4958 Rusten Rd ~ L INSPECTIDN RECURD
~~~ITY ~F EAGAN PERMIT TYPE: ,H,~
383d Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: ~ ~
(612) 681-4675
SITEADDRESS: ; E:, , APPLICANT:
~i~~tfN f~~ ,
~ ~ + . , . ,
PERMIT SUBTYPE: TYPE OF WORK:
. .
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~ ~ , ~ , ~ ~ . ~
~ i , , . ~ ~ , i
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~ ~
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` Permit No. P~rtnR Holder Date Telephone S
, ELECTRIC ~j'~ ~G ~~5~
.
PLUMB~NG
C ~ ~I oS.~'~~7`
HVAC ~ _
InspecHOn D Insp. Comm
FOOT7NGS rr'~s~ ~1` f` J
1v
FOUND G
FRAMING ~y~~
4i'
ROOFiNG
PL~UMBING l'~y~~ /D-z1
PLBG
AIR TEST
ROUGH ~
HEATING
GAS SVC ~ ~
TEST
INSUL ~~S {!~G ~ ~
/
i
GYPBOARD
FIREPLACE Jr.~~/6
FIREPLACE jQ
AIR TE5T
FINAL PLBG _ ~ ~
FINAL HTG ~
I - - ~ /~+4i' .
ORSAT
TEST
BLDG FINAL ~
-l(~~a
BSMT R.I.
BSMT FINAL
DECK FfG ~ q,~
~
DECK FlNAL ~ G
NJ
li~+ . ~ ~i :?I , . .t ~ .
$ • 1
Ir~. ~ i` ~ . ' c
a 1.
~e~ti~ica#e o~ ~ccu~aitc~
~it~g o~ ~agan
~epartmext sF ~~cilba~g ~n,~rection
This Certificate issued pursuant to the requirements of rhe Uniform Building Code
certifying that at the time of issrrance this structur~ was in compliance with ~he variaus
or~inances of the City regulnting building construction or use. For 1he following:
UseClassificuion: SF ~~a Bldg. Pertnit No. 25988
~y~ R-3 U-1 ~~ga~ R-1 Ty~c~S~. Vn
p,,,,~~e,,;~~ BYLAND HOMES 900 E 79TH ST. , HINNEAPOLIS, MN
A~ 4958 BUSTEN RD L16, B2, CEDAR HEIGKTS
~ < . ~ ~ - ,1 pae• /~t ~ i t_ ~ . . ~ ~ ~
Bwfdi~ ORicial
POST IN A CONSPICl10US PLACE
Address 4958 RUSTEN ttn Zip 5512_
LAt 16 Blk 2 Sllb ~EDAR HEIGHTS
THESE ITEMS WERE ! WERE NOT COMPLE'I'E AT THE TIME OF THE FINAL INSPEGTION.
Date: ~~I 30 ~ Yes No Inspector: ~l
Final grade (6" from siding) ~
Permanent steps (gazage) ?
Permanent steps (main entry) ?
Permanent driveway ~
Permanent gas ?
Sod/Seeded grass r/
TraiUcurb damage
Porch t/
Basement 5nish ~ °
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of watcr supply to
the outside lawn faucet before freeze potential exists.
Contac[ engineering division at 681-4645 before working in right-of-way or installing underground sprinklet system. ~
While - City Copy Yellow - Resident Copy Pink - Con[racror Copy
OFFICE USE NLY Th' equest void 18 moNhslmm validafon dok pnnied in Mis box.
344- 7 ii~ia-~`4~ ~ro
~r~/5'~97 ~109/~/
5 5a o~ ~ ~/D5~
PLEASE PRINT OR TYPE ~/(p
Reques / Rough-in inapection requlred2 s ? No penion OMerThan Ro~gh-In: Q Ready Now vll
U ~You musf call+he Inspetlor when eady) Dak Rea .
I, icensed confroctor 0 owner hereby request inspedion of }he above eledrical r ot: O~
Io6Addre~s(S~~R arRau}qNo.~ / /J City/ ~ Zi~e
~ ~DS...C..~.Y~7 Y/1J ti/ L~G[~i
Section No. Township Name or No. Range No. Fka Na. Co
0¢u t Phone No.
~~7~LL
Powe ppiier ~ r . Add 2 / qa,(,/^
/ /
l liC~ Y J
E d al C trocror (Co any Name~ ~ C t . i/ Maarcr Lic. No. (Plant Elad. Ody~
7
Mail' g ess ~Conkotlor o~ar Perio^ry ng^InsMllotion~
~ tJ5`~ ~i~~
A~Mo'z g(w Conhacta arOwnerP o~miiglnsiallaNan~ ~ om~
~
EB- - /95 STATEBOApOCOPY-SEEIN5fRUCTION50N8ACKOFYELLOWCOPY
I III II I I IBI IIII III II II I II I II IIIII 827~Uo
e silY AvearRm~ E-~72 ASt.'PaulP, MNTSSO104~ ~ ~
* 3 4 4 9 6 7 5%~ Phane (612) 642~0800
ome Duplex Apt. Bldg. Other: New Addn
Commercial Industrial Fortn Remod Re air
Air Cond. Htg. Equip. Water HN. Load Mgmt. Oiher:
D er Ran e Elec. Heaf Tem . Service
"X" a6ove the work mvered by this request /E~nter remJ~`s~ m th~i} space and on ihe ba4k of fhe whi~e mpy only.
.L;~ , J~-P .E~-dZf'~- l~C G~ C~t~ ,~~j ~
Calculate Inspection e- This Inspevction Request will no~ be accepted withouf the correct~ e:
Other Fee dt Service Enhnnce S¢e Fee S Circuih/Feeders ee
Mobile Home Park $fall 0 to 200 Amps 100 Amps
Sireei Lig./lroffic Sig. Above 200 Amps Abov 700 Amps
Tmnsformer/Generator ~qspECion•suseo - ~
$ign/Outline Llg, Xfmr. ~
Alarm/Remote Confrol
$wimming Pooi i nareb m mm i~m ebllotion des<nbed hemin on Ma daks s rod
Irrigofion Boom kough-In Dote
Special Inspection
Invesfiga~ive Fee Fl~wl Dom
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 16 MONTHS. .
PERMIT c.~~~~ 9 ~
" CIT`Y OF EAGAN pERMITTYPE: euz~orNe
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897 Permit Number: 0 2 8 9 S 8
(612) 681-4675 Date Issued: 10 / 0 7/ 9 6
SITE ADDRESS:
4958 RUSTEN RD
LOT: 16 BIOCKs 2
CEDAR HEIGHTS
P.I.N.: 10-16~25-160-02
DESCRIPTION:
r'='*.._ _e
Bu~ildin~_ Permit Type SF OWG
r6uilding Wq, k Type NEW
~U6C tlccupancq~..~ R-3 U-1
Construction Typ\e V-N
Zon,~zng , 4-:~. R-1 -
Building Leng"th 54
` Building Widt'h 3~
Bui];ding-:~stories ,-i' 2
~ ~~~dare F`~9~C 2,100
C'e~su"s~c~,de~~ 101 1- FAM. DETACH
~ ' f;
~ rr
^ ti
jt . > . ;
~l i ~
i `t~`~~1 ~'1~~' 4~`~'~,`~~~r~-'~~_! i';
_ ~3
f.,-~~~.U-~ r~~ ~
py.'„~.--~'''6'~""'~d
REMARKS:
S& W PLBR - STAR PLB~
FEE SUMMARY:
VALUATION $190,000
Base Fee $1,337.25 MISCELLANEOUS $1,923.50
Plan Review $668.63 Total Fee $4e924•3$
Surcharge $95.~0
SAC $900.00
SAC ~ 100
5AC Units 1
~ Subtotal $3.000.88
CONTRACTOR: - flpplicant - ST. ~IC OWNER:
RYLAND HOMES 16546363 2@03544 RYLNND HOMES
900 E 79TH ST 101 900 E 797H ST 101
BLOOMIN6TON MN 55420 MINNEAPOLIS MN 55420
(612) 854-6363 (612)854-6363
I hereby acknowledge that I h-ave read this applieaticrn enci state that the
i ormation i correct and agree to comply wiCh all applicable StaCe ofi Mn.
S tu es and 'ty of Eag.an Ordinances_
~ . ~ ~ , -
1 i
4~ `~-`-v
I ICANTlPERMI ESIGNATURE ISSUEDBV:SIGNATURE
°t'~."3W,9/~:YFxYx~c%k~A7kM~K?k~?K?Kak~7k>4%kXr,k~X~k'R:>!t7k?~~X~+X~:~
C;CfV OF CAGA~
f';ASFII~F~°a . TCiFFf?NA'._. '~n.^ :`iE~
AATEs i[3/FJiJ9b„ :YxM~: -~.,1..~'i'c!3
~
, ri
~aR'AM1-: ~ RYuA~~Li
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ta^ol_F IY~r lAt~
~ ~Y,<>~a:;c~:~K~X~~Fkc~Y~~k%<~~~#>k~X,R~~Y%X~•l,<~~k~;~~RA~Y.>~X~~~k%k
~ CITY OF EAGAN r ,~P
3830 PILOT KNOB RD - 55122 '6 ~'°~~.f'!
1996 BUILD{NG PERMIT APPLICATION (RESIDENTIAL)
681 ~675
New Conslruclion Reauirements RemesleUf2eoair Reauirements
? 3 regisfered ake surveys ? 2 copies ot plan
? 2 copies of plans (Include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions 8 decks)
? 1 e~ergy calwlatlons ? t energy wlculations Tor heated additions
? 3 eopias of tree presarvation plan it lol platlad afte~ 7!1/93
required: _ Yea _ No .
DATE: CONSTRUCTION C05T: I~t~~D
DESCRIPTION OF WORK: ~ ~
STREET ADDRESS:
lOT ~ BLOCK SUBD./P.I.D.
PROPERTY Name: ~11 ~C~n[,1 tTD(Y1L'~ Phone ~ 3
OWNER ~w E . ~9-t~h `p • 1
Street Address~
City: I I l ~ f111 ~l D~ ~ S State: ~ Zip: -
CONTRACTOR Company: ~ ~ ~ ~U~ Phone
Street Address: License #:~~~`~'3
City: State: Zip:
ARCHITECT! Company: Phone
ENGINEER
Name: Registration
Street Address~
City: State: Zip:
Sewer & water licensed plumber: ! ~1 Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that 1 have read this application and state that the informatio is cor ec n agree to mply with all
applicabie State of Minnesota Statutes and City of Eagan Ordinances.
Signat re of Applicant:
OFFICE USE ONLY
0 C T 0 1 1996
Certiflcates of Survey Received ~ Yes ~o ~
Tree Preservation Plan Received Yes No ~
1°"
OFFICE USE ONLY ",y~
~~n ~ ~ R~'~If~
k . 1~. i",. ~~w
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
~ 02 SF Dweliing ? 07 4-plex ? 12 Multi RepairlRem. ? 17 Swim Pool
? 03 5F Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch o 09 12-plex ? 14 Firepiace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex o 15 Deck
WORK TYPE
~ 31 New ? 33 Aiterations ? 36 Move
32 Addition ? 34 Repair ? 37 Demolition
GENERAL tNFORMATIQN
Const (Actual) ~r~ Basement sq. ft. I3qq MC/WS System ~
(Allowable) ~n1 Main level sq. ft. ~u ~7 City Water ~
UBC Occupancy -3 ~-I 2i"~ sq. ft. ~ zz3 Fire Sprinklered
Zoning R-t .~.u c sq. ft. 2~r PRV
# of Sfories Z sq. ft. Booster Pump
Length s`~ ' sq. ft. Census Code. ~ o i
Depth 3~' Footprint sq. ft. z ~ ob SAC Code i
Census Bldg i
Census Unit ~
APPROVALS
Planning Building ~~3 Engineering Variance
Permit Fee Valuation: $ !~t!~,_~~~.
Surcharge ~s~,,,,~.~
Plan Review
License sa ~~s• ~ s Ia~_ ;Z o 0
s
MC/WS SAC ~V.sy 3~ u~l .
City SAC ZZ" Z , g y
2. 2Sv L S
Water Conn. i3qq g zs = 3`~,4 ~z-S _
Water Meter
Acct. Deposit ~ ~
S/W Pertnit 5a,...,. nL~, ~3y9 ~~'~l , 9L1. S
S/W 5urcharge ~x q ~ ~
Treatment PI. ' ~~Sy " ~ ~ ~ S~ ~ ~ !
Road Unit z..a
Park Ded. `
7rails Ded. syy ~s 8~p
Other 34.ry~~l.8 s~o.~.
Copies 33v z 20• a`
-~Z.S-uy-s - ii4.~S
TotaL• ~zzz.s'd~ ~ s~/ =~G,~~s,_
% SAC
SAC Units
3~ ys ~1. ~G Z 39. 3
zp.~Sx zz.3~ V43.8
907 1~ ~ ~C. _ ~1~ Z/S-. -
FOR RYL AND HOMES P L 0 T P L AN p~~p S° N
" TH! S!S NOT A@OLNDARY SURVEY ' DA7E 9 1~'-1 `9 ~
~
i ~e+er certirr ne+r nus mm ~x~ vAS vx~uim er Ne o• IRON MONIhAEM ~
a~ u~ w oixccr swervisia , nuT tHis vuw cwaecs~r BEARINGS ARE PER PLAT o~n~oe s~ne - ~Q'~• o ~o
awo ~ wxaen oa ~ raaaosm eui~iro w nE uro KUR7H SURVEYtNG, INC.
xe~ca+ oescxiem uo nur i w A oLL ~,un SP I KE SET
_ aa'~ra uaae S OF 7NE CihTE OF YIl 4D02 JEFFfRSON ST. N.E. ~~~ISTING ELEVATION T~P Oi BLOCK - ~030•a
~ COLU+ABIA HEIQrtS. MV. 55t2t ~ y~ pROPOSED EIEV. e~st~aert r~ooA • to~.2.~
f6171 788-8768 FAX IBI~1 1A8-7607 - m
• E- = DRAINAGE ARRON
w
111NNESOTA UC E N l C. 3 ~ 30
. ~
SCALE IfJ FEET m
m
i LOT 1 6. BLOCK 2, ~o-~5,~.4t,. ~~a~~.z N
~ Q ~C1itXMAR~ C~.•LVA.T10?~1 ~ 147_8•9~ ~
~ CEDAR HEIGHTS,
DAKOTA CO., MN. ° ~ n ~ ~
i y{~ /~Qc q~
Ye ^4 ~1 T~ R.c~s~N Rori1~ ~Q~~m n YD
SoD +4yz~;;A sHowN = 35NOt 50.. ~T~ ri' ~5S' I3at
b~Wt' 4REA hNoW~~= I(y0t y~~• ~~'E / ~ ~G~AYJEIVGiNE INGDEPT.
5 Z~
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~
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m~aou,an`r~ _ain¢- ~..o- ~y'.1~ ~Trt.K { ~6L9fl ~
. • LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PER IT APPLICATI N
~ PROPERTYLEGAL: ~
~ DATE OF SURVEY: ~/.2 7/
9rT
G
~ ~ IATEST REVISION:
~ ~ DOCUMENTSTANDARDS
~ ~
? • Registered Land Surveyor signature and company
G3~? ? • Building PermitApplicant
m~ ? ~ LegaldescripUon
~o ? • Address
pi ? ? • North anow and scaie
p/ O ? • House type (rambler, walkout, split w/o, spiit entry, lookout, etc.)
47~~ ? • DirecYional dreinage arrows wifh slope/gradient %
? • Proposed/ebstlng sewer and water services & irnert elevation
[Y ? ? • Street name
~~o ? • Driveway
ELEVATIONS
~dstlna
? • Sewer service (or Proposed)
? • Propertycomers
? • Top of curb at the driveway
? • Elevatlons af any erisling adjacent homes
Prooosed
e'' ? ? • Garege floor
? • Frstfloor
? • Lowest exposed elevation (walkouf/window)
[+Y~ ? • Properly corners
Ia~o ? • Front and rear of home at the foundation
PONDING AREA fif aoolicable)
? • Easement line
? o/O • NWL
? 4~ ? • HWL
? ~ ? • Pond # designation
? ~o • Emergency Overflow Elevatlon
DIMENSIONS
? • Lot linesl8earings 8 dimensions
? ? • Right-of-way and street width (to back of curb)
[a~o ? • Proposed home dimensions including any proposed decks, ovefiangs greater than 2',
porches, etc. p.e. ail structures requiring permanent footings)
? • Show all easements of record and any City udlities wiThin those easements
8'' ? ? • Setbacks of proposed sVucture and sideyard sefback of adjaceM ebsting structures
? ~0 • Retaining wall requirements if any
Reviewed: ~
ame ~ e~e
January 1996
au~ci aseie~ocvnnrr. Fea
* CAHO MEC 92 COMPLIANCE *
Builder RYLAND HOMES Submitted By R.H. TRACEY
Model MUIRFIELD LOW E GLA Date 5/3/95
Lot/Plan/Address Degree Day Base 8000 Minneapolis
Type Single Family House Volume 41400
Filename MUIRF Control No. 536
Uo Totals ~ Propoaed ~ Required
Component Area Uo Total Uo Total
Walls 3473 .107 371 .110 379
Ceilinga 1407 .026 36 .026 37
Floors 0 .047 0 .040 0
Bsmt Wall(U) 1374 .080 110 .091 125
This Houae Qualifies With Total
Total ~ 517 ~ ~ 541 U-Value Calculations
Specifications Uo Calculations
Walls Size O.C. Insul. Sheat. Component Area U-Val Total
A Frame 5.5 16 19 2.06 Frame Wall A 2155 .052 113.
B Frame 5.5 16 19 2.06 Frame Wall B
C Frame-Gar. 3.5 16 13 .45 Frame-Gar.C 324 .082 26.6
D Masonary 8 N/A 11 N/A Masonary D * .080
E Masonary N/A N/R Masonary E *
Ring Joist 15 24 13 2.06 Ring Joist 442 6.28 27.7
window A 499 .39 189.
Doors Panel Glass S.C. Window B
A Metal .19 .62 .8B Window C
B Wood .46 .62 .88 Door A-Panel 46 .19 8.74
C Other poor A-Glass 7 .62 4.34
Door B-Panel
Ceilings O.C. Insul. Sheat. Door B-Glass
A W/Attic 24 38 N/A Door C-Panel
B No Attic 16 19 .63 Door C-Glass
C Other Totals 3473 370.6
Uo=(Ut/At1 .107
Floors O.C. Insul. Cover
A Non Cond. 16 19 1.23 Ceiling A 1407 .025 35.9
B Overhang 16 30 1.23 Ceiling S
C Other N/A 5 Ceiling C
Skyight A
Windows U-Val 5.C. Skylight 8
A Alum T.B. .36 .88 Skylight C
S Wood .52 .88 Totals 1407 35.9
C Vinyl/FG .48 .88 Uo=Ut/At .026
Skylights U-val S.C. * Basement wa17.s > 50% below grade
A Standard .60 .88
B High Perf. .32 .5 NOTICE: Usera of this software are responsible
C Other for the specifications and dimensional data
used to generate this report. The developers of
HVAC Equip Rating the software are in no way responsible £or the
Gas AFUE .7B misrepesentation of any building due to errors,
HP HSPF 6.8 omissions, or any other misuse of the eoftware.
AC/HP SEER 10
Page 2 of 3
Builder RYLAND HOMES Submitted By R.H. TRACEY •
Model MUIRFIELD LOW E GLA Date S/3/95
Lot/Plan/Addresa Degree Day Base 8000 Minneapolie
Type Single Family Houee Volume 41400
Filename MUIRF Control No. 536
a~_e=e====~=eeaa~__~~___~~___=ee=evccvvicevao~~~~`_~______en===evve'~~~_~___=e__
Dimensions
Walla ~ Frame A ~ Frame B ~ ~Gar.Com.C~ ~ Mason.D~ Mason.E
Basement • Bsmt. Above Gr 600
lst Floor 1287 lst Floor 342 Below Gr 800
2nd Floor 1376 Crawl.
3rd Floor Misc.
Misc. Miec.
Misc. Misc.
Ring Area 442
Windows
Aluminum 473 I I I I I 25 I
Wood
Vinyl/FG
Doors (G=Glase Area - 0=0paque Area)
Metal G 7
O : 28 18
wood G
O ~
Other G
O
~Ceilings I With Attic I No Attic I Other
1407
Std.Skylitesl I I
HP Skylitea
Other
----------------------------------g----------------
Floors Non Cond. I Overhan I Slab
~aindows aty. Description Qty. Description Qty. D"escription
5 2820 25 Misc.(Enter Area) 1 4010
8 3260 10 3250 1 3062
1 3040 1 2852 1 2060
1 2052 2 1052 1 5 FT HALF ROUND
1 6080 GLASS DOOR
~oors Qty. Description Qty. Description Qty. nescription
1 GAR. WALL DOOR I 1 ENTRY W/DBL SDLITEI I I
'xa~a~~___e=evvs~_______eca~o~`~=vv==cemsa~__'-e~as~~a~~ne==cme~~___e-ean~"__e
CITY USE ONLY /~t
L 1~ 8L RECEIPT l°
SUBD. ~ DATE:IL~
1996 PLUMBING PERMIT (RE5IDENTIAL)
CITY OF EAGAN
3830 PILOT KIJOB RD
EAGAN, MN 55122
(612)681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES F•ACki ~ TOTAL
Sh~wer 3.00 x = ~
Water Closet 3.00 x ~
Bath Tub 3.00 x ~
Lavatory 3.OD x ~ _ ~~L
Kitchen Sink 3.00 :c / _ ~
Laundry Tray 3.00 ;c / _
Hot Tub/Spa 3.00 ;c =
Water Heater 3.00 :c / = T
Floor Drain 3.00 x ~ = 3
Gas Piping Outlet' minimum - t 3.00 :t
Rough Openings 1.50 _ /..~i
Water Softener 5.00 x =
Private Disposal ` Dakota Cty. license 65.00 =
(new and refurbished systems)
U.G. Sprinkler " home under const. 3.00 =
Alterations ' m ex~sting 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL .~9. ~
~9~~
SITE ADDRESS: " ~ ~ ~ ~ ~~5~~ ~OQ(.l'
OWNER NAME: ~1U~7~`~
INSTALLER NAME~ ~~-~~z- ~UQ~7
STREET ADDRESS: ~"T7~~~ 5 ~D[.c.i T~
CITY: 1~,~/Yl STATE: ZIP:,
PHONE ((p/o~) `7' -
~
A F~"FfA]fI
OFFICE USE ONLY
L BL RECEIPT
SUBD. OATE~
1996 PLUMBING PERMIT (COMMERCIAL)
CITY ~F EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
{612) 681-4675
Please compiete for. ~ all commercial~ndustrial buildings.
~ muiti-family buildings when separate permits are ~ required for each dwelling
unit.
DATE: CONTRACT PRICE:
WQRK 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 INSTALLED9 YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESUL7' IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G: SPRINKLER SYSTEM7 _ YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINY.LER PERMIT.
FEE: $25.DD minimum fee or 1°,6 of contract price, whiche~•er is greater. State surcharge of $.50 per
$1,OD0 of permit fee due on aIi permits.
CdNTRACT 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 S..
L 1~ BL ~ RECEIPT ~ 5~ /
SUBD. t .DlA1]h. 01[i{1,W DATE:~GL~-
'1'
1996 MECHANICAL 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
New construction ~ Add-on fumace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date:
FEES
? Minimum Fee: Add-on/Remodei (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 .5D
TOTAL
~ _ g
SITE ADDRESS:" ~ ~0~~
OWNER NAME: ~/./~Q/~ ~/Y~~ PHONE #:~ry
INSTALLER NAME ( ~~z" ~~~a~7
STREET ADDRESS: ~`~~7? ~ ~n~r~ T/I
CITY: ~~~1Y7~ STATE:~,~_ ZIP:?~
PHONE (,~/o~i) ~
CITY USE ONLY
L BL RECEIPT
SUBD. DATE:
1996 MECHANICAL PERMIT (COMMERCIAL)
• CITY OF EAGAN
383~ PILOT KNOB RD
EAGAN, MN 55122
(612) 681~675 '
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are ~ required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ~$25.00 minimum fee p.C 1% of contract price, whichever is greater.
~ Processed piping - $25.00
~ State surcharge of $.5D per $1,000 of ~ermit 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
sJa~ /J~,aa; ~paQs.~. ~,c,~
VESJ 4ECcIPT Ik ~O ~f~~~
~EC~IPI' DATE ~S/57
LIA ;'S'
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~
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ORIG. RE~°IPTi~ ~)~~'n
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City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4958 Rusten Rd
Lot: 16 Block: 2 Addition: Cedar Heights
PID:10- 16725- 160 -02
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Home Depot At Home Services
656 Mendelssolm Ave. N
Golden Valley MN 55427
(763) 542 -8826
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
Manuel J Guzman-Paz
4958 Rusten Rd
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Building
EA080678
10/24/2007
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
Issued By: Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4958 Rusten Rd
Lot: 16 Block: 2 Addition: Cedar Heights
PID:10- 16725- 160 -02
Use:
Description:
Sub Type:
Work Type:
Description:
Meter Size Meter Type
Comments:
Fee Summary:
e - Water Heater
Replace
Water Heater
Josh McGuire
605 12th Ave S
Hopkins, MN 55343
Contractor:
McGuire & Sons Plumbing & Heating
1424 N 3rd St.
Minneapolis MN 55411
(612) 604 -4285 X61
PL - Permit Fee (WS & /or WH)
Surcharge -Fixed
Total:
Manufacturer
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Owner:
Manuel J Guzman-Paz
4958 Rusten Rd
Eagan MN 55122
Serial Number Remote Number
$15.50
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$15.00 0801.4087
$0.50 9001.2195
Issued By: Signature
Plumbing
EA081266
11/28/2007
ePermit
Line Size
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143709
Date Issued:06/23/2017
Permit Category:ePermit
Site Address: 4958 Rusten Rd
Lot:16 Block: 2 Addition: Cedar Heights
PID:10-16725-02-160
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Manuel J Guzman-paz
4958 Rusten Rd
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA174956
Date Issued:03/03/2022
Permit Category:ePermit
Site Address: 4958 Rusten Rd
Lot:16 Block: 2 Addition: Cedar Heights
PID:10-16725-02-160
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Manuel J Guzman-paz
4958 Rusten Rd
Eagan MN 55122--402
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature