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4938 Rusten Rd . ~ ! INSPECTION RECURD ^ CIT~f OF EAGAN PERMIT TYPE: i~~' ~ a'~ . . 3830 Pilot Knob Road Permit Number. Q Eagan, Minnesota 55122-1897 . ~ . Date Issued ~ " ' ' (612) 681-4675 SITE ADDRESS: ~ ' ~ ~ ' ` ~ L~ ~ ~ APPLICANT: f i~ ! ! l~ t ~it k. . ii•:Tf'rt RI1 ;f:r.~, • ' I:,,. i!' . !1 i ~ , ~ ~ . . ~ PERMIT SUBTYPE: TYPE OF WORK: . . ~ ~ ~ ~ ti~, , , , ~ I i i: 1 M~, ~;i. I~l ~illtl{'~I: i Ii.i.'!„ : ~i'!~ i~ ~ ; i ~~Ilfili I N ! ~1 . ~ I ~ i:l~ll ~ ~ L~ - ~ PertnR No. Permk Holdar Date Telephone k • ELECTRIC O G/ ~ . ~ . PLUMBING 13 ~j 7 ~!f ~ HVAC " G ~'y 9 7 3// Inspectlon Date Insp. Camments FOOTINGS ~J ~ / ~ /L . ~'t'Ls~ 5 FOUND 6~~~jQ 7 ! FRAMING 7~O ~7 ~o ROOFING P UM81NG 1 - , ~ ~ /U ~ ,C.^• l~:C!/ G PLBG ~ ~IJ AIRTEST - ~f ROUGH HEATING i GAS SVC ~ ~ TEST INSUI GYP 80ARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG ~ 7 ~ /Y re~i FINAL HTG ~~3 Q ~ OHSAT TEST ~/,'l BLDGFINAL Ci-ZZ~J /~.f~ BSMT R.I. BSMT FINAL DECK FTG DECK FINAL . ; ~ r ~ , I ~ , • ~ . 1 ~ . ~e~ti~ica#e a~ ~ccu~an+e~ ~it~j o~ ~agan ~3epartraeut of ~8xiibi~cg ~a~~ectioa Thrs Cenifcate issued pursuant to th~ nequirements of ?he Urtifarm Building Code certifyireg tiiat at the time of issuance this srrucrure was irt compliance with the various orrtinances of the City regulating building cor+struction or use. For the followirtg: ux c~~r~: SF DWG H~8 ~ 30154 ~~y~ R-3 U-1 R-3 Vn rya co~5~. RXLAND HOMES A~ 900 E 79TH ST., MINNEAPOLIS 5542U 4938 RUST N RD L21 B2, ~EDAR HEIGHTS s~~w~ g naa~ ~ ~~n + / ~ ~-fi ou~: ~ ~ ~ ~ 7 ~ B~w~~ ar~ POST IN A CONSPICUOUS PLACE _ . ~ ' ~ . :t ~ .Y. . ~IL . . ' . . - ' . ' _ T. . .[i.~~ . ~.1...~[: LSiw~..~s i., . _ •-s ~ f au~.F~-,~w~, e..~_ ~ •x:,~:iG OFFlCE USE N Y Th' u ~d r Ir~w~~on dale pnmed in this 6oz. .~5~%~Z~,~~ m~~ 7s'/7/ ~~~~~~I~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~I~~~~~~~/~s~ ~ * U~F 7~I O~T L 3* PLEASE PRINT OR TYPE ~jOS Raquen Dore ~ Roughin inspMim reqvired2 ss ? Na Inspecfion OiMr Thon RougM~: ? RNdy N III Call ~Yau m~s mll ~ha tnspacror reodyl Da~e Ready. 1, ? lic sed contmctar ? owner hereby request inspection of ~he above elechical work at Job rev ~Streer, eoz, or ote Na.~ I ,~J n C i Ztp Code (~O ~f`~ 3 7-c~o ~ (r Senio~ W. Tawnship Nome ar No. Raige No. Fire No. Cwn Occ Ph y~~~ Power p' r A ! v" l EI i I Conn r ~Compony N e~ Con cbr Musler Gc. No. ~%ant EIM. Only~ ~ ~~'~~~~~~~~U . ~C or Ow P Ins I fion~ 7 Gc- , Signamre (Conna Owner Pe mirg InnralMilon~ - P r' U V~ E 1A-11 STATE BOARD COPY - SEE IN5INUCTIpNS ON BACK OF YELLOW COPY REQUEST FOR ELECTRICAL INSPECTtON 75/' 4~ ~ 8'21eUOrv rsity A earRm. SIB 28,ISL Paul. MN 55104 Phone (612) 642-0800 Home Duplex t. Bldg. O~her: New Addn Commercial Indushiol Farm Remod Re ir Air Cond. Hig. E ui . Wa~er Hh. Load Mgmt. Olher: D er Range Elec. Heof Temp. Service "X" abo e t e rk covered b lhis ~equesf. Enfer remorks in fhis space and on the back af the white copy only. ~f• ( ~ , Calculaie lnspec/ion Fee - This Inspecfion Requesf w~be a<cepted wirhouf fhe corc f Other Fee # Service Entrance Size Fee R Circuits/Feeders Fee Mo6ile Home Park Stall 0 to 200 Amps 1~ 0 fo 100 Amps ) Skeet Llg./Traffic Sig. Above 200_Am s Above 700_Amps TranSfo~merfGenerofor INSPECTOR'S USE ONLY AL Sign/Outline Ltg. Xfmr. ~J Alarm/Remote Conhol Swimming Pool I here carti ~hm I~ns Me elxtrical insmliofion deecribed hertln on ~ha dotes atakd Irrigafion Boom ko~gMn Da~ y $pecial Ins eclion Final ~ Dare Investiga}ive Fee ) `c~ ~ y THIS INSTALLATION MAV BE OROERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. Address 4938 RUSTEN ttn Zip 5512 ? ~IAt. ` 21 Blk 2 $Ub CEDAR HEIGHTS THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON. Date: ~ 02~- Yes No Inspector: Final grade (6" from siding) 1/ Pemianent steps (garage) Permanent steps (main entry) Permanent driveway f Permanent gas ~ Sod/Seeded grass ? TraiUcurb damage ? Porch Basement finish ~ Deck ? Please verify with the builder ihe removal of roof test caps from the plumbing system and the shutoff of water supply to the outside lawu faucet before freeze potential exists. Contac[ engineering division at 6814645 before working in righbof-way or installing underground sprinkler system. White - City Copy Yellow - ResideN Copy Pink - Contractor Copy ~ ~ - - PERMIT CITY OF EAGAN ~3830 Pilot Knob Road PERMIT TYPE: a u z~ t~ z r~ ~ Eagan, Minnesota SSt 22-1897 Permit Number: 0 3~a 15 4 (612) 681-4675 Date Issued: ~ 6~' £3 4/ 97 SITE ADDRESS: 4s3s Rusr~ni r~n LOT: 21 BLOCKa 2 CEOAR MEIGHT5 P.I.N.; 18-16726-210-02 DESCRIPTION: B~"1a.]:t~~gz~'ermit Type 5F Du1G ~&f~~z~~.'Ct~rln~~~ ~YPe NEW ~g ~G ~tk~,~ups~~ z, R-3 U-1 ~~3~~.~,~°ttc~~.oi~t '~~e VN ~ ~'~rr,l~~ R-3 ' ~~~~s3~ng ~e:r~g~~#.~~ as ~ ~ll: ~i~ k{ 7.#~ ~;4~, i`~'~r~ . ' a 4 0 : ~ ~ ~ . 6"~~~~ 1 ~ 56 G Ce"+4~s~~~~"x~'~'""' 101 1. - FAM. DETACH ~ i~ ~a`. ~ € ~ z~v ~~-`'~~g" ~ ~ d'°t , KK:.,_ k'rz~ ''b '~w..'~`.~ Eu .~~'~~'t °~'e.i,.3 8 re~mr '-as" ?~s°:;~T'v.-.~"c~ '~.e s' REMARKS: FEE SUNIMARY: VALUATION $139,Q0~b ~ Base Fea $1,082.25 MISC FEES $1,539.50 plan Review $703.4.6 Total Fee $0.,3QA.71 Surcharge $G3.50 SAC $950.00~ 5AC ~ 100 SAC Units 1 5ubtotal $2,805,2I CONTRACTOR: Rpplicant - sT. ~IC. OWNER: RYLRND HQmES 18546363 20@36A43 RYLAND HOMES 9~0 E 79TH 5T 107 9~D0 E 797H ST iei BLOUMINGTON MN 55A20 MINNEAPOLIS MN 55N?0 (612) 854-6363 (612)86A-6383 . . , . > . , _ f: Ry ~ . i t h r k~y ~a~.a~~~ ~h~~;x ~~~i~, ~~~~°~:~~~~~:~t~~~~~°~~~rs ~r~~t ~t~~~,~ha~~ th~ inf m t~ssr~; ~zs`~~~~~~' ~ri~ ~~h~~ :~~a',~c~~mp~,~ ,aa~;~i~° ~~~~~~a~r~~ ~t~~~ a~ ~rt b ~ ~s ~t~ E~~,~r€ ~r~a~~r~ta~sr ~ , u. . , ~ ~ ~ . ~ ~ _ . . ..s.,_ .a~ n _ _ u .t. .k n I A IGANT/PEFMIT IGNATURE ~S~1ED 51 ATUR i ~ ~~~~~*~x~~~*~~~~~~~~~~~~~~~ ~ czTV ar r-_~~~ar~ (~ASH:CEf't~ S fEfihiINAL NU: ;32 ri~7E:s OE,/09/`:ii 7IME:~ 14ac?2;aj ICi ^ ~!A~fEe IiYI_ANC~ i_'2.`';G 30(]i 49;3E1 RUST'EN lin 4p:344„ i 1 , To+al RecE=:i.pt. Art~o~ent ~ 344 . 71 CR07.°~U7E3 U5F.P, :[L~a NFlNCY X~~~%~k~ %c ~X%c~c~kX~~X%~~k %c ~ #~XX~~kW ~k ~X~k X~ ~X X~~k~X~k%~~kX~~k~kX~~~kX~ 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) j~~/ 7/ ^,z ~ / ~ ~j cirr oF ea~aN J ( j 3830 PILOT KNOB RD - 55122 ~''"'~K~ J ~ 681~4675 ~r Construdion Reauiremerrts RemodeVReoair Reouircments (p~~ ? 3 r~istered sRe surveys ? Z copies p{ p~~ • 2 copies of plans (inGude beam & window aizea; poured fid. desfgn; etc.) ? 2 s'ite surveys (oxterior atldRions 6 decks) ? 1 energy calculations • 1 energy celculations for heated additions ? 3 copiea of tree preservation plan i/ bt platted eRer 7!1l93 required: _ Yes _ Na ' DATE: ~J• ~JO• q~ CONSTRUCTfON COST: f~~ DESCRIPTION OF WORK: ~ ~ I \ STREET ADDRESS: ~ , U~ ~ , ` h LOT 1 ~ BLOCK ~ SUBD./P.I.D. J PROPERTY Name: '~)f~~~~ Phone#: R`~~~ ~f ~ OWNER u., ~ Street Address: ~ ~ ~ - ~ ~1 ~ ~t . ~~t P • ~ / City: ~~~1~~~. State: YY~ nl Zip: coNrw?cTOrt Company: ~~s~(Yld' ~,~d ~X~V„~ Phone#: StreetAddress: License#: ~~?~'~`~L~~~~' City: State: Zip: ARCHITECT/ Company: ~ C~. 1P 1 a,~-P)Ur Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer & water licensed plumber (new Construction only): ~ ~ ~ Penalty applies when address change and lot change are requested once permR is issued. I hereby acknow~edge that 1 have read this application and sfate that the informatioa~s cortect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. j ) i Signature of Applicant: J~ T^ - OFFICE USE ONLY ~CEIVED Certificates af Survey Received Yes _ No J u n 0 2 1997 Tree Preservation Plan Received _ Yes _ No Not Required BY: OFFICE USE ONLY ' ' , BUILDING PERMIT TYPE ? 01 Foundation o 06 Duplex o 11 Apt./Lodging o 16 Basement Finish ~ 02 SF Dwelling o 07 4-piex ? 12 Multi Repair/Rem. ? 17 Swim Paol 0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory o 20 Public Facility 0 04 SF Porch ? 09 12-plex o 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. ? 10 _ plex ? 15 Deck WORK TYPE ~ 31 New o 33 Alterations o 36 Move 0 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) f~ Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy U? sq. ft. Fire Sprinklered 2oning sq. ft. PRV # of Stories sq. ft, Booster Pump Length ~ sq. ft. Census Code. /Q / Depth Footprint sq. ft. ~S SAC Code ~ Census Bidg f Census Unit _L APPROVALS Planning Building ~ 1 Engineering Variance Permit Fee Valuation: $ ~ Surcharge Plan Review . ~~~T, ~Uj~/T~y,i.o/s/-~~~ License r~cnrvs sa,c ~ z/G z,~~ . 7S c~~y s,ac /D P 3. ZSX ~ ~ Water Conn. Water Meter Acct. Deposit ~ yT S/W Permit - ~ S/W 5urcharge - ~g ~95, Treatment PI. Ifl a~X S~ J Road Unit Park Ded. Trails Ded. C~~~,^ Other Copies y73 I10.~ 7~ L?l0 0~ Tota~: 2,v~ f~1~1r1~ %sac /D~3.Y5~ = S(~,3Z2 . a> SAC Units To ~-U . i3 zs FOR RYLAND HOMES PLOT PLAN }N,Q7}{ SURVEYING. 1NC. m ~ ' 7}ffS IS NOT A BOl.fJDARY SURVEY ' ~00] JEFFEASON ST. N.E. W CHiTIf7 MlT T/I! PLQT pLHf YFS PREP,VA~ 9( yE COLl.1,IBIA HEI(tiTS. IN. 9S17i a on uoa+~r oiaecr s~vi~ia , e~ui ixis n.w coaa~cnr PROPOSEO DATE 2°/ 7 ~61]1 788-9769 FAX (612) 788•760~ a aws nf a}ACB~aen cc A aaavasm euiiniwc w ng ~uo GRADES NBl~! DEtCN ND TNT I Nfli~1 ~icea~ o. I RON MONI.MENi . 91tVE110R1~ l~f rys Fn£ ~ T~,. BEARINGS ARE PER PLAT 0 30 t`JGJ 6ARAOE SL~B • ~o~`• ~ SPIKE SET .owceEe = EXISTING EIEVATION ~ MINNES07A SE N0. ~(o ~ 13 TOP OF 8LIX7C . ~O',~~µ ~.7•F~~ pROPOSED ELEV. ~ c,RaOCP~ SCAIE IN FEET BASENENT FLOOR • ~ OC$ ~ E- = DRA I NAGE ARROV ~ooKOUr wud.1S : o ~ 1.9 ~ F~ i~a, ~ , ~ ' r Z ~r~~` ~S ~y ~ ~ ~o ~'oo ~ ~?r, e ` +o~ t i ~ ` ' o~ '~ACr ~'.v D . ~ • h . N 5 0 N , s~ i ~ ~ _ 9; ~ Y ~ Jo~/\ K ~ ~4t~ 7~y.S,, ' :t~'pi A ~4 ~ ~ .•~Sq+~ ~O~ Q 30 4 ~ ~ ~ ~5' /L o ~y F ~~p ~ • ' ~~y 3 S • O 1 i c a ti - ~ ?o ~o . o ~ , ~ ' 't. .y ; , ~ ~~j,1 f - ° ~ ~ a ` 1.~? ( \0 ~ ` `~Ci `oi i C? P ~ ~ ~ J ~ ~ - ` I `fi. ~~Q ~yo iy ~J9 ~ fj~' ~ . a , / „C~ ~ ~,w ~1 ; I uu6~ t~.er. ~ct ~ ,o Nm 1b16~3 ~ ~ r '1' ot Q,/ '~y A~6ao1=~R~VG.StAoi.»' 410sf i m ~~o~.~\ 99. ~ y/ /o-~ AczC4oF ~Os?b~Ati.~; ~I$ Oss'r. ` r \ ~t 5~=~ ~ S O '1 ~ ~ lb~ ~1~F' O m ys~~ ~ ` y m ~:8; o~s„~,' y~' Aoo2cs5; A93P~R~1S~cts R~. . ~ ° /rG~ .h^ LOT 22 . BLOCK 2 , ~ ~o~" ~,A° CEDAR HE I GHTS . ~ ^ - - m _ •~,~.~.6 • . • G;Ib~r~ ferloCssoe> LOT SURVEY CHECKIJST FOR RESIDENTIAL • ' BUILDING PERMIT APPLICATION PROPERTY LEGAL: ~02 ~ ~ DATE F SURVEY: ~ ~ ~ ~ LATEST RE1/ISION: ~ ~ ~ DOCUMENTSTANDARDS ~ • Registered Land Surveyor signaWre and company ~ ? ? • Bullding PermitAppltcant Q? ~ ~ • Legal description W~~7 ~ • Address ? ? • North arcow and scale ~ • House type (rambler, walkout, split w/o, split entry, lookout, etc.) G?~ ~ • Directional dtainage arrows with siope/gradient % ~ • Proposed/eristlng sewer and water services & imrert elevation ~ ~ • Street name [9~0 ? . Driveway ELEVATIONS F~astina ~ ~ ~ • Sewer service (or Proposed) ~ ~ ~ • Property comers ~ • Top of curb at the driveway O • Elevatlons of any erisling adJacent homes Prooosed ~0 ~ • Garage floor ~0 0 • Frst floor o • Lowest exposed elevation (walkouNwindow) ? ? ? • Properly comers ~o ~ • Front and rear of home at the foundation PONDING AREA fd aoolicablel ~ ~ ? • Easement line ? • NWL ? C.7~ ? • HWL ~ ~ • Pond # designation ~ ~ • Emergency Overflow Elevation DIMENSIONS ~ ? O • Lot IinesiBearings & dimensions ~ • Right-of-way and street w(dth (to back of curb) ~ • Proposed home dimensions including any proposed decks, ovefiangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) a~ O ? • Show all easements of record and any City utilfies within those easemeMs • Setbacks of proposed structure and sideyard setback of adJacent exlstlng structures ~ ~ • Retaining wall requirements, if any Reviewed: 7 ame / Da ~ Januery 1986 cw~roisoa~a~ocaRMr.~ A ~JUL-0b-1995 E38~33 FRO!'i RYLFlI~D r~[p4iEST REGIOM 7U PII~W P.~04%4305 + CABO MEC 92 COMPLIaNCE * Builder RYLAND HOMES Submitted l3y R.3~. TRACEY Model GILBERT Date A/5/95 Lot/Pl.an/Address QPT. 295 Degrez Day Hase 8oC0 Minneapolis Type Single Family House Volume 4140~ Filename GILBERT Control No. ~~~8 ------------,-----~----P-----i---~-----! Uo Totalb Pro osed Re ired Compon~nt Area Uo Total L1o Total S9alls ~611 .103 269 .110 2B5 Ceilinas 1149 .026 29 .026 30 - FJ.oore 162 .047 S .OSC 8 F1ooYS {ppen) 0 .035 0 .026 0 BSmt h'all(U1 1195__080 96__^091 109 - This House Qualifies With Total Total ~ 401 ~ ~ 432 U-Valua Calculatiane Specificacions Uo Calculatzane ~Walls Size O.C. Insul. Sheac. Component Area i U-Val Total I A Frame 3.5 16 13 2.06 IFrame Wall A B Frame 5.5 16 19 2.06 Frame Wall B 1666~ .052 87.7 C Frame~-Gar. 3.5 16 '13 .45 Frame-Gar.C 286 .062 23.4 D Masor.ary 8 N/A 11 N/A t4aeonary.D * .oeo E Maeo:ia•ry N/A N/A Masonary E * Ring Joist ?5 24 13 9.0 Ring Joiat 35~ .C56 19:6 Window A 268 .48 128. i Doors Panel Glass ' S,C. Window B A Metal .i9 .62 .BB Window C I B Waod .46 .62 .88 Dcar A-Panel 3B .19 7.22 C jOther ` Door A-Glass 3 .62 1.06 Door B-Panel Ceilings O.C. Ineu1. Sheat. Door H-Glasa A W/Attic 24 38 N/A Door C-Panel B No attic 16 19 ~63 Door C-Glass C ~Other Totals 2611 268.6 Uo=(Ut/At) .103 Floors O.C Indul. Cover A Non Cond. 16 19 1.23 Ceiling A 11•lEl .D25 29.2 B Overhang 16 30 1.23 Ceiling A C Other N/A 5 Ceiling C - Skyight A Windows U-Val S.C. Skylighk A A Alum T.B. .49 .88 Skylight C I e Wood .52 .86 Totals ~.1~38 29.3 C Viayl/EG .38 .88 Uo=CIt/At Skylighte U-Vall S.C. * Baeement walls > 50$ below grade A Scandard .60 .88 B High Perf. .32 I.5 NOTICE: Users of this soEtware are responeible C Other for the speciPications and dimensional data I--------------------------- used to generate thi~ report. The developers of HVAC Equip Rating the software are in no way reaponsible for the ~ Gas AFUE ,"16 miaYepasentation of anp• buildi.ng due to errore, I HP HSPF 6.8 omissions, or any other mieuse of the software. AC/HP SEER 10 ~ d LL-L~G-177~ Uci• ,]a h KUI'I Kl"LHNll 191 Ublt] I KtU 1 LY 1 ~ U I'111VIV r. Yro,~19UJ Page 2 of 3 Suilder RYLAND H~tdES Submitted By R.H. TTtACEY Model GILBERT Date 9/5/95 Lot/Plan/Address OPT. 295 Degree Day Base 8000 Minneapolia Tyqe Single Family Houea Volume 4140U Filenama GILHERT CoritX'o1 NO. 7748 e_ee'_'~~~a~==-ccaa==__~¢v:a.mau~s=o~cawwCmv='~~ac~ev_=_'~~~=c'=_~vv¢~c~~~~vacn=a ~imensions ;4~ails ~ Frame A ~ Frame B ~ ~Gar.Com.C~ ~ Mason.D~ M~BDri.E ~ ^ Basemznt ~ Bsmt. Above Gr 608 lst FZoor 1 912 1at F1ooY 304 ~elow Gr 60B 2zd Floor 1024 CYawl. 3rd Flcor MisC. Mi9C. Misc. Misc. Misc, 0.ing Area 350 I-----------------`----^-------'-'------'--------`--'----------'-------~----- IWindows I ~?~luminum I 247 I I I I 21 47ood Vinyl/FG - uoors (G=Glase Area O-O ~que Area) Metal G 3 O 20 18 Wood G O Other G O Ceil'nas With Attic No Atti~ Other I ~ 1148 I I iStd.Skylitasl I I ~HP Skylikee I Other ---------------------------------lab------ Floors I Nan Cond. I OverYiang I S lfi2 windawsi4ly I6068~GLASS1DOOR IR~2 I3250escription Ia2y'I3030escription I Uoor9 I41y IGAR~~WALLtDOOR ~lY (ENTKY~AOORtion IQty.l Deecriptian I '°~=vc_~~cc=eaa'_~o~::a __'..~a=a=-=~~c~a~==='~~~mam=~xavavs~~v~=aec_~~o¢ua__~~=vc . 1 TOTRL P.~~S ~ . ~ L~ BL L CRY USE ONLY ,~cE~~ 75 a~ 9 SUBD. ~ ~ RECEIPTDATE: ~ 97 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 5630 PILOT KNOB RD EAGAN, MN 55722 (812)681-4675 Please complete for. . singie family dwellings ~ townhomes and condos when pertnits are required for each unit New construction Add-on fumace Add-on air conditioning ~ Add-on air exchanger, i.e. Vanee system, etc. Date: /~7 FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24. Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) . Do ? State Surcharge .50 TbTAL r ~ SITE ADDRESS: ~u OWNER NAME: ` ~ PHONE#: 8~-~~~ INSTALLERNAME: GENZ-RYAN HEATING PHONE#: 423-1144 STREETADDRESS: 14745 So Robert Trl CITY: Rosemount STATE: MN ZIP: 55068 l~~ IG TURE OF P R EE r . ~ CITY USE ONLY ~ - B~ _ RECEIPT#: SUBD. RECEIPT DATE: 7997 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 5830 PIIOT KNOB RD EAGAN, MN 55122 (612)681-4676 Please complete for. . all commerciaUndustrial 6uildings. ~ multi-famity buildings when separate pertnits are ~ required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: . $25.00 minimum fee gL 1% of contract price, whichever is greater. ~ Processed piping - $25.00 ~ State surcharge of $.50 per $1,000 of oermit fee due on all permits. CONTRACT PRICE x 1 % PROCESSED PIPING STATE SURCHARGE TOTAL SITE ",~D4PSS: _ OWNER NAME: TELEPHONE#: TENANT NAME: pnnaROVeMerrrs oN~v~ INSTALLER: GENZ-RYAN PLUMBING & HEATING ADDRESS: 14745 SO ROBERT TRL CITY: ROSEMOUNT STATE: MN Z~P: 55068 PHONE#: 612 423-1144 SIGNATURE: SIGNATURE OF PERMITTEE CITY iNSPECTOR ! / CITY USE ONLY ° L BL `RECEIPT# ~~~~~~s.~' , T. , /1~ ~ ~ ~ p~ , ' SUBD._ lX~-d~ ~GcBit(.!A RECEIPTDATE -,.~~~E~~~~~~. ~ . . . er .^f _ . . :>i' . . ~ - , . . . . _ ~a ,G . ~ 1997.PLUMBING PERMIT (RESIDENTI~A~) ~ CITY OF EAGAN ~ ` ~ 3830 PILOT KNOB RD EAGAN, MN 55122 ~ " r " (612) 881~675 ~ ' ~ Please compiete for: ~ single family dwellings . townhomes and condos when permits.are required far ea¢~i~ynd ' ~ . backflow preventer for underground.sprinkler sysYem , - . . , , FIXTURES ~..GJ~ H.Q; ' F' M Shou4er 3,00 x=. " `s: Water C!oset 3.D0 x f> s~' D' ~ • . ~ Bath Tub 3.00 x s•~10 Lavatory 3.00 x . Kitchen Sink - 3.00 z.- Y'•:~, ~ Laundry Tray 8:00, ` x 1 D(E,. > Hot Tub/Spa 3.40 z ~ , ' Water Heater 3.0.0 x; _Lu' k', ~ ~ Floor Drain 3.00 x - ~ , ' Gas Pjping Outlet ' minimum'-1 3.00 x 3 Rou h 0 enin s 1.50 x ~ - 9 P 9 ~ ; Water-Softene~ ' fordweilings onder construction 5.00 x ~ WaterSoftener ' Tar eicisNng dwelling 20:00 x- , k " ~ ' ` ; U.G. Sprmklet Por dwalling unaermnst 3.Q0 `i , U.G, Sprinkle~ ' forexisting dwelling 20 00 = ~ Alte[ations 'toexistln9residence 20.00 - ~ s~' : •i~ ; . Water Turn A~ound 20:00 . ~ Private Disposa.l System ' oak cry iic. 65.00 ~ ~rw ~ ~ '(new and returtiishetl~ systems) - ~ : ~ ~ ~ ~ ~ Private Disposaf Systems "nbendonment 20:00. " - - _ ; ° STATE SURCHARGE . 50 : - . TOTAL ' t ~D ' . ~s _ } " I herehy acknowledge theti ~heve read'thia epplica2lon, ~sfete that the infortnation is correct, e d`agree to comply„with all a liea~le City : ~ ~ ~ of Eagan ordinances. It is.the applicard's redponsmility to notify the property ownarthat~the~City of'-Eagan"essumes no I~iljty for any . ~ . ~ damages caused by the Cily during~~~its-nortnal operetional and maintenance ectivRies.to the fadlities. co~UUCfetl.undexth~s~pertnM1 Withi4.' ~ - . Ckypropertylright-of-wey/easemant. ~ . ~ . SITE ADDRESS: S~~n 01NNER NAME ' - - ~ INSTALLER NAME: GENZ-RYAN PLUMBING TELEPHONE 423-1144 STREETADDRESS: 14745 So Robert Trl _ _ "n~ CITY: Rosemoimt STATE: ~ ~ ZIR: _5:5068 ~ . , . N ~ . . . , , ~ . z3 . SIGNA REOF.RERMIpTf. - ~ °DFFlCE USE ONLY ' ~ ~ ~ ~ . . . . ~ _ ~ ~ . ~ "I ~brJ" J 2000 FIREPLACE PERMIT APPLICATION ~~.SO CITY OF EAGAN 3830 PILOT KNOB ROAD - 55122 ~I~3~'`Q~ 651 681-4675 ~j7~' ~ Date: , ! ~ Q ~ Description of Work: l~ Construct new fireplace Gas _Masonry _ Alterations to existing _ Install Ras insen onlv _ Install gas line onlv Other Job address: -7 ~~~5 l't~ C~ R~lY~ Lot: ~I Block: Subdivision/P.I.D. CC~Or Q Applicant (circle one only): Owner Contractor Permit Fee: $60.50 ~`I d Name:~~I..~ Gl' C/ Y` /.S Phone C05 ~~99 PROPERTY Lastl~ First OWNER /n Sueet Address: LI ~ l~t S ~l~t f'C ll Gi City ~ G( State: f~ ~ Zip: -5S I~~ Company: ~ V ~cr ~ ! `'~°ePh~ ~O 9O-a~slg (azea code) FIREPLACE I / INSTALLER StreetAddress: ~~~j G~ ~i~/ ~ ~~~A City ~ }"V) .S c/ I~~/ l~~ State: Zip: ~~L~ Company: Phone q: (area code) GAS LINE ~ ~ ~ INSTALLER Street Address: C City State: Zip: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with al] applicable State of Minnesota Statutes and City of Eagan Ordinances. !a'//'~ ~ ~ _ \ C~ ` sf nanve ~ OFFICE USE ONLY BUILDING PERMIT TYPE ? 16 Fireplace WORK TYPE ? 3 t New ? 33 Alterations ? 39 Gas Line ? 41 Wood Stove C 32 Addition ? 34 Repair ? 40 Gas Insert GENERAI; INFORMATION Census Code 434 SAC Code Ol REMARKS Chimney/flue must be inspected before concea]ing. ~~~~~~~~~~M~~~~~#>X~~~~~*~*~~*~~~~~~~~~* C7:TY OF' 1=41GAN (]ASNIE:ft: JS '1'.F..ftMIi~!(1L N0: 94.5 L1ATF.':. f1'i'/;iU/'-7`J '1::M~. J 3:1.5:7.2 m~ n!a~~ ~ i;i,zsrinn f<.. r~vc;AARf.i 343t.7 ~,nat r.~.~srFr~ rn t.rs 3c'I.0 'JQ01 4J3fl fiU;3TGN kT..~ ~O.Clfl 'r'1.`_`i,`'i `?OC)1 4`?3f3 RU~3T'l•:.N FtU l'].50 / Tot:a:l. F~tcea.p~; Air~u~..n!;~ t~:i..i5 CR l. l.4 t~73 U51c'.F .T.Y1: JFlN >k~X~k~FX~~~Yd#%~XcXs~n~C?k~k~~K~k~k~#~k~n~YdMm~X~km~k ~k~~k#A:~ka'c~ '~~jlG ~ ~ i'1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~ CITY OF EAGAN ~~~~+~I~~ ~ 3830 PILOT KNOB RD - 55122 ~(~-i0 63i-'v81-4575 . New Constructlon Rea~irements ~ Remodel/Reoalr Reaulremen}t ? 3 reglstered stte surveys showing sq. k. of lot, sq. R, of house 2 copfes of plan and all rooled areas (20% maximum lot coveraae ailowed) 1 set of energy calculatlons for heated addNions > 2 coples ot plans (show beam & window sizes; poured fnd. design; etc.) 1 siTe survey for exterior addRlons 8 decks 1 set of energy calculations : 3 copfes of free preservation plan M lot platfed affer 7/1/93 ~ DATE: , ld ~~qq CONSTRUCTION COST: I~~' ~~IIIS'+~ DESCRIP710N OF WORK: P GF- TREETADDRESS: _ ~~3b ~.~4S~Y1 ~nQ~I LOT: BLOCK: ~ SUBD./P.I.D. D- 7 5-a- U~ ' ~ Name: NIIQQLIY'~ ~Y"I~1Y10~ Phone#: ~1~I-O~~ 3~~ CP(1D~:~7Y F~«, vv~~ ~ c~ia ~a~- ~,z ~4 owN. u ~ 3 Street Address: City 7_GIQQ,n State: ~ Zip: S~J~ a3 Company: _ Phone (area code) CON7RA~:.'TOR Street Address: License # Exp. City 3tate: _ Zip: ARCHITECT/ FNGINEER Cnmpany: !~!er.^.°: Teiephone area code ( ) . Street Address: _ Reg~stration City State: Zip: _ Sewer 8 water Ilcensed plumber (reaufred for new constru~iion onlv): Penaily applies when address change and la} change is requested once permlt Is issued. 1 her~by acknowledge thaf I have read this appiication, sfate that the fnformaHOn is correcf, and agree fo comply wifh all applicable State of esota Statutes and City of Eagan Ordinances. RECENED Signature o} Applicant: JUL 0 9 1999 OFFICE USE ONLY cEIVED JUN 1 8 Certifica BY Yes No 1999 Tree Preserva ion Plan Received _ Yes _ No _ Not Required BY~-`---'--- l~l ~"6 P 1 • 1 OFFICE USE ONLY BUILDING PERMIT TYPF ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ~ 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? O5 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr O 39 Gas Line Only ? 43 Siding/So~ts/Fascia ~ 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof Give P~~.~ na~,acut app!icar;i fc, u~, ,oi~[iu, ~ p:;~ ~i. GFNERAL INFORMATION Const. (Actuap Basement sq. ft. Census Code (Allowable) Main level sa. ft SAC Code v t UBC Occupancy IZ-3 sq. ft. No. of Units I Zoning sq. ft. No. of Bldgs _(Z # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance PermitFee Valuation: $ 1~(J~ Surcharge Plan Review License ;,;,r~FS SAC City SAC Water Conn. Water Meter Acct. Deposit S/1N Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. , Other ~2~~ Copies n Total: ~ ~ , SAC Units % SAC FOR RYLAND HOMES P L OT P L AN ~(~RT}f SURVEYlNG. INC. ' 1HlS !S N07 A 80lMDARY SURVEY " ~009 JEFFEASON ST. N.E. COLUdBIA HEI(~ifS, IN. 35/11 I Iei~'! C6RIfY 7111.T MIS PL6T PUN YA! PREPAR~ Br YE ~C~ 7 (6171 7E8'9768 FAX 16171 1!8•7607 oa uoe+ rr oin~r arern~ia . nu~ mis n~ car~rnr PROPOSED DATE ~+j ~ a ~ ~~~1N0 ~ ~ ~"p GRADES o • I RON MONI.MENf a~meo~tt ~ ~ui~s T~~ e. $EARINCS ARE PER PLAT 0 30 OMAOE YLAB • ~o~V. \ • ~ SPIKE SEi .owceep = EXISTING ELEVATION 10'.<0•~ 1•5'Fa.en SCALE IN FEET MfNNESOTA SE N0. ~(0 11~3 TOP ~ 810~ ~ 6iA04P~N PROPOSED ELEV. ~ enso~Exr F~oort •~~C$' E- = DRAINAOE ARROV i~v ~ ~ ~ ~ ~r. ~ ~ ,1 Q i'~~~ ~ LOOKdsT WNq+1'~~ :01~ ~ ~ ' ~ r O /S ~ ~;y o , ~ , e ~ ~ ~ 0^ ~ ~ ; o, ~ ~ctu , G n~ r. ~ • K/ s ! JS o . . ~ N. y,~. ~ ; ~ h -f/1 _ k'- ~ ~ J~,y'~ /1~ ro' 0 4 ~,Y ~ K ,ai ~ or4, S. i~~ Ap Q ~ ~^1 ip .4, y~p 4 I ,~y°1 4~ ~.j a~ 4~ 0 1 ~ ~ `C .a~:~.~ .^y 3q p ~ ' ~9 I ~ N ~o x ~ ' r'O . ~O Lt~ I ~ ` o r~o `h ~ ~ ; 1, T i ~ °~,s ~a °i t ~.o , ` ,o,~ ~ c~ P ~ , o, I uu0~ ~~Q 1r yoo '/>~C ~J`"v~'1 ~ ~A % ON~ , ner.. ~ o~~ ~e i ~a~~•3 ~ ~5 AttG~o~ psL~V~ 341a.»! 9lOs'C t ti , ~~o~a.s~ 9a. ~'u_ ~yr AQCC,oF 5ooss~b~awi: qa~~s~-. ~ ~`sG, ? ` ~ - r5 0° - 2• ~ 1'.' I / 4' 0.\ • . Ps~~ y ~v ' , -o~s,r3,, AODRGSS'~ 493aRUS~rs R~. , ~ Je °o ~ LOT 2 ~ . BLOCK 2 , ~ ~/a4P ~p° CEDAR HE I GHTS . _ - _ - . . . - - ~~o'~._~ :16~ r i f Ba.oCs.oE ) VI ~ CITY USE ONLY PERMTT b~~ RECEIPT DATE: ~ ~r'7 ~OJ fi£SIDHPTIAL M~C~IlkPICi4I. ~ibIIT ~k~~LIC~kTIOA crrYoF ~nsatv s$so ~aoT xxoe eu $ABAA M1Y 551 EE 657~81-467b Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: 1 SITE ADDrZESS: "1~ ~Z~ ~US1 ~il~ ~ OW NER NAME: r.~ YI ~ N Y G G~U.I~(~_ TELEPHONE Wt~J 1/-~ ID ~~I °r 9 (AR~~G' DE) INSTALLERNAME: yVU11lP~ J(.JU SI~CJ TELEPHONE#: ~~~y.~l-70%~' STREET ADDRESS: I~~/~~ ~ ~ I D~D CITY: T~IW I~~~ STATE: Ml~l ZIP: S~I a"N Place a check mark next to the ermit work e New residential dwelling unit under constructionand not owner/occupied $ 70.00 ~ Add-on, modification or alteration to existin dwelling unit $ 50.00 • fumace replacement • air exchanger • air conditioner • other Natureofwork: ~~~I~ K~nm~~gi ~'Ll - ~ ~ State Surchar e $ .50 Total Reminder: Call for inspections. ~~~a~ ~ t~,~ ~ S~TCIRE OF PERMITTEE Updaced 1/Ol CITY USE ONLY PERMIT RECEIPT DATE: APPROVED BY: ,INSPECTOR CObIM~CI~kL bI~Ci3~lRIC~kI. ~EfiMIT ~k~~LIC~kTIOB CITY OF £A6lkN 3890 ~ILOT KAOB gD ~FHi4N, bIA 55188 651-6$1-4675 Please complete for: all commerciallndustrial buildings ' multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE (AREA CODL~ - TENANT NAME (IMPROVEMENTS ONLI~: WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: PHONE#: - (AREA COD~ CITl': STATE: ZIP: WORK T1'PE: _ New construction Install U.G. Tank _ Interior Improvement Remove U.G. Tank _ Processed Piping SpecifyNature of Work: ff'hen installing/reraoving underground tank, call 65I-681-4675 for ixspection by Fire Marshal and Plumbixg Irnspector. Fees: 1% of contract price OR $50.00 minimum fee, wlrichever is greater. Underground tank removaVinstallaNon = miniirnim fee Contractprice: $ x 1%= $ (Base Fee) i Statc surcharge calculate at $.50 for each $1,000 Base Fee TOTAL g SIGNATURE OF PERMITTEE Updated 1/Ol `1~~~r ~3~.~ 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ComWcUon Reauiremenk RanodeVReuair Reuuiremems ORke Use Onlv 3 registered sile surveys shovring sq. R. af lot, sq. tt. oF house; and all roofed areas 2 copies of plan showm9 foofi~s, beams, joists CeA ot Survey Recd I _ Y_ N (20%maximumbtioverageallaxed) lsetofEnergyCalculatians(orheatedaddibons SoilsRepat _Y _N 1 Soils Report if propased building is lo be placed on disN~6ed soil 1 site survey for additlore & decks Tree Prrs Plan Rectl _ Y_ N, 2 copies of plan shovring 6eam 8 vrindow sizes; poured found design, elc. Addifron -uidicafe i~orrste sep6c system Tree Pres Req~nred"~~ _Y N isetofEnergyCaculaGons ~ On-site5eptic,Syslem, .._Y. _N 3 copies of Tree Preservatim Plan H lot platted aAer 717l93 J ~ Rim Joat ~efail Optlons selectinn sheet (bu~ldngs wBh 3 or less uni~) C~e~(_ (1 7 ~ , Minnegascomechaniwlvenfilabonfam ~ ~~ig ~ Plans are considered ubiic information unless ou state the are trade secret and t reason. Date ! 1~Z I ConstructiooCost ~~S~ d. - Site Address 3 u ~3s .Ta i./ UnitlSte # Description of Work J-1~Ji ~ t-l.ft i 1 1/~ ~4 ~ F sf w D~ ~ 1 Multi-Family Bldg _ Y~ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner ~f ~ ~ ql Telephoae # ~j ~ ) ~ gb - 3i 9 9 Contractor Z Q SJ ~'-~'O~ Address z-~ ~ ? ' C~Ty' State Zip~«'Z TelepHane t Z~~F G ~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residen6al Ventilation Calegory 1 Worksheet • New Energy Cotle Worksheet (d submission rype) Submitted ~ SubmRtetl . . Energy Envelope Calwlations Submitted , In the lasT 12 months, has the'City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone ~ v ~=i n ~ J II I~ Telephone # Mechanical Contractor ( 1 Sewer/WaterContractor SEP 1 2 2007 Telephone I hereby apply for a Residential Building Permit and acknowledge at the informatio ~s complete and accurate; that the work will be in conformance with the ordinances and des of the City Eagan and the State of MN Statutes; I understand this is not a permit, but only an applic ion for a permit, and work is not to start without a permit; tha the work will be in accordance with the approv plan in the case of work which requires a review and approv f plans. o ~L App icant's Pr nted Name Applican s ignature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dweliing ? OS O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 E#. Alt - MuIU ~ ? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 EM.AIt-SF ? 04 02-piex~ ? 1D 08-plex ? 18 DeGc ? 23 Porch (screenfgazebolpergola) ? 36 Mutti Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage . ? 06 04-plex ?~12 12-plex ? 25 Miscellaneous ' Work Tvpes ? 31 New ? 35 Int Improvement ? 38 ~emolish Interior ? 44 Siding ~ ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors ~ ? 34 Replacement •Demolition (Entlre Bldg) - Give PCA handout to applicant DBSC~Iptl0tl: WatarDamage_Yes Valuadon ~ ~ 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 REQUII2ED INSPECTIONS _ Footings (new bldg) ' _ Sheetrock _ Footings(deck) FinaUC.O. ~ _ Footings (addition) ~C FinaVNo C.O. Foundation HVAC Drain Tile Other ~ Roof Ice & Water Final Pool Ftgs AidGas Tests Final ~ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fireplace R.I. AirTest Final .~C Windows ' _ insulation / Retaining Wall ~ Appraved By: , Building Inspector Base Fee Surcharge ~ la l~ Plan Review r_ W ( MC/ES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total f ~ • ~ For ONice Use City of Ea~a~ ~ Pe~"~ ~~~~~Q ~ Permit Fee: ~ ~ C~ . ~ 3830 Pilot Knob Road Eagan MN 55122 j Date Received: ~ Phone: (651) 675-5675 i s~an: i Fax: (651) 675-5694 i i 2009 RESIDENTIAL BUILDING PERMIT APPLICATION C~}I~~J~ ~ . ao. o ~ '7'~188• RNi~le.~'+ Q~ C~~~~-, ~ . Date: ~ Site Address: • Tenant: V-v~~ `'h- h ~Jy c~v a-vJ Suite RESIDENTIOWNER Name: ~L~S Ny~R~'r Phone: ~~.k`9o 31`1q. Address/City/Zip: q"`~~~' 'II~u,-Fu~ Q~. E~;~~+^ Applicant is: ? Owner _ Contractor ~ (p TYPE OF WORK Description of work: ~ 'f" =~`ss'` ~°Y `'P~` , t l~~i.~C~ ConstructionCost: ~f"TZ~R+^ ~d~~• Multi-FamilyBuilding:(Yes_/No_~ CONTRACTOR Name: `~'-iC: License ~i: Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILbING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Calegory 1 Worksheel • New Energy Code Worksheet C2t0[]Ofy Submined Submitled 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 plan7 _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: ~ Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporling documents lhat you submif are considered to be publlc information. Portfons of the information may be classi/ied as non-public if you provide speciffc reasons that would permit the Clty to conclude thaf the are trade secrets. I hereby acknowledqe that this inbrmation is complete and accurate; that the work will be in contortnance with ihe ordinances and codes o1 ihe City ol Eagan; ihat I understand this is not a permit, bN only an applica~ion tor a permil, and work is not to starl without a permi~; that the work will be in accordance wilh ihe approved plan in Ihe case o1 work which requires a review and approval 01 plans. x rI~11I x %1A13 /~/~~G'Gcf'C~ ApplicanYs Printed NambU) U ApplicanYs Signature Page 1 of 3 t! ~l ~4.4R ~ ~ 2009 i ~d~, ~~s ss ~ DO NOT WRITE BELOW THIS LINE SU8 TYPES _ Foundation _ Fireplace Porch (3-Season) _ Storm Damage _ Single Family _ Garege ~ Porch (4-Season) _ Exterior Alteration (Single Family) _ MuHi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteretion (Multi) 01 of Plex Lower Level Pool Miscellaneous Accessory Building WORK TYPES _ New _ Interior Improvemeni _ Siding _ Demolish Buildi~g" Addition _ Move Building _ Reroof Demolish Interior Alteratfon _ Fire Repair ~ - _ LVindows ' . ~ ~ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage ~ '~emolition of entire building -give PCA handout Io applicant DESCRIPTION Valuation 3~~L~tJ Occupancy ~ MCES System Plan Review Code Edition ~A A/7 i7t~7 SAC Units (25%_ 100%~) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) _ Sheetrock Footings (~eck) Final / C.O. Required ~ Footings (Addition) v Final / No C.O. Required _ Foundation ~ HVAC Drain Tile Other: _ Roof: _Ice & W ater _Final _ Pool: _Footings _AirlGas Tests _Final ~ Framing _ Siding: _Stucco Lath _Stone Lath _Brick ~ Fireplace: ~Rough In ~Air Test ~Final Windows ~ Insulation _ Retaining Wall Meter Size: Reviewed By: ~ 2 , Building Inspector RESIDENTIAL FEES Base Fee Surcharge ~~r ~ ~ " ~1 ~'7 PlanReview ~ ~ / l'~ ~ ~,C~~~ / 3~i~Q MCES SAC ~ ~ City SAC Utility Connection Charge p S&W Permit & Surcharge ~ ~'~L Treatment Plant Copies ~ , ~ ~v TOTAL FROM PHILLIPS PLRNNING, INC. FAX N0. : 952 432 0396 Mdr. 25 2009 06:56FlM P2 REScfeeck Sofitware Version 4.1.3 Compliance Certificate Project Title: Nygaard Addition Report Dats: osl25fo9 Daq fil@r18me: c:~Program Filea~ChecklRESchedcl09~2osA.rck Eneryy Cafe: 2000 Minnesota fnergy Cade ~~~n: bakoW Cou~ty, Mlnnesota Constrvction Type: Sing[e Family Glazing nree percenrage: 26% Ciimate Zone' 2 . Construclion~5ite: OwnedPgent: Oesignar/Contractar: 4938 Rusten Ra. Eagan, MN Compliance: 1.4% eettcr Than Code M~imum UA~ 73 Your UA: 72 . - . . Ceiling 7: Cathedral Celling {no attic) 33s 38.0 0.0 g Wall 1: Wood Frame, 16" o.c. . 467 19.0 7,.0 tg WlnOOw 7: /.~pve-Gratle:wpod Freme:~ouble Pane wim Low-E ~05 0.290 30 . ~oorl~Glass t8 O.SW 6 Floor 1; AII.Wood JcisUTruss:Over pylwde Air , 320 36.0 0.0 g Fumace t(Cerrier Modelk 58PAV): Fwced Hot Air82 AFUE - Compfiance Statement The prnposad 4uildirtg design described here k conaiatent with the building plans, specificationa, and otlier calcufaGOns aubmitted With the permit application. The proposed building has boen desgned to meet tha 2000 Minneso[a Energy Code requirements in REScheck Version 4.1.3 arW to comply wHh the mandatory requlrements iisted in the REScnecx inspecLon Cnotkiisc ~~J /u-14u~ In~ C~ Nama - Tide Signature Dat~ Project Tit[e: Nygaard Additlon Raport date: 63l25/09 Data filename: C9Program FiiaslCnc~cklRESchecIC~D9-0209A.rck Page 1 of 3 FOR RYLAND HOMES PLOT PLAN t(I/~qT}f SURVEYING. INC. ' 7FffS !S NO7 A 80l,NDARY SURVEY ' ~D07 JEFFEASpJ ST. N.E. I tet~r CBrrIFr nuT Mli Plai PuN YM mEput~ ar ue COLlMB1A HEIdifS. rM. 55111 a+uae+w oirecr s.rervitia , nui ixit vi.w coxngnr pROPOSEO p~T~ 2, ~7 (614~ 788-97fi8 F!0( t6i41 718-7607 aws nf vucesrr as A vxov euucinc a nff ~uq GRADES n~ ~ ~ws T~i~ e. o• I RON MONI.MENT BEARINCS ARE PER PLAT 0 30 onanoe su~e • ~ • • SPIKE SET .owceEV C~ = El(ISTING EIEVATION ~ MINNESOTA SE N0. ~(o ~ 1"3 TOP OF BLOp( • ,~~•~O'y ~q~~p~ pROPOSED ELEV. SCA~E IN FEET ~ 4~ BASp,IFNf fLOOR .~oCB. E- = DRAINAQE ARRO{! : ~ooKwr www.n ;o ~ 1 ~9 ` ~ 4 'r. C /b ~ ? ' - s \ J ~o ,S ~o~~ , oo ,'a~ r' ~c ~ ~ 0^ . ^ ro ~ / / \ ; o,' ~!sAGI^ G Dli !I°". ~v 3y J• J, J5~4o . a~ ti. 99, i Q~' t.~~, . j _ k' ~ ! , a / , , X o A~q ~ O ~ /o Gy,Do ~ I Jo"' ' a~ ~ 044, pS. ' ~ .5 y 4~~ , - ti F ~ C ~v~%'~~ `~y 3c S N~ 1,q I ~~o ~y~ ~ ~ . ~O / LG..r- ~ / ~o r p \ , Y t/J f /o: y < I~o~,~ ,arJf ~~y~/` J~`~ , I ~~01 ` ~OIf V T „lQ~ iH ~ l~ t • ~~Q °o ? <C J~vP . ~ \ i ~v'y~ I _ N~oh ~ ~ ,~~~e ~ j k , o, . cL~r• a , iot~a o~ $ a i 'L ~ c~y nrz~dor-pR~v~3~..~u! 9VOs'F ~ 4 0« . ~ t ~totg.~\ 9a. ~ tii \ /r.}i' A~C4oF ~Oss.b~1 ,clg'~psrr. ' ~ ~1 s.:~ 2 ~ ~ 5 0 ~ ~ - 2'F ` t~71 ~{!~e' ~ O sy~ \ ' , /~~y ~ ~ . Aoo2es5', A93aRtSSZCT.s ~t~. eo G~ ~ _ ~ Aoti^ LOT 21 . BLOCK 2, y o ~ C,,EDAR HE I GHT S. , - _ _ ` ~"~'9 ~ • ~ f B~.oC~oe ) ' aHYourseeforeo5gng: ~ ~ ~ 3 % 6 \ \~ly 7 u,~o~. \~r ~',.s~~~~ . ' / ~ CONN'cCi :0 Es. Mn BY- \ \ ~'6 , GOPHER STATE ONE CALL '~i ~P ~~rnta~r+c a st4ctr ~ '9 COHE CFiLL/COnCREiE S+w ~HD Ex OR~KrvAr Wn C 1 qreo OS<- 5[~ n.Y Y609 V ~ k sOJUSi flnJ 10 NqiCH EM. " INCIGENiPL i0 N~1[A M~. tou Gre< ~ BCO-' ^~t6fi v. ~ ~OR SERNCE ?ES r • GN LOi 1, Z, k}, ~ \ ~ (G~ELO 'dRIIY IOCPOpn MPiN COrvSiPUC?On. 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' _ ' ~ ~ ' I i ~ ~ iE . 9?5% 913.89 12 11 ~ ' S 3 E%. B' w~ 9]6.25 I 30 ~ 3 - 9 _ ~ j-- 6 ! I I ~ _1 20'' ' DiP CL SZ e Qabax- ----'-...--'1-9- ~ ~ p( •,~y0N5 + ~+.s... m uw ~w~ ea .o. }j::./et fiT'! REY~EW ~,v WeSIWOOd [=••en ~,r.1. ~,w.s~e~~-w~~.e~[rtsuori xv+~o DxJ p~~ DEYELOPF.A ,o->o;;s aFcoeo ?4A'M.kv$ ns.,.R.r~ j^" 'Y, - ARCON DEVELOPMENT CO. s~Nir~AV sewea oA~ e:.~. ~v.. r.- e..a.rt 7/!/96 l ~an ~cmo x~w. ar~~ i.o CEDAR HEIQHTS WA;'ER Y~IN a,:>•._>'> DriE~_4:i~~:='_FEG. hC. t913.i J EM~~, eH SsU9 EnCex, uN. CONSTRUCTION ~ SHEET 64 ~d•_aryBl OiY Pcq[R / DS-0 PLAM 3~~ Cw~fk4Ci0R: nRCOn i~n+Si. CO. P.c I.__"_' . . e-,emc.: City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4938 Rusten Rd Lot: 21 Block: 2 Addition: Cedar Heights PID:10- 16725- 210 -02 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: If there is no ice protection inspec acceptable in lieu of inspections. Fee Summary: Valuation: 3,000.00 Contractor: Property Claim Solutions LLC 4655 Nicols Rd, Suite 202 Eagan MN 55122 (651) 994 -2028 BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: Occupancy: on prior to final, you must meet inspector with ladder and flat bar. Pictures are not Owner: Kristin K Nygaard 4938 Rusten Rd Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 $90.00 Issued By: Signature Building EA086783 10/10/2008 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4938 Rusten Rd Lot: 21 Block: 2 Addition: Cedar Heights PID:10- 16725- 210 -02 Use: Description: Sub Type: e- Siding Work Type: Siding Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Property Claim Solutions LLC 4655 Nicols Rd, Suite 202 Eagan MN 55122 (651) 994 -2028 PERMIT City of Eaan When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: Owner: Kristin K Nygaard 4938 Rusten Rd Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 $90.00 Issued By: Signature Building EA089863 06/23/2009 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State ÿ ÿ þýý üëüÿÿ úýýëïû ý ææòö âàæææ þýø þýüûúùøö ö øöûúùõ öùøö ö äöþÚäöûúùäýëýööþöõýóüöôóõýóüöþÚ ûúöö ý æåòýúôæø ýö íÿäõà åæææ öóïßøþÛ÷öø Þèììà óú þýöö ïêèìåìæå òùñ øðõ ùù ûúÙ ùùçö çõú ö æåòýúôæø åôý ô ýö íäõà äõææ ßåæÞææ öüú íö ùù ëöó öö öóùúùùüþ ëä þý òúë îö ì ùù÷öóþ ýö ýúþ ýö 0 rt a H 0 O N lJ o 0 J 0 O O 0 0 O 0 0 0 Ul ▪ Ul C M M M M 0 0 0 0 H cD G G n rn n n n N N • rij '1 • a a n �w00 M i I w m w ro r 'Z7 0 H t7 O Y• rt ti W 0 N O N h' I -r 0 N rr 0 600Z/9/5 to n II 0 c= All product names are trademarks of theft respective owners < Copyright (C)1989-2005 by Key,nark Enterprises. LLC. ALL RIGHTS RESERVED. Et. P i;rtttsr t.f r "Passing is defined as when the member, Poor joist, bean, or girder, shown on this drawing meets appdcanle design criteria fnr Lcads. Loading Conddions, and Spans listed on this sheet. The design must be reviewed by a qualified designer Control: Positive Moment DOLs: Live=100% Snow=115% Roof=125% Wind=133% Manufacturer's installation guide MUST be consulted for mult i -ply connection details and alternatives TV;u_c� S . w {moo R 0 'ir Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 11734.'# 14251.'# 82% 4.78' Total Toad D+L Shear 4096.# 6318.# 64% 0.01' Total load D+L Max. Reaction 4908.# 10412.# 47% 0' Total load D+L TL Deflection 0.3862" 0.4781" L/297 4.78' Total load D+L LL Deflection 0.2389" 0.3187" L/480 4.78' Total load L Design spans 9' 6.750" 11I. Maximum Load Case Reactions ii Used tor applying point, bads (or line loads) to carrying members Dead Live • r,i1872# 3036# I 2 1872# 3036# Bearings and Reactions Location Type Input Length Min Required Gravity Reaction Gravity Uplift 1 0' 0.000" Wall 3.500" 1.650" 4908# — i 2 9' 6.750" Wall 3.500" 1.650" 4908# -- � . . . Other Loads Type Trib. Dead Other (Description) Begin End Width Start End Start End Category Additional Uniform (PLF) 0' 0.00" 10' 0.00" 110 0 Live Additional Uniform (PLF) 0' 0.00" 10' 0.00" 153 315 Live Member Data Description: Member Type: Beam Application: Floor Lateral Bracing: Continuous Top Standard Load: Moisture Condition: Dry Building Code: IBC / IRC Dead Load: 120 PLF Deflection Criteria: L/360 live, L/240 total Live Load: 320 PLF Deck Connection: Nailed Member Weight: 8.6 PLF Filename: KYB1 V1LLAUIVIE HD EAGAN/NYGAARD 5- _-09 APPLE VALLEY 3:35pm l oft KeyBeatna0 4.503j kmBeamEngine 4.503z2 • Materials Database 861 Product: 1-3/4 x 9-1/2 x 2.0E PW LVL 2 ply Component Member Design has Passed Design Checks.*'" Design assumes continuous lateral bracing along the top chord. @\\\ � t\§ � <23 .f. � \ ., \ / _.>. 3\° oo. 0` }\\ ,\\ � . »\\ »& . :/\ < L© \�\\ .. : . . __._ - , HD EAGAN/NYGAARD 5- 5_0c APPLE VALLEY 4:14pm Member Data Description: Member Type: Beam Application: Floor Lateral Bracing: Continuous Top Standard Load: Moisture Condition: Dry Building Code: IBC / IRC Dead Load: 15 PLF Deflection Criteria: L/360 live, L/240 total Live Load: 40 PLF Deck Connection: Nailed Member Weight: 8.6 PLF Filename: KYB1 Other Loads Type Trib. Dead Other (Description) Begin End Width Start End Start End Category Additional Uniform (PLF) 0' 0.00" 16' 0.00" 10 20 Live Additional Uniform (PLF) 0' 0.00" 16' 0.00" 90 0 Live Additional Uniform (PLF) 0' 0.00" 16' 0.00" 10 20 Live O co Bearings and Reactions Location Type Input Length Min Required Gravity Reaction Gravity Uplift 1 0' 0.000" Wall 3.500" 1.500" 1662# — 2 15' 6.750" Wall 3.500" 1.500" 1662# — 111 Maximum Load Case Reactions Used for applying point loads (or line loads) to carrying membeiz III Dead Live 1040# 623# 2 1040# 623# Design spans 15' 6.750" Control: TL Deflection DOLs: Live= 100% Snow= 115% Roof= 125% Wind= 133% Manufacturer's installation guide MUST be consulted for mutt i -ply connection details and alternatives Jauthsap paggenb a Aq pamalnaa aq lsnw u6tsap aul 7eags stgl uo pals!! suedS Pue'suoglpuo0 6ulpeo-1 'speof io1 euatpo u6,sap eigeagdde meow Eu"Help Ml uo umogs 'iapi46 Jo weaq 'fstof Joog 9agwaw aqf uaIM se paullap si 6ufssed„ n .° a . 3 f ' 41.441.-<<f4 -n ,,--I td' \`\"(1- V f W a i. % '03A213S321 SiHOI liv'311'sasudieiu3lpew/a�{,fq SOOZ-6861(0)146w(do0 L sg i,'"dM .- vaumo angoadsal Jtagl .10 ssrewapejf ale seweu pnpwd gy n ,,, q c,..',..;".k.',-.....,:,..........T.:.".,41:: Product: 1-3/4 x 9-1/2 x 2.0E PW LVL 2 ply Component Member Design has Passed Design Checks.** Design assumes continuous lateral bracing along the top chord. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 6467.'# 14251.'# 45% 7.78' Total load D+L Shear 1493.# 6318.# 23% 0.01' Total load D+L Max. Reaction 1662.# 10412.# 15% 0' Total load D+L TL Deflection 0.5637" 0.7781" L/331 7.78' Total load D+L LL Deflection 0.2111" 0.5188" L/884 7.78' Total load L i �• gg Idea}, N. o O co G 0 c z / I O II 0 r D z z (1) z m c EXISTING PROPOSED 3 0.73 cRr � cn- .,03 as O O O 4t 520.4 0) < W At INEW-19a9 ONIJ.91X$ EXISTING 20' - Io' -0' Io' -o. 27 16' HUSH LVL RAMI i_. L ___ _. 2) 16' iii.& '_ _ .i._ ... J i M iii 10 E ii MFD FLOOR 1E155E6t iTO MATC14 BASTING 2) PI 16_MEM MAIL LVL SAM AS PER , L_ LA MitSFECS ; 1 2) 16' FLUSH L , _J L__ 2'-0' S' -o' 10'-0' 10'-0' 20'-0' PROPOSED EXISTING PROPOSED 20'-0 10'-o' r z EXISTING PROPOSED qi Prtra 141 tut In POP q1;111 a i; 7X n 1 t _ a iiia 11! 1 as� g7hii ��_ �$� qy R;!;i �9>311 a ;ill 011 ni t a a�� (viosic s.80411� (9 ENZ ISA Pt rrl btTi Lai OOO �4a raxi rrl 5, 4 -� (J) rn> m CD iA m� D 5 1- -{ m� < m — -o Z O mm --1 m =1 i Z .J r r- 2 z p 0 z z Ae- NIM f%1 a mo nil G)703 2 \J • MIN I l'eNeetYPAWAVAVAWAWAVIOAVeffellt'eltt`IVIOM'aViV PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA132214 Date Issued:07/30/2015 Permit Category:ePermit Site Address: 4938 Rusten Rd Lot:21 Block: 2 Addition: Cedar Heights PID:10-16725-02-210 Use: Description: Sub Type:Residential Work Type:Replace Description: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 - Kristina K Nygaard 4938 Rusten Rd Eagan MN 55122 (612) 819-1667 Haley Comfort Systems 122 3rd St W Hastings MN 55033 (651) 437-0338 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA178082 Date Issued:08/01/2022 Permit Category:ePermit Site Address: 4938 Rusten Rd Lot:21 Block: 2 Addition: Cedar Heights PID:10-16725-02-210 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. 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 - Kristina K Nygaard 4938 Rustin Rd Eagan MN 55122--402 Minnesota Restoration Contractors Inc 12252 Nicollet Ave Burnsville MN 55337 (952) 479-7131 Applicant/Permitee: Signature Issued By: Signature