sf. Paul, MN 55104
Cf/D9
ome Duplex Apf. Bldg. Other: New Addn
Commercial Industrial Farm Remod Re air
Air Cond. Htg. Equip. Water HN. Load Mgmt. Other:
D er Ran e Elec. Heaf Tem .$ervice
"X" above fhe wQ covered 6y fhis regyes~ En marfcs i i s ac an on the 6ack of the whife mpy only.
~C7~'• ~ / ~,~-C!~'~.~-
Ycz.r /yUnl 1v ¢ ~m ~t/G u
Calculafe Inspecfion Fee - This Inspedion Reques} wifl no~ be accepfed without Ihe comed iee:
Olher Fee #t Service EMrance $ae fce # Circuih/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 fo 100 Amps
Sfreet Lig./~raHic Sig. Above 200 Amps Above 700 Amps
Transformer/Generaiar INSPEMOF'SUSEONLY
Sign/Outline L}g. X{mr. U~ ~O
Alarm/Remofe Confrol ~
Swimming Pool f
I hereb ceT Ihm I ins e 1 elecin s h ein on ~he dams smted
Irrigdfion Boom Rough-In ~k~^~ ~ 4'~
Special Inspection ~ ~
Final ?
Invesfigative Fee
THIS INSTALLATION MAY BE OR~ERED OISCONNECTED IF NOT COMPLETED WRHIN 18 MONTNS.
PERMIT # ~ ~ RECEIPT DATE:
E008 ~SIDEPTIi4L ~Ll1M$IRfi ~P~~iMIT ~rP~PLIC~TIOR o r~ c~ ~ o n~ D
s8so ~nor sivos ~tn . IA nl 2 3 2002
~?saiv, anv 551 aE
ssi-s8i-as~s gy
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITE ADDRESS: I
~ d`GL! ~U~
OWNER NAME: : V/~N d"l4N I ~ TELEPHONE - 7~7- 0 d~
(AREA CODE)
INSTALLER NAME: ~~"I~1 N T~ TELEPHONE ~~7- ~X ~
(AREA CODE)
STREET ADDRESS: L-!~_~Z tn.6 ~
CITY: STATE: /~/t~11J ZIP: .~S~I o2.`,~ .
SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
. MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
Adding fi~ctures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit 5/S" meter if needed -$118)
Other:
_ RPZ: new installation/repairlrebuild $ 30.00
_ law~ irrigation system
Replacement/additional: _ water softener _ water heater $ 15.00
State Surcharge $ .50
Total g $a . s a
I hereby adcnowled9e thal I have read this application, state thatthe informatlon is corted, and agree to complywith all applicableCiryof Eagan ordinances. It
is the applicanPs responsibility to notify the property owner that tha City of Eagan assumes no liability for any damages caused by the City during ils nortnal
operational and maintenance activities to the facilities consUucted under this pertnit within CI prop /righto ayleasement.
Ce.
SIGNATURE OF PERMITTEE 1/02
~~~~~~~~~~~~~~~~~~~~~~m~~~~~~~~~~~m~~~~
C.T.TY OF F_FlG~~
CASH:I:G:f;e S 'fl?:Ri'f2(JAI_ NOe ,:i~'
DAl`E::;: p6/2~i/3'i' 1'7Mf-_"a 1Ac7.6:<ii'
?T~
NFlMf_';; 1='filJNT7:F:Fi ~:UNST'kl!CT'T.pi~
:3c :I.Ll '~f.)(:11 4~:13 f'tU5Tl-N RI.i ;;fJ.(J(l
2J.5:J 3t:1U7. 4'99.~1 RUSTI•::N ItL~ Cla`_SO
34;i30 9f:1!Ji. 4S)~.3 (iUSTL'-".~ F;ii f7~c?F;
~
,
'io'!.a:l Izec~~i~ Arc~o~~nt, ~ 5f~. i 5
r.F~o-r;-,f:,s~,~
~JSF_'li :CLia Nf~NCY
X~~%~~k~ ~?kX~ ~kitYl.%~X~ X~ m~k ~%?k ~k%k ~k # ~k ~%?k~k ~ ~F~X Y,t~kX~X~Xc
' ~ PERMIT
~ CITV' OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: s u I~ o z N ~
Eagan, Minnesota 55122-1897 Permit Number: 0 3 0 3 m 8
(612) 681-4675 Date Issued: 0 G J 2 S J 9 7
SITE ADDRESS:
4913 ftUSTEN RD
LOT: 8 BLOCK: 1
CEDAR HE26HTS
I~.I.N.: im-1&725-080-91
DESCRIPTION:
EGilda,:r~I~.P~rmit Type DECI<
f3uildi»g W~rk Type NEW
/"CCnsus Cod~ 43A ALT. RESIDENTIAL
. . ~:t.c:
~
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r~ . . . ~ . ~-a.
~
f,
. _ ; a ^ ~,.$w.' . . ~r`
~ ~~\Y=/
. ~q~ tT ~ .
`t~i' i i : ..ti ~ ? l ' '
fi ~ r 1 I ( 5 1 i * E ~ + ~ ~ a s:~ .
,4,.~, . 't'-.S l.l . :_i ] w"'_.-' ~i'~ ~...3 "~.,.91~ + r `~`w... ~~I~
. v:.,~~'~,,,.~f~".13 Li .
REMARKS:
FEE SUMMARY:
6a~e Fee $50.00 COPY (1) 3~•2S
~urcharge $.S~D To'Cal Fea $50.75
Subtotal $50.50
CONTRACTOR: - ~pplicarir - sr. ~zc. OWNER:
FRON'7IER CONST 18914359 2006031¢ VAN TO
1`4101 FRONTIER LN 4913 RUSTEN PD
BURNSVILLE MN 55337 EAGAN MN
(,612) 891-9359 (612)874-7560
I he~°eby aekn+~wl,adg? t#~at I hava re~d, tha~ appliczatiern an~ state ~:k~at. ~he
infoi°metion is earrect ans# agr~e tc~ comply with a11 ~applica6le SC~t~ af Mn.
5tatutes and Gaty nf E~gan Orclinar~r.~s>
i ~ - ~ ~ - - ~ _ . . ~ . ~
.KW?~Q. ~ . ~t~1MNY1~{~i~ _ ~
II APPLICANT/PERMITEE SIGNATURE ~SSUED B. F ATURE ~i-
~ ~ 1997 BUILDING PERMIT APPUCATION (RESIDENTIAL) ~ ~
O 3~g CITY OF EAGAN
~ 5830 PILOT KNOB RD - 65122
681-4675 ~/d (,C
New Construction ReauiremeMa RemodeURenair Reauiramenffi Q+ .
~dp,~,oa ~
? 3 registered site surveys ? 2 oopies W plan
• 2 copies of plans (inGude beam 8 window saes; pourod fid. design; etc.) ? 2 sito surveya (exterlor addidons 8 0ecks)
• t energy calculations ? 1 ane
~gy ceiculations for heated edtlitions
? 3 copies of tree preservation plan ff IM plaked aRer 7/1/93
requlred: _ Yes ~ No •
DATE: ID - ZD - A~I CONSTRUCTION COST: -~3 S aD. O D
DESCRIPTION OF WORK -(~CCIC.
STREET ADDRESS:
OL
T BLOCK J_ SUBD./P.I.D.
PROPERTY Name: _ 1~Y1 '~D Phone 874 '~~a
owNeR
Street Address: 4 ql ~ 2U~1'1 Y1 RAQ(~
City: Ed1AQV1 State: ~1
~ Zip: ~512) ^
CONTRACTOR Company: ~vDVrr?~tv Cov?S~?;~r_I~°r~_ Phone#: ~1-435~1
5treet Address: 141D 1~VDYY~It? Ln . License flh ~?1't~
c~ty: Ru,rnSVi I!~ state: MN zip: 5533'7
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
Sewer & water licer~ed 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 appiication and slate that the informa6on is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
SignatureofApplicant: • ~,??I,~p/t1
OFFICE USE ONLY RECEIVED
JUN 2 0 1997
Certificates of Survey Received _ Yes _ No
BY~
Tree Preservation Plan Received _ Yes _ No _ Not Required
Y ~
OFFICE USE ONLY r t
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish
? 02 SF Dwelling o 07 4-plex o 12 Multi RepaidRem. ? 17 Swim Pool
0 03 SF Addition o 08 8-plex n 13 Garage/Accessory o 20 Public Faci{ity
? 04 5F Porch ? 09 12-plex n 14 Fireplace ? 21 Miscellaneous
n 05 SF Misc. ? 10 = plex ~ 15 Deck
WORK TYPE
~ 31 New o 33 Alterations o 36 Move
~ O l32 Addition o 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 Sprinklered
Zoning sq, ft. PRV
# of Stories sq. ft. Booster Pump ~
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bldg 1
Census Unit 0
APPROVALS
Pianning Building r 11 Engineering Variance
Permft Fee Valuation: $
5urcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies ~
Total:
96 SAC
SAC l3nfts
P LOT P LAN KURTH SURVEYING. INC. ,
' FOR RYLAND HOMES • TNIS !S NOT A BOI.d~'DARY SURVEY ' ~001 JEFFERSOM ST. N.E
COLWBIA HEIOKfS. AN. 55471
c~~~ ~w,T TM~~ nor n.~++uns m~+nm a* ~ DJ~TE ~ Z~ 9~O . f 612) 7EE'9768 FA% 16171 7E6-7604 Ij~ tiw ~
py UOf31 YT DIRKi LP9IYISIR7 . TINT 7HIt PU'H CWnECTit Y
~~~c~ ~ ti~~ y~~yuay ur nE uro PROPOSED o- IRON MQ^AIMFJJT
: ~ y~~ ueam ~vA+o GRADES BEARINGS ARE PER PLAT 0 30
GARAOE SIAB • `~8~-•0 • EXISTItvG ELE~/~T~~N ~ I
q aL 3 PROPOSEO ELEV. SC~~E IN FEET
A~IMJESO7A LIC N0. l~a ~ti 3 Tov oF e~ouc - f- • DRAINAOE ~RR017
~ ~ s~+Exr s~ooa . `~Y ~ •'S~
Q J~~ zT ~qS~~, G`v~°°N°ocwy,B•o I
`qb ~ ~ 8Z A
. }IiJ a ! *t ~ ~
; _ N 81~26'27'~l 1~$.77' Q 6`}J~ `4'13•~~ ` . .
I I
~ - ~1~` ~y ` 57~ 38 _ ` °t1'1~~ ~ G~+~J ~ I ~ .
J - Y/ , ~-ti•s>~ `~--3z.o_ J ~'~.J ~ c. ~ !
; n ~ - 30,0 - i w. .,(`,~1, I
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~ m r = ~ ( = ,~,~v ~ . h
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y g~•.., ~ ~ a 9 y ~3.s "~a` fr"~ A i., r~~'~ I
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~ ~~7 ` ~ ~ ~ o / Il~?~ ' ~t3.1V ~iti III~TLEItING D~x
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~ ~9 ~ ~ a~ '.4 ¢~6v. ~ o ~ I ~ ~ y ~ ,
~ ~ i
a ~7~3~ S~o•,e.sq e \so~T t~913 R.uST~~I ~Sx~.'fl
~ ~9p ` ~~o ~ 0M= TN1i -tvThb: b~.z I
o • 08 . r~g.~, qq t~ z
I~~~J~ ~ce, ~L~~I
~ .tso• ~~t~ c~Z?~~ LOT 8 . BLOCK 1 .
R'~i CEDAR H~E I GHTS .
r 3 DAKOTA C0 MN .
° U1AF~a.O " G~~
g G cc.-. L s~e ~ w . . . .
PERMIT ~9~
`CITY OF EAGAN
383oPilotKnobRoad PERMITTYPE: euz~ozrv~
Eagan, Minne50ta 55122-1897 Permit Number: 0 2 7 7 3 7
(612) 681-4675 Date Issued: 0 6/ 0 4 J 9 6
SITE ADDRESS:
4913 RUSTEN RD
LOT: 8 BLOCK: 1
CE~AR HEI6HTS
DESCRIPTION:
t-~~..~
~u~~.ding-;~Permit Type SF DWG
J`Building WWO.r..k Type NEW
UBG Q~oupancy;~, R-3 U-1
~ Cdnstruc~ion Ty'pe V-N
~i Zoning L._ R-1
Building tength ' 66
Building Width ~ 37
` B.u~'Iding stories 2
e~i_.. EV
-'-'Sq`u:a.re Feet 2,110 ~
,
C~t1s;u~~rC~~°e 101 1- FAM. DETACH
`,t
,
~ ~ ~ , i ~ . -
i
„~i t ~i ~ ; r ,
f,~_ , _w _ . . .
t~-~ ^ ~.~~~ti~~, w_.~
REMARKS:
S& W PLBR - S7AR PLBG
FEE SUMMARY:
VALUATION $176,0@0
Base Fee $1,267.25 MISCEI.LANEOUS $1a923.50
Plan Review $633.63 Total Fee $4,812.38
Surcharge $88.00 ,
SAC $900.00
SAC ~ 100
SAC Units 1
Subtotal $2,888.88
CONTRACTOR: - ppplicant - sT. ~zc.OWNER:
RYLAND HQMES 185A6363 2003544 RYLAND HOMES
900 E 79TH ST 101 900 E 79TH ST 101
BLOOMINGTON MN 5420 MINNEAPOLIS MN 55420
(612) 854-6363 (612)854-6363
I h reby a knowl>dg: that I have read this application and state that the
' inF rmat i's c'rr ct and agree to comply with a11 applicab2e 5tate ofi Mn-.
~ Sta t s nd City o~ Eagan Ordinances. ~
A PL A MITEE SIGNA RE I SIGNAT~RE \
CITY OF EAGAN ~ ~ C~ ~ ~,~f~
~ ~ 3830 PILOT KNOB RD - 55122 ~
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~
687-4675
New Conslrudion Reaulrements RemodeVRaoair Reouirements
? 3 registered sife aurveys ? 2 eopies of plan
? 2 copies of plans (include beam 8 window sizea; poured fnd. design; atc.) ? 2 sfte suneys (exterior addRions & decks)
? t ene~gy calwlatbna ? 1 energy calculations (or heated edd'Rions
? 3 eopiea M tree preservation plan H bl platted aRer 7/7l93 ~
iequired: _ Yes _ No '
DATE: ~ CONSTRUCTION COST: I OO~ OD~~
DESCRIPTION OF WORK: ~
STREET ADDRESS: ~
LOT BLOCK SUBD./P.I.D.
~ io-ILo~~ g~n -~l
PROPERTY Name: ~I~ n(~ NornP-S Phone#: A~~"
OWNER "IOO ~ ~'7'~h `~~-L • Jl~.- ~
Street Address~
City: m.i llfl .0.. t70~ i5 State: I~ Zip:
CoNTw?CTOR Company: ~am.~ Q,~~1~Q Phone
Street Address: License #:a~3~~y3
City. State: Zip:
- ARCHITECT! Company: ,~n~,i ~i'S (~.I.bOLIQ Phone
ENGINEER
Name: Registration
Street Address~
City: State: Zip:
Sewer 8 water licensed piumber. T ~.j,~1! I~1G Penalty appli when address change and lot
change are requested once permit is issued. ~
I hereby acknowledge that 1 have read this application and state that th i form n's rrec d agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY / ~ I~,~' I'' IIM~
~
/ ~
Certificates of Survey Received ? Yes _ t~ , t~Wy C~ :~~j~+
Tree Preservation Plan Received _ Yes o ~
~o"`.
OFFICE USE ONLY " ~ ,
y
y ss
i
BUILDING PERMIT TYPE
? 01 Foundation o 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish
~ 02 SF Dweliing ? 07 4-plex o 12 Multi RepairlRem. ? 17 Swim Pool
~0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. 0 10 _ plex ? 15 Deck
WORK TYPE
~31 New o 33 Alterations ? 36 Move
0 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) f~ Basement sq. ft. 3~9 MCNVS System
(Allowable) ^F Main level sq. ft. / 07 City Water aC
UBC Occupancy ~Z-3 2"Q sq. ft. 23s Fire Sprinklered
Zoning 2-/ sq. ft. PRV
~l of Stories Z sH-r. sq. ft. Booster Pump
Length ~ sq. ft. Census Code. /
Depth Footprint sq. ft. Z,//D SAC Code o!
Census Bldg
~ Y Census unit
APPROVALS ~I S ~ (~7 ~ 3
Planning Buiiding Engineering Variance
Permit Fee Valuation: $ ~ ~ ^ G
"
~
~s ~O ~s
Surcharge z~._--~-
Plan Review ~c~-
License z,~ q, aa 8 ~s~ z- 2~'9
MC/WS SAC ~S-n 19.9Z = 299
CitySAC 3onT~1T =/ro3a
Water Conn. 70 ,~7y-3~ _ 1,43U z~c ~0.3~ = z~
Water Meter Z~~'. G~ " / y ~Z 33 X y~ ~~1 =~//r~
Acct. Deposit ~
SNNPermit 3,s'xir.c~ - ~/~y° \
S/W Surcharge ~/07 Xs`~ _ ~6 ( -J~O
Treatment PI. ~ ~7~ '
Road Unit L
/L~_.
Park Ded. ~ z
Trails Ded. ~j^'~T' .SxT-S ~
Other 22 x z° ' y`fv
Copies / t~ : 2~X ( ' z~°
~Z~, y,~~ = ~b2 ~ =
Total: ~~ir ~ ~ ~p~ l/z
~io s,ac ` Za
~ ~c.K-
SAC Units ~ rs~'~ zO~ ' -
P LOT P LAN KUR7H SURVEYW~. INC. •
! FQR RYLAND HOMES • 7H1S 1S NOT A BWJNDARY Sl1RVEY ' 4002 JEFFERSON ST. N.E. " •
CDLWBIA HEIpiTS. AN. 55471
~ ~~r tetTlFlr 1w~T tH~s PLOT ?V+r vns fst~'nm er ~ DATE ~ Z9 9~° . f 6121 7AE'8768 Fnx ~ si~> >ee-~sos
aa uoe+ rr niurr aremsia , nu,r n+is v~w~ crnnecnr o- lRON MONLe.1ENr ~ ~
~ ~ °F ~ ~ ~ ~ PGRADES~ BEAR INGS ARE PER PLAT Q 30
~ ~ pE ~18~ I!D tINT t AY A ICBa~ L~ I
~ ~ ~ n~~ • ~ SPIKE SET ~
qg~•o c~ = EXISTING ELEV~TION
, CMAOE SLAB • pROPOSED ELEV. SCALE IN FEET
{AIr8JE507A LIC ND, 1~ 3 70P oF e~oac - °ja~"'~ DRAIPl~OE nRROV
f ~ so~v~rr FLOOa . `~`7`~•'i ~
( Bdi~ ZT \4~~ G `^~°OU~°~,,j918~o
y~/ g~d ~ A*C - (
i n N 81'26'23'V 1J5.7~7~J~ C4i3H~
F
~ )r `~Y ~ i~, 38 _ 'sl~l~~ ~ Cr.~j ~ ' ~ I
i / \ -r-~ t -a-3t O - J [
~ J LS ~
~ • S
)~r` .9~ ~ ~ 1 ~ I
; ~ k ^ 30.o m _ 1
~ \ ~ . .n 7' . y'~
~ ~ W r 3 N [/~~V ~
j • ~ ZI ~ L ~ 47 2~ F S ' SIbR ` ~ ~ > ~
f 1~ , ~ ~ ,n~ 1
~ \ r n 3~`~ - r'~~i_ tf ~ I
.
~ ~.5 . ~ h
n ~ ga, . ~ ~ , > ~ ~
~ :D y p . c qq~•~ ~ .
~ 8/ m 49 ~ 3~ ~ I
: W.s'. o ~ ~ ~ ~
y ~ ~5 P 9 ' ~i _h _ O 11 ,~--~1
~ ~
a V o Z P~~ 4a=. B~
\ o ~ - r< ~ ~ ` ~i (
u ;
~~~7 j o ~ Q Ct~I~T Et~T IlV~ERdNG DEFT. I
~ ~
~ ~9Y7.~ u ~2'8/ ~ Nua~ ~ / ) y CD
@ ~7~3~ S ~o•~e.s _ ~9so~T ~ /,~91"z~ RI~S'C~1.a ~5~..~ ~
~
~ ~
' f 1{p ~o pl'~' TNIi -tvT56: 6~,L i
• ~a • ~9•3j 4~l i , z
o ,-~ce~ ~t,~ V ~ =
~ ;
~ ~s ! Yly "Z.', - -
p y~ ~~2,;, LOT e. BLOCK t. ;
~ R~ CEDAR H~E I GHTS . ~
~ ~~a DAKOTA CO.. MN.
~ ~ ~
~ J
~ u1Rf~t2.0 " G`.
3 G ac. U s~e `o , .
, -
, ~ LOT SURVEY CHECKLIST FOR RESIDENTIAL
B ILDING PERMIT APPLICATION
~ ~
~ PROPERTY LEGAL: ~
~ DA E O SURVEY: Z
~ ~ LATEST REVISION:
m
~ ~ y DOCUMENTSTANDARDS
a z
~o ? • Registered Land Surveyor signature and company
P~fC7 ? • Building PermitApplicar~t
~s~? ? • Legaldescription
L~a ? • Address
? • North arrow and scale
e~ ? ? ~ House iype (rambler, walkout, split w/o, split entry, lookout, etc.)
Y? 0 • Direclional drainage anows with slopelgradient %
Gi~~ ? • Proposed/e»assting sewer and water services & invert elevation 6
a~o ? • Street name
9~ ? • Driveway
ELEVATIONS
F~asUna
e~ ? • Sewer service (or Proposed)
~ ? ~ Property comers
I~o ? • Top of curb at the driveway
o% ? • Elevatlons of any eristing adjacent homes
Prooosed
B o ? • Garage floor
~ ? • Frst floor
? ? • Lowest euposed elevatlon (walkouUwindow)
.a~0 ~ • Property come~s
~o O • Front and rear of home at fhe faundaSon
PONDING AREA Cf aoolicable)
O C~~ • Easement line
? C~? • NWL
? • HWL
? ~ ? • Pond # designation
? ~ ? • Emergency Overflow Elevation
DIMENSIONS
~o ? • Lot IinesBearings & dimensions
B~ ? ? • Right-of-way and street widfh (to back of curb)
C~o ? • Proposed home dimensions including any proposed decks, overtiangs greater than 2',
porches, etc. ¢.e. all structures requiring permanent footings)
L~ ? ? • Show all easements of record and any Cily utilities within those easements
? • Setbacks of proposed sUucture and sideyard setback of adjacer~t e~dstlng structures
? • Retaining wall requiremen
Reviewed: ~ja ~e
me Date
January 1998
cru~c~ooare~DOVarc~
s
* CABO MEC 92 COMPLIANCE *
Builder RYLAND HOMES SubmiCted By R.H. TRACEY
Model MUIRFIELD LOW E GLA Date 5/3/95
Lot/Plan/Address Degree Day Sase 8000 Minneapolis
Type Single Familx House Volume 41400
Filename MUIRF Con.trol No. 536
Uo Totals ~ Propoeed ~ Required
Component Area Uo Total Uo Total
Walls 3473 .107 371 .110 379
Ceilings 1~307 .026 36 .026 37
Floors 0 .047 0 .040 0
Bsmt Wall(U) 1374 .080 110 .091 125
This House Qualifies with Total
Total ~ 517 ~ ~ 541 U-Value Calculations
Specifications Uo Calculations
Walls Size o.C. Inaul. Sheat. Component Area U-Val Total
A Frame 5.5 16 19 2.06 Frame Wall A 2155 .052 113.
B Frame 5.5 16 19 2.06 Frame Wall B
C Frame-Gar. 3.5 16 13 .45 Frame-Gar.C 324 ,082 26.6
D Masonary 8 N/A 11 N/A Masonary D * .080
E Masonary N/A N/A Masonary E *
Ring Joist 15 24 13 2.06 Ring Joist 492 6.28 27.7
Window A 499 .38 189.
Doors Panel Glass S.C. Window B
A Metal .19 .62 ,88 Window C
B Wood .46 .62 .B8 Door A-Panel 46 .19 8.74
C Other poor A-Glase 7 .62 4.34
Door B-Panel
Ceilings O.C. Insul. Sheat Door B-Glass
A W/Attic 24 38 N/A Door C-Panel
S No Attic 16 19 .63 Door C-Glass
C Other Totals 3473 . 370.6
Uo=(Ut/At) .107
Floors O.C. Insul. Cover
A Non Cond. 16 19 1.23 Ceiling A 1407 .025 35.9
B Overhang 16 3D 1.23 Ceiling B
C Other N/A 5 Ceiling C
Skyight A
Windows U-Val S.C. Skylight 8
A Alum T.B. .36 .BB Skylight C
B Wood .52 .80 Totals 1407 35.9
C Vihyl/FG .48 .88 Uo=Ut/At .026
* ^
Skylights U-Val S.C. Basement walls > SOo below grade
A Standard .60 .86
B Eiigh Perf. .32 .5 NOTICE: Users of this software are responsible
C Other for the specifications and dimenaional data
used to generate this report. The developers of
HVAC Equip Rating the software ase in no way responsible for the
Gas AFUE .7B misrepesentation of any building due to errors,
HP HSPF 6.8 omissions, or any other miause of the software.
AC/HP SEER 10
. . 1
Page 2 of 3
Suilder RYLAND HOMES Submitted By R.H. TRACEY •
Model MUIRFIELD LOW E GLA Date 5/3/95
Lot/Plan/Address Degree Day Base 8000 Minneapolis
Type Single Family Houee Volume 91400
Filename MUIRF Control No. 536
_____________~e~====____--------------===oa~====___________====~aav=====_______
Dimensions
Walle ~ Frame A ~ Frame B f ~Gar.COm.C~ ~ Mason.D~ Mason.E
Basement • Bsmt. Above Gr 600
lst Floor 1287 lat Floor 342 Below Gr 800
2nd Floor 1376 Crawl.
3rd Ploor Misc.
Miec. Miec.
Misc. Misc.
Ring Area 442
windows
Aluminum 473 I I I I I 26 ~
Wood
Vinyl/FG
Doors (G=Glase Area - 0=0paque Area)
Metal G 7
O - 2B 18
wood G
0 '
Other G
O
jCeilings I Wi140~ttiC I No Attic I Other
Std.Skylitesl I I
XP Skylitea
Other
----------------------------------g----------------
Floors I Non Cond. Overhan I Slab
~lindows Qty. Description Qty. Description aty. D'escription
5 2920 25 Misc.(Enter Area) 1 4010
8 3260 10 3250 1 3062
1 3040 1 2852 1 2060
1 2052 2 1052 1 5 FT HALF ROUND
1 6080 GLASS DOOR
Joors IQlY IGAReSWALLtDOOR I~iY IENTRYsW/DBL1SDLITEIaty.l Description I
m9 i 6 R ii SGJ G r
I -
CLAIM VOUCHER - REFUND REQUEST
CITY OF EAGAN
MAKE CHECK PAYABLE TO : PLYMOUTH HEATING & AIR CONDITIONING
ADDRESS : 6Q09 WINNETKA AVENUE NORTH
BROOKLYN PARK MN 55428
LOCATION 4q 13 RUSTEN ROAD
:L8. B1. CEDA_R HEIGHTS '
RECEIPT#/DATE 58095/06-OS-96
REASON FOR REFiJND DIiPT.TCATE PERMTT
TYPE OF REFUND ELECTRICAL PERMIT/k 3211-9001 $
PLUMBING PEAMIT 3212-9001 $
MECHANICALPERMIT 3213-900Y $ 42.00
SURC~-IARGE 2155-9001 $
WATEA CONNECTION PERMIT 3713-9220 $
SEWER CONNECTION PERMIT 3743-9220 $
ACCOUNT DEPOSIT 2252-9220 $
UTILITYACCT OVER-PAYMENT 2250-9220 $
CURB BOX DEPOSiT REFUND 2253-9220 $
CONSTRUCTION METEfl DEP REFUND 2254-9220 $
WATER USAGE CHARGE 3711-9220 $
OTHER: $
$
S
TOTAL $ 42.00
I declare under the penalties of law that this account, claim or demand is just and
that no part of it has been paid.
JULY 23, 1QQ6
Signa re ~3-9~ Date
E~~
: .
L ~f gL CITY USE ONLY RECEIPT ~~~95
0
SUB0. G DATE: ~ 5 ~
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 5512Y
(612)687-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
~ New construction Add-on fumace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: ~R~gl~,
FFFC
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU l~4
~0 ,
Additional 50 M B U 6.00
? Gas Outlets (minimum of 1 ired 3.00 each)~
? State Surcharge , .50
~ ' i
TOTAL ~
SITE ADDRESS:'"~~ 4~~ ~~''~a _
OWNER NAME: 1°~ ~I(~Y~L PHONE
INSTALLER NAME: r ~°l f~h ~
~~L-
STREET ADDRESS~~'~~ ~ ~ ~ n~°}~ n _
CITY: ~ ~r?r~ STATE: ~'61t1 Z~P: ~~y~
PHONE (~13- ) ~,~~-~-I'>S'~,
CITY USE ONLY
L _ BL _ RECEIPT
SUBD. DATE:
1996 MECHANICAL PERMIT (COMMERCIAL)
• CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612)681-4675
Please complete for: ? ali commercial/industrial buildings.
? muRi-family buiidings 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 ~ 1% 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%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
CITY USE ONLY
ti L~ BL L RECEIPT ~1..L
SUBD. DATE: 7 ~ ~
1996 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 Fg~~j ~'Q, _ T ~AL
Shower 3.00 x
UV~,ter G~~se: 8.0!? x - ~
Bath Tub 3.00 x _
Lavatory 3.00 x ~ _
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x ~ _
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x / _ ~
Floor Drain 3.00 x = 3
Gas Piping Outlet * minimum -1 3.00 x /
Rough Openings 1.50 x ~ _ .,S
Water Softener 5.00 x =
Private Disposal " Dakota Cty. license 50.00 =
(new and refurbished systems)
U.G. Sprinkle~ ~ home under const. 3.00 =
Alterations " to exisUng 20.00 =
Water Tum Around 20.00
STATE SURCHARGE .50
TOTAL _~2~
~
SITE ADDRESS: ~Rusten Road
OWNER NAME: R~n xortEs
INSTALLER NAME: GENZ-RYAN PT mIBING
STREET ADDRESS: 14745 South Robert Trail
CITY: xosemotmt STATE: A1[~ ZIP: 55068
PHONE ( 612 ) 423-1144 ~ ,
.
a :~r~
OFFICE USE ONLY ~ ~
L _ BL _ RECEIPT
SUBD. DATE~
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612)681~d675
Please complete for. . all commerciaVindustrial buildings.
~ multi-family buildings when separate permits are p,pt required for each dwelling
unit.
DATE: CONTRACT PRiCE:
WORK TYPE: _ NEW CONSTRUCTION _ 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 INSTALLED? YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER IS5UANCE.
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°k of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of r i fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE SIGNATURE:
APPLICANT
OFFICE USE ONLY
METER SIZE: " DATE: INSPECTOR:
' 1 CITY USE ONLY p
L g BL ~ RECEIPT ~ a 15
SUBD. ~ DATE: ~
1986 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 permks are required for each unit
New construction Add-on fumace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: ~ ~
FEES
• Minimum Fee: Add-on/Remodei (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each) ~
? State Surcharge ~ .50
TOTAL S0
SITE ADDRESS: 4913 Rusten Road
OWNER NAME: x~D xoMES PHONE 8~"~.~
INSTALLER NAME: GENZ-RYAN I~YEt4TING
STREET ADDRESS: 14745 South ?tobert Trail
CITY: Rosemount STATE: M~I Z~p; 55068
PHONE ( 612 ) 423-1144 ii~'~/!/6
/iJ
4,
CITY USE ONLY
L _ BL _ RECEIPT
SUBD. DATE:
1996 MECHANICAL PERMIT (COMMERCIAL)
• CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are ~.4~ required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ~$25.00 minimum fee 4L 1% of contract price, whichever is greater.
~ Processed piping - $25.00
~ State surcharge of $.50 per $1,000 of ~rmit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL .
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
. . - ~ ~995 west.ooa o;o/esriwoi Sx~:ces. inc \ \ T. ~ ~ p / ' ;
~/./.a~n`0 /
~ ~~ii <8 Nuurs eebrt Eiqqin9: ~ COrvHELi i0 Cx, uH Br \ ~ pnr~nnuG o~ SiaEEt i
~ , ~ .9 :.ORE ORi~I/CONCREtE Snw ~ ~ q0 Ex. Oa~Kw~v ~
GOPHER STATE ONE CALL 1 3 ~ ~Q~ k no.iusr a~ra ro unrcn cr.
\ ~ INOOENiAL IO W>iCP
~ SEE R.P. Y606 U ~ GRapL ' upw CCe'SiRUCTO~+.
iw;n GIY ~.ea a5a-0002 ~ GOR SERNCE 11E5 ° y ~
un. Ton bee :-BJO-252-1t66 ~ \ ~ (~~E~D YERivv ~Or,npOn A--, ~ ~
~ , ON LOT 2. k]. ~ k ELEVATiON) \
. ~ BLOCK - `AEUOr Ex. 6 -90° BFNG
RppD_ . ~ ~ ~ ~ ~o' crrP ~ i - , e conncc~ ro ~x. s- a .
SIAjER I ' ~ ~ ~ ~ \ NN \ ~T k REr^LaCE +/6".6' iEC
--=^~__I~ _
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~ " I__ _ TO E . 6" Dlo w/fi - \ .y 961.5 ~ ~ ~i
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' " ~ % PVC Y CE SOH-Y6 (TW.) ~Z NH-I 0 ~ I ~ tt WYE:O~SI
.'_rvOiE:.` " ~ /~5 ES1Ai. COPPER ERNLE iWE K (TP. ~ ~ WYE~0~9~'E`aBOx~ I \ ~^`~`C
COMPPCPCN E(/CRiS i!uYOE - ~~1 1(~ 9685 ~ N ~O
6'-22 1/2° BErv P ~ ` /
TARD AFEAS SH/~1L NEEi SPECS ~ 13 ,2 ( ! l/ 9 (S I~- ~ ~ 958.1
~ CnLLE~ GOR UrvDEfi 9REET5 5' ESbi. 'M'E=N09 '0 03'` ~ y ~ ~ \
(95,T STAN~ARD PROCiOR) 0 ~ ~ j~ ~ ~ e!' qy[:H}}
~ t0~6.5 _~f i0t5.0 ~N"~E=H31 ~n'E.0+32 WYE-~F]] ~~ta,a Op wvE.0.50 w'rE~le11 ~ \ ` ~l " / ~ ~ 'y ~7
wvE.I~90 , ~,~i ~V[ eoF~/ \ t0ia.] N 6Y \ f0'2.0/^i ~Y\ ~006] i 0, 7a /y9.5/~ • 60' IR.Or4 993.0 ~T 9819//66' `~p W i ~ ` Jy 96].9 W 6~ i/s° BrHO
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• P0~1 l ~ I 1 \ . 1'+ 8~ PYC 1:0 YH-5 I 5 / 1 I NH -r 1 1 !T
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wYE~1~g3 / i~ i i i~ I j~ L~i~ i~~irt~ eoz jd. \ i~ i. \`I Y I`~~ 1 ~ 9~8.8 \ x'iE-H89 HYDRnN1
~ 1~ ~P i~ - I I It 1G' 12'-6' OIP
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_ fe. m pp fP lOn.O ~005.9 9850 6'.6" iEE
p. 998.8 99t] ar ~J M"*E=0+)2 ~ 26 GRWND El. + 9]9J. "
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/ wrE=2~59 25 . ,
6'a6' lEE ~ ' ~ /
NOTE' / 7 6" GaIE VALK, ~
• All S~NRMY $ENER SM~LL BE 18 ~ g 20 21 22 23 ~ 24
-nma,wr 4~
SDR JS UN(F55 OTnERMSE NOIED 49 6~ DIP SCRMCE$ TO E%lENO 15' BEYON~ 9`Dfi ADp ~ 6~-It I/4° BEND ~ O`~~
6' a5° BErv PROPERTY UNE (TW ~
9Q5.0 DENOiES S,wiTMY $EV.fR iERHCE iNKRT O S~yW 6'-~ 1/1° 0 p~RB SLOG LOC~~ED ON P/L 6'.6" TEE / "
PROPERtt ~ME. SERNCE SnALt BE Ex1EMDE0 QRWqD EL ~ 10I6.9 CFWND EL. 1009.J
15'. PPE SNAL BE GLCULATED O~.OS _ v/ f5~ PIC TAiL -
- _ .
100BTANSNBINYlFT. _ C~ " .
~LwrE~0+55 ~nOOnTONYMUNL1uE5fR0uE eu weiERUeiN PiPC 5q~ll BE R U S T~ I~1 R O A D MARK: '
2.N.H. O NE OUA~. OG SLnTER FD.
DOMN SiREAY u.N. CLe55 51 UNLE55 OIHERNISE NOlEO, k STORLANO Fp = 9J1.08 0' S0~ i00 Ifdl'
I I i I ~
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City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4913 Rusten Rd
Lot: 8 Block: 1 Addition: Cedar Heights
PID:10- 16725- 080 -01
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: Pictures are not acceptable
Fee Summary:
Valuation: 3,000.00
Contractor:
Signature Home Services
758 Reaney Ave.
St. Paul MN 55106
(651) 731 -1147
Stephen Chell
1802 Wooddale Drive #200
PERMIT
City of Eaan
Total:
Applicant/Permitee: Signature
n lieu of inspections.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
Owner:
Vah Hon To
4913 Ruston Rd
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Building
EA079194
08/07/2007
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
Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA142460
Date Issued:05/04/2017
Permit Category:ePermit
Site Address: 4913 Rusten Rd
Lot:8 Block: 1 Addition: Cedar Heights
PID:10-16725-01-080
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Vah Hon To
4913 Rusten Rd
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature