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4914 Rusten Rd , INSPECTION RECORD , , ~ITY OF EAGAN PERMIT TYPE: ~ 3830 Pilot Knob Road 4? Permit Number: , , , . • Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 ; ~ ~ ~ ~ , : ~ , SITE ADDRESS: ~ = ' ' ' APPUCANT: ~ ,~~~1 t°N itU ; , . , ~ PER~AIT SUBTYPE: TYPE OF WORK: . . , ~ ,i F , 1:'~t ~ ! ( ;ti?~ I;~ .'Iti iit f~ i~.,l , I„ . . . ~ . 4 .,~'~R~'~~,~'~Sa.'.~D;"~ ~Y~°~3~ ~ ~~a~~~'" . : ~ ~ , . ~ . . _ . . . . , , ~ - ~ ~ Permit No. Permlt Holder Date Telephone M ELECTRIC PLUMBING HVAC Inspectfon Date Insp. Comments FOOTI NGS ~ FOUND 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 BLQG FINAL BSMT R.I. BSMT FINAL DECK FTG S_22q~ DECK FINAL 4 .A INSPECTI~N REC~RD ~ Y ~ ~ ~ITY ~F EAGAN PERMIT T~(PE: f" ~"3 3830 Pilot Krtob Road Permit Number: ~ yi ~ Ea an, Minnesota 55122-1897 ' ? ~ ~ ~ 9 Date Issued: (612) 681-4675 SITE ADDRESS: ~ ~ , „ ~ ~ , , ~ r . APPLICANT:~ ~ ~ . ~?-w~~N : ; ,:~~~r~~ - . , ~ ~~r,i. ti; ~ ~,~t ~ . ' ~ , i , , ~ PERMIT SUBTYPE: TYPE OF WORK: : ,<< ~ ~ . . . ~ ; ~ ii~, ~ ~:~~r~i,:-. r t~~~~ t ~;fM I Pd~: ~~~~r. ~ r3~, I r~ ~,ltf i1 1 I iiY~! ( 1 ~.1 I~1 iii 1 ~:r~;.l! ; FI ~ ~ I~'t~tl~~lt ! P: !i I ; 1 WI (1 1 I I k r ~ I IM Fl l ~ #iE'IMAf~k . , , i i I~ i r,i } . i , , . . ~ } K- z ~y~ ~~~j~~-~~ ~r~ ~ - ~ . . . . . . „ _ ~ ~ ~ ~ Permit No. Permit Holder ~ate Telephone M ' ELECTRIC ~ ~ F 9G D~ ~ PLUMBING 9 9~/ 3~~ HVAC ~ y s33-~3s~ inspectlon ate Inap. Comments FOOTINGS ~ ~ ~ ~jQ l~.r FOUND aQ~ 6 ~a lQ~j FRAMING y/!b ~ r ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING ~ GAS SVC ~ TEST INSUL fJ~-/Y(-~ GYPBOAR~ FIREPIACE 1~~~ ~ FIREPLACE / AIR TEST FINAL PLBG FINAL HTG u ORSAT TEST BLDG FINAL ~~r BSMT R.i BSMT FINAL DECK FTG DECK FINAL r _ r+... _ • _ ..,-~!^N ; 1 3 ~ ~ • ~r ~ ~ IJ`~ ..~J~ ~ ~ ~ , ~e~ti 'cate a ~ccu~a~c~; ~ ~ ~ ~i~ o~ . ~c.~+artMtcut o~ ~9x~ti~g ~a~}rection This Certifica~e issr~ed pursuant to the requirements of the Uniform Building Code ctrtefying that a[ the time of issuance this structun was in cornpliance with the various ordinances of the City r~egulatieg building cor+stnrction or use. For the fo!lowing: Uae Qacsification:~~,i~- Bldg. Permit No. ~r ~ R3M 1 ~B o~;~., ~ rya co~n. ~ owoa or euiw~ng RY7?At~ Fr1~S nm~ess om ~~o~v cr ,~~5 swW~ng 44 IA RfISiFaI Rf1Ai1 ~.ocaGry r~7 9 t'~~neD smTrsrre / , ~ . , l:' ~ ~ ~i , POST IN A CONSPICUOUS PlJ4CE ~ .y s ~ ~ . . . . . 1s~... .J. . . . _ ' ._.~_•.i:_._~4...:.o.~~_i 2 5 2~ I 1 V ~ ///Q~~OE ONLY Thls request.oid 18 months from volfdafion dcle pnnted in this ba~~~ 7~ a 7 y~ c~/~o`y~v ~ . ~85~9 / o~ PLEASE PRINT OR TYPE ~ ~ O~ Requesl k Rou9h-in inspeaon ~equired2 ~Yes ? No In 'on Olher Thon Rough-Ire ~ Ready Now i I Call ~ ~ (You mwl wll iha Inspedorwhen ready) e R I,~licensed con}racfor ? owner hereby iequest inspeciion of ihe obove eleclri I wor Job Mdr z ~Street, Bax, ar ole Na) Gty / ! I Sedion No. Townehip Name or No. Range Na. Fire No. Coanp Occu i Phone No. Power 5 Address 'cal Co c»r ~Company Nome) Conhotlor Limnse Na. MasM lic. No. (PIaM Elen. Only) ing Pddresz ~Convvclor or O.mer PeAorming Ins Ilorian~ S~ o'zed Signal Co or or Owner Pedorming Ins lafion Plwre No. ~ EB 0 /95 STATEBOARDCOW-SEEINSTNUCTION50NBACKOFYELLOWCOW I~il II ~9I ~I REQUEST FOR ELECTRICAL INSPECTION I I MinnesMa State eoard of Electricity s 1821 Univeisity Ave., Rm. 1 8, SL Paul, MN 551~°°(~ * 0 2 5 2 7 7 8 6~ anona ~sizj sa2-0eoo.f/ 8' S O Hqme Duplex Apt Bldg, Ofher: New Addn Commercial Indus}rial Faim Remod Re oir Air Cond. Hfg. Equip. Wafer Hir. Load Mgmf. Ofher: D er Ran e Elec. Heat Tem . Service "X" abwa the work covered by ~his requesf. Enfer remarks in fhis spore and on fhe bock of fhe whife copy only. . ~ ~,°~7j,6.z Calculote Inspection Fee - 7his Inspec/ion Requesf will nof be ac<epfed withouf Me correct fe . Olher Fee # $ervice Enka~e Size Fee # Circuils/Feeders Fee Mobile Home Park Stall ~ 0 to 200 Amps 0 ta 1 DO Amps Sheef ltg./lraHic Sig. Above 200 Amps Above 100 Amps Transformer/Generafor INSPECTOR'SUSEONLY " p~,, TO qL- Sign/Outline Lig. X{mr. % /Jl17 ~ ~ `~V . Q/Si S~ Alarm/Remofe Confrol U1f/'« , e ~ Swimming Pool ~ ~ I hereb cem ~ho~ I inz t 'cal i herein on ihe dmes smred Irrigation Boom Rough-In ~ ~s . ~a~ ~k_ Special Inspedion ~ Final ~ r Investigotive Fee THIS INSTALLATION MAY BE ORUERED DISCONNE NO L~ HIN 18 MONTHS. OFFICE USE O~Y Tl~Ix~reyu~yqd ths Irom wlidalion date prinled in his boz. IIIII IIIII IIIII II III I II III II I ~j/~'"~ ~ 2~~i~oc ~~,7~ * ~ 4 7°I O Ia I 7 I I I I I I I I PLEASE PRINT OR TYPE ~ O S ~ Reques~ Oal RougMn inspecfon requiredB es ? No Inspeciion Olhar Thon NougMn: ? Ready Now all ~1'ou mus~ call the inspect« when ready~ Doie Reody: I, icensed conlrac~or ? ownar hereby request inspection of fhe above elechical work al: Job Add ~ hee1, 8ox, gr RouR No.~ ~ ^ Ci Lp Code 3 Y Seclion No. Township Name or No. Range No. Fke No. Cou~ry ~ Occv Phone No. ~~j Power u ' Address • achi ha ~Co pa y Name~ ~ Cankotlor Limnse N'. Maner Lca No. ~Plant Elect_ Onlyf c~~°-c-~e~c~if~.S's.s~ - ~~10 hb' ddress ~Commcior or Ownn rlormirg In mllalian~ ~ S A Sig re (Conn tm ner ParForming Insmllotion~ Phona Na('.'~` ~j/,, 0~3 d"'y'~C~ BO 1 11 8/96 STATE BOAFD CAVV - SEE INSTRUCTONS ON BACK OF YELLOW COPV ~~~J 1` ~I RE~UEST FOR ELECTRICAL INSPECTION 7~ ~ 7 ~ O~Z ~ Minnesota State Board of Elecnicity ~ 1621 Universiry Ave., Rm. S-128, St. Paul, MN 55104 , Phone (612) 642-0800 F4ome Du lex A t. Bldg. Other: ~ New Addn Commerciol Indusiriol Farm Remod Re ir Air Cdnd. Htg. Equi . Waler Hh. Load Mgmt. O~er. D er Ronge Elec. Heol Tem . Service "X" obove the work covered 6y this repyesf. Enter remarks in fhis space and on rhe back of rhe whi~e copy only. N~.~~~;' Calcu~ln~ specfion Fee - Thi~ Inspech~on Kequesl~l nof~ cep wi ouT Me C~c (ee~ Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 700 Amps Street Llg./Tmffic Sig. Above 200_Am s Above 100_Amps Tmnsformer/Genemtor INSPECTOR'S USE ONLY T Sign/Oudine llg. Xfmr. Alorm/Remote Conhol ~ . , ~y ^ $Wlmmin9 Poo~ ~ hereb mr~i Ihol I Ins d ihe eleclrical inslollaNon dmcribed herein Poe dates sbad Irrigotion Boom Ro~gMn _ Da Q ~j Speciallnspecfion _ ~ ~ Final (~j1 Investigotive Fee ~ ~a 7 / THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. Address 4914 RvsiIIV ?u~aD Zip 5512 2 I.ot 27 Blk 2 Sub !~r» ~T~rs THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector: Final gtade (6" from siding) Pertnanent steps (garage) Permanent steps (main entry) ~ Permanent driveway Permanent gas Sod/Seeded grass ? TraiU~rb damage ~ Porch Basement finish ? Deck ~ Please verify with the bwlder the removal of roof test caps from the plumbing system and the shutoff of warer supply to the outside lawn faucet before freeze potential exists. Con[act engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contracwr Copy ~ CITY USE ONLY L BL ~ RECEIPT 5~~~ SUBD. DATE: ~ ~ 7996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PI~OT 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 ~I.Q, TOTAL Shower 3.00 x I = ~ Water Closet 3.00 x ~ Bath Tub 3.00 x Z Lavatory 3.00 x ~ = I5 Kitchen Sink 3.00 x 1 = 3 Laundry Tray 3.00 x ! = 3 Hot Tub/Spa 3.00 x = Water Heater 3.00 x. ~ _ ~ Floor Drain 3.00 x i = 3 Gas Piping Outlet * minimum - 1 3.00 x 1 = 3~, Rough Openings 1.50 x 3 = 4 Water Softener 5.00 x = Private Disposal ' Dakota Cty. license 50.00 = (new and refurbished systems) U.G. Sprinkler * home under const. 3.00 = Alterations * to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL S ~ SITE ADDRESS: ~ 4 p"~p~ OWNER NAME: ~~~''~D INSTALLER NAME: p~~~~~^~ a~'''~"'~"~~ STREETADDRESS: C'~~ W~~~~~~ CITY: g~,`'~a p~'~~ STATE: ~ Z~p, SS3"13 PHONE ( ) 533-~'~1 OFFICE USE ONLY L _ 8L _ RECEIPT SUBD. DATE: 1996 PLUMBING PERMIT (COMMERCIAL) C(TY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ~ all commercial~ntlustrial buildings. ~ mufti-family buildings when separate permits are IIp2 required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION _ ADD ON _ REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED7 _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESU~T IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM7 _ YES _ NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1°k of contrect price, whichever is greater. State surcharge of $.50 per $1,000 of ~!t fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTAILER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: APPLICANT OFFlCE USE ONLY METER SIZE: DATE: INSPECTOR: PERMIT ~ ~°~s~°'as ~ CITY OF EAGAN 383oPilotKnobRoad PERMITTYPE: suz~ozN~ Eagan, Minnesota 55122-1897 Permit Number: 0 2 713 7 (612) 681-4675 Date Issued: @ 3/ 13 J 9 6 SITE ADDRESS: 4914 RUSTEN R~ LOT: 27 BLOCK: 2 CEDAR HEIGHTS P.I.N.a 10-16725-27~-02 DESCRIPTION: ~z1~in~Permit Type SF DWG ,~'~3 ir5t~ ,~~r k T y p e N E W tl~~~~GO=tkp~tJ~~ R-3 U-1 ~v~a~~l-k}~ C~~b~'t""~~e V-N ~ ~t £ ~3ti9t~1~~ ~ R-1 ~ q ~ F ~~t~.~`~~~ , ~~Jt-c~~Yt ~'s 64 „~u~,~ing.al~~t~tYt ~ A9 ~s~ k' ~~~t~~!+~ ~~~YN~ ~ ° 2 P~ F'~ .~~,t~~- 2. 3 2 9 (~i~~ ~"~1~`~ 101 1 - FAM. DETACH ~ j ~ ~4 4~~~ ~ v~~'~ ~!~s~ ~ r`~,~`~x ~ ~ REMARKS: S& W PLBR - STAR PLBG FEE SUMMARY: VALUATION $163,000 Base Fee $1,202.25 ' MISCELLANEOUS $1,923.50 Plan Review $601.13 ToCal Fee $4,708.38 5urcharge $81.50 SAC ~ $908.00 SAC ~ 100 SAC Units 1 Swbtotal $2,784•88 ~ CONTRACTOR: - Flpplicant - sT. I.xC.OWNER: RYLAND HOMES 18546363 2~09544 RYLAND HOMES 900 E 79TH ST 101 900 E 797H ST BLOpMINGTON MN 55420 MLNNEAPOLIS MN 55420 (612) 854-6363 {612)854-6363 ~ 9 l ( 9 v u iP : . • ~ ~ ' ~~`1 I~eee~~p~~sk~au~~+3t~ t~~~t~3 h~ve rvead ~th~A ~pplic~Ciorr'a.n?d `sta'~`~ 'th~~~,~he . ~n#Qrma~ioE~ is ~o°r,r~,G:~, ~~?d a'grea t4. ~~+~pl,~ ~,3i.~h aii ,aPP~ ~c~ble 3t~t~ of Mn. - _ ff~a~u,~~ ~t~; ~~t~ ~e~i~i~ Ot~d~,a~~nee~~- , ~ ~ , ~ ~ ° . _ _ ~=w. r~~'~~>, 4 ~ um. _ . ..m_ _ ^ APPLICANT/PEFMITEE SIGNATURE ~ ISSUED B SI ATU . INSPECTION RECORD CITYOF EAGAN , PERMITTYPE: suz~oxN~ 3830 Pilot Knob Road Permit Number: 0 2 713 7 Eagan, Minnesota 55122-1897 Date Issued: 03 J13/96 (612)681-4675 SITEADDRESS: P•I•N.: 1e~16~zs-z~~-e2 APPLICANT: LOT: 27 BLOCK: 2 4914 RUS7EN R? RYLAND HOMES CEDAR HEIGHTS (612) 854-6363 PERMIT SUBTYPE: TYPE OF WORK: S~ DWG NEW . . FOOTINGS FDUNDATION F'RAMINfi ROOFING INSU~ATION FIREPLACE ROUGH IN PLB6 • f20UCaN TN HTG FINAL PLBG FINAL REMARKS: 5& W PLBR - STAR PLBG , ~ r ~ s ` x ~ a x ~ ~~p ~ _ , ~F e ~ 4 , ' ~ s~ ~ i' a ` r . ~ , i A F _ . . «,e.a.,.,e_ , . x i~vr. ~o-.i , .u.ryt~~ _ n . _ a . e . ..,P. ~ ' CITY OF EAGAN ~ a~ ~ 3830 PILOT KNOB RD - 55122 ._.1 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 ~ ~~~-~J~ New ConstruGion Reauiremants Re~odel~eoair ReauiremeMe ? 3 registered eita surveys ? 2 copies of plan ? 2 copies ot plans (inGude beam 8 windax sizes; poured ind. dasign; ete.) ? 2 site surveys (exterior addRions 8 decks) ~ ~ e~~y ~~~eryp~q ? 1 energy calculations for heated addRions ? 3~opks ot tree preservetion~n H lot piaried afler 7/1 /93 . requlmd: _ Yee Na DATE: ~ g 6 CONSTRUCTION COST: DESCRIPTION OF WORK: ~0~ STREET ADDRESS: • LOT BLOCK ~ SUBD./P.I.D. ~ Q~ r LI~~-~ PROPERTY Name: ~l~ ~(lYl~('~ t~l(ln'19Ci PhOne#: J"~~ OWNER ~OO E ~ _!'F~ ~l ~ ~ Street Address City: State: ~ Zip: ~ coNTw?cTOR Company: ~ V 1 CA.YILt t"10 1~ ~ Phone Street Address ~~)"Y1P License #:!~~~n~~3 City: State: Zip: ARCHITECT/ Company: CJ~/`^ ' Phone ENGINEER Name: Registration Street Address~ City: 5tate: Zip: Sewer 8 water licensed plumber: ~`~n..Y 7' I ~ ~ l~ I 1 l~.l 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 informatio is correct and ag e to comply with all appUcable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY / / u ~S 1 Certficates of Survey Received Yes --i Tree Preservation Plan Received _ Yes _ No OFFICE USE ONLY BUILDING PERMIT TYPE ' 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish ~%02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch o 09 12-piex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. a 10 = plex o 15 Deck WORK TYPE ~31 New ? 33 Alterations o 36 Move ? 32 Addition a 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) ~ Basement sq. ft. ~ MC/WS System a~ (Allowable) n/ Main level sq. ft. /7 City Water a~ UBC Occupancy -3 ~i-/ 2 N° sq. ft. ~ z~o Fire Sprinklered Zoning .e-/ sq. ft. PRV # of Stories z/~SMr• sq. ft. Booster Pump Length e sq. ft. Census Code. o/ Depth yy Footprint sq. ft. 2~ 3 Zs SAC Code Census Bidg i Census Unit ~ APPROVALS ~ Planning Building Engineering Variance 7 Permit Fee Valuation: $ /l0 3F o00 ~GS ~ Surcharge C~ ws~ Plan Review ~ A 4 E~"~ License " ~ ~.7/(L ~I~/sp~ MCNVS SAC ~ City SAC , 2 I Water Conn. Water Meter ~ r~~, I ~ Acct. Deposit ~h 51W Permit ~ SIW Surcharge ~J,e / Z~ J3 Treatment PI. Road Unit Park Ded. ~~~n.~ Cc~ 0~2~~~ Trails Ded. ' U Other Copies ~ 2~' 2~ ~ Cz ,~~.r Total: ~~,j.~GVi K-~~rC~N~I- % SAC SAC UnRs '~,..,,v S~~.e~" L-I c~ m FOR RYLA~1 p r~c~r~t~s ~LOT PLAN PROPOSED ' TH7S !S AqT A BOI,f~AQY SUIVE!' ~ DJ1TE z ~ 8~96 GRADES w ~~r ~rv? aKr wi r~or n+w au n~ o• I RON 110NW8JT ¢ a ues rr m~ asanna . vaT nu~ a~ ~~r a R~~ °F ~B a~~''~D Kik?7f'1 SURYtY1 NG. l NC. HEAR INCS ARE PER P~AT ~ti~ s~ . 9 80•$ ~mi ma~ ro nxr i w a ou,r ura SPIKE SE7 ~aa ~ OF 11E QAIE F YI ~oOZ JffFERSM ST. k.E. ~•~I ST I NO ELEYAT I Q~! 7on oF e~opc - 9$1.1 C0.1~61A FEJ9iTS. W. 35171 9~3, ti G4 f61t1 7~6•07oi FN( 16121 T~6-7607 PROPOSm E1E1/. OAtB~ti Fl,OpFt • NIMtES07A lIC E {to 1 ~3 ~ a ~D ~'~~~~QE ARROY LOv~I 9'i6~ rc 0 ~ .oa ~q„`yl~ciq~ ~YOB~~ ~ ~ 1~~3,~7f 3 , 1 `q-~~,~~ ~ ' " SCALE IN fEET ~ ~ ~s ,S 2_Z L ~ "p ~o°`r ~}~9zs~o~ ~ _ 1 ~13. g4 ~ i ~ ~ ~o Q ~ ¢ r R _ ~9~aia`,_ _ . ~z~F1 . 7 r"`) O , 1 L• o~ w. ~ Tatin~ 99z~ ~ ~ ~ . ~ - _ C ~Z 4 . , io < ~ ~ ~~~?5~ : ~ d ~ ~ k ~ ~f 9 3 s ~~5~9~ ~ G ~ ~ ~ ~ Q ~ ~ ~ ~ ? Y ~ ~ r - ~ Y / 1 - S M _ . ~f ~ , o ~ A ~ ~v?n~ S~~ ~ ~ c ~y c ~ ~ j ~ ^ ~I : µ ~r ~ D ~ , ~ ~ v~ 'J U Y ~ EAGAIV ~:IVG E G DEP2: ~ I ~ Q ~ ~ y ~ o ~ _ , t~~ ~ , - ~ Z ~ ~ , ~ ~9~~~;~ 9 ~ ~~o ~ ° m 0 ~ ~9 1-.p-~- 2Z 3~...0~:.`~Z ~ ~ a ~L ~ ' ` ~ ~ ~ } ` { ~ ~ c r ~ 3. \ ~ ~,~Db.~~ ~`L~IC~}~l S i r ~ Z d' ~ ~ a m n~ o f J ~ ~ -r W ~ _ ~~~r~a. Co , ~u , n ~J ~ ~ -d O~ a W r^~" ~ c-1 ~ ~~ES/ ~ ~ h _ 20 ~ _ + r ~ U ~ ~~xcxr~; `1~.1}~. 1~oT~--I,~. ~ ' 33, - ~ ` Q ~ y{ p, r9f-l•31 ~ ~ R~ - - _7 ~ a~~u~ta~ ~~c.~~z~oN: 98l•9 ~ ~4q Cs~~S N ~ 30 ` `a ' K, ~ ~611-- ~ _ 1 7 ~ ~ J '~V ~ 79.~ ~ ~ 0 m- RusTCN R'o~~ ~3Z,~ ~~,z~ m m `r 993.7,,, ~ 1 WESTO?1 ° " 3cAa RZ' s,oc.L.n. ~ LOT SURVEY CHECKLIST FOR RESIDENTIAL • B OING PERMIT APPLIC ION PROPERTYLEGAL: @ DATE OFSUR . 9 ~ ~ ~ LATEST REVISION: ~ ~ DOCUMENT STANDARDS ~ ~ ' yl~~ o • Registered Land Surveyor sipnature and company , 61/ ~ O • Building Pemdt Appl~aM O~/a O • Legal descriptlon ~ O~ ~ O • Address 6?~ 0 • North artow and scale q/~ ? • House type (rambler, walkout, splk w/o, split entry, lookout, etc.) ? • Directional drainage arrows with slope/gradient % @~o ? • Proposed/e~asting sewer and water services 8 irnert elevadon ~ ? o • Street name f~ ~ ? • Driveway ELEVATIONS Ebstlnfl . m~0 ~ • Sewer service (or Proposed) ~ • Propetly comers ~ ? ? • Top of curb at the drivewey ~b ? • Elevatlons of any ebsHng adJacent homes ro 0~ ~ o • Garage floor ~ ? ? • Frst floor ? o • Lowest exposed elevatlon (walkoufhMindow) C9~~ ? • Property comers [~~l ? • Front and rear of home at the foundatlon ~ONDING AREA Cd aodicablel , ~ ~O • Easement line O 6~ O • NWL ~ t9~ • HYVL ? ~a • Pond # desipnaHon ? R~$ • Emergency Overflow Elevation DIMENSIONS ~O ? • Lot•IlnesBeadngs 8 dimensiorns ~O ? • Right-of-way and street widlh (to back of curb) ' ~a ? • Proposed home dimensions including arry proposed decks, overhangs greater than 2', ~ porches, etc. p.e. all strudures requidnp pertnanent footlnps) e' ? 0 • Show all essemeMs of record and any Gty udiitles within Uase easemeMs e~~~ ~ Setbecks of proposed structure end sideyeid aetback of adjecerh e~datlnp aWclurea 0 ? • Retaining wall requiremenTs, N any Redewed: `-S me Data J~nury tio6 caao~aasatoonnwcw ~v ~ ~ Ir.~ . . ~ / MH-1 C , ~WYE=1+86 ~ \ 6" GATE VALVE ; - ~ -y ~ ~ 962.5 / ~ 952.9 ~n ~ ' ~ C ~ . / ~ y: , \ 1 MII-2 ~ \ \ / ~ WYE=0+52 ' I WYE 0+ 95 ~ ~ ~ ~ ~ ~ ; ~ - ~ ~ . 3~ ~ ; <<~~n ti~ = ~ : ; \ ~ ~V ~ _ ~~5b.3) ~ - ~ ~ ~ ~ - ~ ~ e ` \ LWYE 1+33J ~ 1 ~ it I t-~~ I ~ . ~ ~ , ~ •~ts 5 9 ) ~ ` ~ L~ ;T -1 . : , ' -1--~ i \ rn. 9ti.S y> ~ ~ , " ' ~ ~ 6°-11 1/4' BEND ~ ~ WYE-0 r~08 i ~ MH 3~' ~j ~ ~ ~--:_.:~['t ~ ~ ~ ~ . ~ ` ~ ~ ~ ~ti9.> ~C.1 f. _ \ , , , ~ - - r t ~ ~iNYE=0+89 \ ~ ~~':5:> ; 7 _ , ~ C/a ~l (W1F - 1 ±69 ~ IiYDHANT ~ 1'L' fi' DIP ~ ~ b I I t/4' BEND , ,r - 6"xb' TEE , , . ~WYE=Oi 72 ~ ) GROUND EL = 979.7 ~a8 ~ " _ l 1{~1/~ - ( ` l.^ L.. oii.~'] Vlll~~ i.'a~ t1 ! ~'b~. s"x6" TEE "i ' f`;-. ,e.~Y Cr UTILIiY i ~lia~'~ ; 6" GATE VALVE ~ . t EL`PiiIOPa~. THIS D; i~ ,;~K7R , ~ i;.: ~;;i~i~1 PUFIPOSES~ G`'~i-`t AidD ' hEN(J r•e «~~,:.°,r. l,~~I~G IT SNOUL~ ~tcr,t+~Y TNE G~ . st~,~'tOrJ Ot~THESITE. ~Q= ~ _ , - ~ ti- ; ~ ~ ~ ~ ~ ~ FINISNEO CJL GRAqE , C/L SU~ ;RADF.. ~ ~ - , . - _ _ - . I ~;s ~ - - - :z ' - ~ _ . - ~ - , . . ~ - . . - „ . ~ , . . ' . ` •1.,' . . ~ , ,c ~ . . , ~ _ . ~ ~ ~ ~ ~ , I .,y. . _ . s"._ I . w' ~1P ~ M1 4. I M I t_. 1 / 74 `8 pV C~ i ~ ~ ~ ~ ~ i `.1A. ; 1 Of? ~ g ~j ~ E:._. i IR~ pgy ~ I~`` ~ ; ~ = 981.6. ~ i ~F S- 964. 0 ~ i ' _ ' ; _ ~ j g, IE N= 969. 0 - - ~ _ _ _ . MH-2 ~ ~ STA 3+25 ~~2 p . . , I VC ~ _ _ RF - 969.3 , ° ~ - ~E S ~/Q~=EIleaANDOc.^~f'!~Tf U~.~; ;~~i = 958. 0___ _ 6,Oq, . , , _ " ~,,~~t~~,!',CY OF UTILIIY ~ E N 958. 0 - ~ .cw~3~:c~~J ~ ~'i Et;;TIO11J. THIJ „ _ . . - -~i ~0~~ PUl~~OSt^ r , , f~~ f~-j . - ' . ~ -~~~.r_e~_t ,~'a , ~ TA. 1+23 u~,n~ SF74JL~1 r~ i i-i~ ~ IO~J ON TF `SI7'E. " - _ - E 958,.9 _ _ - I E S= 946. 0 _ EW=946.0 . _ . I 2~'- " DIP CL 5~ 0.40~ 6 - - ~ ~ _ - - - _ 5 - 3-_ 4 2 DEVEIOPER ARCON DEVELOpMENT CO. SANITAF ~F25 MEtRn B~vn. g,!irF „o CEDAR HEIOHTS 8 WAT EUINA, MN 55A:~a EAGAN, MN. 612 835-4oA~ ' _ . . .w * CAHO MEC 52 COMPLIANCE * Builder RYLAND ~CMES Submitted Hy R.H. TRACEY Madel WESTON :,OW E GLASS Date 5/5/95 Lot/Plan/Addresa Degs'eE Day Base 8000 Minn~apolia Type Single Family House Volume 41400 Filename WESTON Control No. 536 Uo Totals ~ Proposed ~ Required Component Area Uo Total Vo Total Walls 2713 .114 311 .110 296 Ceilings 1705 .032 55 .026 44 Floors 79 ,O~k7 4 .040 3 Floors (Open) 9 .035 0 ,026 0 Ssmt Wall(U) 1446 .080 116 .091 140 This House Qualifies with Total Total ~ 485 ~ ~ 540 U-Value Calculati~ns 3pecifications Uo Calculations Walls Size o.C. Insul. sheat. Component Area U-Val Total A Frame 5.5 16 19 2.06 FYame Wall A 1646 .066 122. b Frame 5.5 16 19 2.06 Frame 4Ca11 B C Frame-Gar. 3.5 16 13 .45 Frame-Gax.C 222 .082 18.2 D Maeonary 8 N/A 11 N/A Masonary D + ,p80 E Masonary N/A N/A Masonary 6 * Ring Joist 15 24 13 3.0 Ring ,TOis* 305 .059 18.1 Window A 2~4 I.38 111. Doors Panel Glass S.C. Window B A Metal .19 .62 .88 Window C 8 Wood ,45 .62 .88 Door A-Panel 42 .19 7.98 C Other poor A-Glaes 4 .62 2.48 Door B-Panel Ceilings O.C. Insul. Sheat. Door 8-Glas~ A W/Attic 24 36 N/A Door C-Panel B No Attic 24 30 .63 Door C-Glass C Other Totals 2713 310.5 VoQ(Ut/At) .114 F1ooYS O.C. Insul. Cover A Non Cond. 16 29 1.23 Ceiling A 1335 .025 34.0 B Overhang 1G 30 1.23 Ceiling 8 356 .Q35 12,4 C Other N/A 5 ~ Ceiling C Skyight A lA .6 e.~ Windows U-Val S.C. Skylight B A Alum T.B. .38 .eA Skylight C B Wood .52 .89 Totals 1705 55.0 C Vinyl/FG .48 _88 Uo=TJt/At .032 ------------------4-----._9________ Skylights U-Val S.C. * IIas$ment walls ~ SOti below rade A Standard .60 .E8 S High Perf. .32 .5 I NOTICE: Users of thi.s saftware are responsible ~ C Other for the specifications and dimensional data used to generate this report. :he develapere of HVAC Equip Raking the softwaxe are in no way r~eporisible for the Gae AFUE .78 miarepeaentation of any building due to errors, HP FtSPF 6.8 omissions, or any other misuse of the software. AC/HP SEER 10 IS0i909'd NNIW Ol NOI93~1 1531`'YJfW QNN"I.~l~ WC~LId 8£:£T S66T-LT-I,NW . ' Page 2 of 3 Huilder RYLAND HON~S Submitted By R.H. TRACEY Model 4JESTON ~ LOW E GLASS DaCe 5j5/95 Lot/Plan/Addreas Degree Day Sase 8000 Minneapolis Type Sir.gle Family House Volume 41400 Filename WESTON Control No. 536 aamvmne_ae~=-===-xaoaesennz=vxc___..o~~~~ca=vee=a=__~amanscmvvanamma~~'~'~nmaamw Dimensions Walle ~ Frame A( Frame B ~ ~Gar.Com.C~ ~ Mason.4~ Mason.E Sasement I Bsmt. 240 Above Gr 736 lst Floar 1248 1at F1oor Selow Or 736 2nd Fl~or '704 Crawl. 3rd Floor Misc. Misc. Misc. Misc. 190 Misc. Ring Area 305 Windows Aluminum 268 I I ~ I 26 I Wood 17iny1/FG Doors (G=Glass Area - OmOpaque Area? Metal G 4 I o 24 18 Wood a Other O + ~ ~ Ceilings With Attic No Attic Other 1335 l 370 I Std.Skylitesl I 14 I HP Skylites Other Floors Non Cond. Overhang I Slab 79 9 ~ Windows Qty. Deseription Qty. Description Qty. D~scription 5 2820 1 4010 4 3850 5 3250 1 3050 I 2 3Q30 4 2050 1 6068 GLASS L100R ~ Doors (RiY•IGA.Qe~wALLtDOQR IRlY IENTRY~W/3INa SDLITI4ty I Deacrigtion I ~ aveeena=a~a=xa~e-aaxv='aenccaava'-ar==cxc'~===_" '_'=__'______~'==_"cc' ~ ill SI0iL00'd NNIW Ol NOI~J3?J 1_319QIW QN~.21 WOLi~ 6£:£T 566T-LS-AtlW .`b::Y6.i:ri,'.,i`ir~:.W.:i($t$::i:X;N;::i:; e; i;C„~m )yS:;;;>$:~?Fk(Mk:7;O::.a'C)$%;'$GX;,° ca:i-v c:rr sr. ~ar,r~ f'A::;H:fF6:;: 5 if:I;M:if~Al._ NO~: p)7I:~ ~'F1~~~F., CI":i%r.'.~r'/iE3 7.T..~~i. '.F•:1~.`')I;`r'f'. ILi h:!(-1;`~, I;[i:tJUfiA Ni !._AI~'~ON ;:~?:!.0 9!]4]1 4`?14 f:Llii'1'Ii:N f;C~ `S0~[70 2;.'S:, 9L)i:):I. ~i`)J.~f tili°iiF~N Iill t).;`i0 ) .}..~i;7.~. n'i?t7.:.'I.I:i'i: F`~~riGi.?7'.a'." :]O..:i~) r,F~a a;:~r~~:~;:.>. !1~E~~: :Cr~: ~~^;JrY ~;s;x;x~<8; ~X:uW::X;~X~R:;,>,";.m,~;H:~.::~~;k%:h:~k;:;~r.:;~>: ~,:x ; , ~:r:c.':~;~. PERMIT ~ G'~'ITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: a u r ~ o z N ~ Eagan, MinnesOtB 55122-1897 Permit Number: 0 3 2 0 8 2 (612) 681-4675 Date Issued: 0 5/ 2 2/ 9 8 SITEADDRESS: 49~4 RUS7EN Ro LOT: 27 BLOCK: 2 CEDAR HEIGH75 P.I.N.: 10-16725-270-02 DESCRIPTION: Buall'c~f'n.g, Permit Type pECK Build'ingi`W,ork Type NEW Census Code~---~ 434 A.LT. RESIDENTIAL , t~ S . F.! , ~,.w.,a f,! ~ r ~ ~ ' ~ r`' ri~w'a` . . ~~"~k.,. J°v~rr~ .z:~. . l ~ , c':,s.'.::fw `~i 1 , . ~ !1~ ~ ~ % r~~G{` (,~~,r3~"3 7~1:!"~'( ~E:{i-`3~r=. `;~~E~..~~~~~,/` ~'Jl;f ~ ,_s",=:yw I ~ E,_.~Sa,l ~ S ~~!.R"~*M <.l ~ ,`i REMI~l~~:ReviewEO BY DALE SCHOEPPNER FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: {~/~p~ - pp ican - QARS'p"N' JEFFREY 4914 RUSTEN RD ! EAGAN MN 55122 ~ (612)975-3235 I ~ 1. - _ _ ,r: . , I hereby acknowledge that I have read this applicat'ion and state that the infQrmation is correct and agree to comply with all Hppl3cabJ.e State ofi Mn. 5t~~tuC~s antl Cit~~of ~agaT Ordi~~aiYces:~ ~ _ , ~ ~ ~ ~ L _ _ . . - _ ~ I~~ ~ ~ ISSUED BY: IGNATURE APPLICANUPERMITEE SIGNATURE 2• 998 BUILDING PERMIT APPLICATION (RESIDENTIAL) r7 ~ ~rJ CITY OF EAGAN 3830 PILOT KNOB RD - 65122 ~ esi-ae~s Z Z New ConsWdion Reauirements RemodeVReoair Reovirements ? 3 registered sfte surveys ? 2 copies of plan ? 2 copies of plans (inGude beam 8 window sizes; poured fnd. design; etc.) ? 2 ske suneys (exterior addkions 8 decks) . ? 1 energy calculations ? t energy calculations for heated additions ? 3 wpies oi tree preservation plan 'rf lot ptatted after 7/7193 required: _ Yes _ No DATE: CONSTRUCTION COST; °~i -~d DESCRIPTION OF WORK: ~X STREETADDRESS: !y/~ LOT: 21 BLOCK: v SUBD./P.I.D. (~1 I'~eUA /WJ Name: G ~PY Phone ~f-~'~67~ PROPERTY ~-~st Fvst w 9~s=sa~r OWNER ~ Street Address: 7 /LvJ o city state: /11i'~ zip: Company: Phone k: CONTRACTOR Street Address: License # City State: Zip: ARCHITECT/ ENGINEER Company: Phone Name: Registration ~t: Street Address: CiTy State: Zip: Sewer 8 water licensed plumber (new construction only): . 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 iniortnation is correct a ag comply with all applicabl State of Minnesota Statutes and City of Eagan Ottlinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation P~an Received _ Yes _ No _ Not Required - .r . . OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? O6 Duplex ? 11 Apt./Lodging ? 16 Basement Finish O 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous D 05 SF Misc. ? 10 = plex ~15 Deck WORK TYPE 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 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. ~i3 Depth Footprint sq. ft. SAC Code o! Census Bldg / Census Unit O APPROVALS 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. Traiis Ded. Other Copies Total: °k SAC SAC Units I Z-I ~ m FOR RYLA1~1 p r~o+~~s ~LOT PLAN PR~oS~ • ~trrs ~s hn~ ~ ea,n~,+ar scevFy ' DATE z~ 8~9G f~ADES W i ~aar esrvr n~r wi stm nru w~~m n~ o. f RGJ YONLatB~fT ~ a ue~ rr eicr armn~ia . sxT au~ wN eaa~ir a ~~'~R °iA~ ~ a~~ KLIRTH SURVEY7NC. INC. BEAR INGS ARE PER PLAT ppp~qE s~ - 'a 80•$ 1!ffiIOOCtt~. NDM[T I/YApLT uw ~002 JffFERSQI ST. k.E. SPIKf SET q$1.5 ~ ~ ~ ~ ~ r~ C0.UBIA FEI9ifS. W. 5512I ' ~I STIND ELEYATION T0P °F ' ~'4 ~ ~oi~~ ~~t•o~eo FAx ~ei~i T~e-~eo~ t~• PROPOSm EIEV. e~tEUe~rt Fl.ooA . 9T3~ 1 E- • DRAINAOE ARROV LO~ 9'16~ ~n HIMfES07A LIC E 5~0 1~~s 0 2a wz3 ~~c11 To6~i ~ / ~1~FJf ~n ~q 1A~ ~ o - ~ SCALE IN FEEf ,n . 3 , , ~a ~ : ~ ~ ,s ~Z " L z _N o~,•i i ~ o ~ o ~f;9zs~o~ _ ` ~l 3 . g c} ~ _ ~ Z • ~ R - ~q,a_s.- - - ~i+~> • w v~J G ~ L. o. o Ta~n~ 99i7~ ~ ~ ~ / r _ _ 4 C 4~."i io r f ~ _ ~ Q ! %9~5 ~ 9 3 s { S. ~ / ~ ~ ~ ! ~ O ~ ' ~ S ~ ' r ~ ~ ~ : 1~ K ) ~ U ~ 9~ ~C r - ~ Y 1 „ ~ ~ ~ ~ Q , ~v~v~ S~~ ~ ~ c E~ _ ~ ~ r ~ r ~ ~ ~ ~ 3 N 1~ " ~ 4 ~C /J -'t- ~ L _ e~ . i , ~ S o ~ ' ~ ~ ~ 'r~', ; ;ti U~ ~ r.: ~ . i: ~ ~ Z _ ` , ~Z a ~ ~ ~ ~ ` ~ 2Z 3~0...~2 , `97~~~ 9 • m 0 ; ! ~ ~ 1-~O`~" ~ l1 c 1 ° ~ a ~ ~ ; : / ~ ~ ~ J- p - ~ ~ ~ c r' ~ ~ i i `i~ ~ ~~DL~.1~ )-~~.~6}~TS i r ~ ~ ~ ~ , , ~„1 ~ ~ ~ @ ~ ~ p ~ ~d 23 ~ ~ , ~ ~ ~~~-,c~ ~o, ~~.L. , ~ ~ ~ j ~ ~ a~ `979.; ^ _ Z•p r 3 U ~~~X.r `1 )..LX• 1~0-rZ-~,~ Q ~ti i x~ ~ 3t _ 33. p _ T~- _ - - - _ _ _~r m a~~~~ ~ ~...~.,~z,oN ~ ~t ~ ~.9~ + ~ 30 ' ` RR SPK~ ~ ~ ~ p, / z o . ~ -6'L- ~ 49',q. `a " ~ b~_-`~ ~ ~ ~9, ~ q (n^ RUST CN jZp~D ~ _S _ - ~ 3 Z , ~ ~ w4a.~~ •~5'c "'~0. ss oc. L, c.. ; ,~F`° . ~.e°oo~ ~r1 . ..9P' ,.Q ..a~' nJ9 L~ 8~ SUBD NEW RECEIYT fl ~ RECEIPT DATE 4/~~7~Cr v = ~3/ - y,6 ~ .i ~ J~ ~y~~~~~-,~-~ d~- ~ ~.,A ou t+~x o~~ r~ ~n~.o - PLEISE HE ADVISED THAT Tl~RE IS'A FEE SNDRTAGG Oti ihr. ABG'JE . ~J ~ II.ECTRICAL I2STALLATZON IN T!~ AIi0t1NT OF $ o~ ' SHORTAGE ML6T BE PAZD KHITHIH 14 41Y5. REHARl6 ~ ~ 0 to 30 amp. circuits= ~Q~ ~ 31 to I00 amo. circuits= 7, W 0 to 100 amo service= ~ 101 to 200 amp, service= O`G W TOTAL FEE DUE= f~7 OG I G? LESS FEE RECIEVED Gj ^ ~ TOTAL FEE SHORTAGE' DUE _ ~ ~ - ~ FE~2ITIl d~J~~~77~ - ORIG. ?tECEIPTI! t5 rC1 ~'r' RECEIPT DATE /~-d ! ~ kETU?tN A COPY OF THIS FORM WITH ?2EMITTANCE. CITY USE ONLY ~~~.y~~ L a7 BL ~ RECEIPT#:~ SUBD. JLd~4i'C.- ~ DATE: -3O? 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? singte 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: q ~ FEES ? Minimum Fee: Add-on/Remodel (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)~~~ "I U~ ? State Surcharge .50 TOTAL 33 • SITEADDRESS: ~G~y )~~~n OWNER NAME~~~ , I~ Y1~ ~G'1~ ~ PHONE INSTALLER NAME:~~~ ? ~ ) ~"h ~G/ ~ ~ r STREET ADDRESS:ir~~ ~ ~ ~~'~'`+K~ ~ • CITY: 'd ~u ~ STATE: f~?~1 ZIP: ~Sy~-~ I PHONE {(p1a ) ~7.~.3- y3S-I , , 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~ndustrial buildings. ? muiti-family buildings when separate permits are ~t required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ~$25.00 minimum fee QC 1°/a of contract price, whichever is greater. • Processed piping - $25.00 ~ State surcharge of $.50 per $1,000 of pgi~ 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 ~aa~~' ~IS.So 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION ek ~ I~.Z ~ CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date / f Site Street Address Unit # Prope~ty Owner ~~i(J . /2 iY~ Telephone # ~5~) ' - Contractor ~2/~//~e ~L/Lf/yl,f~/A/'B Telephone# (q~~,~~ Address~3~ ~~.~2~¢f~tJ /7!~ City~-~~ij~~ ~,~x~+,xQ,~ 1Y/n~State_p~~ Zip•~S-"~ The Applicant is: _ Owner ~ Contractor _Other Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures (excludes water softener and/or water heater--complete next section if installing these appliances). _Septic System Abandonment _Water Turnaround (add $125.00 if a 5/8" meter is required) Other: _ Water Softener ~ Water Heater ~~UC I 6 $ 15.00 _ new ~ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild. $ 30.00 State Surcharge $ .50 Total $ ~~,SO I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. A~h ~~~d ~1~ App icanYs Printed Name Appli s Sign re City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4914 Rusten Rd Lot: 27 Block: 2 Addition: Cedar Heights PID:10- 16725- 270 -02 Use: Description: Sub Type: e- Reroof Work Type: Replace 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 Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Construction Type: Occupancy: If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes. $88.50 $1.50 Total: $90.00 - Applicant - Owner: Jeffrey L Larson 4914 Rusten Rd Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 Issued By: Signature Building EA089777 06/19/2009 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State SEDGWICK HEATING & AIR CONDITIONING CO. 1408 !\V NORTHLAND DRIVE, Cs 310 • MENDOTA/JHEIGHTS, MN 55120 • (952) 881-9000 CI ADDRESS 1 C1 /4% ,$ �N 6 CITY OCCUPANT 1"i i"fLc.Y'Sil r'1 OWNER SG$. b1'4 HEA �I� - TEST R J V£D ra:cAt. h MAY 191011 ti.J JOB NO 3 a171 d 5 SOLD BY INSTALLED BY /i/ U 1 O s� jJ e MAKE L ►' nty. SERIAL NO (7(2 8 THERMOSTAT I Yr+ Aar MODEL INPUT 5 Llt 11.1 i1- /i o ' o€ 1 10 OO V VENT SIZE 3 22 VALVE 1,/a. TYPE OF LINER / LIMIT 51-74/0 LINER SIZE A/ c LIMIT SETTING FILTERS- SIZE NUMBER L FAN SETTING WIRING PILOT TYPE TEST TAG IGNITION MODEL LIGHTING INST. A PILOT TIMING /) /, 5 23// DATE TESTED PRESSURE 3 ` J PERCENT CO2 '"C _ fs- // l//e$4' C7: -7 COMPANY TESTING !PI/Lt--lie . �j? INPUT CFH PERCENT O2 STACK TEMP. /3/ PERCENT CO NAME OF TESTER FORM 235 (REV. 10/10) FORM DISTRIBUTION: WHITE COPY - JOB FILE YELLOW COPY - CITY úìú ÷ü ÿ ÿþýüýüü ûÿÿ ñ ÿ å é ä îå ï å ú þýüû úíýë ùû ú÷ö íýë Úý úóÞýó äýüõ ÿþ úÿìðï è ï õ óíìòúó çïïææ ùû þýä íãçïæðæ ðï ø÷ö úõô úú þ öé ë áøø ÷äÿþýñðòý ò õé ä õ÷ïï ìðï èð äü ö äää úú ääøó óú öäúúüþ øõ þý ø â æ úúê óþ ý ý þ ý PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA107930 Date Issued:11/05/2012 Permit Category:ePermit Site Address: 4914 Rusten Rd Lot:27 Block: 2 Addition: Cedar Heights PID:10-16725-02-270 Use: Description: Sub Type:e - Water Heater Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Kris Oien 3670 Dodd Rd Eagan, mn 55123 651-365-1340 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 - Jeffrey L Larson 4914 Rusten Rd Eagan MN 55122 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165090 Date Issued:10/16/2020 Permit Category:ePermit Site Address: 4914 Rusten Rd Lot:27 Block: 2 Addition: Cedar Heights PID:10-16725-02-270 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Wenzhi Wang 4914 Rusten Rd Eagan MN 55122 Pro Custom Builders 16231 South Hillcrest Ct Eden Prairie MN 55346 (612) 250-1814 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA167373 Date Issued:03/11/2021 Permit Category:ePermit Site Address: 4914 Rusten Rd Lot:27 Block: 2 Addition: Cedar Heights PID:10-16725-02-270 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Wenzhi Wang 4914 Rusten Rd Eagan MN 55122 (612) 812-2814 Milbert Company (culligan) 1801 50th St E Inver Grove Heights MN 55077 (651) 451-2241 Applicant/Permitee: Signature Issued By: Signature