4935 Rusten Rd INSPECTI~N RECORD
~ CI~'Y OF EAGAN PERMIT TYPE: ~ ' ' ~ ' ~
3830 flilot Knob Road Permit Number: + t`~
Eagan, Minnesota 55122-1897 bate Issued: '
(612) 681-4675
.
SITE ADDRESS: , ; , ~ ~?PPLICANT:
, !t N klr ~ , . ;ia, ~
~ . , i ~~i~ t ~ ~ ' , i ~ , ~ i . . ~
PERMIT SUBTYPE: TYPE OF WORK:
. ~
. .
, r
~ r,~~ ~ , " ~ ~ ~a,,
~:~i~.u~ t ~ i~r~~ : ~ i~ ~<<~ ~
~
i i•' , I 1~~~ i iii'~fi; i(i ~i I~~ ~
~~:,~,I I'i l~~~ i I IU111
ftf~ MA1-F'.'. , 11 1'I l;i; f:1I' 1 1~!i,
.
"~w , ~ ~r~~' ~ . ~ ~
_ ~'e r
l.~ . . . . ' ~ ; . . . , ~j ~ . . , _ . ~
Permft No. Permit Holder Date Telephone M
• ELECTRIC a~ ~M~ ~ OD
~
PLUMBING O /p
HVAC , ~0// ~1~ Q /0 5
Inspectlon te Insp. Comments
FOOTINGS ~ ~
/l~
FOUND ~s~
FRAMING }'~J/~ ~
~
ROOFING
P UMBING ~ / ~
PLSG 11 II
AIR TEST
ROUGH ~(1
HEATING ~j (~'s
GAS SVC !p/ ~1
TEST l
INSUL _ _
GYP B~ARD
FIREPLACE j~ ~
FIREPLACE ~(p ~ ~ ~ , Ui'
AIR TEST (rY.j('
FINAL PLBG _ ~ ` s ~l~
>
~
FiNAL HTG /,Z ~ ~
ORSAT
TEST
BLDGFINAL ~•Y~~~~ I/~ L 1 ~ ~
BSMT R.L
BSMT FINAI
DECK FTG
~ECK FINAL
, ;+.-s: ~
..,.4^. . .
! i r. ~ y ~ ~ ' ~ y
_ ,
~e~ti~ca#e n~ ~ccu~anc~
~ ~it~j o f ~agatt
- #3epartment e~ ~~ilbiag ~~pectioa
This Certificate issued pursuanr to the requirements of the Uniform Building Code
certifying that at tlte tinte of issua?tce this structure was in compliance wiPu bhe various
~ ' ardina?eces of ~he City regulating building construction or use. For the following:
use classifica~ion: S~' I~'i sMg. Pem,a No. ~(j~~4
OccupakY 7}ipe i 1 Z,oning District Type Cons~. ~
Owner of BuiFd'in8 W~S AddR%s
Bniiding Add~ss G9'~~, BI15TII+1 F~.lAl1 ~~ry -b,~n
u.~-~~E~ ~t~S
r
a~ ~ ;
' ~ ~ % ~ ~ Date: / ' ~7v_
~ . ~_CT_~ ,1.+
rr , BUilmng dficial/ `
t POST IN A CONSPICWUS PLACE
' i
I
, ~ !
I
INSPECTI~N REC~RD
CITY OF EAGAN PERMIT TYPE: ~ f~",
3830 Pilot Knob Road Permit Number: ~
Eagan, Minnesota 55122-1897 Date Issued: • ' ' ' ~
(612) 681-4675
SITE ADDRESS: ~ ` r~ : ~ c' ~ ~ ~ ~ 4°" ~ ~ APPLICANT•
I 0~ : 1H t.sl t~{ t '
~ ' ~~H'~'IFM Ittl , ~ i i~i~•.`itl t
, ~ t~~~r ~~,S{ I', r r. I, i ,~N
PERMIT SUBTYPE: TYPE OF WORK:
,:i ~ ~ rc1 1.1
• •
. ~I~t 1 { r1i~ , , ~ ~
~ ~
~ - J
Permft No. Permit Holder Date Telepho~e #
ELECTRIC
PLUMBING
HVAC
Inspection Date Inap. Commenis
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAI MTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
~ECK FTG ~~~lQ¢l~_
DECK FINAL I
_ J~29~~_
I
-T-- .
INSPECTI~N RECORD ~
CITY OF EAGAN PERMIT TYPE: ~"+~'1 •
- 3830 Pilot Knob Road Permit Number: F: ~ H
Eagan, Minnesota 55122-1897 Date Issued: ~ ~
(612) 681-4675 ~ ~
SITE~"~ DDRESS: , ~ f' ~ ~ ~ " ~ APPLICANT:
Ir: `r~„ 1(~ I 4? 1, 1 fll f:
, ;'if'M FI~ . • , ~ ~i~
~ , ~i~ f I . , ~ . i ~ ~
PERIIAIT SUBTYPE: TYPE QF WORK:
~ , , . , ~ ,
~ ~ ~ .
. .
~ ,ri t r~;. , i i .
~ ,~i• I~ i ra , i . i i~l;:!
i
I ~
~ ~
Permit No. Pe older Date Telephaw ~
. ELECTRIC ~3~ ~ /
PLUMBING / 9 ~
HVAC
Inspsetfon Dab Inap. Commente
FOOTINGS
FQUND
FRAMING
ROOFING
ROUGH
PLUMBING ~ '
PLBG
AIR TEST
ROUGH
HEATING ' j~' -
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG _~a ~y/ /
-7b (
FINAL HTG
ORSAT
TEST
BLDG FlNAL
BSMT R.L ~?S
BSMT FINAI
DECK FTG
DECK FINAL
t ~c-If~D "'1'o t~OM~v+~tJb~ ~/~1p
Z ~
Address 4935 m~S~ ~ Zip 5512 2
Lot ~o Blk 2 Sub ~AR ~ic~rs
THESE IT'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: a f l~S Yes No Inspector:
Final grade (6" ftom siding)
Permanent steps (garage)
Permanent steps (main entry) h
Permanent driveway
Peananentgas x
Sod/Seeded grass
TraiU~tb damage
Porch x
Basement finish x,
Deck
Please verify with the builder the removal of roof test caps from the plumbing syslem and the shuboff of warer supply to
the oulside lawn faucet before freeze potential exists.
Contact engineering division at 6R1-4645 before working in rightof-way or installing underground sprinkler system. ~
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
3 5 7 °~FF/~y E USE NLY Thia requen wid 18 monfis 6om validofion dok prinled ~n ~his boc.
. /e~~j'~~ ~ ~d T~
, ~ ~ ~
PLEASE PRINT OH TYPE ~70~j ~_dLOCaR~ O~S~/
Reqvest Dore Rough-In ~nspecnon reqoi~ed? ? Yes No Iro an 01har Thon Rough-Ire 0 Ready Now WIII Call
~ (Yoo must m1i the inapenor when reody) Date Ready:
I, icensed conhador ? owner hereby request inspection of fhe o6ove eledrical work at:
Job dmss ~Areet, or Rouk o.) G`h[r/~Y/,/ v ZiP Code
~
S lon No. Towmhip Name or Na. Nange Na. Fire No. ~h
o~~ Phone No
s O- ~
ower Supplier Pddress
EI Contm (Compa ame~ ' Convaclar Limnse No. Mmrer 6c No. ~PIvn1 Eled. Only)
~ v
~ ing Pddmv (Conhoqor or Owner PMapni~ nsMllalion~
~
AvMonzad 5'gnawn nlmctor or Ownar P a InsallaHOn~ Phona No.
y ~ G.~c~c.~
EB-OOOOlA-10 6/95 OpPOCOVY•SEEINSTXUCTIONSONBACKOFYFILOWCOPY
IIIII~III IIIII IIII RE9UEST FOR ELECTRICAL INSPECTION
Minnesota State Board of Electricity u ~5
1821 University Ave., Rm. •728 St. Paul, MN 55104
s 0 2 4 2 3 5 7 2 s Pho~e ls~2) sa2-oeoo ~a 9 aJ ~~y
Home upex Apt. Bldg. Other.~ New Addn
Commerciol Indusfrial Farm Remod Re air
Air Cond. Htg. Equip. Water Hh. Load Mgmt. Other:
D er Ron e Elec. Heot Tem . Service
"X" a6ove fhe wo overed 6y fhis requesf. En~te~r "re~ arks in this spare and on the back of ffie white mpy only.
~1//'e ia/i~ .S'G~u~rl~
~S'~l~// :5'T%'j0 ~ !•i//~f SL///~l~
,i~~5'~i/ lv'L-I /~~'r'~~''~~
Calculofe Inspetlion Fee - This Inspedion Requesf will no~ be occepted wiMout ihe mrtxf fee:
Ofher Fee $ervire EMmnce Sae Fee # Cirails/Feeders Fee
Mo6ile Home Park Siall 0 to 200 Amps 0 ro 100 Amps d U
Street Ltg./~rofiic Sig. Above 200 Amps Above 100 Amps
Twnsformer/Genemror INSPECTOp'SUSEONLV 1 TOTA ~,G
Sign/Outline Ltg. Xfmr. ~ct~~ i
Alarm/Remote Control .
$wimming Pool
i hero ceni ~hm 1 ins d ~ha eleanml immllofion desoibed herein on Ilm dahs stakd
Inigation Boom Rough-In ' ( Daie
$pecial Inspeciion . _
Final • ~ Om> ^ 7~
Investigafive Fee ' ~ r - • ~`r
THIS INSTAUJITION MAY BE ORDERED DISCONNECTEU IF NOT COMPLETED WITHIN 18 MONTHS.
~ ~ ~ '1~/ ~ (y'~~ pv
9~ 2 3 5 _
Repu ~ le Firo No. ou h~ln Inspeclion Required Ins ection Other Than R ugh-In
(YOU m~Xost call inspeclor when r tly~ ~ Reatly Now ~Will Notify Inspecmr
~ u Yes ? No Da1e Reatl
I rJ licensed contractor ?owner hereby requast inspection of above electrical work at:
Jab ~tldress (Siree~, 6ox or oute NoJ Ci~y
i_3 S,C~~ a i~ - ~
Section No. Township Name or No. Ranqe No, Coun ~
.
Occu ~(PRI T) P~one No.
~ `l~/- 8~~~
Power S lier ~j~' Atltlress ,
J.~(,!1 ~~j`L[ ~ G{/~7+YL~.L'
Eleclncel Conlraclor (COmpany Name7 Contrector's License No.
~ UOZ
Meiiinq Atldrass (COntrector or Owner Making Installation)
I S -le Grc ~ MN
Authoriza ignalure (Contraclori0 r Making Instellalion) Phone NumDer
_ yz~-s~o
MINNE50 A STATE AR F ELECTflICITY THIS INSPECTION REOUEST WILL NOT
Griggs~ tlwey BI Room 54P8 BE ACCEPTED BY THE STATE BOAFD
1821 rverslly e., SY. Peui, MN SS10a II II I. ~ II I(, I I UNlESS PROPER INSPECTION FEE IS
Phone (612) 642-OWO ENCLOSE~.
j~j ;E~UEST FOR ELECTRICAL INSPECTION o~ y
See inslruclions for comple~ing Ihis brm an back of yellow copy. /
~~~/gs "X" 8elow Work Covered by This Request
Ne Add pep. Type of Building ~ r Appiiaribes Wired Equipment Wiretl
' Home Range Temporary Servica
Duplex Water Heater Electric Heating
Apt. 8uilding Dryer Load Management
Comm./Industrial umace Other Specif
Farm Air Conditioner
Other (speciry) Conheclors Remarks~.
~ 1
Compute lnspection Fee Below.• ~ ~ , JL
# Other fee # Service ntrance Size Fee # Ci uits/Feeders Fee
Swimming Pool / 0 to 200 Amps /.'/Q. 0 to 100 Amps
Transformers Above200_Amps Ab 100-Am s
$I OS Inspector's Use Only: ~TA~
Irrigation Booms ~ l6~'W
~
S ecial Ins ection
Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee ~ COMPLETED WITHIN 18 MON S.
I, the Electrical Inspector, hereby Ro~qnd~ /
certiy that the above inspection has ~ ~
been made. Fine1 • ' /t- ~7 ~
OFFICE USE ONLY
T~is repues~ vaitl 18 monlhs Irom
PERMIT ~
CITY OF EAGAN PERMIT TYPE: C~~~~~
3830 Pilot Knob Road 8 u I L D I N G
Eagan,Minnesota55122-1897 PermitNumber: ~26339
(612) 681-4675 Date Issued: 0 9/ 9 7/ 9 5
SITE ADDRESS:
4935 RUSI~EN RD
LOT: 10 BLOCKs 2
CEDAR NEIGHTS
P.I.N.: 10-16725-1~0-02
DESCRIPTION:
8~-x1d'int~~Permit 7ype SF OWG
B,U.3,ldin~ ~irk Type NEW
<W~~ t5~~4~pa~l~~jt''~., R-3 U-1
~ ~~tfn~C-~`ucC~.an T~~,e V-N
~Or7~.#{.~~_ ~ R-1 -
~e'~ RuilrYing L~rrgth 76
~ ~ BUittt~a.ng W~~t~a 32
.B~i3s3irtga,~tories 2
y
~~.}~~re` ~c~~~°' 2~070
4 , ~~~i4 e 3~'.-+~~ °~q`~
°d*,~. .a ~ Sfr.<ij~..- .
3~4 i4 r~ r#
R ti
^ k r ' "5
'f i p;v €3 z r `t . t E e ~Ls 7~ y ~ f~
i~ E'~.4~^q,3a M~ r ~~r ~y~ 's'~y'+'y' Eny~ v~is<~ i~ ~
`~F U.;. ..~'k:"'
REMARKS:
S& W pLBR - STAR PLBG
FEE SUMMARY:
VALUATItlN $167,000
Base Fee $1,222.25 MISCELLANEOUS $1,592<50
Plan Review ~ $427.79 7ota1 Fee $4,476.@R
Surcharge $83.5~
5AC $85@.00
SAC ~ 100
SAC Units 1
5ubtatal $2,583.54
CONTRACTOR: - Applicant - sT. ~xc. OWNER:
RYI,pND HOMES 19218264 20095443 RYLAND HOMES
8400 NORMflNDALE LNKE BLVI] 920 SA00 NORMANDALE LAKE BLVO
BLOOMINGTON MN 55A37 MINNEAPtlLSS MN 55437
{612) 921-8264 (612)921-8264
o- ~ h~e~hy ~ckn~wledg~ th~t; Z h~va .r~ead k;h~.s a~Splic~~at~~i ~hd staGe tfia~ ~he
' ~~t~~rma~~~sn ~cs cQrr~c~ ~neE ~g+^~s ~t~+ ~~~tply w~th ~lt~~a~hp~~~.a.~la~.e~s~a~~ cs~~~'M1n,
° ~~atu'~~*~ and ~ity cr'~~ ~aga~k ~r~c€in~~~rtces~,~~~~ ° ~ ~ ~ ~ ~
~ ~ - ~ ~ ~ ~ ~ ~ m. .
_ _ w~
_
_i~cf~~ . . _
APPUCANT/PERMITEE SIGNATURE IS : IG
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: euz~oziv~
3830 Pilot Knob Road Permit Number: 026339
Eagan, Minnesota 55122-1897 Date Issued: 0 9/@ 7/ 9 5
(612)681-4675
SITEADDRESS: ~ t,or: ie BLOCK: 2 APPLICANT:
4935 RUSTEN RD RYLANO HOMES
CEDAR HEIGHTS (612) 921-8264
PERMIT SUBTYPE: TYPE OF WORK:
SF DW6 NEW
. .
OOTINGS FOUNDATION
RRMING ROOFING
NSULATSON FIREPIACE
OUGH IN PLBG ROUGH IN HTG
INAL PLBG FINAL
REMARKS: S& W PI.BR - S7AR PLBG
~ ~
L J
;
CITY OF EAGAN ~ J i~ , J~
~ 3830 PILOT KNOB RD - 55122 T+
1995 BUILDING PERMIT APPUCATION (RESIDENTIAL) ~,Q~~~~,/ /i_~
687~675 t, `1
New Construdion Renulrements &emodel/Reoair Reauirements
? 8 ropistered site wrveys ? 2 topies of plan
? 2 copies of plens {indwle 6eam 8 window sizes; poured fid. design; etc.) ? 2 aite surveys (exterior atlddione 6 decks)
? 1 mierpy caiwletions ? 1 energy ca~wlations for Ireated additions
? 8 copies of tree proaervation p if lot pletted after 7l1193
requfred: ~ Ves No
DATE: b`-3~ `I 5 CONSTRUCTION COST.
DESCRIPTION OF WORK: , V e~ K~/l'e /~/~i l7d ~ P'S
STREET ADDRESS: ~9~ S R r, S(~°/(~ ROa~
!_OT ~C/ BLOCK ~ SUBD./P.I.D.#: ~QO'~~'
PROPERTY Name: 7a Phone
OWNER
Street Address~
City: State: Zip:
coNr~tncTOrt Company: Rv/4na ydm~5 Phone#: ~2~'&~6 y
,r •
Street Address: Na('rvI sndc~a ~icense ~L~ ~,5 4~~3
Ciry: ~ i n n e a,Pa ~i~ 5 State: Zip• S S y.~ ~
ARCHITECT! Company: Phone
ENGINEER Jjv~/~
" Name: S~ ~e ~S Registration
Street Address~
City: State: Zip:
Sewer & water licensed plumber. ~r k~ v~~~ Penalty applies when address change and lat
change are requested once pertnit is issued. .
I hereby acknowledge that I have read this application and state that the informati n' cortect d a re W comply with all
applicable State of Minnesota StaWtes and City of Eagan Ordinances.
Signature of Applicant: ~
~,p. ~6o-sBZG
OFFICE USE ONLY ~
Certificates of Survey Received ves _ No AUG 3 1 1995
Tree Presenation Plan Received _ Yes _ No
OFFICE USE ONLY ~ ~ ~ '
~ `
.
BUILDING PERMIT TYPE - ~ ' ~
0 01 Foundation o 06 Dupiex o 11 Apt.ILodging ? 16 Sasement Finish
~02 SF Dweliing ? 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch o 09 12-plex ? 14 Fireplace o 21 Miscellaneous
0 05 SF Misc. 0 10 = plex o 15 Deck
WORK TYPE
~ 31 New o 33 Alterations o 36 Move
0 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) , L-~ Basement sq. ft. 938 MC/WS System oL
(Allowable) Main level sq. ft. ~ 33$ City Water ~
UBC Occupancy ~'-3 ,~Y~ sq. ft. r, i3~ Fire Sprinklered
Zoning ,e-/ sq. ft. PRV
# of Stories Z dgs..~r, sq. ft. Booster Pump
Length sq. ft. Census Code. i~/
Depth ?z Footprint sq. ft. Z, 07o SAC Code
Census Bldg /
APPROVALS Census Unit /
~
Planning Building Engineering Variance
Permit Fee Valuation: $ ~
Surcharge
Plan Review mqj,~
License ~ s~"r
MC/WSSAC zaxy5:~y= ; 23~
City 5AC 3p z~.oa = ffT l sS '~738 n/S'
Water Conn. i x~ya~ f ~4~ U/ b?~
Water Meter
Acct. Deposit ~ ~ FS~'/~ 7 Z~ ZS ~ ?
S/W PermR ~
S/W Surcharge
Treatment PI.
Road Unit ~ ~'1 y
Park Ded. ~ y/~ 3~ t
Treils Ded. Z~"~!/~ ~ f, z S 7 S~r Zo
Other ~x y/.s~ : Z.Z ~3Zx ~
Copies 3 K ~y o~ , yz J~ 7~ L
~
Total: GZ,sxl3.a~~ '~~lo~~
% s,ac l-"
3~
xs'Y ' f~!~Z°D / 3~'
sa?c u~~ts ~ ~ ~ (a
~ 3 y~ ; r
~ ,
~
~ LOT SURVEY CHECKLIST FOR RESlDENTIAL
~ ~ o BUILDING PERMIT APPLICATION
N '
W w W PROPERTY LEGAL: ,
~ ~
4 a W DATE OF SURVEY: 3
a a m
W
(..l
6 LATEST REVISION:
O a
! ,
DOCUMENTSTAND Rne
~ • Registered Land Surveyor slgnature and comparry
~ • Buildin9PermitAppllcant
~ ~ • Legaldescriptlon
~ ~ • Address
a • North artow and scale
~g ~ • House lype (rambler, walkout, split w/o, splR entry, lookaut, atc.}
L9~ p ? . Directlonal drainage arrows with slcpe/gradlent 96
~ ~ • Proposed/e~asstlng sewer and water senrices & inveR elevatlon
~ • . Street name
? ? • ' Driveway • '
~LEVATIONS
.s~ '
1° ~ O • Sewer service
• Praperty comers
a • Top of curb at the driveway
~ ~ u • Elevadons oi any eristlnp adJacent homes
ro s
0 • Garage floor
~ 0 • First floor
m~~ ? • Lowest exposed elevatlan (welkoWwindow)
? ~ • property comers
o • Front and rear of home atthe toundatlon
PON~ING RFe ro~.,.,u..~ti~e~
~ ~ • Easement line
~ e~~ t, NWL
~ ~ • HWL
~ • Po~d # designatlon ~ ~
~ tT ~ • Emergen~y Overtlow Elevatlon
DIMENSIONS
~ • Lot linesBearings 8 dimensions
~ Q • Right-of-way and sUeet width (to back of curb)
m~ ~ • Proposed home dimensions including any proposed decks, overhanpa greater than 2',
~ porches, etc. (i.e, all sVUCtures reQuiring permanent footinps)
~ • Show all easements of record and any Cityr u6lAies within those easements
~ ~ • Setbacks of propased structure and sideyard satback of adjacent e~dstlng sWctures
~ • Retaining wall requirements, any
Ra~Bw~a: ~ 3 / ~
N e / te
,luy ~ 95S . .
Y. ~ .
4" PVC SE ~E SDR-26 ~
1" COPPER ERV~CE T~E K(TMP.
, ~ 1D g
12 1
w,~=~+aa w~~o+so
,N.~mz+3~ ssa:o
1+27 WYE=0+32 899.5
1012.0 1006.7 ' 60' R.O.W. ~
4.3 ~ ~ .
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1 i e
~ ~ ~o ~ MH-5 ~ 9
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1 f
I 1
I j l . . 991.7
~ 998.8
1011.0 1005.9 y~=0~.48
1013.9 yV+(E41+34
WyEsp+08 WYE=2+21.
W~=o+94 2 2 3
2~ ~
~ SERVICES TO EXTEND 15~ 6EYOND. : ~~Xg• TEE 1009.3
9 2 ~ ~~s
A °'p
PROPERTY LINE ON P/L GROUND El» C
GURB STOP LOCATF.D _ ~ _ - - -
W~ 15' PIG TAIL , _ -
~ -
~,V~TEN- .
q~,~ WATERMAiN PIPE SHALI- fl~
CLASS 52 UNLESS OTh1ERWlSE NOTED. . T.-~ "
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. , _
,
suilder RY7~aD HON~ES PagP ~ o= 3
Submitter3 Sy R,H. TRACEY
` '.el H,A.~1IT_•TC~2v g LOW F GLFLS Date 5/1/95
L~c/Plan/AddresE A~/3g5 FU.~L BSMT. Degree Day Ease 80CO Minn°apolis
T~~ House Volume 0
Filename H~,idILTO:Q Control No. 4688
cxo~v-se vvac='__v_.~s~a~=aec~=~cvec_-v'_~s=voaaa<znavaa~c_=a=
x~~vac-'-s==='a_-a-
Dim.ensi~re
rlalls Fxame .A ~ Erane B I ~Gar.Com Cj ~ { Mason.D~ Mason EI
SaeemeriC i H3mt. I (Abpve Gr+ 608 ~
lst Floor 1170 lst Floor 21E ISeiow Gr~ 608 '
I2nd Floor I 1216 i f Cr~svl .
3rd Floor ~,~s~
Misc. ;
Misc. Misc.
Ring AYeal 382 ~ ^"•iec. I
Windows -
Aluminum 434
21 I
Wocd
Vinyl/FG i j ~ I f
-
- ----------i-----------------
Doors I (~,;,=Glass Area - O- I•p r~ue ~rea)
Metal G ~ 7
O ! 25
~d G ~ 18 ~
i I
O
Other G I
° ~ ~ I I
~
Ceilings k'ith Attic I h'o Atti= ~ Other
1330
~
Std.Skylitesl I I
3P Skylites
Gther
-
Floor~ ! I1on ~pnd. I Over.^ana ~ Slab
i
~
------12--------------------
indowalQty. Aescr~ption Qty.i D~scrip~ion iQty. Description ;
262IM_sc.{Enter Areal I 9 I?25(7 ~ 1 I3030 j
Z ~284D ~ 2820 ~ ~
ccrs I~ty.l Pescr=ptior. IQty,I Descriition
GAR. WALL DOOR Ic ~ ~~tr ~ZSCYlptlo?1 i
_ I 1 .,N'PRY W PH;~ SDLITE ~ I
'"'_~m==~sa~=~av~='=~~=sx=~ee=a~a~_~~~~m=--=amaev_~=~=~~~e'~a=~= I
v ~ =~~ie=v ea=_-
iT'~.-c~7G_!'d i~-NiW O1. h:GIr3cJ 1_~'~il:1 c]Nt~~':?± ~dL"-.-1 '.=_i n=S'-..
. T V
,
~ • . .
* CABO MEC 92 COMPLIANCE *
? LdET RYLA,tiD HOMES Submittsd By R,H. TRACEY
~t~~el HAMZLTON B LOW E GLAB Date Sjl/95
:,otlPlan/Address w/2g5 FLiLL BSMT. Degree Day Bas= 80C0 Minneapc'-is
~e House Volume p
'ilename HAd~LTON Cenkrol No. 4688
Uo Totals i Proposed Re
- ~ ~ired
Componsr.t Area Uc Total Uo ^o~al
Wa11s 3005 .708 325 .1i0 320
Ceilings 1?3p .026 34 .Q26 35
Floars 0 .047 0 .p60 0
Floors (Open) 12 .035 p ,~2~ ~
8emt WaZl(UJ 1195 ,Qgpl 96 ,pgl 109
Total ~ 45G ~hie House Qualifies Wit2: TC~al
~ ~ 472 U-Value Calc~lationa
I
pecifications Uo Calculations
-----------------y---------------------------------
Walls Size O.C. Inaul. S'r.eat. Com onent T_ i~ i
A Frame 5.5 15 ~ p Azea L Va_ ~otal
~ 19 I 2.06 Frame Wall A 1917I .052 1DO.I
9 Prame 5.5 16 I 19 2.06 F.ame Wall B
C Frame-Gar. 3.5 16 I3 .45 Frame-~ar.C I
x'Y 8 N/A 11 A
D Masona I I/ M.ascnary D +~198 .08p 16.2
E Masonary N/A I { A*/A Maeonary E
Ring Joist 15 24 13 ~ 4.0 Rir.g Joist 382 .C56 2i.4
Window A 455 i.38 172.
Doors Panel Glaas ~ S.C. 'Winaow B i
A Metal .19 .62 .88 Aindow C
B Wood .46 .62 I,88 Docr A-Panel ~ 46
C Other .i9 8.74I
j ~Door A-Glass ~ 7 6~ 4.34
IDOCr B-Panel I
Ceil.ings ~O.C, Insul Sheatll ~~eor 8-Glass
A W/A:tic 24 38 N/A ~DOVx C-Pane'_ ~
B No Attic 1E ?9 ,63 ( ~pocr C-Glass ~
C Other I 7otals f
30~J5 324.6
~
Flcors O.C. Insu1. Cover Uo¢(Ut/At) .1cs ~
A Non Cond. i6 19 1.23 Ceii.in A V
.
B Overhang 16 3~ 1.23 Ceil~ttg ~ ~ 1330~ i
C Other N/A 5 Ceiling ~ I I 33._'
~
windows U-Val S C. Skyight A ,
A Alum T.H. ,gg ,88 Skyl:ght 3
e~SVOOd .52 .88 Skylight C I ~ i
C ~ Vir.yl/FG Tof.als ~ 330 ~ ~ 33 . 9
UOaUC~AC ---i .026 +
5kylights I U-va1 S.C. ,r
y Btar_dard ,6a 8ase~enC walls > SG°s below grade
.88
3 Hiah Ferf.i NOTICE: users cf this so~tware are responsible
= Other for the specifications and dimensional data
used to generate thie report. T~e develo er~ af
;~vAC Equip;Rating the software are in no aay respcns~i+ie ~or the
Gas P~'UE .78 misrep~sentation ef an buildin dsa
IHP HSPF ~ 6.8 ! orniseioae, or any othei misuse of *:.etaoftware~
AC/HP 3EER~ 1Q ~
TZO.•=~E+"d h:1yIbJ Ol r~CI~3c! 153:'~nI:1 ~TtJr,;r , J`:~ -_?-u
. ~~ld~ ~1 L-. ~iJ
PERMIT
~ CITY OF EAGAN z~"~-~'
' 383D Pilot Knob Road PERAAIT TYPE: euz~ozNs
Eagan, Minnesota 55122-1897 Permit Number: 026978
(612) 681-4675 Date Issued: 01 / 2 3/ 9 6
SITE ADDRESS:
4935 RUSTEN Rp
LOT: 10 BLOCK: 2
CEDAR HESGH7S
P.I.N.: 10-16725-100-02
DESCRIPTION:
t~~=,,,, {BATHR00M)
~L``~if3~d1~~~Aermit Type BAS~MENT FINISH
,~uil~ding t~~~k Type ALTERATION
p~G nsUS Gi~dB 434 ALT. RESIDENTIAL
r ~ ~
,r` . . .
. ~ ~ .
f°' ~ . . . . .
, . , . ~
r~~
~a> ~
+t~, t~~~ ~"'t ° r e
Ea rt ~.;.'i 4 . :+,.il:.vn
~ v~a.h~
y! ~
~ k ~ ~
Y~
i' °.s ° ~ 1" ~t°+"" x¢'y s~" +~-`~gr
4'~'`3.. 'e~,3: w~ ~ f ~Y a
n~ ~ 4Y~'t v L~=~
a.~, [ k-~ t'~.~5
~ t . ~w,~~ 3"e R°" ~
REMARKS:
FEE SUAAMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: - Applicant - 57. ~IC OWNER:
HOMEGARE INC 18844187 0d02116 BRILES RUSSEIL
9301 BRYANT S 215 4935 RUSTEN RD
Bl00MINGTON MN 55420 EAGAN MN
(612) 884-4187 (612)890-7786
I hewaby ackr~c5~~,edg~ ttamt I h~v~ read. this appXiaatfa~r anti s°ta~s that tMe
, ~~rtform~~ivn .~s car~r~ct a=rr~ egr~~~ Ccr ca~nply.w3~th a~,~~ appl3~~ebl~ ~tate ~s~:f (q~. ~
~tatu'G~s ~nd CitY Qf ~agan 0~-clinancesE ~ . ~
~ _ _ ~ . ~ ~ _
PL NT/PERMR E SIGNATUR ~B : SIG TUREI
INSPECTION RECORD
CITY O~ EAGAN PERMfT TYPE: a u z ~ o=N e
3830 Pilot Knob Road Permit Number: 026978
Eagan, Min nesota 55122-1897 Date Issued: 01 / 2 3/ 9 6
(612)681-4675
SITEADDRESS: p•~•N.: 1e`16~zs-iae-ez APPLICANT:
~.or: ie BItlCK: 2
A935 RUSTEN RD HOMECARE TNC
CEDAR HEIGHTS (612) 884-4187
PERMIT SUBTYPE: TYPE OF WORK:
BASEMENT FINZSH ALTERATION
?ESCRTPTION (6ATHROOM)
. .
FRAMING INSULATION
ROUGH IN PLBG FINAL
, . _ , ._.T_
~ . ~ ~ ~
~ , - ~ ~ ~ . . s . .
I
I~~ . . ~ . a. . _ . ~
1 CITY OF EAGAN ~,~~.~-D
3830 PILOT KNOB RD - 55122
~ 1996 BUILDING PEaMIT APPLICATION (RESIDENTIAL) ~_~?j
681-46T5
New ConstruUion Reauirements RemodeVReoalr Reauiremente
? 3 registered s8e surveys ? 2 rnpies of Plan
? 2 copies of p~ans (inGuda beam & window sizes; poured Tnd. desfgn; ete.) ? 2 slte surveys (exterior addkions 8 decks)
? 1 energy calw~atiom ? 1 energy caM.ulaUons for heated addilions
? 3 copies ot Uee Dreservation plan H lot plaHed after 7l1193 ,
requimd: _ Yes _ No , ;1 , pp
DATE: f`/7- 9~ CONSTRUCTION COST: n~ n ~
DESCRIPTION OF WORK: ^1
STREET ADDRESS: / S~~
LOT BLOCK ~ SUBD.IP.I.D. ~~°u'~~.~ ~~'1X -
PROPER7Y Name:_/~5 i`~l~S' ~uSSc°// Phone -
OWNER ~ /
Street Address: ~~S i S.Z`
City: State: Zip:
CONTRACTOR Company: ~~:9 Pr,a.,~-P.' ~-~1c • Phone
Street Address: ~s'd ~ r~ s~a. ~ So • License a~~~
City: ~ State: Zip:-,~~yL~
ARCHITECTI Company: Phone
ENGINEER
Name: Registration
Street Address~
City: State: Zip:
Sewer 8 water licensed plumber: Penalty applies when address change and lot
change are requested once permR is issued.
I hereby acknowledge that 1 have read this application and state that the information is correct and agree to com ly with all
applirable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY ~ ~ ~ ~ ~ D
Certificates of Survey Received _ Yes _ No ~ 7 c~~
Tree Preservation Plan Received _ Yes _ No _ _ _ _ _ _ _ _ _
OFFICE USE ONLY
~
BUILDING PERMIT TYPE ~
0 01 Foundation o O6 .Duplex ? 11 ,4pt./Lodging ~16 Basement Finish
? 02 SF Dwelling ? 07, 4'-plex ? 12 Multi RepairiRem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex o 13 ~Garage/Accessory o 20 Public Facility
0 04 SF Porch ? 09 .12-plex o 14 Fireplace • ? 21 Misceltaneous
? 05 SF Misc. ? 10~t`_-plex 15 Deck
. . ~s ~bzcb~ G2c~~ Y
WORK TYPE „ .
? 31 New ~e~33 Alterations ? 36 Move ~
0 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS 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 o/
. Census Bldg /
Census Unit d
APPROVALS
Planning Buiiding Engineering Variance
Permit Fee Valuation: $ ~ ?D7' +
5urcharge
Plan Review
License ;
MC1W$~SAC
City SAC , . •
Water.Conrt. r:
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Capies
Total:
% SAC
SAC Units
• - ; PERMIT
~ CITY OF EAGAN '
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 9 5 0
(612) 681-4675 Date Issued: 06 /19 J96
SITE ADDRESS:
4935 RUSTEN RD
LOT: 10 BLOCK: 2
CE~AR HEIGHTS
P.I.N.: 10-16725-100-02
DESCRIPTION:
Building>.Permit Type DECK
J'BUilding W~r.,k Type NEW
Ce~sus CpcFe 434 ALT. RESIDENTIAL
t~
~ ~ .
w
~
~ ~
~i ~ ~
~f
~ E
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~
s , ~ ~
•~~`y ~.y f,~.~'
~ t~
~
? 1~~~ il }
V i _ ' _ ' . _
° _ ' ~ , _ f
REMARKS:
FEE SUMMARY:
Base Fee $45.00
Surcharge $.50
7ota1 Fee $45.50
CONTRACTOR: OWNER: - Applicant -
BRILES RUSSELL
4935 RUSTEN RD
EABAN MN 55122
(612)890-7786
I heret~y acknowledge thaC I have read this applicat3on and state that the
, ~~,infiorirt,~tian ~s cor~ect an:~i~ agr~~ Ca co~nply t.~.th ak~ appli~atrle ~tat~ crf~ Mn.
L Statutes and Gity of Eagan Ordinances.
~
~E{{A^1 `~rpun ~P~Q,'~ I 1~~
~ APPLIC NTlPERMITEE SIGNATURE ISSUED BY~.~IGcPFATU~F
°E ~ -
~ ^ CITY OF EAGAN ~
~ ~ ~ 3830 PILOT KNOB RD - 55122 D
d~~~ 7996 BUILDING PEaMIT APPUCATION (RESIDENTIAL) ~L~~
681-4675
~dgHr Conslruelion Requirements Rn ndellReeair Re uirements
? 3 registered sile surveys ? 2 eopies of plan
? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior adddions R decks)
? 1 energy calculafions ? 1 energy ealculations for heated additions
? 3 copies of tree preaervalion plan iT lol platted aRer 7!1l93
required: _ Yes _ No
DATE: E'- C/ ~ CONSTRUCTION COST:
DESCRIPTION OF WORK: I~EC
STREET AODRESS: `~93 S K u S~N~ /'~C?
LOT ~ Q- BLOCK ~ SUBD./P.I.D.
PROPERTY Name: I C,r S Il kss~~ Phone U 77~6
OWNER us~ q ~„sr
Street Address y/ 3~ ~k 5~~
~ ~d
City: ~ State: li1 Zip: S S~~ ~y
coN7RACroR Company: S ~ Phone
5treet Address: License
~ity: State: Zip:
ARCHITECT/ Company: S ~ ~ ~ Phone
ENGINEER
Name: Registration
Street Address~
Gity; State: Zip:
Sewer 8 water licensed plumber: . Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with ail
applicable State of Minnesota Statutes and City of Eagan Ordinances. ~i'ls',/~~//i~
Signafure of Appiicant: ~
OFFICE USE ONLY ~~~~~M15DD
Certificates of Survey Received _ Yes _ No ~ L~
1 n~ 5996
Tree Preservation Plan Received _ Yes _ No
H ~ Qt ~ 5
OFFICE USE ONL.Y ~
, ~ry~ s
G I
. 'y • n
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Pubiic Facility
? 04 SF Porch ? 09 12-plex o 14 Fireplace o 21 Miscellaneous
? 05 SF Misc. 0 10 = plex ~15 Deck
WORK TYPE
~-31 New ? 33 Alterations ? 36 Move
o. 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS 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. y3Y
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit ~Q_
APPROVALS
Planning Building Engineering Variance
Permit 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:
% SAC
SAC Units
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ixrrF ~b. 8fdtk,",~ CE~rt~ ~iGtITS„ Oco~r"~ing ta "ttie rcrordtd p~of g
thm+'tnt ~ 1h~;~ua~dabY:t~t.'Nirtnassfa.
~t -~g1/?/ p~'"~'
4935 ~F1a`s~~trd EA
,[;i6 L'~ti'Ci~
~C DEPI:
Eo,~fion. Mr 9StZ2 _ , , : ~
kAIE: ~a[t CUF'it ~ C.UriE,'R~MIfJ UT&1V~£S AAE A~POPOSfD. REVtG W E ti
Top ol 1(foH~ ~ 16T'19 ~ {90~-d) dmotes propased drv. ' ~~r
Cor. Flccr- IO~t 5~ 904.(3 deno[es n~sfittq dev. jy-"'.%~'7-7~-'
. Onwsi f'YM,ra l~4?'. ~ E~ . : dMates aWfaCe drOin090
` a' .f . .
~'~`..rK`X'+~ar s;~{~!"6,~l:;~?SP.Mt*.,-r~..~+`.~.&`, ~'~'x_~+~''°.r~~~:... ~p'`'T.~'.~ _ . i." ^ ,x.~;. - i
~ . ._.~1.~.. ~~..a 1 ~ .v i L.~~___~.
CITY USE ONLY
L~~ BL .~L RECEIPT S a
SUBD. DATE: 9 9~
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH TOTAL
Shower 3.00 x =
Water Cioset 3.00 x =
Bath Tub ~C • 3.00 x =
Lavatory r~~' 3.00 x =
Kitchen Sink ~ ` S~ 3.00 x =
Laundry Tray c;~~~ 3.00 x =
Hot Tub/Spa x~ 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet * minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal' Dakota Cty. license 50.00 =
(new and refurbished systems)
U.G. Sprinkler * home under const. 3.00
Alterations * to existing 20.00
Water Tum Around 20.00
STATE SURCHARGE .50
s~
TOTAL ~
SITE ADDRESS: y q3s ~~a ~fE'-`-~
OWNER NAME:
INSTALLER NAME: ~"~~{~~~'nc~ ~liA~~~ ~
STREET ADDRESS: ~ E' r ~ ~ ~7 ~ S
CITY: 'I~ .c_G~~ ~ STATE: v~ IP: ~~S`~~ ~
PHONE -3C7<5 7
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 for. ~ all commerciaVindusVial buildings.
~ multi-family buildings when separate permits are p~ required for each dwelling
unit.
DATE: CONTRACT PRICE:
VVORK TrPc: _~dEW CUiVSTRuCTiGiV _ AuU O~v _ REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: _ GPM. ARE FLUSHOMETERS TO BE INSTALLEDI YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of wntract price, whichever is greater. State surcharge of $.50 per
$1,000 of pgrmit fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE AnDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE SIGNATURE:
APPLICANT
OFFICE USE ONLY
METER SIZE: DATE: INSPECTOR:
~
~ ~ CITY USE ONLY D~~
L BL ~~1~ RECEIPT
C'~- /O 95
SUBD. DATE:
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
• (612) 681-4675
Please complete for: ? single family dweliings
? townhomes and condos when permits are required for each unit
New construction Add-on fumace
Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc.
Date: r ~ ~ ~ ~
FEES
? Minimum Fee: Add-on/Remodei (existing residence only) $ 20.00
? HVAC: 0-100 M BTU l 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)~ 3. O v
? State Surcharge .50
s~
TOTAL _a~
SITE ADDRESS: ~9 3 S 11~V
OWNER NAME ~D PHONE
INSTALLER NAME: ~
L~-
STREET ADDRESS: ~9D~ ~6 'v
CiTY: v STATE: ZIP: ^y~-
PHONE ( ) S 3~, 3.5 7
~
cin use oN~r
L _ BL _ RECEIPT
SUBD. DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: • all commercialfindustrial buildings.
? multi-family buildings when separate permits are flg1 required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ~$25.00 minfmum fee QC 1% of contract price, whichever is greater.
~ Processed piping - $25.00
~ State surcharge of $.50 per $1,000 of p~j~ fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
51TE 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 ~ RECEIPT 9Q~ F~ 90 7
SUBD L""""' ~~~G~~ DATE:~~~D ~j E ~vii/IJ
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES - EACH NO. TOTAL
Shower 3.00 x 'z = G
Water Closet 3.00 x ~ _ ~~r
Bath Tub 3.00 x = ~
Lavatory 3.00 x = 1`~
Kitchen Sink 3.00 x _ -
Laundry Tray 3.00 x 1 = 3m°~
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x _L =
Floor Drain 3.00 x _ ~
Gas Piping Outlet ' minimum - ~ 3.00 x J_ = ~
Rough Openings 1.50 x ' _
Water Softener 5.00 x =
Private Disposal ' Dakota Cty. license 20.00 =
U.G. Sprinkler' home under const. 3.00 =
Alterations " to existing 20.00 =
Water Tum Around 20.00
~
STATE SURCHARGE .50
S°?
TOTAL
SITE ADDRESS: C~`'t~~~-' ~ '
OWNER NAME: ~
INSTALLER NAME: ~ ~ ~ ~ ~
STREET ADDRESS: ~ ' ` ~
CITY: STATE: Yb1~ ZIP: SS
PHONE ( ) 5 33 ~`t'3 S 7 ~
~
OFFICE USE ONLY ~
L _ BL _ RECEIPT '
SUBD. DATE~
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681 ~675
Please complete for: . all commercial/industrial buildings.
~ multi-family buildings when separate permits are ~t 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 INSTALLED7 YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLINCa A METER FOR A FUTURE U.G. SPRINKLER SYSTEM7 YES NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of Qermit fee due on all permRs.
CONTRACT PRICE X 1°!0
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
~~T~'~ STATE: ZIP:
PHONE SiGNATURE:
APPLICANT
OFFICE USE ONLY
METER SiZE: DATE: INSPECTOR:
~
~ Fur~oshce:u'se ~
• i ~C ~ i
Pertnit#: ~O
Clty of Ea~~~ ~ ~o. E~~ ~
~ Permit Fee:
3830 Pilot Knob Road I ~
Eagan MN 55122 ~ Date Received: ~
Phone: (651) 675-5675 ~ ~
Fax: (651) 675-5694 j S~~ i
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Z'~~~ SiteAddress: ~3~u g7'G~ OQ ~J
Tenant: K.U SS 'e ~ j a~-+ ~4 i ~D?'/ /'e S Suite#:
RESIDENT 1 OWNER Name: K 4 S S~f l~r, ~,.~Y/ u~ ~'~S Phone: f S
I- gg 2- 6 3~-S
Address 1 City 1 Zip: -C 3 5 0~ k S/ ~/C t~ c/ ~ a~q n ~.Sl 2 2
Applicant is: _ Owner ~ Contrador
TYPE OF WORK Description of work: Y~~e ~O ~
Construction Cost,~~ 0 Multi-Family Building: (Yes No ~
CONTRACTOR Name: ~.l S-~7 S 0~7 Cpn S~r ~.r_~~D`n License N 7~/!~
Address: ~ O L,ro Y~ a r..i /7V2 rl c.r ~P
City: S~~ L O~t r~ r~ l~ State: ~ Zip; ~S~/ 2~°
Phone: 952- 3 S S~°/ S~Z Contact Person: CI"~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category t Worksheet • New Energy Code Worksheet
Category Submitted Submitted
Submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer 8 Water Contractor: Phone:
NOTE: Plans and supporting documenis that you su6mif are considered to be public informafion. Portions of
.the information may be classified as non-pubtic if you provide spe¢iflic reasons fhat woutd permii the City to
condude that the are trade secrefs.
I hereby acknowledge that this information is complete and accurete; 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, 6ut oniy an application for a permit, and work is not to start without a permit; that the work will be in
accordance wRh the approved plan in the case of work which requires a review and approval of plans.
x C.- ~ 9 E~ l X
ApplicanYs Printed Name Applicant's Sig ure
Page 1 of 3
CER T/F/CA TE nF S UR VE Y
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cn \~j s
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(99~. o) I ~ ~ ~ orainage ond i j ~ ~ /
991 4 \ Utdity Easement - - ~ ~ T~
I \ ~ ~ ~ I ~v \ \ F 1002.2
LOT 10 ` ~
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LEGAL DESCRIPAON:
Lot 10, Block 2, CEDAR HElGH7S, according to the recorded plat
thereof, Dakota Counfy, Minnesofa.
4935 Rusten Road ~ 3
Eogan, Mn 55122 EAGAN E rIrTLER.ING DEFT.
NOrE.• ALL CURB ANO Gll rTER AND UT]LlTIES ARE PROPOSED. C~
Top of Woll= ]011.9 (904.0) denotes proposed elev. ft~ V 1 F~,
Gor. Floor= i011.5 904.0 denotes existing elev.
Lowest Floor= 1004.2 denofes surface droinage ~Y
Sco/e: 1"= 30 feet aqr~ f~~ S~
• Oenotes iron monumetti found
O Denotes iron monumenf set
REQUESTED BY.•
Bearings 6osed on ossumed datum.
RYLAND HOMES
1 hereby certify thot thfs survey wos prepared
by me of under my direct supervision ond that . Wietwood Professionol Services, Inr,
! om,y dyfy Regisfered Land S rveyvr under the f4180 West Tronk Hwy. 5
laws .6f he State in eso a
~ Eden Prai~ie. MN 55344
~ ~ j (612) 937-5150
Marfin J~ We ~ r, R.L.S. ~
Regisfrofion o. t2oa3 8/30/95 complefed Certific
9/1/95 - added elevation 9/7/95 - added gora e
Drawn by. C~,yM Dote: g~30/95 Job No: g5185CER
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA131812
Date Issued:07/09/2015
Permit Category:ePermit
Site Address: 4935 Rusten Rd
Lot:10 Block: 2 Addition: Cedar Heights
PID:10-16725-02-100
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Russell E Briles
4935 Rusten Rd
Eagan MN 55122
(651) 303-7430
Hoffman Refrigeration & Heating
5660 Memorial Ave. N
Stillwater MN 55082
(651) 439-5770
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA155098
Date Issued:04/29/2019
Permit Category:ePermit
Site Address: 4935 Rusten Rd
Lot:10 Block: 2 Addition: Cedar Heights
PID:10-16725-02-100
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 -
Russell E Briles
4935 Rusten Rd
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature