4927 Rusten Rd f ~ ' INSPECTION REC~RD
< .
_ CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: 4'
~ Eagan, Minnes~ta 55122-1897 Date Issued: :
(612)681-4675
SITE ADDRESS: { ~ ~ ~ ~ ~ . APPLICANT:
, ~r . ~ r rr ! (1 ' . ; ~ ti„F~;.
~ . ~!i I i~.i~ i ~ e 1 ' ~ .~f i
PERMIT SUBTYPE: TYPE OF W.ORK:
, ~~~i~. tat la
. .
I,i~, { 11lii' 1 i~~l{'lii n! 1 ~at~
. i rt~~t•~~. : Illl~ ~~~~~i
1 N',111 ;t 1 i iiP~ i{ i~ 1?~ I ~1~ ~
. :;?!~~II ! hJ ; 1 f... ! ~tltr,ii ! ~i {i I
f I I`I t i' 1 tt~~ 1 I 1'a!i 1 ~
1'f'MAf+t. . ll i;s ~ 1 I I fs~;
~
~ ~
~ ~
Permft No. Permit Hoider Date Telephone #
~ E~ECTRIC 3ao3 0 . 9/3 9G
! ~ PLUMBING ~
HVAC L / ~
Inspection Date sins Comments
FOOTINGS ~ ~'~"P"~ ~K
y-~-9~
FOUND 9~~ , , ~J
Gu:J
FRAMING ~9//
t~
ROOFING
ROUGH
PLUMBING 6 Z-$~
PLBG
AIRTEST G.~-Q~
ROUGH /
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AlR TEST ~p~~~~~ /MB
FINAL PLBG 1~~6 ~ L,
K
FINAL HTG - ~ r `1
/ Z- Z-~'!G
ORSAT
TEST
^ 12- 2-~l1~ hKS I~af
BIDG FINAL (~b~
BSMT fi.1.
BSMT FINAL
DECK FTG
DECK FfNAI
~ i ~
~ + r -
_ ~ ' i
~ ~ - .y ~
y
~
~ C~;e~ti~icate ~ccu~anc~
~i~ ~
~a~atr ~ ~~1~i~ ~~ecnoK
This Certiftcate issued pursuant ta the r~equirements of the Uniform Building Code
certifying that at 1he time of essuance this strrrcture was in compliance with the various
o~dinances of the City rrgulating building cor+struction or use. For the following:
u~ q~;~;o.: SF DiiG swg. ~u No. 287 SO
~.y ~ R-3 U-1 ~;,a ~,;u R-1 ry~ ~a,u. Vn
~~re,,;i~;,,~ RXI.ANQ HOMES ~am~ 900 E 79TH ST. ~ IKINNEAP[}LIS MN
4927 RUSTEN RD ~,,d;Ry L8, B2, CEDAR 8BIGHTS
_
, ,rf ~ i -.f~t -i!r'
_ , e,ew;~ o~;,~
' POST IN A CONSP1CUOl1S PLACE
IN5PECTIUN RECORD
CITY OF EAGAN PERMIT TYPE: ' ~ ' ~ ~ ' " ~ ~
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued: -
(612) 681-4675
SITE ADDRESS: ` ` ` ' ' " " APPLICANT:
~ ~ . ~~i c~:
: ,~~rFN i:n , ~
' , ~ . ~ f , ~ ~ r~ '
PERMIT SUBTYPE: TYPE OF WORK:
. .
~ r:~~i a:; •~:~?i i,~ ti E:, F~~f ~ ~,n~<,_r
•
I ~
~ J
Permft No. Permit Holder Date Telephone N
ELECTRIC
PLUMBING
HVAC
inapection ~ate Insp. Comme~ts
FOOTINGS
FOUND
FRAMING
ROOFtNG ~
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH ~
HEATING
GAS SVC
TEST
INSUL
GYP BOARD I
FIREPLACE
FIREPLAGE
AIR TEST
F~NAL PL~G
FINAL HTG
pRSAT
, TEST
BLDG FINAL
BSMT R.I. i
6SMT FaNAL !
DECK FTG ~
DECK FINAL I
_ _ -I
RESIDENTIAL
BUILDINC pERMIT APPLICATION
CITY OF EACAN
~~I q 3830 P{LOT KNOB RD - 55122
651-681-4675 ~ 7~ Q~
NewConaWetion Reuuirements RemodellReoairReaulrements ~
. 3 registered site wrveys shw~irg sq. R of lat, sq. ft of frouse; an~ll roofed ereas • 2 copies of plan ~ q~, - O
(20%maXimum bt coverage a~wed) . 1 set of Ene+gy Caialatiom fa heated additions
• 2 mpies ot pWn showing 6eam & windo~r sfzes; poured IounA dasign, etc.) . . 1 sile wrvey for exlerbr add'Nons & dedcs
. 1 set of EnergY Calwlations . Ind~te n Iw~ serv~ by seDtic system fw additions t 1~_
• 3 copies of Tree Preservation Plan'rf bt pFafled after 717193 ~ tiT~
. Rim Joist Oetail OpOOns selec6on sheet (bidgs wllh 3 or less unBs)
DATE ~I - S- ~I VALURION
JOB SITE ADDRESS Y~~ rZ u.STe n~oct oI E~~ a~ ~ S~/
,
IF MULTI-FAMiLY BUILDING, HOW MANY UNITS?
PROPERTY OWNER ~a ~~s ~ ~e~ rerr, z.o
TYPE OF WORK n~` 5~ UGiS 2 m 1 n~' FIREPLACE(S)~0 _ 1_ 2
APPLICANT .Tc~ w~ks ~Se~ ~P r'r ZD PHONE# ~S!"~'d''~-~/3~0
ADDRESS ~q ~ rJ 2us~e.. ~oa R~ g iS e~-, ~ ZIP CODE 5S/~
PAGER # CEII PHONE # Lv/ - ~3 ~ " `~~~o `7 FAX #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1
(check one) - Residentlal Ventilation Category 1 Workshe
- - Energy Envelope Calculations Submitted D ~ ~ ~ ~ ~ ~ ~
MINNFSOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor. Phone # B _ ~
Plumbing System Includes: _ Water 5oftener _ Iawn Sprinkler Fee: $90.00
Water Heater No. of R.I. Baths
No. of Baths
Mechanical Conhactor: Phone #
Mechanical System Includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Conhactor: Phone #
All above iMortnation must be su6mitted prior to processing of application.
I hereby acknowledge ihat I have read this application, state that the information is conect, and agree to comply
with all applicable State of Minnesota Statutes and Ciiy of Eagan Ordinances.
_ Slgnature W Appllcant K~ ~ ~-~Y
Cert~cates of Survey Received = 7ree Preservation Pian Received _ Not Required _
. _ Updaled 1l01
~ j•v ;
OFFICE USE ONLY
? O7 Foundation ~ 07 05-plex ? 13 76-piex ? 20 Pool ? 30 Accessory Bldg
0 02 SF Dwelling ? DS 06-plex O 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
0 04 02-plex ? 10 p8=plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 17 10-plex ~ 79 Lower Level ? 24 Storm Damage
? O6 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscelianeous
~ 31 New ? 35 Int Improvement 0 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 . Move Bldg. ? 42 Demolish (Foundatlon) ? 45 Fire Repair
? 33 Aiteration ? 37 Demolish (Bldg)• Q 43 Reroof 0 48 Windows/Doors
? 34 Replacement •Demolitfon (Entire Bldg only) - Give PCA handout to applicant
Valuation a fiGO ~ Occupancy / l`~ MC/ES System
Census Code ~3 Zoning R- / City Water
SAC Uniis Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinkiered
Type of Const S~(~ W idth
REQIJIRED INSPECTIONS
_ Footings (new bldg) FinallC.O.
_ Footings (deck) ~ FinallNo C.O.
_ Footings (addition) _ Plwnbing
_ Foundatlon HVAC
Drain Tile
Roof Tce & Water Final Other
~ Frauung _ Pool _ Ftgs _ Air/Gas Tests _ Final
~ Fireplace _ R.I. _ Air Test _ Final = Siding Stucco _ SWne
lnsulation Windows (new/rep]acement)
Approved By ~7 , Building Inspector
w~__.________________________~____.____ W.__~__
Base Fee ~ `
Surcharge
Plan Review
MC/ES SAC
City SAC
1Nater Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other - ~
Total
Ad~ress. . 4927 RUSTEN xn Zip 5512 oZ
LAt R Blk 2 Sllb CEDAR HEIGHTS
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: f(~ Yes No Inspector:
Final grade (6" from siding) 7~
Permanent steps (garage)
Permanent steps (main entry) I/
Permanent driveway v'
Permanent gas ~
Sod/Seeded grass ?
TraiU~rb datnage
Porch i/
Basement finish ~
Deck ~
Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to
the outside lawn faucet before freeze potential exists. -
Contad engineering division at 681-4645 before working in righbof-way or installing underground sprinkler system. ~
White City Copy Yellow - Resident Copy Pink - Contractor Copy
3 L O- 3 5 0~ ~~C USE NLY This request .oid 18 monlhx from mlidoEOn doh prinred in this ho .
9~~~9~ ~ 7 ~
~'~~4tr
PLEAS PRINT OR TYPE ,~,5~ ~ ~jOS ~
o Rough~in inspedion required2 es ? Na Inspetlion Other Than Roogh~lre Q Ready N NI Coll
~Yoo mvaf call Me inspecbr when rcndy) k Reody:
I, licensed confrador ? owner hereby requesf inspedion a a ove el ' al
Ab dres Ireat, Box, or Rao /J n C' / 'p ode
(Jl ~~%i/~C%aa/
Secfion No. Township Name or No. Range Na. Fire No. Cou ~
OccvPa PC~J~/ / 4L/ ~ ~
n
Powes p lier ~-.n Ad ~
~ /~iL
Ele ~i or ~Camp ny Nome) _ J om r Licen ~ Mamr LIC No. ~Plam EIM. Only~
Moiling Coy~a_ctaywOwn rmipg Insla rion)
~ G / / C
~ w
Amho' N ~C hu ror PeAorming Ilafion) e~ /y
~~(/~t)
EB-00001 10 6/95 S BOAROCOPY•SEEINSTflUCT10NSONBACKOFYELLOWCOPY
RE~UEST FOR ELECTRICAL INS ION
I II ( II I I I I III II I I ( III Minnesota State Board of Electricity
1821 University Ave., Rm. S- 8, S. Paul, MN 55104 ~
* 3 2 q 3 5 0 2 * Phone (812) 842-0800 9/ ~~y
Home Duplex Apf. Bldg. Other: . 1Jew Addn
Commercial Indushial Farm Remod Re air
Air Cond. Htg. Equip. Water H}r. Load Mgmt. Other. l~
D er Ran e Elec. Heaf Tem .$ervice
"k' above e wo rove d by this re est. Enter remarks in this spac~,ynd~
he back of fhe whife copy only.
~~-~L, ~ /'YZQ/W- U t ~`-~-"4~ 2.~ 3~9
,C-f- $ ~e v~ C~c~~._ ~,So~-
Cal<ulote Inspection Fee - This Inspection Request will rrot be occept d
wi~ect fee:
ON~er Fee # Service Enhance Srze Fee A` Circuih/Feeders Fee
Mobile Home Park Stall 0 fo 200 Amps 0 to 100 Amps
$ireet Ltg./TmHic Sig. Above 200 mps
Transformer/Generafor INSPECTOR'S oNLV O~}a
Sign/Outline Lig. Xfmr. ~ ~f~
Alarm/Remote Con}rol ~
$wimming Pool I h eb ceM t ns xted on desoibed herein on the daies swre
Irriga}ion Boom Rou ~~k ~
Special Inspection
Finol ~+e
Inves}igative fee
THIS INS7ALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 76 MONTHS.
, , < PERMIT ~
CITY OF EAGAN • -
3830 Pilot Knob Road PERMIT TYPE: g u x ~ p x ~v ~
Eagan, Minnesota 55122-1897 Permit Number: 028750
(612) 681-4675 ~ate Issued: 0 9/ 0 4/ 9 6
SITE ADDRESS:
4927 RUSTEN RD
L07: 8 BLtlCK: 2
CEDAR HEIGHTS
DESCRIPTION:
~~{~~=dS, , Permit Type SF qWG
~~~,~~d~n~g~„~,~,rk Type NEW
~ !~~'C=:~~+Ap+~Kk~ . R-3 U-1
~p;-t'rr~~ru~hi.flrA .,~ge V-N
~ ~vCl~Ctt~ e~°:~ R-1
~ ~ ~u$bdf#t~ [.~r~~'~Yi '~~x 46
~ ; ~~r~1°d , g HJfd~f1 ru~~ 45
cr*~~;` r~ e s°~,~" z
"'`~~~~~s~'~ 1,622
" ~ 101 1 - FAM. DETACW
~c $.xe ~ g~
~ ~..i ~"~~i ~•3k n rvy {
I' ~ ~ Y [ 4
,,.p~. ~ ~ ~~'-c F~ ~i~ dhr ~L.;.rr~. ~ 1( ~ c",~
-
REMARKS:
5& W PLBR - STAR PLBG
FEE SUMMARY:
VALUATION $153,00@
Base Fee $1.152.25 MISCELLANEOUS ~ $1.923.50
Plan Review $576.13 Total Fee N$4,628.38
SurCharge $76.50
SAC $900.00
SAC ~ 100
SAC Units 1
5ubtotal $2,704.88
CONTRACTOR: - ppplicant - s7. ~zc.OWNER:
RYLAND NQMES 18546363 2@035443 RYLAN~ HOMES
900 E 79TH ST 101 900 E 79TN S7 101
BLOOMSNGTON MN 55420 MYNNEAPOLIS MN 55420
(612) 854-6363 (612)854-6363
,
~y E ~
~ ~~re;py ~ek`rtcrt,~l~d~~ Gh~~`~ ha~e .re~ait rhis ~pplication ~ric9, s.tate~ ~hat ~he
x~rf~crnrat~.vr~' i~ ~~r~~e~~~ ~~i~i ag~ue.` c.ainpt~~ w~~M al~ ~ppli~atrle° ~~~~e s~f hfr~. ~
St 'C t , va'F ~~~~~t Qcd.~.na~oes.
I_ _ ~ . . ~..m, w_ < _ _ ~ . ~ ~i
~(}fi~ ~Jl~ ~I1~
APP I MITEE SIG URE . rISSUE 7 V:~ NATU ~
4 - \
1
t ~
~ ~y
;Y1 ~
~
r~>X:#~c~:~?k~Y6~: c 'Sc%~~X~~'~>~:8:yc?~X~.k~~~:i:R<~%~X~.~h~Y~z~%s~#
C:['fY C~1- 1=:AG,=~P!
!;~151-I:Lf:~:c ~i 'ii::fiP9TNAl.. NOa E33
r;Fl"i'F'.:~; ~i5)l05lS)E~ 'T":I:MI=a L°'i:cCi~:c?7
II? ~
i~!hi~11= ~ f?VI...f1NT.7
i2c':~~~ ~~JO:I. 4'J2i FiIJ~'T'ICN F'I~ 4.•~6i'_8„38
1"0'1::37. lir!C..r•j,pt (-tn~a~~rrCr, ~r~6cB.38
Cki.:)63`:3"i'4
Ug1=!; IDc NAi~Cd
:k~?~t:~X?k~%~~>F~:'k%KYOk~CM~kk~~k~k~k>Rsk~C* ~~#~k~K?k~K~kY~X~~k~:YF~F~k
L~ gL ,Z CITY USE ONLY RECEIPT#: 7 71
SUBD. (_.~Ld.C2J'C~ RECEIPT DATE: 7
~
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(672) 6B1~675
Please complete for: . single family dwellings
~ townhomes and condos when permits are required for each unit
~ backflow preventer for underground sprinkler system
FIXTURES ~CH ~ TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3:00 x =
Hot 7ub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ` minimum -1 • 3.00 x =
Rough Openings 1.50 x, _
Water Softener ' for dwellings under constrvGion 5.00 X =
Water Softener ' tor existing dwelling 20.00 x ~ _
U.G.Sprinkler `fordwe~~ingunderconst. 3.00 =
U.G. Sprinkler ' for existing dwelling 20.00 =
Alte~etiOnS `toexistingresidence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ` oak cry iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems'a,ba~donment 20.00 =
STATE SURCHARGE .50
TOTAL
,
~ I hereby adcnowledge that I have read this appiicaUon, ste~e Mat ttia mformation is comeU, and agree to compiy~wkh sll applieable City
of Eagan o~dinances. It Is the applicanYs responsibility to notify the properry owner that the City af Eagan assumes no lia6ility for any
dameges eaused by the Cfly during its nortnal operational and maintenance activitiea to the facilities constructed under this pertnR within
Ciry properry/right-of-way/easement.
SITE ADDRESS: ~ I Z7 R~S~LN RD7~T~
OWNER NAME: M~y~~ ~D~~-
INSTALLER NAME: NOR$~l"?~l rL1J1ER~lNC7 TELEPHONE ga7-~DJ3
STREETADDREnSS: a~D~ C~'~~IEL~7 AV~NU~ ~.~-I
CITY: {~~Y~S STATE: ~ ZIP:
~ p- -
.3 ~ 1 J OF PERMITTEE
S .
: ~ CITY OF EAGAN ~ Z~, ~9 r1
~ 3830 PILOT KNOB RD - 55122 ~v
~ 1996 BUILDING PERMIT APPLICATION {RESIDENTIAL}
' 681-4675
New Conslruelion Reauiremenls RPmodeUReoair Reauirements
3 registered sita surveys ? 2 copies of plan
2 wpies oT plans (include beam & window sfzes; poured fnd. design; elc.) ? 2 sile surveys (exterior addRions & decks)
7 energy calculalions ? 7 energy ce~culations for heated addilions
3 wpies af tree preservation pla~ H lot platted afler 7/7193
2qulred: _ Yes _ No .
DATE: CONSTRUCTIQN COST: 1~~
DESCRIPTION OF WORK: ~P' ~~m.u~ ~QLf
STREET ADDRESS: 9at L~'~~ ~l
LQT Q,$,_ BLOCK 6~ SUBD./P.I.D. t~'(-~~/((~~ /~n ~Qr~ S
~ ~ ~Il" I Ir,°,1 lJ~~l)U' J-
PROPeR7v Name: ~1~ ~QI1C1 ~D(11 ~S Phone
, OWNER u~UJ ~-?"_C~1h~a.,S~ fOj
Street Address: R~
~ City: fl E'Q.1-r70 ~ I S State: Zip:
CONTtuC-roR Company: ~y'i.fYl~ G.~ Q.~I/Q Phone
Street Address: License #:.~00~~~
City: State: Zip:
ARCHiTecTf Company: `~Q.f'f1C CVS Q~U~ Phone
ENGINEER
Name: Registration
Street Address•
City: State: Zip:
Sewer 8 water licensed plumber: T ~ 1f T 1 ~ f~ Penalty plies en address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the ' tion i rre a d agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY /
Certificates of Survey Received Yes F1u~s L~~~~~
ree Preservativn Plan Received _ Yes ~o
T r
OFFICE USE ONLY ~F ~ = "~5
~ ~
, ~ ~g
~,r~ r
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lorjging ? 16 Basement Finish
02 SF Dwelling ? 07 4-plex o 12 Muiti Repair/Rem. ? 17 Swim Poo~
? 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch o 09 12-plex ? 14 Fireptace ? 21 Miscellaneous
? 05 SF Misc. 0 10 = plex o 15 Deck
WORK TYPE
~1 New ? 33 Alterations ? 3fi Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) ~ a Basement sq. ft. ~ i S~ MC/WS System ~
(Allowable) ?T Main level sq. ft. ~ i 8G City Water -
UBC Occupancy R-3, ~-t ~ sq. ft. , z 84 Fire Sprinklered
Zoning R-~ G.~ sq. ft. 43~ PRV '
# of Stories y sq. R. Booster Pump
Length `~t~ sq. ft. Census Code. i ~ i
Depth ti S Footprint sq. ft. i~2 SAC Code n r
Census Bldg 1
Census Unit ~
APPROVALS
Pla~ning Building ^^3 Engineering Variance
Permit Fee Valuation: $ ~ 5 3,, o~o.
5urcharge
Plan Review ~.x,~...~f-
License
MCNVS SAC ,N~w 2 3 = ~o s8
City SAC y,~ S„ a-, = ~
z~
Water Conn.
Water Meter i ~ p'6 , si" ~ .c ~S = ~ ?9 `1. -
Acct. Deposit
S/W Permit
SNV Surcharge t r~? s- 1~ Sy ~ H, o Sa
Treatment PI. Z~
Road Unit f_
Park Ded.
Trails Ded. s""""` ~~$4 aS ~j S~ ~N, osa~
Other
Copies
Total: ~j~
% SAC a~x z r . -
SAC Units g - y~~/ ~ X ~G - ~,y -
~52, t??k~.
S'
!
~ P L ~ T P L A N xuRr~ suRVErlnrc, rrrc. ~
~ FOR 2LYLAND HOMES • rN~s rs rror n sa.v~ro~Rr suRVEr • ,oo~ ~EFFa+saa sT. N.E.
~ COILhtBIA HEICtiTS, IN. 55121
~ ~e~r efxnrr nt~r mis v~m n~r+ves mm+w~ er u~ DATE g 1 L`~ 1~1~ 1612> 7E8-8789 FAX t612} 7Bd-780]
- yp ~t ylf p~pECT ftABiv~s~a . TtRT M~s n.W tOR(+~7Lr
~rs nE vucasrt aF e vaarocrfl eui a n~ wo o. I RON MONUAiEM
~~uE~ ~tpnv,ri waour~i BEARINGS ARE PER PLAT 0 30
TIE ATE OF YI
• = SPIKE SET
~ ExIST1NG ELEVATION ~
MINVESOTA LICE .\tati~ 3 ;~C` t 1= PROPOSED ELEV. SCA~E IN FEEr
• DRAINAGE ARROW
PROPOSEO
~I~ 1h, GRADES
~ N (6 ~ i/y
: `,si~a_ 0 ~
, e S Ri~
~ o,~~~ s~~a - 9~_
+ ~ ~y~ s ~~'lg.5q rav oc e~ocrc • ~~•9
; h Y~ °Q 4 E/ 9ASEMFNT FLOOR • 9 s6 •t
~ ~ = r ~~0- so • ~~4a l :-oorcouc w~uo~.~ 99 I . Ca
_ a8
~t
~ a ~ ~ `S `
~
•'yA l/ ` ~ p ` ~
. ~
a
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a , J ~ i
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• J\ Y ~ ~T y ~ `~a~. yd ~i
\~t s ~ (n'Z` 40 J~ ~J "i~ ~ ~ ~ i T ~ ~ ~+'V' ~C
\ OS' ~C ~rI ~ ` ~ti~,~ ~ C ~ c 1~ '6 ~
~)O~ L
.ef ~ ~ fA~\ y1 y ~ .
~ / ~ ~Xy 1 3 Q~ ~ .
p ~ i Z3 \J`~ ~ o , /U~
~ w o 0 3`t
D N • . ~ ~ qG
° si~~,'`~,`` ~~d,~~;~ / v~y1 - ~ q-a/'
# 49Z~ Rus-rr-.~ R~1 • ~ ~ ~ ~
i ARFPr OG D¢~v~ SHOwN +(SDOf SQ.GS ' ~ y 'qh~ y O
^ 4R4A PC ypi~ hHOWN:71(oO:Sq.f•T. ~7B ~ ~
' ~ Q~ '
o x~3s~ '
" LOT 8 . BLOCK 2 , , '
r, a`~~
I ~ , .
~ CEDAR HE i GHTS , r~ _ ~~G~~
DAKOTA CO . . MN , r~ ,
,
~ LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: ~ ~
~ ~ DATE OF SURVEY:
o r~ LATEST REVISION:
~ DOCUMENTSTANDARDS
8 ~ ~
a z
~o ? • Registered Land Surveyor signature and company
? • Building Permit Applicant
~/o ? • Legaldescription
5Y q ? • Address
p~~ ? • North arrow and scale
¦~1 ? • House type (rambier, walkout, split w/o, split entry, lookout, etc.)
+5~ fC1 ? • Directional drainage arrows with slope/gradient %
? • Proposed/ebsting sewer and water services & invert elevation
~o ? • Street name
u'~ ? ? • Driveway
ELEVATIONS
~
? • Sewer service (or Proposed)
? • Property comers
~ ? • Top of curb at the driveway
~ ? • Elevations of any e~assting adjacent homes
os
~~o ? • Garage floor
~o ? • First floor
G~ ? ? • Lowest exposed elevation (walkoutNvindow)
~o ? • Praperty camers
~o ? • Front and rear of home at the faundation
PONDING AREA fd aoolicable)
? ~o • Easement line
? fd~? • NWL
? ~ ? • HWL
? ? • Pond # designation
? • Emergency Overflow Elevation
DIMENSIONS
~ ? ? • Lot IineslBearings ~ dimensions
? • Right-of-way and street width (to back of curb)
? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e. all structures requiring permane~t footings)
? • Show all easemenis of record and any City utilfies within those easements
C~ ? ? • Setbacks of proposed structure and sideyard setback of adjacent ebsting structures
? q~o • Retaining wall requirements ' any
Reviewed: O L
me / ate
January 1988
cn~bteae~e~ocaR~tr.~rn
, .
:
rv , L-^
~ .
* CABO MEC 92 COMPLIANCE k
auilder ~tYr~AND HOMES SubmlCted By
Modsl CARLTON.;, STD GLASS Date
Lot/P1anJAddress OPT 295/373 D=gree Day Base 8000 Minneapolis
TYpe Houea Volume 0
Filename CARLTON Control No. 7905
iIo Totals ~ Proposed ~ Requixed
Component Area Uo Total Uo Total
Walls 2B52 .699 282 _110 311
Ceilinga 1227 .026 31 .026 32
Flaore 0 .097 0 .040 0
Floora (Open) 12 .050 1 .p26 0
Sam~. Wall(U) 1195 .080 96 .091 i09
Thia House Qualifies With Total
Total ~ 409 ~ j 452 U-Value Ca7.cuZations
9pecifications Uo Calculatior,s
-----------------------------------------------Q------------------~-----------
t~Talls Siz~ O.C. InsuJ.. Sheat. Com onent Area U-va1 Tota1 ~
A Frame 5.5 lfi 19 2.06 Frame Wal! A 1957 .052 103.'
B Frame Frame Wall S
C Frame-Gar. 3.5 16 13 .45 Frame-(3ar.C 198 .082 16.2I
D Ma~onary 8 N/A li N/A Masonary D * .080
E Masonary I N/A N/A Masonary E *
Ring JoisC 15 f 24 13 2.06 Ring Joist 383 6.28 24.0
Window A 243 .48 116.
Doors Panel Glass S.C. window B
A Metal .19 .62 .88 Window C
B Wood .46 .62 .88 Door A-Panel 52 .19 9.88
C Other poor A-Glass 19 .62 11.7
Door S-Panel
Ceilings O.C. Insu1. Sheat. Door B-Glads ~
A W/Attic 24 38 N/A Door C-Panel j
B No Att c 16 19 .63 Door C-Glass
C Other Totals 2852 281.7
Uo=(Ut/At) .099
F7.oors O.C. insul. Cover
A Non Cond. 16 ;~9 1.23 Ceiling A 1227i .C25 31.3
B Overhang 16 j 19 Ceiling B
C Other N/A ~ Ceiling C i
--------~--------------------------I Skyight A
Windowe U-Val S.C. Skylight B
A A1um T.H. .48 .SB Skylight C
B wood .52. .88 Totals 1227 31.3
C Vinyl/FG vo~Ut/At .026
Skyliq~its U-Val S.C. * Ba=ement walls > 50& below grade
A Standard
~ B High Perf. NoT2CE: Ueers of thie software are responsible
I C Other for the speciPications and dimensional data
uaed to generate this report. The developers of
HVAC Equip Rating the soPtware are i.n no way responsible for th~
Gaa AFUE .76 misrepesentatian of any building dua to erzors,
HP :ISPP 6.8 cmissions, or any other misuse of the software.
AC/HP SEER 10
l0~lt~00'd NNIW n~ .M....~.~ _ -
, _...r
Y ~
. [:5':
. .
~ - ~
Page 2 of 3
Builder RYLAND HOMSS SubmiCted $y
Model C,ARLTON STD GLASS Date
Lot/Plan/Address OPT 295/373 Degree Day Hase 8000 Minneapolis
Type House Volume 0
FilenAme CARLTON Control Ivo. 7905
~aavzns_.~~~'=__='~'~can=~_~~..mv=e='aeaa=v~=vaoaccs==sv~~as====3amuz=='cvevn=c==
Dimeneions
IWalls ~ Frame A ~ Frame H ~ ~Gar.Com.C~ ~ Mason.n~ Mason,E
easement Samt. Above C3r 6~8
lst Floor 1016 I 1st Floor 216 Below Gr 608
2nd Floor 1216 Crawl.
3rd Flaor Misc.
M1SC. MiSC,
Misc. Miec.
Ring Area 383
Windows
Vinyl/FG I 222 I ~ I ~ I 21 I
Wood
.
Doors (G=Cilass A,x~ea - 0=0paque Area~
Metal G 19
0 34 18
Wood G
O
Other a
0 ~
Ceili.ngs with Attic No Attic I Other
izz~ ~
Std.Skylites I I
HP Skylites
other
-----------------------------12---g----------------
Floors I Non Cond. I Overhan Slab
WindowslQiY I305p~cription 41Y I303~e~Ez~teriArea~ Ia~1 `y050escriptioa
Doors ~~lY IGARe~WALL~DOOR I~lY SINGLECFRENCHnDOOR~41Y IENTRYSW/DSL1SDLITEI
=c_=_snaadaz__~v~=<=v=__s=eea==x_~n~sa~-ee_~aoaaenaz==':nsva=c=-~vmmemsc__~oe:'=
L00iS0t~'d NNIW Ol N~1~32i l~~'1QIW QNF1'lJ.d WO?J~ s3c:=T ~6f~T-~'iP-PYIf
wv~ x~~"~ ~%>kk~~ X~%~ ~%Y.~ ~F~kc~CWW.k~ ~ ~%~KX~ ~k~ksuM#:~%~~mm~:&<# v„>k
CTTY UF EFtGhN
CA.'3H:f.ERe MG 1'Eki~f:I:PdAI... i~0~ P,6~
r.i~rr;; ~aiioi':3H 'T:CMF; I;::rJ3a?e;,
:f. L~ ~
NAME:c NFlRVTN N UI?I:_I...L. JFt
32:l.Q 3p0:1. 4J2i' f't1.1£:i7f{N f:'D 50~(:)0
F?i.55 5~001 4:3?i' F~USIE'N fe0 Ci.50
~ ~
Tc>I;~7. R~aceiF~# Flmo~.eni:, ESO.`_SO
f.;FiCiE3' l'5;.1
US!:-Fi TD:; Mt1RL.YNN
%:~X Mkc`f$;k:B;Y:W~n~k~~N~Yb~>KY~~C~T'c71c:kY.«:~k~C~K ;~Xt~Y.c~C$;hY$nXY~
PERMIT ~
" CI~Y OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: ~ u x~ o r rv ~
Eagan, MinnesOta 55122-1897 Permit Number: 031539
(612) 681-4675 Date Issued: 0 3/ 10 / 9 S
SITE ADDRESS:
4927 RUSTEN RD
LQT: 8 BLOCK: 2
CEDAR HESGHTS
P.I.N.: 10--16725-680-02
DESCRIPTION:
~t~ut~{! n~~~ermit Type ~ECK
~~n~id~ng'l~~r~k Type NEW
~ -~ff Ltens~ts Czsrd~r,.~ 434 AL7. RESIDENTTAL
~
j ffi
t ~~~~A {
~ ' i ' `~i3S
~ yg,' j 3 .'%4~ ~ x h~ ~ - .
~rv~'.b"k:~C.~~p% ~~I~ ~&~4It#' W ~
~ 4'M ~~V G ~ v~y.~~1~ .
Y
~ ~ ~
w
~ ~ `
~ ~-w`w.. "~~ews ~'a 4,~; . ~ r~ h» ~ ! .
m
REMARKS:
PLAN REVIEWED BY MTKE BARCK
FEE SUMMARY:
Base Fee $50.00 ~
Surcharge $.50
Total Fee $50.50
CONTRACTOR: OWNER: _ ppplicant -
ooE~~ Maavzrv
~ A927 RUSTEN RD
EAGAN MN 55122
~ (612)808-0935
~ , > ~
~ - g- E ~y , g <a s „r 1~" v~~~ ~ ~ , , a ^ * ~
3 ~ ~ k ~ i ~ f 'a24 ~ Y4t iy ~ } `
t _ k Ig 1~t . }l~ 'S
, ~ r h~r~~~ aclsr~cfw~e~e~'~` th~~';~ l~a~se.`~r~~~L ts~,i~ ~~~~.~~a~~an ~~e~~~~~~~ ~~a~ ~
' ~
° ,v~f'sa~m~~~~ ~~s ~s~k~~~ ~~r~t~~~~~'+~~, ~t~ ~n~~r,~j~ ~k~E, ~P~~«~~a~~~ ~x~~ M~., ;
~
~ ~~~9~'a~.~°F ~3'1~.`~1'~.`jZ 4'-~ ~`'3~8E~ QGi~.7..~'f.".&~: A,a ~ ~ .*a ~ ~ : °
[ w c zsNr- s r
k_L,,,.. . „ _.~..._,a~~~, . , ~ a..,~ e.~., t e.~..~~~'_EV.w.....~ ~,aL,`a',~v ..z,'.c~"~ a...z_ws .,<.,< . ,.,r...I.'fi.~ ~...,,C'~
APPLIGANT/PEPMITEE SIGNATURE - ISSUED BY: SIGNA7UfiE
/~,~1 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) c,0~et(3'~t
, (~,>Cj Jv CITY OF EAl3ATi
~J 3830 PII.OT KNOS RD - 66122
' 681-467'S ~ , ~
~ New Constru~ion Reauirements RemodeUReoair Reauirements
3 registered sita surveys ?~2 copks of plan
? 2 copies of plans (include Deam & window eaea; poured fid. design; etc.) • 2 ske surveys (exterior additions 6 dacks)
? 7 energy celwla8ons ? 1 energy celaletions for heated adddions
? 8 copies of tree preservation plan ff bt plened aRer 7n193
required: _ Yjes No
° DATE: 3T2
~ CONSTRUCTION COST; ZQOC~
DESCRIPTION OF WORK: ~l J~
STREET ADDRESS: 2
LOT: ~ BLOCK: .Z. SUBD./P.I.D. ~ ~
Name: l_~kC~~qt11~~Y1 PhoneN: 17J~]"~L~~
PROPERTY L~ Firs~ •
' owrrER 2
Sheet Address: ~
Ciry State: Zip: ~'7~ / 2Z
Company: ~ Phone ~t:
CONTRACTOR
Street Address: License #
City State: Zip:
'ARCHITECT/
ENGINEER Company: Phone
Name: Registrstion
S~et A3~ss:
City Sta[e: Zip:
Sewer & water licensed plumber (new construction ony): . Penalty applies when address chang
and bt change is requeated once permtt is issued.
I hereby acknowledge that I have read this application and state that the iMormation ' a ree to comply with ail applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY D Q~J ~
Certificates of Survey Received _ Yes _ No 3~
,Tree Preservation Pian Received _ Yes _ No _ Not Required
~ .
OFFICE USE QNLY
~
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
O 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ~ 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Faciiity
0 04 SF Porch ~ 09 12-plex ? 14 Firepiace ? 21 Miscelianeous
? D5 SF Misc. ? 10 _-plex ~1.5 Deck
WORK TYPE
~ New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair 0 37 Demolition
GENERAL INFORMATION
Const. (Actual) ~ Basement sq. ft. MC/WS System ~
(Allowable) Main level sq. ft. City Water /
U8C Occupartcy 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 Bidg f
Census Unit b
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC~NS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
~ Total: ;j ~:~~r'
% SAG,~ ~ f,a.r
SAC Units
;
L L V 1 t' 1.t11r KUH1H JUHVt iliv~, i~+~ ,
OR RYLAND HOMES _ - mrs is nlor n eow~~Rr suevEr - ,oo~ JEFFEASON S7. N t
COl11~i11 HEIGf(TS. IP1 55171
.~f cp[TtF7 1N~i TH~s PL01 aUw vAt A+~AA~ BY ~E Df~TE a 1 i"$,Q~ 1612) 76e-9789 FAX (61Z) 78l1~ 7802
ItE6! W DIpC{T tlP6tVIilO1 . 11NT 1HI2 PIIN C7RNBCILT
~vs nf riu.~r aF ~ r~a`o~ eui rc w nf wo o~ I RON MONUAIEM
pEtuie~ nru nv~T i w A aLLr ~i BEAR I NGS ARE PER PLAT 0 3 0
~xg~ i1E lIAIF !i YI A.
. - SPIKF SFT . i
EX i S I 1 NG ELEL~AT t ON ~ ~
t~= PROPOSED ELEV. SCA~E IN FEEt
I MIESOTA L i CE ti~ 3 i~C \ F- = DRA I NAGE ARRON
PROPOSEfI
~ GR~OES
,~~a_ N ~aa • ~
RI~ ` OAAADE SLAB - 9q4,~
e •S ~ TOP OF BLOCX - ~~9
r~ s~~ 4 g S~'F/ ~ BASEAIENT FLOOQ • 90e •1
~ ~ ~ ~ r ~3a. qp. ~ ~i4~ :.ooK.ouz wwo~ 99 ~
} 9g3g 1
P~ J/
~a - ~
. ~ \
;~p „ o _
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= p ~x\ ~ . (~q9.~• ry ~ o.
P~ 3~~;~ - l ~.o ~ ti'°,
~
d ~ J ~
o ~c jq~.e~ / ~s
J ~ ~
4 \ ~ ~ ~
y ``p, .
ti T ~ o ~
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~ • ~ ~ ~(~,.1 3 oi Q
,y ~ ' Z3 f ~yy~ T~ . ~ ° ' C
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--r-~r s~'~~', 9s~'~ ='~d'~~' ~o / ' ~
49Z~ +~,~T~ ~ . ~ 2 a.
o ,~a o ~
j~' ~ h e`~'~ h o
\QER oG D2~ve SHawH • IS~~ SO.CT ~
~a.Ge, OC ~yqD hHowN ~"T'i~;`Q.rT. ~~B `
` ~ # n.• ~T ~ ~ ~ x • , ~ , r ~A" ' ~
~r ~ ~
Y ~ ~ _ . ;,r
i ; ` S,jtj~ '1 , r .
1 8 ~'L 0 ~ K 2 ~:y.~ ~~c ~s~? , , . :
L~OT' . . ~ ~ ` ` :
i o,NI~ ~ 1,. 1` t.~. ~
; EDAR HE I GHTS ,
AKOTA CO . . MN . ~~z ~
_ 3i~~~
'~Q~ 7 ~US~ R~9
~e~
- .
S
UBD o(
~
iW ?iECEIPT Il ~ 0 ~
~EIPT DATE~9~SGo _
< < - ~-o ~ g (-L_
'j'O ~ j ~ +~!..~.r--~ (~Sleec i 1 ' ` ~ .
1
aoe `-~~'Z-~ ~~-C~
S'7~i~~~
owt~ ~`.'~,~.1`l~-~ ~f~?~C~
PLEASr^, BE ADVISED THAT Tt~RE IS A PEE SHOEiTAGG ON THE ABOYE
G~
II.ECTRICAL INSiALLATSON IN TF~ AMOUNT OF $ ~ ~ ~
SHORTAGr. MUST 9E PAID GINITHIH 14 IXYS.
flEYr1RK5
ZZr D*_0 30 amp. c:rcuits= ~/f~
~ 31 to 100 amo. circuits= ~
0 to 100 amo service=
~~~~c
~ 101 [o -00 amo. service=
~ GY~
TOTAL FEE DUE= - ~ c~~ '
LESS FEE RECIEVED ( ~S
TOTAL FEE SHORTAGE DUE = s~i~
G~
PERMIT.'I '35~ +
ORIG. BECEI?2;1 ~~~~1 T_
?2EC~ZPT DATE ~LP~r~~_
RET[IH.^i A COPY OF TAIS FO?tM WITH REMITTANCE.
c~rr use oN~v ~~3~ a z
; L ~ BL ~ RECEIPT
SUBD. C.cdM- ~~e~~j~~ DATE: 3 (0
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Piease complete for: ? singie family dwellings
? townhomes and condos when permits are required for each unit
~ New construction Add-on furnace ~
Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc.
Date: ~ ~ a ~
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 Q$3.00 each) 3.~~
? State Surcharge .50
' TOTAL ~
SITE ADDRESS: a~ ~v3~"~w- ~
'j CZ~z~
OWNER NAME: ~~~.o~ bbw~`~ PHONE 5'b
INSTALLER NAME: ~~Z - ~w4 ~ ~ ~i-',"'~-. -
STREET ADDRESS: t~~~ `E 5~~ ~n~~ Tf`°~
' CITY: ~s~rw~ STATE:~_ ZIP: ~~0~~
PHONE ~ fcGZ.. ) ~I,~-~~ ~1~~ ~,~I ~ I
~Tt~ ~T'
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
Piease complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are ~ required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ~$25.00 minimum fee gC 1% of contract price, whichever is greater.
~ Processed piping - $25.00
~ State surcharge of $.50 per $1,000 of p~~jt 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
CI'rY USE ONLY ~ 3~~ Z
~ ~ g~ RECEIPT
SUBD. e~~r'- W-~~c~W4-~ DATE: /
7996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 551.".2
(612f 681-d6T5
Piease complete for: ? single family dwellings
? townhomes and condos whc~n permits are required for each unit
FIXTURES EACH ~Q, TOTAL
5hower 3.00 x "L = •-Qo
Water Closet 3.00 x ~ _ ~O
Bath Tub 3.00 x ~ = b..~
Lavatory 3.00 x ~ _
Kitchen Sink 3.00 :c ° ~ _ ~00
Laundry Tray 3.00 x ~ _ ~j.t9o
Hot Tub/Spa 3.00 x =
Water Heater 3.00 :c _ .c9o
Floor Drain 3.00 x _ ~Afl
Gas Piping Outlet ~ minfmum - 1 3.00 ~ _ ~..60
Rough Openings 1.50 x ~ = 4"~0
Water Softener 5.00 x i = ~j.6o
Private Disposal ` Dakota Cty. license 65.00 =
(new and refurbished systems)
U.G. 5prinkler " home under const. 3.00 =
Akerations " 1o existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL ~Z-@O
SITEADDRESS: Q'~~ ~-e~
OWNER NAME:~ b~
INSTAL~ERNAME: - 6~u~-~-~v~"~ g ~-e~
STREET ADDRESS: ~ ~
CITY: ~Zmga,w"~~-,..~`~ STATE: M,N ZIP: `~`70~0'~
PHONE (f~LZ- ) 43'J ` ~1.4.`~ ~6`'~'^-v~
OFFICE USE ONLY
L BL RECE~PT
SUBD. DATE:
1996 PLUMBING PERMIT ~COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612y 681-4675
Please complete for: . all commerciallindustrial buildings.
~ multi-family buildings when separate permits are ~ required for each dwelling
unit.
DATE: CONTRACT PRICE:
~!~:~CRK TY?E: NEI~I CQN:'TRUCTlON ADD ON REPAIR
DESCRIPTION OF WORK:
IS WATER METER RE~UIRED7 _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETER:i TO BE INSTALLED? YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
VNLL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
IF SO, YOU MU5T APPLY FOR A SEPARATE U.G. SPRINYCLER PERMIT.
FEE: $25A~ mirtimum fee or 1°~6 of contract price, whiche~•er is greatec State surcharge of $.50 per
$1,000 of p~e mit fee due on all permits.
CONTRACT PRICE x 1°k
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:
~
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
~ City Of Eagan ~ ~
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conslmction Reauirements RemodeVRenair Reauiremenls Office Use Onlv
3 regislered site surveys showing sq. N. of lol, sq. ft. of house; and all rnofed areas 2 copies of pian showing footings, beams, joisLs Cert M Survey Recd Y_ N
(20%a maximum bt coverage allowed) 1 sel of Energy Calculafions for heated additions Soils Repod Y N
1 Soils Report'rf proposed 6uilding is l0 6e placed on dislurbed soil 1 site survey foraddi~ions & decks Tree Pres Plan Recd Y N
2 copies of plan showing beam & window sizes; poured found design, elc. Addifion -indirafe ilon.site sepfksyslem Tree Pres Required Y_ N
i sef W Er~ergy Cakulations On-sile Septic System _ Y_ N
3 mpies of Tree Preservation Plan if lot platled after 7liM173 .
Rim Joisl Dehail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
Plans are considered ublic information unless ou state the are trade secret and the reason.
Date ~ / 0~ / O~ ConstrucHon Cost ~000~00
Site Address a'7~ V`J`~ K c~ Unit/Ste #
DescripUOn of Work C~-~ Qe. ~ R~
Multi-Family Bldg _ Y N Fireplace(s) _ 0_ 1 _ 2
Property Owner l'~1 Qe~r i 2 o Telephone ) S~~" (7`I ~ 6
Contractor ~a`~~! 1"y KP.i^c~ele~s
Address ! y~ ~ S~W~'t~ ~~Q. City ~c,tc~a,t/
state /'~]N z~P S~5/a~- Telephone#(~1) gg'~-1y6a
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 CateQOrv 1 Minnesota Rules 7672
EnOrgy Code Ce[egory , Residential Ventilation Category 1 Worksheet . New Energy Code Worksheel
submission type) Submitted Submitted
~ • Energy Envelope Calculalions Submitled
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan2
_ Y ~ N If yes, date and address of master plan:
Licensed Plumber Telephone ~
Mechanical Contractor Telephone )
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 pernut, but only an application for a permit, and work is not to start without a
pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans. ~ ~
i ~
Applicant's Printed Name Applx ant's Signature/~
'~395 wesPeoti P~oiezs~onai Se~~ces, mc ~ ~ n\~ /~~'~"b ~ppiOiiHV' Of SiREEi
CorvrvEtt i0 Ex. uH a7 ~ ,n
~ \ \~'I CORE DRILL fO1:CRCLE SA'N • ~,`Y~S /~D E%. DFIVEWPT
~ . ':on a6 Nwis ~<lae Elggtny: 7 '9,(~/ y POYJSi Ril/ iq IIATCN E%. ~ INCIp[Ni~L i0 WaT!R
( GOPHER STATE ONE CALI 2 ~J (~i(ApE MIIN CGNSTflOCiION.
~ SEE R.P. 2608 U r!y 7
~wln C'1' Aree a5a-0004 GOR SEflNCE 11E$ (~IELD VERIFY LCC~?ON
un ton~vree i-800-153-n66 i~ J~"~ ON WT 1. 2. k D. ~ k ELEVnnCrv) ~ ~REN~vE Er. 6'-~0° BEnL
. - ~ ~ / BIOCK 2. LJ M iT k REP~e:E .,~E'.6' 1CE
D.- i. ~ ~ ID' ( m
r.) / ~ k C IX
~ N E Ci 1 0 Ex. 6' ~iP
TER._R~= '~r i , - ' / ~ ~
Sl_A_. [ ~ ~a ~ ue-i %
- ~ lc~.~ 1 ~ . ~ ~
l~ ~ 1 7 \ wiE=1~86 6_GSIC valY£
f ~ ~ ~ ~ ~ ~ REUOVE PLUG k CGtmECi ~ 1\ 96P.5 'n/ ~
~ TO Ex. 6' OiG ./fi - ~ ~ p /I y4 a 52.9 6~'
~ " ~n ~/e^ eceo s ~ G CJ . ~ e e J
- " - ~ . ~ ~ MH_ ~ 0 WYE-Or5]
I 1 /I WYE.0t95 60'~--
^ i-COPGEF EHCERTVPE(K(w. '~i yG ~ z ~ ~ ~ ` ~ \60~• O ~O
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2013 RESIDENT BLII ING PE IT PI
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COMPLETE THIS AREA ONLY IF C
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# of Buildings
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?;)� 13,00
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA122126
Date Issued:04/25/2014
Permit Category:ePermit
Site Address: 4927 Rusten Rd
Lot:8 Block: 2 Addition: Cedar Heights
PID:10-16725-02-080
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
James L Perrizo
4927 Rusten Rd
Eagan MN 55122
Hearth And Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 638-3309
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA144342
Date Issued:07/21/2017
Permit Category:ePermit
Site Address: 4927 Rusten Rd
Lot:8 Block: 2 Addition: Cedar Heights
PID:10-16725-02-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
James L Perrizo
4927 Rusten Rd
Eagan MN 55122
Residential Heating & Air
1815 E 41st St
Suite A
Minneapolis MN 55407-3425
(612) 724-1899
Applicant/Permitee: Signature Issued By: Signature