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1569 Rustic Hills Dr;TYs ' '. - CITY OF EAGAN t? f 7 ` t - vZ9 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # lr? To be used for ` DSVG/GAR Est Value $116,000 Date .;t DECF14BER 2 19 ; 6 Site Address 1569 RUSTIC Erect L? Occupancy R3 Lot == Block 1 Sec/Sub. '11LIS'i : C iJILLS Remodel ? Zoning =t1 Parcel No. Repair ? Type of Const V Addition ? No. Stories Name ' `?"Z !{ THO` IAS Move ? Length 60 z Demolish ? Depth 3.? o; Address CEDAR AVE Int. Impr., ? Sq. Ft 4 r r u F r gzr.n . ... . Name- Address F W Name Police Fire _ 0 o Address Eng. W i City Phone Planner I hereby acknowledge that I have read this application and statethat the Council Bldg. Off. 11/4/86 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Signature of Permittee Var. Date •"'?JF HFILIN(^?"rcT-._ Permit '709.50 Surcharge 58 . 0C Plan Review 236 . 5C Water Conn. D v V• u L? Water Meter 63.5C Road Unit 290.0( Tr. PI. 156.Ui Parks , copies 5 . 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 No. Permit Holder Data Telephone k Plumbing ? ? `,aK ,-'?? <.?". i•> ?''; H.V,A-C. y// Electric C J7 C- Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Hill. haul. Fireplace Final Htg. VAIW p Final Plbg. - ? Bldg. Final Cart. occ. p -sv L ,"? Deck Fig. dU/.yCJj Deck Frmg. Well Pr. Disp. Site Address . Lot _1+_ Name m Addre. Z; City Name f 3 Address p City 4 4,1 Phone COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE -$12.00 MINIMUM - COMM/IND FEE -$20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PERMIT # RECEIPT # DATE: BLDG. TYPE WORK DESCRIPTION Res. x- New Mull. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NQ. FIXTURES OTAL Water Closet - $3.00 U Bath Tubs - $3.00 lavatory - $3.00 !'t I Shower - $3.00 ' Kitchen Sink - $3.00 Urinal/Bidet - $3.00 - I Laundry Tray - $3.00 __,j__Floor Drains - $1.50 Ci c; I Water Heater - $1.50 / 5 C) Whirlpool - $3.00 __3_Gas Piping Outlets - $1.50 S CJ (MINIMUM - 1 PER PERMIT) -LSoftener - $5.00 G C Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 r r FEE: II STATE S/C: OF EAGAN/ GRAND TOTAL: ?? PERMIT #? MECHANICAL PERMIT RECEIPT # 7S CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: Site Address _ Lot _ L Name _ m Address city Name _ Address 0 City - TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other 411 Ei z_ ' ' BLDG. TYPE WORK DESCRIPTION _ Sec/Sub Res. ? New P A Mult Add-on I r Comm. Repair qt6he Other /_ GC FEES RES HVAC 0-100 M BTU 2 . 4.00 -$ ADDITIONAL 50 M BTU - 6.00 'hone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS MINIMUM 1 PER PERMIT 5 EA - ( ) - 1. . 0 M BTU M BTU ?l n'7 COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & M BTU REMODELS - 12.00 M BTU CFM MINIMUM COMMERCIAL FEE STATE SURCHARGE PER PERMIT (ADD $.50 S/C IF PERMIT PRICE GOES - 20.00 - .50 BEYOND $1,000) FEE: 1 i S/C: ? Sf ATURE OF PERM) EE TOTAL ?5j FOR: CITY OF EAGAN Tertif irate of (Orruvanry Cite of (Eagan This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use Chwil atioo ; Bldg. Permit No. i OMWIL cY TAN Zm g Dwict Type Coate BwUrg Address r, Date: Bumng OficMI POST IN A CONSPICUOUS PLACE CITY OF EAGAN Remarks Addition RUSTIC HILLS ADDITION Lot 4 Bik fl Parcel Owner LIlli t%; Street) Rustic Hills Drive State X11 1'+. ail) roc; `a:-. Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 3 2- 1990 1855 41 195, - 54 1 STREET RESTOR. GRADING SAN SEW TRUNK 40 1968 45.85 1.53 30 * SEWER LATERAL 1990 34-54- -56 7-740- I;n I q WATERMAIN WATER LATERAL 13 1979 170-98 8.55 20 WATER AREA STORM SEW TRK * STORM SEW LAT 1980 • ClArylea 1980 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. gUILDING PER. SAC PARK CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: 1;11 ,11? illi 1': INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: APPLICANT- of . 1 4 Ht If l IA '. UN 1111i1It1Nis 0. 1 t.'-A 0H/0"}1 4r);i PERMIT SUBTYPE: TYPE OF WORK: 141W !•I '.? f. 11 1 r ir1 (NOpF OVER of c1c ) Permit No. Permit Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing p a Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Teat Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Fig. -look Final Well Pr. Disp. IILb{VLJI I VII LLLVIII•VI"Ir •• r. .. -- See instructions for completing this form on back of vellow COPY. A "X" Below Work Covered by This Regpest LO MPU a 111? NCC;t,v11 r-tf VVIUW N Fee Service Entrance Size Subfeeders K Fee Circuits 0to200Am Amps 0 s to 30Aw s Above 200 Am is ] Amps M ° 31 to 100 A S A Swinvning Pool Above 0_Am s mpS Above 100_ Transformers Booms Partial, Other F Signs apeciei ?rraNCLIw' $ S IZi TOTAL E (J emarks r , Rough-in ate ` 1, the EI lam G Inspector, hereby p certify that the above Final C r Da e f ?/ 34 spection has been de. _ . This request void 18 months from V %;.?' CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road 8 3 5 0 P.O. Box 21199 PERMIT NO.: _ Eagan, MN 55W1 DATE: Zoning: .sr omas No. of Units: Owner. Address: t569 Rustic r1ttw -17rive t4 St Rustte tttlftu Site Addess: Plumber: 500. Meter No.-Z7G S ?q Connection Charge: . oapd Size: ° Account Deposit: 10. @Opd Read 4r No.: D g Al Permit Fee: 55 6 pd I agree to comply with the City of Eagan Surcharge: t56.00pd T? Ordinances. Misc. Charges: 153. 5 • p met Total: JLtL _2 ?e? gy Date Paid: enalty D of Insp.: z - Insp.: ---- - CITY OF EAGAN WATER SERVICE PERM IT 3830 Pilot Knob Road P.O. Box 21199 PERMIT NO.: , Eagan, MN 55111 DATE: Zoning: No. of Units: ?rlc !io~ ?. Owner. Address: 2 ust c s 7 _ s c i • . Pr ve ! ..s Site Addess: Plumber. Tenn _n,e _ .. Meter No: Connection Charge: . n: . Size: Account Deposit: Reader No.: Permit Fee: . J• p c. I agree to comply with the City of Eagan Surcharge: p Ordinances. Misc. Charges: Total: 63. p d rLet. er . _ . , p( pera tv- Date Paid: Date of Insp.: r Insp _. ITY OF EAGAN SEWER SERVICE PERMIT 830 Pilot Knob Road . O. Box 21199 PERMIT NO.: `0' Eagan, MN 55121 DATE: Zoning: r' No. of Units: 1 Owner: I•'ar& Thomas Address: Site Address. 1569 (Rustic tills I'i ivy -,.4 R1 Ruiotic `?4Ms Plumber. Jenn in 7 a r ii `i 12- (-, 33 73 1 I aawe to asowly wart the City of Iowa Connection Charge: 4 7 5 _ 03pd CrdiwoNew Account Deposit: 15 _ QQPC' Permit Fee: 10.1 i n cl Y of Imp.: Surcharge: - 5ttpfl..?_ Misc. Charge:: I I nnpa t.- Total: Dow Paid: CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD - It EAGAN, MINNESOTA 55122 DATA 19 RECEIVED FROM AMOUNT $ ? CASH Fj CHECK FOR ' BY White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You BLDG. PERMIT NO. -- ?_ IxJ 01-3210 Bldg. Permit_ 01-3422 Plan Check , 1 .. 01-3445 Surch./Adm. 01-3446 SAC/Adm. TT 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC ?'. 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 I AMOUNT Is & DOLLARS goo ? CASH ? CHECK FOR FUND CODE AMOUNT Thank You BY White-Payers Copy Yellow-Posting Copy Pink-File Copy DOUBLE FEE APPLIED - CITY OF EAGAN Al N 2927 HO;iSE WAS 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1 FRAMED BEFORE PERMIT PAID PHONE: 454-8100 BUILDING PERMIT Receipt # SF DWG/GAR $116,000 DECEMBER 86 2 To be used for Date Est Value tg Site Address 1569 RUSTIC HILLS DR Erect L Occupancy R3 Lot 4 Block 1 Sec/Sub RUSTIC HILLS Remodel ? Zoning Rl _ _ . Parcel No Repair ? Type of Const. 11 . Addition ? No. Stories MARK THOMAS Move ? Length 60 w Name Demolish ? Depth 33 c Address CEDAR A VE Int. Imps ? Sq. Ft City RICHFIPpWe Install ? o I Name STEVE HEILING CONST .opprovr 04 Address ROUTE #1, BOX -t63 Assessment _ City REDWOOIIhAALLS 507/342-5731 Water &Sew. a: W w Name Address a w City Phone Police - Fire Eng. Planner- I hereby acknowledge that l have read this application and state that the Bldg. Off' 11/4/86 information is correc and agree to comply with all applicable State of Minnesota Statutes a d City of Eagan Ordinances. APC ' Var. Date_ Signature of Permittee A Building Permit is iss d to: STEVE HEILING all work shall be done in accordance with all applicaabVState of Mi§rrraso4 Statutes and Permit $ 709.5( Surcharge 58.0( Plan Review 236.5( SAC 575.0( Water Conn. 500.0( Water Meter 63.51 Road Unit 290.01 Tr. PI. 156.01 Parks Cop 5 TnR?I T "??--? - on the express condition that of Eagan Ordinances. Building This request void ,Binhfrom 4344 m Request Date Fire No. Rough-in Inspection Req ire,d Ready Now Will Notify Inane, -_3 Yes ?NO for When Ready Licensed Electrical Contractor I hereby request inspection of above Owner electrical work installed at: Street Address, Sox or Route No. City ?lJ ? /,/ ? q U ti ecll On o. Towns ip Name or No. Range O O. . County C Occupant IPRINTI Phone No. Power Supplier Address y J L/ r i/ (X N / Electrical Contractor (Company Name) Contractor's License N ?/ ? d ? A- ya U 'a , ? Un Mailing Address (Contractor or Ownerr Ma k?nB Ins to llationl 1 / r /J i A-16 y I F u v J J Wlw.2. GWOOV A l Authorized .gnature (Contractor Owner Making Installation) Phone Number - 25 " 1 MINNESOTA STATE BOARD OF ELECTRICITY Griggs-Midway Bldg. - Room N-191 1921 Universlty,Ave.. St. Paul. MN 55104 Phone (9121 297-2111 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. This request void 18 mope from Date of this Request 1, as 4Tricensed Electrical cal wiring installed at: Street Address or Route No Section Township- l?k`? /8 QCI) Z-?hiz-Fire No. S 84370 'ontractorr ? Owner, do hereby request inspection of the above electri- ?s {?e ff/?s L/STS-??Z Cityt?A,, Range County/Q&6 Which is occupied by??ly G F E% C/? (Name of Occupant) Is a roughin inspection required on this job? No g?- Yes ? Ready NowA31- Will Call ? Power Supplier /7/. S - 10 Address 4?6 n l-o c,`f ??77 cp-39s-'7- 4. Electrical Contractoa/z tG16vr( i eF? C a> Contractor's License No. (Company Name) / Mailing Address `to 7 ? _5" /.s /,s si . S7` ??yL ?5X6 ? (Electric I Contractor or Owner.QQ Is Installation) Authorized Signature < s Z3M: s _ 1? Pf one No. 3 (Electrical Contra or or Owner Makin Is Installation) ?7LL uLC , uG V ?CrU This inspection request will not he accepted by the State Board unless proper inspection fee is enclosed. Minnesota State Board of Electricity i Griggs Midway Bldg. - Room N191 C' ?C 6 EB-0000170 3824 University Ave., St. Paul, Minn. 55104 - Phone 297-2111 $pC{ REQUEST FOR ELECTRICAL INSPECTION S 8370 CHECSitft!OW WORK COVERED BY THIS REQUEST 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 ? tRarm ? ? ? List / List Other ? ? ? e Offre ers} er )))) Others ere III COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feeders&Subfmders: * Fft Circuits: # Fee 0 to 100 Am s. ?7 - fie. 0 to 30 Amperes 0 to 30 Amperes 101 to 200 Am s. a.m 31 to 100 Amperes 31 to 100 Amperes Above 200_Amps. Above 100 Amps. ; Above 100 Amps. Transformers Remote Control Circ. efherfe y •So >< 0 3 1 3 °P 1 S ecial Inspection Minimum fee Remarks s%ic6E'T.C/ .-, . 'a zx'"36,aDi7/.w S FED Fizz i t ifiou.<.T- TOTAL FE 1, the Electrical (Final) This request void 18 months from as been made. ate / /, Date /,T 99 $ / An? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: Permit Number: Date Issued: 1569 RUSTIC HILLS DR LOT: 4 BLOCK: RUSTIC HILLS P.I.N.: 10-65000-040-00 DESCRIPTION: REMARKS FEE SUMMARY (ROOF OVER DECK) ld °rttl, Permit Type SF (MISC.) lding LPOrk Type NEW VALUATION $2,000 Base Fee $45.00 Surcharge $1.00 Total Fee $46.00 CONTRACTOR: F 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 Mn. Statutes and City of Eagan Ordinances. C C°?Ci f (App -A? PPL7CANT/PE IT SIGNATURE c ISSUED B :SIGN URE Cr??/sue / BUILDS 021656 08/05/93 OWNER: - applicanti - MCGUIRE WILLIAM 1569 RUSTIC HILLS DR EAGAN MN 55121 (612)688-0535 INSPECTION RECORD CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 LOT: 4 BLOCK: HILLS DR PERMIT TYPE: Permit Number: Date Issued: BUILDING 021658 08/05/93 SITE ADDRESS: 1569 RUSTIC RUSTIC HILLS APPLICANT: MCGUIRE (612) 688-0535 WILLIAM PERMIT SUBTYPE: TYPE OF WORK: SF (MISC.) NEW DESCRIPTION (ROOF OVER DECK) INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR. FOOTING FRAMING FINAL 7 REACTIVATE _ PERMIT, iP I I uli CITY OF EAGAN 1993 BUILDING PERMIT APPLICATION 14'D o 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Ur / / _9 Val uation of work ooo / Site Address: STREET SUITE # Tenant Name: (commercial only) LOT .BLACK SOBD. Description of work: °2c Vk c- The applicant is: Owner ? Contractor ? Other (Describe) 11 /, aag Phone ZZ2 053 Name M IJ Property ' LAST F IRST a?g a!3 g Owner Address "' A// /-L s STREET STE r city State Zip Company S G Yn c Phone Contractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. 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. Signature of Applicant: Y, X x OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-P1ex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ® 04 SF Porch ? 09 12-Plex ? 14 Fireplace. ? 05 SF Misc. ? 10 Multi..Add'l. ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 35 Tenant Finish M 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning i of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? Site ? Wallboard ? 1f-,Bgsementt„q„}nish ? 1TSwim Tool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish Basement sq. ft. MWCC System 1st F1. sq. ft. City Water 2nd F1. sq. ft. PRY Required Sq. Ft. total Booster Pump Footprin t Sq. ft. Fire Sprinkler On-site well Census Code On-site sewage SAC Code Building Assessments Variance ,® Footing ? Final ® Framing ? Draintile C, -R j ? Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: wl?t;an: ?• ??Ol? SAC % SAC Units a 473.00+ 58.00+ 236.50+ 575.00+ 500.OU+ 63.50+ 290.00+ 156.00+ 2,352.00* i 886 BUILDING PERFIIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS - RESIDENTIAL INCLUDE 2 SETS OF PLANS, CER 1 SET OF ENERGY CALCULATIONS COMMERCIAL RENTAL UNITS FOR SALE UNITS OF SURVEY - CHECK WITH BLDG. DEPT., I INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND (!o D00 To Be Used For: S?noh r)111616 Valuation: Date: (n ,=kS ? Site Address Q69 BuEAL H°?IIS llrive OFFICE USE ONLY Lot 4 Block 1 Parcel/Sub (RuS{?c_ I?r11? CL6;Wl ior" Owner Mnrk L. 0'*Id Address rrlnr (Ayanur- City/Zip Code R c 2? -MT) C1. i Phone ?? c c m 709 Contractor -'SA-e? Address} , l ,po k (co'3 City/Zip Code ZQ 9"? F t c S(.am Phone Sw) -13 `ka - 5 13 1 Arch./Engr. Address City/Zip Code Phone # Erect ? Remodel Repair _ Addition _ Move _ Demolish _ Int.Impr. Install APPROVALS Occupancy R '5 Zoning `Z•1 Type of Const 11 of Stories Length Ca0 Depth 33 Sq Ft FEES Assessments Permit 413 , Water/Sewer Surcharge 5?. Police Plan Review Z3 (o. Fire SAC 5 5, Engr Water Conn Soo, Planner Water Meter n3.jO Council Road Unit 2 O. Bldg Offs - Treatment Pl I C Co, APC Parks Variance Copies TOTAL (?1k6e- ?famG ,Ep fC. dawbl? ?a3G•s? NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. 2? x 38`" ?8 x ?g = 5-730' - Zzx2_b 572 -\?- ! ?5&4 ? O x 12 ( 20 X 5Z l09 0o 2Co x 39 1(--) 14- x 4 4= '4- 4(o I r 115,144- CERTIFICATE OF SURVEY -ea"# 7R., eIMIC&M, Pteo. sRLSOM 1 8713 DUPONT AVENUE SOUTH L LN,? wc. BLOOMINGTON, MINN. 55420 T =Ma w* 868-2084 LAND SURVEYORS Survey for: MARK THOMAS S89°4/'S5'E 0 0 l/fi/ ??7lrsins?5e F-?sscinerrf ? O p th 1 X99_ / s ¢9 801 I 80 803_ A 0 ? 5 ?/Z Baz? S f l.o ? -CT?? -xi ? ? U - /I7 ? I N Cif N X80, 80$% 7S.c 1799_ 39 ti. M. o 796 8 X03 _ S;Z Z Z/ 6Z2 804 DESCRIPTION: Lot 4, Block 1, RUSTIC HILLS ADDITION IM 9 ro 79s= - 90.00 N89°1757" soz'? 7936 Gur/ 7998 8azs ,?u5r?c 11711Z-1-$ 02RI V25 Proposed Grades: Scale: 111=30' Top of Blocks 8o,?Zz Garage floor 9,e2a-7 Basement floor 79sZ We hereby certify that 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 and all visible encroachments, if any, from or on said, and. Dated this 15th day of October , 19 86 /J Zice 11 ^JA^ ri t' + L CITY OF EAGAN EXTERIOR ENVELOPE AVERAGE 'U' COMPUTATION. OWNER: rYt rtl- --T, 0 .,. SITE ADDRESS: lea c? CONTRACTOR: ({ Q. k: At c-.-;, DATE: its - tS - Y31? PHONE: 3 11-5131 Determine working square footage of each: _ 1. Total exposed wall area .. ??.11 sq. ft. x .11 = 'nLSO.$ - 2. Total roof/_ceiling area „ t o11;, _ sq. ft. x .026 Total exposed wall aeea above floor = a 1 -I a. Total wall window area ............................. t-1 b. Total door area ................................... : c. Total sliding glass area .......................... +Ao d. Total fireplace wall area ......................... e. Total wall framing area (average 10%) ............. f. Total net wall area above floor .................:. lyu, g. Total rim joist area .............................. t';S Total exposed foundation area = 1 a.c? h. Total foundation window area .......................o i. Total net foundation area above grade .............. ?l4...`.?._._ Determine 'U' value of each wall segment: a. _ 1-11, x ' u' .55 = rt b t8 b. X 'U' i3 C. Vo x 'U' .SS - as d. - b-- X f U' - O - e. aa-1.1 x 'U' .04 - ?. f. 7 b1Ylo x 'll' .04 - 13.t9V h. ao x ' U' .5% - f l i . I CA x ' U' .1 10 = 11. 8 3 . ....................................................Total = QL4 4 ,y•? If item Q3 is the same as or less than item 111, you have met the intent"of SBC 6006(c)2. Total exposed roof/ceiling area = t 4 1? J. Total skylight area ? ............................... k. Total roof/ceiling framing area(average10%) ..... t o-1-yam 1. Total net insulated roof/ceiling area... .......... . tat ?, (OVER) , R Determine 'U' value for each roof/ceiling segment: J. - O - x tu' - n O - k. i O'1. b x 'Ut 1. L,, x lul da 4 . ......... .............. ................ ......f ........ Total 2 3.6"1 If total of 114 is the same as or less than 112, you have.met the intent of SBC 6006(c)1. Alternate Building Envetope Design To utilize the total envelope system method, the values established by the sum of Items 113 and A4 shall not be greater than the sum of Items #1 and 02. 1. ?So, Is + 2. 8 - -l$ 3.a-AC, l? + 4. ?3.ao1 - ?ls4. 9 7 i a GUIDELINE TO (R) FACTORS rROM ASIIBAE MMUAL O F TYPI CALLY USED PRODUCTS (R) (R) Interior Air Film (VaI IS) 0.68 Gypsum or plaster board 3/8" 0.32 Exterior Air Film (Walls) 0.17 Gypsum or plaster board 1/2" 0.45 Interior Air Film (Vented Ceiling) 0.61 Gypsum or plaster board 5/8" 0.56 Eater L.r Air Film (Varied Ceiling) 0.61 Plywood 3/8" .0.47 • Interior Air Film (tie. Vented) 0.61 Plywood 1/2" 0.62 Exterior Air Film (Uou Vented) 0.17 Plywood 3/4•' 0.93 ' Sheathing. _reg. density 1/2" 1.32 Aluminum Siding 0.61 Sheathing, rep. density 25/32" 2.06 Aluminum with Backer 1.82 Nail-has. sheathing 1/2" 1.14 Aluminum with Backer G Foiled 2.96 - 1/2 x 8 Lap Siding (flood) 0.81 Built-up Roofs' 0.33 7/16 x 12 hardboard Siding 0.67 Asbestos-ce:.+ent shinglts _ 0.21 Asbestos Sidings 1/4 Lapped 0.21 Asphalt roll roofing 0.15 ,- Stucco (Ore.,n and Finish Coat) --• Aspahlt Shingles 0.44 ' 3,'4" good Subfloor or Sheathing 0.94 Insulation: 2-2 3/4" Fiberglass 7.00 1/2" Plywood -beatninq 0.62 Insulation: 3 112" Fiberglass 1F.00 - ..: - - - 1/2" Particle Bo"rd 0.66 Insulation: 6" Fiberglass 19.00 WOODS: BLOWING 140OLS Fir, pine L similar soft floods 1 1/2", 1.89 Approx. 3" 9.00 2 1/2" 3.12 Approx. 4 1/2" 13.00 3 1/2" 4.35 Approx. 6 1/4" 19 00 S 112" 6.87 Approx. 7 1/4" 24.00 .. ' Approx. IL" - . 30.00 Approx. 18" 40.00 All other insulation materials must be Filled verified (R Factor) _ (R) Vermiculit e 8'• Concrete Black (S G G Reg.) 1.11 1.93, .. . 12" Concrete Block (S E G Reg.) 1.28 3.15 - B" Light Weight 2.18 5.03 12" light [:eight 2.48 5.82 • GI.GG *G**^d Rrt Grt. *1IIiGl f.?G*r.G " NOTE: (U) x Area Square feet •FOi LL All Windows (w/Scorns 1" to 4" Space) .56 Removal Double Glaming (ROG) .55 - Thermo or welded 3/16" air space .69 114" air space .65 - 1/2" air space .58 (Other windows specifically teste d can use better ratings) -- 1 3/4 Solld core door - .46 , w/storm, woad .31 .. w/storm, me tai .26 Pease Ste.iDaor Inslltl/GL 7.45R .13 Sliding Glass Door, Wood .65 - - Netal .715 - .' 1 _. _ ....,_? ._._ -. _..,,---• •-- -•--• . ...-__, .._.....:D CONCRETE BLOCK e ROOF I CEILING (p) IQ I,1-TE,?-1* ' Pas- F{U`1 . e I O 19GAP t?D, s4v Q3 INSULAtION ?o_-• O EXIeF.101Z Alit FILM -? 17(J {BIZ = oz TOTAL (tz)=fit (HALL. (R) IJ Qp , III TAP-tol- AIR FILM e? hD. O rr INSULATIoi" siztt rq.- O y?/aft $?l%7-,ZITc- S- - II low At- FILn .. : i t?? ? ^ If R = :/?-' TOTAL (R) =a4..fq 'r ?lM l W vt^. ,L It1Tr-Hof' Atr. FIU1- .cum 13 SV ll4SU;A710ta . .• 2 FIFz- EIP- 1 ,oIST / „oY 6 2S jZ J:L u' r,0l-'ITE StolrrG _ . O . ?XTeRI?R Atl; FILM m t ? uVT! TOTP.L (IZ)?754 fOVDATIoi•t 13 iN TEI?IvI? AU, FILE-i Utz) VA! C ll I'&6IG. 3UK, 1 _ l I u G EXTEr-1,0,m AIR FILM U = IICC= i., To1pL (Cc)=was Floors over unheated spaces must have mininum R-factor of R-20 (tuck-under garages). Floors over outdoor air (overhangs) must Have a mininum R-factor of R-33. ? u SINGLE & DOUBLE FAMILY HOMES 1984 ENERGY CODE REQUIREMENTS On or about March 1, 1984, the following energy code requirements should be calculated and included with a building permit application. 1. Roof - ceiling assemblies - R-38 U = 0.025 Average 2. Exterior walls & rim joists - R-20 U = 0.11 Average 3. Floors over unheated spaces - R-20 U = 0.05 Average 4. Exterior overhangs will be considered as exterior wall. 5-. Foundations (all exterior walls)-- Minimum of R-5-insulation. 6. All insulated areas must be separated from the heated space by a well-lapped or sealed vapor barrier.with a minimum perm rating of 0.1. A 4 mil. polyethlene sheet or equivalent meets this requirement. A Kraft face R-19 type insulation will be accepted in the rim joist areas. Air chute baffles are to be placed in every rafter space. /sL/ O g?71-y ? 74? CITY OF EAGAN lAPPLI CATION FOR PERMIT' 111 j G 66 H'0 e' ce/ SEWER AND/OR WATER CONNECTION ^'RYi'![t Yl ]tYf-49V11'1[Yf!'R'RX'R9F1tRYti[91"ti"F-A-9t91'YtX* (Please Print) 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSU PRESENT ZONING/PROPOSED USE: (Month/YearY-- ? COMMERCIAL/RETAIL/OFFICE JZ R-1 SINGLE FAMILY INDUSTRIAL Q R-2 DUPLEX (Two Units) ? INSTITUTIONAL/GOVOWENT ? R-3 TOWNHOUSE (Three + Units) ( Units) ? R-4 APARTMENT/CONDOMINIUM ( Units) 2) NAME:_ ADDRESS: CITY, STATE, ZIP:_ ?y c/ ?4 jf4 PHONE:_ 3) u is a• NAME: ADDRESS: CITY, STATE, ZIP: PHONE:_J7 3? j ?g 3 MASTER LICENSE# (`?(} ,7( fyS Active Expired Not recorded Statf Initi'l 4) r?• ia• AA NAME: ADDRESS: CITY, STATE, ZIP: PHONE: NOT,: PAYMENT OF FEE AT TIME OF APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMIT. INSPECTION OF SEWER AND/fit `WATER INSTALLATIONS WILL NOT BE SCZR•D- ULED UNTIL PERMIT HAS BEEN APPROVED. -5) u r a: •: :: • o? a, A!f CONNECTION TO CITY SEWER CONNECTION TO CITY WATER OTHER 6) n Q PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABCNE PLEASE MAIL APPROVED PERMIT TO 1, 2, 3, 4, ABOVE (Circle one) FOR CITY USE ONLY PERMIT # ISSUED ?3S v Pd w/Bldg. Permit FEES: $ $ /6. $ $ fU -cam $ $ $ $ /.5 4 o $ s 7S _?y $ $ $ $ U d $ $ $ ad. 26 $_ /z 9 _s a $ U--o RECEIPT RECEIPT SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER WATER TREATMENTA PLANT SURCHARGE OTHER: L?ifCE2X AV TOTAL DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES 'IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: / / 9 /? J t City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 6755694 01T@T0TT JUN 2 0 2008 o7. v/ C ----------------- .. Permit #: 63q'4 I Permit Fee: /J 58 Date Re 'v d: c?i ?C nc? 1 I I Staff: I I 1 ----------------- 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Tenant: RESIDENT / OWNER ICLPhone: Name: l Address/ City /Zip: /?46nL Nuts Pr t. ?mn .SS/oZl /15&9 Applicant is: Owner - Contractor TYPE OF WORK L Description of work: DIrQ/ d" '1 Construction Cost: /000-00 Multi-Family Building: (Yes _ / No CONTRACTOR Name: LjWIl.*z License #: Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 _ Minnesota Rules 7670 Category 1 _ Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to „ conclude that the are trade secrets. I hereby acknowledge that this information is complete and accurate; that the wont 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 appr ' of plans. x A AC' 1 1 1 C' VLl 1 ze x X X i -P? Applicant's Printed Name Applicant's Sig Page 1 of 3 ?3 Q ;()b DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool ? Single Family ? 06-plex ? Fireplace 'D Porch (3-season) ? Ext. Alt. - Multi ? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? 08-plex ? Deck ;R? Porch (screen/gazebo/pergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building* Addition ? Move Bui lding ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage ' Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation Occupancy Y MCES System Plan Review Code Edition 4 ?? SAC Units (25%_ 100% Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Meter Size: Footings (deck) Final/C.O. Footings (addition) Final/No C.O. Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final 1l Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace:-R.I. _AirTest -Final Windows Insulation Retaining Wall Reviewed By: Building Inspector ---- - ----- -------- RESIDENTIAL FEES: Base Fee Surcharge rVN 1?( Plan Review ?? cn ??? `! f S MC/ES SAC City SAC Utility Connection Charge O C9 J S&W Permit & Surcharge I / Treatment Plant ^y`11/yll/(V(?? Copies N l l Total Page 2 of 3 CERTIFICATE OF SURVEY .y LAND SURVEYORS -i'?_ Survey for: MARK THOMAS x`89°4?'SS'E 00 /r0 793! o o 7993 `!?/i?? ?17reing F.marinenf II t o ? 5 7 Iron 'a v _ tl- 79t s Bo3_ bl M. •, r a r 7932 N8 7935 G ,au51r-1c Proposed Grades: 19 R Boa A niz Boz? ?5 t?° ? -pN acn \ N N /8? - gob e°zz z/ °3a 19; 803_ Ce i y N^, 3 M 0 q ?O.DO -lam r°' 6°z °47 S7" f7///- L, 5' VRI I/5 zz"# ;e, , qua. 8713 DUPONT AVENUE SOUTH BLOOMINGTON, MINN. SS420 BB8-2084 DESCRIPTION: Lot 4, Block 1, RUSTIC HILLS ADDITION Scale: 1"=30' Top Of Blocks 80?? Garage floor Bo3-7 Basement floor 798' We hereby certify that 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 and all visible encroachments, if any, from or on saidJ?nd. Dated this 15th day of October , 19 BU-. ? l? Z40-56 îúú ÿþ þýý üûûú ùýý ø ýöïýþ óü ñ â 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 ÷ò ÿü ãüùó÷ âãóü ñ ó ë ôð ÿ ô àâßâ ûùöÿë øø é ò ÿ òøùöøøûý é ýü ùé ÿì ê øøõ òýÿü üùýÿü Use BLUE or BLACK Ink . �_____�_-__�_____� I For Office Use � � � Permit#: '�`s� �� Clty of �a a� � ` ✓_ � � � PermitFee: b�J �s I 3830 Pilot Knob Road � � � Eagan MN 55122 � Date Received:� � Phone: (651 j 675-5675 I I Fax: (651)675-5694 I Staff: � � I I 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 0 U"l7 Site Address: / �� ,�Gl�(, �IY��if �� Unit#: Name:_�G� //'GCT(�t,�� Phone: L�i�07l(,"�"�/�o? 'RESIDENT f .; . OWNER `' Address/City/Zip: .f�i.s,�,.Z Applicant is Owner 7� Contractor TYPE OF WORK Description of work:_ J��?�C�. � Construction Cost: V v vv Multi-Family Building:(Yes /No,Z) � / Company: ��°qQ(,�9 �,��(},�'f 4GG Contact: L'�//I t1��(.�� CONTRAGTOR '' Address: /��/,S S',S"�'`S�L �i. City: (�i��Gh'�v State:—�"r—�—Zip: �5��Y�d� Phone: GP .S�' �/�-CJ 7�/� License#: �C`p,j(�`p3� Lead Certificate#: /V�/ — �(O �7/9—/ If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 92 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: Pho�e: Sewer 8�Water Contractor: Phone: NOTE:Plans and supporting tlocuments that you submit are'consitlered to'be public information. Portions of ` fhe information may be classi�ed as non-public if you provide speci�c reasons that would permit the City to conclude that the 'are trade secrets. 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.aoaherstateonecall.ora t hereby acknowledge that this information is complete and accurate; that the work will be in conformance with Ehe ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota Sta uilding Code must be completed within 180 days of per i suance. x X ' App i s Printe ame nYs,Si ature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA133197 Date Issued:09/28/2015 Permit Category:ePermit Site Address: 1569 Rustic Hills Dr Lot:4 Block: 0 Addition: Rustic Hills PID:10-65000-00-040 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 - William E Mcguire 1569 Rustic Hills Dr Eagan MN 55121 (651) 210-0932 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature