4947 Rusten Rd , INSPECTION REC4RD
CITY 9F EAGAN PERMIT TYPE: ' ~ ~ ' + ~ ~ ~ ~
3830 Pilot Knob Road Permit Number: h~/•'
Eagan, Minnesota 55122-1897 - - Date Issued: ~ ~ ~ '
(612) 681-4675
SITE ADDRESS: ~ ~ ~ ~ ` " i ~ ~ ~ ~ ~ t 4' APPLICANT:
. 'L1~i : t :s tif til:1
~ it ,TFN fth , . ~ : , ~~~r
~ ~ . , , , , , , ,
PERMIT SUBTYPE: TYPE OF W~RK:
, ;
. .
, , , ; <<: ~a:;a~~n Y ~
,ri f Ni. i~~ii) 1 r~l~~
I iJ~.itl i, ({~~f'r ~ t t Irl~ i'~ t?~ !
i~ ii~~i~l! ! IJ I~:I~ 1'lill~~ti t tl
I 1 f~fr~f 1'! fss, 1 l ~•f~~ I
ht~lth.', fAR I~t ~+tai; i Pa~,
I 1 ~
~ J
Permit No. Permit Holder Date Telephone+Y
~ ELECTRIC 0 I/9 O,5
~
PIUMBING I~ f~ .
HVAC F Ll 9
Inspection ato Inap. Co men
FOO7INGS ~~`Q , ~/J
! w~„'
FOUND } / ° ~
FRAMING
`S
ROOFING
ROUGH ` ~ yJ z ~s" l
PLUMBING .
P~ - G ~
AIR TEST
ROUGH
HEATING S9
GAS SVC
TEST
INSUL r~_ 7 4! ~
6 [
GYP BOARD
FIREPLACE ~~~.c•
FIREPLACE
AIR TEST
FINAL PLBG s ,p
!
FINAL HTG , ~ _c ~
!
ORSAT /
TEST r~
BLDCi FINAI ~~'l/>
y
BSMT R.1.
BSMT FINAL
DECK FTG ~°l~
~
DECK FINAL
~ _ _ . _ _ _ .
~ ~ - - _ ~
Y . y ~
~erti~icate n~ ~ccu~anc~
~inq o~ ~agan
~c~artatcxt o f ~~ti~ ~`~C~yectisx
This Cerrificwe issued pursuant to the aquirements of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various
ordina~cces of the Ciry regalaling building construction or use. For the following:
Use Qasaifirs~ion_ ~~r Btdg. Pumit No. ~72 ~
Oo~tip~n.y'IyPe ~ 7mina Dimict R~ 'fype Const. ~
ow~ri ot eu~wins RYI,AI~ E~FS 400 E 7~'I ST ~ ffi1~U'IN
a~w~ ~ae~ 4447 _R[ISffi~T ~kID i.~;ry L l8. B2. CFAAR ~TS
~ , - '1 ~ ~ l.~/~f~l~
e~o~ «rar!
POST IN A CONSPICUOUS PLACE
~
~ .1 ~ 1 . . , - _ .
IN5PECTI~N RECORD
CITY OF EAGAN PERMIT TYPE: ' ~ ~ ~
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued: •
(612) fi81-4675
SITE ADDRESS: ~ ~ ~ " ~ " ' ~ ~ ~ ; , APPUCANT:
i,~i. t~ic~{?
~ i~ u,i~r-N ~ri~ F~ ~,~r~„ i,E~r9r
l~i1f•. 111 I l~li ( ~ r, 1.' , !i'.•~ ~i. :
PERMIT SUBTYPE: TYPE OF WORK:
, r,;
. .
~ ~ i ra~~ , i~~;~t
~ " ~
~ ~
Permit No. Pertnit Holder Date Telephone li
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Commenta
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
R~UGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSAAT FINAL
DECK FfG ~ ; -
7
DECK FINAL 7~s1~/ I "
Ip
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
~ ~ 3830 PILOT KNOB RD - 55122
651-681-4675 ~ ~ o' v ~
New Construdion Reauirementa RemodeVReoair ReauiremeMS ~
• 3 registered site surveys showirg sq. ft. of lot sq. R. of house; and all roofed areas • 2 coDies of plan C(,~ ( EC
(20% maximum lot coverage allowed) . 1 set of Enetgy Calculations tor healed additions I I I^ I~ O I
• 2 copies of plan showing beam & window sizes; poured (ound desgn, elc.) . i sAe survey for exlerior additlons & decks
. 1 set of Eneyy Calculations ~
• 3 copies of Tree Preservation Plan'rf lot platted aRer 711193
. Rim Joisl Detail Optbns seleclion sheet (61dgs with 3 or less unils)
DATE ~ ~ / VALUATION (EXCwDINGU+ND),~dOC~~ O O
JOB SITE ADDRESS y~9 f~ 7 C.r~'~~1
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER P.rl i 6'r r 5'
TYPE OF WORK P_ d~ eh ~ FIREPLACE(S) _0 _l _2 _3
APPLICANT ~G~~S~- L 1 EQ'f 1 OYI S S PHONE # l/~ ~7z ~"~i ~ 7~
ADDRESS ~~O % f~~e ZIPCODE S.~L/Q ~
PAGER # CELL PHONE # /%i~ -c~ c/~ - 7c~ ~ ~ FAX #
NE~V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 ~
(check one) - Residential Ventilation Category 1 Worksheet Submitted Nf/
- Energy Envelope Calculations Submitted
MINNFSOTA RIJLFS 7672
- New Energy Code Worksheet Submitted ~
Plumbing Contractor. Phone
Plumbing Systcm Includes: _ Water Softener _ Lawn Spricilcler Fee: $90.00
Watcr Heatcr No. of R.I. 13adis
No. of Aaihs
Mechanical Conhactor: Phone #
Mechanical System Includes: Air Conditioning rce: $70.00
_ Hcat Recovery System
Sewer/Water Contractor: Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicanf ~
~ ~~''~f~
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1/01
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? D3 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 6ct. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ~ 19 Lower Level ? 24 Storm ~amage
? O6 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
~ 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move 81dg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement *Demolitfon (Entire Bldg only) - Give PCA handout to applicant
Valuation d.0/}~ Occupancy MCIES System
Census Code Zoning ~ City Water
SAC Units (9 j Stories Booster Pump
Nbr. of Units ~ Sq. Ft. PRV
Nbr. of Bldgs ~ Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Foo6ngs (new bldg) FinaVC.O.
_ Footings (deck) ~ FinaUNo C.O.
_ Footings (addition) _ Plutnbing
_ Foundation HVAC
Drain Tile
Roof Ice & Water Final Other
~ Framing _ pool _ Ftgs _ Air/Gas Tests _ Final
Fireplace _ R.I. _ Air Test _ Final Siding Stucco Stone
~ Insulation _ Windows (new/replacement)
Approved By~, Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies . l~
Other
Total
Address 4947 RIISTEN RoAD Zip 5512_Z
: . .
L.ot ~ ~3 Blk z Sub !~o~ t~rc~rs
THESE l7'EMS WERE / WERE NOT COMPLETE AT Tf~ TIME OF'CHE FINAL INSPECI'ION.
Date: (e ~ ~y'(~ Yes No Inspector:
Final grade (6" from siding) J
Permanent steps (gazage)
Permanent steps (main entry)
Permanent driveway
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 shutoff of wa[er supply ro
[he outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
~ White - City Copy Yellow - Resident Copy Pink - Contractor Copy ~
o; ~ ~8410 ~ .~2.331
Pequ st Dale Fire No. Pough- n Inspection ReQUlretl Ire ction Otne~an R~h-In ~
l . (YOU musl II inspedor when reatly) ~Reatly Now ~Nlll Nolity Inspeclor
es ? No Date Peatl
I~'ficensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (Street, Box or R te No.)
. ./~~I~
Section No. Towrehlp Name or No. Range No. CouWy.
( 1
~;L cz~: ~
Occupap[~PRI Phone No. ~
r t ~ ~ c_
~ ~z~ ?~f~.%f ~
Pwrer er / Adtlress -
i~(. ~ ~ /.1PLG^vGL~*
Eleclrical Conlrector (Company Name) GoMractor's Lir,anu No.
5 Gf~ 0~2
Mailing Atltlress (COnVecto~ o~ Owner Making Instellation) ~ ~ ~
~ I ~ Ci
Authotlzetl ignatore (COnhactorlOv.ner Making Installation) ' Phone Number
yZ -g~3o
MINNES A ATE BO D OF CTRIQTY III IIII IIIII ~II IIII IIIII IIIII IIIII IIIII IIIII ENG 0S P ED 8V THE STAIE 60A DT
Gr19Ba' Idway Bltlg. oom S1YB UNLESS PROPER MSPECTION FEE IS
18R1 Unlverslty Ave. SI. Paul, MN 55100 1111
PFOn¢(612)692-0800 Ilu
tGG,~~( REOUEST FOR ELECTRICAL INSPECTION ~ es-ooooi-os
a/ ~ See insimclions ror comple[ing ihis brm on back ot yellow copy. . 5a ~ 3/
1~ 7~/ )C" Be/ow Work Csered by This Request
Ne Add Rep. Typnof Building Applial2os Wired Equipment Wired
Home Range ~ Temporary Service
Du lex Water Heater Electric Heafin
Apt. Building Dryer Load Management
Comm./Industnal Furnace Other (S ecify)
Farm Air Conditionet
O~her (speaify) Contraclor's RemaBS:
Compute Inspection Fee Be/ow: ( ° ~J ~ ~ ~
# Othar Fee # Service Entrance Size Fee Circuits/Feeders Fee
Swimmin Pool " 0 to 200 Amps 0 to 700 Amps
Trensformers A6ove 200_Amps Above,700 _Amps
$I f15 ~nspec~ors Use Only: ~ \ TOTAL
Inigation Booms ~ l~~ O ~ t~-
S ecial Ins action ' ' ' ~ -
Alarm/Communication THIS WSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WI7HIN 18 N7HS. ~
I, the Electrical Inspector, hereby Ro~gh~in Da~e' ~ f/
certify ihat the above inspec[ion has .
been made. F1Od~ oe~e
OFFICE USE ONLY
Tnis request voitl 18 monlns from ~ _ ~
~$c~~`~ ~b~sr~
200~ RESIDENTIAL PLUMBING PERmir aPPUCaTioN
CITY OF EAGAN
3830 PfLOT KNOB ROAD, EAGAN MN 55122
651-675-5675
. Please complete for modifications to existing residential dweilings.
Date ~ 1 Z / ~7
Site Street Address ~ "j {~vS-~~ ~j G~, . ~y„~,, Unit #
PropertyOwner LISR NoS~E-f.~PX Telephone#((o~~)(oZt4- d(oZ3
Contractor ~~a'~ ~ro ~ZUta~jih Telephone# (q~Z) 6~~IR
Address _8a l ~`J ~ . City ~-0. ~e v i ~~2 State /v1 N Zip ~ `-70
The Applicant is: _ Owner ~ Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.OD
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. If you are installing on/v a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $136.00 if a 5/8" meter is required)
Other:
_ Water Softener _ Water Heater $ ~ 5.00
_ new _ replacement
~ Lawn Irrigation _RPZ ~PVB _new _repair _rebui~d $ 30.00
State Surcharge $ .50
Total , $ 30.5D
I hereby apply for a Residential Plumbing 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~~~ ucr~i e~~~ ~
understand this is not a permit, but only an application for a permit, work is not to start without a d~}~n~a~l~~i11 ~irhlll
accordance with the approved plan in the event a plan is required to be reviewed and approved. ~ n5 ~
T1~0 ~,a~ c~ JUL 0 3 2007
~S/ ~1'~B
ApplicanYs Printed Name icanYs Sig atur
PERMIT
~ ' CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B u x ~ o z N ~
Eagan, Minnesota 55122-1897 Permit Number: 0 2 ~ g g 2
(612) 681-4675 Date Issued: 0 6/ 19 / 9 6
SITE ADDRESS:
4947 RUSTEN RD
, LOT: 13 BLOCK: 2
CEDAR HEIGHTS
P.I.N.: 10-16725-130-02
DESCRIPTION:
ry.
Suilding-»Permit 7ype DECK
JBuilding Work Type NEW
C~n~sUS Coiie 434 AL7. RESIDENTIAL
r ~ `1
3a.,.
~
r:
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: ' ,
~,~i~~'<~ ~ ~:r,:~ ~ r'"
\,}t ~ f~i%°'
~ c~ri r
~ 1t /i=r~ ,4~ ' ~ ;I
, ~
\ ;
t~~ . ~~:r~ ; _ . .
REMARKS:
FEE SUMMARY:
Base Fee $45.00
Surcharge $.50
Total Fee $45.50
CONTRACTOR: - Applicant - s7. I.IC.OWNER:
RYLAND WOMES 18546963 2003544 RYLAND MOMES
900 E 79TH ST 101 900 E 79TH 5T 100
BLOOMINGTON MN 55420 BLOOMING70N MN 55420
(612) 854-6363 (612)854-6363
I hsreby acknowled~e that I have read this application and state that the
info'rmetion is correct end agree to comply with all epplicable State of M'n.
~ StatLtes arvd City_4f Eagan 0~^dihana~s., ~
t~1 ~~Q~.~~. ~ i~1
APPLICANT/PERMITEE SIGNATURE ~ B SIG TURE
CITY OF EAGAN ~ , ~ ~n
~ , ~ 3830 PILOT KNOB RD - 55122 "m~-' '
* ~ 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
~ 681-4675
New Construdion Reauiremenis RemodeLrtteoalr Reauirement•
? 3 registe~ed sRe surveys ? 2 copies ol plan
? 2 copies oi plans (include beam 8 window sizes; poured fnd. design; ale.) ? 2 site surveys (exterior additions & decks)
? 1 energy calculationa ? 1 energy celculalions tor healed additlons
? 3 copies of tree preservation plan H tot platted afler 7/tf93
required: _ Yes No rn
DATE: I~~e I`I CONSTRUCTION COST: I~W
DESCRIPTION OF WORK:
STREET ADDRESS: V
LOT ~ BLOCK ~ SUBD./P.I.D. ~ q ~
PROPERTY Name: r ~~1 1~.Yl(_/~ T I67 )1.~ Phone
OWNER r' ua~~ ~I 1~( ~rixs. l~ ~ L-!~I ~ I~
Street Address~
City: I State: ~ Zip: ~~~la~
coNTw?CTOR Company: I~ Phone `k' ~-~~3
Street Address: License
~ity_ State: Zip:
ARCHITECT! Company: Phone
ENGINEER 2~
Name: Registration
Street Address-
City: State: Zip:
Sewer & water licensed plumber: Penalty applies whe ddress change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the f rma s~ rrect nd ree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY ^ ? ~ ~ ~~~D
'fdL ~
Certificates of Survey Received _ Yes No J01i t~y~'
Tree Preservation Plan Received _ Yes _ No
OFFICE USE ONLY ~ ~
~
r: ~
, t... .:z.
BUILDING PERMIT TYPE ~
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. 0 17 Swim Pool
0 03 SF Addition ? OS 8-plex ? 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ~15 Deck
WORK TYPE
~ New o 33 Aiterations ? 36 Move
o. 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. ~
Depth Footprint sq. ft. SAC Code DI
Census Bldg ~
Census Unit o
APPROVALS
Pianning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S1W Permit
SNN Surcharge
Treatment PI.
Road Unit
Park Ded.
7rails Ded.
Other
Copies
Total:
% SAC
SAC Units
~ `5/06/1996 15:23 7887602 KURTH SURVEYING INC PAGE 01
,
r
, PLOT PLAN
' 7HIS 1S NOT A 80UND~RY SURVfY -
FOR Y D H MES pROPOSED K001 JE FERSONYST~GN,E1NC.
i ~F'RES* c~rniFr TMtir TMis v~or n~,w vns v~rnrtEO er rE GRADES COIUMBih HEIOHTS. MN. 57~9~
04lraFR w DIpECT fi,pFlrvlslqt ,'fMa) TI~g p~µ ~aqpERLT 1 8121 7pB-B7B0 FAX 18171 7A8•T007
9qH1 TME FIACF)I~YI 0~ A PROPOI LDINO M hE LNA
XEFEW OfSp118ED ND TNAT 1 AY A o1A ~v'!'[ NC ~
7UNEYM U~DFR iHE LAVI OF E STATE S OAAAOE SLAB - ~O7-~• 5 p^TE , 30 ~l~
TOP OP BLOCN - ~~~'V'$ IRON MONUMENT
, ~018•g OEARINGS ARE PER PLAT
1AIMIESOTl1 L SE 0. ~ co ~~3 ~^sE"'E^r' P~ooa SPIKE SET
- EXISTINO ELEVATION
t ~ - PROPOSED ELEV,
^ E- = DRAINACE ARRON
i 0 20
~
sCAIE ~N FEET
I
s Qo•3~•,s°w 95.97
C,~,~~ ~oo,.o~
DRAINAGE 9 UTI~ITY EASEMEN7S u~
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( LoZ4 ~
L~1 30 LT , WD'~'~ ~i J'1 l
LOT 1 3. BLOCK 2, Rus~~U Ror~p
CEDAR HEIGHTS, I`
DAKOTA CO., MN, '
~
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•G~'S~nA Q
~2CJtil'f' p'O~C.C11 ~
, PERMIT Iz02
~ CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B u z ~ o i N ~
Eagan, Minnesota 55122-1897 Permit Number: 026g7z
(612) 681-4675 Date Issued: 12 / 2 2/ 9 5
SITE ADDRESS:
4947 RUSTEN RD
LOT: 13 BLOCK: 2
CEDAR HEIGHTS
P.I.N.: 10-16725-130-02
DESCRIPTION:
~
~Uil~din~~.,Permit Type SF OWG
~Suilding Work Type NEW
'UBC Qccupancy R-3 U-1
ConstrucCion Ty`p,e VN
Zoning R-1
Bu31d'ing Length 76
~ Building Width 30
C-~n~us Cade . ` 0101 1- FAM. DETACH
E,,
~C ;
~ -
1
_ ~ Z~ ~ , ~ ~ ~ ~ ~
i . '
. :;Y,~..:~.
REMARKS:
STAR PLUMBING
FEE SUMMARY:
VALUA7ION $169,000
Base Fee $1,232.25 MISC FEES $1,892.50
Plan Review $431.29 Total Fee $4,490.54
Surcharge $84.50
SAC $850.00
SAC ~ 100
SAC Units 1
Su6total $2,598.04
CONTRACTOR: - Applicant - ST. ~IC OWNER:
RYLFlND HOMES 18546363 2003544 RYLAND HOMES
900 E 79TH ST 101 900 E 79TH ST 101
BLOOMIN~TON MN 55420 BLOOMINGTON MN 55124
(612) 854-6363 (612)854-6363
.i hereby acknowledge that I heue read this appl3cation and state that the
information is correct and agree to comply with all applicable State ofi Mn.
8tatutes and City of Eagan Ordinances.
L J
~~ndL -
APPLICANT/PERMITEE SIGNATURE ISSUED : S ATU E
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: au~~ozN~
3830 Pilot Knob Road Permit Number: 026872
Eagan, Minnesota 55122-1897 Date Issued: 12 / 2 2/ 9 5
(612)681-4675
SITEADDRESS: P'I•N.: 10-16 7 2 5-1 3 0-0 2 APPLICANT:
LOT: 13 BLOCK:. 2
4947 RU57EN RD RYLAND HOMES
CEDAR HEIGHTS (612) 854-6363
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
• .
FOOTINGS FOUNDATION
FRAMING ROOFING
INSULATIpN FIREPLACE
ROUGH IN PLBG ROUGH IN HT6
FINAL PLBG FINAI
REMARKS: STAR PLUMBIN6
~ _ _ ~
,
~ ~
u~F' f4 ~4
t~'
"~"£a43`~,~a`~~,.1""~'~.k~'~"~F?Tiin`F i I:.M. . : r.s~;i ,t 1 : . ~ , .
~ ~CITY OF EAGAN ~ ,5~~
3830 PILOT KNOB RD - 55122
~ 6(~~ ~ 1995 BUILDING PERMIT APPLICATION (RE5IDENTIAL) ~QQq,~ jL-~~
681-4675
New Cons[ruallon ReauiremeMS RemodeVReoair Reauirements
? 3 repfslered ske surveys ? 2 copies of plan
? 2 wpie6 of plana (indude beam 8 window a¢es; poured fid. tlesign; etc.) ? 2 ske surveys (exterior additbna 8 dedcs)
? 7 energY ~~u+lalions ? 1 energy wlwlaUons for heated addilions
? 3 tbpies M bee ptasarvaUon plan if bf platted after 7/1/93
required: _ Yes _ No
DATE: 1 Z- 6- 9S' CONSTRUCTION COST: U~
YI 1 i
DESCRIPTION OF WORK: N~`~'-~ I`~ ~ ~
~ S~REET ADDRESS: y~ y7 S~"~
LOT I3 BLOCK Z SUBD./P.I.D. ~t ``~l`~
~
PROPER7Y Name: ~~-•-a Phone
OWNER '
~ Street Address•
Ciry: State: Zip:
CONTRACTOR Com an ~v lG-~-~ l-~m~-rs Phone 8s`~
63~3
P Y~
~JCYs 7~ ~
S~ ~ff. IULicense 206 3SY5'3
5treet Address:
City: ~~~Uw~~~-ti ~N State: ~ h Zip• SS~~S~
ARCHITECT/ Company: p(~l~ Phone#~
ENGINEER
~ Name: Registration
Street Address~
City: State: Zip:
Sewer & water licensed plumber. S~ r"' O~~ h ~ Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowiedge that I have read this application and state that the intortnation is conect and agree to comply with all
appiicable SWte of Minnesota Statutes and City of Eagan Ordinances. /:~~t/W ~ n~ `
Signature of Applicant: J ~y/"~
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No q~C 0, 6 9995
Tree Preservation Plan Received _ Yes _ No
OFFICE USE ONLY ~ ,
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
~02 5F Dwelling ? 07 4-plex o 12 Multi RepaidRem. ? 17 Swim Pool
0 03 SF Addition o 08 8-plex o 13 GaragelAccessory ? 20 Public Facility
0 04 SF Porch o 09 12-plex ? 14 Fireplace o 21 Miscellaneous
0 05 SF Misc. 0 10 = piex ? 15 Deck
WORK TYPE
.a~39 New ? 33 Alterations ? 36 Move
0 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) ~ Basement sq. ft. Z~~ MCNVS System ~L
(Allowable) ti Main level sq. ft. zm P" City Water
UBC Occupancy 2- u-/ sq. ft. i~z6s" Fire Sprinklered
Zoning ~-i sq. ft. PRV
# of Stories z! r~r sq. ft. Booster Pump
Length _Z sq. ft. Census Code. /
Depth ~ Footprint sq. ft. Z, zZs SAC Code a/
e Census Bldg i
APPROVALS w~ ~tif'~?~i~~~~ Census Unit i
Planning Building Engineering Variance
Permit Fee Valuation: $ Oo 0
Surcharge
Plan Review l'~~ i•v ~
f~.~
License Z~~, ~~y~~ Z 3 7
MC/WS SAC z ~ / : ~ z ~ S" r 's =
City SAC 2 ~ / ~o g '
WaterConn. 5_y~ l~ ~'7S
l Z~S x__ r
Water Meter i
Acct. Deposit ~ ~
S/W Permit
S/W Surcharge
Treatment PL ~ ~C, .
Road Unit ,c., _ - y7(o
Park Ded. 2 - ~ ~/~/9.~ 3
: Z s"Z
Treils Ded. Z~ x~ y
Other ~s~ Z~s r 3"y- D- ~ gx ~
Copies / ~ _ 7
C9 Y~ 6 Yf
Total:
SAC Units f~-~ I~ £c/G
~ ~
; ~~~;~y1 ~i z°° . , ,
,
t, = p~~,:F ~
. ~r,.. ~ ~ ~:'.•:~~?~~2~'~3~ks,'~C~u'' .
i ....•r
' n~s~~' P L 0 T P L A N
' TNIS IS NOT A QOUNDARY SURVEY "
FOR RYLAND HOMES KURTH SURVEYING, INC.
PROPOSED 4001 JEFFERSON ST. N.E.
I HERE97 CERi1FT 7HAT 7HI5 PLOT PL~N 4AS PR[PMEO BY A1E GRADES COLUMBIA HEIGHTS, MN. 55171
Oq UDER I!Y OIHECT SUPFAVISION , TNAT 7F11Y PLAN CIXiRECTLY ~61~1 788-9789 F/~x ~81~1 ~BB'~602
410Y5 THE PLACEAIINf OF A PROPOS LOINC tr1 7HE LAND '
XEREON DESCRIBED M-0 TN7 I!JI A DUL AM \O"L~D.~y ~'~O 9S
SUK4EY0f1 WDEN 7HE LAVS OF IE STATE 50 . ~~RAOE s~nn • DATE
l0'2.~ •8 0• I RON MONUMENT
Tar oF e~ocK • BEARINGS AR[ PER PLAT
BASEMFNT FLOOR • ~~~a'$ • • SPIKE SET
M I NNESOTA L - SE 0. 1(0 1 t 3 • EX I ST I NG ELEVAT I ON
t ~ • PR~POSED ELEV.
E- = DRAINAGE ARROW
Q i^' ~ 0~ 20
I £ ~ f . r r ~ '-1
SCALE IN FEET
;SY,
~Z iS
~
S 40'37'15"W 95.97
Lo„~~ ,oo,.o~
DRAINAGE dc UTILITY EASEMENTS vi
~ .r_ ~ ~ ~ 5
~ ~ ~ qc~ If„'~- ~
~
wn~~cnu7 I ~y ~
1 ` '
la~-O~L _Eo
~
~oua.c.b ; ~o ]EAGAiV EiVG ~ ERING DEPT.~~••~
W taLL ~
F"tw~,lD. r w N O,~Ofv
~ A ~ (a I z
(O I A
(O
N
N N
I~- / N
'r'o P o F' ~ / v~f d..~K.b~T I a
1NA~La ~ G~ ~ lb2(a•~i~ I ~~Ga .3 ~Q.Q UI
~ u~.b ~ ~ (P 1 ~
/ ~ ' ~~OQ~ SL~~
u r ^ ~
I ` ~ u
I ` ' \ ' u
i FSMIp" u
I I .
~ _
~ ~ ~-Lous~ ~ I~ w
W ~o ' . ~
xi~B ~7 6,0 1 loZc>. ~ ~ ~s ~ ~
i .
C~~'v.loiS,2~ -I. - c 10.-0 -
~ ~ ~ R C- \
, r
..................i ~
~ 1 0210. ~J ~ B~
~I~ ~x I ~i
YI ~ Q ~ ~ ~
5 - ~ _
-r ~ _ I ~ri,wc:R ~nV.
~ p I LJem l
° ~ ~rrov ~ ~ .~ot4,3i
~,~~4.-,~ ~ri-o-i-~.:~s.~~
~~Qi4•3) N 40`'37' 15"E 95.97 • ~"1'~'°~
~ ~ ~ 1 .E ~
! ~t 1CTFN RnA
~ ~~Qa
~~RIW~
~ 3a~.<,~e-~ ~1~~-1Z <
LOT t 3, BLOCK 2. FZus~c't=U Ror..~o
CEDAR HEIGHTS,
DAKOTA CO.. MN.
~ l lL.h~..t L'CO t_ f" p,' ~
3 cr~,R- • LEP~r
;C=~~i O
s ~ LOT SURVEY CHECKIJST FOR RESIDE
` 0 8UI G PERMIT APPLlCAT ON
W W
~ ~ ~ PROPERTY LE 3 ~
~ ~ m DATE OF SURVEY: /~~a~ 4.~
U ~ N LATEST RE1/ISION:
4 O ~
< 2 i .
DOCUMENT STANDARDS
~'~7 0 • Ragistered Land Surveyor signatura and company
~ ~ • Buildtng PertnftApplicant
o • Legal descriptlon
~ ~ • Address,
R~~ ~ • North artow and scale
~ ~ • House typa (rsmWer, walkouR spllt w/o, spltt en6y, lookout, etc.)
~ ~ • Directlonel drainepe artows wiM slopalpradlent 96
~ 0 • Proposedle~dstlng sewer and water servfces S InveR elevatlon
~ • . Straet name
O 0 • ' Dtivewey . . -
ELEVATIONS ,
~ q • S~ IYIC9
~ o • Property comers
D • Top of curb at tt?e driveway
6~' o a • Elevatlons of any e~osstlnp adJacent homes
Prooosed .
~ ~ • Garage floor
0 0 • Fustfloor
~ • Lowest exposed elevetton (walkouUNGfdow)
o' ~a o • Properry come~s
8/0 0 • Front and rear of home atthe foundatlon
PONDING AREA (ff aoolic~ahlel
~ ~O • Easement Iine '
O e~/0 e NWL ~ -
O 0' O-/ • HyV1.
o J~y • Pond ie designatlon
? o/p • Emergenq Overttow Elavatlon
DIMENSIONS ~
O • Lot IineslBeatinps 3 dimensbns
~ • Right-oi-way and sVeat widTh (to back of curb) • •
e' o o • Proposed home dimanslons includinp any proposed deeks, ovefianfla flreatar then 7,
/ porohes, atc. Q.e, all sWeturas raquirinp pertnanent tootlnps)
e"~ O • Show all easements of racord and any Cily ulilitles within thuse easamenha
1Y ~ ~o Semacks of proposed strucWre and sideyard satback of adJacent e~dstlng situcturea
0[Y o • Retaining wall requlremeMs any
,
' Reviewed:
ama /0
Ju~r tBBS .
~ r, y
. . 1 . . .._.rv~ iUn I~r:li ~ ~ .
~ . 'l. ,.d . " • : i
~ ~ r ' >
" ~
'
~ ~ ~ , F
' ~ v,"~ ~ 1..J! L~.~1".. .~i i . ' 1 ' x . '
f~ ; ~ .~.~~E f~`~ ~:v:C~-a; 13G~,a ~ ~
'lec.~t'•n ~r
~i. j:~,~ C..aC~IfC,ACY OF UTFtI'1Y I_~.,i ~ii1~~ ~ " 7 4,
y:/ ~l~~. ~.LEV~`~TIO~!5. THIS DAI~~ , s:
REMOVE PLUG dc CONNECT ! ` ` ~ Q; ~Ll` ~~'U , ' ` L'
p,: ~ vr.: ~iAl i0`~ PURP O S E
S L, Lr,'.~,Y ~:~h~z: t T'
~S TO EX. 6" DIP w 6~- '°-r f=.
6' 11 1/4' BEND F'~6-~~'~sii:; . ~ a.~.
~,~4~ 6r~~C~~,.~i~TIOi~ONTH SITE. : ,
~ `r • V _ 4~ . PVC ~
~ ~ ~ f , eOPPfR ~t1
~
. 15~ ESMT. ~ ~ . ~ ' ~
~
4 ~l L t4
, 6-_22 ,,2' BEND ~ 3 ~2 ~ ~ ~~:a ~
,
s
` ~ WYE=2+09 . ' " ~
~ ~ , J , ' w
` ~ tOt5.0 WYE=1+27 _ WYE=0+32 ' ~ WYEm2+37 , ;Wy~m.1+44' r'
, O
1014.3 1012.0 1008.7 ~ Y 999 8 s
p}~~, p ~s
~ / ' I I ' 1 ~ ~ ~,'f~l '~i~'~'
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a;
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6"x6" TEE 1016.0 1013.9 1011.0 005 9 >~3 ~^8i8r 4",
. R ;
1017.1 yyyE_1+81 WYE=0+94 ~ WyE~0+08 WYE=2+21 WYE+1+34 s~
~
WYE=2+59 , " ~
, ~
~
~ ; 21 - 22 ` ~ ,
~ ~ ~ 8 20 ,
HYDRANT ~ ~ . ~ HNORANT,X ' ~
49 -6 DIP SERVICES TO ~kTEND 15 BEYOND 9:,g
6"-45' BEN PROPERTY LINE (TYP
6"-11 1/4' END CURB STOP LOCATED ON P/L gr~• ~E'
GRCIUND ;El:.::;
' GROUND EL. = 1026.9 w/ 15' PIG TAIL . :.4., •.,~i
~ - - - ~ n ~ ---.n
; , .Y. ..~.~S s Q7HE~IMSE . N07ED. ~ !s~
. ,;.CLASS 52 UN ,
n t,~~ ~ .
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-
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..r
~.ifr_' ~4UiiACY OF~ U~ILIi`~ ~~~Vldl~IVic~~ ~ . _ ' 4 ~ "r ~uts~~
eN r
..t l1~ r f' IA Q I P L.'9 n s'-(1°i ~ ~ ' ' ~ ' t~ ~-wt~;i
- -
~ . =-~-E? , 5~ r~V ~ c ~ <y>~,
. .
Li: ;Ni 10`J P RPOSES Oi:L" ~,i~ t,h
r ~ ~ r
u .'S~ ~ L~v U~If~G IT SHOULD 1i1.:( ei 'P ir ' . . ' • • . ~ f ~ ~ ' y p
Y : {'t . . , . . ' ~ S 7=
- - - - - ~
, ~
, ,
f~t~=C;~ i.i~,I~i01V Of~ H~SITE :
c > r -
~
,
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i .
: . , s
1... _ ~ : . . .
_ . . + .
- - ~ . ~ . ~ ~ . ~ . q~. .
1_.._. . . . . . ~ ~ - ' ~ . . ~ . ~ . : . _
: r. .
* CABO MEC 92 COMPLIANCE ~
? lder RYLA.tiD HOI~5 Submitted By R,H. TRACEY
M~,el HAMILTON Date S%1/95
Lct/Plan/Address w/295 F[7I,L B6MT. Degree Day aase SOCO Minrzeapclis
~e House Volume 0
Filename HA*RILTON Centrol No. 4688
Uo Totals ~ Proposed ~ Re~uired
Compor:er.t Area Uc 'Total Uo To~al
Wa11s 30G.~i .108! 325 .:i0 328
Ceilings 1330 .026~ 34 .026 35
F'loors 0 .047I 0 .~a0 0
Floors (Open) 12 .035 0 .026 p
8smt Wa11~U) 1195 .08CI 96 .~91 109
" " " ;hie 3ouse Qualifies Witr Tetal
45~
Total ~ ~ ~ ~ 472 U-Value CaJ.c~lationa
-
Specificar.ions Uo Calculations
----------------------------i-----
Walls I Size O.C. Ilnaul. S'r.~at. Componer.t !^'Area I L*-Va1 Total 111~
A Frame 5.5 15 ~ 19 2.06 Frame Wall A 1917 .052 1D0.~
B Frame 5.5 16 19 2.06 Frame Wall B
C Frame-Gar. 3.5 lb ~ 13 .45 Frame-~ar.C 198 I.082 16.2I
D Masonary 8 N/A I 11 h/A Mascnary D ~ .OBD
E Mascnary N/A *
i A/A Ma~onarX• E *
Ring,Joist 15 24 I 13 j 4,0 Rfr.g Joist 382 .C56 2i.4
- Window A 455 I.38 172.
Doors Panel Glass 1 S.C. Wfnaow 8 i
A i'?etal .1y .62 ~ .88 Aindow C
B Wood .46 .62 ~,88 Docr A-Panel i 46 I.19 8.74
C Othzr poor A-Glass 7 .62 4.34
y ,
IDocr B-Panel
Ceilings I o.r. insul. Sheat ~oor B-Glass
A W/Attic 24 38 N/A ~Door C-Pane? ~
B No Attic 1E 19 53__ ~pOGr C-G1ds5 I~
C Other ~ Totale 3005 324.6 I
Ua=~U./At) f
. s
Flcors O.C. Insul. Cover ~
A Non Cond. 16 19 1.23 Ceii.ing A ` 1330~ .025 33.9i
B Overhang 16 30 1.23 CeAling 8 + I
~ C Other N/A 5 Ceiling C I ~
Skyight A , i
~Wir,dows U-Val S.C. Skylight 3 ~
A IAlum T.B. ,38 .88 Skylight C I ~
S Wood .52 .88
C ~ V1II}/1/FG Tor.als 1330 ~ I 33 . 9
Uo=Ut/At ~ .026
Skylights I U-val S.C. * Baser.:ent walls > 50°s below grade
A Staraard 60 ,gg
B High Ferf.i NoTICE: Users cf this so_twarz are re~ponsible
C Other ~ for the specificatione and dimensional data
ueed to generate thie report. The developers ~f
:?~JAC Equip~Rating ~ the software are in no way respcnsibie £or the
Oas P~'UE .78 misrepesentation of any building due to errors,
HP HSPF + G.8 ! omisaioas, or any other misuse of *`r.e ~oftware.
IAC/HP 3EER~ 1C• j
LT3,~?@~l'd NNIIJ QL f:f7F1~?i i~,~nlnrbi rlNr•-.iv i.!~w.. .
. t~ J
Page 2 of 3
Huilder RYLAND HOKiES $ubmitted By R.H, TRACEY '
! '.el HP,.~IIr,TON Date Si`3/95
L~c/Plan/AddreF~ A~;295 FLr„L SSMT. Degre2 Day Hase 80C0 MinneapoZ:s
House Volume o
Filename HA!dILTON Control No. 4688
vs¢c='~e nxcn.-=_'_'.~~~~_~ve-_=v'aee_;_"=~~aasc~-maa~aaee___=ao~oe~'==a~'avuefee
Dimensi;;rs
~Talls ^!-Frame_.A-~_F~rane'8_I_ ~Gar.Com C~ ^ ~ Mason.D~ Mason E
I
&aewment ~ Bsmt. ~Above Grl 608
lst Floorl 1170 :st Fleorl 216 ~Beiow Gr 6p8
I2nd Floor, 1216 ; ICra:vl. ~
3zd Floori ~ M.isc.
M.isc. I Misc.
Misc. ~ Miac. I
Ring Areal 382
Windows
Aluminum 434 I I I I I 21 ~
Wvcd I
'?inyl/FG ~
---------------------------~_nP-~--------
Doors I(c;=Glass Area - O-,. arue areal
h?etal G ~ 7 I I I I
O 23
( ~a c . ; is ~
o i f
Other G ! ( (I!
I Q ~ I ( I
I..
; Ceilings I~~1133Qrtic I N~ Atti^ I Other I
t- !
Std.Skylitesl I
:iP Skyiites I
Cther
-
Floora ilon Cpnd. I pver._ana I 91ab
I 12 V
windowelQty. Desrription 4ty.1 D~scrip`ion ~Qty,l Desctiption j
262~M:sc.(Enter Area) I 9 I3250 I 1 3030 ~
2 ~2940 ~1 2820 ~ ~
Gccrs I~tY•IG~~eSWALLtDOOR I~1~. ~SNTRYSW/D3i1SDLITEI~~~•~+ D~scr4ption i
'e~=~~~~~~~an>=a~~~~~~~~~~~_~_~~_~_~~~_
_'n~~---~- v~va a evevvenaana=e=
---~--~'"e veviceae'= ~
:I2.'~UG_'.'d i~:ullJ OJ. P~;G1~3~i 1:~~'v~(i~l (7NH~.'vJ WC;nI i
_ ~ j-^~'!j
I
~i CITY USE ONLY ~~~05
L 1~ BL o~ RECEIPT
SUBD. DATE: ~ 9~
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612)681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES - EACH NO. TOTAL
Shower ~ 3.00 x I = 3~
Water Closet 3.00 x _ ~
Bath Tub 3.00 x z
Lavatory 3.00 x 5 = IS -
Kitchen Sink 3.00 x = 3-
Laundry Tray 3.00 x I = 3-
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x f = 3"
Floor Drain 3.00 x ~ = 3-
Gas Piping Outlet * minimum -1 3.00 x ~ _
Rough Openings 1.50 x ~ _
Water Softener 5.00 x =
Private Disposal ' DakoW Cty. license 20.00 =
U.G. Sprinkler' home under const. 3.00 =
Aiterations ` to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL ~3~ ~
SITE ADDRESS: ~4~ ~
OWNER NAME:
INSTALLER NAME: a~""'~~~
STREET ADDRESS: bp~~ W~~J~1 C c~Gp
CITY: ~~~LW a~pi2~"' STATE: M~ ZIP:
PHONE ( ) ~3~ ~3~
~
OFFICE USE ONLY ~
L _ BL _ RECEIPT
SUBD. DATE~
1995 PLUMBING PERMIT (COMMERCIAL) `
CITY OF EAGAN
3830 PIL~T KN08 RD
EAGAN, MN 55122
(612) 681-4675
Please complete for. ~ all commerciaVindustriai buildings.
~ multi-family buildings when separate permits are IIQt required for each dwelling
unit.
DATE: CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION _ ADD ON REPAIR
DESCR~PTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED7 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 SYSTEM9 YES NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1°/a of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of gg~j~ fee due on all permits.
CONTRACT PRICE x 1°/a
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:
CITY USE ONLY
L 1~ BL RECEIPT r/
SUBD. l_ DATE: ~ /n
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
~ (612) 681~675
Please complete for: ? single family dweliings
• townhomes and condos when permits are required for each unit
~ New construction Add-on fumace
Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc.
Date: l l 2l I~~
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00 ZH•°u
Additional 50 M BTU 6.00 3 6•00
? Gas Outlets (minimum of 1 required @$3.00 each) ~ ~2,00
? State Surcharge .50 . ~io
TOTAL ~
SITE ADDRESS: ~~~4~ STr~ R~ •
OWNER NAME: ~'~~N~ L'~~-E5 PHONE
INSTALLER NAME: P~iv~+o~.~~. ~t,`ATt?~(r ~ Vl i~
STREET ADDRESS: ~ `^~Na'T (~r4 /~uc I.I •
CITY: ~-OQk~~~ I~R~ STATE: N`^~ ZIP: 55~(Z'8
PHONE ( ) 533-~4357 ~
ciTr use oN~v
L _ BL _ RECEIPT
SUBD. DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Piease complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are pg.~ required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ~ $25.00 minimum fee ~ 1% of contract price, whichever is greater.
~ Pracessed piping - $25.00
~ State surcharge of $.50 per $1,000 of permit fee due on all permits.
CONTRACT PRICE x 1 %
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP•
PHONE
SIGNATURE:
~ SIGNATURE OF PERMITTEE CITY INSPECTOR
. ~ ~3~ ~a, C~.~ (~l~
city oF eag~n
- THOMASEGAN
Mpyor
PATRICIA AWADA
BEA BlOM61UIST
July 15, 1997 SANDRA A. MASIN
THEODORE WACHTER
Councii Members
THOMAS HEDGES
Ciry Atlministraror
MR & MRS KEV1N RASKE
4947 RUSTEN RD E. J. VAN OVERBEKE
EAGAN MN 55122 c~H cie~k
Dear Mr. & Mrs. Raske:
On July 10, 1997, I made a site inspection of your properiy in response to your request regazding
grading and drainage concerns. For your information, I am forwarding a copy of the 1994
Uniform Building Code, Section 2317.8, which addresses the maintenance and spec~c
requirements of wood/earth sepazation.
Please feel free to contact me at 681-4679 if you have any further questions. Thank you.
Sincerely,
/V~~ ~
Mike Bazck
Building Inspector
MB/js
cc: Mazk Sonstegazd, Ryland Homes, 900 E 79"' St., #101, Minneapolis MN 55420
MUNICIPAL CENTER THE LONE OAK TREE MAINTENANCE FACILIN
3830 PILOi KNOB ROAD THE SVMBOI OF STRENGTH AND GROWTH IN OUR COMMUNITV 3501 COACHMAN POWT
EAGAN, MINNESOiA 55122-1897 EAGAN, MINNESOTA 55122
PHONE: (612) 681-d600 PHONE- (612) 681-4300
FAX: (612) 681-ab12 Equal Opportunity/Affirmative Action Employer FAX: (612) 681-4360
T~D: (612) 454-8535 TDD: (612) d54-8535
PERMIT# ~lp ~ RECEIPTDATE: I - ~~-a ~
~~0,~-- ~ ~
ii~SIDENTIlEL ~LUMBINfi ~itMIT ~~PLIC~TION
crrYo~ ~sa~rr
S$SO fILOT KNOB $D
~4614A, MA 581 EE
851-681~487g
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? 6ackflow preventer for irrigation system
SITE ADDRESS: 7 { ~ ~ ~Z(JSTE~
OWNERNAME:: r~J/H/d)Y' 1~tS/~ TELEPHONE#:
(AREA CODE)
INSTALLER NAME: ~C,S ~I~
l~/"I~Y1q(~/t1/C~ TELEPHONE ~Pt~ $~a Sa S~-
(AREA CODE)
STREET ADDRESS: ~ {~L~~2~C`L~f-!4l/~ 5 •
CITY: M/{'1~N~PdC1 C STATE: {'l.l hI ZIP: S-S `IvS
Place a check mark next to the ermit work t e
New residential dwelling unit under construction and not owner/occupied $ 90.00
Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuiid of RPZ
• lawn irrigation system
• water turnaround
Nature of work: f~-dd d~rL-SIw1G~9itn/ s V~iJ txiSTi~.~lC~
~ -Fiwi n.vdwl
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
State Surcharge $ .50
Total $
Reminder. Be sure to schedule inspections of alteretions, i.e. water heaters, water softeners, etc.
I herebyacknowledge that I have read ihis application, state ihat the infortnation Is corcect, and agree to complywith all applicable Cityof Eagan ordinances. It
is lhe applicanPs responsibility to noliTy the property owner that the City of Eagan assumes no Ifabiliry for any damages caus by the City during its nortnal
operatlonal and maintenance acdvities to the facilities construclad under this pe hi d opert, nght-ot~y/e s nt.
~ ~r 0
SIGNATURE OF PERMITTEE
Updated 1l01
Sp,~a(- ~p,~ 7/13/08
~ For Otfice Use ~
~ - I
~ Permit ~
1 ~ I
City of ~a~aIl ' '
~ Permit fee: ~
3830 Pilot Knob Road
Eagan MN 55122 ~ Date Received: 7-a 3 j
Phone: (651) 675-5675 ~ e ~ ~
Fex: (651) 675-5694 j 5~~: j
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: y a'~ ~8 SiteAddress: ~uS~ QD ~4ALtr ~1'L~ ~12Z
Tenant: Suke
RESIDENT / OWNER Name: ~f UO~n'1 Zw'~ b0 ~p Phone: 4a.~I U24 Qi
Address / City / Zip: ~{'q~F~ I~.wS~-n (~p E~an i'rt tJ ss ~zz
Applicant is: _ Owner ~ Contractor
TYPE OF WORK Description of work: ~~AX O~'~ ~ Ke. ' F°IIC
Construction Cost~ ~ ~ ~ SDC~ Multi-Family Building: (Yes No ~
CONTRACTOR Name: ~ Z'~2 C I~ oO~;n p~ l,a~~~~ ~~~e Zo i 3 9 1~ O
Address: ~}1~'Jr ~E ~
City:~r_ oolc~n ~~k state: t'RIS Z,p: 5~`{`E3
Phone:763"31S-O930 ~ontactPerson: 'A"1~~~ uU~~'1~5
COMPLETE THIS AREA ONLY IF CONSTRIJCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv t Minnesota Rules 7672
Energy Code . Residentlal Ventilation Category 1 Worksheet • New Energy Gode Worksheet
Category submined submined
Subll~issiOn typB) • Energy Emelope Calculations Su6mitted
In the last 12 mo~rths, has the City of Eagen issued a permit for a similar plan based on a master plan7
_Yes _No If yes, daYe and address of master plan:
Licensed Plum~r: Phone:
Mechanical ContracMr: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents tha? you submit are considered to be public information. Portions ai
the information may be classlfled as non-publ7c if you provide speclfic reasons that would permit the Clty to
conclude that the are trade secrets.
I hereby acknovAedge that this irrtormation is complete and accurate; that the work will be in contonnance with the ordinances arxl codes of the Ciry of
Eagan; that 1 understaM this is not a permi~, but only an application tor a pertnit, and xrork is nol to starl xntlwut a permR; that N~e xrork will be in
accordance with the approved plan in Ihe case ot work which requires a review and approval of plans.
E C~l,u.~~ nas p~' ~~Ct,u~.u-a~
ApplicanYs Printed Name ApPlicanY ignature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA144406
Date Issued:07/25/2017
Permit Category:ePermit
Site Address: 4947 Rusten Rd
Lot:13 Block: 2 Addition: Cedar Heights
PID:10-16725-02-130
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Daniel Preiner
4947 Rusten Rd
Eagan MN 55122--402
(612) 695-3408
Residential Heating & Air
1815 E 41st St
Suite A
Minneapolis MN 55407-3425
(612) 724-1899
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA173958
Date Issued:12/15/2021
Permit Category:ePermit
Site Address: 4947 Rusten Rd
Lot:13 Block: 2 Addition: Cedar Heights
PID:10-16725-02-130
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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 -
Daniel & Melissa Preiner
4947 Rusten Rd
Eagan MN 55122--402
Residential Heating & Air
7454 Washington Ave S
Eden Prairie MN 55433
(612) 724-1899
Applicant/Permitee: Signature Issued By: Signature