4939 Rusten Rd
INSPECTION RECURD
` CFTY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
rpH Nn
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION DA •
I
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rt 1 r! ~li I r,
i i~;~i li I'1 f:l• !!:i f'~ I;l~ '
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Permit No. Permit Holde? Date ?elephone X
-
ELECTRIC /9
I
~
' PLUMBING
HVAC
Intpection te Insp. Co ments
FOOTINGS ,1/40 Q
L
FOUND
FRAMING
,
ROOFING
ROUGH - p Z IJ ` , I
PLUMBING ~ v
PIBG
AIR TEST . . L
ROUGH
HEATING 3- /---~lp
GAS SVC
TEST
INSUL
~
GYPBOARD
FIREPLACE ~
FIREPLACE
AIR TEST
FINAL PLBG 7G
FINALHTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTO
DECK FINAL
'r=a• .
` ' ' . x
~e~ti~cate n~ ~ccu~anc~
~E~rt~c~t o f ~xili~g ~a~rectioa ,
Tiers Certi rcate issued Pursuant to the rr9~rir~e?nenrs of f rhe Uni orm Buildin8 Code ~
f
certifyiRg lhat ar the tinee of issriance this structurr was en complianee with the various
ordinatces of the Ciry regulating building construction or use. For !he following:
uR chmwvmfim SF ME BW& refniit No. 26857
oocwmC.y Typ. R3/D ! zomiug Disnria R I 'rype coIM. VN
Owr~erofBuildieg rIALM EM 1Whess qOD B 7cnE Sr. lff kM
Build* M&ess l.oolitY L I I.~~ HEIREM
Uo=
, P06T IN A CANSPICUOUS PLACE
r
.
. . . . . . .snev.. ,
AL-
` INSPECTION RECORD
GfTY OF EQGAN PERi4TiT TYPE:
3830 Pilot Knob Road Permit Number. 0 % T A%
Eagan, Minnesota 55122-1897 Date Issued: a i.;+r •j t.
(612) 681-4675
SlTE ADDRESS: N APPUCANT•
It~(: tt Hlut r .
1' • ~ 'r +1'•3Tf"M RIt ~ i y~~~t,f ,
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION D. . „
~
s
Permit No. Permit Holder Date I Telephone #
ELECTRIC
PLUMBING
HVAC
Inspoction Date Insp. Comments
FOOT7NGS
FOUNd
FRAMING
ROOFING
ROUGH
PLUMBING
PL6G
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAI HTG
ORSAT
TEST
BLDG. FINAL
B5MT R.I.
BSMT FINAL
DECK FTG t~/(`//j~6
~ ( !7 t~DECK FINAL
---I
Address 4939 xuSrErr ?to~ Zip 55122
I.dt ' 1 i Blk 2 Sub f Ff1AR HRT(}TI5
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector: "
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Pennanentdriveway
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 [he shutroff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 6814645 before working in rightof-way or installing undergmund sprinkler system. ~
White - City Copy Yellow - Resident Copy Pink • Convactor Copy
0 w 09-837
ReQUes ele Fire . Rovgh-In Inspection Requiratl Inspection Other Than Fough-In
(VOU must call inspMOr hen ready) ~ Reatly Now Nill NotHy Inspactor
7 ~es No Date Reatl
I CI licensed contractor ? owner hereby request inspection of above electrical work at
Job Atldress (Street, Box or ute No.) Cily
3 47
SecOOn No. Township Name or No. Fange No. Counl
nt(P T) Phone No.
P Occu
~t ~ 5z 303-
Power p 'er Atltlress
Eieclrical Confractor (COmpeny Name) ' ConVactor's License No.
7 C, DOZ
Mailing Atltlress (Contractor or Owner Making InsWlletwn)
117 S ~'rcl 1~ ~ro e
Authonied Signature (ConlractodOwner Meking Installation) Phone Number
`i'Z g-~d 30
1Br ~~Unlve seTy Ave., SI~. PauISMNB 5100ICIry I II I III II I I. I I III II I I. III ULESS PROP ER NSPECTIONFOEEfl15T
Phone (612) 642-0800 ~
~ REQUEST FOR ELECTRICAL INSPECTION ~SEe-s
~ b ~ See ~simctions for completing this form on back of yellow copy n- a
X" Be/ow Work CovecaAhy This Request
Ne Add . Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Other ater Electric Heatin
Apt. Builtling Load Management
Duplex KConditi-
Comm./Industrial Other (Specify)
Farm dAir (specily) Conlractor's Remarks:
Compute lnspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimmin Pool 0 ro 200 Amps 0 to 100 Am s
Transformers Above 200-Amps Above 100 -Am s
Si 05 Inspecror's Use Omy: TOTAL
DET.
Irrigation Booms l(~~ GD
S ecial Inspection
AlarmlCommunicafion THIS INSTALIATION MAY BE OR DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN t8 NTHS.
I, the Electrical Inspector, hereby Rough-in
certify that the above inspection has F- o I'~
been matle.
OPFICE USE ONLV Thls request voitl 18 months trom
_ _ _ _ _ _ _ -
Clty of Eap ! Permit#: ~ ~ i
I Permit Fae: ~
3830 Pilot Knob Road ~
Eagan MN 55.122 ~ Date Received: j
I
Phone: (651) 675-5675
Fax; (651) 675-5694 l Staff:
L - - - - - - - - - - - - - - - - - I
2008 RESIDENTIAL PLUMBING PERMIT.APPLICATION
Date: ~ Vv SiteAddress: SL(,m-e
Tenant:. Chor Lee Suite
4939 Rusten Avenue
RESIDENT / OWNER Name: Eagan, MN 55122 Phone: .
Address / City! ZiE 6514058554
CONTRACTOR Name: NUCKUM j?jjU-nj9fr License Ll!/ ` J Lil
Address• ZvIOS C-iQ~~Cit.liL /1 V b 7SIJ.
City: 1' VIl K . State:r" Zip: 5540,F
Phone:aYI~) (a( - 7Da ContactPerson: JP.SS
TYPE OF WORK _ New * Repiacement _ Repair _ Rebuiid _ Modify Space _ Work in R.O.W.
Description ofwork: ~ KLAqc-l-
PERMITTYPE REySIDENTIAL
J` Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZ! _ PVB) ~ Main _ Lower Level)
Septic System _ Water Turnaround
New
Abandonment
RESlDENTlAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Tumaround* (includes $.50 State Surcharge)
`Water Turnaround (add $136.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, duchvork, etc.) (includes $.50 State Surcharge) CJ p
TOTAL FEES $ SO, r-
I hereby acknowledga that this inforcnation is complete and axurate; that the work will be In conformance wRh the ordinances and codes of the City of
Eagan; that I understand this is not a pertnif, but only an appliption for a permit, and work is not to start witho t a permit; that the work will be in
, accordance with th8 approved pian in the case of work which requires a review and approv o pl
Xk_)ed~Fm I. - N oT b! awL X
ApplicanYs Printe me Appl' anYs Signature
FOROFF,~CEU~~~~'~,`~~~',
s a~ 7 ~Z 'tL x : n ~ n ~ 6
~2~ec~~i~re'~d~f sJ~eet~qnS ='~ti~~U`' de o k'".~-'E.zF,:~$~
PERMIT ezo5°s'Xs~
• FU6r0F EAGAN ~~~'`1QS
3839 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 8 5 7
(612) 681-4675 Date Issued: 12 / 11 / 9 5
SITE ADDRESS:
4939 RUSTEN RD
LOT: 11 BLOCK: 2
CEDAR HEIGHTS
P.I.N.: 10-16725-110-02
DESCRIPTION:
1. . , -
B~uildintj_Permit Type SF OWG
;Building Wyrk Type NEW
UBC Occupancy`~, R-3 U-1
Construct3on Type V-N
2oning R-1
Building Length ~ 66
Building Width 39
Building stor3es 2
r_ Sgydre Feet. 2,062
Cemsus Gade-' 0101 1- FAM. DETACH
;
. .r-,: . ,
REMARKS:
S& W PIBR - STAR PLBG
FEE SUMMARY:
VALUATION $197,000
Bese Fee $1,372.25 MISCELLANEOUS $1,$92.50
Plan Rev3ew $480.29 Total Fee $4,693.54
Surcharge $98.50
SAC $850.00
SAC % 100
SAC Units 1
Subtotal $2,601.04
CONTRACTOR: - Applicant - S7. LxC OWNER:
RYLAND HOMES 18546363 2003544 RYLAND HOMES
900 E 79TH ST 181 900 E 79TH ST 101
BLOOMIN6TON MN 55420 BLOOMINGTON MN 55420
(612) 854-6363 (612)854-6363
I hereby acknowledge that T have read this application and state that the
infiormation is eorrect and agree to comply with all applicabLe 5tate of Mn.
L 5tatutes and City ofi Eagan Ordinances. ~
'
APPLICANT/PEFMITEE SIGNA7URE ISSED BY SIG TURE
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: auxLoiNs
3830 Pilot Knob Road Permit Number: 026857
Eagan, Minnesota 55122-1897 Date Issued: 12 / 11 / 9 5
(612) 681-4675
SITEADDRESS: P•=•N.: 10-16725-11e-e2 APPLICANT:
LOT: 11 BLOCK: 2
4939 RUSTEN RD RYLAND HOMES
CEDAR HET6HTS (612) 854-6363
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
INSPECTION . „
FOQTINGS FOUNOATION
FRAMING ROOFING
INSULATION FIREPLACE
ROU6H IN PLBG ROUGH IN HTG
FINAL PLBfa FINAL
REMARKS: S& W PLBR - STAR PLBG
~
F-
~
I &'I CITY OF EAGAN 4 4, u43 • ,~t~
3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Canshudion Reauirements RemodeVRenair Reauiremenfs
? 3 registered site surveys ? 2 oopies of plen
? 2 copies of plans (indude beam 8 window s¢es; poured fid. design; etc.) ? 2 ske surveys (exterior addfions & dedcs)
? 1 energy cetculaUons ? 1 energy calculations for heated addRions
? 3 copies af tree preserva6on plan H bt platted aRer 7/7l93
required: _ Yes _ No
DATE: ~t- z~-`IS CONSTRUCTION COST:
DESCRIPTION OF WORK: si'24te
STREETADDRESS: y939 12`"^S~-e,
LOT ~I BLOCK Z SUBD./P.I.D. v
PROPERTY Name: Phone
OWNER
Street Address*
City: State: Zip:
coNrw?croR Company: 2v lc,-~ Phone h'S`l 63~3
1o!
Street Address: 200 ~ License Zoo~,~~FY3
City: ~ (00-.,, State: pp,- Zip• SSYzo
ARCHITECT/ Company: y~~ Phone
ENGINEER
~ Name: Registration
Street Address•
City: State: Zip:
Sewer 8 water licensed plumber. Penalty applies when address change and lot
ehange are requested once permit is issued. ~
I hereby acknowledge that I have read this application and state that the information 's correct and agree ro comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received Yes No Pd 0 V 21995
Tree Preservation Plan Received Yes _Z No
OFFICE USE ONLY ~
w'{ ~ µ
BUILDING PERMIT TYPE y
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
~62 SF Dwelling o 07 4-plex ? 12 Multi RepaidRem. 0 17 Swim Pool
? 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. ? 10 _-plex o 15 Deck
WORK TYPE
~31 New ? 33 Alterations ? 36 Move
0 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) ~ Basement sq. ft. MC/WS System ~
(Allowable) a~ Main level sq. ft. City Water ~
UBC Occupancy ~~~1-/ Z r~ sq. ft. G zo Fire Sprinklered
Zoning sq. ft. PRV
# of Stories Z~ISr^T- sq. ft. Booster Pump
Length J~(~ sq. ft. Census Code. o/
Depth ' Footprint sq. ft. 0,06 Z SAC Code D/
Census Bldg i
Census Unit /
APPROVALS
Planning Building Engineering Variance
Pertnit Fee Valuation: $ _~QQQ
Surcharge
Plan Review
License
-7
MClWS SAC LF " ~ y
city sAC
Water Conn. G, ~ z C zX~~ z~
Water Meter f ~ZY A„~
Acct. Deposit 3x
SNV Permit r7~/? p Z~ '1 z/ O/~ ~
S/W Surcharge
Treatment PL - ~
Road Unit /Z ~ yL0
Park Ded. ~ zf ~ s3F 15.b~ s i
Trails Ded. /r3aK
Other //b~~ 3~13 = s°~ •33 r 3's~ ; Z~o
Copies y~ /o,53 = z/ ly~ x
= u~ 7 - -
Total: ~ ~EL,4
l~•Li,Y /SZS' 72
% SAC ~/z X 5.13~ 'e'l//Z)
SAC Units
~
LOT SURVEY CHECKLlST FOR RESIDENTIAL
~ o BUILOING PERMIT APPLICATIOIV
W W
N
< S PROPERTY IEGAL:
W y u 7E Or J C ` y'Ey
K 6 W :
6 m
LATEST REVISION: r l,4sorjt--
~ o~
-c x z .
/ 40CUMEM STANDARDS
R' O 0 • Registered Land Surveyor stgnature and eompany
00`~C 0 • Buiiding Pertnit Appiicant
~ ? 0 + Legaldescdptlon
~ o • Address ,
? o • North arrow and scale
C? a? • House type (ramblar, walkout, splft w/o, splft antry, lookout, atc.)
6]~ O O • Direcdonal drainepe arrows with slopa/pradlent %
0/1,? a • • Proposed/epstlng sewer and water sarvicas 3 invert elevatlon
2-' o ? • . Street name _
P/113 o • ' Driveway . .
ELEVATIQNS
Exstlna
M'10 o • Sewer service .
p'o ? . Properrycomers
W"? o • Top of curb at the ddvaway
P,1-113 C3 • Eievatlons af any ebstlng adjaceM homes
ros
m" 0 O • Garage iloor
VrV O O • Flrst iloor
~o o ¦ Lowest exposed elevatlon (welkoutMrindow)
0 • Property comers
a o • Front and reer o/ home at the foundaQon
PONOINGAREA (ff aoolicable)
• m'0 • Easement Iine ' . •
O M" O ~ P1yyL •
O 0/~ 0 • HWL -
o Q/G • Pond # desipnaflon
(3 O • Emergency OveAlow Elevatlon
DIMENSIONS
8"'13 d • Lot linesi8earinps 8 dtmensions
cr, o a.• Right-of-way and sVeet widM (to back of curb) •
~ 0 0 • Proposed hame dlmensiorta fnclud{nq arry propoaed dedks, overhanp9 praater than 7,
porches, etc. Q.a. all sWCWres requ(rinp pertnanent footlnps)
C'T~C O • Show all easemants of rernrd and any Cityr udlitles within those easements
• Setbacks ol proposed structure and sideyaM setback of adJacenc exdstlng structures
, o ? • Retaining wall requirem f any
,
' Reviewed: ~
ame / ate
Juqr te96 .
, _ I i i'Af1.'r:!i y..• ,
Ft ~hr PLOT PLAN
" THlS IS NOT A 80UNDARY SURVEY " KURTH SURVEYING. INC.
FOR RYLAND_HQMES PROPOSED 4002 JEFFERSON ST. N.E.
1 HEH[BY CERTIFY 7FUT 7HIS PLOT PLM! YAS PflEPAREO BY ME GRADES COLUMBIA HEIGFITS, h4J. 55141
OF I.MER AfT OINECT SUPFRVISIdJ , 7ryA7 Tryl$ PLMI CORRECTLY I612) 788'9789 FAX 16121 788-7602
AfWS THE PIACFTMFNf pF A PROPOSEU BUILDING W THE LMA 1 p
N[NEP`! DESCHIOEU ANp 7WAi I AM A IX.LY LI FNSE? LM71 8~~ -1 Z'' 1 5
SUNV- UAER li~ AYS OF 1NE S TE OF INJESOTA. DARAOE SLAB • DATE
TaP oF BLOCK • (01~. O 0 • I RON MONUMENT
BEARINGS ARE PER PLAT
/ BASEMENT FLOOR • ~ ~ • ~ SP I KE SET
MINNESOTA LICENSE N0.2.oZ'lo EXISTING ELEVATION
~ , t ~ • PROPOSED ELEV.
a~-,~ ~ E- • DRAINAGE ARROU
0 20
5 ~
/ SCALE IN FEETlp i .••'I ~GV~~G~
l-30 •95
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USTEN ROA~, '37' 15` _N 94..42 '``~6 DAKOTA CO. MN, d
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COPPER ERVICE TYPE IC (1'YQ.
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1 S' RFYOND 9~-B~ DIP
E SHALL BE RUSTER2 Ro.~~
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• CASO MEC 92 COM?LIANCE •
_ tder RYLA.VD iiOIv:ES Submitt_d cy R.K. TRACEY
M~_el Date 5%1/95
Lct!ilan/ACdres, W/255 FULL 35M7. Deg;ee Day P•as= 80C0 Mir.neaFa-is
TYPe House Volume 0
Filename Centrol No. 4688
Uo Totals ~ Propcsed_I Requ_r_d
Cor~por.er.t Areal~Uc iTotai Uo ^otal
Wdlls 3005 .108 325 .1i0 326
Ceilings 1330 .0261 34 .026 35
FlOOSS 0 _047I C .040 0 ----C---'-----------
Floors (Open) 12 .035 0 .026 0
Bsmt Wall ;U) 11951.0801 96 .091 109
" " " ;his :ouse ¢,:aiifies Witi: Tctal
Total ~ 455 ~ ~472 U-Va:_e Calc,:lations
Specifications Uo Calculations
------------------i--------i-------------------------------------------------
i Walls S^zF O,C. iIasul.!S:eat. Compone.^.t Azea I U-Vall^otal ~
A Frame 5.5 15 ~ 19 ~ 2.06 Frsme Wall A 1917 .052- 100.1
8 Frame 5.5 16 ; 19 i 2.06 F:ame Wall 9 +
C Frame-Gar. 3.5 16 ~ 13 ~.45 Fzar..e-Oar.C 192 ,082 lE 2i
D Masonary 8 N/A I li ;?~/A v,ascnary D # .OSO I
E Masonary N/A N/A Naeonary E
Ring Joiet 15 24 ; 13 ~ 4.0 Rir.g Jaist 352 ,.C56 2i.4
IWindow A ,
A 455 i.38 172.
IDoors Panel G'_ass ' S.C. 'Winccw B i
Metal .19 .62 I,88 fiincow C
B Wood .46 .62 +.88 Docr A-Panei ~ 4E i9 8.74
C Otner ~ iDocr A-Glass ~ 7 I,EZ 4_34I
;---------------------------------IDoCr B-Fanel ~
~ ICeilings O.C. llnsul. Sheat.l !nocr B-Glass ~ i
' A W/A:tic 24 38 N/A ;Docr C-Pane'_ ~
~ B No Attic 16 1 !
9 .63 ; Docr ^-G1a55
~ C Other I 'Totals I 3GC,5 324,5 ~
-I-------------------- Uc-(Ut/At)
„s
~ Frs O.C. lInsul.lCover .
'
'
A IN'oenoCond. 16 19 1.23 Ceii::.g A I 13301 .025 33.91
S Overhana 16 30 1.23 Celling 8
; C Other N/A 5 Ceilir_g C !
Skyight A
~ lWindows U-Jal S.C. Skylight B ;
A IAlum T.B. .38 .88 ~Skylight C I ~ I
; B Waod .52 .88 lUo-Ut/At Totals 133p 33.y C jVi:yl/FG I .026
Skylights I U-Val S.C. * Haser.:ent walls > SG°s below grade
A Star_aard , . 60 .88
B Y.iah Perf.1 NOTZCE: I'sers cf this so=tware are reaponsible
C Othsr I for the specificatione and dimenaional data
ueed to ,eneratP thia repYrt. :he developers of
]ZVAC EquipiRating the software ara in no wa respcnsirie for the
Gas P-FUE +,78 miarepesentatian ef any building duP to errors,
FTP HSPF ~ 6.8 o;nissioas, or any other misuse cf t:e software.
AC/HP SBERI iG 1
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3uiider RYiaA-'%-L i;0MES S1:b'nitted By R.H. TRACEY
_1 Date 5/1/95
L~c/Plan/Acdress W; 355 PLrLL SSM.T. Degre2 Day °=se SOCO Mini,=apo«s
I`fpe I;ouse volume o
File:.ame Control No. 9688
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-------------------------------------------------i--------------------------I
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ilst Floor' 1170 :s. F_eari 21E 1Beicw Gr 608 '
12r.d Floorl 1216 ; ICrawl. ~
~3rd Floo=i ~ N`isc.
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Rir,g Rrea; 382 +
Windows
Aluminum 434 I I ~ I I 21 I
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* . PERMIT O&D
~CITY OF EAGAN c, a/,
3830 Pilot Knob Road PERMIT TYPE: e u s Lo r rv G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 7 4 7 ,
(612) 681-4675 Date Issued: 0 6/ 0 4/ 9 6
SITE ADDRESS: .
4939 RUSTEN RD
LOT: li BLOCK: 2
CEDAR HEIGH7S
P.I.N.: 10-16725-110-02
DESCRIPTION: .
ff~uild,inq~,Permit Type DECK
iBuild'3ng W'or.~k Type NEW
C8nsus Cside ° 434 ALT. RESIDENTIAL
~
r
~ -
(
9
REMARKS: '
FEE SUMMARY:
Base Fee $45.00
Surcharge $.50
7ota1 Fee $45.50
CONTRACTOR: - Applicant - ST. LIC.OWNER:
RYLAND HOMES 18546363 2003544 RYLAND HOMES
900 E 79TH ST 101 900 E 79TH ST
BLOOMINGTON MN 55420 BLOOMINGTON MN 55420
(612) 854-6363 (612)854-6363
I here;by ackn wlOdge that I have read tk~is applicatian an-tl stat:e that the
-infi r a' s correct and agree to comply with aIl applicable State of Mn.
L S u e a ~y a Eagan Ortlinence-s. J
~
- - ,URE
PPUCANT! TEE SIGNA 'ISSUED 8: IG
/
i4444 CITY OF EAGAN ~,(`Y~`~ ~
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
Naw ConsWClion Reauirements RemodeURepair Reauirements
? 3 registered site surveys ? 2.copies ot plan
? 2 copies of plans (include beam 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior addkions & tlecks)
? 1 energy calculafions ? 1 energy wleulations for healed additions
? 3 copies of tree preservatfon plan H bt platted aRer 7/1/93
required: _ Yes _ No
DATE: S' oZ~- `ltS CONSTRUCTION COST:
DESCRIPTION OF WORK: beCr~
STREET ADDRESS: ` q 3( fi oSrG,cJ ej
LOT BIOCK Q SUBD./P.I.D. C 4-,L ffC!~ ~+f5
PROPERTY Name: Phone
OWNER `I"•,
Street Address-
City. State: Zip:
CON7RACTOR Company: ~JXedd floRtrS Phone g551'4'A3
Street Address: /Oo 7y7License #:u~~~~y3
City: State: h'ItU Zip: 5,!~R)n
ARCHI7ECT! Company: Phone
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
Sewer & water licensed piumber: Penaity applies when address change and lot
change are requested once permit is issued.. f.j
1 hereby acknowledge that I have read this application and state that the information corrjjjMt d agree to comply with all
applicable SWte of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: Avk ov
OFFICE USE ONLY 91 =Ori99'6 Tree Preserva Certiflcat
es of Survey Received Yes No tion Pian Received Yes No --d~
1
OFFICE USE ONLY
,
BUILDING PERMIT TYPE . °
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish
0 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition o 08 8-plex o 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch o 09 12-piex ? 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. ? 10 = plex 15 Deck
WORK TYPE
31 New ? 33• Alterations ? 36 Move
0 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCNVS 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. /Jy
Depth Footprint sq. ft. SAC Code ~
Census Bldg _L
Census Unit O
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 •
Parlc Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
-~w~ - -
a° .
/ y
CITY USE ONLY
LBL o2 RECEIPT
SUBD. DATE: &9O
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 li = 3
Water Closet 3.00 x 3 =-r
Bath Tub 3.00 x Z = 6-
Lavatory 3.00 x 5 = IS -
Kitchen Sink 3.00 x 3-
Laundry Tray 3.00 x l = 3-
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x t = 3-
Floor Drain 3.00 x I = 3-
Gas Piping Outlet ' minimum - 1 3.00 x f = 3-
Rough Openings 1.50 x 3 =4-,
Water Softener 5.00 x = -
Private Disposal * Dakota Cty. license 20.00 =
U.G. Sprinkler * home under const 3.00 =
Alterations * to existiny 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL
SITE ADDRESS: 49 301 Z45'o-l
OWNER NAME: R-IqL'a'JC~
INSTALLER NAME•~kVIW~k^-k-U
STREET ADDRESS: bqog W lwqr'Tk
ciTY: STATE: ZIP:
PHONE
.
OFFICE USE ONLY
L _ BL _ RECEIPT
SUBD. DATE:
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: P all commerciaVindusVial buildings.
& multi-family buildings when separate permits are IlQt required for each dwelling
unit.
DATE: CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION _ ADD ON REPAIR
DESCRIPTION OF WORK:
lS WATER METER REQUIRED9 _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWINCa:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? 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 pe mit fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SiTE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
Cm': STATE: ZIP:
PHONE SIGNATURE: -
APPLICANT
OFFICE USE ONLY
METER SIZE: ' DATE: INSPECTOR:
` CITY USE ONLY
L II BL ~ RECEIPT i~
SUBD. ~J DATE:
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
.3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Piease complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
X New construction Add-on furnace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: ~ 6
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00 ~ 2yo v
Additional 50 M BTU 6.00 ~ 6•oo
? Gas Outlets (minimum of 1 required @$3.00 each) Z 6•00
? State Surcharge .50 .60
TOTAL a• `s~
SiTE ADDRESS: 4(`i39 R~STcnI RD
OWNER NAME: R-~ LAN S PHONE
INSTALLER NAME: QL~'~"O" ~~T"'~~ ~
g~Wtua&.~
STREETADDRESS: 6`i°`~ 9~~ rC~c ~J
CITY: wnol4 ~~1RK STATE: ZIP: S5~f2$
PHONE#: ( ) 533-~1's57
cirr use oNLv '
L _ BL RECEIPT
SUBD. pATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are Dgt required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: .$25.00 minimum fee QL 1% of contract price, whichever is greater.
w Processed piping - $25.00
1 State surcharge of $.50 per $1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CIN: STATE: ZIP•
PHONE
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4939 Rusten Rd
Lot: 11 Block: 2 Addition: Cedar Heights
PID:10- 16725- 110 -02
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
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:
Sundance Exteriors Unlimited
105 W 23rd St
Hastings MN 55033
(651) 480 -3400
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:
Chor V Lee
4939 Rusten Rd
Eagan MN 55122- -402
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Building
EA087522
11/20/2008
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
Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145137
Date Issued:08/24/2017
Permit Category:ePermit
Site Address: 4939 Rusten Rd
Lot:11 Block: 2 Addition: Cedar Heights
PID:10-16725-02-110
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Chien Le
4939 Rusten Rd
Eagan MN 55122--402
Estate Claim Services Llc
934 Cromwell Avenue, Suite 2
St Paul MN 55114
(651) 309-1114
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152967
Date Issued:11/13/2018
Permit Category:ePermit
Site Address: 4939 Rusten Rd
Lot:11 Block: 2 Addition: Cedar Heights
PID:10-16725-02-110
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Chien Le
4939 Rusten Rd
Eagan MN 55122--402
Champion Window Company Of Mpls
5100 HWY 169 N, #B
New Hope MN 55428
(763) 574-2054
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA153927
Date Issued:02/04/2019
Permit Category:ePermit
Site Address: 4939 Rusten Rd
Lot:11 Block: 2 Addition: Cedar Heights
PID:10-16725-02-110
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 -
Chien Le
4939 Rusten Rd
Eagan MN 55122--402
Champion Window Company Of Mpls
5100 HWY 169 N, #B
New Hope MN 55428
(763) 574-2054
Applicant/Permitee: Signature Issued By: Signature