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4946 Rusten Rd ~ ; , : INSPECTION RECORD CITY OF EAGAN ~ PERMIT TYPE: 3830 Filot Knob Road Permit Number: F' t Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: ~ ' ~ ~ ` " ~ ~ k ~ APPLICANT: ~ ' ? u ~ t t~t_+i~ > , , . ,:~i~:frN irt~ . . ~ i , , ;,R~~w~ , . , ~.~i ~ ~ ~ ~ ~ • PERMIT SUBTYPE: TYPE OF WORK: . . ~ . i. ~ ! !i~ . . ~ ~~i1N;.. , I ~,i.i 1(~ ~ F. I 11Ji• i 1J .tat I~:;i ? I t l i ~ f~~ + ~!1111!~;I ~ C! 1:~. ~ I f~ il I i~ ! I hllll ; 1 1~~~ ; I!!~,, . t hfH{~1", 4! 1'1 ~i4' f;i !'1 i.:~ I ~ ~ J , Permit No. rtnft Holder Date Telephone i ~ ELECTAIC ~flQ ~p ~ ~ PLUMBINQ 5 q~ yr,~3-/~~ HVAC .5 G 97 ~~3•~/~ Inspection Dat In p. Comments FOOTiNGS ~jS` . ~ GG1'~j l FOUND -6 ~7 .Fi~ ~~1~ f~~ ~t+~L~ 4~ FRAMING ~-j ~ ~ T/ ROOFINQ ROUGH ~ PLUMBING PLBG AIR TEST <f ROUGH ~ HEATING ~ GAS SVC TEST INSUL ,T ~,~QJ ~j r~ GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL d~~Q f BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ~ - ~'~1 . , . -,r, . . f. .:-~t:•. . _ . C3';e~ti~ica#e o~ ~ccu~anc~ ~it~g o~ ~agan ~e~raetmext o(r ~xilbing ~a~rertion This Certifrcate issued pursuant to tht nquirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliarece with lhe vnrious orrlinances of the Ciry rrgulctting building constrr~ction or use. For the followrng: uY c~e~: SF QiG sa& e~a r+o. 2~101 ~~r ~ ~ a.~~4g o~~, R~ T~ c~~. ~ o~« ar g~~w~~ ~ID ~S wea,~ss ~00 E 7qIH ST. MPf.S s~;a~~a,,aaR~ 4~146 AIS~] RL1AD i,a,n,;,y Ll4, B2, (F.QAR E~IC~~TS " ~ ~ ~ o~: ~ ~ ~ 1 ~ s~:ia;ne arr;,i ; POST IN A CONSPICUOUS PLACE . . r! ~ N_ OFFlCE USE ONLY ihis requestvaid I8 months Fom validation dale prinled in Ihis bon. ~~~~I~~~~~~~I~~~~~~~ ~ ~ ~ ~ ~ (~~rq~ /J~:~,~ ~ 5• ~i * ~ 4 7 9 ~.S S L^ * PLEASE PRINT OR TYPE /OS R~ k Ro~gh:n Impec~lo~ required? ? No inspxfion Oiher Tha~ Roughln: ? Raohy Now Call `i (Yau muzt mll ~he inxpenor when reody~ Dare Ready: I, icensed conhocror ~ owner hereby requesf inspecfion oF fhe above eleclrical work ot: )ob Address (Street, Bax, or Ra No.) Ciry.~ / ' Zip Cade C ~I~ ~ / IJO /v~ Secnon No. Township Nome or No_ Range No. Fire No. C ~ Occ~ t ~f/X- l(~aI`G/ / i i-r/--i Ph`%~~l.y ! ~ {C/ ~ ~ ~T/~^-~ P~ i~ ~ r. . Addr ss ~ 1- //o ~ C.i~-C-4 Iriml rcocbr (Co pony Name~ Conhaciw.Li n No. ~ Nwsrer Lia No. ~Plam Elect. Only) zsz_ O~~ allin~ dreujCo~ac r Ovmer Pe rmt~g Insmlloyeq~ / ? % Aolhori re rOwrorP k~ming Insmllorio~~ Phane o. QA . n u V l. ~~~'/~Ylf / a E890001 1 /96 ~O~BDAPDCODY-SEEMST(i11CTON5ONBACKOfVELLOWCOPV REQUEST FOR ELECTRICAL INSPECTION ~'S/' uA r Minnesota State Board of Eleclricity 'T ~ ~ O~~ ~ ~ 1821 University Ave., Rm. 5-128, SL Paul, MN 55104 ~ Phone.(G12}.642-0800 Home Duplex Ap1. Bldg. Other: New Addn Commercial Indusiriol farm Remod Re air Air Cond. Htg. Equip. Water Hh. Load MgmC Ofher: Dryer Ronge Elec. Heat Temp. Service "X° above the work corered by this mquesf. Enter remorks in fhis space and on the bock of Ihe whiFe copy only. Calculare Inspection Fee - T6is fnspecfion Requesl will no~ be accepted withouf the corzect fee: Other Fee # Service En[rance Size Fee # Circuitr/Feeders Fee Mobile Home Pork Stoll 0 ro 200 Amps 0 l0 100 Amps Streel Ltg./Tmffic Sig. Above 200 Am s bove 100-Amps Transformer/Genemfor INSPECTOR'S USE ON ~ L.~ ~ i Sign/Oudine Lig. Xfmr. - Alarm/Remote Control Swimming Pool i hINe6 ~m ar i ~ e~I ario~ d o„ ~he drne:.m Irrigation Baom Ro~gMln oaa ~ Speciallnspeclion Fina oaa Invesligative Fee THIS INSTALLATION MAY BE ORDERED- CONNECTED COMPLETE~ WITHIN 1 MO T . , Ad~r~ss 4946 xus~ Ronn Zip 5512~_ Lot ~9 Blk z Sub cmax t~calrs THESE 1TEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON. Date: ~/a-!r ~j~ Yes No Inspector: ~ Final grade (6" from siding) ~ Peimanent steps (garage) i/ Permanent steps (main entry) ~ Permanent driveway Permanent gas ~ Sod/Seeded grass TraiU~rb damage f/ Porch Basement finish t/ Deck ~ Please verify with the builder the removal of roof test caps from the plumbing system and the shuhoff of water supply to the outside lawn faucet before freeze potential exisfs. Contad engineering division at 681-4645 before working in righbof-way or installing underground sprinkler system. ~ W6ite - Ciry Copy Yellow - Resident Copy Pink - Conuaaor Copy ~~m~~~~~~~~~m~~~~~~~~~m~~~~~~~*~~~~*~m~ CITY ~F EAGAN CASH:CE~i: S TF_RMINAI_ ND: 13 PAT'E: 0`;/05/37 TIMk:: 15:4i.:2i ID: NAME: HYLAND 225t, 3(.101 434E, RUSTEN RP 4~353.4b ~i ~ f -;y? ` To+.~l. Feceip+, Amo~ln+,: 4~353.4t CR07322a US~R ID: NANCY ~k X~ ~ Xt X~ ~%~k 1X %c ~k ~k ~ X~ ~%t ~%~k ~C %t Xt 7k ~k ~X X~ ~X ~k ~k kt X~ h~ 7 k~k ~X ~X 1k X~ ~ k~k ~ r ~ For Offi Yls . I I Permit#: ~ ~ I City of ~a~a~ ' ~ g/~~ 3 T~ ' ~ PermitFee: ?7/•~V I 3830 Pilot Knob Road ~ ~ Eagan MN 55122 j Date Received: ~ Phone: (651) 675-5675 ~ ~ Fax: (651) 675-5694 ~ StaM: ~ 2009 RESIDENTIAL PLUMBING PER/~MIT APPLICATION Oate: S( a~ Site Address: ""I -I'"I l.V ~~~IC~1 f~.CA . Tena~t: Suite RESIDENT/OWNER Name: I/V ~.U~Z~V1~P7'~s~ Phone:1' Si~~~ Address / City / Zip: o GLI~d~~ CONfRACTOR Name: ~~~.1~3'Vl~~ Vl't~. License#: O~ I~~ Address ~S~ S1.L'~~ ~GS 1Ca kZ ~ U~ ~ City: ,~~Q v~ Sfate: zP: 5S3Sa Phone: ~4I~ K~ft~ °Z{~~ ContactPerson: ~GLS6Yl TYPE OF WORK ~ New _ Replacement _ Repair Rebuild _ Modiy Space _ Work in R.O.W. ~escri tlon of work: ~ PERMIT TYPE RESfDENTIAt Water Heaier _ Water Softener ~ Lawn Irrigation _ Add Plumbing Fixlures RPZ PVB) Main _ Lower Level) Septic System _ Water Turnaround New AbarWonmem . RESIDENTlAL 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 Turnaround' (includes $.50 Siate Surcharge} 'Water Turnaround (add $165.00 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, duclwork, etc.) (indudes $.50 State Surcharge) TOTAL FEES $ 1 hereby acknowledqe that this information is complels and accurate; thal the work will be in conformance with the ordinances and codes of the City ot Eagan; that I understand this is nol a pertnit, but only an application far a permit, and work is o start without a permft; that the work will be in accordance with the approved plan in the case of vrork which requires a review arM approval of x !it f(~-, / Grl1't~ x - ApplicanYs Printed Name ican8 Signature FOR OFFICE.USE fleviewed By: Date: . Required Inspections: _Under Ground ,~Rough-In- _Air Test Gas Test . Final _ \X~ 30~ PERMIT ~ CITY'OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: s u z ~ p z N ~ Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 9 01 (612) 681-4675 Date Issued: p 5/ 0 5/ 9 7 SITE ADDRESS: 4946 RUSTEN RD LOT: 19 BLOCK: 2 CEDAR HEIGHTS P.S.N.: 10-16725-190-02 DESCRIPTION: ~ ~~~'~i ~uildinq Permit Type SF DWG ~~$uilding~k Type NEW £!BC Qccupancy', R-3 U-1 ~i Ccs~n:striaat,ian ~~f'"y~.}~e V-N ' ~ Zoning R-1 ,r Buildi,ng i,ength ' 42 ' Bvilding Wi:d~h 39 . Bu~rd~r~g ~~~~4Y3ee ~ . ~ ;_>5~~"6C ;r e F'e ~ t ~ :.r-' ~ 1 9 618 C~n~ii' l:~.ot~eN 7 a1 1- FAM. DETACH t. V~,,7s~ i . : t f 3 t~- y f { ~ i.'.r p^l F^'-~i^ ,e. .d~ 4 ~ ~ i3 ~ fr ~~a ~r . F {S ff. N 4ry\~ i_ r ~ ' ? ~ 4 ~ a:_ ] 3 • ~ ~ i ~ ~ _ r.~t~~ REMARKS: S& W PLB(2 - STAR PLDG FEE SUMMARY: VALUATION ~ $140,000 Base Fee $1,087.25 MZSCELLANEOUS $1a539.50 Plan Review $706.71 Total Fee $4,353.46 Surcharge $70.00 SAC $950.00 SAC ~ 100 SAC Units 1 Subtotal $2,813.96 CONTRACTOR: Applicant - ST. LIC.OWNER: ~~~RYLAND HOMES 18546363 2003544 RYLAND HOMES 900 E 79TH ST 101 900 E 79TH ST 101 ` BLOOMIN6TON MN 55A20 MSNNEAPQLIS MN 55920 ~(612) 854-6363 ~ (612)859-6363 T Mereby acl~n wledge that S Mav~ read Ch%s.aRP~~-cata.on arrd ~tat~ CHat' the information s or?recC z~nd ~grea to comply wi,th a1.I applicabie StaCe of Mn. Stat~es en ty f Eagan 4rdinances, ~ ~ _ _ _ _ ~ ~ ~ DA! APPLICANT/PERMI SIGNATURE - rl B : I~NATU E ~ sp,~pr~n~n u ~ ` 3GNA 0.T' L'~~~1 $ y~'FOn• lawT • P L 0 T P L AN KUR7H SURVEYlNG. 1NC. FOR RYLAND HOMES • iHIS !S N07 A 80iAJDARY SURVEY ' ~001 JEFFERSaN ST. N.E. ~ J i~~r ce~rirr nur nus pcor euw vu pnEEru~ er ~ COU~BIA F~IpifS. IN. 551t1 on uoei ~rr oiaECr s~sanisia . nv,r mis rwi ca~cnr PROPOSED DATE 'Z A~ ~6i2~ 78B•9769 FIJC t6i]~ tae•~sua sovs ne aucaen oF A eaaozm euao~w a ne uea GRADES o• IRON MONllAE1JT £ouHO 18i~/ DESCRIB~ NO 1M~T I AN A Oll~ LI Lk0 N um~ a nah ac ~mrh. BEARINGS I,RE PER PLAT 0 30 A onp~oe sue . OZ~ SP I iCE SET W = EXISTINC ELEVATION ~ IhYJ'cSOT LICENS NO.Z,pZ~d TOP OF BLOCK - fl2 ` t~= PRaPOSED ELEV. scnEe iN FEEr a~seuEnrr Ftooa - t~~ = DRAINAOE ARrZ6U ~ti m m ~'r~\ m ~ ~~Z~~~y N . 1 ~ C ' ~ r ~s~ z .mt~• ~ ~ a b RJ'3f Is ; ~0~1 ~ut,*~ ~ ti Aoo4~hS = At RAAO ~ sP t AREa or ~R~vC 5~~'ry = VLbOt Se~ Ff• 6 0 r. \ tio AAi:A ~ b~P SNa.>N- yy~o: ge.<S. ~ . J ~'~u ~ g , m ~J ~ o , ~ , ` ; v~~ h ~ ~ y % ?a -'~L.o ~'~m.i.~ m (J^l.'S \ pS.~ N % F P~ ~ . ~ \ ~ ~ o y \ '~~ti / S ~ i ~ ` a r , ~ > • n.~:.` 33'~ . %°l' ~ c 'ti ~ o C'. ~ r' j A : (~tiA.: ~ 3 h~ a. O~~J ~ ,o J~ J m ' d 4! Vi ~ I a+,+ /•n 6 0,~ Z~ r0 y 1~ o I/~j~T.•~ i cZi ~ / q,~'f' ~ ~ a, 5 4 o i ,v w~n` e (~0~ / v1 Z g ~ ~c , ~ , s ~ ~ ~ ~ ~ ~ ~ ~ ~ j~~ ~ ~ ~ ~ ~ ~ tiaak ~ 9e. ~ y / y - ~0 • ~ - ~ ,~v 2 / h~ 9 ~ sco~, r { 6. r S'~~, ro + r : ~ C?,id ENCs ~ Q'u %)F.~71: A / v :i , l ~91 \ ~r . ^ " I J J ~ ~`~J9 D \ ` y D ~o, ~ ; ~ LOT 19 , BL4CK 2 , m - ~;ry; , o~~ yA° CEDAR HE i GHTS . N Go~°~ DAKOTA CO . . MN . ~a'~ 0, ' • , LOT SURVEY CHECKLIST FOR RESIDENTIAL • ILDING PER T APPUCA N ~ PROPERTYLEGAL: ~ ~ DATE OF SURVEY: ~ ~ LATEST REVISION: ~ ~ DOCUMENT STANDARDS °z ~ ? • Registered Land Surveyor signature and comparry ~ ~ ~ • Building Permit Applicant Q" ~ ? • Legal descriptlon 8' ? ~ • Address ~ ~ ~ • North arrow and scale 6~ ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) ~ • Dfrectional drainage arrows with slope/gredient % ? • Proposed/ebsting sewer and water services & invert elevation ~ ~ ~ • Street name ~ ? ~ • Driveway ~LEVATIONS F~ostina ~ ? ? • Sewer service (or Proposed) o' ? ? • Property camers O • Top of curb at the driveway ~ • Elevations of a~y e~assting adjacent homes ro ~ ? ? • Garage floor ~ ? ? • First floor D- ~ ? • Lowest exposed elevation (walkouUwindow) 0 ? ? • Property comers ? • Front and rear of home at the foundation PONDING AREA fif aoolicabfe) ? '6 ? • Easement line ? m' ? • NWL O q' ? • HWL ? O • pond # designation ? ~ ? • Emergency Overflow Elevation DIMENSIONS ~ ~ ~ • Lot IineslBearings & dimensions ? ? • Right of-way and street width (to back of curb) C] ? ? • Proposed home dimensions including any proposed decks, ove?hangs greater than 2', porohes, etc. (.e. all structures requiring pertnanent footings) ? • Show all easemenls of record and any City utilities within those essements C-I~ ? ? • Setbacks of proposed sWcture and sideyard setback of adjacent e~dsdng structures ? ~o • Retaining wall requiremen y Reviewed: ~ ame Date Jmwary 1996 CRAIGI WNBLOGPRMf.FM - . , , MHC~check COMPLIANCE REPORT 199•2 Model Energy Code Pezmit # MBCcheck Software Version 2.0 Checked by Date CITY: Minneapolis STATE: Minnesota FIDD: 8010 CONSTRUCTION TYPE: Single Family DATE: 6-13-1996 DATE OF PLANS: 3-1-96 TTTLE: SAVANNAH 5704 MINNEAPOLIS PROJECT INFORMATION: FULL WALL INSUL AT 8' BSMNT WALLS, WALKOUT BSMNT, 4' FAMILY RM SXTENSION, MASTER COMPANY INFORMATION: RYLAND HOMES COMPLIANCE: PASSES Required UA = 490 Your Home = 480 • Area or Insul Sheath Glazing/DOOr Perimeter R-Value R-Value U-Value LJA CEILINGS 1245 44.0 0.0 34 WALLS: Wood Frame, 16" O.C. 24~7 19.0 1.4 ~ 131 WALLS: Wood Frame, 16" O.C. 270 19.0 0.5 15 GLAZING: Windows or poors 426 0.48D 204 DOORS 44 0.190 8 DO~RS 15 0.620 9 FLOORS: Over UnCOnditioned Space 273 19.0 13 BSMT: 8.0' ht/7.0' bg/8.0' insul. 1168 11.0 66 HVAC EFFICIENCY: Furnace, 80.0 AFUfi COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations suhmitted with the permit application. The proposed building has been deBigned to meet the requirements of the 1992 CABO Model Energy Code. Builder/Designer ~ ~ l~~iJ~-•-~ Date 6/~- 9~ MECcheck INSPECTION CHECKLIST 1992 Model Energy Code MECcheCk Software Version 2.0 SAVANNAH 5704 MINNEAPOL2S DATE= 6-13-1996 Bldg. nept. Use CEILINGS: [ ] 1. R-44 Comments/Location WAI,LS : 1. Wood Frame, 16" O.C., R-19 + R-1 Comments/Location 2. Wood Frame, 16" O.C., R-19 + R-0 Co~nents/LOCation WINDOWS AND GLASS DOORS: [ ] 1. U-value: 0.48 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? Yes [ I No Comments/Location DOORS: ( j l. U-value: 0.19 Comments/LOCation • ( ] 2. V-value: 0.62 Comments/Location FLOORS: [ 7 1. Over Unconditioned Space, R-19 Comments/Location BASEMENT WALLS: 1. 8.0' ht/7.0' bg/8.0' insul., R-11 Comments/LoCation HVAC EQUIPMENT: 1. Furnace, 80.0 AFUE or higher ~ Make and Model Number TIIERMOSTATS : Adjustable thermostats required for each HVAC system. AIR LEAKAGE~ Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage mus[ be sealed. VAPOR RETARDER: ~ Required on the warm-in-winter side of all non-vented framed , ceilings, walls, and floors. MATERIALS IDENTIFICATION: Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values, glazing U-values, and heating ~ .~equipment efficiency must be clearly marked on the building plans or specifications. DUCT INSULATION: Ducts in attics, crawl spaces, exterior building caviCies, or outside must be insulated to R-8. Ducts in unheated basements must be insulated to R-6. DUCT CONSTRUCTION: All transverse joints must be sealed with mastic, tape, or mastic plus tape. The FiVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heaCing and/or cooling input to each zone or floor shall be provided. MTSC REQUIREMENTS: Refer to the MECcheck Manual for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems. ----NOTES TO FIELD (Suilding Department U5e Only)------------------------- . ~ TOTRL P.004 ~ 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~~,353, `I ~ ' CITY OF EAGAN 3830 PILOT KNOB RD - 65122 681~675 New ConstruMion Reaulrements RamodeUReneir ReauiremeMa ? 3 registered site surveYg ? 2 copies W plan ? 2 copies of plans (indude beam & window s¢ea; poured tntl. tlesign; etc.) ? 2 aRe surveys (exterior addkbns 8 dedcs) ? t energy calculations ? 1 energy calculatlons for heated edditions ? 3 copies ottree preservation plan'rf lot platted after 7/1/93 required: _Yes _ No ~ DATE: "I ~ CONSTRUCTION COST: ~ Qo~ • ~ DESCRIPTION OF WORK: STREET ADDRESS: 1 F LOT ~ BLOCK ~ SUBDJP.I.D. PROPERTY Name: ~V IQlY~ ~(~(1~~ Phone Q~4• OWNER Street Address: E. ~fil~ ~t . `~P . l Ciry: ~~"~LS. State: Zip:~~5~~ ^ CONrRaCTOR Company: ~CL~(1"L.~ ~OUP Phone Street Address: License ~OD~4y~ City: State: Zip: ARCHITECT! Company: i~YlL ~ (,l,t X) f~P Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer 8 water licensed plumber (new construction ony): I . Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is rrect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ~ e e OFFICE USE ONLY CEIVED Certificates of Survey Received _ Yes _ No },;3~~ ~ Ly, Tree Preservation Plan Received _ Yes _ No ~ Not Required OFFICE USE ONLY A?, , 1 ~ ~ ~ ~ . ~ ~•q y ~ y.1 BUILD~NG PERMIT TYPE ° ? 01 Foundation o 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish ~ 02 SF Dwelling ? 07 4-plex o 12 Multi RepaidRem. 0 17 Swim Pool 0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch ? 09 12-plex o 14 Fireplace n 21 Miscellaneous 0 05 SF Misc. ? 10 = plex o 15 Deck WORK TYPE 31 New o 33 Alterations o 36 Move o 32 Addition ? 34 Repair o 37 demolition GENERAL INFORMATION Cortst. (Actual) ~ N Basement sq. ft. ~?4 MC/WS System ~ (Ailowable) Main IQvel sq. ft. AB? City Water UBC Occupancy ~-3,~-~ 2~~ sq. ft. , ~ ~ 3i Fire Sprinklered Zoning R-~ ~ sq. ft. ~3o PRV # of Stories z sq. ft. Booster Pump Length y2, sq. ft. Census Code. ~ d i Depth ' Y Footprint sq. ft. SAC Code o i Census Bldg i Census Unit ~ APPROVALS Planning Building ~~3 Engineering Variance Permit Fee Valuation: $ ~ ~o. ~o, ~ Surcharge gG>~„.~..~1- Plan Review vZK ~a.s ~09 License 3y Z5, MCNVS SAC ~ ~ . ~ x Z iz City SAC ti~ Z Z 8 8 Water Conn. WaterMeter 9io 'bB'S ` 'y, loHO, ~ Acct. Deposit h~~5 S/W Permit ~ u z `l~ ~ S/W Surcharge z„~ Treatment PI. ~ SK - S 3, 3sa. - Road Unit " ~ Park Ded. Su a_ y i o~~ Treils Ded. G~ v z y3 Other ~~4 a Copies ~ i a r ~ 31 s~ _ i, o 3o~rzl TotaL• ~30 ~~i~- i~,~go.- °h SAC SAC Units 1 ~ - ~ U ~ fn~7o (o ~O-S~ 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date~l~1~ Site Street Address „ Unit # ~ Property Owner ~ ~ Telephone # ( ) Contracto . ~ ~ L- Telephone # ~ } y~~ Address - City State,f~ N Zipss6~ The Applicant is: _ Owner ntractor _Other Alterations to existing dweiling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _ Water Turnaround (add $121.00 if a 5/8" mpeter is r~[,~q uire~~d)~ _Other: ~.._.O~1.rt.~ ~-QV-+2.1 1_X~7!'V~~(C)O6^C\ ~ Water Softener Water Heater $ 15.00 _ replacement _ additional Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ 50 Tota~ ~ ~N u g 2004 I hereby apply for a Residential Plumbing Permit and a owledge that the i ormation is complete and accurate; that the work will be in conformance wit an codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not Yo start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. ~,~~~.b~. ~~C~~v~i~~ ° ApplicanYs Printed Name ApplicanYs Si ture 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City OfEagan GL.~~j q~ 3830 Pilot Knob Road, Eagan MN 55122 U"~~ Telephone # 651-675-5675 FAX # 651-675-5694~ New ConsWCtlon Revuirements RemodebRepair ReauiremenLs ~;~,{~SgQnJy. ~':'7~ 3 registered site surveys showirg sq. R of lot, sq. R of house; and all roofed areas 2 copies of plan CerCb~ b~urvey R6Cd ~ Y_:M (20%maximumbtcoverageallowed) isetofEneqyCalalationsforheatedaddNOns TreeP2sPlartRecd _Y _N 2 copies of plan showirg beam 8 vrindow sizes; poured found desgn, etc. 1 site survey for addiUons 8 decks Tree:pfes Requued _Y _ N 1setotEnergyCalculations Add'rtlon-lndicafel~on-siteseptlcsystem ~R~D~4~m 3 copies of Tree Preserva6on Plan i( lot platted after 7/7193 Rim Joist ~ehail Optlons selecfion sheet (bkigs wilh 3 or less units ~ Date ~ / )'7 / O~ ~~~e~ Construction Cost ~ , -1 ~ ~ SiteAddress `{q~'/~ ~~mn~ ~~~~r~+r~~ IIniUSte # DescriptionofWork l'InS~1 (~AS~vnCnt Multi-Family Bldg _ Y ZC N Fireplace(s) ~ 0 _ 1 _ 2 Property Owner /a~ ,~O? ~~A~eq Zil4L~'/~ Telephone ~t ( 6Sl ) ~~g- ~l'7 I s Contractor ~-vJ~rar~5 /{~ry~~~(G~hA qno( (~r/kZy Address 2Y]99 L%c2 Sf ~/5n City oscr'~~~ State /Y/~FrIL6b(n Zip,~5~13 Telephone#((d',/) `/~~-'g~JR[~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesob Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code CategOry . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously consiructed a building in Eagan with a similar plan? _ Y _ N If so. 25% plan review fee applies. Licensed Plumber Telephone # ( ) Mechanical Contractor Telephon Sewer/Water Contractor Telephon ~ ~ ~ ~ I hereby apply for a Residential Building Permit and acknowledge that the in rmation is~lete d accurate; that the work will be in conformance with the ordinances and codes of the ate 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 a~val of plans. ~l-~~/ ~ l f .ci/~ ,t~~~ - ApplicanYs Printed Name ApplicanYs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ~1 02 SF Dwelling ? 08 06-plex ? 16 Fireptace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.j ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ~I 19 Lower Level ? 24 Storm Damage ? O6 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous Work Types ~ ~ 1~ ~ ~y¢~,~ 5 ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ~ 33 Alteration ? 37 Demolish Building" O 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Glve PCA handout to applicant Valuation Occupancy ~ MCES System Census Code Zoning (a^ ~ 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) ~ FinaUNo C.O. _ Footings (addition) _ p~~~g Foundarion HVAC _ Drain Tile Other Roof _ Ice & Water Final Pool Ftgs Air/Gas Tests Final ~ Framing _ Siding _ Shtcco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows ~ Insulation _ Retaining Wall Approved By. r~ , Building Inspector Base Fee Surcharge Plan Review ~ l~ 7 MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total , ~ ~ O~ 2 2005 RESIDENTIAL BUILDING PERMIT APPLICATION (~a~( ~q~~ O ~ City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Constmction ReouiremeMS RemodeVReoair Reouiremenis QfFice~USe~0~13 3 regis~ered site suNeys showing sq. tl. of lot, sq. fl. of house; and all roofed areas 2 copies of plan ~ CM! oF5urrey;Recd ~.;Y _N (20°,6 mauimum lot coverege allowed) 1 set of Energy Calculations (or heated additions NO 3'tee PresA~n R2cd ._Y _N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks U o 7reCPreS Required..,,,___,,,,,;;Y_,.,_,N isetofEnergyCalculations Addifion-indicateifon-sitesepficsystem D~rsdeSepftCSystem_..._Y._N'. 3 copies of Trce Preservalion Plan if bt platted aNer 711l93 Rim Joist Detail Options selection sheet (buildngs with 3 or less units) ~ Date Construction Cost J~ ~ Site Address ~J'y~y /'S/.LS~trc/ Unit/Ste # Description of Work Jti,l~'+'~/ri{_°.~T l//JiSh (~j~ S q q i n r- ( i~rv~f t~,~ ov~ t Multi-Family Bldg _ Y~ N Fireplace(s) ~ 0 ! 1 _ 2 Property Owner / Uj~? ~~7~i~'y' `n/ei72/r,r2~C, Telephone #(Gsj ) ~(/a ~ ~l~~~S Cantractor jyJ~jqSG~~e L°r,v~liy.~Gt/a~ /mGl?~~.. ~~~L Address ~d~:~,c c~cy C~~~A-S,c. Cy~oG<-e_~ State ~y_/(cJ Zip ~G~~ TelepNone # ) a ~ , ~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet (J submission type) Submitted Submifted • Energy Envelope Calculations Submitted In ihe last 12 ths, has the City of Eagan issued ay~ rmit for a similar plan based on a master plan? _ Y If yes, date and ad ~of master plan: Licensed Plumber //~S~z Telephone ) Mechanical Contract Telephone # ( ~ Sewer/WaterCo actor 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 5tate 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. ? 7~ o~,,~ f ~e~~ ~~~5 „ . Applicant's rinted Name App ~canYs ~gnature ~ , 0~` c~~~ ~ ~ J~ OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 18-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? D3 01of_plex 0 09 07-plex O 17 Garege ? 22 PorchlAddn.(4-sea.) ? 33 6ct.Alt-SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Muiti Misc. ? 05 03-plex ? 11 10-plex ~ 19 Lower Level ? 24 Storm Damage ? O6 04-plex ? 12 12-plex Pibg_Yor_N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demoiish 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 (Entire Bldg) -Give PCA handout to applicant Valuation 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 REQUIRED INSPECTIONS _ Foolings(new bldg) FinaUC.O. _ Fooungs (deck) ~C Final/No C.O. _ Footings (addition) Plumbing _ Foundation HVAC _ Drain Tile O[her Roof Ice & Water Final Pool Ftgs AidGas Tests Final ~ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows ~ Insulazion _ Retaining Wall Approved By: ~ 1/ , Building Inspector Base Fee Surcharge J / ,!~'~~/~,j ~ l~' Plan Review ~~1~ ~ MC/ES SAC ~ e„~ ~ City SAC ~ Utility Connection Charge ~ • ~ ~ S&W Perrnit & Surcharge Treatment Plant License Search Copies Other Total City of E~~a~ October 10, 2005 Pat Geagan MAVON Peggy Carlson FULL MEASURE CONSTRUCTION REMODELING 7311 RED PINE ROAD Cyndee Fields COTTAGE GROVE MN 55016 Mike Maguire Meg Titley ~ND OF BUILDING PERMIT #70623 COUNCIL MEMBERS TO WHOM IT MAY CONCERN: Thomas Hedges CITY ADMINISTAATOp Please be advised that the City of Eagan is refunding under separate cover, the base fee of $69.00 recently collected for building permit 70623. This fee was previously paid on building pemut 64599 issued to finish the lower ]evel at 4946 Rusten Road. In the City of Eagan, when there is a contractor change to complete work originally paid for on another permit, it is our policy to waive the permit fee if the plans aze the same. We do collect the state surchazge as we do not have permission to waive fees passed on to the State of MUNICIPAL CENTER Minnesota. 3830 Pilot Knob Road ~ eagan, MN 55122-1810 If you collected a permit fee from the homeowner, you may want to pass this refund on to them. Any questions you may have in this regard should be directed to my attention at 657.675.5000 phone 651-675-5671. . 651.675.5012fax 651.454.8535 TDD Sincerely, MAINTENANCE FACILfTY Jamce D. Severson 3501 Coachman Point Office Supervisor ~ Eagan, MN 55122 651.675.5300 phone cc: Dale Schoeppner, Chief Building Officia] 651.675.5360 fax Mari F. Wenzinger, 4946 Rusten Road, Eagan NN 55122 651.454.8535 TDD www.cityo}eagan.com THE LONE OAK TREE The symbol o( strengM and growth ~ in our communiTy. ~ ~ CITY U5E ONLY L C/ BL ~ RECEIPT#: ~~~-Co SUBD. RECEIPTDATE: s~~~/~ 7 1997 MECHANICAL PERMIT (RESIDENTIAL) CtTY OF EAGAN 5830 PILOT KNOB RD EAGAN, MN 55122 (612) 681~4675 Please complete for. . single 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: :J~S / / FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ~ ? State Surcharge .50 TOTAL ~ S~TE ADDRESS: / ~~r D ~~n ^ ~ OWNER NAME: .~f ~~Y~`~ PHONE#:~~~!~~~ ,.J ' INSTALLERNAME: GINZ-RYAN HEATING PHONE#. 423-1144 STREETADDRESS: 14745 So Robert Trl CITY: Rosemount STATE: MN Z~p: 55068 ~.~1D~.~~%C'/7e~l.~C~~ii ~ 5tGNAT E OF PERMtTTEE - ~ ~ CIT1f U5E ONLY L _ BL _ RECEIPT#: SUBD. RECEIPT DATE: 1997 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681~675 Please complete for. ? all commerciaUndustrial buildings. ? muip-family buildings when separate petmits are ~ required for each dwelling unit ~~:TE. ~nA~TD A nT ipDl!`C• v~a.~v~v. i t.~v~. WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: • $25.00 minimum fee g11 °k of contract price, whichever is greater. ~ Processed piping - $25.00 ~ State surcharge of $.50 per $1,000 of gg~jt fee due on all permits. CONTRACT PRICE x 1 % PROCESSED PIPING . STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: pnnPROVeMEnrrs oN~v~ INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: SIGNATURE OF PERMITTEE CITY 1NSPECTOR s CITY USE ONLY ? L ~ BL ~ RECEIPT#: ~~o2Ca ~J SUBD. / S,{.~1..~ RECEIPTDATE S !e /r 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55722 (612) 681~675 Piease complete for: . single family dwellings ~ townhomes and condos when permits are required for each unR . backflow preventer for underground sprinkler system FIXTURES EACH I~Q TOTAL Shower 3.00 x = Water Closet 3.00 x ~ _ Bath Tub 3.00 x ~ _ Lavatory 3.00 x = Kitchen Sink 3.00 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 - t 3.00 x z = Rough Openings 1.50 x ~ T^~r. Water Softener ' for dwellings under construGion 5.00 x = Water Softener " for ezisting dwelling 20.00 x = U.G. Sprinkler ' for tlwelling under const. 3.00 = U.G.Sprinkler `forexistingdwelling 20.00 = AItB~ation5 ' to existing residence 20.00 = Water Tum Around 20.00 = Private Disposal System ` oak cry iic. 65.00 = (new and refurbished systems) Private Disposal Systems' Abandonment 20.00 = STATE SURCHARGE .50 TOTAL 1 hereby adcnowledge Nat I have~~read this epplicaGOn, state~that the~inkrtnetion'is corrod, and agree fo complgwkh ell appllwble City of Eagan ordinances. R is Me appliwnYs ~esponsibiliry to notily the propeRy owner that the ~City of Eagan assumes no liability for any damages caused by fhe City.during Rs nortnal:bperetional and mairrtenance activities to the faalibes consWded underthis pertni[ xrithin City properly/righFOf-way/easement. 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I E W . 9i6eBB 03 RE . g6aby930.~Y ~O I i _ _NEW DRIX!11E Yl.~. 945 2 ' 13 12 17 j - ~ ' ' i ! _ J I zo'-Ar aa a s oe.ec ' ~ EX 8'gW~9]6.2s~ ~ 7__-___" - - __1___L~- ~ ~f: -....<1~1 ~ ' - f`'^' h o d -4 ' - :i~~ . ~ . ~ w ~.a P~ a e, m. y..,, fi ~------~s ' 3 ans: i . c z - _ _ y~"~°- ~=L0.. ~ WeStWO [ ~~~tiN~~.s~.a~.~ar:~~.~.m~a'vqvc+y ~ttwto O~KJ u`.m Wu ~`-t"::WEA l " - - ` •u:-.. K,,;..' k:~'~ _ aw ,,,~,,,..~,R ~ ARCON ~EYELOPAiiF!dT CO. ~ SANlTARY S[WEA ~ . __~:-r=4~•-- .c-- I-- ac~ ;er.: t~vo _.~.c. ~z'ar i..~_~ CEDAR HEICyHT3 i p~ATER^MAin ' ~ . i City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4946 Rusten Rd Lot: 19 Block: 2 Addition: Cedar Heights PID:10- 16725- 190 -02 Use: Description: Sub Type: e- Reroof Work Type: Replace 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 Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Construction Type: Occupancy: 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. $88.50 $1.50 Total: $90.00 - Applicant - Owner: Thomas K Wenzinger 4946 Rusten Rd Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 Issued By: Signature Building EA090388 07/29/2009 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 City of Eau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use LOILP°) (001 Permit #: Permit Fee: Date Received: Staff: 2012 MECHANICAL PERMIT APPLICATION 0 Please submit two (2) sets of plans with all commercial applications. Date: —1 — 17_ Tenant: o Site Address: L\ et LI6 i2 -o s e.-^ W e Suite #: Name: 1 6 r"‘ a,z...toNarer Phone: 5 Z- 7 1 5- 2 1 t 3 Address / City / Zip: LA 00-A. 6}2v s 0- \ Name:Rei ° r e • � Heating & License #: Address: Air Conditioning, Inc. City: 1815 East 41st Street State: Zip:Mlnneepolis, MN 55'2one: Contact: 1(612) 724-1899 Email: New 'qs Replacement Additional Alteration Demolition Description of work: RESIDENTIAL Fumace ''Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under / Above ground Tank (_ Install / Remove) RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ (- 3 c TOTAL FEE J COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x 1% $60.00 Minimum (includes State Surcharge) - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) = $ Permit Fee _ $ Surcharge = $ TOTAL FEE 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.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be conformance ith the,tdinances 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 no to start wi$oi/ a per that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. j! x x Applicant's Printed Name 1,1 IIrG t T� For Office Use 1 II •/,• _. VEL Permit#: /55'Lig S •.•• •- E AG N MAY 06 2019 `''�� /'� Permit Fee: C2,2;J -(// Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Nn` (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinoinspectionsacitvofeagan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 4-417: ?VkY\ ?v\ Unit#: Name: V\A \/`J A h 'Z ) 11\0. -Q ( Phone: ( . S 18` TjZZ3 Resident/. y to t\ s Owner Address/City/Zip: t� S V Applicant is: Owner / ' Contractor Typeof Work Description of work: (Att1 f G t o 1-1. - -' S " 2 ii �eci� Construction Cost: (02-0 d C) C Multi-Family Building: (Yes /No Company: VLTi(.¢ V I vV piwg\--cv c tyContact: st 1 TACK Contractor Address: l Z�3 32 atp�� 1/)'I.AA) ?_) City: c,- ..�v )1))v1 State:t' Yl Zip: $S 33`1 Phone: / 419z Email: c 1—TeNkirn - 1 D / G h1q License C-7 Z() ,7 L{ / Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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. 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.000herstateonecall.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. x Applicant's Printed Name Applicant's ant's Signature I DO NOT WRITE BELOW THIS LINE L-0 4L, ei(,c. 157e 5 SUB TYPES Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family) _ _ _ _ _ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi y(_Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous 01 of Plex / Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION h Valuation l( ( V 0 0 Occupancy (,,./},, MCES System Plan Review Code Edition 1/V1k/)J( % SAC Units (25%_ 100% X) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction 16 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings (Addition) \/ Final/No C.O. Required Foundation Foundation Before Backfill /" HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: 11, , Building Inspector RESIDENTIAL FEES Base Fee 0 0A/L., } , Surcharge I P'. g)kii Plan Review /` b''1 , P MCES SAC S , j SOW City SAC " Utility Connection Charge S&W Permit&Surcharge ( Treatment Plant 1-10 t./( � 5"-_- u c D Radio Meter Read Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA178032 Date Issued:07/28/2022 Permit Category:ePermit Site Address: 4946 Rusten Rd Lot:19 Block: 2 Addition: Cedar Heights PID:10-16725-02-190 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 - Thomas K & Mari F Wenzinger 4946 Rusten Rd Eagan MN 55122--402 (612) 709-8247 Signature Home Services 7373 West 147th St Apple Valley MN 55124 (651) 731-1147 Applicant/Permitee: Signature Issued By: Signature