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4930 Rusten Rd INSPECTION RECURD . , ~ITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 6$1-4675 , ~ SITE ADDRESS: ° ~ ~ ~ ~ ~ APPLICANT: ku • . . , . . PERMIT SUBTYPE: ~ TYPE OF WORK: ~ . . ~ ~ i ~ ri•.~r~ ~ , , , . . ~ . , ~ . r . ~ r! . . I'rl:'.~ , , . , Itl1s (41 i1~~~ , ~ ~ r';p~ I :'1! ~ ~ ~!p, . , , - 4 ~ ~ ~ J Permit No. Permit Holder Date Telephone N . ELECTR?C ~ . PLUMBING . $ /rj 7 S/ ,~,.r~ HVAC 8,s~~ ya '~1 `T InspecUon Qe Ins Commenta FO~TINGS ~~/q ~ ti FOUND 8~~~ 7 u~3 /~!Q ~l~J I G~-fs4 FFiAMING 7 ~ ~ ~C~ ROOFING ROUGH ~ ~ PLUMBING PLBG ~ AIR TEST r~J ROUGH `y~~ HEATING GAS SVC _ ~ TEST INSUL _ ~ j~ GYPBOARD FIREPLACE I FIREPLACE ~ AtR TEST II FINAL PLBG , I~~ ~°~9'I ~ i FINAL HTG 6- ORSAT Lj9/ r n I TEST 'l(0 I BLDG FiNAL la/~6`~ /1 ! Gl~+V BSMT R.I. BSMT FINAL DECK FfG DECK FlNAL ~ ; . ~L'tt~ICQt¢ 0~ ~CC1L~iQ1iC~ ~ ~it~ o~ ~agatt ~~~e~f ~ ~~pe~tinn This Certificate issued pursuant to the nequirements of lhe Uniforrn Building Code certifying that at the time of issuance rhis structune was in compliance with the various orrtinnnces of the Ciry regulating building corrstrucriort or use. Far 1he folfowing: SF DWG 30486 use aassifiptio~: swg. va,n;~ No. Vn pcc~}ancy TyP~ 7~ning pisaip Type Coosc. ~~8~~~~ RYLAND HOMES 900 E 79TH ST. , MPI.S. , MN 55420 eui~~e 4930 RUSTEN RD L23, B2, ::EDAR HEIGHTS J r ~ti~- ~ .r-~l,~-<.~'.- 1 L 1 1 awaar~ POST IN A CONSPICUOUS PLACE .S o2 / o~~of~838 ~ a3,C~a ~ ~o Req st Dat Fire No. Roug -In Inspection Requiretl Inspection Other T~an Rgugh-In (VOU m s all inspac~or when ready) a Featly Now ~ Nfill Notify Inspacior ~ / ,S ~Yes ? No ~a~e Read I 1~J licensed contractor ? owner hereby request inspect n of above le ~ al work at: JW AOtlress (SVee[, Box Routa No.) ' Ci $e o:" Townsh N~e or o. Covnty p ~ ~p Poone No. - 303..5~ Pow plier Atltlre ~ Electdcal Conlraclor (COmpany Name) Con( ors' icense No. G ~ GfF DOZ`/~a , Mailing ACtlress (Conhactor or Owner Making Inslallation) G i 17 ~ 5 S'u ~rc~e e ove, MN, ANhorized Signature (COntractodOwnar Making Ins~allalionj P~one Num~er ~ zg-g MIN SOTA AT APD OF ELECTHICITY T I TI E UE T WI~L NOT Gtl s-Mitl y BI Room 5428 C PTED BV E St E 90 Phone (6121 fi Z-0BOOSL Paul, MN 55104 , , _ ENCEO~R ~ r~ REQUEST FOR ELECTRICAL INSPECTION es-oooai-os ~'d See inshuclions for comple~ing fiis ~orm on beck ol yellow copy. ~;,5,~ 33/ ~/9 /r (p ~ • X" Be%w Work Covered by This Request Ne 6'd Rep. Type of Building ppliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specity) Farm Air Conditioner O~her (speciry) Contrac!or's Remarks~. Compute Inspecfion Fee Be/ow: # Other Fee N Service Entrance Size Fee # CircuitslFeeders Fee Swimmin Pool 0 to 200 Amps S.OU 0 to 100 Am s 0•~ Transformers Above 2 0-Amps Above tOD _Am s Si n5 Inspectors Use Oniy: TOTAL Irrigation eooms /G J ~ c1J ~ ~ ~ S ecial Ins ection ~ Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WIT 78~M T . ~ I, ihe Eledrical Inspector, hereby Rougn-'~n oai ~ cedify that the above inspection has ~ ° been made. F~nei ~ r~ oe~en / OFFICE USE ONLY This request vdG 18 monihs fmm . ~ OfFICE USE ONLY This requezt void 18 monlhn 6an wlidation dale printe~d yin ihis box. `~5 ~-q~fm~~ ~j~.$uc !s'er G~anCfrTµ~ ~w ~P~ /~D ~~~~~~~~I ~~~~~~~~~~~~~~~~~II~~~II~~I ~~~~a, ~ o * 4 L 8 6 5 4 ~ t PLEASE PRINT OR TYPE a Req~esr pote Rough+n inapecfion required0 ? Yu ? No Inspacfion O~er Than RougMn: ? Ready Now O Will Call ~1'0o mon coll Ihe iiupeclor when realy) Dale ReoJy: I, ? licensed conhacfor ? owner hereby requesf inspection oF ~e above elechical vrork af: l06 Address ~Sreai, eox, w Roure No.~ Ci Lp Cada ~c~ a~c.~ ~e-~--~ Rrl - ~c- Section No. Townehip Nome «No. Range No. Ftrc No. Cou ~ Occupom one No. Power lier A E tcal trocror ~ mpany Namo~ ~p Conha~tlor Li`c~ ~q Maater lic. Na (Plont EIM. Only~ ~~u ~'fW~7 ili Addreu ~Con+raciorg rPeA~a`rmin ~InsbMlkfion~ (n' A- ,`l n ~~L ~J/ v/ ' " V- V`~ Aut 'z ie aNrc I on Ownn i~g Insbllafionl ~ V ` F A. 8/96 ~re~ wneon mw _ ece mc~eiu-nnue nu wecr nc vc~ ~ nw rnov ~r ~°2 RE~UEST FOR ELECTRICAL INSPECTION 41 - 6 5 4~ M82ri8U ta ~tant',eABoar Rm. S- 28,'St Paul, MN 55104 Phone (612) 642-0800 Home • Du lex Apt. Bldg. Other: + New Addn Commercial Indushial Farm Remod Re ir Air Cond. Ht . E uip. Water Htc Load mt plher: Drydr Range Elec. Heot Tem . Service "X" obove the work covered by fhis reyuest. Enier emorks in fhis space and on tha back of rhe whire copy only. ' / `~'~-`~`'~U b y~ Cakulate Inspeclion Fee - This Inspection Request will not be accepted without the correct fee: O[her Fee # Service Entrance Size Fee # Circuiis/Feedere Fee Mobile Homa Park Stall ' 0 ta 200 Amps 0 fo 100 Amps Sheet lfg./Traffic Sig. Abova 200_ Am s Above 100_ Amps Transformer/Generator INSPECTONS USE ONLV jALS~ Sign/Oudine ltg. Xfmr. ! l7 Alarm/Remote Conhol ~ Swimming Pool I hare f<rn ~har I iru e eleariml i Ilorion deuribad Ireran on the dares sakd Irrigotion Boom go,~F,.~n pare Speciol Inspecfion Investigafive Fee F a Dore ! THIS INSTALLATION MAY BE ORDERE ISCO ECTED IF NOT COMPLETED WITHIN 1B MO S. Address 493o xosreN xn Zip 5512_ IAt 23 Blk 2 $ub CEDAR HEIGHTS THESE IT'EMS 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) ? Pertnanentdriveway v Permanent gas ~ Sod/Seeded grass ~ TraiUwrb damage Porch 1/ Basement finish 1/ Deck ? Please verify with [he builder the removal of roof test caps from the plumbing system and the shut-off of watet supply to ~ the outside Iawn faucet before freeze potential exists. ~ Contact engineering division at 681-4645 before,working in righRO6way or. installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink • Contractor Copy . ~ PERMIT ~ ` CIYY OF EAGAN PERMITTYPE: ~uz~o=N~ 3830 Pilot Knob Road 030486 Eagan, Minnesota 55122-1897 Permit Number: 07 / 25 / 97 (612) 681-4675 Date Issued: SITE ADDRESS: 4930 RUSTEN RD . LOT: 23 BLOCK: 2 CEDAR NEIGHTS P.I.N.: 10-16725-230-02 DESCRIPTION: Bw~idXn9, Permit Type SF OWG ~'uilding'Work Type NEW -'Constr"uct-iprt"~Type V;N Bwilctirl9 LengC'h~ 42 Buildin9 Width 35 Census Cpde 101 1- FAM. DETACH ( ~ ~ ~ f" +I ' . , 1 F P a ~ ~ . Yj-"I f~ 4..i ~ 4y, 'i -'EE i,~ ~.c:.?`~' i~ V ~r ~ yt ~r- V' i ~ i c•,.`' } i ~ 1"~"P~ ~ j ~ 4 ~1" { , ((t ~ f y~ ~`~.)[!ja`~~,~d? ~'~....,fds ~s3~l1~.~~ ~"ilJ~~ ~ ~~asa r`` A. '~-"=l ~ ~ek REMA~JCWSpLUM6ER = STAR PLUMBING FEESUMMARY: vA~uArzoN $ssa,eee Base Fee $1,057.25 MISC FEES ~ $1,539.50 Plan Review $687.21 Total Fee $4.300.96 Surcharge $67.00 SAC $950.00 SAC ~ 100 SAC Units i Subtotal $2,761.46 . CONTRACTOR: - Applicant - sT. ~zc RYLAN~ HOMES 18546363 2003544 A HOMES 9 0 E 79TH ST 101 900 E 79TH ST 101 t:~00MZNGTON MN 5542@ MINNEAPOLIS MN 55420 (612) 654-6363 (612)854-6363 ~ I [~ereby a~ke~o~ledge that T I~ev~~ read ~Chis a~PPlicatipn dn?1 state that ~~ha in#ar.ma~ion is Cbrr~ct and agree ta -c-ctmply with all applicable State p'~ Mn. StaCUt~s ~nd~Ci~q of ~dga~t drdidan~~s. ~ ~ I : _ _ _ . ~ ~~s~~zo~- . _ 0 AP GANT/PER ITEE SIGNATURE ISSUED BY: NATUFiE ~%:?~#:;;i•Xik?F:?Y:Y:~fYo~~F~YAYF~k' ' ~ .Yn~,%kYk"..':SC~.'K'h,'7~~:`f.Yr.'k"r'F.WY6?k C.L'iY 01'= i'. ~ , Cft?iil-I:I:ki:lv^ fs i'&::F;HIR611... i~~:l.; risf3 [.if~~ri_„ (.~.r,~r~~.~,a._, ..f:I:Mf_~ '."5~:-1`?a~~E: i.t~;: NA~ if:: I~iVI...A~'~I~ E.'2'.'Sr.; `?i7Ci1 4:?,:rCJ `?Li.`:ii"!T.-td F~7t ~1.~3f.:h::i~,:J6 ~ Tr5'1:2:1 P:~~t'_c%:i.~:yi; Fdmr)~.arti'.'.~ ~I~~~lii.)l)=°,)F. f .;{f,) ~'.".-)iif:,' JE.F;R T_Yi~ i~?fdi~!CY '!AY,iYFYn:'~r'y~,' n%k~~~/•~HR~'.>n'X,.',l'}~~'F~~:~h.K%KYfrc'..~%.:~%1:YF`~.~I:?Y~e.sK.''R.li'~1k4f / . , Q ~ 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~ ~a ~ C ~ ~8 CITY OF EAGAN ~ 3630 PILOT KN~B RD - 65722 681~dB75 ~ defv_Construdion Reauirements RemodeVReoair Reauirements 7 Z~ • 3 registeretl sNe surveys ? 2 eopies of plan • 2 copies of plans ~indutle beam 8 window sizea; pourad fi0, design; etc.) ? 2 ske surveyx (axterior addRions 8 tledcs) ? 1 energy calculations • t energy akulations for heated adtlkions ? 3 coples of tree preservation plan H lot platted aRer 7l1/93 required: _ Yes _ No ~ DATE: I5 l~ CONSTRUCTION COST: ~~~~~X~ DESCRIPTION OF WORK: S~T EET ADDRESS: C/ L LOT ~ BLOCK ~ SUBD./P.I.D. PROPERTY Name: ~l ~~.rY'~ ~10(Y) ~S Phone ~ OWNER n r ~^I Street Address: f~ F. ~fh ~7T • ~f e 1 City: ~j~P~o~ State:~~ Zip:-- ~~~~4an , CONTRACTOR Company: ~C,Q~Yip Q~ C~~OI~ Phone 5treet Address: License ~43 City: State: Zip: ARCHITECT/ Company: ~~Ck.f Yll~ Q9, ~,~~~/P Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer & water licensed plumber (new wnstruction onty): ~ ~~`11.~C ~ . penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this appliCation and sfate that the intormation~rrect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: p~ ~ e OFFICE USE ONLY RECEIVE CertificatesofSurveyReceived Yes _ No JUL 15 1Q~7 Tree PreservaGon Plan Received _ Yes _ No Not Required BY.~ 1 OFFICE USE ONLY . ` , BUfLDING PERMIT TYPE ?~Oi Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 02 SF Dwelling ? 07 4-plex o 12 Multi RepaidRem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Misceilaneous ? 05 SF Misc. ? 10 _ plex ? 15 Deck WORK TYPE ~31 New ? 33 Alterations o 36 Move ? 32 Addition ? 34 Repair o 37 Demolitian GENERAL INFORMATION Const. (Actual} J~ Basement sq. ft. ga~ MC/WS System ~ (Allowable) Main level sq. ft. t 9 4. S City Water i UBC Occupancy E? 3,~-1 Zw' sq. ft. ~i 8 Fire Sprinklered Zoning 2-r w.~.ra- sq. ft. kv8 PRV # of Stories Z sq. ft. Booster Pump Length wy~ sq. ft. Census Code. iv+ Depth 35'Y ° Footprint sq. ft. ~ 3 0~.5' SAC Code Census Bidg ~ Census Unit i APPROVALS Planning Building M~ Engineering Variance Permit Fee Valuation: $ i 3~j ovo. ~ Surcharge ~43~ e~ Plan Review 5g9 License zz . x z~ MCNVS SAC z u~~. z1 CRySAC c- ~o ~~I is = q,,so. - Water Conn. eru... c,s~O~,~ WaterMeter ~Q. 3~X Acct. Deposft z-4K ~ c. ~ ~c'y, - S/W Permit ,s~. S/W Surcharge c ~ o Treatment PI. Zg~ Road Unit s K 3 Y. s Park Ded. SRB.S.~~ Sq= 5+`?.r" Traiis Ded. a.-a Other ~ Copies Z~ ~o~~ zu s z~- s.~ Total: z u~o.:~ - ~ z4, b G Ps ~ at` 5~l = s~ ~ z.- % SAC ' SAC Units Zo,~ ~~,,v = v~~•-6~' Zz,~3z._ 1 33, i 3~~ ' iiY,i~~r iy.,;iu i~aioU< t~Ufelil Jur.~'~i11Yb 1iv~. YHbt YJl ~ PLOT PLAN " THlS IS NOT A BDUNDARY SURVEI' ' FQR AYLAND HOMES KURTH SURVEYING, INC. PROPOSED 4ao7 JEFFERSON ST. N.E. I HEAE9T CERTIFT 1xAT M~9 RDT P~nN V~S 7qEPhNED BY vE GRADES C0~I~191A HEIGHTS_ AN, yy/71 Of11MFJ1 Vf O~REtt El1PE11YISI0N , hNT THIS PLN7 CORRfCi~r t612) 788-9760 F,~% I6111 78A-7B01 9qVS TME DIAC~}.rt di A Vq07p9E0 BUIlO W CN iHE LN+O t00'~j,-( O~7 NlAEW DESCqIBEA MD TIUT 1 M1 A pU.Y LI 9E0 LNQ p~RAOE SLAB • bATE L- 1 I UAER UV TH .E7A7E OF MESOTA, ~ O- I RON MONUMENT roa oF e~ocK • BEARINGS ARE PER PLAT ~ 9ASEMENT FLOOR • ~9~C',U NINNESOTA UCENSE N0, 202"l0 ' SPIKE SE7 wo~ w~ N~,,,y, - q9~ . s • EX I ST I Np E~EvAT I ON i ~ - PROPOSED ELEV. ~1'i{q ~ R~ST6N RvAO F- • DRA I NAOE ARR01l p¢.~vu A~~'A SFt7wN =9oci5c,t.F'r• 0 20 ~j(JO RY~~GG'JHDNJN¢`Ifd>J}YA.GT• ~ . SCAIE IN fEE1 ~ RUSTEN ROAD ~~'R~w~ ~ly;..~~ :o; «TC ~~q_7 ~~g9~~".~ ~ •N r.~. DELTA ANGLE AD I US ARC n (iwt.3] 3~40'37'IS"W 56,09 2'26'03" 50.00 27.6~ ~WvZ,J ~,'r0~ w.S~ 1 yicWLR ~ l 7qs j~ ~V `.c•,~~ .S" ~.1~ _ 'a4~~t o ~995~ b ~ ~ ~o A - 5 ( ~ ~ , ~ ^ ~ ~ ~ ~~titi1 ~.o \ ~ 22I~Q ~lOO~j.-1~ ID.O ~ ^ . /~1.~ I ~ O ~ - - , t ^ (WO3.5~ ~ ' i'~~ ~ r" / / ~y ~ wyv'. 25 ~ i in.s N ~t. ~°i ` ~ M . Qci~ n ~ ~ ~y I _ ~ r<< r a ~I o 0~3 ~.hG ~ I~RoPt>seD ~ ~ 'o i ^ ~ ~ N , ) HOUS E ~ / z 1 " GC~J ~ Lp,~ U 2$ ~D _ - 4i0 ~ ~loo3~rj~ to.o ~ / ~ N ~ 22•0 ~ ---s ,~i , m I ~b/i I o . t,^ ~ a°'~e< r~,A ~ ~ rY0. ~ , : - ' m ~ ~ ~ . I ~c - u f° 4 m ~ I J p ~G.L \V~e ~L.b. t - F i~~NE:lOO1."i - " ~,pp~ --7------ I O'4 i~oX ,~v~~~~$ 9`Yt I l L f ~ r~,~- VJ1J I o ~ E ?1t7-~t7 o ~ _ BUIL~II~G INSPECTIONS DEPT. ~ ~~ui~,L~ o DRA I NAGE ~ UT I L I TY EASEMENTS (~o~t•i~ t~~B•L~~ jD12.L. N 40'3 '15"E 89.63 ~ N LI I. ~Lt O~ LOT 23 . BLOCK 2, ~3 ^'tS CEDAR HEIGHT5. - DAKOTA CO . . MN . ~ ~ ~a~~r1 ~iv~:~,?v~~~r A~~t: ; SQV9„~~ yA~ . - a NQ30 R~s7en Roo-~ , . . LOT SURVEY CHECKUST FOR RESIDENTIAL , B LDING PERMIT APPLICATION ~ a3 . yr~z, ~ PROPERTYLEGAL: ~ DATE OF SURVEY: "Z 9 7 ~ ~ ~ LATEST REVISION: T~ ~ ~ ~ DOCUMENT STANDARDS s~ B" ? ? • Registered Land Surveyor signature and company ~9 ? • Building PartnB AppBcaM o~y ? • Legal descdption 0~0 ? • Address 63~ ? • North arrow and scale 8~0 ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) o% ? • Directional dralnage aROws wifh slope/gradieM % ' C~o ? • Proposedle~ossting sewer and water services & invert elevation o~o ? • Street name ~0 0 • Driveway ELEVATIONS F_x(stina ~ ? • Sewer service (or Propose~ ~ O • Property comers o • Top of curb at the driveway ? ? • Eievations of any existing adjacent homes Prooosed Cd ? o • Garage floor ~ ? ? • First floor ~o ? • Lowest exposed elevation (walkoutMrindow) C~~7 ? • Property corners ~ ~ ? • Front and rear of home at the foundation PONDING AREA fif aoolicablel ? ~ ? • Easement line ? P' ~ • NWL ? C~ ? • HWL ? ~ ? • Pond # designation ? • - Emergency Overflow Elevation DIMENSIONS ~ ? ? • Lot IinesBearings & dimensions R~ 0 ? • 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 permanent footings) !a' ? ? • Show all easements of record and any Cily utilities within those easemenis ~ • Setbacks of proposed structure and sideyard setback of adJacent ebsting structures ? ? • Retaining wall requiremenis, if any Raviewed: Nam / ate January 1996 CRAIC79BBIBLDOPRM(.FM ~ ~JUN-13-1996 12~48 FROM RYLAND MIDWEST REGION TO MINN P.005i007 MECcheck COMPLIANCE REPORT Y,, 1992 Model Energy Code Permit # MECcheck Software Version 2.0 . Checked by/Date CITY: Minneapolis STATE: Minnesota ADD: 8010 CONSTRUCTION TYPE: Single Family DATE: 6-13-1996 DATE OF PLANS: 3-1-96 TTTL$: SAVANNAH 5704 MINNEAPOLIS PROJECT INFORMATION: FULL WALL INSUL AT 8' BSNiNT WALLS, WALKOUT BSMNT, 4' FAMILY RM EXT., MASTER BED. VAULTED CEILING COMPANY INFORMATION: RYLAND HOMES COMPLIANCE: PASSES , Required UA = 460 Your Home = 457 Area or insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA CEILZNGS 1245 44.0 0.0 34 WALLS: Wood Frame, 16" O.C. 2429 19.0 1.4 129 WALLS: Wood Frame, 16" O.C. 270 19.0 0.5 15 GLAZING: Windows or poor& 426 0.480 204 DOORS 44 0.190 8 DOORS 15 0.620 9 FLOORS: Over Unconditioned Space 273 19.~ 13 BSMT: 8.0~ ht/7.0' bg/8.0' insul. 784 11.~ 45 HVAC EFFICIENCY: F~rnace, 80.0 AFUE COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the 1992 CABO Model Energy Code. Suilder/Designer~ o~ ~I~~~«-~ Date ~~i I ~ ~ JUN-13-1996 12~49 FROM RYLAND MIDWEST REGIDN TO MINN P.006i607 MECcheck INSPECTION CHECKLIST 1992 Model Energy Code t MECcheck Software version 2.0 r' SAVANNAH 5704 MINNEAPOLIS DATE: 6-13-1996 • Bldg. ' Dept. use CEILINGS: [ ] 1. R-44 Comments/Loca[ion WALLS: i, wooa Frame, 16" O.C., R-19 + R-1 Comments/LOCation 2. Wood Frame, 16" O.C., R-19 + R-0 Comments/Location WINDOWS AND GLASS D0012$: [ ] 1. i7-value: 0.48 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Hreak? Yes No Comments/Location DOORS: [ ] 1. U-value: 0.19 Comments/Location ( ] 2. U-value: 0.62 Comments/LOCation FLOORS: 1. Over Unconditioned Space, R-19 Comments/Location BASEMENT WALT~S: 1. S.0' ht/7.0' bg/8.0' insul., R-11 Comments/LOCation HVAC EQUIPMENT: [ 1. 1. Furnace, 8o.0 AFUE or higher ~ Make and Model Nutnber THERMOSTATS: Adjustable t.hezmostats required for each HVAC system. AIR LEAKAGE: Joints, penetrations, and all other such openings in the building en~elope that are sources of air leakage must be sealed. VAPOR RETARDER: Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: Materials and equipment must be identified.so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values,,glazing U-values, and heating i ~7UN-13-1996 12~49 FROM RYLRND MIDWEST REGION TO M1NN P.997~097 equipment efficienCy must be clearly marked on the building plans or specifications. DUCT INSULATION: "'J Ducts in attics, crawl spaces, exterior building cavities, or outside must be insulated to R-8. ~ Ducts in unheated basements must be insulated to R-6. DUCT CONSTRUCTION: All transverse joints must be sealed with mastic, tape, or mastic plus tape. The AVAC system imtst provide a means for balancing air and water systems. TEMPERATUR& CONTROLS: Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or Cooling input to each zone or floor shall be provided. MISC REQUIREMENTS: Refer to the MECcheck Manual for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 E, and cisculating hot water systems. ----NOTES TO FIELD (Suilding Department Use Only)------------------------- TOTRL P.607 ~ CITY USE ONLY I I L 3 BL ~i RECEIPT ~ U 1S~ `f SUBD. / , ~ RECEIPT DATE: a - 4 ~ ~ ~ 1999 ~'LUM$IR'fi ~P~RMTf (~SIDENTIihL) crrY o~ £ns,~rr S$SO PII.OT KNOB RO ~16AN, MN 551 ES (651)6$i-4s75 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for eaCh unit ? backflow preventer for underground sprinkler system FIXTURES EACH TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.OD x = Water Heater 3.OD x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum - ~ 3.00 x = Rough Openings 1.50 x = Water Softener ` for dwellings under constmction 5.00 x = Water Softener ' for existing dwelling 30.00 X ~ _ U.G. Sprinkler for dwelling under const 3.00 = CI.G. Sprinkler ' for ezisting dwelling 30.00 = Alteretions ' to existing residence 30.00 = Water Tum Around 30.00 = Private Disposal System ' MPC iic. 75.00 = (new and refurhished systems) Private Disposal Systems " Abandonment 30.00 = RPZ (new installation/repair) 30.00 = STATE SURCHARGE .50 Rem'n r. Call 6814675 for inspections of water heaters, water softeners, alterotians, etc. , aQ S ry~ TOTAL U v • • • • ° • ° - • 1 here6y acknowledge fhat I have read this applicatlon, stale that the information is correct, and agree to canply with all applicable City of Eagan wdinances. It is V~e applipnPS responsibiliry to notlly the property owner thai the Ciry of Eagan assumes no liabiliry for any damages caused by the City during i4s normal operetional antl maintenance activities to the faciiities consWCted under this permit within City property/rightot•way/easement. SITE ADDRESS: l(~O - Le. S 103~+ ~ OWNERNAME: ~ ' ~~L~`f~K` INSTALLER NAME: ~ ( L-~/7Tf `'U~'~ TELEPHONE (O ~Z ( ~ 7~' ~ STREET ADDRESS: F' \ ~~J ~ ' ~ CITY: ~ STATE: ' " ZIP: `~c~-'-~ ~ SIGNATURE OF P ITTEE CD/PERMIT FORMSlRPLBG PERMIT (RES) - 1999 , CITY USE ONLY LOT ~3 BL ~ RECEIP't#: ~~7`Y 9 SUBD. l_!k.dCrR,PC ~~l~xi~.~-~ . RECEIPT DATE: ~ 199g M~C~iik1VIC~L ~£RM1T (~t~S1D~'1~T1'I~Fia CITY O~ ~AfiAN S$SO PILOT KNO$ RD £AfiAN bIN 551 EE ' (61 E) 681-4675 nate: 5- a ~1- ~J 8' Complete this section on~ if you are installi~ig HVAC in singie famil~~, townhomes or condos tmder construction and not owner /occupied ' • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets ( minimutn of one required @$3.00 ea.) • State Surchuge: .50 • TOTAL: Complete this section onlv if you aze remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical permit is not required for altera6on/add-on to ductwork in ' existing residential units; but is required for the following: Install furnace Install air conditioning _ Install air exchanger, i.e. Vanee system, etc. _ Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surchazge Total: $ 20.50 SITE ADDRESS: ~ ~ US'~"1 h ~G~ ' OWNERNAME: ~Ill~ N\/~ a~f''G~ PHONE#: ~07-~~~3 INSTALLERNAME: ~n~D~ I~~S ~ a u7 hS10~~ ~t'~~ r~'1G PHONE ~ J' 7~J~J STREET ADDRESS: I`}`~ ~i a pe~, n o ~K ~ CITY: LPi~ STATE: ~f n~ ZIP: , Ia ~y " F ~ W`~"`~--.~ - SIGNATURE OF PERMITTEE 1SlFORMS BLD/MECH PERMIT (RES) - 1998 CITY USE ONLY L BL RECEIPT#: SUBD. RECEIPT DATE: APPROVED BY: ,INSPECTOR 1998 M~Cf~A1VIClkL PHRbI1T (COMM~RCIE4L) CITY Of ~fiAP S$30 PILOT KNO$1tD ~s~1v, h[rt 551EQ (slg) s$t-4675 Please complete for. all commerCialfindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater. Processed piping - $25.00 CONTRACT PRICE x 1% PROCESSED PIPING PERMIT FEE STATE SURCHARGE (5.50 per 51,000 of pertnit fee due on all permits.) TOTAL SIT'E ADDRESS: OWNER NAME: PHONE TENANT NAME ([MPROVEME23T5 ONLY): ~rrsrai,i;Ex: ADDRESS: PHONE CITY: STATE: ZIP: SIGNATURE OF PERMITTEE r . CLAIM VOUCHER - REFUND REQUEST CITY OF EAGAN MAKE CHECK PAYABLE TO : uYT.aNn HnMFs ADDRESS : 400 E 7qTH ST BL60MINGTON MN 55420 ______===-=Q------•-------z-------------~------_------_----------------- ' LOCATION 4930 RUSTEN RD RECEIPT DATE 51430/DEC 24, IeaS REASON FOFi REFUND CONT~A~TOR ~HANGED HIS MIND ABO[1T RIITT DTNC AT TH7S T7MF TYPE OF REFUND ELECTRICAL PERMIT 3211-9001 $ PLUMBlNG PERMIT 32i2-9001 $ MECHANICAL PERMIT 3213-9001 $ SURCHARGE 2155-9001 $ WATER CONNECTION PERMIT 3713-9220 $ 50.00 SEWER CONNECTION PERMIT 3743-9220 $ 50.00 ACCOUNT DEPOSIT 2252-9220 $ 30.00 UTILITYACCTOVER-PAYMENT 2250-9220 $ CURB BOX DEPOSIT REFUND 2253-9220 $ CONSTRUCTION METER DEP REFUND 2254-9220 $ WATER USAGE CHARGE 5711-9220 $ OTHER:_BUILDING PERMIT HASE FEE 3210-q001 $ L 112.25 ' _ I/2 OF PLAN REVIEW 3422-9001 $ 194.64 SAC 3866-4220 $ Q50.00 ~CONTINUED) I declare under the penalties of law that this account, claim or demand is just and that no part of it has been paid. rnn~~~ix!,n , ~x~7?ni,32N1r ioiz2i46 s~9o~s~re ~o - ~a S~ oate ~ . TYPE OF REFUND WAC 3865-9220 $750.00 WATER METER 3716-9220 115.00 TREATMENT PLANT 3868-9220 372.00 ROAD UNIT 3860-9375 425.00 " CRY USE ONLY L~ BL ~ RECEIPT ~ g 9a SUBD. ('~dL~- I.~-c~J~ RECEIPT DATE: ~~5 7 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN ' 3830 PILOT KNOB RD EAGAN, MN 55122 (812) 681~4675 Please complete for. ? single family dwellings ~ townhomes and condos when pertnits are required tor each unit ~ New construction Add-on furnace A~ILi-~R $:C E'.C.:7.'a.~:C^~.^.r A~J~' ~r~ dir ~xch~~^ya~, ~C.C. ~ii~il~.^'~ .^~a~Si2T1~ B~L°. Date: ~~4-/"/7 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) ~P~ ? State Surcharge .50 TOTAL SITE ADDRESS: D `~~n ' OWNERNAME: U~- ~ S PHONE#: ~~~~3 INSTALLER NAME: GENZ-RYAN FIEATING PHONE 423-1144 STREETADDRESS: 14745 So Robert Trl CITY: Rosemotimt STATE: M~ ZIP: 55068 ~ SIGN URE OF PERI TTEE CITY USE ONLY ~ B~ _ RECEIPT#: SUBD. RECEIPT DATE: 1997 MECHANICAL PERMIT (COMMERCIAL) CRY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4678 Please complete for. ? all commerciaUndustrial buildings. • mu16-famity buildings when separate pertnits are ~ required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ~$25.00 minimum fee p11 °k of contract price, whichever is greater. ~ Processed piping - $25.00 ~ State surcharge of $.50 per $1,000 of °ermic fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL Si`T'E ADDRESS: OWNER NAME: 7ELEPHONE#: TENANT NAME: (IMPROVEMENTS ONLI~ INSTALLER: GENZ-RYAN PLUMBING & HEATING ADDRESS: 14745 SO ROBERT TRL ROSEMOUNT STA~: MN Z~P: 55068 PHONE#: 612 423-1144 SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR ~ CITY USE DNLY L o7~ BL ~ REGEIPT.#: ~U ~ SUBD. C1GIX,Q~- / RECEIPTDATE:. ~~S 97 ~ 1997 PLUMBING PERMIT (RESIDENTIALj CITY OF EAGAN 3830 PILUT KNOB RD EAGAN, MN 55123 (612)681~1675 Please complete for: . single family dwellings . townhomes and condos when pertnits a~e required for each:unit .'backflow preventer far underground sprinkler system FIXTURES CH' ~ T.AL . S~awer 3.00 x _ ~ _ Water Closet 3.00 x . _ ~ Bath Tub 3.00 x 2 = Lavatory 3.00 x 3 = Kitchen Sink 3.00/z` ~ _ - Laundry Tray 3:00 x ~ _ ~3• r Hot TublSpa 3.00 x ~ _ Water Heater 3;00 x = Floor Drain 3.00 x = ' Gas Piping Outlet ' minimum -1 • 3.DD x ~ - - - . . Rough Openings 1.SD x ~ ~ . Water Softener ' for dwellings undecconstrudion 5:00 x = Wafer Softener ' Tor existing dwefling 20.OQ x = U.G. Sprinkler 'tordwel~inguntlerconsR 3:00 = U:G. Sp~l~kler `forezistingdwelling 20.00 = Alterations ' ta exisGng residence 20.00 = Vtilater Tum Around 20.00 = Private Disposal 5y5tem ' ~ak cry iic. 75.00` _ (new:andrefmbished~~syatams) ~ ~ " Private Disposai Systems `ananaonment 20.00 = STATE SURCHARGE `.:50 TOTAL 1 hereCy edcnowledge thati heve~read this~application,. sfa0e fhat the infoimaUon ie w[reU, end ayree to compty":wkM1 all applicable Cify' ~ ~ oi Eagan orclinanoes. It is~the applicant's responsibility to notify the propeAy. owner thet the CitY~ ~ Eagen assumes no liabhiry ior any~ damages:causedbythe-Cityduringitsnormal~operationalandmeiMenanoe~edMtties~Mthefadlities~.constn~cted:~unde~tfiis-pertnkwkhin~ . City property/dgM-of-way/easertrent. SITE ADDRESS: n ~ OWNER NAME: INSTALLER NAME: GINZ-RYAN PLUMBING TELEPHONE 423 1144 STREET ADDRESS: 14745 So Robert Trl - CITY: Rosemount STATE: ZIP: 55068 SIGNATURE OF PERMITTE ' ` . ~ . j , . ye°. ~vcs~.noa woh ~ m~ se.rces. m: ~ ~ l>' RC eoeGN (tol 'C\ ' p 6.9 C v. Ct~55 S F~ R~~ ~ 76py ~ :ci~ afl Ceaq oefo.e ~99~^9'~ ~"~jr~ !d C T. FlL1Lk un.1EP Pl YF SMC[1 3#'a" GOPHER STATE ONE CALL 2 3 } / ` ~w smtEr ~P+~ - Gry nrea ~5~-~0: ' C ~ ~ ORAINaGE k un ~:n f.ee 1-800-252->>6s C7 / . UTLIiv EnSEMENi r j^ C6MH-51 ~ ~ ~ \ 1 . / CB-61 5`AZER ROA~ ~ / 9POND AP-]aiJ ~ / \ ' \ N1AL ~ 9500 . ~ SURMNNTi9lC CONC. CUPB k , \ rvxt = 952.0 ~ i , _ - [a1T1Efl PER EAG~N DET/JL / `4, . ~ . . , ~500 (iri.) A . 8 SiMN-52 , 4' J6'-i cCR~ v~t ~PUN aA ~ ~ / ~ ~ ~ (SEE SMEEi-?) ~608 U c ~~(i . 14 ~ ~ ~ 30 ~ ~ ~ O ~ ~ CBMn-5s V 13 ~ zo R. , pMNS 10 BC 86~9 COrvG CBMM-59 ~ ~CBNN-55 " j 60' R.O.W. (TW.) CUHB k GUITER ~5 ER ' EA4u+ OEtul ISOO . ~o "SY~. ~7 n w' B-B frwJ (ttv.) ~d " L J 55' R. HOw (1~'~.) • ' , / ?6' R. BOC (TP.) ~Tex~ 1o ES4S. r~o~~~'D~ ~ w9, ":f our-sc ~ ~ ~ 2~J d~ CBMM-61 ~ ~ ' ~ ~ ~ ~ e y:_,t w e " _ _ _ _ _ _.--0' a. CB-69 • O ~is ~w_'_ _ _ _ _ ~ . -r 0.' . , , , ' k~ BMH-6Y L / ~,2 a9t% ' \~r":~ nt: ~ r~plC3~N D~E.S ~oT ~U~~~1 91 ~i: / , ' : 26 _ ~ ,.^.CY OF U71LIT`l k.C~!AT t7?~~ 10' ESMT. Y~ e. n ~<< '1~..J i V.~ / ,6 I - „ - ~ . ~ ~\~r.TIOf~~ ~Mt~..~, ~o~: 25 ~ w:. PU~t~rQ~~a.- C`~'~f F; .J RnDn i0 BE B61B CV+L CuRB ~ 2~ L~ ~ ~~~-.1 ;;,rY Tnc kGViIERASPEREACMI 4Q 2~ 22 ~ 1.1~:5 ~ a7~V~ ~L DETUI N~ (T~~~ / (J ~ ~ ~O ~ CB-62A 29.90.s~@9.90 ~ ~ , ~1~.'U I~.~~Yi~~~N~'fHESIT~ . DENOtES GuTTERLwE Etf.WTOM ~ ' ' ' ~ ~TINTERYC?ON. ^ n'_____ _ ~l-'___-__ ~ ~ ~ BENCN NMK: ' G' S0' ~00' ~50' RUSTEN R~AD ~ ~ •LL STORN XN£R PIPE SHALL BE T,N.N. O NE WAO. Of QA1FR RD. : CLe55 J UHLE55 OTHERMSE rvOIED. } STORL/J~D RD = 9»~OB I I ~ ' i I I i ~ ~ : ~ JII , n m ' I I ~ m. 1 o w a B m n .wi m ~ 01 m N . , ~ i m a o . n p u ! N o ' . : . J + ' r:v ~ ~ . b. O N ~ 0. Yi N Omi~ ~ N W _ _ . _ _ ' . . : __T_~~_ q _ ~ N ' ~ ~ ~ ~ - . _ _ ~ _ _ _ f I. . ~i_ ^ . . _ . . P I I I I m' P T ~ Pr P q~jq~yJ ~ . . _ . , - ~ , ~ . . _ i __j i I ~ o ~1nwsneo ~I I ' ~ . I ' I_'_..-_- I__._ ~ CR~~ING!f'D~NSTRUC7IDN R~L}RDS i i I ~ _ _ i I I e ~h DA7£ i /2s .10_0_ I , Y : I a 1.0- 10 00 ~ WNOL 1 I ~ - ~ ~ ~ ' _ _ _ ' ~ I ~ ~ I I ~030 _ . ~ SEE DEU.ILf~BOOE . _ - . . _ . . - I ~ PN ST ~ I ~ ~ I I I f _ ; 1020~ ST~ N90 ~ C&lN_62 ~ ~ - ~ ` ~ I I~ I' ADE ! ~ ' . I' I _ I - - _ 1 PH STe ~l 99a6Gb&t .lE~^ 1 .1! ~I R p~ I V C EL 50' J.00 _ I PN STn .i S~~r I ~ ~ G/~ . _ . _ ...._L _ '1_"_ i.__ ' ~ ~ ~ I ~ 1.}a; PN Pl .1,a5' I 1! 2 ez I N. 0.39' I PN :L . 981.OU - FlNISME~~ C/L CFA6 I I ~ I 'I 990 . ~ ~ (NZS' LT.) I• ~ I I I ~ i ' ~ - ~ - ' - jET99~3i . ~CBUn-6~ ~ 39 ~ 18' RCF Oli6R I I ~ CB-63 ~ i - . ~ Q2d.__'. . _ L~y_ V.0. - 50 I ~ i ~ $iA ]fB8 I > ~ ; ~ ~ I~ , i ~ 12 ~,FCV 1~.25' RT. a ~ CBI1X-33 ! 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CEOAR HEIOHTS I a srR~7 ~ . co«sTrtucTron , ro, < 1 , ~ . ~ . ! ~ ' , c., r,.~:.~ r vs-o I ~ PLAN . . .•99` vest+ow P.oiesnoed 5...ices. inc ' ~ ~ ' ~ ~ ~ ' ~ 3 ~ • lill aP MW.s ~elor~ Oq9'^9'. / , 5 ~ CONNfCf TO EN. MX BY ~ "T (~4../.f ~`0 /~NO CYyOA.£wPVEi GOPHER STAlE ONE CAIL , ` 3 \~j COkE DPILI/CONCRCiE SAW ~~r ~~~qt/,~ (0'M~IfP Sc~ S.r'. ~609 U ~ ~ ~ CR~DE S~ RiM TO uqiCN Ett. , ~ uiuN CONSiRUC1i0n. ,n:. .sa-ooox . ~ c y, / \ . un ion f.ee i-ECU-:5:-n6i . ~M SERNCf PE\ ~ / iy ~ (nELO ti£R6r LOC~?ON 0~ .q ' ~T2. 2. k 3. tr ELEV~nON) \ REMOVF E%- fi -90° BFN~ ~ ~ i0' (M.j `~-r ' k CCNnFR ~0 Cx. 6 UiP SIATER ROA~ I " ~ ~ " ' ~ \ 9 _ :.EVIeCE .is ,a• ~e )n ~ j ~ . ; ~ ~ " ` ~ ~ / \ wvL~IrB6 ~ I _fi 6pE VeLUE~ ~ ' ~ ~ REMOVE PIUC tr CONNECT \ ~ - " ~ ~ , . ~ ~i0 Ex. 6" qF w/6'- V61.5 ~ ~ ` ' ~ W. - _ ' . u 1H° 9ErvD " \9~ f~ I Q~C a ~ 952.9 4' VVC SE GE SOR-26 (TW.) \y v un-2~ ~ e \ l. WYE.O~Sf I Y CWPER fRNCE T1PE K(TW. 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OiP [ ~ 1 v l._a~ ~ . • _ ~ - ~ • . - / eTi 816' E~ O fIT O~ i1' tOll.O ~005.9 O O 985A ~ 6'.6' iEE 1 r IVI'a r~Rl'J~'.• _ =a. ~ Op. 998.8 gyi.] ap IT K'1'E.O~)2 ~ `,',[x ~1i.i ~r ion.~ cr 26 . c O WME~H81 W1£~0~91 WY[~0~08 WY[~I~yt WYF..it,}~ C:Oh~B ~~Ii1B GRWND EL 9~Yi t~4i`~ I f~li~G IT SHOULD}.r.~~. i ' ~ ~ WYE~2~59 6'n6' lEE ~i ' ~ c ~7 ~7 ~7~7Z ~{z5 ~ INFOr~PAAT10f~ ON THE SIT~: ~ 1:OTE: ~ C! 1(~ L O L~ L~ L J ~`Y 6' GnTE V~~VE . ~ ~ • Nl SnNiTARY SE'/FV $NMt 6E -HVpR~NT / .7 I ~ ~ i ~~j~/ J ~J' SDR !5 I~NtF55 OTF[RWSE N01E0 ~ ~9'-6' OIP $ERNCES TO C%lFflp 15' 6iY0N0 9~E ~~IP 6~-11 1/{° BEND ~Q j'~ . ' 6'-n5° BEN pROVER!Y UNE (M 905,0 OENOZS S~NITMY'.'{MfR SEFNCE INYEfiT O ' 1/1° D CVNB STW lOCelEO Ou P/~ 6'.F~ lEE MiOPERTY UrvE. SER~CE SNAU BE E%'EHpCD pqWNO EL . 1026.9 ~i ~g pry Tq~ CROUNO E4 1009J ~ j'~ 15'. %PE SH.u1 uE C'AICULaIED O 3.0~ _ r~ _ _ _ ~ ~ ~i i TVOBteW5N9iv.i3i. _ ~ . WYEs0~55 ~WK LOCAPONTONYYAI'IEMESfFpIE ~ll w~tERIA/JH GiPE $MIJl 9E RUSTEN R0~1a ~W MMK: - OONN $iRENA M.H. CuSS 53 UNLE55 OTHFANISE NOtED. T.N.N. O NE OVAD. OG SLAIER RD ~ k STORL/.ND RD = 9)1.09 - p• SJ' 15:' ' i I ~ : i I : ~ j ~ i , i I I ~ i ~ ~ ~ . I.. .I _..I - _ j . . I_ . _ - _ _ _ . . ' . . . - . I I i ~ I I i _ 'I " _.I ' I _ I I i . _ : _ _ ~ ~ - - - - ~ ~ - - ~ _ ~ - ; ~ , , , - i-- ~.I i I i ~ viws+EOlc/~ rn~_-~-__ I I I ; j I ' I I I , PRO?OYD U/.UE . _ ~ ~ . _ . . . . . _ . . . _ . . . . I I 1 ~ L/L A1B~Re0E ...I . I ' . . _ . _ . . ~ _ _ . _ ' . I. _ . _ ~ . I _ . _ ~ OVEfi WMER NNN 1 ~ 1 . ~ i I i ! ~ I ~ ' i I - I ~ ~ ~ I I " ~ ' "_.._I . -a _ ' _ _ _ _ _ _ ~~30 ' ~___'_..i .I'~,~_ _'~_J- i~_ ._1.._'__. ~QC.. i \ I ~ ~ ' i ~ • I : I i. . i._ ~ I : ~ FiN~SMEDIC/L CRnpEI~ ~ ~ i Z..L i I ~ ~ . _ ' ` ~ \ \ _ - _ . _ . . . _ I i. . _ ' - . . i I I . . ~ . , _ ~ . i ~ . I _ _ - - \ ~ I I C/~ iUBGRADE - - _ _ _ _ ~ - . . 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' i - ~ I . ~ _..i_ I ~?ree _ . . .~5iH--s-..._~ ` - - ~ ~ ~ ~ - ~ . _ - . . ~ . . . . . - - - ~ - _ . . I ~ ~ I rI . I • TA Jf25 ~`B P~, i 950 .__-.t -T- I . ~ _ _~L"_~ -1I-- I __'__YtE 969.1 T- - I' . , I - T- ' ~ E 5 v 9~3 l p,~' U F O V. CRdIT TO 98Q . ~ I ' I .___I . . I~' _ _ ~ l . i ; 1 ~c H ' ~ Surt HEw now . . ~ . I , - L _ ; . _ . _1 ' . . I _ _ . . ' _ . ( _ ' . ' _ _ p-1_ " - -~~~P~~iE " _ 97~ . . ~ I _ _ ~ ' I - ~ ~ f ~it17 ~ /t 0) I 94~ I I I I I I . i . - . - i - - . . W . 0Y PE . 95iAf i50.JY I i" ~ : . _ . . : ~ ~ _ _ '"-I___ _ _ ' ! . _ . . I ~ ~ I . . . _ _ I I~ _ 1+Eri~ROPI~E w_- 945 2. . ; I ~ I ~ ~ i .j_". , 'i : i . . " 'i' ' I"' _ I ~ iE.Y'h.969``-B9 ~ I ' ' ' I- ~ ~ _ ~ I ' . . I 2ff DiP 0. 52 O 0.~ I Ex v" 4 1 9:e. 23 930 . ~ _ ' i 13 1 11 10 q---- - ---y-- 5 q- _ ' . . { _ - ~ - 7 ~ I c.• . ~ 'Nestwood ~wn~b. ~h- ~ ~;1, • < 1 .f i F~ r SAMtTAA/ SC+fa ~ DATE ~ F[ :~n . ~ . e ~ 4 - ~j AH ~~~4 Gt~~'L{'SPb1E1:T CO. ' ~ CEDA1 i'1HT$ t 8 WA,F.R N~:. 2/B/Y6 c o ~ a.t i ti~ _ , ~ . I ~ cG»° SHEET PERMIT City of Eagan Permit Type:Building Permit Number:EA107752 Date Issued:10/25/2012 Permit Category:ePermit Site Address: 4930 Rusten Rd Lot:23 Block: 2 Addition: Cedar Heights PID:10-16725-02-230 Use: Description: Sub Type:e-Reroof Work Type:Reroof Description:House Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments: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 . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Muhammad N Khan 4930 Rusten Rd Eagan MN 55122 Gates General Contractors, Inc 3500 Vicksburg Lane North, Suite 400-351 Plymouth MN 55447 (763) 550-0043 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA109786 Date Issued:04/04/2013 Permit Category:ePermit Site Address: 4930 Rusten Rd Lot:23 Block: 2 Addition: Cedar Heights PID:10-16725-02-230 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Bruce Gates Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Muhammad N Khan 4930 Rusten Rd Eagan MN 55122 (612) 280-2445 Gates General Contractors, Inc 3500 Vicksburg Lane North, Suite 400-351 Plymouth MN 55447 (763) 550-0043 Applicant/Permitee: Signature Issued By: Signature f.: Use BLUE ar BlACK tnk --------------- i Far t�cc!)se j � �� ` � ��f�ssl ; � � r ��_ f � 3830 Pibt Knob Raad j Perm�F�: (� j Eagan MIN 551�2 ! � t D�e Received: i Phone:{651}S75 5675 r ► Fax:{6s1)&75�694 � s�� ..�.�`..��'�..r.��..��J 2015 RESIQENTIAL PLUMBING PERMIT APPLIGATIC}N Datie: �� Si�eArldr�s: �� I�.f��.�'TvrL,�� zer�r� Su�e#: Name_ ��+��` ;, 1�lA.�.�/LQ.�''�'L1'Vl(�..p(1 �C!��IAJ�t,, Phone: �a � o� — `a $0— o2�I.�S � � � A��c�,�z►�: "�a�30 ►2.u.,�-Fe� t'Z�t -� � n�N �5 �a a � , fr Name:_ �.�1'(9-�1�1.V �✓1..C.J�i'�TUJL ��L.�r" -�?�C�-%�'YL�'Cicer�e#: C¢�G G1 � ��'i � ,� � ��°� � a��: ��-0 �@-k..� i�'3"' }-}--� � e �,; 1.�� - s�_ 1✓1l � za: S�-Io l l� �n«,�: 'l I`� - 3�(� - ��1�^� � � � " c��x �l� �c�o I�e.� �►�r: C�'�-�- �� -. h�4— . ��r� —1Vev�► �Repia�ment _Rep�� ._Retwild _Mo�fY Space _Wcyrfic in R_O.W. � � - = oescri�n�w�c: _ ��'n,�� "W��-F�L �a�� = � RESIDENTUtL - �� - Wa#e�Heater � - � � Water Softener � �� LaNm fimr�ation�RPZ 1�pVg� � - � SepbG�� Plumbing Fi�ttu��M-ain f_L�r LeveE} _New Vltater Turnaraur�d � = ,Abandonmer�t � RESIQENTtAL FEES: � $6Q.�Water Heater,Wafer Softener,or�Atater Hea#er and Soitener(indudes Sra#e Sum.harge} ' $60.�Lawn lrrigatron�ndudes S�-ate Surchar�) � $6t1.Ot1 Add P�m�r�Fatut�es,�tic Svstem A►6rarx�nme�nt,Water T�raround*{indu�s S`t�te Surchar�} � `V1later Tumar�rxi(adc{�210_00 i�a 5J�'mefier��j �115.{�Se�c Svstenn P1ew(indud�Co�rt�►fee and Sb#e Surcharge} � TOTAL FEES� CALi_BEFURE YOU DtG. C�Gopher�one cali at�&�1)4s4-oo�2#or�otec�n against underg�ound Catl�8 hours be#ore yau ir�tend M c�g fo receive ior.a�es�unde ��- r�cn�nd nti�ties_ �aot�rstateuraeca�ora f hergby acimow�e that fhis�}��;��;a��auale,tF�the r�rk r�be�conforma�wdh#�ord�s�ui s.�sdes�ft�City o# Eagan;that i�auierstand tMs�not a AeTm�.b�t oN�►an aPp6qtipn tar a pem�,and vwurk��#a sEart x�hout a p�m��tt�e work wA!be in accardance w�h the aPproved Pi��the r,ase�w�uk wldeh reguites a revi�v and approwal of p(ar�,s. X �� 5c-�kaP��f2 �vrh, �C�-�(, ��nt�s�,�a n� X ��' �r� �� '� � = - ` � � _ � r , x _ _ �� ._ .._ -- -= - - :'��++ � �� . _ ._::, -- -=:; , .,.,�...�...��F ,�, '��`�� ` , �.w,.,N,,. ;_... _ . �. -.�...h.,,,_�� _._._:,. _,__ -� �w.- ' �» - � �� z � _ ,� �.�.�:,,� Cite otEtau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED MAR 112016 r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: ��1 :c ao, C 2016 RESIDENTIAL BUILDING PERMIT APPLICATION LVA /2'1 IC Site Address: 36) 6(5 lel` (26071 Unit #: esidentl Winer Name: C('1 c 1 / h 4f) pf' 146-v i „t 0 Phone: Address / City / Zip: Applicant is: Owner Contractor Type of ® a Description of work: % Construction Cost: ? Ck- Multi -Family Building: (Yes / No >K ) Contractor Company: jt MMkt k �' -5-00.c (0_3 C. n 1- Contact: 67. f — Z2l�v ` f 2 Address: NCI 3 614; K /4,-. ,v City: State: tin( Zip: 55°)3. Phone: t-,-51_ 22(.' 3 (24 Email: "r 1 3 6 cor--et, ›1. License #: hi tV Ll C_ -Pt. 6C..1,12-3 L9 Lead Certificate #: If the project is exempt from lead certification, please explain why: f.:\ In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: N TE Plans and s ovum $ :" at you aua) n ormation may ssiffed. ®: uc roti ®` � `hat +ouf a ft th i lode s 3 CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.oro 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 accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Min esota State Building Co e must be completed within 180 days of permit issuance. Applicants Printed Name xV Applicant's Signature Page 1 of 3 SUB TYPES Foundation Fireplace Single Family )4 Garage Multi Deck 01 of _ Plex Lower Level DO NOT WRITE BELOW THIS LINE zig30 WORK TYPES New 1; Addition Alteration Replace Retaining Wall Porch (3 -Season) Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) _ Pool Interior Improvement Move Building Fire Repair Repair DESCRIPTION Valuation /7, /3'1 — Plan Review (25%_ 100%/ ) Census Code # of Units # of Buildings Type of Construction \/ REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) X Footings (Addition) Foundation } Roof: Ice & Water Final )0 Framing Fireplace: _Rough In Air Test Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan 13 %22; k/ Reviewed By: Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant Occupancy 5.77c- Code .77C_Code Edition /) /) 2 i' Zoning Stories Square Feet Length Width Final /2' MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Pool: _Footings _Air/Gas Tests Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In Final Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL L.j 7 35 Pr 4 - `�`l sem° /r Page 2 of 3 /UU+GU'. 1�UI 1'1 oUh+wc_ I ll'JU-�-III*.// PLOT pP'� PLAN • THIS IS NOT A BO ARIySURVEYy - PROPOSED GRADES FOR RYLAND HOMES 1 MEVY CERTIFT TINT THIS PLOT PLAN DAS PREPARED BY NE OR WED Yr DIRECT SUPERVISION . THAT Mt PLAN CORREC'R.T SRNS HEIM DEscR1�7 AND WATpROPOSED 1 IMA ODU Li E0 LAND _a I. BOER LAR T1jE„ PATE OF MEEOTA. MINNESOTA LICENSE NO./.0 044130 RovCGN pl�A O of -N6 MustA54k7wN = qor Sq.f1 RD NW Dr '240WN LifoDdr_ AO. CAT' GARAGE SLAB • t0 0.5.7 TOP OF MOCK • 0044%0 BASEMENT FLOOR • qi b •V Lomkarr w+MG J4a ot•cm.5 6.0,.. . •E i ZZ".. (Ma.,) 23,43 )11 ,LG" v' CPP \qn ite \cP l5 1.4 0 0 TC F'+4Ut rJl N76 C? KURTH SURVEYING, INC. 4002 JEFFERSON ST. N.E. COLUMBIA HEIGHTS. 111 55421 (612) 751 -Alli FAX (S121 716-7042 1-114--1p DATE 0 - BEAR c±s - 1 I - 4-- • IRON MONUMENT INGS ARE PER PLAT SPIKE SET EXISTING ELEVATION PROPOSED ELEV. DRAINAGE ARROV 0 20 I 1 SCALE IN FEET I• RUSIEN VAD` 0 kips US ARC 50.00 5140'37'15-W Ywciv 5 56,09 1 0 1001, .-1 20 0 DELTA ANGLE 2.26'03" +H•5, li y,2�c:R NV. q4. , I'R01'DSED HOUSE 1~13 L.Q" 42.4 (lou3.5) k occ L11. i. , b •` ---. E4"RCx I N $k. 1 rriKtiVEW 1 idy rol 0 10 604. L' L w+8•z��b"tie 1.5 0 10.0, okK.,� {i 1 IMO 0 L E ql BUILDING INSPECTIONS DEPT. DRAINAGE & UTILITY EASEMENTS LOT 23. BLOCK 2. CEDAR HEIGHTS. DAKOTA CO.. MN. SAvq nY1_ 4430 Qusie,l 8604 N 40'3 '15"E 89.63 IP co So 2.0.0 27.61 1 City of Eakall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 N'D ,uN 0 6 " r Use BLUE or BLACK Ink For Office Use Permit#: ! 7601 CP‘ Yj tel( (D' Permit Fee: -� -3:7`Z 1Date Received:I Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION 141 413° �-us t � _----. Date: Site Address: Unit #: Name: APJ04 IQ( V''(Eti Phone: Resident! Omiler Address / City / Zip: Applicant is: Owner Contractor Description of work: e1C' Construction Cost:2`1j Multi -Family Building: (Yes / No ) Company: 1 \ L (\- L 5-0‘,5 I145{ Contact: l l(- 10111 Address: r 3 l'lpcl 6111, L A -c -A) City: i f State:/ * Zip: SCo?3 Phone:C:61-22 ('� (2'(4' Email: t /16c ` S eQ cor• "4 License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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: Fire Suppression Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions 61-4 the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq 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 accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 daysf permit issuance. Applicant's Printed Name Applicant's Signature Page 1 of 3 SUB TYPES Foundation Single Family Multi 'lei 0 NOT WRITE BELOW THIS LINE Fireplace Garage Deck 01 of _ Plex Lower Level WORK TYPES New 71 Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100%'' ) Census Code #of Units # of Buildings Type of Construction Porch (3 -Season) Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Move Building Fire Repair Repair REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) g.) Footings (Addition) Foundation Roof: ' - Ice & Water `� Final t Framing /"3 30 Minutes 1 Hour Fireplace: _Rough In _Air Test Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Occupancy Code Edition Zoning Stories Square Feet Length Width Final Reviewed By: / ./� l f — Siding Reroof Windows — Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant / G - vitt I G` rS 1 1 MCES System SAC Units City Water Booster Pump ala PRV Fire Suppression Required f Meter Size: Final / C.O. Required Final / No C.O. Required 7(" HVAC — Gas Service Test Gas Line Air Test Pool: _Footings Air/Gas Tests ___Final Drain Tile Siding: _Stucco Lath _Stone Lath Brick Windows Retaining Wall: Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL K v J ' c1 -v u \ S�'A C+ Page 2 of 3 PLOT PLAN • TN15 15 NOT A 80UNDARr SURVEr - FOR RYLAND HOMES- , HERBY CERTIFY THAT THIS PLOT PLAN VPS PREPARED SY mE Oft ENDER Wf DIRECT SUPERVISION „THAT THSPIM CORRECTLY glows INS PLACEMENT OF A PROPOSED OLOLDINE1 C1 TME IAND HEWN Mame No THAT 1 AM A limy Y l kuO t10.1kR 7A* MINNESOTA LICENSE NO. 1.02.-70 yq' o RE•2'T'04 RAW:3 ar..A,ti. PAW S4 HN = goctS4.0T- JQ0 AIWA, "J4 OWN 'g'1+e s Sa. CT • 8 `/ PROPOSED GRADES OARAOE; SLAB • ioo3,T T0P 0r Moo(• ti0044.0_ BASEMENT FLOat - 11r0.0 LooE/r woNQO,,.Y,s aMc•5 R STEN OA KURTH SURVEYING, INC. 4002 JEFFERSON ST. N.E. COLUMBIA HEIGHTS. MN. 55421 16121 716-0704 FAX i,121 700-7e02 DATE 1-1y_g7 o - IRON MONUMENT BEARINGS ARE PER PLAT + • SPIKE 5ET ::+ - EXISTING ELEVATION t ) - PROPOSED ELEV. 4-- • DRA 1 NAGE ARROW 0 20 I } 1 SCALE IN FEET 'COCO Iwo .�, LATc S`40`37'15"W 56.09 0 2 O 2.4 t5 r RSR • N co • "2' 0 , OCEAlkvs,p1 t.b• ----tC(.ow UN0 . loot. "T I toob.7 20 0 DELTA ANGLE RADIUS ARC 2'26'03" 50.00 27.61 lawLSR HKv• 10.0 1 i3.5� 7 ,tir • 11.5 t J gf.,:), 0 Soole 14,3 N) PRoPOsE D H0u5E Ft.; Lo" 11z.o (I003,41) a r 10 L V4 7b ---sr — -•. --� (O, O) d. ' 1 00i761,1Ciii° Rv i tot r`•o1` ev"'`.;;/'i+iN4I LL Li2vn wr E -7—(7-q+7 BUILDING INSPECTIONS DEPT. DRAINAGE k UTILITY EASEMENTS Oo co • LOT 23. BLOCK 2, CEDAR HEIGHTS, DAKOTA CO.. MN. Sgvy nr,J rA 4130 Rv.,1, Reo i 6+. 4/11 CityofEaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: / -766 Permit Fee: 60 -oc Date Received: Staff: 2015 RESIDENTIAL PLUMBING PERMIT,APPLICATION Date: t��i - ' /6 Site Address: 274-9.50Ur7.4 o �' (K- GtGr' " SLG /7 Tenant: Suite #: $� Name: 7kt v.WY !V bit y& Phone: GS -7 -73.(71.-X// Address / City / Zip: _! f_. 0 ,. izn c / e Bk � Name: License #: Address: City: State: Zip: Phone: Contact: Email: Type o New Replacement Repair R 'Id Modify Space Work in R.O.W. _ _ / J � Description of work: [ " C�-' ` / ( ii'' r = Per it Type RESIDENTIAL Water Heater Water Softener Lawn Irrigation (_ RPZ / PVB) Add Plumbing Fixtures ( Main / Lower Level) _ Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $60.00 Water Heater, $60.00 Lawn Irrigation $60.00 Add Plumbing *Water Turnaround $115.00 Septic System Water Softener, or Water Heater and Softener (includes State Surcharge) Turnaround* (includes State Surcharge) TOTAL FEES $ (includes State Surcharge) Fixtures, Septic System Abandonment, Water (add $280.00 if a 3/4" meter is required) New (includes County fee and State Surcharge) CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.orq 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 tart without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Tr City of Eagan Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ill r Use BLUE or BLACK Ink For Office Use Permit #: / / (� t, Permit Fee: Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Unit #: A 1i tN IJ a't`iC-el Applicant is: %/Owner Contractor Description of work: Phone: 0,5-/— 3 �-i'3 `7 /1 Construction Cost: Multi -Family Building: (Yes / No ) Company: Contact: Address: City: State: Zip: Phone: Email: License #: - Lead Certificate #: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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: Fire Suppression Contractor: Phone: E Plans an'documents hat y u s b rt re information Vinay be class ifietl as non-publi ov, conclude hat that' ' it cons, ere, ,c informa wou, are aaesec. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq 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 accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work autho ized by a building permit issued in accordance with the Minnesota State Buil ng Code must be completed within 180 days of permit ince. I/(J x Applicant's ame Applicants -S• ature Page 1 of 3 SUB TYPES Foundation Single Family Multi 01 of _ Plex WORK TYPES New `Addition Alteration Replace Retaining Wall -4 —4(, DO NOT WRITE BELOW THIS LINE DESCRIPTION Valuation Plan Review (25% 100% )() Census Code # of Units # of Buildings Type of Construction Fireplace Garage y Deck Lower Level _ Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Interior Improvement _ Move Building Fire Repair Repair REQUIRED INSPECTIONS Footings (New Building) !( Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water Final Framing X 30 Minutes 1 Hour Fireplace: _Rough In Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Occupancy Code Edition Zoning Stories Square Feet Length Width Air Test Final Siding Reroof Windows Egress Window /E b7 Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building _ Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: Footings _Air/Gas Tests Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: Reviewed By: t " , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL r" )7(77G Page 2of3 PLOT PLAN x s 1 $ NOT A NOWDART StRVET PROPOSED GRADES I HEM CERTIFY 114't'MW* Purr PLN WS P+IEPARE1b er vE ON WEN YY DIRECT SIIPERVI#ICH . 1FIRT 1W$ PLNI CORIleCR,T TAT Yip_ `ii"'Vie, rte. 4AI� , EYA71E C ' g IATA. MINNESOTA 1.10ENSEN0,207:70 KURTH S(,RVEY�i INS. 40o2 JEFFERSON ST. N.E. COI .MBIA HEIGHTS. MN. 3,4 21 744=4700 FAX fell ' 744-7. DATE /-114-17 o • IRON MONUMENT BEARINGS ARE PER PLAT ._ sP 1 KE .SEC ..� EX l ST I CNG E EvA71 ON I I _PROPOSED ELEV. * URA 1 NAGE ARRCM (2'