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4950 Rusten Rd ~ INSPECTION RECORD ~ ~ CIY'Y'OF EAGAN ~ PERMIT TYPE: 'I i i F' I .N6 ~ 3830 Pilot Knob Road Permit Number: t•' f+3 i`' Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: , . : ~i•:TfN t~i~ , ~ . ; ~;~~rr~ , PERMIT SUBTYPE: TYPE OF WORK: ~ ~ Nf l.t INSPECTION D• • r• i'elhllPl~, 1•tlftl 1iVii 1 t! .Itl A 1 t~tN F i V 1;' I A'.I ~-M.f! i PJ ( I I:{: iill1,l1 I N H 1 1 1i~r,i tNAI ;.1 Mr,1~k~,: t. ?J ~'i.Nk ~,1~1ic 1~1 t{~~ , , I ~ ~ J . " Pertnk No. Permit Holder Date Telephone # ~ . ELECTRIC ~ PLUMBING HVAC 7I0 9~j ^Al Inspectlon sp. Comments FOOTINGS ~ FOUND FRAMING G~ ROOFING ROUGH PLUMBING PLBG R TEST 1 r ~I ROUGH HEATING ~ GAS SVC TEST iNSUL • ~ 3• S~ GYP BOARD FIHEPLACE FIREPLACE AIR TEST FINALPLUG FINAL HTG ESTT BLDG FINAL BSMT R.I. BSMT FINAL 1 DECK FTG DECK FINAL ~ I . 1 - W.ertificate of Ccc"anc4 (944 of Cfagan zewirtwimt This Certicate issued pursuant to the requiremerers af the Uniforrre Building Code certifying rhai at lire tinre of issuance lhis structurie was in compliance wirh the various ordinarcces of tfie City regreJating building construction or use. For the, following: , use cl%Mr9*ioR: SF DWGlGAR siag.eemrtNo. 27839 pccupancy 1ype R-3 U-1 yoniog Di.urict R' 1 % Type Const. Vn i Owwr of Bwlffing RYI,AND HOMES Addren 900 E 79TH ST #101, MPLS, MN BWWing Addrm 4950 RUSTEN RD Locality L18, B2, CEDAR HEIGHTS Dates„~~~ off~ ',r ~ - POST IN A CONSPICUOUS PLACE 1N SYEU`1'lUN KL(:UKlI CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: . EMinnesota 55122-1897 Date Issued: " (612) 681-4675 SiTE ADDRESS: APPLICANT: ! , i! Ttf? ~ ri . i..; j:. ~ . . , . , , , , „ . . PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . , , ~ f• . . , L . ~ Permit Holder Date Telephone # PLUMBING H VAC Inspection Date Insp. Comments FOQTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLOG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS coNOUCTiwTv TEST MVDROSTATIC TEST BSMT R.I. BSMT FINAL DECKFTG _,tl~ 7Y o / DECK FINAL Address 4950 RUSTEN RD Zip 5512 ? , I.ot 18 Blk 2 SUb UDAR HEIGHTS THESE TI'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: 971TI~ Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanentdriveway Petmanent 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 shut-off of water supply to the ouLside lawn faucet before freeze potential exis4s. Contact engineering division at 6814645 before working in rightof-way or installing underground sprinkler system. ~ White - City Copy Yellow - Resident Copy Pink - Contracror Copy I(I I ~ I~ `II RE'UEST FOR ELECTRICAL INSPECTION I I Minsota State Board of ElecVicity 1821neUniversity Ave., Rm. S- 28, S Paul, MN 55104 * 5 2 8 8 4 2 * Pnone (612) snx-oaoo 1 Home upex Apt.8ldg. Other: _ New Addn Commercial Indusfrial Farm Remod Re air Air Cand. Htg. Equip. Water Hfr. lood Mgmt Other. D er Ran e Elec. Heat Tem .$ervice abpve the work covere bv thi uest. Enter remarks in this spote and an the back of the white copy only. N~n.,~w..~ ~.e ~ Calculate Inspection Fee - This Inspection Request will 6e ac epted wifhouf lhe comecf fee: Olher Fee tF Service Enlronce Sae Fee Circuih/Feeders Fee Mobile Home Park Stall 0 to 200 Amps ro 100 Amps 5}ree} L}y,/rraHic Sig. Above 200 Amps Above 100 Amps Trans{ofinef/Cenefatof INSPECTOH'SUSEONLY T~//~f $ign/Outline L}g. Xfmr. v ~v Alortn/Remote Conhol ~ v $wimming Pool ~ I here cerfi Ihat I im 'ml ins 1 o 6,4 heie' Me doms staled Irrigation Boom po„eh-in Do $pecial Inspeclion Invesfiga}ive Fee Final Dote JT THIS INSTALLATION MAY BE ORDERED DISCONNEC ED IF NOT COMPLETED WITHIN 18 MONTHS. 2 ^ ~ OFFIC USE ON Y /This reqoeslwid 76 monlhs fmm volidmion dote pnmed in,I~li+is bGox/ PLEASE PRINT OR TYPE a7~~+oo Rouqh-In Inspecfion required2 ? ru ? N i~.ceaion otner Thon aoueh-in: p ReodY new p wiu cau ~You musf mll ihe Inspenor when readyl ~ore Ready: I, icensed contrador 0 owner hereby requesf inspection of ihe above electrical work at: Job Pddrgs f5lreep Box, or Rouk ~ Ci7 Zp Code 4-I ,(/?Li Sedion No. wnship Nome ar No. Ronge No. Fim No. Caonp~ p ~ Ocmp P on No. ~ e~ lI Power i r Addre - Elachiml Cannacwr (Company Namen)'_ Conrcaaor Lianu Masrer bc No. (Plont Elxi. Only) T A 002 4162 Moiling Pddrezx (Corihacror or Ovmer Pedorming Installaxont 2 Igs u M Grove MN AuMonsed SlgnoNre (rci or Pmer PeAorming Insmil Phone xNa. ` a EB- IA-10 6/95 ATEBOAflDCOGY-SEEINSTRUCTIONSONBACKOFVEILOWCOM 929. 00 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan • 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Constmdion Reuuiremenis RemodeVReoair Reauirements Office Use Onlv 3 registered sOe surveys showing sq. ft. of lot, sq. N. of house; and all roofeC areas 2 copies of plan showing foollngs, beams, joisl5 CeA of Surrey Recd _ Y_ N (20% maximum lot coverage allowed) isetofEnergyCalculationsforheatedaddNions SoilsReport _Y _N . 1 Soils Report if proposed building is to 6e placed on disNrbed soil 1 site survey for addrfions 8 decks Trea Pres Plan Recd Y _N 2 copies of plan showing 6eam 8 window sizes; poured found design, etc. Add'rfion -indicafe i/onsde sep6c system Tree Pres Required _ Y_ N lsatofEnergyCalculations On-siteSepUcSystem _Y _N 3 copies of Tree Preservation Plan il lot platted after 711193 Rim Joist Detail Options selection shcet (buildings vnth 3 or less uniGs) Minnegasw mechanical ventilaUon form °jans are considered public information unless you state they are trade secre4 and the reason. COOStI'lICf100 COSt IO~ V~~ • Datc O lpy l 07 ~~y~ ~ Site Address ~950 R43+"CrT ACC'd, UniUSte fi Description of Work R'C.1'i'70[1'e. ~~ot Zi/'S`,~lace U)4A A;euJ Multi-Family 131dg _ Y~X N Fireplace(s) _ 0 _ 1 _ 2 Property Owner 1"1r U.(~ i r~fM'I~UYI Telephone #((,S I)~O~ ^ ISBO Contractor kiko,71 L &(JU'ny cTnc G1m y p~ • Address a7 ~ N 50 N/G~GI~_ City State IU ZipJ'r5~~7 Telephone#(~I~5 SS`I- IOO6 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category t Worksheet • New Energy Code Worksheet (4 submission rype) Submitted Su6mitted • Energy Envelope Calculations Submitted In fhe last 12 months, has ihe City of Eagan issued a permif for a similar plan based on a masTer planZ _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone ) Mechanical Contractor Telephone # Sewer/WaterConTractor Telephone#( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the wark will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit that the work will be in accordance with the approve pla i the case of or which requires a review and • approval of plans. N'~~W ~-~w'I a' Applicant's Pri ted Name Applicant's Signa re DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory BI. ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plez ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Mulli Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 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` ? 43 Reroof ? 46 Windows/DOOrs ? 34 Replacement •Demolition (Entire Bldg) • Give PCA handout to applicant D@SCfIpt100: WaterDamage_Yes 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 _ Footings (new bldg) Sheetrock _ Footings(deck) FinaUC.O. _ Footings (addition) Fina]/No C.O. Faundation HVAC Drain Tile O[her RooF _ Ice & Wa[er _ Final _ Pool Ftgs Air/Gas Tesu Final _ Framing _ Siding _ Stucco Lalh _ Stone Lath _Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insula[ion _ 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 crTV nF EAcAN CASH.T.Eftc S TERMINAt_ NQ: 762 DATE:: 47/30/38 TIME: 15:38:01 ?Li e NAMEe 3210 9001 4350 RUS7EN FD 50.00 2155 3001 4350 FU5TEN RD 0.50 To+,a]. Receip+, Amoun+,; 50.50 CR09i478 USEF IA: NANCY ; FERMIT CITY OF EAGAN PERMIT TYPE: N ~ 3830 Pilot Knob Road gS~~Ih$JEagan, Minnesota 55122-1897 Permit Number: (612) 681-4675 Date Issued: 0 7/ 3 0/ 9 8 SITE ADDRESS: 4950 RUSTEN RD LpT: 18 BLOCK: 2 CEDAR HEIGH75 P.I.N.: 10-16725-180-02 DESCRIPTION: BuildLrig_Permit 7ype DECK ~uildirtg Wqrk Type NEW ,'Census Code 434 ALT. RE3IDEN7IAL i' s; ~ - i L -4 n. \ REMARKS: PLAN REVIEWED BY BILL ADAMS. FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: - npplicant - sT. LzC OWNER: FORD, DWAYNE 14633997 2009330 LEDERMANN KIM 3.260 232N0 ST E 4950 RUSTEN RD H.AMPTON MN 55031 EAGAN MN 55122 (612) 463-3997 (651)894-8020 " I hereby aeknowledge that S have read this application and state that the information is correct and agree to comply with all applicable State ofi Mn. 5tatutes and City bt Eagan Ordinareees. i I I APPLIC NT/PER EE SIGI ATUR ISSUED B SIGNAT ' . 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD - 65122 681-4696 ~P New Constrvction Reauirements RemodaVReoair Reauirements c)k ? 3 registered site surveys ? 2 copies of plan ? 2 copias of plans (inGude beam & window saes; poured fid. design; etc.) • 2 sRe surveys (exterior addkions 8 decks) ? 1 energy plculations ? 1 energy ralwlations for heated addkions ? 3 copies of tree preservation plan 'rf lot platted after 7n193 required: _Yes _ No p i~ DATE: - CONSTRUCTION COST;~c~ O OD DESCRIP ION OF WORK: ~ /l, PCGf STR ADDRESS: 7 95_b KUS Ta'/ 9J LOT: IY BLOCK: ~ SUBD./P.I.D. /e , Phone CS ~y ! (y(/p~ C~?~~~pn/'~ f?] l3 Q D Name:** L., / PROPERTY Lwt First °Wr'ER -y9so ~P Street Address: City Stare: / //i /7 ?1 Zip: Company: LJ Q 1~7J e -}-O v G Phone#: W.3.~ / 77 CONTRACTOR I /Street Address: 3oZ 60 c~3Lq .S T a,$ ~ License # d 0 3 3 Q,? City )_t m &P'J State: Zip: ' u ARCHITECT/ ENGINEER Company: Phone tt: Name: Registration Street Address: Ci~ State: Zip: Sewer 8 water licensed plumber (new oonstruction onty): . Penalty applies when address chang and lot change is requested once permit is issued. I hereb acknowb read this application and state that the iMortnation is correct and agree to compty with all applicabl ~ t~ City of Eagan Ordinances. ~ i~ Signature of Applicant: 0), 'a-4 J~ '0 CE USE ONLY . , e cates of Survey Received Yes _ No '-T Tree Preservation Plan Received _ Yes _ No _ Not Required . , ;s. . OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition O 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch 0 09 12-plex ? 14 Fireplace 21 Miscellaneous ? 05 SF Misc. ? 10 = plex . 15 Deck WORK TYPE ~ 31 New O 33 Alterations ? 36 Move ? 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 O Census Bldg Census Unit APPROVALS Planning Building 161~1 Engineering Variance Permit Fee Valuation: $ 12c_-~10 Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies AL 'i Total: % sAc SAC Units m PLOT PLAN W FOR RYIAND HOMES KURTH SURVEYING. 1fJC. ~ ' THIS !S NOT A BO(AVDARY SIRIVEY ' 4001 JEFFERSON ST. N.E. ~ 1 H3M cerriFT nxr nHis vtm ruN vAS eerruim ar M I 1e) COLtA/8IA HEIQ{TS. FW. 53421 ~ a uo~ n niRrr arorvisia , nut nr cca+anv PROPOSEO 5 1 3 f (o 1e111 7e8-9769 Fnx ~siai ~ee•~so~ scvt H vueeen or A rparasm euao o ah wa . DATE 161ffiI lExt1gm NO 11N7 1!Y A p.lT IICB/fED GRADES NEMM uao tte uv 71~ JT 7E Of YIMiE 0 • I RON MONUMENT ' m BEl1R I NOS ARE PER PIAT 0 1otg. o • . SPIKE SEf 30 aARAOE SIAB ~ • o IAIMlESOTA L ICENSE 1(q TOP OF BLOCK C7-> • EX I ST I NC ELEVAT I ON - PROPOSED ELEV. BASE?IENT FLOOH •~OL\•O f-- - DR~INACE ARROV SCtiLE IN FEET Cb6 J~ • T!~"~ s D ~ fi . 9 °?1 \h / .r~` \ g??. ` .i~N Sa t~. . . : y / ' . ( o ° O:' , / . , cA ~.•0 ,t ~ ~g 2 o ~O 'Sti 0O , c M,~aIz~~ ti 1 c a r7 ~ ~ ~ \C* ~ ~ eck l t~f \ ~i y~l ; z i p9. -~'J ~1, / S0 t 49~ 9s~ ~6~'?/~ ~0 TZ us~~.L ~op.o ,9 ~ . o ~ ,s7 rG ~ v . O ~ D ° LOT te . BLOCK 2. ~ m CEDAR HE I GHTS, m a~~ y~ DAKOTA CO., MN. a~0E0.-Y L / Q BL ~ CI7Y USE ONLY RECEIPT ~~`/5 ~ V SUBD. / rk DATE: ?4109(0 7996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (672) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH TOTAL Shower 3.00 x Wa±pr Clospt 3.~Q x o? _ Bath Tub 3.00 x Lavatory 3.00 x Kitchen Sink 3.00 x Laundry Tray 3.00 x 1 Hot Tub/Spa 3.00 x Water Heater 3.00 x ~ Floor Drain 3.00 x / Gas Piping Outlet * minimum - 1 3.00 x Rough Openings 1.50 x Water Softener 5.00 x = Private Disposai ' Dakota Cty. license 50.00 = (new and refurbished systems) U.G. Sprinkler * home under const. 3.00 = Alterations " to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL yr'/50 SITE ADDRESS: JW~Rusten Road OWNER NAME: RYLArm HoMEs INSTALLER NAME: GENz-RYAN PL[mmrrrG STREET ADDRESS: 14745 South Robert Trail CITY: Rosemoimt STATE: MN Zip; 55068 PHONE ( 612 ) 423-1144 ~ L IJLRMITTLE OFFICE USE ONLY L BL RECEIPT SUBD. DATE' 7996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: w all commerciaVindustriat buildings. ~ multi-family buildings when separate permits are fl.qS required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION 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 SYSTEM? YES NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of oermit 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: APPUCANT OFFICE USE ONLY METER SIZE: ' DATE: INSPECTOR; , . CITY USE ONLY L gL RECEIPT ~0 5 SUBD. DATE: Z/0 ~ 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55722 (612) 681 -4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on fumace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: / -~^T 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) ~J00 ? State Surcharge .50 TaTAL ~ 51TE ADDRESS: 4950 Rusten Road OWNER NAME: RYLArm HorEs PHONE $54-6363 INSTALLER NAME: GENZ-xYArr HEATING STREET ADDRESS: 14745 South Robert Trail CI'n(; Rosemount STATE: MN ZIP: 55068 PHONE ( 612 ) 423-1144 ~ . a CITY USE ONLY L _ BL _ RECEIPT SUBD. DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) • CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? ali commerciaUindustriai buildings. ? multi-family buildings when separate permits are II.4S required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: .$25.00 minimum fee g.[ 1°k of contract price, whichever is greater. ~ Processed piping - $25.00 ~ State surcharge of $.50 per $1,000 of rrt i 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 PERMIT ~ ~ CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: guI LDING Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 8 3 9 (612) 681-4675 Date Issued: 0 6/ 12 / 9 6 SITE ADDRESS: 4950 RUSTEN RD LOT: 18 BLOCK: 2 CEDAR HEIGH7S P.I.N.: 10-16725-180-02 DESCRIPTION: Buildint}-.,Permit Type SF DWG . l~8uilding 41or,k Type NEW UBC Occupa-ncy^,~ R-3 U-1 Constructi,on Type V-N Zona,ng R-1 ~ Building Length 58 ~ Building 6Jidth - 40 ~ 8uildi~g stories 2 ` ~s~uare Pee'tt 1.847 Ceqiius--Code 101 1- FAM. DETACH 4 7;il ~ ~ i ` ~ ~ ' s v^`;m4'=~.. . REMARKS: S& W PLBR - STAR PLBG FEE SUMMARY: VALUATION $142,000 Base Fee $1,097.25 MISCELLANEOUS $1,923.50 Plan Review $548.63 Total.Fee $4,540.38 Surcharge $71.00 SAC $900.00 SAC g 100 SAC Units 1 Subtotal $2,616.88 CONTRACTOR: - Applicant - sT. LIC.OWNER: RYLAND HOMES 18546363 2003544 RYLAND HOMES 900 E 79TW ST 101 900 E 79TH ST 101 BLOOMINGTON MN 55420 MINNEAPOLIS MN 55420 (612) 854-6363 (612)854-6363 I hereby a k owledge tfiat Z have read this application and state that the infio"ma s cor ect an8 agree ta comply with all applicatile State of Mn. ~ St e a Gity f Eagan Ordinances. ~ PPL GANT/ R[Y11TEE IG TURE ISSUED eY: IGN URE ' CITY OF EAGAN 3830 PILOT KNOB RD - 55122 14bi 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) e I 0 1_~t 681-4675 ~Q~~ fo 1 New Construdion Reauirements RemodeVReoair Reauirements ? 3 regis[ered sfte aurveys ? 2 copies of plan ? 2 copies of plans (include beam 8 window sizes; poured fid. design; elc.) ? 2 site surveys (exterior addftions & decks) ? 1 energy calculations ? 1 energy calculations tor heated additions ? 3 coples oF tree preservatio~ot platted after 711/93 requfred: _ Yes DATE: CONSTRUCTION COST: IOO~QOD • DO DESCRIPTION OF WORK: STREET ADDRESS: tp LOT BLOCK ~ SUBD./P.I.D. ~kA PROPERTY Name: `~T,IIrrv'1 f-lornes Phone#: OWNER Street Address: `"'n F. 79f ~S- . )m City: [D,..QJ1.e,Q70 1i State: MNI Zip:'554N)- CoN7RacTOR Company: '91M P faq Li hoVP Phone#: Street Address: License ~oc&M~ City: State: Zip: ARCHITECTI Company: ~.L1-I~YIP 06 (3-/)f) IC, Phone ENGINEER Name: Registration Street Address, City: State: Zip: Sewer & water licensed plumber: 6&, 'T I 1M j . 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 'nformat n i corr an agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. , Signature of Applicant: - OFFICE USE ONLY ~ RC'C~~vED 11 J U W l39c Ce rtif ica t e s o f Survey R e c eiv e d _ Y e s _ N o - Tree Preservation Plan Received _ Yes V N 1"~~ OFFICE USE ONLY . BUILDING PERMIT TYPE ? 01 Foundation o 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish ,.E(- 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition o 08 8-piex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. ? 10 _-plex ? 15 Deck WORK TYPE ,,,e31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) ~l Basement sq. ft. MC/WS System (Aliowable) -N Main level sq. ft. i, irU3 City Water UBC Occupancy - / ~ sq. ft. L Fire Sprinklered Zoning Q~ sq. ft. PRV # of Stories sq. ft. Booster Pump Length ~ sq. ft. Census Code. /P/ Depth ~ Footprint sq. ft. I, By7 SAC Code oi Census Bldg / 3z~' Census Unit APPROVALS `1x Planning Building Engineering Variance Permit Fee Valuation: $ vCW-' Surcharge Plan Review License MCNVS SAC cay sAC /5r 67zy Water Conn. Water Meter Acct. Deposit 1j0`{3 XSY ~ S/W Permit SNV Surcharge Treatment PI. ~ Road Unit L721~ /J6 Park Ded. z Z-( K 3 Z=~'z Trails Ded. 61-0 Other Z C3,r 3G Copies ZX 17.s" 3-5- X/G = 772- Totai: % sAC SAC Units t.~ Zoo m m P L O T P L A N KURTH SURVEi'lNG, 1 NC. w FOR RYLAND HOMES ' T?{/S !S N07 A BOfAJDARY SURVEY ' 1007 JEFFERSON Si. N.E. n 1MAW eMIFr tMr rnIs n.m FLa+ vns ParrAaED er ue / COLUIIBIh FFIGFiTS. IRI. 35471 tO aa uoa rr oie¢t RPonisia . nuT m ooRwanr PROPOSEO 5 f 3 f ~ 18121 788-9769 FAX 15121 7ee•7602 ao+f nt rueaea oF ~ paavosm eunn o a~ vw GRADES . ~1tiTE ~Ew oe0Ot1~ ND 7HA1 1 1Y A q,LT LltB/f~ o. 1 Rp~.~ Mp~,RM{p~7 m 4091 ne uv n*ITIE ~i~ BEARINaS ARE PER PLAT CARAOE SIAB - SPIKE SEf 0 30 p ia~•3 ~ISTINC ELEVATION fAIMlE50TA LICENSE \ 1 ~y TOP OF BLOCK - ( PROPOSED fLEV. SCALE IN FEET euoawr FLOOR • SOL~•O E- = DRAINAGE hRROV ~ O Q N T-OC, lb,a • P) <00, aa~',(.`' ya•~ : ` ~ ~P•~J ~ i _ .i s~ I3 G~ ~ ~~N^~ ~ •r ~o o LArA11] ENGt1.qF...U DL c { e ° O: ~ ? . S'1' A g rj S O0 } t C ti ~ c 0 ti•~/ ~ ° v3~~ " ~ a~,? i ~ L'i ~ o z ci o~ `L ~ Ci ~ y ~•oyy/ C`~ w `1 ~ ~ y9 4 mP • r- lb6~, ~49 5.~ Kus~_?.! ~o r~o 'J9 p 0 LOT 18. BLOCK 2, m o~-~ Sa° CEDAR HE f GHTS, m o~ y-> _lr DAKOTA CO., MN. ~ - G.~i-aSR-.Y LOT SURVEY CHECKLIST FOR RESIDENTIAL ' BUI ING PERMIT PPLICAT ~ PROPERTYLEGAL: DATE OF SIJRVEY: S LATEST REVISION: J m DOCUMENT STANDARDS ? • Registered Land Surveyor signature and company ? • Building Permit Applicant ? • Legal descdption 11 • Address ? • North arraw and scale d~- ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) o% ? • Directional drainage arraws with slope/gradierrt % f ~ • Proposed/exassting sewer and water services &(rnert elevation ? • Street name ? • Driveway ELEVATIONS Ebstina ? • Sewer service (or Proposed) ? • Property comers ? /O • Top of curb at fhe driveway ? • Elevations of any ebsting adjacent homes r sed o~ ? • Garage floor 0 ? • Frst floor n ? ? • Lowest exposed elevation (walkouUwindow) ? ? ? • Property comers U--'ff 13 • Front and rear of home at the foundatlon PONDING AREA Cf aoolicablel ? 2"~O • Easement line ? 0' ? • NWL ? 0~ ? • HWL ? Ur-13 • Pond # designation ? 2---J • Emergency Overflow Elevation DIMENSIONS .Bl' ? ? • Lot lineslBearings & dimensions 0'0 ? • Right-of-way and street widih (to back of curb) m' ? ? • Proposed home dimensions including any proposed decks, overtiangs greater than 2', porches, etc. (.e. all structures requiring permanent footings) ~o ? • Show all easemenLs of record and any City utll'i6es within those easemeMs L7--b • Setbacks of proposed structure and sideyard setbeck of adjacent epstlng structures ? • Retaining wail requirements, if any Reviewed: ~ Name / at Januery 1996 CRA1GI98l9LWPRMf.FM SUL-06-1995 05:33 FROM RYIAND rt]DWEST REGION TO MINN P.094i005 . * cAao MEC 92 ca:MALrarrcE * Builder RYLAND HOMES Submitted By R.N. TRACEY Model GILBERT Date 9/5/95 Lot/Plan/Address OPT. 295 Degree Day Sase doCO Minneapalis Type Single Family FIouse Volume 41400 Filename GILBERT Control No. 774$ ----T -------------__--P-----i---~----- I___Lo'Totals Pro osed Re ired Component Area Uo Total Uo Total S4alls 2611 .103 269 .110 285 Ceilinqe 1148 .026 2$ .026 30 Fl.oors~ 162 .647 S .OSC 8 Floors (Open) 0 .035 Q .026 0 Bsmt k*all (U) 7-195_080 _96 .097. 109 _ This House Qualifies With Total Total 1 401 1 1 432 U-Value Calculationa Specifications Uo Calculatzons ~ 'Wa115 Size ~ O.C. Insul, Sheac. Component Area ' t7-Val Total A Frame 3.5 16 1-1 2.06 Frame Wall A B Frame 5.5 16 19 2.06 ~Frame Wall B 1666 .052 87.7 C Frame-Gar. 3.5 16 13 ,45 Frame-Gar.C 296 .082 23.4 D Masor.ary 8 N/A 11 N/A ~Masonary D " .OSO E Nasenary N/A N/A Masonary E * iRing Joist 15 24 13 4.0 Ring Joiat 350 .056 19.6 - Window A 268 .98 129. IDoors Panel Glase S.C. Window B I A Metal .19 .62 .88 Window C B wood .46 .62 8B Dcor A-Panel 38 .19 7.22 ClOther I Door A-Glass 3 .62 1.86 Door H-Panel Ceilings O.C. Ineu1. Sheat. Door B-G1a8a A W/AtCic 24 38 N/A Door C-Panel B No Attic 16 19 ,63 Door C-Glass C 10ther Tatal5 2611 268.6 Uo=(Ut/Ar) .103 Floors I O.C Inmul. Cover A Non Con3. 16 19 1.23 Ceiling A 1148 .025 29.2 B Overhang 1 16 30 1.23 Ceiling B C Other N/A 5 Ceiling C Skyighr. A Windows U-Val S.C. Skylight A A Alum T.B. .48 .88 Skylight C I B Wood .52 ,88 Totals 1148 29.3 ~ C Vi.nyl/FG .38 .88 Uo=Ut/At .026 SkylightsU-Val S.C. * Basement walls > 50% below grade A Istandard .60 .88 B High Perf. .32 .5 NQTICE: Users oE this software are responeible C Other for the specifications and dimen9ional data used to genarate this report. The developers of I F;VAC Equip 8a..ing Che software are in no way reaponsible for the Gas AF'UE ,78 miarepasentation of any building due to errors, HP HSPF 6.8 omissions, or any other misuse of the software. AC/HP SEER 10 , SLL-e6-1995 08:34 FROM RYLfND MIUi+EST REGIO14 TO MINN P.005i005 R ~ w Page 2 of 3 Suilder RYLAND HOMES Submitted By R.H. TRACEY Model GILBERT DaCe 4/5/95 LoC/Plan/Addreas OPT. 295 Degree Day Base SOQO Minneapolis Type Single Family Houae Volume 41400 9ilenama uILHERT Contral No. 7748_JW -------y ---------===~W=°====~~~s Dimensions IWails I Frame A I rrame 8( IGar.Com.Cl I Mason.D1 Masan.E ' -------~-i------ 8asement Ssmt. Above Gr 608 lst F?oor ~ 912 lat FlOOr 304 Below Gr 608 2ad Floor 1024 Crawl. 3rd Flcor Misc. Misc. Misc. Misc. Misc. Ring Area 350 Iwindows ~ iAluminum I 247 I ~ I 21 I IWoad ~ IVinyl/FG Doors (G_Glass Area - O= -pO sque Area) Metal G 3 0 Zp 18 Wood G O Other G -----0---------°--------------------"----------'----------'-----'---------- I Ceilings I With Attic y No AttiC ~ Qther 1148 ~ I iSLd.Skylitesl I iHP Skylites Other i 1 Floors Non Cond. I Overhang I 51ab 162 windcws~4~Y 160683GLASS1D~OR 1I3250escription IQ2y'~30~6escription I 4 2820 Doors 4ty. Deacription Qty. nescription I4tY-` Description l ` 1 `GAR. WALL DOOR ` 1 IENTRI' DOOR ___'~~=e TOTRL P.005 2006 RESIDENTIAL SUILDINC PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Constmdion Reouiremenls RemodellReuair Reouirements Otfiae.U ~ n 3 registered sile surveys showing sq. H. of IoL sq. ft. of house: and all roofed areas 2 cnpies of plan showing footings, beams, joisls Cartof Stlr~9~K'e _l" TN (20%maximum lot coverage allowed) 1 sel of Energy CalculaGons for heated additions Tree PreSTl'-~'tl N'ed' -'v _N2 copies of pfan showing beam & window sizas; poured found design, etc. i site survey for additlons 8 tlecks 7resPree Req"UIrad i set of Energy Calculations Addition - intlicafe ilomsite septic system On site`5;'pticSystern _ V_N 3 copies o(Tree Preservaiion Plan if lot platted afler 7l1193 Rim Joist Detail Op6ons seleqion sheet (6uildings with 3 or less uni4s) Minnegasco mechanical ventilation form Date ~ I Construction Cos[ ~U U SiteAddress (4 Vi UniUS[e # Description oT Work F-t Y-tl Multi-Family Bldg _ Y_ N Fireplace(s) _ D _ 1 _ 2 Property Owner n y~~~A I ~16 (M ~SU A Telephone N((0~2 ) Z50 ~ IVI S Contractor S r lY~ ~'~"e1~ U'~S LC, Address City State ~ N Zip SS37 L Telephone #(-l SZ) 19 ~ 1 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING I - Minnesota Rules 7670 CateQOrv 1 _ Minnesota Rules 7672 Enargy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheel (J submission rype) Submitted Submitted . Energy Envelope Calculations Submitted In ihe last 12 months, has fhe City of Eagan issued a permit for a similar plan based on a master plan8 _ Y _ N If yes, date and address of masier plan: Licensed Plumber Telephone ) Mechanical Contractor Telephone # ( J Sewer/WaterContractor Telephone ) I hereby apply for a Residentia( Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ardinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 'iboY1 S 1 ir' 0 Vl G1X Ll L1 ~j111~1 klf1/ly " Applicant's Printed me ApplicanPs Signatur ; -uSB i Clty of EapIl I Pe"it 2/~ ! I 3830 Pilot Knob Road ~ Pertnit Fee: I Eagan MN 55122 I Date Received: ~ Phone: (651) 675-5675 I Fax: (651) 675-5694 I Staif: j 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: )qq, ) A &jrez ej- Tenant: Suite RESIDENT/OWNER Name: ADAL-e Phone:/QIA,Q4L1(0~~ Address / City / Zip: CONTRACTOR Name: ~ License Address:Ot l (o altla_ City: V br& n State: Zip: s`~jS ,3So'. Phone: (X rQIW ^410a Contac[ Person: cJLL~S(~l TYPE OF WORK New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Descri tion of work: ~ 1 6 PERMIT TYPE RESfDENTIAL Water Heater _ Water Softener ~Lawn Inigation _Add Plumbing FixtUres S/) PVB) ~ Main _ Lower Level) ~ RPZ / 7P Septic System _ Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Wa!er Scftener, or Water Heater and Softener (includes $.50 Sta;e Surcharge) $30.50 Lawn Irrigation (inGudes $.50 State Surcharge) $50.50 Add Plum6ing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State 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, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ I hereby acknowledge thal this infortnalion is complete and accurate; that the work will be in conformance vrith the ordinances and codes of the City of Eagan; ihal I urMersfand this is not a permit, but only an application for a permil, and work' not to st without a pertnit; that the work will be in accordance with the approved plan in the case of work which requires a review and approv ~lans. x T Sv, x tz ApplicanYs Printed Name plica fts Signature FOR OFFICE USE Reviewed By `r Date , Requlretl Inspections ~ tJnder Ground Rough1n Air~TestGas Test =Fnal , ' ~ +tg9~ we'strwe P~alessionoi Swvicez. inc ~ \ / / \ ~ Can ~8 ewrs eefwe algqing: ~ \ ~ ~ CORCEDRLLL/CONCREff Snw \~\~T n/`"~9 b O%µp xCD ~4~RyET GOPHER STAlE DNE CALL ~ / ~J ~ "9(~ / e .~,WS~ aiu ra unrcN e~. ~ + / SEE F,P, '1608 U G ~ \ ~r/ 0. i INCIpENTAL i0 WRiER Twin Cily nrea 65L-0002 ~ ~ POR SERMCE TES ~ ~ 7 GRqOE ~,i - ' N~W CCNSiRUCTiDN. 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RE =+Bai-Sh10D39 P ~C N - . i61.61 ' . . i ~ _ _ _ i C~ ( ' , - ~ o RECOR~ ~ ' s ~ 970 ~ e ma er olHeas - I -~E3 - _ I ~a . - ~F ~ , . ~ . _ t . - Y- , , . _ . . . . _ . . . . _ ~ i ie H ~ees~s.i - . . _ _ . . _...---i -----i- .pi . 7E Jc S 990. . _ ` i ia~~+oo i'~.~ _ . ~ i - i _ - - 00562 ~ I ~RE-9BW3-9B1.3B ~ ~ ~B9b'6L10?S72 ~.I... I . ..__._r~- 9699696&38 .I.. 1 . , . . ' I _ . ~ ' IE 5 s 9~P I ` ~ = v ~ _ 1 i ~ . . . . . ~ ~ . ~ i i . _ . ~ I- TI ' i - ~ . _ i , I -tE-~~~ aa ~960 980 ' ~ I ~ _ _ _..~H_s ~ . ; - - _ . . . _ . . i ' -Y--~~ : I ~ ~f REa 925 ~ B P~ p ~ ~ .rJ . . . __--_7 693 fl69.td Q 9'v6~5 ~ . . . . . i. - 1__-- _ . ~ . I ~ I I I 3E k -.g55'2p .)~t I - p p ~~9 . Y- I , - _ ~ _ . _ _ . _ ' _ " " ~ ' ' i 1.. _I . I_ . I $UITNEWfLOW i 4" ~970 . ~ ~ ~ -t _ ' i i ~ ~ i '.I__ -y _i_.-..__ I~jis23 _"~sec-crtr-c~Air...'.. . - - - . - . . . . . . : . ' : _ _ . ~ I~ ~ . , ~ i i - - _ _T_ EEw ~9Y0..OI RE . y~S__-- ~O. . . I ~ . I 9]6 . , . ~ ......._I ..__I.__ t " ~ ~ ~ ~ ~ , . i . ~ ~ ! ~ . i I ! ~ . ...~_EEW_OROP9E ~ _ _ ' . . ~ . I ' I ' _ 1C B" DIP Q S ~ a o+-~ ' ' E 935.% 9~.:.GY15~ _ i I . I ~ x H" W~ 93625 1 9 _ ' " _ . 1 ' i i ' _ . . 11 10 g - - _ y - - - 6 ~ 4 ; z ~ as, E , wescWOOa ~ r; , ~,~~,sa ~ l c Y, ~ . j_ _ - 2, _ l ~r~ P a - . _ _ ~ ~ a~,.e m y, .P.,__ , I . .~..a...,..e~e ° 'J . _ .E. t~Q. j .,-aeTq FY S C ~ . _ _ ~ ~ ; : , rm,=i `r 'fi.,', , ~ , . ON DEYELOP~IIE ~iV? CEDAR ~.rtxiTB ~ven . . . . . , . , . . . ~M ~t z,e,ae i For Office Use City of Eaaari Permit 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date:..~Jl q) 1 Site Address: Tenant: Suite RESIDENT / OWNER Name: NAL-e,. il4m nxai Phone:LQ la Q 1z R i~ Address / City / Zip: .f14 CONTRACTOR Name: )Ili t License up 1 33 Address:11 City: 4 State: ~n- 1y Zip: Phone: ii 1 a 0 ^~I O Contact Person: CY1 TYPE OF WORK New - Replacement _ Repair _ Rebuild _ Modify Space _Work in R.O.W. Description of work: 1 PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ / P PVB) L_ Main - Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL 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 State 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, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 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 ' not to st without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approva lans. x it _ _ x Applicant's Printed Name plica 's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: ___Under Ground Rough-In Air Test Gas Test Final Oct, 10. 2012 2 09P 4411'City otEap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r No. 2179 P. 2/2 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Stell: 2012 MECHANICAL PERMIT APPLICATION ❑ Please su mit two (2) sets of plans with all com ercial applic i s. Date: Z,'" Site Address: Tenant: Suite #: RESIDENT /OWNER Name: -fakJ ce 5 b t Phone: ,� z^ qD/� ��✓� Address / City / Zip: . i'JileA e.,-/ • ✓ `5-ag CONTRACTOR Name: Lb" / 1 .. N1 rA G License #: 6.P0V 0 l( M Address: /D 17 0 - City: Burma cc/e l C State: /v Zip: S1337 Phone: 6/z-' 6 — 53y,�r Contact: 1 /y4 Email: la/i??it , ` /k 5,-G0 TYPE OF WORK /9/P/l New Replacement Alteration Demolition lA_dditional Description of work: eas (me ( �1-z, Ve' 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 — Fumace COMMERCIAL New Construction Interior Improvement — Air Conditioner Install Piping Processed _ Air Exchanger as MO Exterior HVAC Unit Heat Pum /� _ Under / Above ground Tank ( Install / Remove) Other 5ipv _ RESIDENTIAL FEES: $60.00 Minimum Add-on or > alteration to an existing unit (includes $5.00 State bumed out appliances, ductwork, etc.) (includes Surcharge) $5.00 State Surcharge) = $ �y '" • TOTAL FEE $100.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank installation/removal $60.00 Minimum (includes State (includes $5.00 State Surcharge) Surcharge) $1 million, please call for Surcharge OR Contract Value $ x 1% _ $ Permit Fee 'lithe project valuation is over = $ 5.00 Surcharge* = $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State Ono 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.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 it; that the work will be in accordance with the a proved plsn in the case of work which requires a review and approval of plans. Applicant's Printed Name cant's Signet e FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground _,� Rough In Air Test _ Gas Service Test _ In floor Heat Final HVAC Screening PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA142590 Date Issued:05/10/2017 Permit Category:ePermit Site Address: 4950 Rusten Rd Lot:18 Block: 2 Addition: Cedar Heights PID:10-16725-02-180 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Kuntie Singh 4950 Rusten Rd Eagan MN 55122 (612) 598-2095 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA149420 Date Issued:05/21/2018 Permit Category:ePermit Site Address: 4950 Rusten Rd Lot:18 Block: 2 Addition: Cedar Heights PID:10-16725-02-180 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jaysen Smith 4950 Rusten Rd Eagan MN 55122 (612) 281-1490 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature _ r For Office Use C _ SD Permit#: 1 S-7EAGAN ��•• �•-• sEp 1 2019 Permit Fee: l0-3- Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff: buildinginspectionsacitvofeagan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date:X042/ / I Site Address: 11/16-'° a S / L\ / (1 Unit#: AJ A Name: TaySen Sem 5-Pb•t L 4 Phone:6/2-2€1 Pig° Resident! Owner Address/City/Zip: 7 f 6-6 /` GLS / C go/ Applicant is: Owner X Contractor Type of Work Description of work: �'�1/0 4 t r' Pc's 'tl0 sit ` c `°s Construction Cost: 3 300 Multi-Family Building: (Yes /Nj>C1_) Com an : PCH �C S' tr�,G�l ti Contact: Ptt F] Jiw4S p Y Contractor Address: //67 Cit//8 l L r City: 11ten dO`ct at,5 his / N Email: flCNo.d + U' -- • c' ' State: Zip: �S �� Phone:�0��'0�'yg� License#:gG 7 7 0 t‘ Lead Certificate#: If the project is exempt from lead certification, please explain why: (z-\, 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 maybe classified as non-public ifYou 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.citvofeaaan.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.gopherstateonecall.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 lans. x �� •/Q. k l Ot d lt X 4., Applicants Printed Name Applicants Signature