4934 Rusten Rd A~idress 4934 RUSTEN RD Zip 5512?
' IAt 22 Blk 2 Sub ~EDAR HEIGHTS
THESE TfE S WERE / WERE NOT COMPLETE AT THE TIME OF TI-IE FINAL INSPECI'ION.
Date: a ~ Yes No Inspector: ~
Final grade (6" from siding)
Perntanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn fauret before freeze potential exists. -
Con[act engineering division at 681-4645 before working in righ[of-way or installing underground sprinlcler syscem. ~
White - Ciry Copy Yellow - Resident Copy Pink - Coniractor Copy
, _ PERMIT
\u,,~ CITY OF EAGAN
f`~ 3830 Pilot Knob Road PERMIT TYPE: e u z i. o z rv c
Eagan, Minnesota 55122-1897 Permit Number. ~ g p g~, ~
(612) 681-4675 Date Issued: 0 G J 0 S/ 9 7
SITE ADDRESS:
4934 RUSTEN RD
LOT: 22 BLOCK: 2
CEDAR HEILNTS
P.T.IV.: 10-1fi725-22~-02
DESCRIPTION:
~
8d~i:~ldang~~?ermit Type Sf pWC;
~ui,Sdirtq L~'c9,t'~C TYPe NEW
j UBC Occ:up2~n~cy R-3 U-1
CanstrUstia~i 7~p5~e VN
° Zern~ng ~`-=1 R-1
Builstinr~ 1e~ng~h 46
~ui;~dir~g 3Jadth ~ 40
S~u~re .Ce~t 1,51.6
~','~~NS Cqd~2~ - m 101 1- FAM. OETACH
~~~'~~v;~
~
'i d;it .Rl C ~ ~ ~ t .tl"""7 e w ~i
' ~ ~ 1 ~ r
1 ~ ~ ~~A ( ~ I f ~ ~ ~y 4
. ~...~i: ~ ~,i ..,~i~ ti t.J . y ~ ~s ~ i',I ~ t. 1 . ~ ~ ; .
.y
~
REMARKS:
S~W PLUMCiER - STI~R PLUMBING
FEE SUMMARY:
VALUATION $137,000
Base Fee $1,07?.25 MISC FEES .~1,539.50
Pl+sn Revisw $G96.96 Total Fee $4,327.21
Surcharge $68.50
SAC $950.0~
' SAC ~ 100
SAC Units 1
5ubtotal ~2,757.71
CONTRACTOR: - ~pplicant - sT. ~IC. OWNER:
R,YLRIVD HOI~IES 1854G363 2003544 RYLAND hiOMES
900 E 79TIi ST 101 9@0 E 79TH S7 101
6LOOMING7ON MPJ 55420 MINNEAPOLIS MN 55420
~'612) 854-6=6 (612)854-6363
~ r.~ ac~ ~~neswla~dge tk~at ~ z ha~ue reer~ t~i~.s ~~i~l £ca~icsn and s~ate ~Ftat tFte ~
in ~t . n is cor eCt ~nd a4ree to 'carnply e~ith all: ~pplieab3e 5~ats cf- Mtt.
:s ~nd City E~gan (Irdinances,
~ _ / . . _ ~
~V4 ~CM~ ~cPil~ ~ ~
PLI SI TURE SSUED B SI NATUR
~~~~~~~~m~~m~m~~~~~~~~~~~~~~~~~~~~~~~~~
L"T7Y OF FA(;At~
!;ASHIER: S T'FRMTI~AI_ N0~ ~32
DA7F:~ U6/03/`.3i TIMI:: 14:c~:1.:43
ff~ :
NAME: I~YLAt~D
2E~,`i6 3(]01 4334• RUSTrN hD 4,:3i?i'.2i,
7o}al Recei~~+, AIPiOi.lfS~:: ~F~:3i~i ~c i
CfiC.I"7;`i(] r'i'
U3E.Fi :tl~: PlANCY
yFk~mk~%~ %~?X k~~X ~k X~~Y~X~~X~ ~X~~kX~~ ~Xt~k ~k#~k%~~K%c~#~k~ ~k ~XX~X~%c
; t 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~ 7"~ a 7.
2/ CITY OF EAGAN C~~~
J~ I 5 7 3830 PILOT KNOB RD - 55122
681~675
New Constructian Reauirements RemodeUReoeir ReouiremaMS ~
? 3 registered sde survays ? p~pbs a{ p~e~
• 2 coDles oi Dlans (InGude beam & window sixes; poured Ind. design; etc.) ? 2 site surveys (exterior adaiUons & dedca)
? 1 energy calalations ? 1 energy ca~uletiona for heatetl addttiona
? 3 eopies of tree preservation plan if IW platfed after 7N/93
required: _ Yes _ No '
DATE: ~ ~ aJO ' -I ~ CONSTRUCTION COST: I • ~
DESCRIPTION OF WORK: ~
S,
TR~FETADDRESS: S~~
LOT ~ BLOCK ~i SUBD./P.I.D.
PROPERTY Name: _ 1'_l 1~ I(~ Il~ t~f ~ i 1'1 P.~ Phone `~n
OWNER c
Street Address: y ~ ~ ~ ~ - ` ) ~ ~
City: i I i ~~S State:l'd I nl Zip: ,~~~r~~
CONTRACTOR Company: ~ ~~.(1'u~ ~ ,t"`)Up Phone
~ Street Address: License i~ n~3~ ~y~
Ciry: State: Zip:
ARCHITECT/ Company: ~~~.n~l.Q (x,~ c~ U~ Phone
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
Sewer 8 water licensed plumber (new construction onty): Penalty applies when address change
and fot change are requested once permit is issued.
I hereby acknowledge that t have read this application and state that the infortna6on ~s'correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances. (
Signature of Applicant: ~ -
OFFICE USE ONLY __----~----;]tg
Certificates of Survey Received ~Yes _ No h~~ ~ y~f~
Tree Preservation Plan Received _ Yes _ No _ Not Required ~~~I.3~~
OFFICE USE ONLY r ;
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish
jQ 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool
~0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory o 20 Public Facility
? 04 5F Porch o 09 12-plex ? 14 Firepiace ? 21 Miscellaneous
? 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) Y~ Basement sq. ft. MC/W5 System
(Allowable) Main level sq. ft. City Water
UBC Occupancy ui sq. ft. Fire Sprinklered
Zoning - sq. ft. PRV
# of 5tories Zw , sq. ft. Booster Pump
Length sq. ft. Census Code. ~O1
Depth Footprint sq. ft. /Sllo SAC Code ~L
Census Bldg _L_
Census Unit
APPROVALS
Planning Building ~ Engineering Variance
Permit Fee Valuation: DOO . U9
Surcharge
Plan Review
License /3/4~yL=/Y~~7?~'- L ~^~GiNi SrIC-~~
MCNVS SAC
City SAC l Z~7~• SX /S= I~ ~I7, SO
Water Conn. ~
Water Meter
Acct. Deposit ~57- ~2
S/W Pertnit S~ S
SMISurcharge /Q3~, 75X ''r~" ° ~ gg~' d
Treatment PI.
Road Unit
Park Ded.
Traiis Ded.
Other ~1(0 = 7~ (~$O,dp
Copies
Total:
ZW n ~t
% SAC oTf~'L _
SAC Units /~r o$ x S~ ~ S`~~ ~~jZ~N /~li~
~ FOR RYLAND HOMES P LOT P LAN KUR7H SURVEYlNG, INC. ~
~
' THIS 7S ND7 A BOLNDARY SlJRVEY ' ~00~ .~EFFERSCN S1. N.E.
? i ree~r r.airirr nNr nnt xar ruH vAS ra~tiam er ~ r J COLIf,~IA HEIGFfiS. 16~. 5547t
2 Ui U081 YT OfREIT IIPERYl410N , TUT 1HIf PLM1 CO~CiECRY PROPOSED DATE S( Z9 t 9 7 16121 788-A769 FAX (6( 21 789~7602
1 4WS t!E PUCHB1f OF F P Ns u+ n~ vw GRADE S = i RON MONUMENT
~DEStltI~ MD K
OFITIE STATET l ~ O
BEARINGS ARE PER PLAT 0 30
wanc~ s~~e ~ 1D0~ • O SP I KE SET
VAI NNESOTA E N0. ~ G 3 TOe oF B~oCK - ~G'~`~• - i 5 sieK' ~ ~OPOSED ELEVAT I ON ~
Gcqp4 9tA4 $C~E IN FEE7
'o , ensEatFxr FLOOa • 00~ 'S DRAINAGE ARROV
-
' `u _1.0.."KOUT WAI~~LS ~004•6 . .
i~
O '
Z ' a
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Y 0
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, • C__/ -
n ~ h !y~ ti`'~ ~C. ~
Y ~~.^O~ .h^, `\~-.~.l:~r~.n C\~\~~.9 ~y~/" i
. ~ pp / y ~ ! o`'i`h. \ s F G ' ~
C 7 io1 ~ i~o~ca~ ~ W
~'.c~m~ ~ 4 y'oo0 G~y`~~ J
~ ~ ~ ~ \ s~`.i~ ~ r,~ ~8 3 ) 7 ~ / . `}8 I
• 0 , f5; /~4 ~ ~i ~D
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o:. t \ '
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~ ~ o~d?T• .
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7 ~ I
~ o a / N~ ~ iO/~' ~ +
6 ~ ~ m' ~ `e ~i I
~ ~ C ~ . ~fl
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~ I
n 'c~(Q9 re ~ 4'`~ ..'k'.F~G;^iid ~~tl,•.,.--; rr ~7JF_~"~
oDB. ~ ct +...t.~:: : ~..~I ~
9 ~
~~.y ~60 /~P~'~ ,~~0 Aetia.oa DR~~E'S~1ewti : l3lo~i~ I
S.. v '
a , /,?;~jb \ / ~ AREA OF SOD SNDu71J . ~~p05'S+
? / b \ f
a ~1~ ~~y a.ooacsa•. 493~F KussLN Y~tiy
T G~ ^ LOT 2 2. BLOCK 2.
T
~ A° CEDAR HEIGHTS,
9 a 4r
~ 3~ucxMr~•. -cnt., ~oTS Zi f~z.~3~•'L O 5 .
n - ~ .
9 Ci~NcNMARK L- ~Y.~T101-~ ; lOil.(eZ ' • - • .
~1023.0~
, 6,~~Oa'~lT 4- I*~PLatA~+Qt~- ~LML4AA..LO.,~LnvT
, LOT SURVEY CHECKLIST FOR RESIDENTIAL
~ B LDING PERMIT APPLICATION
PROPERTYLEGAL: a
~ ~ DATE OF SU : ~
~ ~ LATEST REVISION:
~ ~ ~ DOCUMENTSTANDARDS
? • Registered Land Surveyor signature and company
~ ~ ? • Building Permit Applicant
A~ ? O • Legal descripHon
[a~o ? • Address
~ ? ? • North arrow and scale
e' ~ ? + House type (rambler, walkout, split w/o, split entry, lookout, etc.)
~ • Direcdonal drainage aROws with slope/gredieM %
C3~ ? ? • Proposed/ebsting sewer and water services & invert elevation
~ ~ ~ • Streetname
Cj/~ ? • Driveway
ELEVATIONS
F.,xistina
C~~ ? • Sewer service (ar Proposed)
~ ? ? • Property comers
? • Top of curb at Uie driveway
e~ ? O • Elevations of any e~astlng adJacent homes
Pro~e
,
Q` ~ ? • Garege floor
~ ? ? • Frst floor
~ ? o • Lowest exposed elevation (walkout/window)
? ' ? ? • Properly come~s
~0 ? • Front and rear of home at the foundation
PONDING AREA (if aoolicablel
? 0' ? • Easement line
? ~ ? _ • NWL
? P~O • HWL
? e~ • Pond # designation
? ~ • Emergency Overtlow Elevation
DIMENSIONS
? • lot IinesBeadngs & dimensions .
? • Right-of-way and street widih (to back of curb)
? • Proposed home dimensioas includi~g any proposed dedc.a, o~efiangs greater than 2',
porches, etc. p.e. all strvctures requiring pertnanent footings)
~ O • Show all easements of record and any City utilides within tt~ose easements
? ? • Setbacks of proposed sVUCture and sideyard setback of adjace~t ebstlng structures
? • Retaining walt requirements, if any
Reviewed: - ~ ~
ame Date
Januery 1996 ~
CRAKitYQ&BIaGPRMT.FM
~ 'wJUL-0t-1595 08~33 FRfJlS N'lLAND ~IIGWEST REGION TU rurr~ P.004%Fj05
+ CASO MEC 92 CO:MPLIs'~NCE *
Builder RYLAND HqMES .9ubmitted IIy R.S~. TRACEY
Model GILBERT Date 4/5/95
Lot/Plan/Address OPT. 295 Degrea Day Base 8oC0 Minneagolis
Type Single Family House Volumz 41900
Filename GILSERT Concrol No. ~~~8
------------,-----~----P-----;- ^
Uo Totals Pro osed Re ired
Componant Area Uo Total Uo Total
TJalls ~611 .103 269 .110 2B5
Ceilinas 1148 .026 29 .026 30
FJ.oor~ 162 .047 8 .OSC 8
Floors (Open) 0 .035 0 .026 0
Ssmt h'all(U) 1195 .OBO 96 .091 109
This House Qualifies With Total
Total ~ 401 ~ ~ 432 U-Valua Calculatiane
-
Specificacions Uo Calculatione
- -
I ~Walls Siz~ O.C. Insul, Sheac.I Component Area U-Va1 Tota1
A Frame 3.5 16 13 2.06 Frame Wall A
B Fram~ 5.5 16 19 2.06 ~Frame Wall 8 1666~ .052 87,'7
C Framr~-Gar. 3,5 16 13 .45 Frame Gar.C 2B6 .OII2 23.4
D Masonary B N/A 11 N/A t4aeonary D .080
E taaecnary N/A N/A Masonary E *
Ring ~oist '_5 24 13 4.0 Ring Joiat 35~] .C56 19.6
Window A 268 .AB 128.
i IDoore Panel Glass S.C. Window B
A Metal .19 .62 I.88 Window C
I B Iwood .46 .62 .8B Dcor A-Panel 3B .19 7.22
C ~Other I Door A-Glass 3 .62 1.86
- Door B-Panel
Ceilings O.C. Insu1. Sheat. Door B-Glasa
A w/Attic 29 38 N/A Door C-Panel
B No ?.ttic 16 19 .63 Door C-Glass
C ~Other• Totals 2611 268.6
Uo=iUt/At) .1D3
Floore O.C Inau1. Cover
A Non C~nd. 16 19 1,23 Ceiling A` 11•1F3 025 29.2
B Overhang 16 30 1.23 Ceiling A
C Other N/A 5 Ceiling C
Skyighc A
Windows U-Val S.C. Skylight ~s
A A1um T.B. .48 .88 ' Skylight C I
B Wood .52 .96 Totals 1138 2g.3
C Vinyl/FG .38 .88 Uo=C7t/At
Skylights V-Val fi.~. * BasementTwalls > 50~ below grade
A Scandard .60 .80
B High Perf. .32 .5 NaTICE: Users of this software are responeible
C Other for the specifications and dimensional data
I_________________Y:--------- used to generate this repo.rt. The devalopers of
HvAC E~uip ~a..ing the software are in no way reaponsible for the
Gas RFi7E ,78 miarepesenta.Cion c~f any buildzng due to errore,
HP HSPF 6.8 omissione, or any other mieuse of the software.
AC/HP SEER 1D
i
.
.
!LL-NG-1'~7~ Uti~ sq hKUM Kl'LHf~IU f'1lllt~ItSI KtGIUJ IU 1'llhlfY Y.bU7/F71~5
Page 2 0£ 3
Builder RYLAND AOt4ES Submicted By R.H. T12ACEY
Model GILBERT Date 4/5/95
Lot/Plan/Address OPT. 295 Degree Day Base 8000 Minneapolis
':ype Single Family Houee Volume 91400
Filenama GILBERT Control No. 7748
eca~c=s~~~~c=--cceac=__=...~a~mnceacos~'~nem~c=cooc'e==c_..~cc~=o-=nve=~"~~'==e'am
7imensions
-
i4lails ~ Frame A ~ Frame B ~ ~Gar.Com.C~ ~ Mason.D~ Maeon.E
Basemant ~ Ssmt. Above Gr 608
lst Floor 912 lat Floor 304 Be1ow Gr 648
2nd Floor 1024 Crawl.
3rd Flcor Misc.
Migc. Misc.
Mi~c. Misc.
Ring Area 350
IWindows
i4luminum I 247 I I I I 21 I
rTood
vinyl/FG
- -
Doors (G=Glass Area - 0=p s- e Area)
Metal G 3
O 20 18
Wood G
O
Other G
O
-
Cellings I With Attic I NO Atti~ I OtheY
i 1148
I
iStd.Skylitasl I
~HP Skylitea I
Other
-
F].oors Nan Cond. I O~erhang ( S1ab
162
windews~4rY• Description Qty. Description Qty. Description
` 1 I 6068 GT~ASS DOOI2 I~'2 I 3250 I 2 I j~~~ I
Doors I41Y IGAR~~WALLCDOOR I~ly I~~yspQORtion IQty.l Deecription I
~ _ ' _ ~ '~____~~coav3_~~~~=oe~a__.~~~=
os_~~~>ee_"_~~a~m~=-~~'~amc~~soaaa-~-o~'a-s-~-eaaa-----~~-
,
TOTAL P.005
i
CITY USE ONLY
LOT o2~ BL v~ RECEIPT °2~
SUBD. 1~=~l~ RECEIPT DATE: ~ ~ / ~
~
199g M£C~I~EN1CihL ~~itMIT (ftESID~NTI~L)
CI7'Y OF £Afif4N
8950 PILOT KNOS RD
f~4fiAN MN 551 fY
(stQ) 6$t-46?5
Date: !0%1 S~cl ~
~
Complete this section onlv if you aze installing HVAC in single family, townhomes or condos under
construction and not owner /occupied '
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets ( minimum of one required @$3.00 ea.)
• State Surcharge: .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 reauired for alteration/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: JL~ ~'n/'1 1`InY'~~~ /'~i~ -
OWNERNAME: ~T13~-f~ ~I~1C"TC~'l R~- PHONE#: S~UQ- J~~3
INSTALLER NAME: IA~~~~y~~~ J" ~~G Ih C_ . PHONE Q3 ~-~U~I ~
STREET ADDRESS: ~ F'~~nn~~ K '
CITY: ~k'h VJ 1P ~~(,l 1! _ STATE: Z~p: 51a
YYzr,,r~.0 (ti~~e~y
SIGNATURE OF PERMITTEE
JS/FORMS BLD/MECH PERMIT (RES) - 1998
CITY USE ONLY
L BL RECEIPT
SUBD. RECEIPT DATE:
APPROVED BY: ,INSPECTOR
199$ M£CHI4NIC~4L ~£fZMIT (CO1HM£KCI~kL)
CI1'Y OF ~4fiAN
S$SO ~ILOT KNOS RD
~4fi1kN, MN 551 EE
(6tE) 6$1-4675
Please complete for: all commercial/industrial 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:
FEE3: I% of contract price OR $25.00 minimum fee, whichever is greater.
Processed piping - $25.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATE SURCHARGE ($.50 per $ I,0o0 o£cermit fee due on atl petmits-)
TOTAL
SITE ADDRESS:
OWNER NAME: PHONE
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER:
ADDRESS: PHONE
CITY: STATE: ZIP:
SIGNATURE OF PERMITTEE
~ ` ~7 . CITY USE ONLY ' ~y/ } `
L ~1~ pBL a~ RECEIPT#: / ? '
SUBD. ( lUXit/~ I:.(%U~^"~' REC~CPTDdTE ~ ~~/~7 ~ .
_ s~:. _ _
' . :
,t , -
1997 PLUMBING PERMIT (RESID~NTIAL). 3`-~ h'
CITY OF EAGAN'~
" 3830 PILOT KNOB RD V
s.;
EAGAN, MN 55122 ~ ? : `
_ (672) B81-4675 ` ~ l .
~
Please complete for. . single family dwellings
. townhomes and condos when pertnits.are required for ea~h unit
. backflow preventer for underground sprinkler,system
. Ha ~:_.1`_' '
FIXTURES EACH~ ~,Q,, ~ ~OT'~L
Shower 3.00 x '
Wafer Closet 3.00 , x
Bath Tub 3.00 x • . ~ ~:e, `
Lavatory 3:00 k '
Kitchen Sink 3.00 x ~x t~ r i+
Launtlry'Cray 3.00 x ~ Z ~
Hot Tub/Spa 3.00 x ' " ' ~ • .
Water Heater 3:00 x ~ / 'z ~ " ,
FlooiDrain 3:00 ,x _ !
Gas Piping Outlet ' minimum • i 3:00 x c i ~
Rough Openmgs ~ 1:50 x ~ "x~~~~ :
WaterSoftener 'farawenings:undarconsm,ction _ 5A0 x , _ ' `
WaterSoftener ' ror ezisiinp dwan~h9 20.00' x, _ f.
U,G. Sprinkler "tor awei~~ny unaer const. 3.00 '
U.G. Sprinkler ' fir existing dweuing 20 00 . ~'sv` ,
AIteF2tiOns ' to ezisting residence 20:00 : i -
Water Tum Around 20;00 " '
Private Disposal System ' Dak Cty lic. 65.00 ' ' ' ~ s'~~
. (new and refurbished systems) - i;~ -
Private Disposal Systems' nbandonmem 20.00 y ~
y 4
~-5'
STATE SURCHARGE ' `50~„
TOTAL
~s~ .
~c „yv`
~ ~ M.
~ I hereby acknowiedge thatl Aeve.read thisappbeatiort, atate lhat the~~iMormation is corted ``and agree•tdicompry~wrth alf app,tlicable Crty .
- . of Eegan ordinances. It is tha appllranYs reaponsbility~ta notify tha property owner~tliat the City o(Eagag~assumes na~iabiliry for any ? ~ ~
damsges caused by the Crty during.ks nortnal.aperetionetand mairdenance acWitles Wsthe3faa"lities-cons,Gticted'~under ih~s•permrt+w~~R ~
City propertyinghtof-wey/easement. " ~ . , . 3' ~ w ~ ~ ~
SITE ADDRESS: ~ _ r `
OWNER NAME: /~II~'!-Y'~ f,..~
INSTALLER NAME: ~~-RYAN PLUi~ING TEL~EPHO,NE# , 423-1144~,
STREET ADDRESS: I4745 So Robert Trl ;a"' `
CITY: Rosemount STATE: MN , ZIP,._ _.55068 a~~
^ j„ '
°
y/ . yei~~'
- . I ~/~~~a~..' I - .
: . E ' :
~ . . _ _ ~ .
I"GNAT P, OF4PERMITTEEr' 4 '
. . . . x - ~
~ ~ OFFICE USE ONLY ~ . - ~ " i ~*;;.4~~ ~
. . . ~i::<i . .
ti
~ CITY USE ONLY
L o?°Z gL o2. RECEIPT ~J~ / J~ O
SUBD. Cl~~~ / RECEIPTDATE:
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(672) 681~675
Please complete for. . single family dwellings
? townhomes and eondos when permits are required for each unit
New construction Add-on furnace
Add-on air conditioning Add-0n air exchanger, i.e. Vanee system, etc.
Date: LP ~
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required Q$3.00 each) ~
? State Surcharge .50
TOTAL ~ .
SITE ADDRESS: ~ ~ ~u~~n ~
OWNER NAME: ~L~IC~n~ ~lY~~ PHONE#: ['~CJ / CQ "~~J
INSTALLER NAME: GINZ-RYAN HEATING PHONE 423-1144
STREET ADDRESS: 14745 So Robert Trl
C~7y; Rosemolmt STATE: r1N ZIp; 55068
/ ( U/L•~~i!~~ !/L U L !i(,e/~_r
~.SIGNAT E OF PERMITTEE
, ,
CITY USE ONLY
~ B~ _ RECEIPT~I:
SUBD. RECEIPTDATE:
1997 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-46T5
Please complete for. . all commerciaUndustrial buildings.
? multl-famity buildings when separate pertnits are ~ required for each dwelling
unit.
Jp 3 F~ .r.J~,°.`^,vT ~or~~vi:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ?$25.00 minimum fee Qr 1°k of contract price, whichever is greater.
~ Processed piping - $25.00
~ State suroharge of $.50 per 51,000 of germit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE#:
TENANT NAME: pnnPROVeMenrrs oN~v~
INSTALLER: GENZ-RYAN PLUMBING & HEATING
ADDRESS: 14745 SO ROBERT TRL
C~TM: ROSEMOUNT STA~: MN Z~P: 55068 '
PHONE#: 612 423-1144
SIGNATURE:
SIGNATURE OF PERMITTEE CI'1Y INSPECTOR
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~it~g o f ~agan
~mtmtat of ~uilbing ~n~#~ectian
This Certifirate issued pursuant to the requinrments of the Uniform Building Code
certifying that at the time ojissuartce this strucfure was in compdiartce with the various
ordinances of t!u Ciry rsgulating building construction or use. For the folfowing:
ux c~r~~: SF D~1G B,ag. ~,m;, Ne_ 30157
~~y ~ R-3 U-1 ~ R-1 Ty~ ~o,~~. Vn
~~ew~ R~'LAND HOMES A~ 90 E 79TH ST.. MINHEAP~LIS MN 55420
eui~g A~ 4934 RUSTEN R~) ~;,y L22. B2 _ CEOAR HE1 GHTS
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POST IN A CONSPICUOUS PLACE
~ . INSPECTIQN RECORD
~ CITY 4F EAGAN PERMIT TYPE: ' " ° ' ' ~ :
3830 Pilot Knob Road Permit Number: f
Eagan, Minnesota 55122-1897 Date Issued: '
(612) 681-4675
SITE ADDRESS: ! ~ ~ 4` ' ~ ~ ' APPLICANT:
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PERMIT SUBTYPE: TYPE OF WORK:
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Permk No. ermit Holder Date Telephone #
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HEATING 6 CE/
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a. Use BLUE or BLACK Ink
a,L( 0-1-1 \.VS
For Office Use
E;.J j
Permit#: � �5/O
s
City of Eay]
Permit Fee: . /0) '
3830 Pilot Knob Road r
Eagan MN 55122 Date Received: �S - 3-/7
Phone: (651) 675-5675
Fax: (651)675-5694 Staff: ^/
r b6Aii
J
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: . k'`-1 Site Address: ', _1,�-SVA .(,tS ?c1 c?‘CA-. Unit#:
Name: c1 &?Ct.-vL.\c, Cl LSCnokot, A Phone: 6S-t—ac1.5-9ck,l Li
Resident/
Owner Address/City/Zip: ' 1$* fm...(*.,.. tl, � LCA R cw c \d A
1 Applicant is: Owner Contractor
recswsje cAc\c,A ce p\r't.c.e w:\-,6Ly....3s "\s-\\u 5ctm e
Description of work: �,A \ L)�' \I \
STypeof Work
Construction Cost: L‘09(9 Multi-Family Building: (Yes /No )
iCompany: )Lt L-y"eckc)cs Contact:\ Vc‘c..)�SLS r1
Contractor
Address:S-0\ l (1iC( L\G� {}Lt2 S City: e7�7C�RliRSL)`1
State:mrt Zip: SSKAL) Phone: `I is1-661 Email: \m >c\ c14`see\ 42.0iCcc-4.A, Cc-M-1
License#: C.c.. ( E,4 Lead Certificate#: �.a..a�-d
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
P 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:
3
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE: Plans and supporting documents,that you submit are consider..ed,to be public information. Portions,of,
the information may be classified as nob-public if you provide specific reasons that Would permit the City to
..,,�,, - , -.._ w a_ -,con'clude that that'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
days of permit issuance.
l � mods 3i'\ -1
x x
Applicant's Printed Name Applica Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA147700
Date Issued:01/29/2018
Permit Category:ePermit
Site Address: 4934 Rusten Rd
Lot:22 Block: 2 Addition: Cedar Heights
PID:10-16725-02-220
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Jason E Norgaard
4934 Rusten Rd
Eagan MN 55122
(651) 295-9414
Budget Exteriors
8017 Nicollet Avenue South
Bloomington MN 55420
(952) 887-1613
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA166606
Date Issued:01/22/2021
Permit Category:ePermit
Site Address: 4934 Rusten Rd
Lot:22 Block: 2 Addition: Cedar Heights
PID:10-16725-02-220
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jason E Norgaard
4934 Rusten Rd
Eagan MN 55122--402
(651) 295-9414
Budget Exteriors
8017 Nicollet Avenue South
Bloomington MN 55420
(952) 887-1613
Applicant/Permitee: Signature Issued By: Signature