4922 Rusten Rd INSPECTI~N REC~RD
C~TY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: ~':'~?t 1 i
Eagan, Minnesota 55122-1897 Date Issued: ~ t i.~
(612) 681-4675
SITE ADDRESS: ~ ` r , « ~ : . ~ ~ ~ ' APPLICANT:
~ I . .~r~ !ct ~?r :
i ~t~:tf'M R1? , r,:ai~ Il~rrat
~ ~ i,•~I I~ ~ ~,II 1 , i ~ ~ • , t . ,
PERMIT SUBTYPE: TYPE OF WORK:
~ i ~t; ~ i
. .
I~~~~ ~ I rl~: i t tJt; I
~ ~
~ J
Pertnit No. PermR Holder Date Telephone M
ELECTRIC
PLUMBING
HVAC
Inapectton Date Insp. Comments
FOOTINGS
FOUND
FRAMING
Fi00FING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUI
GYP BOARD
FIFEPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
91~~~ ~ -
DECK FINA~ ~Q~J, ~
Tiwir c
i INSPECTION REC4RD
CIT~( OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: N'
Eagan, Minnesota 55122-1897 Date ~ssued: r''-~
(612) 681-4675
SITE ADDRESS: ~ ~ , : ~ t ~ APPLICANT:
, ki, - . ~~ai-~~
. :i~ i ~,t; i , , ~ . ~ ,
PERMIT SUBTYPE: TYPE OF WORK:
~
• •
, ~ ~~~~ir~i~.,.
i , ; ,:i,~il Irdi.~
t il''.tII I I~~hl h 1 Irf I' I fo~ [
~i~t~.lt 1 PJ y:~tllt~il ~ rl ~1 i h
, i rJ~+~ I~l 1+~, t t Nl?I
~ (°l i11; h ~ . . 1-J t ~ , , ~ , , ! ; , I • { f 1 . ~ ,
1 ~
~ J
~ PermR No. P Holder Dete Telephone R
' EIECTRIC ~ 1 / 9 G
t
' PLUMBING o~G ~'~3 ~f
HVAC ~i 5.~3- y357
InspecUon D e Insp. Comments
FOOTINGS /.~~(~9G
FOUND -
4-
FRAMING ~6 ~'j•j~
ROOFlNG
ROUGH
PLUMBING - -
P~~ y-Q6 f{ - P
AIR TEST
ROUGH ~ ~
HEATING Z(, f
GAS SVC
TEST
INSUL Q`
c
GYP BOARD
FIREPLACE ~ l~
FIREPLACE ~ ~_~J~
AIR TEST 7
FINALPLBG ,g
FINAL HTG 9
%
ORSAT
TEST
BLDG FINAL ~,2r/
C
BSMT H.1.
BSMT FINAL
DECK Ff(3 .
DECK FINAL
` ~~~t_~
~ ~ _ , ~
~
. ,}b' -
~e~~icate ~ccu~anc~
~it~j of ~agan
~~~~t ~ ~~~~e~~a~
This Certificate issutd pursuant to the r~eqairements of the Unifonn Building Code
certifyeng that et the time of issuance this structu~ was in compliance with the various
orrlinances of the Crry regulating bui/ding cortstruction or use. For the fopowing:
Uae Classifialian: Bldg. Ptrtni~ No. Zf1~
Oocrpa~cy Type s~ ~ Zooin~ pisttip R ~ 7ype Cons~. ~
UnrrofBuildina ~S Add~ess ~ $ ~ ~
swia~ ~ae~ 40 !Q RUS~1 RC1AD ~ny L28, S2, (~IQ~iPS
, T! ' / / ~YC ~ ~~~1 /
B~n~mn6 QfrK,v
POST IN A CONSPICl10U5 PIACE
Address 491o xusrIIV xonn Zip 5512 2
; ,
I.ot 28 Blk 2 Sub cIDax t~zc~rs
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION,
Date: Yes No Inspector.
Final grade (6" from siding) ~
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway f/
Permanent gas
Sod/Seeded grass ~
TraiUcurb damage
Porch ~
Basement finish
Deck ~
Please verify with the builder the removal of roof test caps from the plumbing syscem and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering di~ision at 681-4645 before working in righbof-way or installing underground sprinkler system. ~
Whitc - City Copy Yellow - Resident Copy Pink - Contractor Copy
0- 05~~~13 ~ _ _ ~a~~I
i 5.~~ ~ ~ ~
~ Requ 1 Oete Fire No. Rough n Inspeclion Require Ins eclion Ot~er Than Rough-In
G~ (YOU mry`call Inspector w~en ready) g Raetly Now ~WIII Nolily Inspeclor
ies ? No ~a~e Reatl
I~ensed contractor ?owner hereby request inspection of above electrical work at:
Job Atldress (Street 6ax or oute No.) Ciry
~ ~ G J - ,1
Sec~io No, Township Name or No. Range No. Goun y.
OccuP (PRI ) PM1ana No.T ' r
S~ ~f'? ~ _
C~ ~ ~
Power Su~ Ilar , Address '
~ '`.'Yyb ~rr.r',5 lt-f5~
Eleclncal Conlrector (COmpany Name) Gontracror's License No.
S e da Z ~o
Mailing Address (Contrflctor or Owner Making Installationl / ~
~ I f ~rcl~e ?N N
Aulhoi xd SignaNre (COnVatlo~ ner Meking Instalia~ion) Phone Number
~zg-~s~v
MINNE A$TATE O LECTRICITY IIII IIIII IIIII IIIII IIIII IIIII IIII IIIIIIIIII IIIII THIS INSPECTION RE~IIEST WILL NOT
Grlgga idway BI R m 5-128 BE ACCEPTED BY THE STATE FSOARD
1821 Ivarotly e., . Poul. MN 55104 UNLESS PROPER INSPECTION FEE IS
ENCLOSE~.
Phon (61Y) 842-0800
~ L~{[! REDUEST FOR ELECTRICAL INSPECTION ee-aoooi~os
~ Sre instructions far campletin9 t~is ~orm on back o~ yellow copy. ~ 5~3/
9 9(p 'X" Below Work Covered by This Fequest
Ne Add Rep. Type of Building -Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other S ecify)
Farm Air Conditioner
Olher (specify~ Coniractor's Ramarks:
~ c
Compute Inspection Fee Be/ow: ~ ~ f, ,
# Other Fee # Service Entrance ize ~ ee # Circuits/Feeders Fee
Swimmin Pool 0 to 200 Amps . 0 to 100 Amps ~ a. Q~7~
Transformers Above 200 Amps Above 7D0 -Amps
Si ns Inspectar's Use Onry: . TOTAL
Irrigation Booms i
5 acial Ins ection -
Alarm/Communication THIS INSTALLATION MAY BE OR CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18.kIONTHS.. . ~
I, thB EIBCt~IC21 IOSpeClo~, h0~eby Roug~-in Dale ~~`C~'
cedity ihat the above inspection has F~~ai . o ie
been made. ~ ' ' ~ ~
OFFICE USE ONLV
r
This request void 18 mon[M1S from .
' ' ~riir • '
-72~ a 8 . # I, .
t 2006 RESIDENTIAL BUILDING PERMTT APPLICATION oa
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
,
Telephone # 651-675-5675 FAX # 651-675-5694
New Constue~on Reauter~is RanwdeVReoair Reaui2ments Ofice Usd OMv
3re8~~~~YSCM1oxm9W.ILdbte9.ftdharsa;anddiroofedareas 200p1060(~IISIIOW1119TOOU~96,DBMIC,IOW6 GrtafStwqr~ReRl V~:TN
(2096madmumN#wueragealbwem isetdEneigyCaln~lafiansiarheatedadmtims- T~eePresPlBnRecd, _Y.=N.
2 cqae.s W pla~ sho~tiig beam 8 whMav sizes: Pared found design, e4. 7 sBe wNe.Y fw addf6ms & decks ~ Tree P25 Re~ired _Y.'_ N
ise4oFFne~gyCakulatlons Ad~on-intlicffieNomsitesepficsyafem Oni~e~$gPik:System Y:~~_N~.
J oopies of Tree Preservetlan Plan N lot ple~1 efter 7/1193
' Rnn.IastD~I~D9m%sdectimshcet~6uil~ngswdh3alessure75)
Minuegasco mechanical venlilation fom~ y
w ~
Da~~~ ~ ~ ,~o~G/ ~oo$~~oo ~a~ ~-1- ~ ~
Site Address ~ ~tfp~ ~~i 5 k~ ss/Z L UniUSte #
Descriptiou o[ Work ~/vll Sf~ L~f~ Sl rr 2~-7
Ma1N-Family Bldg _ Y ? N Fireplace(s) ~0 _ 1 _ 2
Properly Owner ~'7 ~ 1~{~~ ~~i S 1.2 ~Q vi : 1 Telephone H((,S J)~~v~ ' S~S~
ContraMor
Address City
State Zip Telephone # ( )
COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Cateeorv t _ Minnesota Rules 9672
(J submission type) ReNae^tial Ventilatlon Category 1 Workshcet . New EnergY Code Woiksheet
Subrtripetl Su6mifted
• Energy Envelope Ca~culetions Submitted
~=-4~,~~~~~9~
In The last 12 months,bas The City of Eagan issued a permit for a similar pian based on a m ~n.
_ Y ? N If yes, daTe and address of master ptan:
licensed Plumber Telephone )
Mechanical Contractor ielephone )
Sewer/Water Contractor Telephone # ( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in ihe case of work which requires a review and
approval of plans.
~1~~ Yh i 1~5k~~~t~!
ApplicanYs Printed Name Ap licanYs Signature
~ DO NOT WRITE BELOW THIS LINE
Sub Tlroes
? 01 Foundation ? 07 05-plex O 13 16-plex ? 20 Pool ? 30 Accessory BMg '
? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (&sea.) ? 37 Ext. Att - Muiti
? 03 Dtof_plez ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) O 33 Ext.Alt-SF
? 04 02-plex ? 10 08-plex ? 1 B Oedc ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? OS 0&plex ? 11 10.plex ~ 19 Lower Level ? 24 Stortn ~amage
? O6 DA-plex p 12 12-plex ? 25 Miscellaneous
WOik TVD@S
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? q2 Demolish Foundation ? 45 Fire Repair
~ 33 Alteration ? 37 pemolish Building' ? 43 Reroof ? 46 Wrndows/Doors
? 34 ReplaCement *Demolltlon (Enllre Bldg) - Oive PCA handout to apptkant
DESCfiDl100: Water Damage _ Yes
Valuation Occupancy MCES System
Plan Review _ 100°k or 25%
Census Code y 3 y Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const ~ Width
REQUIRED INSPEC'I'IONS
_ Footings (new b(dg) _ SheeLrock
_ Footings (deck) FinaUC.O.
_ Footings (addition) FinaUNo C.O.
_ Foundation 7y HVAC
_ Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests pinal
~ Framing _ Siding _ Stucco Lath _ Stone Lath `Brick
Fireplace _ R.I. ~ Air Test _ Final _ W indows
Insula[ion _ Reiaining Wall
r
Approved By: Buildfng inspector
Base Fee --------------------------------~.~_-------------___-___.MWW
Surcharge
Plan Review ~ ~ ~J' ~ ~ ~f ~i~
MClES SAC
City SAC ~7'
Utility Connection Charge
S&W Pertnit & Surcharge
Treatment Plant
License Search
Copies
Other
, Total ~
~.r
zoos RESIDENTIAL PLUMBING PeRMiT aPPUCaTioN `s1
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-6755675
Please complete for modifications to existing residentia! dwellings.
Dete Lr ! ~ / ,nV~ I
Site SVeet Address ~~i ~~~t~~ Lu~ ry~ 5 S/Z Z Unk #
Property Owner il P~ Y~- ~ i S k~~ L~ i S Teiephone 6 S/ "Sn 58
Contractor Telephone # ( )
Address Cky State Zip
The Applicant is: ~ Owner _ Contractor ~Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Indudes County fee
5 100.00
Per as-built $ 10.00
ARerations to existing dwetling $ 50.00
~ Add ptumbing fixtures. This fee inGudes installation of a water softener and/qr water
heater at the same time. If you are 7nstalling onlv a water softener end/or water
heater, do not complete this section; move to the neut section and check the
appliance(s) you are instaliing.
_Septic System Abendanment
_Water Tumaround (add $130.00 if a 518" meter is required)
Other:
Water Softener _ Water Heater $ 15.00
_ new _ replacement
Lawn IrNgation _RPZ _PVB _new _repsir _rebulld $ 30.00
Stste Suroherge $ .50
Total S
I hereby apply for a Residential Plumbing PeRnit and adcnowledge that the infwmation is complete and acxurate; that fhe
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
undersfand this is not a pertnit, but oniy an application for a permit, work is not to start withart a permit and wwk will be in
acxordance with the approved plan in the event a plan is requirgd tp be reviewed and approved.
I-Y~ l I l C lA ~ v! (~J
Applicant's Printed Name A plicanfs Signature
PERMIT L 2 s ~~3 Z
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: a u i ~ o i N ~
E8g2n, MinneSOta 55122-1897 Permit Number: 0 2 6 8 8 7
.(612) 681-4675 Date Issued: 12 / 2 9/ 9 5
SITE ADDRESS:
4922 RUSTEN RD
LOT: 25 9LOCK: 2
CEDAR HEIGHTS
P.I.N.: 10-16726-250-02
DESCRIPTION:
~ ~
q'i.~~ldiri`~~,Permit Type SF OW~
r~~rl+~in4 ~o,rk Type NEW
~;~`UE~C ~ecupatio~~; R-3 U-1
Canstructiun 1'~~e v-N
a"~ ~4ni~rtg ' ~ ~ ~ R-1
~uil;tJing tength 64
Bui~.ding Wi.dth "',i 49
~u~~tl~~"~.s~nrie~~~ „n.~ 2
t~'=''x uSicj,ka;are ~es~ m~`r~"'f 2,314
4"~,~~}tS~~CUd~~-~ 0101 1- FAM. DETACH
5 ~ ~ t
gF'i k} S t ~ ~ k~s~-* v a+ ; GS {.sTt~~ Y i }"+~"y~ ~
~x° ~5:, ~ ~ ~:~5 '~3.. u.==s'~:~~ ~`v3*~„=~t. ;~s
' ~~a•=Y ra r~;.,<..€~ , e=~;:d
REMARKS:
S& W PLBR - STAR PLBG
FEE SUMMARY:
VALUATSQN $163,000
Base Fee $1,202.25 MISCELLANEOUS $1,892.50
Plan Review $420.7~ COPIES $2.00
Surcharge $81.50 Total Fee $4,449•.O~B'
3AC $850.00 0 7~
SAC ~ 100
SAC Units 1
Subtotal $2,554.54
CONTRACTOR: - Applicant - sT. ~rc OWNER:
RYLAND HOMES 18546363 20035Q4 RYLAND HOMES
900 E 79TH ST 101 900 E 79TN S7 W 101
BLOOMINGTON MN 55420 BLOOMING70N MN 55420
(612) 854-6363 (612)854-6363
,`T herahy ackerawledge thaC I have.~ead thi~ applieation xnd ~Gat~ t~ha~ "kh~
' 3mfarmatiun xa earr~cC and agr-eq ~o cainpl~+ with ~k]: aPRlic~ble State'n!'f Mn. :
StatuEes and Czt~y o~ Eagaq Ur~dinanaes.
n m _
APPLICANT/PERMITEE SIGNATURE ISSUED B SIG ATURE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: a u z ~ o z N G
3830 Pilot Knob Road Permit Number: 026887
Eagan, Minnesota 55122-1897 Date Issued: 12 / 2 9/ 95
(612)681-4675
51TEADDRESS: P•I•N.: 1e-16~2s-zse-ez APPLICANT:
LOT: 25 BLOCK: 2
4922 RUSTEN Rp RYLAND HOMES
CEOAR HEI6HT5 (612) 854-6363
PERMIT SUBTYPE: TYPE OF WORK:
SF DW~ NEW
• •
FOOTIN6S FOUNDATION
FRAMING RQOFING
INSULATION FIREPLACE
ROUC~H IN PLBG ROUGH IN HTG
FINRL PLBG FINAL
REMARKS: 5& W pLBR - STAR PLBG
I._ . _ . _ . . ~ _ _
~ , ~
,
- _ ; . , , e: , _ _ p ~ _ _ . T _ u~w
,
_ ~ _
CITY OF EAGAN 'r,''(
~ 3830 PILOT KNOB RD - 55122 `NtQ •
1895 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~,p n~t~;
. 681-4675 .~x~
~,qy~ Conshuation Reauirements RemotleVReoeir Reauiremants rlr--t~~t°i'I 1~' Z~
A 3 mpbterod ske aurveys ? 2 mpies ot plan
? 2 copies ot plans pndude beam 8 window sizes; poured fid. design; etcJ ? 2 si[e aurveys (euterbr addkions 8 decks)
? ~ enerpy ealaletrons ? 1 energy calwlationa tor heated eddRions
? 3 oopias of Uee proservation plen N lot plet[ed efter 7/t/93
iequirod: _ Yes _ No
~ATE: ~ Z-~~'~~ 1S~ CONSTRUCTION COST: ~
DESCRIPTION OF WORK: s'`"SI rt- F""`• ~y
STREET ADDRESS: 22- S~" ~c°r~
LOT L~ BLOCK Z SUBD./P.I.D. ~`e~~~ ``~s
PROPERTY Name: / L Phone
OWNER
~ Street Address~
City: State: Zip:
/ ~~/-6 3 63
CONTRACTOR Company: ~y ( ~ ~`S ~
Sft ~o(
Street Address: 96o F 79f~`SF•w License ZO~ 3sYY3
City: r, ~~z`-yr ~c,---- State: /'t K- Zip• srSS~2~
ARCHITECT/ Company: ~y Phone
ENGINEER '
~ Name: Registretion
Street Address~
City: State: Zip:
Sewer & water licensed plumber. S~ r ~~4in"~'~"~ . Penalty appiies when address change and lot
change are requested once pertnit is issued.
I hereby acknowledge that I have read this application and state that the information is cortect and agree to comply with atl
applicable State of Minnesota Statutes and City of Eagan Ordinances. f~
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received ,~Yes _ N DEC 1 4 1995
Tree Preservaation Plan Received _ Yes ~
OFFICE USE ONLY ~'H, ~ ~ ~ t,.~
~ p
~Tj 1~1~ ' . .iMk..
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
~02 SF Dwelling ? 07 4plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility
0 04 5F Porch a 09 12-plex ? 14 Firepiace ? 21 Miscellaneous
0 05 SF Misc. 0 10 = plex o 15 Deck
WORK TYPE
~31 New o 33 Alterations o 36 Move
0 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actuai) Basement sq. ft. ~ lv~~ MClWS System ~
(Allowable) N Main level sq. ft. City Water oL
UBC Occupancy ~-3 / Z N-~ sq. ft. ~ z~ Fire Sprinklered
Zoning sq. ft. PRV
# of Stories ~s sq. ft. Booster Pump
Length ~ sq. ft. Census Code. io /
Depth ~ Footprint sq. ft. Z i SAC Code oi
Census Bldg i
( Sf,oP ey~ Census UnR
APPROVALS v
Planning Building Engineering Variance
Pertnit Fee Valuation: $ ~~3i o°~
5urcharge
Plan Review ~~„f ~sh' >
License
MC/WS SAC yX i8.7/ 2 os" / s; G I/K is==
City SAC Z3.i~r SL ~ ~ ~~r-
Water Conn. y~, 83 X 3 Z,s- = 3i 9 Z~
Water Meter
Acct. Deposk < 3,~ s-, s-s~ _~/7~
S/W Permit z n~~l. s = 2 9
S/W Surchar e
Treatment PI9 ~ K~y'
Road Unit Z~ Y3,c /9-sy= yz~
Park Ded. _ ~
Treils Ded. ,s x ~z
Copies ~ Z y, ~z x Z~ = Ss-~ . /7X /L = Z ~Z
~ y, s' x// 9s~ (0 7 s'X ~G =
Total: ~Z ~ K ry ~ /o Uoo
s,ac ~ 9, 3/ z~ _ f~~zoo ~
SAC Units , - ~£ci~ ~ ,
,
~~?,?G = /~z, Y'~~
_ -
P L 0 T P L A N I PROPOSED
\L 1Z1~)ri CRADES
~ FOR RYLAND HOMES • 7HI5 75 NOT A BOU~IDARY SURV£Y ' DA7E
o• I RON MONU66EM c~,a
~ ~ N~ c°nin TM+~r TMis racr a~u+vAS °ae~ e'~ ~ KURTH SURVEYING, INC. BEAR INCS ARE PER PLAT GARAOE Sl~ • pp~~'~
a rn uom w oia~ avenisia . nur nas xnv caaaECnr SP I KE SE7 TOP OF 9LOC1C • ~L'~~
a ~,q n~ v~~ca~ert oc A wovos~ euuoino a /002 JEFFEASON S7. N.E. ~ S71NG ELEVATI ON _ q 3•3
~[aoescx~amxahuT "uT~~~~~~ COLWBIAHEI(i~fTS. IM. SSa'1l pROPOSED ELEV. e~s~tM ~~R
wuWttlE~AVS A OfY~l7~ES6TA. (6~]~ 7g9•9768 FAX tfi12~ 7A8-7607 , O~INAGE ARROY
1.~~COU7 ~.~1 tNDO~~I ~O •
lAINNE507A LICENSE N0. t / ~ ~
0 2 0 (4`~~' 3
~ 133.83
SCAIE IN FEET 1 N Bg• 0~ ~ OB+W
z c~~ ~4~~ r ~ ~
~ `jG\~~, Ev ~~:t) l r_ 98H•a i~ \I
~ ~ ~'Oi ~ r~~~ ,t-- ~ ~`1~i
~Ty~ :O c.W\ `
~ G~ ~ ~ ~N~ ~ p ~ ! :o: ~904 ) ~ 1 uy'-
u~i A ' ~ : - - - - 3 S ~ ut r
~ ~ o < ~ ~ ~ 'U ~ `
~ ~ _ca ~a m , ~ m
W w~+}-I" : i t~ p w
~ ` ~ ~ I
~a,_~ ~ v~3 i s r i p l~ ' ~ ~ 1 r u.ti
~ ~ N ° : ~ ~G 3~ ~ D l'J ~ ~ ~ J ~
~ ~ 7 o Sy,~.~u ~ i~ ~ n } :^r Y
'J
~ ~ ~ "~~7 0 ~ ~ 9W 5.~ - _l ~ ~
~ ~ ~ U ~ ~ ~ m
'g ~ O ^ - - ~ N ~ ~ i ~ ~ ~
~ Q" = ~ ~ '
~L" ~ ~ ~ ~ q ~ ~ ~ , ~ L`~ ~ i ~ ~ x Z
m ~ z~~ ~ c~ ~I l': v <
a' z ~ Z..,3 ~ o
° ~ W ~ ~ o ~
m ~ ~ N ~ ~ ~
~ J r '
~ ~ ~~~o,s ) ~
a ~ p ~ ~I_ _ ~i "ZO - - - - - ^ l 0
~ i-~ I~ _O~~ - - _9-- •1~
4~ 2._Z` RuSTCK ~ • l1 °'a% 31 , O cb ~ .v. 889.'l ~ ~`t89'$~ ~ A
~ LOT 25, BLOCK 2, -L~~ ~•ti ~~4~
m- CEDAR HEI GHTS, ~s ss•s7•ss`-E' ta~.a3
~ DAKOTA C0. , MN.
N
~
WI.SYh~~ ~1~ Z n NO v~~ UT
LOT SURVEY CHECKLIST FOR RESIDENTIAL
~ o BUILDING PERMIT APPLICATION
W ~ W PROPERTYLEGAL: ~_~T~/f~'i~"~~
< ~ m DATE OF SURVEY: /a~/~/ ~
~ ~ LATEST RENISION:
~ o ~
~ :
DOCUMENT STANDARDS
~i O • Registerad Land Surveyor stgnature and company
~/p 0 • Building Pertnit Applicant
~ 0 • Legal descriptlon
O a • Address ,
~ o O • North arrow and acale
47~0 0 • House type (ramWer, welkout, spUt w/o, split entry, lookout, etc.)
hY7~y 0 • Oirectional drainepa srrows wiTh slope/yradient %
~ o ~ • proposedle~dstlnp sewer and rrater services 3 invert elevatlon
~ o • . Street name .
? o • ' Driveway
ELEVATIONS .
/ Existlna
o ? • Sewer service .
o • Property comers
r~ a O • Top of curb at the driveway
~0 ~ • Elevatlons ot any eristlng adJacent homes
Prooosed
LR'~ O • Garage floor
B' ~ G • Fust floor
e~ o ~ • Lowest exposed elevatlon (walkauthMndo~
~ o • Properly comers
~ o • Front and rear of home at tt~e foundatlon
PONDING AREA (ff aoolicablel
O ~0 • Easement Me . ' '
O ~-/a e NYVL • -
O ~r ~ • FIyyL
a • Pond # desfpnatlon
o~/ o • Emergency Ovarflow Elavatlon
~ DIMENSIONS
~ O • Lot IineslBeadr?ps 3 dGnensio~
? • Right-0f-way and sVeet widTh (to back ot wrb)
o a • Proposed homo dimenabns Includlnp any proposed dacks, averhanps preater than 7,
~ porches, etc. p.o. all structures requ(rin~ pertnanent tootlnps)
O • Show all easaments of record and eny City ublitles within those asseme~ls
o~~ • Setbacks of proposed ~ructure and sidayard setback o! adJacant e~dstlnp sUucWres
, o l9' O • Retaining wall requirements if any
` ' ' Reviewed: z ~
me /0
July t986 '
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x CABp MEC 92 COf2PLTANCE *
Builder RYLAND HOMES Submitted By 12.H. TRACEY
Model WESTON C STD GLASS Date 5/5/95
Lot/Flan/Addrese Degree Day Base 8000 Minneapol.is
Type 3ingle Family Iiouse Volume 41400
Filename WESTON Control No. 5425
Uo Totals ~ Proposed ~ Required
Component Area Uo Total Uo Total
Walls 2713 .105 285 .110 296
Ceilings 1765 .032 55 ,026 44
Floors 79 .047 4 .040 3
Floors tOpen) 9.035 0.026 0
Bsmt Wall(U) 1446 .080 116 _091 132
Thie Houee Qualifies With Total
~Total ~ 460 ~ ~ A75 U-Value Calculations
Specificationa Uo Calculation9
Wa12s Size O.C. insul. Sheat. Component Ar~a U-Val Total
A Frame 5.5 16 7.9 2.06 Frame Wall A 1846 ,052 97.2
B Frame 5.5 16 19 2.06 Frame Wall B
C Frame-Gar. 3,5 16 13 .45 Frame-C~ar,C 222 .082 1B.2
D Masonary 8 N/A 11 N/A Masonary A * .080
E Masonary N/A N/A Masonary E *
Ring Joist 15 2~4 13 3.0 Ring ,7oist 305 .059 18.1
Window A 294 .4B 141.
Doors Panel Glass S.C. Wi.ndow B
A Metal .19 .62 .88 Window C
B Wood .46 .62 .88 Door A-Panel 42 .19 7.98
C Other poor A-Glass 4 .62 2.48
Uoor B-Pane1
Ce.ilzngs ( O.C. Insul. Sheat. Door 8-Glasa
A W/Attic 24 38 N/A Door C-Panel
B No Attic I 24 30 .63 Dpor C-Glass
C Other Totals 2713 285.1
U4~(Ut/At) .105
Floors O.C. Insul. Cover
A Non Cond. 16 19 1.23 Ceiling A 1335 .025 34.0
B Overhsng 16 30 1.23 Ceiling B 356 .035 12.8
C Other N/A 5 Ceiling C
Skyight A 14 .6 B.4
Windows U-Val S.C. Skylight B
A Alum T.B. .48 .88 Skylight C
& Wood .52 .88 Totala 1705 55.0
C Vinyl/FO .48 .88 Uo=Ut/At .032
----Y--g------------------
9k li hts U-Val B.C. * Basement walle ~ 50~ below grade
A Standard ,60 I .88
B High Perf. .32 .5 *IOTICE: Users of this software are responsible
C Other for the specifications and dimensional data
used to generate this report. The develop~rp of
HVAC Equip Rating the software are in no way responaible for the
aas AFUE .78 misrepesentation pf any building due to errors,
HP HSPF 6.8 omissions, or any other misusa of the software.
AC/HP SEER 1p ~
TI0iEd0'd NN1W O1 N01~3~ lg3f~~lW~ CNtfl421 WOa~ 6~:£T S66S-LL-AdW
r ~ .
, ~
Page 2 of 3
S~v.ilder R'YI,F~3D HOMES Submitted Sy R.FI. TRACEY
Modei WESTON C STD GLASS Date 5/5/95
Lot/Plarz/Addreas Degree Day Base 8000 Minneapolis
Type Single Family House volume 414G0
Filename WESTON Control No. 5925
=--evamc==x~v~c~~oss=e=~ev c=__=~~~~aaaa~avaxns=v'~aomso~~mm=aavsvnvs_____~coa~~
Dimensions
-
Walls t Frame A ~ Frame B ~ ~Gar.Com.C~ ~ Mason.Dj Mason.E
Basement Bamt. 240 ~Abave Gr 736
J.st Floor 1298 1sC Floor B610W Gx 736
2nd Floor 704 Crawl.
3rd Floor EMisc.
Misc. ~ IMisc.
MisC~. 190 I IMisc. f
Rin Area 305 I
Windows
Aluminum 268 I I I f I 25
wood I I
Vinyl/FG ~
Doors iG=Glaes Area - 0=0paque Areaj
Matal G 4 ~
O• 24 18
wood G
0
Other G
O
, Ceilings ~ w'~1335ttic I N370ttic I Other
Std.Skylitesl I 14 I
HP Skylitea I
Other ~
I
1 Floors I Non Cond. i Overhan~ f Slab
79 I 9 ~
Windows Qty. Aescription qty. Description pty, Description
5 2820 1 4010 4 3850
5 3250 1 305~ 2 3030
4 2050 1 6068 GLA9S DOOR
np~~~ fQ1Y~IGARe~kP,LLtD00R I~lY ,ENTRYSW/S~ING SDLITI~ty.l Description I
" _________'_____'__'____`______'__________'__________^__a===m~m°==ae~va~nssma=~~
iTDi60~'d NIJIW Ol NC~IJ3'~ 153f'~4IW QNtl"IA'J sxkJ'~ Ob:ET so6~-LL-AHW
_ 4,
\
?k8t~:.:~'6iY ighY;(i~M~(~.?7i::~'$<k.tY,(%X'd'M'!Sk;M:!(9b>Y~Yic.~,'i?%Y,'.:$7k:4'k>k?X~
C1'TY Cif= I:i:(II;~AN
i.'.Aq!I.f.EiGiy c7 T'i=RNi.[R(~i_ i~0" f;Fi
nA"fl:-:; pS)/:IJ./~r, TIN~I=;: 1:,.~?:I.eib
ID~
~~1:1ht~.ie RYI...AN~i
;3c^:.:I.iJ g0(]1. 1S??~ fik.;t3TL::N f'r.D 4`7.(:1Q
?i`S:a '.J~~0:1. ~.":?pi' r?l.Jf.iIFA! RI1 [:1,`,:it)
~:i~~zn ~i:~o~ ~ i;~..isrr:_n+ r:ri ~:~..so
fc:~i:;.i7. ';F~i~r~i.~~i: (-~ir~ou~~fi a AF,.tJCI
L'FiOra.[~.1. p 6
UF,I:::I;: :I:L~: Nfi,N(:Y
~~rF>~.W ~r~*~a~~~~~~k~X*r~~~X~~k~~~~~a~ra~K~k~~k~.~KN~~u~~k
~ R - ~ PERMIT ~ ~
CITY OF EAGAN
3830PilotKnobRoad PERMITTYPE: auz~oiNc
Eagan, Minnesota 55122-1897 Permit Number: 0 2 8 813
(612) 681-4675 Date Issued: 0 9/ 11 / 9 6
SITE ADDRESS:
4922 RUSTEN RD
LOT: 25 BLOCK: 2
CEDAR NEICaH7S
P.I.N.: 10-16725-250-02
DESCRIPTION:
Bu~ildi?~g Permit Type qECK
~~BU~lding G,1~ork Type NEW
F° Census Code'\ 434 ALT. RESIDENTIAL
~i
~
. i % ,
i' ~ ,
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REMARKS:
FEE SUMMARY:
Base Fee $45.00 COPIES $.50
Surcharge $.50 Total Fee $46.00
Subtatal $45.50
CONTRACTOR: - Applicant - sT. ~zc.OWNER:
RYLAND HOMES 18546363 20035443 RYLRND HOMES
900 E 79TH ST 101 900 E 75TH ST
BLOOMTNGTON MN 55420 BLODMINGTON MN
(612) 854-6363 (612)854-6363
Z heY~aby acknowl~dge tha~ I ha~ve t~ead thi~~ ap~liaation and sta~te thet the
information 3s c rr ct and agree to comply wz~h all applicahle State af Mtt.
5tatut s and C' f Eagan Ordinances. .
L-- ~ _ ~ _ _ _ ~ ~ _ ~
. ~ ~ l~'_`.~`~n
APPLICANT/PERMITE IGNATURE ISSUED . SIGNATURE
• CITY OF EAGAN ~Co ~ L~U
~'i/~ 3830 PILaT KNOB RD - 55122
~(J 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construdion Rer~uirements RemodeVReoair Reauirements
? 3 registered sfte surveys ? 2 copies of plan
? 2 copies of p~ans (fnclude beam 8 window sizes; poured tnd. design; ete.) ? 2 sile surveys (exterior additions & decks)
? 1 energy calculations ? 1 energy ealculations for heated addilions
? 3 copies of tree prexrvatfon plan if bt plaHed efter 7/7/93
required: _ Ves No
DATE: cI'~7-~l6 CONSTRUCTION COST: ~~D~O`'~
DESCRIPTION OF WORK:
STREET ADDRESS: ~ ~ ?~~G•v 1`~cx~ ~
LOT BLOCK SUBD./P.I.D. ~ ~`3' ~S
PROPERTY Name: ~,lrL~ ~ tl ~t~~rv~ r S Phone gS~~6~3
OWNER I ~ ~T iIN6l
Street Address~ ~~o /-~S ~ 75 y'~ S~-~
City: ~ ~ots.~n n State: Zip:
CoN7Rnc7oR Company: " Phone
• Street Address: License
City: State: Z~P~
ARCHITECTI Company: Phone
ENGINEER
Name: Registration
Street Address~
City: State: Z~P~
Sewer 8 water licensed plumber: Penalty applies when address change and lol
change are requested once permit is issued.
I hereby acknowledge that 1 have read this application and state that the infor ation is rre~gree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY (~~0~/
Certificates of Survey Received _ Yes _ No 5~~ ~ 9~~~6
Tree Preservation Plan Received _ Yes _ No
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 5wim Pool
0 03 SF Addition ? 08 8-plex a 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Firepiace ? 21 Miscellaneous
0 05 SF Misc. ? 10 = plex ~ 15 Deck
WORK TYPE
~31 New o 33 Alterations o 36 Move
0 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System ~
(Allowable) Main leve~ sq. ft. City Water ~
UBC Occupancy sq. ft. Fire Sprinkiered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code o!
Census Bidg i
Census Unit
APPROVALS
Planning Building iv13 Engineering Variance
Permit Fee Vaiuation: $
Surcharge
Pian Review
License
MCNVS SAC
City SAC ~
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
51W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trai~s Ded.
Other
Copies .So
Total:
% SAC
SAC Units
1
, ~ L a~ B` ~ CITY USE ONLY RECEIPT
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 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:
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: D-100 M BTU 24.00
Additional 50 M BTU /ZS,
aoo r3
~
u 6.00
? Gas Outlets (minimum of 1 required @$3.00 each) ''L--
? State Surcharge .50
TOTAL ~3~0 • SC~
SITE ADDRESS: 2 ~ ~ ~n.
OWNER NAME~~~~a h.Q /~d Y+'1 f S PHONE
INSTALLER NAME: ~ ~ ~ ~~u ~ F
STREET ADDRESS: ~9/~ c! Lc~ ~ nN QT~G AU. lU •
CITY: l~Yon~(vvr STATE: t~J _ ZIP: ~~y2~
PHONE (~/2) ~33-y35 7 o/ ,
3T~"`'fJ `
~
:
CITY USE ONLY
~ - B~ _ RECEIPT
SUBD. DATE:
1995 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 ll.4t 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 Rermit fee due on all permits.
CONTRACT PRICE x 1 %
PROCESSED PIPING ,
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (innPROVeMENrs oN~v~
tNSTALLER:
ADDRESS: '
CITY: STATE: ZIP:
PHONE
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
r
;
CITY USE ~NLY
L BL oZ RECEIPT ~~~~T
SUBD. DATE: ~
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES - EACH NO. TOTAL
Shower ~ 3.00 x ~ = 3 -
Water Closet 3.00 x 3 = q-
Bath Tub 3.00 x Z = 6-
Lavatory 3.00 x S = os -
Kitchen Sink 3.00 x I
Laundry Tray 3.00 x I = 3-
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x i = 3'
Floor Drain 3.00 x I = 3-
Gas Piping Outlet " minimum -1 3.OU x ~ = 3-
Rough Openings 1.50 x ~ _ ~
Water Softener 5.00 x =
Private Disposai' Dakota Cty. license 20.00 =
U.G. Sprinkler' home under const. 3.00 =
Alterations * to existing 20.00 =
Water Tum Around 20.00
STATE SURCHARGE .50
TOTAL ~
SITE ADDRESS: 4'~22' P-~'~T'E"~.I ~k`'+~D
OWNER NAME: ~y~~D
INSTALLER NAME: ~'~M~u'~l, Dle.tug~~3lr
STREETADDRESS: W~~~~w,
CITY: P~~~ STATE: M~ ZIP: ~~3
PHONE ( ) ~~~35~
OFFICE USE ONLY ~
~ _ B~ _ RECEIPT `
SUBD. DATE~
1995 PLUMBING PERMIT (COMMERCIAL) -
CITY OF EAGAN
383D PILOT KNOB RD
EAGAN, MN 55122
(612)681~d675
Please complete for: . all commercial/industrial buildings.
~ multi-family buildings when separate permits are IlGt required for each dwelling
unit.
DATE: CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCT~ON _ ADD ON REPAIR
DESCRIPTION OF WORK:
IS WATER METER REDUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED7 YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of permtt fee due on all pertnits.
CONTRACT PRICE x 1°/a
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:
4
or Office Use
Permit
aty ofE
3830 Pilot Knob Road Permit Fee:
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 Fax: (651) 675-5694 Staff:
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 0 Site Address: `Z Yd
Tenant: I` /M"I1 Suite
RESIDENT /OWNER Name: AI, A/-f"4.1 /A Phone: 1~7' r t -fS
Address / City / Zip: _ 51c.
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
Construction Cost:
Multi-Family Building: (Yes / No
CONTRACTOR Name: 4&/ kZ f(#~'t)6 ZI&C License _D, 0C.3 _ y
'
Address: 71Q City: State: Zip: Sb Oyu
Phone: J J / - ? 5 -CD 7Y7' Contact Person: j 7 ~'f LR,-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code • Residential Ventilation Category I Worksheet • New Energy Code Worksheet
Category Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; 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
accordan the approved plan in the case of work which requires a review and approval of plans.
Z'41 r'lre" x x LC
A icant's Pri Name App icant's signature
Page 1 of 3
STAIRS SHALL BE PROVIDED WITH ILLUMINATION IN
THE IMMEDIATE VICINITY OF THE TOP LANDING.
Window Window
RMOKF OrECTOFIS
/ _WIRED ON AIL LEVELS OF THE HO
SLEEPING ROOMS. ON LEVE_
1AINING SLEEPING AREAS. CENTRALLI
LOCATE SMOKE DETECTORS IN HALLWAYS.
ry
.<[
r
k:. Detr
tr
Furnace
7.;Mog
A VAPOR BARRIER ivi ! BE
INSTALLED ON THE WARM SIDE OF
ALL WALLS AND ATTIC CEILING
A FOUNDATION WALL MOISTURE
BARRIER IS REQUIRED BETWEEN
INSULATION AND FOUNDATION WALL
FROM FLOOR TO GRADE
FIRE STOP SOFFITS AND ALL
OTHER DEAD SPACES
Water Heater
(joke D
fl
ENCLOSCD USABLE SPACE
1171 STAIRS MUST SE
FINISHED WITH
i PLUM BOARD
Utility Room
•
Fr-ee imnRIMPINg REDUIREP15
1:3 AREAS.
LCT LEAR
AREA
-MIN. 20" NET CLEAR
rid 'Tr OPENABLE WIDTH
-MIN. 24" NET CLEAR
CPENABLE HEIGHT
R- E OF 44" FROM FLOOR TO
EST PORTION OF SILL
:,,GHT OR WIDTH (OR BO
WILL BE GREATER TO
/ OBTAIN 5.7 SO. FL
EAGAN
,
Non -Exterior Wall
ED
S cgc
C IONS DIVISION