4942 Rusten Rd
I.t INSPECTION REC4RD
= CITYbF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: ~
(612) 681-4675
SITE QDDRESS: APPLICANT:
~i~:t"i"N !rl1. • . • ! i:,,i,~i
PERMIT SUBTYPE: ~ TYPE OF WORK:
INSPECTION .A .
i E~~t~i
i II'lil 1`1 f 111~1 i 1 I-t .
•
; f PI'.1 i l fts~ 1 I tJh!
~ , r•~rs~<F ',.`.1~J 1'1 t!tqii! h ~ ~ ~ t ! ~ ~
L~ ' ~
Pormit No. Permk Hotdar Data Telephone M
4~. ELECTRIC l,?5 5 /D 9 D5
~ PLUMBING
P."
HVAC 3 ~ -A/c~
Inspectlon Q i sp. Comments
FOOTiNGS
G G~K/
FOUND
FRAMING `
ROOFING
ROUGH
PLUMBING 17
PLBG I f
AIR TEST
ROUGH
HEATING + ? l & TEST VC
GAS
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG ~
FINAL HTG uL t
ORSAT
TEST
BLDG FINAL
7 /W/
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FlNAL
` 461 ~ _ . .
. . 4 ~t.
~
Wertificate vf CccupanC~
00tv of Cfagan
Mepartraeut af exilbing ana0ectivn
This Cert+fcate issued pursuQnt to the requirerrrents of the Uniform Building Code
cerri,fying that at the time ojissuance thrs structurre was in corrspliance wiih the various
ordinances of the Ci1y regulating building construction or use. For the fallowing:
Use Classification: SF DW Bidg. Pertnit No. 2%06
oocupancy TyPe R3A1 1 zon.g oisa:u R I. Type Consi. VN
Owwr of Builaing ItYlaW FiOM Addiess qOO Fi 79IH a~, NPLS
awidi7 naa.. 4942 RlS1EN ~ I om iry L2(). B2, !R FETaTS
,
' ouc
8~"ng arwial
POST IN A CON5PICUOUS PLACE
Address 4942 ?tvsraN Ronv Zip 55122
• I.ot 2o Blk 2 Sub rFnau HErcm
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: (p / 97 Yes No lnspector: ~
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas j~
Sod/Seeded grass
TraiUcurb damage
Porch ~
Basement Fnish
Deck ,
Please verify with the builder the removal of roof test caps from the plumbing system and the shu[-off of water supply to
the ou6ide lawn faucet befote freeze potential exists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ~
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
OFFlCE USE ONLYA~ ~tvaid IB months fran wlidolion dote prinlad in Ihis 6az.
441 * 0 4 L 8 5 5 pLEASE PRINT OR TYPE
RequeL Dole Rough-in inapectim requieed4 ? No Inspectim Oihar Than Roughln: ? Reody Nan ~ Coll
(You mua~ call Ilie inspecror en reody~ Dab Reody:
1, lic nsed conhactar ? owner hereby request inspection of Ifie above elechical work at:
Jo6 Addrexs (Srceet, Box, or
Z/O Nauh No.~ G? Zip Code
Seclion No. Township Name or No. , Nonpe No. Fire No. hl-(--
O~a PooneN..
~
adaan., ~
E m Con ~r (,C,ompwry N"ame) Connodor ~cense No. Master lic. No. ~Pkm1 EIecL OnF~
OL
Abilf Add ss ~Conhatlor or a Perlamirg Insmllonon) ~
J
Aulhori n orOw Perfomniig In 16non~ hNo.
E AI 1 8/96 STA7E BOAflD COPY - SEE IN5Tp11CT10N5 ON BACK OF VELLOW COPY
~qp~~ 9~- REQUEST FOR ELECTRICAL INSPECTION 7~ iw
~ .L O 558 0 Minnesota State Board of Electriciry
1821 University Ave., Rm. S-128, SL Paul, MN 55104
Phone (612) 642-0800
1Home Du lex Apl. Bld . OTer V~ft New Addn
Commercial Indushial Farm Remod Rs ir
Air Cond. Htg. Equip. Water Hh. Load Mgmf. pFher:
Dryer Ran e Elx. Heat Temp. Service
"X" above fhe work covered by this request. Enler remarks in this spoce ond on rhe back of the white copy only.
.C,~ _ ~ U ~ • .
4~~~'"" ,
Calculate Inspecfion Fee - This Inspection Requesf wr nol e a e ~ aul c
hbbile Home Park 00 Amps 0 to 100 Amps
O[her MRo~gfh ce Entrance Size Fee # Grcuits/Feeders Fee
Sheet Lig./Traffic S200 Am s ve 100 Amps
TmnS{Ormef/CeneR'S USE ONLY T
Sign/Oudine Ltg. RAlarm/Remota ConSwimming Pool li ~hot 1 the dale.s Irri ation Baom p-
Special Ins lion
D~
InvesfigoTive Fee
THIS INSTALLATION MAY BE ORDERED D E TED WITHIN 18 MO THS.
1c1Co44 ~}OOkI 4 1b.00
>d,S RESIDEN'I741 BUILDING PERNIlT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
TelepLone # 651-675-5675 FAX 9 651-675-5694
New Construdbn Reaulremenis RemodeVReoair Reoulrements Oflke Use Onlv
3 registered sfte surveys showing sq. ft of lot sq. iL of house; and all roofed areas 2 cop'ie,s of plan Cert of Survey Reoi _ Y_ N
(20% mazimum lot coverage allowed) t set of Energy Calculatwns Por heated additions Tree Pres Plan Recd_ Y_ N.
2 coples o( plan showing beam 8 window s¢es; poured found design, etc. 1 sHe survey for adddions & decks Tree Pres Requlred - _ Y_ N
1 sel of Energy Calculations Addifion - indicate ilon-stte septic sysfem On-sde Septic System _ Y_ N
3 copies of Trea Preservatlon Plan R lot pWtted after 711193
Rrtn Joisl DetaB Options selecfion sheet (build'mps with 3 or less unils)
Date Construction Cost
SiteAddress /w Unit/Ste #
Description of Work ge/~G+r / i~? ~ ~/.bT-r
Multi-Family Bldg _ Y_Y'N Fireplace(s) _ 0_ 1 _ 2
Property Owner Telephone # (ljs/)
SEU? ROpFIN(3 & REMOD
Contractor ELINf3, INC,
Address ST LOUIS PAGiK MN sradl16 City
State ID #0001~` Zip Telephone #ISZ) 9J.S- 722 ~v
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residenlial Ventilation Category 1 Worksheef • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculafions Submitted
Have you previously constructed a building in Eagan with a similar plpn? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Contractor Telephone J
Sewer/Water Contractor Telephone ~
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
~/~.r/~1~- //~?~G~~'Z ~ ' e%~"
Applicant's Printed Name Applicant's Signature
OFFICE U5E ONLY
Sub Types
O 01 Foundation O 07 05-plex ? 13 18-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 37 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. AR - SF
O 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-pi¢X ? 12 12-pleX Plbg_Y or_ N? 25 MiSCellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition O 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 AReration ? 37 Demolish Building' O 43 Reroof ? 46 WindowslDoors
? 34 Replacement •DemoliNon (EnUre Bidg) - Give PCA handout to appliwnt
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
} (.d) c~ e.'$.:.'KY' ~~°)4ctY J .7° +`:S;Y ~ Y . ,X'~{
iT7Y f]F' E•''_Ak'. .
CAS'=:ic'Re c -rc-„a~.,~qt. `d":'
nr;":". ~ Q.3'a~/~?7 T7..:_, '.i.;~.~'. -
. x . _
tjI
1~RMe • :ty:..AA;L:
;~a,~, c±nr~. ,~gra ct ~:iTE'd :rT d."'J..35
-o.. . .
~._,..~`o~. h.~ : . _y'n q~,
~z.;~,.^~J~ r ,
:Sr:k r i~i'.~FC`~
,l v~. <Y ~+'<i~:. .~.."'<;r t"'n_ . n"FxY,a4>c~
. , PERMIT
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 6 0 6
(612) 681-4675 Date Issued: 0 3/ 18 / 9 7
SITE ADDRESS:
4942 RUSTEN RD
LOT: 20 BLOCK: 2
CEDAR HEIGN7S
P.I.N.: 10-16725-200-02
DESCRIPTION:
Building-P-ermit Type SF DWG
r$uilding Wts.rk Type NEW
USC Dceupan,cy'•.,.,y R3/U1
/ Ganstruction Typ-e VN
Zoning R1
Building I:ength. 56
Bui ~4 di$fj,g Width 40
.Buil,diiig_'stories ; 2
1~m~
:~s~Lla ~ Fe et 1. 753
CeM~slA~V'9pad"e~ 101 1- FAM. DETACH
cstl_
~~Ij i"~~s~i
~a,~*=..] ~3~ s,i'~. i~ 3 e ~'•S,w. . ~
REMARKS:
S&W PLUM9ER: STAR PLBG
FEE SUMMARY:
• VALUATION $142,000
Base Fee $1,097.25 MISCELLANEOUS $1,~539.50
Plan Review $713.21 Total Fee $4,370.96
Surcherge $71.00 SAC $950.00
SAC % 100
SAC Units 1
Subtotal $2,831.46
, CONTRACTOR: - ppplicant - ST. LzC OWNER:
RYLAND MOMES 18546363 2003544 RYLAND HOMES
900 E 79TH ST 101 900 E 79TN ST
BLOOMINGTON MN 55420 MPLS MN 55428
(612) 854-6363 (612)854-6363
I here y c wl dge tYrat I hav:e read this application and state that the
infor t i arreat and agree to comply with all appl" le 5tate of M'n.
L S tu a d ity of Eagan Ordinances.
~ -
~ ,
E SIGNATURE ISSUED 8Y: IGNAT
VJI&O&I997 BUILDING PERMIT APPLtCATION (RESIDENTIAL) 9<0
CiTY OF EAGAN
8630 PILOT KNOB RD - 55122
681 -4675
bew Construdion Reauirements BsmodeVRecair Reauiroments
? 3 registeretl site surveys ? 2 eopies of plan
• 2 copiea of plans (indude 6eam & window saes; poured fid. deaign; ete.) • 2 si[e surveys (exlerior aCditions 8 dedcs)
? 1 energy calculations ? 1 ene
? 3 coples of Vee praservation plen if IW pletted after 7H193 ~9Y ~Iculations Mr heated adtlitiona
required: _Yes _ No onrE: CONSTRUCTION COST: ev a
DESCRIPTION OF WORK:
STREETADDRESS: f~-~ST~~? ~C.9G e-I
LOT La b BLOCK ~ SUBD./P.I.D.#: elcsa j4
PROPERTY Name: ~i)/C/iG Phone
OWNER I
Street Address:- ~ ~
Ciry: _ /Y/ 85 State: A V Zip:
CONTRACTOR Company: Phone
Street Address: License
City: State: Zip:
ARCHRECT/ Company: Phone
ENGINEER
Name: Registration
Street Address:
Ciry: State: Zip:
Sewer & water licensed plumber (new construction only): Penaity applies when address change
and lot change are requested once pertnit is issued. ~
I hereby acknowledge that I have read this appliqUon and state that the informetion is correct a a t mply ' all applicable
State of Minnesota Statutes and Ciry of Eagan Ordinances. _
Signature of Applicant:
Z411~4 !4
OFFICE USE ONLY CEIVED
Certificates of Survey Received Yes _ No NAR 17 1997
Tree Preservation Plan Received _ Yes _ No " Not Required BY,
OFFICE USE ONLY • ' 1
?
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
p'02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool
? 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
p"~31 New o 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
~
Const. (Actual) \/n( Basement sq. it. u L MC/W5 System
(Aliowable) ~j A/ Main level sq. ft. ,oL-V City Water ~
UBC Occupancy R-3.J-I 3.„) sq. ft. ln4i Fire Sprinklered
Zonin9 R- I ~ sq. ft. G8S PRV
# of Stories ~ sq, ft. Booster Pump
Length sc- ' sq. ft. Census Code. r
Depth ~ oFootprint sq. ft. 1-7 s3 SAC Code p~
Census Bldg ~
Census Unit O
APPROVALS
Planning Building M*9 Engineering Variance
Pertnit Fee Valuation: $ V H z,~v.
Surcharge
Pian Review 32, 3y K Zv. 3~r ~sa
License iLf. 3,1V ~ G c.
MC/WS SAC
z•l. iyY y,.i ico
Cky SAC
WaterConn. 's•~ ~ s,s ss
Water Meter 5• s u~ 8
Acct. Deposit s~ I o G2
S/W Permit
S/W Surcharge
Treatment PI. L 0 69, 5 7,
Road Unit
Park Ded.
g
Trails Ded. za ~ gF 100
Other zu zo, 17 yv. 3~l
Copies I x Iz. s~ r z. 7 8
Total: J(- 0 . 9 d1 ~ sy = S 72 8 8. ~
%SAC Zoa
SAC Units
34 3 - 'f
- G,e 3. a~ 82
z. 3y.c ~l. ~7 R. ?3
b~s.z ~4
~
'jGOa- R~CKT • "
g~0
~
.a r
~ KUR7N SURVEYING, INC.
w FOR RYLAND HOMES p L OT P LAN
' TH1S IS N07 A BOUNDhRY Si/RVEY ' 4002 JEFFERSON ST. N.E.
a iMOtER certirY nui n+rS xm rwr vr,s PWnxm er LiE ` COLIABIA HEIGFffS. W. 53491
a uaM rr oinECr swFxvisiw , nui mis vix+ coaaESnr PROPOSEO DATE ~8121 188-8769 FAX (617) 788-7602
aprs nE vLaeae~7rt ov n?irovosm anLou+c a ng Luo GRADES
~[a+ DescaieM xD mtT i xi A dir lIceutD uro o. I RON MONUMENT .
°FT~n"TF° '1NE30T'~. BEARINGS ARE PER PLAT p
loZ3o • ° SPIKE SEf ~30I
cnxnce sLne • c_~ = EXISTINC ELEVATlON I ~
All NNESOTA L I CEMt t.«v \~3 TOP OF BLOCK • ~~Z3' ( PROPOSED ELEV.
DRAINAGE ARAOV Sca~E IN FEET
BASEGIENT FLDOR
- o woKzuTWr~Dv: )0ta•9
Z \~,yov~~ ~ ~~o",.Ll_ r~.DD~r.SS'. '-19N2., RuST~ia ROAD
oF SOD SN6Y.14\ : H~09cr
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y
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e
ATE 4-is-g7 ~ ~y LOT 20. BLOCK 2,
~ m BUILDINGINSPECTION~ -~PT. ri* CEDAR HE I GHTS , ;
DAKOTA CO. . MN. ;
• LOT SURVEY CHECKLIST FOR RESIDENTIAL
r ' B DING PERMIT AP LICATION
~ PROPERTY LEGAL:
~ DATE OF SU ~S
LATEST REVISION:
DOCUMENT STANDARDS
? • Registered Land Surveyor signature and compatry
~ ? ? • Building Permft Applicant .
~ ? ? • Legaldescripdon
9'-'E3 ? • Address
R"' ? ? • North artow and scale
&r" o • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
R" ? ? • Directional dreinage arrows with slope/gradieM 96
~p ? • Proposed/ebsUng sawer and water services & irnert elevatlon
P~ ? ? • Street name
? • Driveway
ELEVATIONS
Eastina
5Y ~ ? • Sewer service (or Proposed)
~p O • Properly comers
0 ? • Top of curb at the driveway
? ? O • Elevatlans of any exissting adjacent homes
ro d
Q-~_a ? • Garege floor
91" ? ? • Frst floor
? • Lowest exposed elevation (walkoutANindow)
[Y ? 13 • Property comers
al"~o ? • Front and rear af home at the foundation
PONDING AREA fif aoolicablel
? 0' ? • Easement line
? C9/~ ? • NWL
? L~ ? • H1IVL
? ef' 0 • Pond # designation
? 0"~ ? • Emergency Overtlow Eievation
DIMENSIONS
Ce% o • Lot IinesBearings & dimensions
- e ? ? • Right-of-way and street widih (to back of curb)
cr" ? ? • Proposed home dimensions including any proposed decks, ovefiangs greater than 2',
/ porches, etc. (.e. all strudures requiring pertnaneM footings)
? ? ? 6 Show all easements of record and any City udlides within those easemenffi
I3' ? ? • Setbacks of praposed structure and sideyard setback of adjacent ebsting structures
? 0/0 • Retaining wall requiremenls, if
Reviewed:
Name / D te
January1996
cwAbi oueieJDCanW. Frn
. JUL-06-1595 08:33 FFY_IM RYLW4D rl!D41E5T REGION TU MlNhl P.004/H05
CAIIO MEC 92 CQMpLIA1VCE *
Builder RYLAND HOMES Submitted dy 1Z.71. TRACEY
Model GILBERT Date 4/5/95
Lot/Plan/Address OPT. 295 Degree Day Sase 8oC0 Minneapolis
TyPe 5ingle Family House Volume 41400
Filename GILBERT Control No• '7748
Uo Totals ~ Proposed I Required '
Componant - - - Area Uo Total Uo Total
[4alls 2611 .103 269 .110 285
Ceilinas 1148 .026 29 .026 30
Fl.aors~ 162 .047 8 .OSC 8
Floors (OQen) 0 .035 Q .026 0
Bsmt k'all(U) _1195_~080 96 .091 109
This House Qualifies With Total
Total 1 401 432 U-Value Calculatiane
Specificacians Uo Calculatione
°
~Walls Size o.C. Insul, Sheac. Component Area I V-Val Total
I A Frame 3.5 16 13 2.06 IFrame Wall A
B Prame 5.5 16 19 2.06 IFrame Wall B 1666~ .052 87.7
C Frame-G3r. 3,5 16 13 .45 Frame-Gar•C *286 23.4 .082 D Masor.ary 8 N/A 11 N/A lMasonary D ,080
E Mascnary N/A N/A Masonary E *
__iRing Joist 15 24 13__. 9.;0 Ring Joiat 350 .056 19.6
Window A 268 .48 128.
IDOOrs Panel Glass S.C. Window B
I A Metal .19 .62 I.68 Window C
~ 8 Iwood .46 .62 ~,98 Dcor A-Panel 38 •19 7•22
C 10ther poor A-G1ass 3 .62 1.86
Door B-Panel
Ceilings O.C. jIn5ul. Sheat. Door B-GLass
A W/Attic 24 38 N/A Door C-Panel
6 No Attic 16 19 .63 Door C-Glass
C lOther Totals 2611 268.6
Uo=iUt/AC) .103
I Floors O.C. Iaaul. Cover
A Non Con3. 16 19 1.23 Ce~.ling A 1148 .025 ..9.2
B Overhang 16 30 1.23 Ceiling A
C ather N/A 5 Ceiling C
- skyighti A
Windows U-Val S.C. Skylight B
A Alum T.B. .48 .88 Skylight C ~
B Wood .52 .88 Totals 114e 29'3'
C Vinyl/FG .38 .88 Uo=Ut/At
- ---0?--
skylighta ' V-vall S.C. * Baeement walls n 50% below qrade
A Standar.d .60 .88
E High Perf. .32 I.5 NOTICE: Users oE this software are respansible
C Other ~ for the specifications and dimensional data
used to generate this report. The developers of
HvAC Equip ltating the software are in no way reaponsible for the
Gas AE'UE ,78 miarepesentaCion of sny build~.ng due to errors,
~ HP HSPF 6.8 omissions, or any other miause of the software.
AC/HP SEER 10
. SL.L-0E-1995 08:34 FRGM RYLRND MIllWEST REr,iaJ TD MINN P.[05ie05
Page 2 of 3
Suilder 12YLAND HOtdE5 Submi[ted By R.H. T12ACEY
Model GILSERT Date 4/5/95
Lot/Plan/Address OPT. 295 Degree Day Sase 8000 Minneapolis
Ty4e Single Family House Volume 91400
Filename GILBERT Control No. 7748
P O i~tlam6~S-~5GGP'A4AC-~S6~CODS__ ID Q r r~ ~CIC
Dimensions
;47ails I Frame A I Frame B, jGar.Com.C1 I Mason.D1 Maaon.E
`
i
Sasement Ssmt. Above Gr 608
lst Floor 912 lat Floor 304. Helow Gr 608
2ad Floor 1024 Crawl.
3rd Flcor Misc.
Misc. Misc.
Misc. Misc.
Ring Area 350
-
IWindows I
lAluminum I 247 I I ~ I 21
Wood
Vinyl/FG
Doors (G=Glase Area - 0=0 ~ e Area)
Metal G 3
O 20 18
Wood G
O
other G
O
I Ceilings I With Attic ~ No attic I Other
i f 1148
I--------------
iStd.Skylitasl I ~
~HP Skylitee I
Other
Floors ^I Non Cond. I Overhang I S1ab
162
1 I3250escription IQ2Y'I303oescription I
windowsiQly I6o683GLASS1DO0R IQ 2
stion IQty.` Deecription I
4 2820 DooY9 k4iY•IG~es wALL t DOOR IQly IF~'~'Ry pOOR
vvs=vna'-a_c~~-ecvs~-eac~~..c-aes="ooF=
'=~~~a=ee=_3c~-mveec_~~~nam=~:c~ave~vvo=
h
TDTRL P.005
:
rt, • `
V' L~ dO gL ~ CITY USE ONLY RECEIPT#:
SUBD. RECEIPT DATE:#~ ~ ~5 A~ ,
s. '
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD = -
EAGAN, MN 55122 , .
(612) 681-4675
Please complete'for: . single family dwellings
w townhomes and condos when permits are required for each umt .
p backflow preventer for underground sprinkler system
FIXTURES EACH , jJO.' . -
Shower 3.00 x
Watar ~~Io;Et 3.00 x
Bath Tub 3.00 x
Lavatory 3.00 x
Kitchen Sink 100 x : '
Laundry Tray 3.00 x
Hot Tub/Spa 3.00 x ,
` Water Heater 3.00 ` x
Floor Drain 3:00 x
Gas Piping Outlet ' minimum - i 3.00 x' -
Rough Openings 1:50 x [wr''' k
Water Softener ' fordwallings under conswction 5.00 x
Water Softener ' for ezisting dwelling 20:00 : x_ -
U.G.Sprinkler `fordwellingundereonst. 3.00
U.G. Sprirlkler 'forezis8nptlwelling 20.00
Altet2tion5 `toexistingresidence 20.00
Water Turn Around 20.00 =
Private Disposal System • oak cry ra 65.00
- (new end retutbished systems) .
PNvate Disposal Systems ' neandonment 20.00
STATE SURCHARGE ;'50
TOT:.L
' -
I hereby aCknowledge that I have read this applkation, stete Mat the iMormationis corteG, and agree [oacomp,tywdh al4e~plicable CRy ~s
of Eagan oMinances. It Is the: applicanYs responsibility to notify the praparty ownecMat the Cdy of'Eagan,a,ssumes no IiebAi~t,`y kr any :
damages caused by the City during iLS nwmalaperatianal and maintenance adiyRies to the~facilrfies eonshiictedunder tF~i3 permitwiGnn;•-'
Cirypropertylright-of+way/easement. SITE ADDRESS:
OWNER NAME: _
INSTALLER NAME: GENZ-RYAN' PLi7MBING TELEPHO.NE 423-1144,
rSTREET RDDRESS: 14745 So Robert Tl
CITY: Rosemoimt STATE: MN _ ZIP: 55068 :
IGNAT E OF RERMIT'fEE
OFFICE USE:ONLY_ . , . . , ,
,
V/~, .
L ad gL ~ CITY USE ONLY RECEIPT
SUBD. RECEIPTDATE: `3 5//r 7
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 56122
(612) 681-4675
Please complete for. • single family dwellings
? townhomes and condos when permits are required for each unit
'VI New construction Add-on furnace
3-ir oiid.ri air svr.,F,:annnf, i A. lJa-:!!` a~•a~ar!t 94r
. ~.y.~...:...'
Date:
~
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 0
? Gas Outlets (minimum of 1 required Q$3.00 each) ~
? State Surcharge .50
TOTAL ~
SITE ADDRESS:
OWNER NAME: PHONEdk
INSTALLER NAME: GINZ-RYAN HEATING PHONE 423-1144
STREET ADDRESS: 14745 So Robert Trl
CITY: Rosemount STATE: MN ZIp; 55068
UfaNAT E OF PERMITTEE
CITY USE ONLY •
L _ BL _ RECEIPT#:
SUBD. RECEIPTDATE:
1997 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(812) 681-4675
Please complete for. . all commerciaUndustrial buildings.
. mulB-famiry buildings when separate pertnits are nM required for each dweliing
unit
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: w $25.00 minlmum fee Q 1°k of conVact price, whichever is greater.
• Processed piping - $25.00
? State surcharge of $.50 per $1,000 ofpgrmjt fee due on ail permits.
CONTRACT PRICE x 1 %
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ACCRESIV:
OWNER NAME: TELEPHONE
TENANT NAME: (tnnpRoveMeNrs oNLv)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE
SIGNATURE:
SIGNATURE OF PERMITfEE CITY INSPECTOR
` 1995'Vystwowi Pro(<ssional Servicef. Inc. ' ` ~ \ T.. q d' i~ • '
CONNECT i0 E%. MH BY ~ ,n e} 6 %
• Coll 60 Mq•5 belo--! 0 f PAT.;HING Of STREET
q9°9' CORE DRiLL/CONCREiE SAw UAIKWPY
GOFHER STATE ONE CALI x. Z 3 & ADASi PM TO uAiCH Ex. INCIpENif1 i0 W4iF.l e : zsee u
mn iMi ~n< i-AOU-.5]-n66 GRAOE. unw CONSTRUCPOx.
..M cnr n..o asa-oooz , _ - / • , ON rOR SEl0i I.RNCE 2. ntrE5 7 ~ kRELEV TR' LOCn110N
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D \ ,7 _ RENOYE EH. 6 -90° SEND
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S~A~ER R
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' CO P/.CPpI EfFOP15 irv51DE \/15' ESVT 6'-22 1/2° BEN I w \ (n 968.5!O rts ao~1 7!l
NOTE: ~ 1 I p\
YN2D MEAS SnN1 NEET $PECS 10 \ , 3 ~ L 9 8 Q.
CeLLEp FOR UNDEN STREETS
(95S SiANDARD FROCTOR) ESwT.
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NOTE: ~ 7 6" GAIE VI~LVE ~ ~ ~ ~ ~i • ALL SN11T4RY :LN£R SMALL BE HIDRMIT / ~ 20 21 22 23 24 SOR 75'uNlE55 OTIERMISE 10111I 48"-6" pP P~ C~(ra P/L tQ
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NO EL ~ 1028.9 u~ WRB STqP lOCA1E0 ON CflOUND EL--1~"H~9.J
PkOPENTY UNE. SEFNCE SN,L: BE EXIENOED
~
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TOOBTNMSIUBWYEfiL /"WfE~0~55 WYE LOCeMINTON MIJNUHESF20YE Nl WeTERWUx RPE 9ULL BE
5„~, U.M. ~.u s„~,ESS o„~,~ „oMo. RUSTEN R4AD ~N~O HE~WAO.OG SLATER RD
k STORLAND RO . 9T.011 0' 50' 100' 150'
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OI ~Y _ -
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA108050
Date Issued:11/13/2012
Permit Category:ePermit
Site Address: 4942 Rusten Rd
Lot:20 Block: 2 Addition: Cedar Heights
PID:10-16725-02-200
Use:
Description:
Sub Type:e-Reroof
Work Type:Reroof
Description:House
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Elizabeth A Anderson
4942 Rusten Rd
Eagan MN 55122
Superior Exteriors MN Inc.
4520 Tower Street
Edina MN 55424
(612) 382-2549
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA176784
Date Issued:06/02/2022
Permit Category:ePermit
Site Address: 4942 Rusten Rd
Lot:20 Block: 2 Addition: Cedar Heights
PID:10-16725-02-200
Use:
Description:
Sub Type:Fixtures
Work Type:Replace
Description:Kitchen
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
All tiled shower bases require a water test.
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
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 -
Elizabeth A Anderson Buss
4942 Rusten Rd
Eagan MN 55122--402
Sieben Plumbing Llc
18605 Fischer Ave
Hastings MN 55033
(651) 343-6298
Applicant/Permitee: Signature Issued By: Signature