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4943 Rusten Rd INSPECTI4N REC4RD ~ ` 'CtTV~OF EAGAN PERNIIT TYPE: " ~ ' 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: " ~ ' ' ~ (612} 681-4675 SITE ADDRESS: ` < ~ " ' ` ~ - ~ F' APPLICANT: = : H~ n~ r . ~ ~i•:iFN 1?n i, ~ i ~~M~ • ~ 1 ~~~'~.1~ I~~ • .,fi i . „ ,~'x+R;-_' . ~ ~ . . . • ~ ~Y;' . I PERMIT SUBTYPE: 'R }K'''~""~ TYPE ~F WORK: ~ ~ ~ . . . . r+~, , f~,t1N,~1, 1 ~ ; i~ h1 1 rd t? r? f ~ f I Rt r ri~.~~~ ~ ~~~r~~ i r i~~ i~~ F,~ ; ' ir,~~ir~i) t W I~I i~~, t>>~~~~ii i ra ,t I~. + Fr~rti1 i•~ tc~, s tl~ni u; t9riGF 7~ ~~1 I~ r:l• .1 d:i. 1•I 1~i~ ~ ~ ~ ' ~ ~ Permit No. Permit Holder Dete Telephone N ~ ELECTRIC a ~g ~G Dv ~ . PLUMBING 3D G J~,~3^ ~ HVAC ~ ~ ~ Inepection ate Insp.' Comments FOOTINGS Y/~~ lq / _ ! S~ FQUND `~~5/ ~f FRAMING ~ ~G jh~ ROOFING ROUGH / PLUMBING L PLBG ~ ~ AIR TEST ROUGH ~ 1 HEATING GAS SVC ~ ` TEST (7 INSUL GYP BOARD FIREPLACE ~ v FIREPLACE ~ / ' AIR TEST ~ ~ FINAL PLBG ~ r+ FINAL HTG K • ORSAT TEST ~ BLOG FINAL _ G ~ BSMT R.I. BSMT FINAL DECK FfG DECK FlNAL ~ • i~~'~? r` - ~ ~ ~ ; ~;e~ti~icate n~ ~ccu~anc~ ~ ~i~j a~ ~agaa . 4~c~rartmcat o~ ~Mili~g ~hc~ecrioa This Certificate issued pursuant to the ~r.q~irements of the Uniform Building Code ctrtifying that ot ~he ti~ne of issuance this structure was in compliance with the various z ordurances of thr City regalating b~ilding constructioR or use. For the followirtg: u~ c~r~u~oo: SF D~iG sw~ ~c tvo. 27262 ~r 1Yr~ R3/[T I ~;~6 n~u;~x a~ rya c~. ~ o.~~ or sww~ F~I~11+ID F~F.S ~~~00 E 7~ ST. I~LS ~~4Q43 ~i E~IAD t,~;,y L 12, ffi. ~1R l~IQ~TS ~ o~: ~~U/ylf _ e.~os ar,~ / ~ POST IN A C~(~NSPICUOUS PLACE ~ - - , i.';i J;'f~~' - . , ~ , r' . .._.r... . . , . . ~ . . Address 4~u,~ mis~ unnn Zip 5512 2 Lot 12 Blk 2 Sub CFAAx t~ICdITs THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON. Date: y~(p Yes No Inspector: Final grade (6" from siding) ~ G-- Permanent steps (garage) Permanent steps (main entry) Permanent dtiveway Permanent gas Sod/Seeded grass TraiUcurb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shu[-off of water supply to the outside lawn faucet before freeze potential exists. Contaa engineering division at 681~645 before working in right-of-way or installi~g underground sprinkler system. Whice - City Copy Yellow - Resident Copy Pink - Contractor Copy ~ ~ ryW ~ v ~ OFFlC (U'~~SE (N1lY/_This m9vut void IB monfis from mlidafian dah pnn~e~d vin M/is 6m~.-^ ~~d ~7 W ~l (B ?K/' J PLEASE PRINT OR TYPE ~j ~O~ ~ Reqipst Qa Raugh-in inspecfion raqoired2 ? s ~ No spedlan Other Than Rough~ln: ~ Ready Now Will ~ro~ m~~~ ~n *e ~~.P.ao, rcoarl oom e~dy: I, icensed confmdor ? owner hereby request inspection of Ihe above elechical work of: b6 Addren (Skeet, Bo~, ar Ro o.) C Zip Code 3 ~ Seeion o. Township Name or No. Range No. Fire Na. Ga / ~C.~~ Occ Pho9~~ C~ Power r lddre Ele nm Convacbr ( ompony Name) Cankactor License No. Moster lic. Na. (Plom Eled. Only) d. c, e ~ozy Mailing Pildress ~ConkotlororOwner PeAorming InsMlloHan) U7 e Crrc ~`'l e MN S'~3 lwihori Sig~wNm~Conha erPedo 'qlnslollanon) Phone~No. - 7 EB- tA-106/9 STATEBOARDCOM-SEEINSTRUCTIONSON6pCKOFYELLOriCDPY I II I II I~~ f I~I RE~UEST FOR ELECTRICAL INSPECTION 5~ Minnesota State Board of Electricity i~~~ ~~R 1821 Universiry Ave., Rm. S- 26, St. Paul, MN 55104 ~ * " 5 2 7 8 7 * Phone (812) 842-0800 ~~~(p ome Apt. Bldg. Otfier: ' New Addn Commerciai Indushial Form Remod Re air Air Cond. Htg. Equip. Wakr Hh. Lood Mgmt. Other. D er Ran e Elec. Heat Tem . Service "k' pby_ve th~~york cov r 6y fK requp~sF. Enfer ar ' is spa nd on e ck ollFie white mpy only. C~j ~ Calculate InspecNon Fee - ihis Inspecfion Request will not 6e accepfed without ~he carrecf fee: Other Fee # Service Enhance 5'ae Fee S Circvih/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps $ireet Ltg./~roNic Sig. Above 200 fvnps Above 700 Amps Transformer/Ge~eraror INSPECTOR'SUSEONLY T ~,~y-~ Sign/Ouiline Lfg. Xfmr. ~M~ O y~~ Alarm/Remote Conhol ~N~ Swimming Pool i nereb cem ~ha~ i~~: h i m f ~h. doxa :mred Irrigation Boom Ro~ph-I~ Daro Special Inspection Invesfigative fee F~~ol THIS INSTALLATION MAY BE ORDERED DISCONNEC D IF NOT COMPLETED WITHIN 18 MONTHS. . . PERMIT e2os5oos CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: e u z ~ o i N s Eagan, Minnesota 55122-1897 Permit Number: e 2 7 2 6 2 (612) 681-4675 Date Issued: 0 4/ 0 9/ 9 6 SITE ADDRESS: 4943 RUSTEN Rq LOT: 12 BLOCK: 2 CEDAR HEIGH7S P.I.N.: 10-16T25-120-02 DESCRIPTION: JBu'i],din~.ntiPermit Type SF DWG /Buildinq W~~k Type NEW UBC Occupartc~ ~ R-3 U-1 ~ Construction Type V-N , Zonzrig R-1 6wikding L~ngth ~ 76 ~ Building Width 30 B.u~3Ld.An~ ~t4rles_..j`~ 2 ~ "SqUare Fee~;-~~ 1,997 C~~^nsui;s~.~~+ode 101 1- FAM. DE7ACH ~ "~i/ ~t ~ ~ Ity~ r ~ C~ f ~ I< <•~l_`~'~~ I w ` l~: f ~~~+y ~ ~t ~ 4. . ~ ~ .....t -~A . +A~' - REMARKS: S& W PLBR - STAR PLBG - FEE SUMMARY: VALUATIpN $163,000 Base Fee $1,202.25 MISCEILFlNEOUS $1,923.50 Plan Review $601.13 Total Fee $4,708.38 Surcharge $81.50 SAC $900.00 SAC ~ 100 SAC Units 1 Subtotal $2,784.88 CONTRACTOR: - qpplicant - sT. ~zc.OWNER: RYLAND HOMES 18546363 2003544 RYLAND WOMES 900 E 79TH ST 101 900 E 79TH ST 101 BLOOMIN~TON MN 55420 MINNEAPOLIS MN 55420 (612) 654-6363 (612)854-6363 - T heretry d'ckr~~wlsd~je tha~ Z heve reaet this apPl3ca~ion and staG~ that the information is correct and agree to comply with all applicable State of'Mn. Statutes and Ci~y of Eagan Ordfnences. I- _ . J ~~~~,~^f--- `_(~cx~n . t m.~- . APPLICRNT/PERMITEE SIGNATURE ISSUED BV SIG TURE ~ ~ CITY OF EAGAN ~%~e~a /~j2E/}s ~ 7996 BUILDING PERMIT APPLBICATION (RESIDENTIAL) ~M~ ~z 681-4675 23 Ne!!~ C+~nstrudion ReoWrementa_ RemodeVReoair Reauirements ~I S't / ? 3 registered site aurveys ? 2 copies of plan ' I~~•~~ ? 2 copfea of plans (inUude beam 8 window sizes; poured fnd. design; ete.) ? 2 sile surveys (exterlor addRions 8 decks) ? 1 ener9y celcu~ations ? 1 energy pkulations for t~eated addkions ~~-q ? 3 eopiea of tree preservaNOn plan N ~ot plafled after 7/1193 ~ required: _ Yes _ No DATE: ~I~c'~"~h CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: e- ~ LOT ~ BLOCK ~ SUBD./P.I.D.#: ~~r~ Y ~PIC)I1~ PROPERTY Name: ~v ~Cl.t"lU 1'T orne5 Phone ~ca~?~r3 OWNER l^ C Street Address~ E ~ r L ~~t . ~J te • ~o ~ City: ~ ~~S State: « Zip: ~ ~``~a ~ CONTRACTOR Company: ~nIY~ e .lS I,JU~Q Phone ~~21) Street Address: License #:a0~~`~ L City: State: Zip: ARCHI7ECT/ Company: . 7n, m~. QS 0- IJOUr Phone ENGINEER Name: Registration Street Address~ City: State: Zip: Sewer & water licensed plumber: ~-E(7~r r I 1 rn b I f~Q Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that 1 have read this application and state that the information is corcect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ~ Signature of Applicant: i OFFICE USE ONLY ~+s- ~ ~l~~ Certificates of Survey Received _ Yes No Arr~, ~;;};i a Tree PreservaGon Plan Received _ Yes t% No _ c /IR ~ " .s~.:~' OFFICE USE ONLY ~ ` ,~.m. . .c~ a, BUILDING PERMIT TYPE o 01 Foundation o O6 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ~02 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. a 10 _-plex o 15 Deck . WORK TYPE ~31 New o 33 Alterations ? 36 Move 0 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actuai) Basement sq. ft. 2~s MC/WS System (Aliowable) ~ Main level sq. ft. G z~z City Water UBC Occupancy Z"~ sq. ft. z6s' Fire Sprinklered Zoning ~-i sq. ft. PRV # of Stories Z 4r~s~r sq. ft. Booster Pump Length sq. ft. Census Code. Depth 3o Footprint sq. ft. sy7 SAC Code ~2L- Census Bldg ~ Census Unit / APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ ~~3~ ~~O ~ Surcharge Plan Review ` License ~ ~ MCNVS 5AC ~ I l'~ City SAC ~ ~ ~7 Water Conn. Q ~ • Water Meter r ~ Acct. Deposit ~ S!W Permit ~ 7/ S/W Surcharge Treatment PI. ~ Road Unit \ Park Ded. ~ . I t Trails Ded. Other Copies Total: % 5AC SAC Units PLOT PLAN FOR eY~ aNn Nn~~~c ' THIS 1S NpT A 80UNDARY SURVEY - ~ MO1~'' «mi^' TuT Tu: r~ PROPpSEp ~RTH SURV~YING. 1 NC. ~ 4OEA M~' DIPECT ~EqY1iIW ,xµ Yu OpEP~EO BY IIF GRADES ~002 JEFFERSON ST. N.E. °pVS TM~ ~'ka'°'r oF • PNOVOSmn''~T TM~s P~"'~ C0q"ECnr ' COlU1,IB1A HE1WfTS, Mry, MENEW DEfcqlqEp /!a 71~T I,y~ ~~Y LIC ` I61Z) 7Aa•8768 Fnx i6i z~ iee?ieo2 YE7d1 lM YS OF 7NE iA7F OF M 3~~ OARAOE SLAB • ~ OZ,I~•~_~ TOa OF B~OCK • >O~~-.`~j oATE MInAlESOTA LI E N0. 1 to 1~ 3 e~s~E,,,~ . O~ ~RON MONUMEN'T BEARINQS ~pE AER p~~7 YC~ ~d ~ • EXI STINC EI,EV~TION ~ ) • PROPOSEO E~Ey, f' • DR~i1VApE ARROV ~ 20 F~-~ SCALE IN FEET N 40'37'15"E 95.75 . ,oo~~,~ ~,~oe~> 4;00~ ~°0-~ ~ ORAINAOE t UTILITY EASEMENTS 5 ~ _ ~ - - _ ~ I ~ f~ f~~t' ~ ~ ~ ~ t A la 1~M ~t - REV~E~~~ _ ~IS~S) ~q e ~ 0 Z iY , y,1~, VG DEPT. 3' y /r ~li ]EAGAN ~1VGIN ~ cn ~ I ~a ' 1' cn N I ~~t S~ ~ o" ~iv c-~ I ~ ~ h I ~ (1019.0) (io\ ~ w t~~tic.p cs-T \ rrj ~tO•> q, ~ 1 O ~ ~ ~ 1 J1 _ i ot~~ ' W 1~~ ~ 41 1 l~~'l~~T,1 ~J ~-l ~ ~2~~0`~l~l~i W ~GC..2~ ~ ~ b,_, ~ ~r ~~i.. V~.l o • ` N ~ ° ' i ~o 0 , D ~ i ' ~ HUCi~ \Z, , ~ q l~ S~. I~• GL-L1/• I ~ ! 6AR~ _ . \ toz~•Z 9 i C~ oz~ • o D r~ ~~o,~.s ~ 10Z5"~, L` •r.• .T ' ' OYI' C.l ~ _ ..T . ~...-...T..... , t • _ ~ ~ C7 L 3 • S ) ~~KSC~~ o~ti~ ~ ~ I ~ ~ ~ ~ w ~ ~ 7 _ ~ 3 O ~ o~(~ • o ~ 4 Y 'ioi•o `q~~.s~ C\ 0~.2• ~ - L~o~~.s~ S 90'37' 15"W ~5.`Z S N _ _ ~ ~ o~~`zki \10"L1.~7 t10~tp.fo~ I BE~.~CKMATLK.:Tw~l~- LOT 1 2. ~`3'LOCK 2~'' ~~J RUSTEN ROAD ~oTS z-~ ~'-i,a~oc.sc.~... CEDAR HE I GHTS . ~ 60 • R~~,J ~ 8~c,~,.~r-v~~~ .-`c.~! • DAKOTA CO . . MN . ~o~~ • c~-~ xn,rc, ~-ro,s c. 3 C/a. R A.~ o . LOT SURVEY CHECKLIST FOR RESIDENTIAL , BUILDING PERMIT APPIJCA N PROPERTYLEGAL: ~ ~ ~ATE OF URVEY: ~ ~ ~ LATEST REVISION: ~ ~ ~ DOCUMENTSTANDARDS ? • Regisiered Land Surveyor signature ar~ compeny ~ ? ? • Building Permit Applicant ? • LegaldescdpUon r~? ? • Address ~o ? • North arrow and scale m'" ? ? • House type (rambler, walkaut, split w/o, spiit eMry, lookout, etc.) 0% ~ • Directional dratnage arrows with slope/gradient % 0% ? • Proposed/ebsting sewer and water services & invert elevaGon ? • Streetname 6i~~ ? • Driveway ELEVATIONS E»asstina ~o ? • Sewer service (or Propased) ~o ? • Praperly comers G~O ? • Top of curb at the driveway ~~o ? • Elevations af any e~asstiYng adjacent hames Pro ~Yo ? • Garage floor C•Y ? ? • First floor ~0 Q • Lowest exposed etevation (walkouthaindow) i~YO O . Property comers C+i~O ? • Front and rear of home at the foundation PONDING AREA frf aoolicablel ? ~ ? • Easement line ? ~ ? • NWL ? L~ ? . HWL ? ~ ? • Pond # designation ? ~ ? • Emergency Overflow Elevation DIMENSIONS ~ ? ? • Lot IinesBearings 3 dimensions p~0 ? • Right-of-way and street width (to bedc of curb) ~o ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring pertnaoent footings) ~ • Show all easements of record and any City utilfies with(n those easements ? ? p- • Seffiacks af proposed structure and sideyard seffiack of adjacent e~dstlng structures ? • Retaining wall requireme , ff any Reviewea: 2 ame / te January 1998 CRAq79G&BLIX3PRMT.FM f • . * CABO MEC 92 WMPLIANCE * Builder RYLA26D HOP~3 Submitted By R,x_ TRACEY Model HAD7ILTdN 8 LOW E C3LA9 Date 5/1/95 Lot/P1anJAddress w/295 FULL BSMT. Degree Day aas@ 5000 Minneapali~ TYPe House Volume Q Filename HAM2LTON Conkrol No. 4688 _~---------------------------i---~----- Uo Tatals ~ Froposed Re ired Component Area Uc Total Uo Total Wa11s 3005 .10a 325 .310 328 Ceilings 1330 .026 34 .026 35 E7.aara 0 .047 0 .Q40 0 Floors (Openl 12 .035 0 .026 0 Bsmt W2~11(V) 1195 .QBO 96 .p91 109 Thia Houae Qualifies With Total Total ~ 455 ~ ~ 472 U-Value Ca].culationa 3pecifications Vo Calculations v~alls Size O.C. Inaul. Sheat. Component Area U-Val Total ~ A Prame 5.5 16 19 2.p6 Pram~ Wall A 1917) .052 100. B Frame 5.5 16 19 2,06 Frame Wall 3 C Frame-aar. 3.5 16 13 .45 Frame-Gar.C 198 .082 16.2 A Masonary g N/,A 11 N/A Masonary D * .OS~ E Masonary N/A I N/A Masoaary E * Ring Joist 15 24 13 4.0 Ring Joist 3B2 .~56 21.4 Window A 455 .38 272. Doors Panel Glass S.C. Window 8 A Meta]. .19 .62 .88 Window C B Wood ,46 .fi2 .88 Doar A-Panel 46 .19 6.74 C Other poor A-Glass 7 .62 4.34 - ----_..__g__---_____..------------- Door 8-P~nel Ceilin s o.C. Insul. Sheat. Door B-(31ass A W/Attic 24 38 N/A Door C-Pane~ B No Attic 16 I9 .63 L+ooY C-Cilass C Other Totals 3005 324.6 Uo~(ut/At) .los Floors a.C. Tnsu1. Cover - A Non Cond. 7.6 19 1.23 Ceiling A 1330 .025 33.9 8 overhang 16 30 1.23 Ceiling H C Dther N/A 5 ` Ceilir.g C ~ Skyight A GPindows U-Val S.C. Skylight 8 A Alum T.B. .38 .88 Skylight C B WOOd .52 .99 Totals 1330 33.9 C Vlriyl/FG UO=Ut/At .026 9kylights U-Val S.C. * BasemenC walls ~ SG~ below grade A 3tandard .60 .g8 B High Ferf. NOTICE: B~ers cf this soPtwaxe az~e responsible C Other for the specification~ and dimensional data used to generate th3.s report. The developers of HVAC Equip Rating the software are in no aay responsiUle far the das AF'UE .78 mi~repesentation of any building du6 to eXrors, HP HSPF 6.8 orniseiona, or any other misuae of the s~ftware. AC/HP $EER 10 Lti&~Z00'd NNIW Ol NOI~J32! 1531`SQIW QNtl~.lJ I~d L~:£S S'66t-LF-1,kiW ~ , Page 2 0~ 3 Builder RYLANL7i30NE3 Submitted By R.li. TRACEY Model HAP92I~TON B LOW E QL,AS Date 5/1/95 Lot/Plan/Addreas W/295 FULL SSMT. Degree Day Sas~ 8000 Minneapo2is TYpe House Volume o Filename HAMILTON Contral No. 4686 _~~.-.-.anemcxs==='--=xc~xscoa~aev==~vex=e~xx~amtsmmmm=mzneee=ec_-'~x=vve~"=v==~m~ae_= Dimensior~s Walls I Frame A ~ Ezame 8 ~ ~Gar.Com.C~ ~ Mason.D( Mason.E - Baeement Samt. Above Gr 608 lst Floor 11?0 Sst Floor 216 Selaw Gr 608 2nd Floor 1216 Crawl. 3rd Floor M.iec. Misc. MisC. MisC. Mi~c. Ring Area, 382 - Windows Aluminum 434 zl Wood Vinyl/FG I ( I - - - Doors I(G=Glass Area - o=opaque Area) Meta1 C3 , 7 O i 28 18 wood G O Other o I Ceilings I Wi1330ttic f No Attir_ I Other I f sta.skylitesl IiP Skylites Othex - ---i2-------------------- Floors f Non Cond. + Overhang ~ 31ab ~ ~ Windawe Qty. Deacription Qty.l Dascription {Qty, Description 2F2~Misc.(EnCex~ Area) 9 3250 7. ~3030 2 2840 4 2820 Doars 1~~Y•~~ gWALLtDOOR ~~1~ 'SNTRYsW/DBL~SDLITE,Q~~ I Description ~ ~ ==°=z~~~mss_______________~~~~~-------------- ° Lti0i~00'd PJNIW OJ. NOI'J32! 1S3"10[W QNti~1,b WO~~ Lz:£T S66S-LL-AyW CITY USE ONLY ` L 1~ BL ~ RECEIPT ~ ~ SUBD. I DATE: ~ ~ 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)687-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH ~ TQTAL Shower 3.00 x t = 3- Water Closet 3.00 x 3 = ~l - Bath Tub 3A~ x ~ _ Lavatory 3.00 x T = 15- Kitchen Sink 3.00 x + = 3~ Laundry Tray 3.0~ x ( = 3- Hot Tub/Spa 3.00 x = Water Heater 3.D0 x ~ _ ~ - Floor Drain 3.00 x ~ = 3 f Gas Piping Outlet ` minimum -1 3.00 x ~ = 3- Rough Openings 1.50 x ~ = 4.5° Water Softener 5.00 x = Private Disposal ` Dakota Cty. license 50.00 = (new and refurbished systems) U,G. Sp~inkle~ home under const. 3.00 = Alterations " co existing ao.oo = Water Turn Around 20.00 STATE SURCNARGE .50 TOTAL ~ 51TE ADDRESS: ~~~"3 ~''s'~~ R~~ OWNER NAME: ~'y~~~ INSTALLER NAME: STREET ADDRESS: ~ ~ w ~ ~J~~~ CITY: pJ~~-~ ~~Q~~-- STATE: ~ ZIP: ~~Z~ PHONE ( ) ~~"4~~ ~-ks-----~ OFPICE USE ONLY ~ - L BL RECEIPT SUBD. DATE' 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PIL~T KNOB RD EAGAN, MN 55122 (612)681-4675 Please complete for: . all commercialfindustrial buildings. ~ multi-family buildings when separate permits are pQt required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ~N REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF 50, PLEASE PROVIDE THE FOLLOWING: 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. SPRINK~ER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: APPLICANT OFFICE USE ONLY METER SIZE: DATE: INSPECTOR: ' L~ gL ~ CITY USE ONLY RECEIPT =ilJ /~7 SUBD. f~ DATE: CP 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681~675 Please complete for: ? in le family dwellings j ? townhomes an con~s when permits are required for each unit New construction Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: y - ~ q -G ~ FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 4:D0 Addi6onal 50 M BTU 0 ? Gas Outlets (minimum of 1 required @$3.00 each)(~.~ ? State Surcharge .50 TOTAL ~ . ~O SITE ADDRESS:Wqy 3 ~L}~~n OWNER NAME: PHONE ~~3 INSTALLER NAME: I"I"~" ? STREET ADDRESS: «r~ ~ + ~n~~"~ ~P n CITY; ~~~U Yl ~~L STATE: (Y1 Yl ZIP: y a8 PHONE ((dIa) ~-I3S~ ~ ~ ~ , CITY USE ONLY ` L BL RECEIPT SUBD. DATE: 1996 MECHANICAL PERMtT (COMMERCIAL) • CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681~d675 Piease complete for: ? all commercial/industrial buildings. ? multi-family buildings when separate permits are ~ required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ~$25.00 minimum fee gC 1% of contracf price, whichever is greater. • Processed piping - $25.00 ~ State surcharge of $.5D per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1°l0 PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: SIGNATURE OF PERMITfEE CITY INSPECTOR ~ ~ ~ ~ ~ RESIDENTIAL BUILDING ~ I `3 PermiC Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephoue # 651-675-5675 FAX # 651-675-5674 New Construction Reaui2ments RemodeVReoair Reauirements O(fice Use OnN 3 registered site surveys showing sq. ft. of lot, sq. it. of house; and all rooted areas 2 copies of plan CeA of Survey Reed (2U% rroximum bt coverage allowed) 1 set of Ene~gy Calculations for heated addNOns Tree Pres Plan Recd 2 copies of plan shaxing heam & window sizes; poured found design, etc. 1 sde survey for additions 8 decks Tree Pres Not Reqd 7setofEnergyCalculations Addition-indicatei(on-sifesepUcsystem _On-siteSep6c5ysiem 3 copies of Tree Preservation Plan If lot platted after 7l1193 ~ Rim Joist Detail Options selection sheet (bldgs with 3 or less uniGs Date / a~' ~A Construction Cost S~ Site Address ~Y{ 3 r~ K a Unit/Ste # Descriptian of Work ~ ~oo¢'~" Multi-Family Bldg _ Y_ N Fireplace(s) _ D_ 1 _ 2 Property Owner ~Q Y Telephone # ( ) Contractor ~ 1 ~R ~ % a?~ Address 16~ Cc~.~ City State Zip Telephone # ( E~~ ~j~ ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeoro 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet (~submissiontype) Submittad Submitted . Energy Envelope Calculations Su6mitted Licensed Plumber Telephone ) Mechanical Contractor Teleph ~ _ ~ i ~ u ~ ~ Sewer/water Contractor Teleph #~PN ~ 0 2003 V By I hereby apply for a Residential Building Pernut 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 perniit; that the work will be in accordance with the approved lan in the case of work which requires a review and approval s. ~~~~~j r Applicaz 's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? D7 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plpg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 ~emolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors ? 34 Rep18C2ment •Demolition (Entire Bldg) • Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings(deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ~ ~ 5 ~ _ _ ~ ~ / ' ~ - r~-~ _ ~ ~=,.as ~i ~ ~ , so~ ~ _ - - ~ ~REMOVE PLUG & "ONNECTI I \ Iq ! ~ ~ _ . . ~ ~ TO Ex. 6" DIP w/6~- _ ~ \525 ~1 ~L ~ p~ n i/<~ e[no ~ G~ ~ Q . . ~ I ~ ' 4'• PVC SE wCE SDR-25 (iYP.) s ~ \\~Z NH'[' i / 0 ~ 1 " 66' - ' ~ s G N•rE=o.5s ~ \ y - " 7" COPPER ER~nCE TWE K (TYP., y - / / ~ 15~ ES>A7. ba ta~_ 5Jr ~ NGTE i 958-3~ COUPACTION EFPORTS iNSIDE / % o ~J Q ~f O ~ ~ N 968.5 ~ ~ _ ~ \I( 6~-22 t 2 BEN ~ q l 1 I rn: A YnRD AREAS SMnll n1EE~ PECS ~ 3 ~ C~ oY \ CALLED FpR UNpER SINEETS 5' ESNT. ~ , N"~'C=2*09 G ~ ' _ ~ : a t ~ ~B ~-~~3 ~4 (95x STAYDPRD 7ROCTOR) _ wYE'1+27 ` ' l . ~ ~Y ;075.0 ~W1'E=7t27 WYE=0+32 WYE=2+37 ~ r \ ~ ~ ~ ~ ~ ~ ~ 101d.5 , WYE=1i64 6W wvE=0+50 `,1 - / / / ~ ~70 pT yy 6T , !Y' 7u• bO' \ 983.9 66' i ~ I/ 963.9 ` ~ ^ 1013.3 6~ 10t2.0 4T 1006J 999.5 \ O . ~ . / / f ~ wrE'~+90 .i~ \ l ~ / \ e{' ~ 7a I ~ 92.0 !T , e9, ~ 9 V .fi°_. .i \ ~ VE' POx/ ~ i ~ i / i ~ i ~ ~ 66~R.OVY. i Q 1 i~ P ~ AMry_3~ ~ \ WYEs0~08 , 6r ~ l} ~ ~ I ~ ! 1 ~ I i ~ / ~ ` ~ i I I i ! ~ i ~i I ~ ~ % i 77 Q , ~r ~ C--_ ; ~ i i ~ ~ l ~ 1 / ~ 1 _ ~ i ~ i i ro~ _ . - i ~ ~ 969.5 ~U ~.J K~' ~ ~MM_g - _ ' '1~ \ E~,;.y _ ; i ~ ~ i.. 8" P~ I' ~ MH-5 ~ s ~ ~ e Z I ' MH a 1 i~~ 6T vnE=0+e9 ~ / 70' ~ _ ~ ~ ~ _ - ~ 6 D~P - ~ ~ i ~ ~ ~ Oed\ ~ .,-c. ~ \ ~ ~ - / ~ ~ J -e~ ~+x ~ ~ 973J ~ / t0~ ~ s~ eJ. 1 1 ~ I ~/i / f ~ ~ ~ ' / i \ _ ~ ~ ~ ~ ~ M~ \\a7 \ ~ ~ ~ ~ / i ~ ~ i ~ I \ ~ i 1 ~ ~'0 V ~ ~ ~ I ~ i I ~ / I ~ 1 ~ \ ~ \ WYE=1+69 ~ HYDRANT (~W1'E-2y9J ! / ~ i I \ . i 1 i ~ ~*E~ 9oa 78' 1 ~ ~ I ~ ~ i 978.8 12'-fi DIP ~ ~ j I i ~ / ~ ~ i ~ /i f ~ / ~ 1' BT 16' O \ ~ o ~ ~ i 1 66' 7 ~ EY D7• ~ !7' 6T ~ I -E"-11 1< BEND 6•w6" TEE i~ ~Ti L 6"r6' TEE / 1J16.0 1013.9 a4' 1017.0 \005 9 985.0 ~6' i O m O ~ O [6' 998.8 99~ p7 .q' O w~'E=0+72 1\~26 GRWrvD EL ~ 9~9.7. J~ I~* t6~7.~ I ~~_1+81 WYE=0+94 [w~r=a+oa ~=2.27 wvE=t+3s wYE-O+.4B ~=1+48 / ~ v W1,[_p+59 ~ ( I I \ 6"a6' iEE \ 6' GATE VaLVE - voTE 7 ~ 1 g ~ 20 2 ~ ~ 22 23 24 • A~~ SANITPRY ScN£R SHALL BE / HYpRANT ~ HYDRANT $pR 35 UrvLESS OTMERINSE NOTEO 69'-6' pIp I / SERwCES TC EXTEND 15' BE~ONC 6"-11 1 a° BEND 6'-45° BENp PRO?ERTY UNE (T1P " 905.0 DENOTCS SANiTAHY SEwER SERNCE iNV£R'~ O ' 6-22 7/2° D CURB STGP LOCATED ON P/~ 6~.6~ T~EE FROPERT~' UNE. iERWCF SHAL: BE ExTENO:~ ~ GROUNO EL. 1009.3 . ~RpUN~ EL = 1016.9 ry~ IS PIG 1AIL 15'. PIPE SHALL BE CALCULATED 0 2.OZ _ . . _ 1. . " _I " _ _ _ . . . . _ _ -i_ _ _ _ _ _ _ ' _ _ _ _ _ _ TO OBTNN STUB 1NVERT. ~ v I ~.yE=~i~55 ~ OENJTES SAN~TARY SEN£R SERNCE ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ BENCH MARK: . ~ . ~ W1"E LOCATIOPI ON MAINLINE FRON AlL WATERMAIN PIPE $MALL 8E T.N.H. O NE OUAD. OF SL.1T`c~ ~0. . DONT! STREAM A1.N. Cl/SS 52 UNLESS OTMERNISE 40TED. g SIORLANO RD = 971.OB i f-~.~ ~f71E Q; E~.~'aF~N DOES P~~7' GUF~~A~ 1 i~t _ _ . _ _ : _ _ << `__~°,r~CiJRACY OF UTILI'fY LOCAT{O~J~ _ _ _ PRO~osep cRAOe~ F~~,~s~eo ~apne (`~:~w'i4? ~ E:LE.VIATIONS. THIS DFn\Tf1 IS ~ 0~ ObER WFTtR MFIN ~C/L SVBGFM1DE ~ : f~ . ~I I~7V PURPOSES lJ^.~f Y AI'~~~ . ~~3Q . . ~ . : : . _ . . . . - . _ . . _ . - - ~ - - . _ . . . . . . - . ~ \ _ ~ ~ _-iJ.1iil~a- ~1T ~ .~5~~~~L~~ v ~s : i i~~ ~ r ~wSMED C/L ~R4DE -i - /f ~ €....~..:.s~il0~~ OfVTH~SITE. j . . . / . . _ . . . . . . . . ~ _ ~ . . . ~ C/L SVBCd<ADE _ ~ . ~ ~2~ _ . ~ ~ _ _ . ~ ' ~ - _ . . _ . _ _ _ ~ ~ ~-136 '-6~ DiF N'ATER IAAM ~ / / I ?.5 M~N. COVER ` ` . . . . ` ~ . . . . . ~ ~ . . . 30p.'g' A~C O~y98fk ~ \ ~ ~ . _ . 2~ . . - . . . . . . . ~ . .Nn_~... " ' " . . - _ _ . ~ NN-6 ~ , ~ - . STa. t2+76 - ~ ~EA=fi89d-d? 993.31 ~ ~ ~ . RE _ +9 b36 7028.76 3 ~ ~ ~ lE S = 96: +9 9B7J1 . . . \ ~ . . . RECC . . iE _ +6~! 1014.38 . . . . . ~O•, , ' . 1000 r) _ - _ _ . . . uN s - . . P~ n \ . ~c N z ~se3-a~a aei.c~ _ _ . _ - s o _ ~ ` . COIJFt ` 1 ' STa. 9~'6 ~ . . .ij4 "cc S` ~ - BY _ p, . . . . ~M'1-3 ?C` o ~ _ . ~-6' DiP ;9'! On+ERS) . . . . . .EES +6a6.b+~0~5.72 ~ . . . B ' . ygo .E n =+90E5+1005.82 ~ STn. S+OJ ~ " . . . . . . . . . . . _ . . . RE = 9Pr<3 981.` ~ _ ~ . . . . . . . fE ~-5~ - 46?-~~ 968.88 ~ - iE rv a 96?~B 968.56 - 980. Srn.23.zs rse ~_e P~ ° ~i RE 569r39 96813 . . . . _ _ . . . . .iE 5 =-556~9958.35 . . ~ - . . . . . . . . iF N = 9b&bH 559.25 970 ~ I . . _ . _ City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4943 Rusten Rd Lot: 12 Block: 2 Addition: Cedar Heights PID:10- 16725- 120 -02 Use: Description: Sub Type: Work Type: Description: Meter Size Meter Type Comments: Fee Summary: Contractor: Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365 -1340 e - Water Heater New Water Heater Kris Oien 3670 Dodd Rd Eagan, mn 55123 Manufacturer PL - Permit Fee (WS & /or WH) Surcharge -Fixed Total: PERMIT City of Eaan - Applicant - Serial Number Remote Number $50.50 Owner: Trennia A Donohue 4943 Rusten Rd Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4087 $0.50 9001.2195 Plumbing EA091267 09/23/2009 ePermit Line Size 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 Applicant/Permitee: Signature Issued By: Signature *' City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Cc� r For Office Use Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: 9a, 06 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 72-2_.- 11 Site Address: Unit #: RESIDENT/ OWNER Name: (e_11 6 D n!_) k t-C.,e Phone: (a.12- e- / _ 1LsV Address /City /Zip: Z'e_ it943 - g-K.� f Applicant is: Owner X Contractor TYPE OF WORK Descriptionof work: g tib — lF a EF coo Construction Cost: °--- Multi -Family Building: (Yes / NoA ) CONTRACTOR Company: ' & e-S41C_. VgAkodelevs-Contact: (Alt A 5 Address: 41030 13 /e_)(A J City: LA-) e___,..,�4 � Y State: / rL 10 Zip: f5Cc 0 Phone: [2----34)-7,57,--) 23 License #: '-7 Lead Certificate #: If the project is exempt c from lead certification, please explain why: (see Page 3 for additional information) :Y r ec—i '� In the last 12 months, Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance.' a � Applicant's Signature Applicant's Printed Name Page 1 of 3 411111111' City of Etat 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #:1 % t113 Permit Fee: Date Received: 7 f ' (i3 Staff: 2013 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: 7 - i /3 Site `Address: gi /43 J&� i io Tenant: 0 O dot cp Suite #: Resident/Owner 07 Name: .. �pr , Phone: w2 "02i D42 " s Address / City / Zip: 79 1 V '' , if relL Contractor Name: Ser Q 0itf k - License #: Address: / ti g0 g ` in 61.1/1.44.414dt- ark, City: State: Zip: .,‘521/3Phone: -' Ygi / + T ✓r ./ y Contact: Email: �iJ G "� 4 5,rrt ''r" -eib Type of Work New Replacement Additional Alteration Demolition Description of work:i ./..e.4.....L1.K/ NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. Permit Type RESIDENTIAL _Furnace COMMERCIAL New Construction Interior Improvement 1 Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit _ Heat Pump Under/Above ground Tank ( Install / Remove) Other _ RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit (includes $5.00 $5.00 State Surcharge) State Surcharge)' _ $ TOTAL FEE $100.00 Residential New (includes COMMERCIAL FEES $55.00 Permit Fee Minimum Contract Value $ x .01 = $ Permit Fee $70.00 Underground tank installation/removal *If contract value is LESS than $10,010, Surcharge = $5.00 **If contract value is GREATER than $10,010, Surcharge = Contract ***If the project valuation is over $1 million, please call for Surcharge = $ Surcharge* Value x $0.0005 = $ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x 1'�ehert 5�&FCrt Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required Inspections. Reviewed By: Underground Rough In Air Test Gas Service Test In -floor Heat HVAC Screenir> PERMIT City of Eagan Permit Type:Building Permit Number:EA159933 Date Issued:01/29/2020 Permit Category:ePermit Site Address: 4943 Rusten Rd Lot:12 Block: 2 Addition: Cedar Heights PID:10-16725-02-120 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. 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: 10,000.00 Fee Summary:BL - Base Fee $10K $191.75 0801.4085 Surcharge - Based on Valuation $10K $5.00 9001.2195 $196.75 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 - Trennia A Donohue 4943 Rusten Rd Eagan MN 55122 Twin Cities Custom Remodelers Llc 20554 Jasmine Path Lakeville MN 55044 (612) 600-0350 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA173774 Date Issued:12/02/2021 Permit Category:ePermit Site Address: 4943 Rusten Rd Lot:12 Block: 2 Addition: Cedar Heights PID:10-16725-02-120 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 - Trennia Ann Donohue 4943 Rusten Rd Eagan MN 55122--402 (612) 418-7032 Minnesota Rusco 5010 Hwy 169 N Brooklyn Park MN 55428 (952) 935-9669 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA175060 Date Issued:03/10/2022 Permit Category:ePermit Site Address: 4943 Rusten Rd Lot:12 Block: 2 Addition: Cedar Heights PID:10-16725-02-120 Use: Description: Sub Type:Furnace Work Type:Replace Description: Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Trennia Ann Donohue 4943 Rusten Rd Eagan MN 55122--402 (612) 202-2075 Blue Ox Heating & Air Llc 5720 International Pkwy New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature