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4931 Rusten RdPERMIT City of Eagan Permit Type:Building Permit Number:EA128897 Date Issued:12/12/2014 Permit Category:ePermit Site Address: 4931 Rusten Rd Lot:9 Block: 2 Addition: Cedar Heights PID:10-16725-02-090 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required 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 - Subha Baksh 4931 Rusten Rd Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (130) 651-2644 X777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA128809 Date Issued:12/08/2014 Permit Category:ePermit Site Address: 4931 Rusten Rd Lot:9 Block: 2 Addition: Cedar Heights PID:10-16725-02-090 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Diane Moyer Home Energy Center Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Subha Baksh 4931 Rusten Rd Eagan MN 55122 (651) 600-4640 Home Energy Center 2415 Annapolis Lane N #170 Plymouth MN 55441 (651) 766-6763 Applicant/Permitee: Signature Issued By: Signature ~ INSPECTION RECURD CtTY OF EAGAN PERMIT TYPE: i r'~'' 3830 Pilot Knob Road ' Permit Number: r~ Eagan, Minnesota 55122-1897 Date Issued: ' (612) 681-4675 ~ ~ i ? i~ i ; : , ~ ~ ~ , c; SITE ADDRESS: ` i~~ , f. ` APPLICANT: ~ , ;:~~~~1~1~ N R1~ , ~ ~:i s t r~~'.:i {f,l.') ~t(nrt 4?1 3•~ PERMIT SUBTYPE: TYPE OF WORK: . . ~ ~ ~ ~ ~ ~ Permk No. Permit Holder Date Telephona E ELECTRIC PtUMBING HVAC Inspectlon Date Insp. Comments FOOTINGS FOUND FRAMING RODFINd ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG ~?/`97 ~ DECK FINAL -~"Llr~ rvl~ . . INSPECTIUN~ RECURD ~ CI~'Y OF EAGAIV PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ry~ p Eagan, Minnesota 55122-1897 Date Issued: ' ' ' (612) 681-4675 ~ ~ , SITE ADDRESS: ~ ~ { „ ! , , ~ APPLICANT: ~ , .i , ~ .~~';'TFN i~C1 ti- ~ i rii ~~ip~i , i I~r'~I i':ii ! . + . . ! ~ , , ~ PERMIT SUBTYPE: TYPE OF WORK: r~ ~ . . ~ t,~i, . , ~~i~rii~, . , ;~i, :~•,~ra ~ ir~, ~ ~~r,? t ra,, ~~i ,ui,+i i~~ri ~ i;.f ~ i,,~ i i :~,~•~tt ~ ; i ~ ~+~~~~i~ ~ r•i ~ t ~r!r~~ I•I I+~, I lNrti~ ; rE rt~i~,a.~a: . r~ t~~ ~:f ,ir;F~ ~ ~ ~ ~ ~ - - ~ ~ Permit No. P~rmR Holdar Dets Talephons t ~ ELECTR~C 9 /p g' G M ` PLUMBING O ~ ~a3 ~~S( HVAC _ 0 a- ~(j t~~3 ~~1~ InspecUon Da Ins . Commenta FOOTiNGS ' FOUND ~d'~/Q, ~ c fRAMING v~ Fi00FIN0 HOUGH PLUMBING v PLBG AIR TEST ~ . FOUGH HEATING f~a' GA5 SVC rEST ('j - INSUL ~O / ~B GYPBOARD FIREPLACE FIREPLACE AIR TEST FINALPLBG ~ ` ~~j FINAL HTG QRSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FlNAL ~"L . . ? ~ . ' '`-1' ' ~ " ~erti~icate a~ ~ccu~anc~ ~it~ o~ ~agmc ~?e~rart~euc ~ ~~~~g ~n~pectio~ This Certificate issued pursuant to the requirr~nents of tf~e Uniform Building Code certifying that at the time of issuance this structure was irt compliance with the various orrlinances of the City regulating 6uilding construction or use. Far the following: ux c~~r~: 3F DFTG a+~. No. 28900 ~~y TY~ R-3 U-1 ~~g p~~~ R-1 Typc Const. VA ~,,,,,,~~Hw~;~ RYI.AND (iOHES nm~ 900 E 79TH ST.. HPLS.. !~1 4931 RUSTEN RD ~;,y L9. B2. CEDAR HEIGHTS ' B~ril~n80freial ~ POST IN A CONSPICI)OUS PIACE ~ , ' AddiesS 4931 RUSTEN RD ' Zlp 5512_ I:Ct 9~ Blk Z Sub ~EDAR HEIGHTS THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: ~ /o~- `/(p Yes No Inspector. (,v Final grade (6" from siding) ? Permanent steps (garage) Permanent steps (main entry) Permanent driveway I/ Permanent gas i/ Sod/Seeded grass 1/ TraiVcurb damage ? Porch t~ Basement finish r/ Deck ~ Please verify with~~the buildet the removal of roof test caps from the plumbing system and the shuboff of water supply to the outside lawn faucet before freeze potential exists. ~ Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ~ White - City Copy Yellow - Residem Copy Pink - Contractor Copy IIII II :i I Illh`II IIIII I I III II II III eEtaUniversiry Ave., REm. SRctrASt.'PauP MN 55~104~5~~~ * 3 4 4 9 5 4 3* Phooe (812) 642-0800~D Home ~uplex Apt.8ldg. OPh€r. - New Addn Commercial Indus}rial Farm Remod Re air Air Cond. Hfg. Equip. Wafer Hfr. Load Mgmt OMier: D er Ran e Elec. Heat Tem . Service "k' abov the ork coveled by fhis request. Enfer ~emarks in kiis space and on Yhe back of ihe only. ~ ~~if~~ ,~c_ ~o Zsz~3?~ - ~''L2~ co ,C.-7 , !3~ _ o~ (~aQ-~e.~cr- ~ s 1.FS wt-. Calculofe Inspection Fee - 7his Inspedion Requesf will no~ 6e accepted wi/hoW ~h rred fee: Olher Fre # Service EMrance Sae Fee # Cilcuih/Feeders Fce Mobile Home Park Sfall 0 to 200 Amps 0 to 100 Amps Sireef Ltg./~raRic $ig. Above 200 Amps e 100 Amps Tmnsformer/Genemfar IHSPECTOR'SUSEONLV~„/ ~ T ~ ~ Sign/Outline Ltg. Ximr. °I' Alarm/Remote Conirol / ~ $wimming Pool ~ I hert cerh ~Iwt 1 ins me lanan de~cnbed herein an Me doros abd Ircigation Boom pe,yh-i„ oo~J ~.f ~ Special Inspection ~ InvesNgWive Fee F~~~~ THIS INSTALLATION MAY BE ORDERE DISCONNECTED IF NOT COMPLETED WITHIN 1 AAONTHS. ~ C n O~DE U§E O Y$iz reqeesl void 18 months Irom wlldotion dare pnnted in is bo~~~ J `f /a i ~ /~/5 97 ~'~9i~/ 5.~-olc~a- . ~`D~' ~ PLEASE RINT OR TYPE p~i ~q ~ Rovgh-in inspxtion reqvired? Yes ? No Ins Olher Thon Rough-In: 0 Ready Now all (You mosf call ~he Impecbrwh y~ WIe Reody: I, icensed contracfor ? owner hereby re i edio of e abave e~edrical w oh pp lobldd se~5 e~x,arRoute Ciry Zip d~ ~ ~ Saeion No. Townahip Nome or No. Ra~ge No. Ftrc No. Coun Occu Phon Power lier Pddress . Eledn I n pa Nome) C Mas~er Lic. No. (Pla t Eletl. Only) Mailin nt irg slo fion) AuMon gm Periormiig In la' ~ P ne N EB~ IA.I06/95 ATEBOANDCOPY-SEEINSTHUCTIONSONBACKOFYELLOWCOPV -toaq5 ~~o.~ ~ 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWclbn Reauiremenis RertwdelA2eoair Reaui2ments Ofiice Use Onlv 3 registered site surveys showing sq. ft of IoL sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd ~ _ Y_ N (20%maximum lof coverage ellowed) 1 sel of E~~gy Calculalions (or heated additions Tree Pres Plen Recd _Y _N, 2 copies af plan showing beam & window s¢es; poured found design, etc. 1 site survey for addNOns & decks Tree Pms Required _ Y_ N 7 set of Eneryy CalaWtions Addi6'on - indkate Nonsde sepfic sysfem On-site Septk System _ Y_ N 3 copies of Tree Preservation Plan if lot platted after 7/1193 Rim Joist ~etail Oplions selection shcet (buildings vriN 3 orless untls) Date ~ / ~ / ~S n n ConstructionCost ~ ~i7i~``~ Site Address ~9 ~ / .~J L/. Unit/Ste # Description of Work ~^J 5 %~A'C.C- ~'S ~'~tS~CS Multi-Family Bldg _ Y J~, N Fireplace(s) _ 0 ~ _ 2 Property Owner cJ ~ l1AFJ ~ (~~T~~S~~ Telephone # ( `'J~ z) c°i.j l -9,3 ~ Contractar ~ PK, U(.,~ Address /Y3c/ y ~(r7U.J ~-?Cr City S/~fi./n~(, State ,l~~ Zip 5~ 5 ~ ~ Telephone # ( ~d~ ) ~~'//-jtif / y COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate orv 1 _ Minnesota Rules 7672 Energy Code Category . Residenlial Ventilation Category 1 Worksheef • New Energy Code Wo~CSheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations 5ubmitted . In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a masTer plan6 _ Y _ N If yes, date and address of masTer plan: Licensed Plumber Telephone ) Mechanical Contractor Telephone J Sewer/WaterContractor 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 the case of o k which requires a review and approval of p s. u~`~~ ~ ~ ApplicanYs Printed Name Appli anYs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 O5-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ~ 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Mufti Misc. ? D5 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? O6 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous Work Types ? 31 New O 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Fou~dation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entlre Bidg) • Give PCA handout to appllcant Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ AirTest _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S8W Permit & Surcharge Treatment Plant License Search Copies Other Total 1~ I3 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) p SO CITY OF EAGAN ~ 3830 PILOT KNOB RD - 55122 30~37 85'I-681-4875 5-~~1 uo New ConshucHon Reaulremenh Re i/ReDrnt iteauiremetiis > 3 reglstered slfe wrveys shOwlnp aq. ft o1 bt. eq. B. o( house 2 copies of plan antl ~ roofetl areas (20% mmdmum lot covemae albwedf 1 set ol energy calculallau for healed adtliflona > 2 caplei ol plarn lahOw beam R wlndow alrss; poureC fnd. de~lyn: ete.) 1 aite wrvey Iw efctedor adUlHOru & decks : 1 saf W energy calculaMOna > 3 coples of hea preaervatlon plan If bf pWMeA afler 7/1/9J DATE: 'T - w~gpp CONSiRUCTION COST: ~p I ~O, DESCRIPfION Of WORK: L ~~~F'~- L~~'~ ~~N~`s~ STREET ADDRESS: C 3 / ~S % i~!~ ~l G'~l , Hi? ~ ~ ~ ~ LOT: ~ BLOCK: ~ SUBD./P.I.D. M: ~ ra ~n r~I Name: ~~~~C ~l~' ~ ~~`r'9 Phoneu: ~S~ ~O~ 0~3~ PROPERTY lwt Firar OWNER Sheef Address: ~ ~ ~ ~i~, C--,q,J swre: f'~~? s3i?Z Company. ~ C Phone A: (area code) COMRACTOR ' Sheet Address: Llcense ~ ~P• Cm, Sfate: Zip: ARCHITECT/ ENGINEER Company: Name: Tefephone U: ( ) Sheet Addreas: Regishatlon ~y State: ~P~ SewerNvater Iicensed plumber (if instalflna sewarfwaterl: Phone I hereby aeknowledge ihaf I Iwve read this appUcalbn, slate ltat the iMomwlb^ b cortect. and agree to compty wNh aq applicable Sfate of Minnesota Sfatutas and CHy of Eayan Ordinancea ~J Signalure of APP~wnh 4tt/C~' ~ eu i OFFICE USE ONLY Certificates of Survey Received _ Yes _ No ~ Tree Preservation Plan Recefved _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? Ot FoundaUon ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext Att - Muki ? 02 SF Dwelling ? 08 O6-plex ? 17 Garege ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Aft - SF ? 03 01 of _ plex ? 09 07-piex ? 18 Deck ? 23 Porch (scresned) ? 36 Multi ? 04 02-plex ? 10 0&plex ~ 19 Lower Level ? 24 Storm Damage ~ ? OS 03-plex ? 11 10-plex Pmg ~r or_ N? 25 Miscellaneous ~ O6 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bidg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding ~~33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) O 46 Windows/Doors " Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code O i # of Stories S4• ft• No. of Units a Length S4• No. of Buildings ~ Width Footprint sq. ft. Const: (Actual) Basement sq. ft. Census Code 3~I (Ailowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building ~ Engineering Variance - Permit Fee _ Valuation: $ 7~00 D.° d Surcharge Plan Review License MGES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W 5urcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC ~~~~~~~~~~~~m~~~~~~~~~~~~~~~~~~~~~~~~*~ cxrv n~ E~rn~ f;ASWIEfi: S TF_RMINAL N0: 34 PATE~ 05/i.6/37 TIME; i5:it:i3 II~ : t~AME: ENISA AGOVIC 3210 3001 4331 FIJSTEN kD 5d„QO 215,`, 3001 4931 RUSTF:N RD 0.50 3430 3001 4331 RUSTEN RL1 0.25 y To+,al Receip+, Art~oun+,: .~,0. i 5 Ck0740~r6 USEF IP: NAi~CY %c %c~c%~XcXC~c~c Xc~c~r~ ~c~czc~XXcXt#~kX~~k%~X~~k~#~XX~Xt#X~%~X~ %~~X~kX~# PERIlVIIT ~ITIf`OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: s u 2 ~ o z u ~ Eagan,Minnesota55122-1897 PermitNumber: @29986 (612) 681-4675 Date Issued: 0 5/ 16 / 9 7 SITE ADDRESS: 4931 RUSTEN RD LOT: 9 BLOCK: 2 CEDNR HEIGHTS P.I.N.: 10-16725-090-02 DESCRIPTION: ~u31~#2nt'~~~Permit Type DECK r'6uziding W§.r..k Type NEW ~Cen~u~s Ctade 434 ALT. RESIDENTIAL A '3 i ~ i i~ ~ ~ V~ r . ~ ~ ' y / ~ 5 4 f: r~ i~ ' C"', 'l~t f_"h` P.~t r"`t k/i 1'..':1 . ~ ~ L I Li tlt ~ ~ y~! ) ~ ~ 3 , f ~ ~~~_a ..4. f~.f _ REMARKS: FEE SUMMARY: Base Fee $50.00 COPY $•25 Surcharge $.50 Total Fee $50.75 Subtotal $50.50 CONTRACTOR: OWNER: - Applicant - ~ AGOVIC ARIF 4931 RUS7EN RD , EAGAN MN (612)808-0139 I hereby acknowledge that I ha-ve read this application and sL'afie that L'he~ infbrmatiQn a~ cor`rect an:cf ag~~e to ~amply with ~11 applzeat~le StaL~ of' Mn. L Statutes antS City ~i~ Eag~n Ordinanpes. . ~ ~G(~~ '~Z'7P IIlNI ~oir~l~ APPLIGANT/PERM E SIGNATURE ISS~UED S~AA RE ' 4 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL~ S~` 7~ Q' C~~~ CITY OF EAGAN ~ 2 3830 PILOT KNOB RD - 55122 ~Q~ ~'~4, 681~675 New Construction Reauiraments RemodellReoair Reauirements ? 3 registered sde survey6 ~ Z apProq p} p~~ ? 2 copbs of plana (Indude beam & window saos; poured fid. design; etc.) ? 2 ske surveys (exterbr additfons 8 dedcs) ? 1 energy calwlations ? 1 ene rgy calaletions fa heated addi[ions ? 3 eopiea of tree proaervation plan H bt planed efter 7/1/93 roqulred: _ Yes _ No • DATE: ~S 1~ Z 6 9 7 CONSTRUCTION COST: DESCRIPTION OF WORK: ~Z,X `6 ~ 1~ L C~ STREET~ADDRESS: 3 ~ ~ S T~~ ~ ~F~~ ~r~ 2 2 r/' LOT ~ BLOCK 2- SUBD./P.I.D. PROPERTY Name: ~-R f F~' ~~/'/SA f}"~i-Q v'lC phone ~~~^~~3 9 OWNER ~ / ~ 3 1 ~S'.., ~5~~ R ~ Street Address: City: State: M/~ Zip: 55 122 CONTRACTOR Company: ~ ~ Phone 3 ~ Street Address: License City: State: Zip: ARCHITECTI Company: Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer & water licensed plumber (new construc~tion only): . Penaky applies when address change and lot change are requested once pertnit is issued. I hereby acknowtedge that 1 have read this application and state that the infortnation is eorrect and agree to compty wfth all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant ~ d a r' OFFICE USE ONLY Certificates of Survey Received _ Yes _ No j Tree Preservation Plan Received _ Yes _ No _ Not Required ~py 4 19'~'~ . OFFICE USE ONLY ` 5• . = . BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish 0 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. 0 17 Swim Pool 0 03 SF Addition o 08 8-plex n 13 Garage/Accessory o 20 Public Facility ? 04 SF Porch o 09 12-plex ? 14 Firepiace n 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 o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MGWS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code 01 Census Bldg ~ Census Unk 0 APPROVALS Pianning Building Engineering Variance Pertnit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. - Water Meter Acct. Deposit ~ • S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % 5AC SAC Units 4' a l cG.' e " w' R' ' • . . i..~ . . PLOT PLAN ' THrs IS rvoi n 9o~avDeqr SuRVEr • KUR7H SURVEYING, INC, FOR EYL~N(Z~LQ~v~ES_ PROPOSED ~DO] JEFFERSON 5T. N,E. I l1EHE9T CERTIF! 7lNT MI2 Pt07 p~JV1Vl,S OPEPANfO 07 uE GR~DES COLUI.IBIh HEIOHTS, l:eJ. 37~2i W Ua1ER YT O~pECT fUPENYISION , l1UT THIS iIAN tOFG[(71,Y 16121 7EB-97B8 FAX f81]I iBS-7B0] ~S 7HE PLACEM@7T oF A YpMOfEO B111L01N0 ON 1HE IM~U NEFEON OffCPiBEOIfD TUT I NI A D T u[FNSEO LN11 OAR~OE SlnB • O0 •2' p~7E `1-f3-9b AAV oR U-0EH E LAY OF TIE S7A Of u~w1QSOTA. O • I RON MONUMENT 'ror oF s~ocK - t00~_ BEAR I NGS ARE PER PLAT BASEMENT FLOOR - ~~~'S • _ $PIICE SET MINNESOTA LICENSE N0. Zo7,'10 • EXISTING E~EVATION t ~ ~ PROPOSED ELEV. E-- • DRAINAOE ARROU ' ~~l9bl R~'~zGN ~.oa.~ 0 20 ~,oo ~R~+~ SNoWµz ~o~sa~aa.aT• ~ pRNJ~ A~'I'~ SNo+~H =`(0~= 5C1,~'C- SC~LC iN FEE7 S 43'07•p8~~/ g9.B0' ~~/~q ' ~ I NAGE ~ ~ UTILITY EASEMENTS ~n ~ (9g ~~Z~ 5 I ~491 •5~ I I I ~ I ~ ~ ~ a z ~ , 91 fi ~ / ~ J N ,p~aPo:w ~ ~W'`/ e u ~O ~ ' ~ D~-U~ N S% ~Q~ l~ ~ A ~a_O . ~0.0~ - ~y~ m ~ 1 0 ~ m 1..0 ~ ~ ~ ,~~Dos~ o ~ u I o!~ SW O~~ y a _ ra r I N ~ m 8 M ~oU~~ ,1 o~ ~ ~ ° I ~ ~ ~ X ~ IO.r.r~ I J ~ ~ ~ ~i ~ ~ g. O ~ ~ ~loo~l.o~ i ~ ~°`b I t,0 /o°t/\~~?'Q I ~tooy,z~ I ~ ~ ~o.~ ~ ~ ti ~ p~ ~ I I ,~7' 0.A q'C N I ,~j ~y,.1:' . ^ .Q~ ft' 1y, ~ ~ _ ~,~d _ ~ I~~.Sl ,040'~ l~ o y" ` ~ h i L;~ ~osw <v d %a9~ ~~z7~ I N 40'37'IS"E 64.42' DELTA ANGLE R/~DIUS ARC ~j ~'b x,c.. I 03' S~~O. o~ 3 z. 3q. ~looQ, j ~~59 3 T~L. ~L=t1l,~lL~1~V LOT 9. BLOCK 2. CEDAR HE I GHTS , By yy~~J~l DAKOTA CO MN . DATE ~ ~ BUILDI~lG INS ECTIONS DEPT. <~n~p,un~t~,1.a S.`u.u, c~.v..x.1. ` ~ ~ PERMIT ' CI7Y OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road B U z L q i N G Eagan, Minnesota 55122-1897 Perm it Number: 0 2 8 9 0 0 (612) 681-4675 Date Issued: 0 9/ 2 4/ 9 6 SITE ADDRESS: 4931 RU5TEN R~ LOT: 9 BLOCK: 2 CEDAR HEIGH7S P.I.N.: 10-16725-090-02 DESCRIPTION: ~ BNil,din~g~':Permit 7ype SF DWG ~'uildittg Wo`rk Type NEW ~!}&C ~-(1cE~u~p~ancy'`~ R-3 U-1 J=~ Constructian Ty~se V-N ~'oi"iing t.,,~ R_1 ~ Building Length % 42 , e ~ ~~ti~l~ing t~id~h ~ 39 ~ ~ ~ eui~diag ~EC~ries ~ ~ ,S~!~~~~.e Feet'~. 1,136 CensC~s~1GOZ1'e~ 101 1- FAM. DETACH ~ff c ~ ~ ~ r: ~i ~~~l~d~~~ ~ (1,~~ ~rL t~/t ry E~ r 1 ~ u: ~ ~ ~ t ~ ~ j ,,-~~~,k ~,~Fx..' ; ~ REMARKS: S& W PLBR - STAR P.LBG • ~ ~.ey FEE SUMMARY: VALUATION $110,000 Base Fee $937.25 MISCELLRNEOUS , $1,923.50 Plan Review $468.63 Total Fee $4,284.38 Surcharge $55.00 5AC $900.00 SAC ~ 100 5AC Units 1 Subtotal $2,360.88 ~ CONTRACTOR: - Applicant - sT. ~IC. OWNER: RYLAND HOMES 18546363 20035443 RYLAND HOMES 9@0 E 79TH ST 101 900 E 79TH ST 101 BLOOMINGTON MN 55420 MINNEAPOLIS MN 55420 I (612) 85A-6363 (612)854-6363 I hereby acknowledge that I have read this applicstian and state that the infiormation is corrsct and-agree to comply with all applicable Stat~ o'P Mn. Statutes and Gity of Eagart Ordinances, L _ , - ~ _ _ .~o~.a R.u~.l m~ ICA fiMITEE SIGNATURE ISSUE~ B: SI NATU E i , . , ..,,;(:':i,:)X'~>~ +(,~.(?R'v'rn':F'~:k:>~(\:\:1~>(:i'Y(•."5%;C7nh~;?'~:Xi!(;:'%::ki:iY,iS,~~,:,,<i,°,Y,( (,~.I'Y"Y' UF I'=F1CoP~~! Cf4£iH.T.G:Pt: "i il_:FMINAI... P!0~ 72 Ila'1'4:; tJ`:~/2.5/S~E, 1'S"~E:s I.Ei,:43:(71 IL! r NAi'.5.;: RYI../~?~Ii i"r:`~ii, `i)±a~i. 4S:Y71. RIJf.;iE:N Itl:i 4,£rii34„3F3 i~:,1:;a:1. F"t;_~.c=i.~_i: ~ir:o~.x•~i:r, ~i,~t?84~3~3 GFipf:,490'i l.."iETi 7:L~^ ~~4iJCY Y~Y61YY:?kYr;YFW?ki,l'9F7n>k~~~+~7k #~k~kX:YF>:~k'+'MM>#X<m'M 'MMX<'MX:~ 'M~k CITY OF EAGAN ~ 3830 PILOT KNOB RD - 55122 ~ ~ 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 11~~~yG 681-4675 New Construdion Reauirementa RemodeVReoair Reauirements ? 3 registered site surveys ? 2 copies of plan ? 2 capies of pians (inGude beam & window s@es; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculatbna ? 7 enargy calculaNons for heated additions ? 3 copka of tree DreservaNon plen if lot p~aded after 7/1/93 ~ required: _ Ves _ No , DATE: CONSTRUCTION COST: IOO,O~ DESCRIPTION OF WORK: ~ STREET ADDRESS: ~ ~ LOT ~ BLOCK ~ SUBD./P.I.D. PROPERTY Name:_; ~~n!.~ Phone ~3~ OWNER ~W ~ 7~'?~~ I f~L1(i . ~~e • ~D I Street Address• City: rn ~LS. State: Zip: ~~aD coN7RAC7ort Company: `~J~ o~+ ~ ~P Phone Street Address: License ~ n~~~~~~-3 City; State: Zip: ARCHITECTI Company: ~ o ~~~p Phone ENGINEER Name: Registration Street Address• City; State: Zip: Sewer 8 water licensed plumber: C Penalty pplies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this applicaNon and state that the inf tion is re a agre t comply with all applfcable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY U11 ~ C~i ~ P M~~ Certiticates of 5urvey ReceNed ~ Yes _ No SEf' ti~ f996 Tree Preservation Pian Received _ Yes ~ No OFFICE USE ONLY ~ . ~ BUILDING PERMIT TYPE ~1 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 02 SF Dwelling o 07 4-plex ? 12 Muiti Repair/Rem. ? 17 Swim Pool ? 03 SF Addition o OS 8-plex ? 13 Garage/Accessory ? 2Q Public Facility 0 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. ? 10 = plex o 15 Deck WORK TYPE ~31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. ~3~ MC/WS System ~ (Allowable) u M Main level sq. ft. ~ 3 ~ City Water i UBC Occupancy 2~~~~~~`"~~_~ Sq. ft. A 4 G Fire Sprinklered Zoning 42-I ~ sq. ft. aoo PRV # of Stories z sq. ft. Booster Pump Length ~ sq. ft. Census Code. ~v ~ Depth 39 '~f ° Footprint sq. ft. ~ i 3 ts SAC Code o i Census Bldg ~ Census Unit ~ APPROVALS Planning Building ~ Engineering Variance Permit Fee Valuation: $ ~ i o. ~ a~- - Surcharge Plan Review '''~s_ License ~0,5 r z zf MCNVS SAC zzx ~3.~s 3oz.s City 5AC ~v. ~sx iz 3z~- ~ Water Conn. zz,. y Sa WaterMeter ~3y r~~rS - i,,~yo Acct. Deposit ~ S/W Pertnit S/W Surcharge 7 3~ ~~5~ - 3`1, ~~d Treatment PI. Road Unit zwd Park Ded. u<i ~ i~ 64 Trails Ded. Other - g ~ ~s ' Z--D""r- ~ s~, 08~/ Copies G y 4 ~ x sq = TotaL• J %$AC zo ~e z.o `~oO X~1l. - G 4va SAC Units ~ ~~J~ ~ oy u ~8 , i ' . w us'n'm~.ru°a~re~a~~mc~nr.s.+wuyamr~s.~a~..~~,~- ~ PLOT PLAN ' 71I f S I S NOT A BOUNDARY SURVEY ' FOR RYLAND HQA~S_ KURTH SURVEYING. INC. f'ROPOSCD 900P JCFFCRSON ST. N.E. I HGREBY CEHTIFY 7FfAT 1MI5 PLOT PL,W VAS PNGPApEO 07 4E GRAD[S COLUMOIA HEICHTS, MN, 551Y1 ON IND[H Att DIpECT SUPEBVISIU+ , llUf 1HIS PLNI C017RIi[t~Y I61 YI 788-9769 Fl~x 1617) ~BE-~602 4qY5 1HE PUCEUGNT OF A PROVOSED OUILDINO ON 1}IE WJD NCFEON ~l5CHI0CD Mp IHAi I NA A D LY LICCNSEO lMN i SU1V OR WpER 1H! LAV$ OP 1}IE S7n~F Of BIM+ESOTA. DARAO[ SLA~ • 00 DATE `1-13-9~0 (i ToP oF OLOCK • ~DO ,lj o• IRON MONUMENT ,[,l~-~ .`c1~ i~ BEARINGS ARE PER PLAT MINNESOTA LICENSE N0. enseMr_N1 FLOOR SPIKE SET uZ~~ • EXISTING ELEVATION ~ ~ • PROPOSED ELEV. If~'I~~I RUhTGN t~7AD f- • DRAINAOE ARRON 0 '~D AFi,A Stiuw~l = ~o'_ory4.GT~ p2W~ Ar''~'l~ ~No~N~1 =`~DO'- 51;1,~• SCALE IN FEET S 43'07'08°W 89.80' l~`~~~ ~ (nq,~ ~ ~ DRA INAGE k UT I L I lY EASEMENTS (~i91vz~ 5 I .l I / ~ t,` ~ ~ ~ fLJ/ s ~ I ~~d ~ O'f. 1~at j ~~EERIIVG DEPT ~ x ~ ~ z a n~ ` 2~ i ~ ~ . ~ u I ~ `L: R W l\y. ~ _Ig_p_--- .o.o ~ _ 4J ` I v L.___.. i-- v o0 m / ~ o ` I ~ ~ ~ ~Z.o~os~L ~ - u o N' 8 s Vd t7" y~0 _ a I t N ' ' o ~ ~L~l.~~~~L ,J ~ ' ~ o M 1_ M o I ~ N r RRR r I ~ \ k \ i0,~ r~ ~ ~'4 r I (C ~ ~ / ~0 18•O r ~loo={.o~ i I ~ L_--. L.o I ~o°i ~2 - 9 ~ ~~oo,~''p I ~loo~l.Z~ I ~O.o ~ / ~ I ~ ~o ti' . ,t° ~N ~ ~ ` `t;' c ~ ~ ,,4 iL~-a~°~ ~ - n y-~- ~ ~5°`~~ 1 _ Op ~iu~?~ cc~4~« v ~^~~!7 i ~~'z'~) N 40'37' 15°E 6q.42' DELTA ANGLE ~ R/~DIUS ARC T.~,.C ~ I _ . v S=~'-~~ I 03' ~s, ~ 5'l0 . o0 3'L.'3N' `loop,i 1 -~7.C. - . ~ _.1%.1'I_I.3,~ TCN-F~074~_. ~~~~z,U~~ LOT 9, E3LOCK 2, REVIEWED CEDAR HEIGHTS. 3Y DAKOTA CO., MN. _t . ~++~+m~afwww~+~u >ss.-r..rr.ewrvn~re~ave~+.e.-~.m.a..~>r`.r..,.ra..-m...~..rnev,.ae<i:ra~.+~.. ~ae+•...-~.c.~..; ~ . ,'.1::t'... 1~. ~ -.wcm.... uerr~.awm•" ~ ' LOT SURVEY CHECKLIST FOR RESIDENTIAL ~ ~ B ILDINGPERMITAPPLI~~7 PROPERTYLEGAL: Z ~t~ ~ ~ DATE OF SURVEY: 1~ 9 G ~ ~ ' LATEST REVISION: ~ ~ ~ ~ ~ ~ DOCUMENT STANDARDS a 4Y~~ 0 • Registered Land Surveyor signature and company ? • Building PermR Applicant [9~ ? ? • Legai descriptlon ~ ? O • Address P~ ? ? • North arzow and scale ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) ? • Direcdonal drainage arrows wifh slope/gradient % ? • Proposed/e~asting sewer and water servicea & invert elevatlon ~ ? 0 • Street name ~ ? ? • Driveway ELEVATIONS E~dstina ~o ? • Sewer service (or Praposed} 4~0 ? • Property comers r~ o ? • Top of curb at the driveway ? • Elevatlons of any e~rnstlng adjacent homes Pro ~ ? ? • Garage floor ? • Flrst floor ? • Lowest exposed elevadon (walkouVwindow) ? • Property comers ? • Front and rear of home atthe foundatlo~ PONDING AREA fif aoolicablel ? ~ ? • Easement line ? • NWL ? C~ ? • HWL ? Cd~ ? • Pond # designation ? • Emergency Overflow Elevatlon DIMENSIONS p~ ? ? • Lot IinesBearings & dimensions ? ? • Right-of-way and streetwidth (to back of curb) ? • Proposed home dimensions includi~g any proposed decks, overhangs greater than 2', porches, etc. (.e. all structures requiring permaneM footings) ? • Show all easements of record and any Cily utilities within those easemeMs d?/~ • Setbacks of proposed structure and sideyard setback of adjacent e~dsting structures ? e" ? • Retaining wall requiremen ' ny Reviewed: ~ ~ ame ate Januery 1996 CRAIG7BGBIBLDGPRMT.FM JUN-13-1996 12~48 FROM RVLAND MIDWEST REGION '?0 ' - ^ MINN '`P.005/007 MECcheck COMPLIANCE REPORT 199Z Model Energy Code Permit # MECcheck Software Version 2.0 Checked by/Date CITY: Minneapolis STATE: Minnesota FIDD: BQ10 CONSTRUCTION TYPE: Single Family DATE: 6-13-1996 DATE OF PLANS: 3-1-96 TITLfi: SAVANNAH 5704 MINNEAPOLIS PROJECT INFORMATION: FULL WALL INSUL AT 8' BSNIIQT WALLS, WALKOUT BSCR9'T, 4' FAMILY RM EXT., MASTER SED. VAULTED CEILZNG 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 IIA CEILTNGS 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: Window6 or poors 426 0.480 204 DOORS 44 D.190 S DOORS 15 0.620 9 FLOORS: Over Unconditioned Space 273 19.0 13 BSMT: 8.0' ht/7.0' bg/8.0' insul. 784 11.0 45 HVAC fiFFICIENCY: Furnace, 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. Builder/Designer~ ~ ~l~~~---• Date ~G . ~ s~ ~ y ~7 ~~.~,r ~uu .;:J ?.E~e.iP: ~l ~D /~yI ~~I?: DdTc'.~/S~`1`~ _ 1]A'!';' ( ;ti ~ ~ ~ ~ ~v ~G _ .reB L~~( 3 I !~-C~5 ~?~-1 Q-~ - oux-:~~ - ,~t/C.f~"1~~1~ ~{~^~-.s~-; =1,?.1Se, 3e^, ADVTY~,e^,~ ?':-:A'" ~~E L A SnGdTACc^. ON T?~ ABOVE G~% r~T.,,cC^.,T{IG1L i`STAL;.AilOY IH :'f+W ANCUNT OF 3 f/ ~HOR:AG~ NLS: 3E ?A.D ':HIT"•iIH 1++ I11Y5. asraaxs ~ , -o '_0 smo. r 'cu_=s= ~ _1 =1 _o 'OQ amo. c'_rcuics= ( 0 *o ~00 amo secvice~ ~ ~ / '.0'_ co =Q0 am~. ser.r;ce= ~ ''OT.;L _ DUE= / Z- cSS RECT~'/ED Trrsi ~c c%;~RT.~r~ ~U~ . ~~~rr:r cTS~ ORIG. R~C°I?T,t ~S~o.~~ - ~ c~ 3ECzIPT_ D~.T° ~C.~ ~ET'JR.'V ~!'OPY OF I32S FO?..^1 WITH REMiTTk`IC~• ~ ~ ~ ~ i ~ ~ gJ ~ti~~~~ h ~ 3 ~1,~~ ~ , ~-~~.G ~ /~s/~~ , CLAIM VOUCAER - REFUVD REQUEST CITY OF EAG.1N ~L•1KE CHECK PAYABLE TO: J BECHEB ASSOCIATES ADDRESS: 117R5 .rncrFU r7RrrF MAPLE GROVE MN 55369 LOCATION: 4Q31 RUSTEN BOAD 'T~G-,~ x7 rFnen uFrr_g~ 9 RECEIPT DATE 0 I/ 15/97 - 69 I4 1 VALUATION REASON FOR REFUND DUPLICATE PAYMENT OF ADDITIONAL FEES DUE. TYPE OF REFiJND ELECTRICAL PERMIT .i211-9001 ~ 17 .00 PLUIvIDING PERMIT 3212-9001 $ MECHANICnL PERMIT 3213-9001 $ BUILDING PERMIT FEE 3210-9001 $ PLAN REVIEW FEE 3422-9001 $ SAC (MC,'WS) 2275-9220 $ snC (CI'rY) 3866-9379 $ SAC/ADMIN 3446-9001 $ WATER CONNECTION 3865-9220 $ SEwER PERMIT 3743-9220 $ WA'I'ER PERMIT 3713-9220 $ ACCOUNT DEPOSIT 2252-9220 $ wATER tv[ETeR 3716-9220 $ ROAD iJNIT 3860-9375 $ WATER TREATMENT 3868-9220 $ SURCHaxGE 2155-9001 $ UTILITY ACCT OvERPAYMENT 2250-9220 $ CuRB BOX DEPOSIT REFUND 2253-9220 $ CONSTRUCTION METER DEP REFUND 2254-9220 $ WATER USAGE CHARGE 3711-9220 $ TOTAL $ 1 ~ . o0 I declare under the penalties of law that this account, claim or demand is just and that no part of it has been paid. ry~ FFRRTiARY 4 19Q7 Signature ~ ~~9 Date cc.vM.vou iIIBD p~ ~ ~C . 'E~J :~ECEIPT i J`~~~ EC~IPT DATz ~/S~/~ 7 . : : - - - _ - - - ' DATE 1- ~ ~ ~ ~ - c~~~~~~~~~_~~~~~~_ ~ ' , ~ zo ~ 'Y I~~`- ,raa ~(~'l 3 0 ~-c,5 `tAt~-~ _ cut~ _ ~~C~t~j> ?L:158 3E ADVISBD '"!ip'?' ^"r~RE L A.~'...,'~' SHORTAG^c ON 'I:v_E ABOV~,' a~I.e,CTRiCAI, I1SiAL.T.\:'IDN iN i'F~ AISOUNT OF 3 SHOA'PAGe. !(lST 3E ?AID '+'HIT:{IY 14 111:5. d~.ARRS ~C~ _0 30 amn. c'_ccu:_s= l~ J'_1 co 100 amo. circuits= / O ~ l to !00 amo service= ~ f =0? ~0 200 amo, se-vice= TO?AL FEE DUE= ~ Z-~~ _ Lc"SS ~'~E RECI°_VED 1 Tcrrat F-p S~naTer.a D E_ / cr--r ~ ~~~zi~: ~~f~/ `~S~{' OBIG. RE~EIPT~1 ~ S ~ ~ ~ ~csiPr ~ar~ - J ~GE RETURN COPY OF THIS FORM WIIH BEMITT?.NCE. ~rfc~~.Q ~ ..e~zc~ v~~. 5/y' 7 - . ti, cmr use oN~r L 9 BL ~ RECEIPT _~L.ZaL~ SUBD. ~ DATE: ~U~ 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)687-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit x New construction Add-on furnace Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc. Date: 9/30/96 FEES • Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU •6-69- ? Gas Outlets (minimum of 1 required Q$3.00 each) ~ ? State Surcharge .50 TOTAL SITE ADDRESS: 4931 Rusten Road OWNER NAME: RnnNn xor~s PHONE $54-6363 INSTALLER NAME: G~z-RYaN STREET ADDRESS: 14745 South Robert Trail C~N: Rosemount STATE: ~ Z~p; 55068~' PHONE ( 612 ) 423-1144 ~ ~ ~ ~ CITY USE ONLY L BL RECEIPT SUBD. DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) • CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)681-4675 Please complete for: ? all commerciaUindustrial buildings. ? multi-family buildings when separate permits are ~t required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ~$25.00 minimum fee 4.C 1% of contract price, whichever is greater. ~ Processed piping - $25.D0 ~ State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR CITY USE ONLY • •.,L BL o2- RECEIPT ~ SUBU. DATE: ~ 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-d675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES ~AC_EI ~ ~ Shower 3.00 x ~ _ Water Closet 3.00 x = ~ Bath Tub 3.00 x = Lavatory 3.00 x = ~ Kitchen Sink 3.00 :c / _ Laundry Tray 3.00 x / = 3 Hot Tub/Spa 3.00 :c = Water Heater 3.00 :c ~ _ -~r Floor Drain ~ 3.00 :c / _ ~ Gas Piping Outlet' minimum -1 3.D0 :t ~ _ Rough Openings 1.50 x ~ _ ~ Water Softener 5.00 ,c = Private Disposal ' Dakota Cty. license 65.00 = (new and refurbished systems) U.G. Sprinkler' home under const. 3.00 = Akerations ' to existing 20.00 = Water Tum Around 20.00 STATE SURCHARGE .50 TOTAL ~ SITE ADDRESS: 4931 Rusten Road OWNER NAME: ~ RI7~AND HOMES iNSTALLER NAME~ c~z-R~ STREET ADDRESS: 14745 South Robert Trail CITY: Rosemount STATE: MN Z~p; 55068 PHONE ( 612 ) 423-1144 ~n^ V OFFICE USE ONLY ` ' ~ L BL RECEIPT SUBD. ~ATE• 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)681-4675 Please complete tor. ~ all commerciaUndusfial buiidings. . multi-family buildings when separete permits are pQt required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: ' IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES _ NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM7 _ YES _ NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINYLER PERMIT. FEE: $25.00 minimum fee or 1°/a of contract p~ce, whichever is greater. State surcharge of 5.50 per $1,000 of °ermit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: APPLICANT OFFICE USE ONLY METER SIZE: DATE: INSPECTOR: p~ BL ~ CIN USE ONLY RECEIPT L ~ SUBD. CeUa~ N~Iq{'~IS RECEIPTDATE: '~'d'"I~UO PERMIT # `I 1 U I ~ Q000 ~LUM$IN~ ~P~iMTP (R~SID~NTI~lL) crrYog ~?snx 3$30 PILOT KNOB $D fJ16AN, MA 551 ES 8Si-681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventerforunderground sprinklersystem FIXTURES EACH # TOTAL Alterations~o existing dwelling - min~mum fe Describe: 1C~~y}LV' f~? ve $ 30.00 Bath tub $ 3.00 x = ~ Floor drain 3.00 x = S Gas i in outlet ' minimum - 1 3.00 x = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = ~ ~ Lavato 3.00 x = $ Se tic S stem newirefure~aned 'requiras MPC lic. 75.00 x = $ Se tiC S Stem abandonment 30.00 X = $ ~ RpZ new installatloNrepairlrebuiltl 30.0~ X = $ ~ Rou h o enin 1.50 x = S ~ Shower 3.00 x = Y+ ~ Under round s rinkler if dwelli ~s under conswcuon 3.00 x = $ Under round s rinkler ire~s+in dwellin 30.00 x = S Water doset 3.00 x = $ ~ Water heater 3.D0 x = $ ~ W ater softener if awemn9 under conserucaion 5.00 x = S i Water softener H exiatln dwelling 30.00 x = $ ~ Watertumaround 30.00 x _ $ State Surchar e .50 $ 50 Total $ ~ • ~ Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. I hereby adcnowledge thst I have read Nis application, state that U~a information is corre~Y, and agree to camply with all applicable City of Eagan ordinances. ~t is the applicanCS responsibility to notlfy the property owner Ihat the Cily of Eagan assumes no liability for any damages caused by the City Euring its nortnal / operational and maintenance acdvitles to the facilities ConsWCted under Ihis permit wiMin City property/nghl-of-wayleasement. U` ~ ~ I ~1 t13 7~)tl ~ ~(,~l ~ MN :S~12Z SITE ADDRESS: ~ OWNER NAME:: ~~r y ~~-r~ ~C*~ ?I ~ TELEPHON # 6 ~ ~ O~~ (AREA CODE) INSTALLER NAME: S~- h'1 TELEPHONE . (AREA CODE) -{~STREET ADDRESS: CITY: STATE: - Z~P~ y~ ~r'°' ~cJc~ ~ ~ S~AT RE OF PERMITTEE PLUMBING (RE5IDENTIAL) ~~c~~ Permit Application City Of Eagan ~ 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when pernnts aze required for each unit Date_~/ 3~ / ~~J ~ - ~ AGOVIC, ARIF/ENISA Site Address i 4931 RUSTEN ROAD i Unit # i EAGAN, MN 55122 ~ I (651)335-6516 Property Owner I I Telephone ) ~ - I Contracror N~/RD`VIY~ Ti.MM~~nV W~ ~ (B12j 827-4033 Address City State • ip Telephone # ( ) The Applicant is _ Owner ~ Contractor _ Other Septic Sys[em New Refurbished Submit 2 sets of plans and MPC license $ 100.D0 Includes County fee. Addltional eonsultant fees may appiy. Alterations To Existing Dwelling Unit, Including $ 50.00 _ Adding fi~ures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water tumaround 5/8" meter if needed -$121.00) Other. ~ RPZ new installation _ repair _ rebuild $ 30.00 ~ Lawn irrigation system _ Water softener ~ Water heater $ 15.00 ~eplacement additional M 's ~ r I~r~`'~'~ U ~ 1~ ' n~' 4 State Surcharge h~l ~ 7~ J I 1 $ .50 , ~~1 1 Total ~ $ • 5O gy - . I hereby apply for a Residenrial Plumbing Pem~it and aclmowtedge 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 with the Plumbing Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a pemvt; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. J~,-~ No~b~~, ~~'i~,~~ ApplicanYs Printed Name A~ant's Signature R - av. ~ a~~~ ~ , City of Ea~~Il ; Pa~,~~~: `'o~~' D~`~ ~ 3830 Pflat Knob Road I Permit Fee: ~ Eagan MN 55122 ~ i ~ ~ate Received: ~ Phone: (651) 6755675 i I Fax: (651) 675-5694 I Statt: ~ I-----------------' 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ~Ia3 SiteAddress: T~3~ I`US"~(~ Tenant: Suite RESIDENT/OWNER Name: S~1K{Q~RA2 AU~ Phone:`"~~"4~~" I"f~1p Address / City / Zip: Applicant is: _ Owner ~ Contractor TYPE OF WORK Description of work: ~n~ b~F 2~~ `(,dF ~ 5(~ Construction Cast: 5~~ Multi-Family Bullding: (Yes No ~ CONTRACTOR Name:~~A(1{~tZ~U~ ~jj~sj~2UC.i~pn License#:~~~~1~bT Address: "~Jlp~}~ ~_`~F'1~~1~}L ~'(V~ ~ Ciry: l ~ 1 Wa-'t~~ State:~Zip: ~~Qv~ Phone:~~~'~-Y~j~ ' y~~ ConhactPerson: ~C~'~Er~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential VentilaGon Category 7 Worksheet . New Energy Code WoMsheet CflfegOry Su6mitled Submitted (1~ Submisgion 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 Contrector: Phone: I hereby acknowletlge that [his infortnation is complete and accurate; that Me wo~lc wi11 be in coMortnance with the ortlinances antl Cotles of the City ot Eagan; that I understand this is not a permit, bu[ only an application for a permi6 and work is rmt to start without a permR; that the work will be in accordance with the approved plan in the case of wnrk which requires a review ar~d approvel of plans. x_ M. e~~~~~.~ X Yn c~„~~~~ ApplicanYs Prlnted Neme ApplicanYs Signature Page 7 of 3 . • ~1995 wesl~ooG Prolezsiona~ Se•w<es. Inc. ~ • ~ ~ Cou c6 nwrs eeiae eigqing: F , sj~: ~~SSp'90` ~l CONNdCi i0 C%. MM Pr /./C~9 ~'/PniCHINC 0~ S~AEEt ' GOPHER STATE ONE CALL / ~ 7 / -9q ^OeE'JRILL/CONCREtE Snw ~~Y' ' ANO EH. ~AIKWPT Trin City dee 45a-J003 ~E R.P. I608 U .J ~,r/ k ADJUSi fll1/ i0 NqiCN E:. INOpENinL f0 hAiER Mn. Tqi free 1-800-252-I1b6 fOR SER'dCE TES ~ ~ADE ~ ~ NAM CONSiRUCf10N. Orv LOT 1. Z. @ 3. ~ (GIELD YERIPY LOCdIIOn ~ I~ BLOCK Y. 6 \ k ELEVeiiprv) , i~'h / ~ ~ ~REUOK Ex. 5 -5U° BEr~G 5`p~ER..RO~ - - 10 (TV') % ~ `~_.iT kREGIaCE v/6'.6" lEE ~+j~ . J \ /7 ~ Y CIXiNECi TO CY. fi ~~P \ 1 ' _ " ' ~ ' 1`~ I \ ~ •J ld ~ NN-1 ~~~1 ~ ~ 7 1 " REMOVE PWG k CGVNECi ~ " WTE~1~B6 6~ G-0iE VALK . ~ i0' ' ~ ~ \ ' i0 Ex. 6' ~iP ./6'- ~ ~ ' ~ ' _ I ~ ~j~ti t//° B[ra~ _ yG ~ 962.5 ~4 / \u52.9 ,~6~' I~ ~/1 a' PVC Y CE SOR-]6 (TYP.) ~N~- '~.IV 2 MH_Z ~ e 6 (c Ct. ~"E~O~SI ~ ` Y I" COPPER 'ERl1CE iWE N ITVP. ~ HOh: i5' ESMT. 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V~ 1~1 il~ / ~ I I/ N~ iY L~ i/ ~ 1~ ~ ~ I\~ rt eox iC 1 ~i I ~ ~ ~ 1 1 1? 1~ ` IT H' 919.8 wl'E~1~69 HvORnNT - ~ aTi 6".6' tEE i ~016.0 t01].9 ar. ar ar er i 6'-tf 1~° BEND " O ryt O tW iP tOn.O p05.9 ~998.8 O 9B5.0 / 12-E' DiP q 6 .6 iEE M'E~~~Bt WrE~0~9~ ~r 4Y Wi[+O+IY CRWrvp EL ~ 919.].- 1 V 'e ~~tJJ OT ~ ~ yryE~0a08 WYE.2t3~ 60 W~E~It}e 951] NME~1+<B / / wtF=2i59 vrcE~0.a8 ~26 _ 25 6'a6' TEE r. " J / 18 20 21 "'2 23 24 6- - - ` ! ' ' • nLL S/~NITARY SEM£R SHALL BE nrpRnrvT I J ~ SpR 35 UNlE55 OMERMX NOiED {9'-6' OIP I yRNCES i0 E::iFJ+o IS' BEYONO HtDRANT ' ~{i l'~ " 6'-R° BEN PROPERtt IINE 5'-6' DiP 6"-I1 I/0° BEND ` ~ ~ ~J . . 905.0 DENOIFS Su11TARY SEnEH SERNCE INeERT O ' 6'-22 1/2° ND ':.JRB $TOP LQ:AlEO ON P 6'r6' TEE ~ ^~Q - / GROPERTY UNE. SERNCE SHALL BE Ex1En0E0 CRQiNO F~. = t0Y6.9 ~ - " „ eFOUND El. ID09.J • _ i 15'. FlPE SHNl BE G~NUiED e 2.OS ~ _ _ _ _ _ _ _ _ _ _ _ _ _ / ~5' PiC T~ll TOOBi~IN5TU81NYEFT. ' ~ __~t: 7 " _ • - _ . ~ wrE-o.5? ~wrE LocenOµnra+ uur+~mE iRau R U 5 T~ N R O A D KL WAIERNNN PIPE SNALL BE BENCH MIRN: - DO'~M STRE~w v.H. CLn55 '_9 UN~E55 OINERVnSE NOTED. ~~N.N. O NE WnD. OG SInIER RD. h STOR' D ~ I i . i ~ i ' i ~ , I ~ C' S0' ~00' ~50' ~ ~ ~ ' ~ ~ I I I I ~ ~ ~ . iAN P 9]t ~8 ~ i I : _ . . . . : . , _ 1- . . _ . ~ I .-I- ...I_ i _ _ . . ~ ' ~ ; ~ ; i ~ ; ~ _I ; ~ ; ~ _ - - - - i ~ , r------, ~ i--- ~ I - ' ~ I i ~ vRQ'~LRADE _ ~ ' I FW~SNED,C/L GenAE I ~ ~ ~ ~ I i I -i . ' ~ OVER WAhEe r.~i~ i-- i i - I c/~ wecew[ - . i .i__ . i . 1- -I- . - - - .i... _ i... ~ - - L-- ~ ~ j I I _ i i 1030 ~ ~ ~ ~ ~ I~ , , ; _ _ . . . _ . I ~ I I ~ i ~ , . . --r--- - ~ - ~ ` ..-_-i-- - - ' ~ i ' ~ ' i ~ . ; ' _ _ . ~ ~ ~ . f-__ ; i i ~ \ I \ ~ - - i-_- i --I--- - I _i_ . ' z _ i lt r'_' _ . . . _ .I_ _ ~ , _ ' ~ - - 1 . - - i j..__ . _ ~ ~ _ ~ ~ ~ nH~sHeolC.h GflAOE~ ~ ~ ~ • I 102d ~ ~ ~ i _ ' ' ~ ' ~ I.\~~ - ~ - ._c/isuelaeoc ~ ~ - ~ ; i- . I. . - - - - I , . 1361'- OIP WAiER~ YAIN I I ~ \-.J - _ i_._ I I ~ . • I I . ~ \ ~ . . , ~ 1 9S0 . _ . .1_ i ' ~ \ ~ 1 , ~ ~ ~ e ~ { _i . . .I . I / . STA ~1~)6 I ~ ' ]5' uW. COKR ' i _ _ . I`. . _ ` ~ ~ ~ I _ . . I ~ ~ i I 1010 I_~~_, - e-in ~Z~ ~ I - I - ~ \„_.i - - - - - . .I_ I . . i I--- - f - - I . . _ r i • _ . ' : i . I . I ~ j _ RE ~ !d?6{61028'!6 I ' ~ : ~ \ \ ' ~ ISia~6+)6 ~ ~ ~ ~ ~ ~ 8~ ._.1_. . }E-~i6'SB610uJE...I. _ . . .i\. -I. _""__!~E . 99J.31 ~ I ~ I ~ ~ j _ 9'_' ~ i I . . - ~ -~c s-. vsz:.ese~.~i - . > - _ ~ 1 OOO. r._ ~ ' I ' i ~ ~ P4,. I pt n . se2.h2 setet I i - ' \ i . . _ _ _ ~ ' _ i ~ i ; ; ; ; i - -s- ~ " - - ~ - ~ ~ x- -I --'-RECORD DRA~ I I 970 . , s~rA 9~]8 ~ ~ i - ~ ~ . ~ • COUFA(t,~/~ ,COn59RtlCADrt- E~ORD~- qP (er uniEr+s7 . ~ . , ~ ~ a ~ I ~ o~n ~ - ~ _ . - - . Q ~ rtE ~e~asF~m~.x ~ ' ~ r> Y ' D~7£1°~YS I I , . . . , _ . i _ _ 1E 5 - i6BE641~]I i.__. ...I._ . . I- . _ _ . _ i . ~ . . . H 3_ ~ > ' - +96GN 8 990 _ - + ' ~ - ~ ic " " i z i , ~ ~ ~'ern. s.oo I os - ~ ~ _ . _ - ~ . _ . . . , _ . ..--I.. • I ~ ; i - j - - - - i EEN = ~'o~ - ,=r ~ ~ ~ . 960 ; ~ i ~ ~ ~ - . . _ . . . . ~ : r . _ " , ~ . _ . . _ ' ` . - - : . - _ , T ~ ~ ~ ~ ~ i , , . , _ . . _ - - - - ~ - - .,90 986:---- ~ ' ~ - ~ ~ . I , , ~ "~-3 ~a. - I ~ ~ ~ . - _ I I I ~ I ra S+zS ~J ~ ~ ~ ~ I I ~ i -r- -r --C-- - t--- +----F- ~ -r-- E . , 969.1J `r o ' 950 . _ - . : i , I . ~ ' ~ ~ e s - v~~!'-}- s'~sa.r - ~~~cws r wrn - ~ , ' , . - - . _ . ~ i . ~ ~ i 'E rv . ~ . ~ DAOP. I W i i0 - , . ~ ~ ! j ~ . ~ _ ' _ . . _ . _ . _ . _ L__ ` ' i Su:i uE'N Row 970, ~ i i i i j ! I ~ ~ I I~ ~ ~ I 4H_r tscran~er-! I ~ _ : _ _~-L___-1- _ ._1.__ __I i I STA I~2J I ` /3~p) ' ; j ' ~ . ~ ~ ~ t i - -1---' I" _ RE~95&98931~J1_'' f_ ~ 94~ . .r_ - . _i _ ~ ~ ~ I I I ~ I i i ~E 5.9K.769'}~ ~2 ~ E%uH I 1 1 I ~ _i ~ . 1 . . _ _ . ~ . I I - ~ _ ' IEW~9KN~97~O1~PF.96qb!Y'dSG ~I ~ : r ' ~ I i , ~ . ~ . . ~ 1 ' - ~ ~ . . . _ . : NEW DnOP.:ir . 945$2 1-__" ~ _ " ' _L_ ~ ~ ; i ' ' j ~ ~ ~ E" v Ct 0 0.4HF : ~ E ~i3Y._+. ~~~_.AG ~ + }5 q 1z----- 10-- A- - < ~ l ? _ _ _ _ ~ " _B w . .~9Y FCd In'~< ~ ~f e$LWOQ~ - ' / - _ _ ' _ . f ,5~~ - _ ~ _ c i ' FEl9EN « ..~-a . ~ _:.J~E . ' _ ' i ; : ~ 1 M„v.I.s1 <*r+erw4 - . . . .;r'i ^~Y~LGr^MsNT CL'•. A~ i.., a.:~ , . SyrV~P°.s.i,rsi9 ~ ]~!lp6.. .u~FD DR.SW\i` ' ~ ' . r. ~ ~ . . ~ i ~ Da'~ ' . . . ~ ~ e.. . ' ~ . ~ ~ ,h., '<r.,T`bk ' ~ ' . . ~ . ~ . . . . ~ ~ ~ i SHEET City Eaffafi I ForOMce ueof 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: Site Address: 4931 Rusin ~ J) - Tenant: Suite RESIDENT / OWNER Name: Sh Iq 13Pa 2 2~AUE44 Phone:q5,9 - 41 A - Iq 6(p Address / City / Zip: Applicant is: Owner X_ Contractor TYPE OF WORK Description of work: ITAK OEF Z fZCK06F 5l Construction Cost: 6JOW , oo Multi-Family Building: (Yes / No u CONTRACTOR Name: tA.3 `i1- i t_UQ, WD 1. Yl S gt;C i) u~ License 0Q183 t Address: Ave City: 'l WeAe c State: _ _ Zip: 5_1 Phone: 131~ " ?a4 ` H33,0 Contact Person: at ~~i) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 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 the are trade secret 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. Applicant's Printed Name Applicant's-cSifglna~ /ture Page i of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA138025 Date Issued:08/04/2016 Permit Category:ePermit Site Address: 4931 Rusten Rd Lot:9 Block: 2 Addition: Cedar Heights PID:10-16725-02-090 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. 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. 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 - Subha Baksh 4931 Rusten Rd Eagan MN 55122 Minnesota Exteriors 8600 Jefferson Hwy Osseo MN 55369 (763) 391-5514 Applicant/Permitee: Signature Issued By: Signature City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-6675 Fax: (651) 675-5694 AUG 0 '1616 Use BLUE or BLACK Ink For Office Use Permit #: --121?-2<A4 Permit Fee: 1 oCGci Date Received: Staff: / 2016 >i RESIDENTIAL/BUILDING PERMIT APPLICATION Date: ,l i Site Address: ' 1 / l RCA lA S71-C4� c Unit #: vAlt op �P�1 Resident/ Owner Name: rJ 13 C?i 145-11 Phone: ("r/ 7/ 14 c Address / City / Zip: e4 ) 3 I ti t Applicant is: Owner / Contractor IA/CI 1/ CetCA ` Description of work: Construction Cost: Company: it c y Address: 3.1 C i 6 r; j /VG,/ Multi Family Building: (Yes / No Contact: City: f State: i-141‘1 Zip: ST 7I 7 Phone: 7C13- Ce /- irk mail: 11 t re Q 4yc ty- c rbc /1s - License # 3 7 I Lead Certificate #: If the project is exempt from lead certification, please explain why: irose 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 of_,., 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 gop.h ;r;;t t ruwai .c 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 Buing Code must be completed within 180 days of permit issuance. x Applicant's Printed Name nature Page 1 of 3 D NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration "C. Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% ) Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair 0✓ REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: Ice & Water Final Framing' 30 Minutes Fireplace: _Rough In _ Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Porch (3 -Season) _ Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width 1 Hour Air Test _Final _ 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 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: , L/ , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL (°( O'Cir j0" 1.161 Pr'c\ Page 2 of 3 ' For Office Ltas j, . 1 ....k t'-i # . 1 Pouf*a / 1 4-1 I /do ,.,....•''. # e' E A II eft" % ,' `�'� �� 5 1 6 IV t owe Riceived 3830 PILOT B ROAD A 55122-t6'ts ' EC t e, I (851.1 I T 1) I ,(851) .^. m ' t tato � � !? , t. :'� rr o el 0 6 2020 ��. 2020 RESIDENTIAL U f!. ; _ --7. APPLICATION �d May 6, Sits �, 4931 Austen Road Eagan, M 55122Unit , �. Shabaaz Baksh . 551-271-21 )., ��Resident( 1 X931 Austen Read Eagan r [ N 5,51 owner ,.., Andresspt. . Replacing existi • w k Typo of work 1, D �. rs Gam- 500fated-fo , . (Yam I No � : Self Com: 551-271-2100C 4931 Ruston RoadEagan A4Oresa City Contrettor 3 5 state MN zie 55122.. s abaaL kSh gm hoot E , alt 1.arsd cfmro_. ^Y" vim It tete etc is exempt rt lead pecoacatiers, please explain why. CIM LETE THIS AREA ONLY IF CONSTRUcTING A 00 .<t `r, 1 '" to the Istat 12 City of Eagan issued a permit for a similar plan based On s mister pem? Yea No it yea. dla .•r Of or plan , Licensed PluM Ph. r Niechanical Contractor Phone: Sower&WaterContractor: Phone: Five Su son Can Phone: i a...„ _ a 2 .„ - fl .� r . ". ! �. . YOU may subacr {tis to rbrar an as tam obeffbadou fron the City of propotaNnd ofdinimfamt by sk to j up kb w atm uodif*on Ma City.* at .Ark. 14%04..0".r. .a:/ ,rb ,- Exterior waft authorizedby a building in tics with tea fannosata etas Suateng Coda moat ba goon ftp? days of estwat taiusnts. CALLSE.fOtttY9 Cast Gopher tat 441)4$4.41Xt2 for potaditort apsamat Vindorground Canoga Can 4$hours braes you ntend to dig to unategrourid utiabes .iv. .qty`of t a?e c I horsey saw>.,;..a, „eta to nfortrattob to ants accurst* win be In COMOMMInCe and of Ito City of Eagan asst I understand t d rscft a an :,+.+;w.Mtaat f4ar a a O not to gait*Shout * porter that wee` too al 00cordartea ataaa Ma approvedpan in the otos ot. a artist a t plans Sha as Baksh x a 9 0....4°. e diL ants Printed Name ApptioNtre ....,' tom B TY 'L( 3/ j<'us4f in )'C(• /c/�(o/ Founstston _ Psychic, Porch( n o.Aniasition(Single Family) _.s Sin,lae Faern-ity s P r srx) E tion(MIA) M _IV, (S. ) Sthicithansous c i Piss r La Accessory g ,._ kiterior snortivinnerst Shang Ih Ashation Move Buhring %woof Demolish Intetior Aiterstion Fire Repair Windows ash Founds-bon X Repair Egress Window ,Retaining Wail . Witton of ontho brandthe-Wv.PCA handout to gsscRipnotit Valuation v GO Occupancy1 �,! ICES r Plan Review Cod.Edition1 c 0 SAC links 11 e j _ Zoning R-1 City Water Census Code r 4!3Y .. _m Stories ter Pump . .. . a of Units Square Feat PRY I of Buildings Length _ Fire Supion Required Type of st tion Width REQUMP itaPg0101414. P..a >:.!. t ddb) Meter r X Footings(Deck) Final I C.O. Required _ _R, Footing*(Addition) Final I No C.O.Required .a., Foundetion foundation ora Backfill , HVAC SerVICe Test ... Gas Line As Test Roof: lee&Water __,_Final Pool: i.n s _AinGas`i`}� F ,.)C Framing 30 1 r Drain Tile Fireplace: Rough In Test Final Si Stucco Lath Stone Lath Book EFIS Insulation Windows .m.,w. SheathingRetaining Wall: F. ,;K:r,' x ., fie Final Sheetrock Radon Control Fire W Fife Suppression! Rough in, . Final _m-,� Bowed Erosion Control Shower Pan Other Reviewed By: -Ale/s0,- i4 4 i t inspector RESIDENTIAL F Iac t 4.4%,. e cK Bate Fee v An haw ors‘ .!-PT..er.- .0%,.4 Surcharge Plan Review ._. ._._.__ S%Vc. o,1Ox /(0% -• ..- 90x c £/, Soo !CES SAC City SAC Utility Connection Charge W Permit&Surcharge TreatmentP Radio Meter TOTAL Pao 243 • 4 w //n PLOT PLAN TIN 5 I S NOT A BOUNDARY SURVEY KUR TH SURVEYING. INC. FOR RYLAND HDNIES_ - PROPOSED 4002 JEFFERSON ST, N.E. I HEREBY CERTIFY THAT THIS PLOT PLAN VAS PREPARED DY LIE GRADES COLUMBIA HEIGHTS. AN. 55421 OR LIVER MY DIRECT SUPERVISION , 11117 THIS PLAN CORRECTLY _ 16121 18E-9766 FAX 16121 7E8-76c SHOVS THE PLACEMENT OF A PROPOSED WILDING ON 1HE LAND HEREON DESCRIDED AND THAT I AM A Y LICENSED LAM) OARAOE St-A13 • tDOc�`2. 9-1�-9� SUR,/ OR UOER 1E LAV OF THE STA 0J MIMIESOTA. DATE (/ l',LUL TOP OF BLOCK • Iooy` C) • IRON MONUMENT 1 .•]]] Lq�.� BEARINGS ARE PER PLAT BASEMENT FLOOR • s SPIKE SET MINNESOTA LICENSE NO. LOL-70 4:., • EXISTING ELEVATION 1 I • PROPOSED ELEV. ii 4-{9 4 R�516-N h p �— • DRAINAGE ARROW paNk5 A*el'N ,,Mc u04= 9001 Sta.C-C• SCALE IN ET -,‘,4/5-0-_,.. __--_ i 'S----/Z-ao ao -y_- }P' �} _ .1- ' ` '') 4 '0 7 . 0 8��W 8 9 8 - .c a,..� L, 1...•9"'ii-.'Lr 1 I©Y V S D i k Q(\\q it DRA !NAGE do Uf 1 L 1 TY EASE C 1C IQ.tevAevl i C r - MENTS in (gi91v21� 1JL,.P,_ EJ 4Gi 7 Alt - ,0„.4.....____ fAc)" 471-- sDat S r' r-T/ ?‘ ERING DEPT. ./.... I- z COJa m x �_ N < IY 20 Feet A , L°i / ,OA � Deck � t S W • � ly % rn _1aiCj _- 110FT ‘C:>•( ' /. _ I ( , 7- i U 1 PO o I!' SVS C,'' 9si N a� O a }-�o l��:7cam. Oe ti C 4co ., .• ro1 R. fa ( 1�\v'i 1t a•4 Lo r boo 4.0) i ,1 I i • ���,71 1 (1DbL{�L) _...i .0 10 t -. ti 0. , A e L,(11 •.'./ CI 4Q • d. ,,,� 1 fGtQ�.o. !l C 11/0g !1 `0i � 6C112.:75 b75 N 40 .37 ' 15"E 64 . 42 ' DELTA ANGLE RID IUS ARC T.0 a _ I -......„& C.1006;7) �MTEN I OAD __..__ .� tk„0* R.1w) REVIEWED LOT 9 . BLOCK 2 , _.------------ CEDAR HEIGHTS . • DAKOTA CO . . MN . 3�