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1561 Rustic Hills Dr?- CITY OF EAGAN ' 3795 Pilot Knob Road Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT Receipt To be need for Est. Value Date H°_ 6 5 7 0 ## 19 Site Address Erect ? Occupancy Lot Block Sec/Sub. Alter ? Zoning Parcel # Repair ? Fire Zone Enlarge ? Type of Const. W Name Move C] # Stories Address Demolish- ? Front ft. C1 Phone Grade ? Depth ft. Name Approvals Fees o uE Address Assessment Permit ~ city Phone Water & Sew. Surcharge Police Plan check W Nome Fire SAC U 0 Address Eng. Water Conn. (W City Phone Planner Water Meter Council Road Unit 1 hereby acknowledge that 1 have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable, P l T t State of Minnesota Statutes and City of Eagan Ordinances. A C o a Signature of Permittee A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit # Doh bared PermIthe Plumbing !? & -ec7- - 9- p l,- -T i Me h nical 31 2 (SW I14 1'^ - F EQ I T- /• r n sc, c I INSPECTIONS DATE INSP. Rough-In Final Footings ??++ ar -p^ v Dote Insp. Date I Foundation _ Plumbing . ram s. Mechanica l Final - P?tl Pj //'aOt (.I /Kdsr? s e? r? c d erg fri ?? Remarks: j/j ? •i/t ?a? ?S ,r r Dta d- Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee . Fill in numbered spaces S/C Type or Print legibly _ Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ID Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Ce l/D i fi ld Bath tubs sspoo n e ra S ti k T Lavatory ep c an ft e S Shower o n r w ll Kitchen Sink e Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed _ for Rough Final • Inspections: Date Insp. Date Insp. Tr(s is-your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee _ Fill in numbered spaces S/C Type or Print legibly _ Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe 11 Type No. Equipment BTU - M. Ea. Forced Air No. Equipment CFM Mfg. Air Handling: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. O h Air Cond. t er Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed for Rough Fin 1 Inspections: Date Insp. DateInsp. TNs is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 t. CASH RECEIPT a • CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECCn/ED FROM AMOUNT $ I DOLLARS too ? CASH ? CHECK FOR t FUND CODE AMOUNT Thank You C>K V_ BY White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN Remarks Addition RUSTIC HILLS ADDITION Lot 6 Rik fl Parce Owner `ir1jrl ` Street 1561 Rustic Hills Drive State Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. - 3,?- 185.54 10 1298.79 A011468 9-28-82 STREET RESTOR. GRADING SAN SEW TRUNK 40 1968 45.85 53 30 23.05 " * SEWER LATERAL k3j 1990 3454,56 230.30 is 2763.66 WATERMAIN WATER LATERAL 1.32 1972 170.98 8.55 2 77.04 WATER AREA 1977 79.55 5.30 47.75 STORM SEW TRK 1979 480.35 48.04 10 288.23 * STORM SEW LAT 1980 * Service 98 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 185-00 WATER CONN. 335.00 23901 3-26-81 BUILDING PER. 6570 SAC - -26-81 PARK CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (i(31 681-4675 SITE ADDRESS: li I I PERMIT SUBTYPE: it r It PERMIT TYPE: f i i3 1 t4M Permit Number: 7 Date Issued: ' .i 0 11 F. WI 1, i APPLICANT: Pr „?. TYPE OF WORK: . t :..11 t . r?. h Pl, V111 0[ MA6tV'J - T! AR 0 F F AN 1) F?VRIt0F lint' 10 ':: I (IRA 0AMAt3i Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 Zoning: Owner: Address: Site Address: Plumber: I agree to comply with the City of Eagan Ordinances. R.. Date of Insp.: Connection Charge: Account Deposit: Permit Fee: Surcharge: Misc. Charges: Total: Date Paid: CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: MN 55122 E DATE: agan, Zoning: No. of Units: Owner: - Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 agree to comply with the City of Eagan Surcharge: Ordingnces. Misc. Charges: Total: B Date Paid: y Dote of I nsp.: I nsp.: g SEWER SERVICE PERMIT PERMIT NO.: n Arc. No. of Units: 1 y7? 4((JJ!! )b CITY OF EAGAN BUILDING PERMIT APPLICATION To Be Used For Valuation Site Address: r?."? Q-,, ST, c_ "; (s I)v, Lot 6 Block j Sec. /Sub. ?9uA?- 9 4." C( s Parcel #: 1A / X?/'7!')n /?)G >) i719 Owner: i hO-.""0-5 1k) S.? Address : Z Fs ?-CD 33 Id?-< S o City/Zip Phone #: 7 Z Y .? crS ? S7 ASS y Address: 2 2-2-c-) - City/Zip Code: V'1 (2 f, rn , <( 3 S Phone #: -7 2- Arch./Eng.. Address: Include 2 sets of plans, 1 site plan w/elevations & 1 set of energy calculations. Date /M Z 3 ?- / OFFICE USE ONLY Erect x Occi span y Alter Zonina Repair Fire Zone Enlarge Type of Const. Move # Stories Demolish Front ft. Grade Depth ft. Assessments /!" Water/Sewer Police Fire Eng. Tanner Council Bldg. Off. APC Permit (03 Surcharge 3 Plan Check SAC SA2 Water Conn. 3? 3 3 Water Meter Road Unit 6&) I 5;'s- City/Zip Code: Phone #: TOTAL \-?,? 717-Z- Llol 8?t ?Ctc5'k-t C ((-Alt ZY,Sc This request void 18 months from / 2 S' 8'Y S Date of this Request) Fire No. "t 15144 1, as [.Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. r-<& I zAs-?"X-_ k L LS b I-S I City Q 4^ Section Township Range County Which is occupied by ?p AA 5 ( ame of Occupant) Is a roughin inspection required on this job? No ? Yes Ready Now ? Will Call ? Power Supplier /V _So . F Address V1 SO i!/ Electrical Contractor 1).oA/. Ad . Lei?<:rContractor's License No.yb ; (Company ame) Mailing Address AA1N & d AI r /`?? I ,Al N (Ele c t rical Cactor r Owner Making This Installation) I ? n j Authorized Signature Fl fL? 37 , `K25lC. wto Phone No, r - " ? t (Electrical Contractor or ner Making This Installation) VAN BOARD C®PY B This inspection request will not accepted the d B S d l 0 oar tate oar un ess proper inspection fee is enclosed. mmnesoca acace ooaro ur ueutriuicy Griggs Midway Bldg. - Room N191 qj ,r1 University Ave., St. Paul, Minn. 55104 - Plane 297.2111 REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST EB-00001+(2 ?S U T 15144 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For . Home ? ? Range Temporary Wiring ? Duplex ? ? Water Heater Lighting Fixtures ? Apt. Bldg. ? ? ? Dryer Pt Electric Heating ? Commercial Bldg. ? ? ? Furnace r? Yom. Silo Unloader 11 Industrial Bldg. 11 El 1:3 Air Conditioner JR Bulk Milk Tank ? Farm ? El El List List Other ? ? ? Rere ?ere others Here COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feeders&Subfeeders: # Fee : # Fee 0 to 100 Amps. 0 to 30 Amperes Amperes 101 to 200 Amps. 31 to 100 Amperes eres O Above 200 Amps. Above 100 Amps. Amps. O I Transformers Remote Control Circ. r fee ... Signs Special Ins ection I Remarks TOTAL EE O I, ec Ii lator lereby certifthe ??cttj?tlas been made. (R n(F' ' ?J Date /;7- ?7 I This request void r t? 18 months from This request void /i" g, .te, ? , C 2 l 18 months P_ '7 om I Date of this Request C. 5 Fire No. S 66575 I, as ? Licensed Electric Contractor ETOwner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No Section Township ?S t s c , I/T Ur. City ,,I Range County ?? t { a Which is occupied by 1 . an PA 'Sn e t~ (Name of Occupant) Is a roughin inspection required on this job? No ? Yes ? Ready Now 6' Will Call D Power Supplier ?? V?o k x 0?-_ a{. Address Electrical Contractor Mailing Address (Company Name) Contractor's License No. (Electrical Contractor or Owner Making This Installation) Authorized Signature Phone No. ?'1 t?(Electrical Contractor or Owner Making This Installation) ((' `? (p? ?a, (.:,? ?( This inspection request will not be accepted by the a'J IJ tr-rt aR11 cc Ply Fy u kl State Board unless proper inspection fee is enclosed. Minnesota State Board of Electricity Griggs Midway Bldg. - Room N191 t21TIniversity Ave., St. Paul, Minn. 55100 - Phone 297.2111 L 6 REQUEST FOR ELECTRICAL INSPECTION 7 a CHECK BELOW WORK COVERED BY THIS REQUEST EB-00001.02 66575 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired,For Home ? ? ? Range ? Temporary Wiring ? , Duplex ? ? ? Water Heater ? Lighting Fixtures ? Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Furnace ? Silo Unloader ? . Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ? ? Farm List )) List Other ? ? ? Rthe ers} !H1 11111 Otehers? e FF11 11111 COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Circuits: # Fee 0 to 100 Amps. 0 to 30 Amperes 0 to 30 Am eyes 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Amperes Above 200 Amps. Above 100 Amps. Above 100 Amps. Transformers Remote Control CGc. Partial or other fee Signs Special Inspection Minimum fee $5.00 Remarks TOTAL FEE ,6p ? y? I, the Electrical Inspector (Final) This request void 18 months from hereby certify that the above inspection has been maw 06-0 Date ?/ f --Date ?? a2 CITY OF EAGAN / 3795 Pilot Knob Road Eagan, MN 55123 N2 6570 PHONE: 454-8100 ?3?to BUILDING PERMIT APPLICATION Receipt # To be used for SF DWG/GAR Est. Value 66,000 . Date 3-26 19-1_ Site Address 1561 Rustic Hills Dr. Erect MC, Occupancy R3 Lot 6 Block 1 Sec/Sub. Rustic Hills Alter ? Zoning Rl Parcel # 10 65000 060 00 Repair ? Fire Zone 3 E l T f C t y n arge ? ype o ons . W Name ThGlllas M Snee Move ? # Stories z Address 2820 33 Ave S. Demolish ? Front 74 n-10" ft, city Mpls Mn Phone 724-8835 Grade ? Depth 42 ft. C t H Approvals Fees o Name 2T1"V ?C?S 00 Address 2820 33 Ave S. ? r.... Mols Mn or..,..e 724-8835 Name Address 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. Water 8 Sew. Police Fire Eng. Planner - Council Bldg. Off. _ APC Permit 103.7U Surcharge 33.00 Plan check 81.75 SAC 525.00 Water Conn. 335.00 Water Meter 60.00 Road Unit 185.00 Total 1,383.25 Signature of Permittee I A Building Permit is issued to: Cantury Hares on the express condition that all work shall be done in accordance wif?It all applicab4 State of Minnesota Statutes and City of Eagan Ordinances. Building Official r zz===- 4 =:?-- 11 741SWAYZATA KVa fiI R MINN"POIIs, M1MUMM Ilia CERTIFICATE OF SURVEY Pa BUILDING SITES, INC. 818.E imunr -- SCALE: 1" m 44' V mgrk' o ? Q e a 4 [ l ? .r. K1Cl $-`"? '-?_µoI?l3.ef 7s' +-~' yg R US tT, l -7t4 ?,?a Jjt=rry 1 1 L L. 5 aese ff. Dra;na9e °.? Ease?'Bnt DRIVE -1, Ea?1N. G L.. _ _5' IFIELD A NOWAK will SURVEVORS -r 01 MIUM .5230.0 DESCRIPTION'S Lot 6, Block 1, RUSTIC HILLS ADDITION. NOTE: Bearings'shown are assumed. We hereby certify thal this is a true and correct representation of a survey of the boundaries of the land above described and of the location of all buildings If any, thereon, end all visible encroachments, if any, from or on said land. Doted thls 7th day of August 1978 EGAN,j"ELD t NOMV?K,IML [File No.1 DAR. 121100ok No .1 I byr'L,Pi4..d,&AjLg* ?:K&?=j F I ? 1 t",? It \ / ? I X22 \_ ?--? ?- Q ? I ?' to ' e\ 1\ '? _ PERMIT GdITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: BUILDING Permit Number: 0 3 2 7 2 4 Date Issued: 07/30/98 SITE ADDRESS: P.I.N.: 10-65000-060-00 1561 RUSTIC HILLS OR LOT: 6 BLOCK: RUSTIC HILLS DESCRIPTION: T.O. & REROOF Permit Type STORM DAMAGE Work Type REPAIR d .=? 434 ALT. RESIDENTIAL S fa t' q ??'-^i.? g ?f d :t C REMARKS: TEAROFF AND REROOF DUE TO STORM DAMAGE. FEE SUMMARY. CONTRACTOR: - Applicant - ST. LIC OWNER: UNITED ROOFING 18045360 2009186 SNEE TOM 1155 140TH AVE 1561 RUSTIC HILLS DR ANDOVER MN 55304 EAGAN MN 55122 (612) 804-5360 (651)454-1544 fi he,re4y ackm,gwledge°that,l have read thj,e application and state that the informal. on is 'correct And agtlee, to c"amply with all app'lioable State of Mrs. S otwtoa-and -City ,of Eagan Ordin nces.: y ° APPLICANT/PERMITEE SIGNATURE C-ISSUED BY. SIGNATURE - - 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAOAN 3830 PILOT KNOB RD - 55122 691-4675 _ 3 0 - 14 New Construction Requirements ? 3 registered site surveys ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan if lot platted after 711/93 required: _Yes _ No DATE: DES TION OF WORK:U \ 1 STREET ADDRESS: dvi Company: d Phone Street Address: License # z00 AWA City State: 10-1 Zip: LOT: ? a BLOCK: D SUBD./P.I.D.#: bus"Al C k W Phone #: 1%C_/ W PROPERTY last ?jFint OWNER Street Address:: City G State: Ali/ Zip: CONTRACTOR ARCHITECT/ ENGINEER Phone #: Name: Registration #: Street City State: Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: Zip: Penalty applies when address Chang agree to comply with all applicabl 0 OFFICE USE ONLY Certificates of Survey Received _ Yes - No Tree Preservation Plan Received - Yes - No Not RemodeVReoair Requirements ? 2 copies of plan ? 2 site surveys (exterior additions & decks) ? 1 energy calculations for heated additions CONSTRUCTION COST; 76"'f JUL 3 0 1998 BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning OFFICE USE ONLY ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Basement sq, ft. MC/WS System _ Main level sq. ft. City Water _ sq. ft. Fire Sprinklered _ sq. ft. PRV _ sq. ft. Booster Pump _ sq. ft. Census Code. _ Footprint sq. ft. SAC Code Census Bldg Census Unit Building Engineering Variance Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit SAN Permit SAN Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ % SAC SAC Units îúÿ ÿþ þýý üûûú ùýý ø ýöïýþ âóü ñ ââ þýö ýüûúùø÷ö õ üúùø ÷ ÷ö õ ôöõóøò ñü ü ðìüøù ïÿ ýîü òø ëò ò îü ò û ò êé ÿööøÿ þé é òÿ ý øêé é øé ê ûòè îü ûùö ÿéòùò ê íæðåæääêäêä õù ýü æêãêã çüðþê ôó öòñ øø óö ö ÿ ãüùó÷ âóü ñ ó ë ôð ÿ ôð àâßâ ûùöÿë øø é ò ÿ òøùöøøûý é ýü ùé ÿì ê øøõ òýÿü üùýÿü PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA119834 Date Issued:12/23/2013 Permit Category:ePermit Site Address: 1561 Rustic Hills Dr Lot:6 Block: 0 Addition: Rustic Hills PID:10-65000-00-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Holly Flood 1408 Northland Dr #310 Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Andrew Liesinger 1561 Rustic Hills Dr Eagan MN 55121--113 Sedgwick Heating & Air Conditioning 1408 Northland Drive, Suite 310 Mendota Heights MN 55120 (952) 881-9000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA161473 Date Issued:05/28/2020 Permit Category:ePermit Site Address: 1561 Rustic Hills Dr Lot:6 Block: 0 Addition: Rustic Hills PID:10-65000-00-060 Use: Description: Sub Type:Residential Work Type:Alteration Description:Stove Comments:Please call for a Rough In and Air Test, prior to the Final Inspection. Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. 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 - Randall M Buffie 3907 Thomas Ave S Minneapolis MN 55410 1235 (612) 432-3785 Blue Ox Heating & Air Llc 5720 International Pkwy New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature