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1574 Rustic Hills Dr 06/]P/2013 11:45AM FAX 7635409080+ STONE SOURCE U 0001/0005 t; Use BLUE or BLACK Ink r......... I I For office Use Permitu: cal City of hooln I Permit Foe: 3830 Pilot Knob Road I I Eagan MN 55122 Dato Received; v I Phone: (651) 675-5675 I staff: j Fax: (651)675.5694 I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION '3 'V AP Date: Site Address: 1 Unit 7 T, jrr jrr jrr jrr, 4 ' Get e Phone: CD1 ^ ~OgO -o~Q03 ,1,. cJe (20r h Name: t ,^)rQ u• II~I7r:~ ~w''YI6vt~Vi lir .1.%? ~ ~ • \~S~t \ ,ds D riot d'i , 4 i II Address / City / Zip: r• 1 rl rill i1~1' Contractor ,,,rl:,,;::,, • Applicant caner J I .4 i rnii 11 , l,L. I ~7 d it 11111 11"" r.."rrl' ` bescriptlon of work: A f0oyv, rC rw0G~e - T~r~e r~O~IIW i IP! Construction Cos : 00 Multi-Family Building: (Yes / No 011..........., I' 1 it " O ja4's. illi 1 Company: 0~ OVf C'L Contact: 1 = ~ 1 1 ilf ~ ir" fl 1 I'., I City: j 1 t Address: 14 JJy <57 1, ",~11Canxi'a4ctar ~0 3 -..~o ^9ctoo r I ul State: Zip: _ Phone: 44 77--_ 'i License Q.. Lead Certificate 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 12 months, has the City of Eagan Issued a permit for a similar plan based on a master plan? __Yes )e No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone. r,. I ~ecgnslde editar~,repi~b u~or~INa `Il,:,,gl~.io ~0~1 ~'Jia~►;s;~~IbI`s'~'~,t,►9!r~docwm!en. IIj~~Y~'s~ib~7G,,al 1, r . ~I Ir '~,'0~~° /eau( .1*!• ~y'►~ /~'ry~~~ 'aI1W l~rS ~~~1' ~R/y,.~y~~b ~~YJG'~R~•~riOt~,',1~,'I~"'~11✓~rriA~~j ~~r/IAI~~~~~~r'.r'•~I;1!r RuI+ ~ itllt` ~It~I"'I- ~~►r(~ ,~k r ~ ~ r 1'.. ~~u l,r ,.~I .yam,. , , (1 1LL~, ~ ,~Jrr, I"ueYlb . l,tj• r ~ II , ~ i pd ~ pr, D lih 1~ 11. r 1 r u ~ ~i1r~~ r ~ 1 , ",il'k' irl~, , r,. e.;•,°~r r i i. "dl CALL BEFORE YOU DIG. C.-ill Gopher Stag Ono Call at (6s1) 454.0002 for protection against undRrground utility damage. Call 48 hours ;;tore you intend to dig to recolve locates of underground utilities. www sop '~Statoonocall.Qrg I hereby acknowledge that this information Is compl;to and accurate: that the work will be in conformance with the ordinances and codos of the City of Eagan; that I understand this Is not a pormlt, but only an application for a permit, and work Is not to start without o pormit; that the work will be in accordance with the approved plan in tho case of work which reQuiros a review and approval of plans. Exterior work authorizod by a building permit Issued in accordance with the Minnesota State Bull g code must mpleted within 180 days of permit Issuance. x 1 tit S AS t~ x Applicant's Printed Name Applic nt s Sign o Page 1 of 3 06/18/2013 11:45AM FAX 7635409080+ STONE SOURCE 10 0002/0005 1 1L4 I~uS II Of, DO NOT WRITE BELOW THIS LINE ~J1 SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) -Storrs Damage Single Family _ Garage - Porch (4-Season) - Exterior Altoration (Single Family) _ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of _ Plex Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building` Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows - Demolish Foundation _ Replace _ Repair _ Egress Window - Water Damage T Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy 144& - MCES System Plan Review Code Edition _ SAC Units r" (25%_ 100% Zoning City Water Census Code _ Stories Booster Pump # of Units Square Feet PRV # of Buildings / Length ^ Fire Sprinklers _ Type of Construction- Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: _ Footings (Deck) _ Final I C.O. Required Footings (Addition) Final I No C.O. Required Foundation _ HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water Final Pool: _Footings Air/Gas Tests ,Final Framing _ Siding: JStucco Lath -Stone Lath Brick Fireplace: Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector Fps Q 0- G~ ~,Jn RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC _ City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE ! 19 RECEIVED k--' " FROM AMOUNT $ & DOLLARS loo ? CASH CHECK FOR BY White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You BLDG. PERMIT 'NOf 01-3210 Bldg. Permit 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 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. 7J J G? ;? Ci C? 00 UU /60100 TOTAL , 7J I aC ' CITY OF EAGAN ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value 7 , UU Date ,19 Site Address OFFICE USE ONLY i 1 LL`: AJiU Lot Block 1 Sec/Sub On Site Sewage T Occupancy -T_ . MWCC System Zoning Parcel No. On Site Well Type of Const City Water ? (Actua4 -N'' i (Allowable) a Name lu * of Stories 3 Address Len th City Phone g Depth S F Total p Name . . FootprintS.F. z0 u Address APPROVALS FEES ?¢- City Phone Assessments Permit -ELI Water/Sewer Surcharge m W Name Police Plan Review ; W Fire City SAC . _ z Address , - {1 v W City Phone Engr. Planner SAC, MWCC Water Conn. Council Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. Road Unit that the information is correct and agree to comply with all applicable APC - Treatment P1 State of Minnesota Statutes and City of Eagan Ordinances. Variance Parks Copies Signature of Permittee TOTAL 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 Date Telephone it Plumbing ,J . HNAC. Electric Softener Inspection Date Insp. Comments Footings l 2 f Z12 &.24 Footings II Foundation ?ye all 8l? Framing Roofing Rough Plbg. Rough Htg. 0 Isul. 40 Fireplace Final Htg. - Final Plbg. a _ 1 Glib Bldg. Final rip Cert.Occ_ Ila" Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 CONTRACT PRICE: , e/ PHONE: 454-8100 Site Address m Nan Add c City Name c Addre p City FEES 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 FOR: CITY OF EAGAN PERMIT # RECEIPT # DATE: / _ .7 U BLDG. TYPE WORK DE?TION Res. New - Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO FIXTURES TOTAL _aWater Closet - $3.00 ZBath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 --Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 75 _- *o-'Floor Drains - $1.50 17 7 _ e' Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: s? GRAND TOTAL: PERMIT # ?D- T Z,D MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN S5122 DATE: BRACT PRICE PHONE: 454-8100 Site Address Name _ Address c city _z5_ Name CD Address 7& - mac. •1G?? 0 City TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other /{'C' s BLDG. TYPE Sec/Sub Res. Mult r Comm. ?. Other lrC,_ M BTU M BTU M BTU M BTU CFM FEE: S/C: TOTAL WORK DESCRIPTION New Add-on Repair RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPUES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) SI ATURE OF PERMITTEE FOR: CITY OF EAGAN -IN . • i Tertifiro#r of (Orrupoury Citp of (Eagan Drprimrnt of InOtno 3wrdinn 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., u. Qasm6ation - DX/GAR, Bldg. Permit No. 13965 Otcup-,y Type R3 Zooing Maki R1 Type Const, Oimer a Building MLTrU SLkU)l BROS CONSP Addmw M SUNSEI DR, EAGN, ^tiI?SIIC t{II i Binding Add= 1574 RUSTIC tIIUS D?RNr Lonlity B1, law ,g7M4RR 29, 1987 POST IN A CONSPICUOUS PLACE MECHANICAL PERMIT CITY OF EAGAN 3590 PILOT KNOB ROAD, EAGAN, MN 55122 Site Lot. _m c m c 3 O Sec/Sub Name ' Address Jn v' l'?1 wL a City f " Phone City TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets 5 Other PERMIT # RECEIPT # DATE: - BLDG. TYPE WORK DESCRIPTION Res. X New Mutt Add-on A Comm. Repair Other FEES r'• - " RES. HVAC 0-100 M BTU - $24.00 ADDITIONAL 50 M BTU - 6.00 Phone c?; _ (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM -1 PER PERMIT) - 1.50 EA. COMMAND FEE -1% OF CONTRACT FEE M BTU APT. BLDGS. - COMM. RATE APPLIES M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON A -' M BTU CFM REMODELS MINIMUM COMMERCIAL FEE - STATE SURCHARGE PER PERMIT - 12.00 20.00 .50 (ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE) PERMIT FEE: _• ` - SIC: SIGNPT/E 07 PER ?T/'. /J ?/JL/ y TOTAL: FOR: CITY OF EAGAN CITY OF EAGAN Remarks Addition RUSTIC HILLS ADDITION Lot 10 Blk Parcel -Elmo 100 0 Street 1574 Rustic Hills DTi vP Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. C j I 98f) 1955,41 195-54 10 STREET RESTOR. GRADING SAN SEW TRUNK 1968 45.85 1.53 30 SEWER LATERAL 1980 3454.56 230-30 is WATERMAIN WATER LATERAL 1972 170.98 8.55 20 WATER AREA 1977 79.55 5.30 15 • water lateral 1980 STORM SEW TRK 1979 .112-05 -';1 - 21 1 -1; * STORM SEW LAT 1980 * service 98 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: SITE ADDRESS: , 1;IJ. 1 1 l it 1 1 t tut . to tit n K. APPLICANT: ?? GL 111 t t. 5 Ilk lt?12j "It 1I' ttlltttJtMt+ PERMIT SUBTYPE: TYPE OF WORK: Permit No. Permit Holder Date Telephone it SNV PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings 1 : 2 G%? -r i h lr ?- r s Foundation Framing - / -97 -cam r JJ Roofing Rough Plbg. Rough Htg. Isul. 6 l Fireplace /? ? ??• T Final Htg. Orsat Test 5>700- C- p?'? C NrNe Fired Plbg. Pibg. Inspector -Notify Plumber 4 5 Const. Meter - Qi, L 6i4? Engr./Plan Bldg. Final ? ?,' S U? ??A? /LPL Deck Ftg. TO Deck Final Well /iv STC '? C L C L!' Pr. Disp. ?? 61 f3 U L "? 3 11617Af44' le.A 6&fj" r&d4 /` " A- INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: t 7 ' Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: 111; III 1;111, ; APPLICANT: 1 11"TTC HIt t"; DR R11s] III H11.1 PERMIT SUBTYPE: TYPE OF WORK: ,r 7ERA7 iq INSPECTION TYPE .DATE INSPTR INSPECTION TYPE DATE INSPTR. . RUMARKS a nATHPI) N firOR00" t4l "Dews A SEPARATE PE RM I T I S RE0111 PED FOR ANY 111 IINH TNG OR F I E CI Of CA I Wfikt FM Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING /0/4147 AU PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG -} n FINAL HTG ORSAT TEST BLDG FINAL 24) .161 BSMT R.I. BSMT FINAL DECK FTG DECK FINAL WIF, ' OF:EIGAN SEWER SERVICE PERMIT I Pilot Knob Road 1 n,97 4 Box 21195- PERMIT NO.: an, MN 55121 DATE: 7-31-87 ng: RI No. of Units: 1 Dean Mittelstaedt I agree to comply with the City of Eagan Connection Charge: Z) Z.), - vu Ordinances. Account Deposit: 15.00 Permit Fee: 1 0.00 ' ?'- Surcharge: .50 BY Misc. Charges: Date of Insp.: Total: L Insp.: Date Paid: 7-31-57 CITY OF EAGAN Permit No: y " Date: 3830 PBofKwob Road Meter No, Size: P.O. Box 21199 - Reader No: Eagan, MN 55121 Date: Owner. - c LLn i>'ittelstae,-t Site Address: 1574 i I1111s Drive L10 B1 liustic Ii+i1111 = Plumber. ':c'T ona1d P1170hing Conn. Chg: i 25. UQ -' Zoning: Acct Dep: No. of Units 1 UT- Permit Fee: JLU ' Surcharge: 1 agree to comply with the City of Eagan "? Tr. Plant 77- - Ordinances. 677 Meter. . Misc.: By WATER SERVICE PERMIT CITY OF EAGAN Permit No: Date 7-31-87 3830 Pilot Knob Road Meter Na _ P.O. Box 21199 Size: '' o t Eagan, MN 55121 Reader No. D 4- ??/ 3 9 Date: Z 3 -P7 Owner. F.Yr ittelstaedt Site Address: 1-574 RuGr i r• Hi I l s I''ri yr 1,10 f31 lust i C 1lI 119 Plumhar 1-1A r„ ___ . Conn. Chg: 525.00-A Kfff Ry Acct Dep: - . ?jleFe-tl+ggiag..ca11?o61G?tles 1 Permit Fee: ECTRIC . GAS Etc. Surcharge: I a FTr. Plant w agan Meter. 6 1 . U n /'VV Misc.: B WATER SERVICE PERMIT CASH RECEIPT CITY OF EAGAN' 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ??3 (? 19 DATE REC PROM M? ?nn AMOUNT $ -& _DOLLARS uo CASH F1 CHECK " RoR u to -_. ??.rri r /c7 _ ?. S9 [o?m- QcLc1d-p FUND CODE AMOUNT 0/ Sal 37 Sc d / J-1u5 4 o / a 65 0 3 O? O / D 120 'A O ? Thank You Yll.:: 76050 - White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN N2 13 9 6 5 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 ?cJ J? Receipt# To be used for SF DWG/GAR Est. Value $77,000 Date JULY 24 _,19_A_7 Site Address 1 Lot 10 Block_ Parcel No. Name MITTELSTAEDT BROS CONST W Address 785 SUNSET DR c City EAGAN Phone 456-9125 =¢IName SAME o? Address i- City Phone = I City Phone W I hereby acknowledge that I have read this application and state that the information iscorrects agree to comply with all applicable State of Minnesota Statutes n City of Eaga r nances. Signature of Permlttee A Building Permit is issued to: ""' `---` all work shall be done in accordance with all applicable Building Official RUSTIC HILLS DR 1 Sec/Sub. RUSTIC HILLS ADD OFFICE USE ONLY On Site Sewage _ Occupancy MWCC System -X- Zoning On Site Well Type of Const City Water -[_ (Actual) (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. APPROVALS Assessments Water/Sewer Police Fire Engr. Planner Council Bldg. Off. APC Variance BROS CONST of Minnesota FEES Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks Copies R3 R1 =o $ 423.00 T V50 211.50 to0_nn 525.00 5?5 nn AT nn -305-00 1 fin nn TOTAL $2.a 5-aO on the express condition that and City of Eagan Ordinances. This request void-r ,B finths 7C .5 / --?- Re ue t Dale Fire No. Roup i' a Inspection ned? Ready Nuw WillRlnspec- Re M/ //• D / LGVX ' K Yes ? NO for When Ready Kr 1 Ce OSed IBLIrICaI COntraCtOr 1 hereby request inspection at above Owner electrical work installed et: Street Address. Box or Route No. t ,/1 City ecuon No. Township Name or No. Range No. O upant (PRI T) s S ? ? f (2 Phone No.- -41 -? . ) 4e 0?ts -0- S rfl 4 5 P er 9 Address V 7" s ; E rical Cpntrarjor Omy am J 414 Co tractors Licensepo. 33 l Mai p A dress }C tr c or o, Glwner akinp Inslai=a nl 5, S-53 Authori d ienature ontr t Owner Me g nstallatiort) P e Numgtr O THIS INSPECTION REQUEST WILL NOT MINNES T STATE BOARD OF ELECTgI ITY Grippe- i ay Bltlp. -Room N•191 BE ACCEPTED n ITHE STATE BOARD 1821 U varsity Ave.. St. Paul. MN 66104 UNLESS PROPER NSPECTION FEE IS Phone(612)642-0800 ENCLOSED. g? 7 REQUEST FOR ELECTRICAL INSPECTION Ell-00001-05 ' , See instructions for completing this form on back of Yellow cppv. f ?; -? C - C,:.`a q n -7 - "V Below Work Covered by This Request IN.AAddl Rep.1 Tvoa of auildina I Appliances Wired I EQ.iPrnent Wired 1 ice If. Service Entrance Size If Fee Feeders/Subleeders s Fee Circuits U to 200 Amps Oto 30 Amps 1 E4 . )0 to 30 Am s Above 200 Am )s 31 to 100 Amps r 1 - 31 to 1 UO Amps Swimming Pool Above 100-Am s Above 100_Am Transformers Irrigation Booms I 1 _ Partial, Other Fe Signs Special Inspection g VI TOTAL,FEEE Remarks I, the Elealri?l Inspector, hereby .artily that the above Inspection has been This request,old 417'?`FXFO ANEW 90"167 0 819 9 ? &) BOO - / Request Date Fire o. Rough-in Inspection Required? Ready Now ? Will Notify Inspector 4j 19 0 Yes 0 No When Ready? 11Xlicensed contractor O owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) '' II City 1 S'1 , h{ ILLS E:i Section No. Township Name or No. Range No. Coun tl Occupant (PRINT) S C; Phone No. EV UA !*t rX to -2903 Power Supp- r Address ? o Eartn"I or (Company Name) raa Contractors License No. Mailing Address (Contractor or Owner Making Installation( )-0 L,7k) D1 1 T ?vAh /?. SSA Aueiorizetl SI aWre (Contractor! er eking Installation( Phone Number 3 D3 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grlgga-Mldway Bldg. - Room 5-1733 BE ACCEPTED BY THE STATE BOARD 1821 Unlveralty Ave., St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS Frame (612) 602-0800 ENCLOSED. /V REQUEST FOR ELEC11WINSPECTION EB-00001y7 t? see instructions for completing this form on back of yellow copy. a 08199 JC Below Work Covered by This Request ew Add Rep. Typeot Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial F nace Farm Air Conditioner Other (specdy) Contractors Remarks: Compute Inspection Fee Below., # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps 100 _ Amps Signs Inspectors Use Only: TOTAL Irrigation Booms /? )S s? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has 1 been made. Final /72 41 Da OFFICE USE ONLY i This reQUest aoitl 18 months from - K 613J9 = r? 5 D t $ c?? Reguesr Date ?? i ` Fire No. Rough-in Inspection e ired7 Yes G No ?? ? Ready Now y Will Notity Inspector When Ready? I X licensed contractor --)owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No ?7T GG C L /[1 City ?? ?? Section No. Township Name or No. Range No. County ?s s v{/'/A?'''?-7G Occu§ a t. ?? ?Taaf 1/t Phone Na. Power Supplier Address Elec?tth?catt? ontr` to IC hips ny Na Contractors Li ense No. Mailing Addr s IConlrador or Owner Making Installation) C7!0 / k457 5 Authorized Sign re Ii Makin/p/J?nst/allastyn) Phone Number ? MINNESOTA STATE BOARD OF ELECTRICITIV . ??? . THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S173 F(,11'?1 BE ACCEPTED BY THE STATE BOARD 1821 Unlvenity Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 l? ENCLOSED. (y?p REQUEST FOR ELECTRICAL INSPECTION °" Ee!a/aootoe 10 a 613 9 9 See instructions for completing this form on back of yellow copy. _ I BT? X "X" Below Work Covered by This Request ew Add Rep. Type of Building AppliancesWlred Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other l Contractors Remarks. e /1!/ A` /? Below: w{?//G"N,ivl /?lyZ`"?„ .q`KdNE_ -r??f c, Y Fow; Corrlpute Inspection n Fee) # Other Fee # Service Entrance Size Fee # Circuils/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 Amps Signs Inspectors Use Only: TOTAL Irrigation Booms Cki Special Inspection Alarm/Communication THIS INSTALLATION BE O EQ DISCONNECTED IF NOT Other Fee COMPLETED WITH MO Its" I, the Electrical Inspector, hereby Rough-in rr Dare?6..?? certify that the above inspection has been made. Final Date? -6 OFFICE USE ONLY This request void 18 months from City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 _----------- F°??e is / Permit/ - LZ? l? I Permit Fee: I I Date Received: I I I Staff: I I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: S' Za • 09 Site Address: 1S7"/ J?idsT/c /?f ?r-S `7V Tenant: Suite #: RESIDENT / OWNER Name: S Tr--') E (;4 '4 /_r,/1 46:1 e I-, Phone: &? 8 0 ^ 2 ?l0 3 Address/City/Zip: 15-241 -ZvST?? I_1ccr-? -r>r-. Applicant is: _ Owner X Contractor TYPE OF WORK Description of work: ? - 'Roof Construction Cost: /Z, 5?a'O Multi-Family Building: (Yes _ I No CONTRACTOR Name: 1 AOW1aF, eq,-?,- License #: Address: ZS2-2 '-t?rrt oN'T City: State: /"Vl Zip: Phone: &51-72v - C, I/ Contact Person: TOr? ?YL F COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (.l 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 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 of x?: J & / x Applicant's Printed Name Applicant's Signa Page 1 of 3 inJa,d?yalt 2004 RESIDENTIAL BUILDING PERMIT APPLICATION t City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 t/( Telephone # 651-675-5675 FAX # 651-675-5694 it New Construction Requirements Remodel/Repair Requirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated 2 copies of plan showing beam g window si s; poured found design, etc. 1 site survey for additions 1, decks 1 set of Energy Calculations Addition - indicate if on-site septic systs 3 copies of Tree Preservation Plan if lot platted a 71153 / Rim Joist Detail Options selectign sheet (bldgs with or less units ?,ny 00 20;5 Date l.4 /? t 1Jy l d? Construction Cost 1ST ?' \\ ` 4 Site Address ? k " UniUSte # Description of Workp 1Q?QC Q. \l,?r\i3LQ S W / 1(y ?_! cj ? ?1 l p C?J/y?1 Multi-Family Bldg - Y - N F\p ce(s) _ 0 _ 1 - 2 Property Owner fk_-? , Q Telephone # (?d S i) 0 (O RMA HOME SERVICES NC. Contracto \ r Home Depot Installed/Sales Address 3200 Cobb Galler?A Pkwy., Ste. # 200 City State Atlanta GA 30339 BC-202682 57 Telep ope #( ) \ COMPLETE,tHIS AREA ONLY IF CONSTRUCTING A NEW\!3UILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 257o plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( t I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the 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 apploval of plans. Applicant's Printed Name plicant's Signature Installed Siding and Windows LIMITED. POWER, OF ATTORNEY. UOUNI'Y OF COBB STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home Depot Installed Sales located at 660 Mendelssohn Avenue North, Golden Valley, MN 55427, having a license number of BC- 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). The powers conveyed to the Agent by this Limited Power of Attorney are limited solely to the express powers delineated herein and apply solely to the Work. This Limited Power of Attorney shalt expire and automatically be revoked on the 21st day of May, 2004, which date is one year from the execution hereof. Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. IN WITNESS WHEREOF this Limited Power of Attorney is executed this 21st day of May, 2003 David. Katz SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 21st day of May, 200 ` Notary P is in for the State o eorgia My Commission Expires: January 21, 2006 396816.0 Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT March 17, 2005 City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 To: Building Department Elder-Jones Building Permit Service, Inc. 'BAR 182005 ? 1 1__11r_ I am requesting a refund for cancelled building permit #EA067622, issued 01/11105. The permit was for replacing windows at the residence of Steven Gallagher 1574 Rustic Hills Drive Eagan, MN 55121-1131 Enclosed is the original permit. Please make the check payable to Elder-Jones Building Permit Service, Inc. If you have any questions or need more information, please call me at 952-345-6047. Thank You, ?Kara Benson Permit Service "aw -1/a Elder-Jones Building Permit Service, Inc. 1120 East 80th Street • Bloomington, Minnesota 55420-1498 952-854-2854 • FAX: 952-854-4909 MAR-16-2005 03:08PM FROM- City of Eagan 3830 PILOT KNOB RD EAGAN, MN 55122 (651) 675-5675 PERMIT T-059 P.002/002 F-116 Permit Type: Building Permit Number: RA067622 Date Issued: 01/110-005 Site Address: 1574 Rustic Hills Dr Lot: 10 Block: 00 Addition: Ruslic Bills P1D: 10-65000-100-00 Use: Descrip Sub Type: Work Type: Description: Census Code lion: Exterior-Single Family Dwelling Windows/Doors-New/Replacernont 5 windows 434 Occupancy Construction Type: Zoning: Square Feec Remarks' Improvements to the home require smoke detectors in all bedrooms. Call for final inspeetion after installation. Qeh) Fee Summary: valuation: $2,000.00 BL-Base Fee 69.00 0601.4085 Surcharge- Based on Valuation 1.00 9001.2195 fi Total Fees: 570.00 Contractor. -Applicant - Owner: Home Depot At Home Sctviccs 3200 Cobb Galleria Pkwy #200 St. Lic.: 20266357 STEVEN T GAI LAGIi1 R Atlanta, GA 30339 1574 RUSTIC HILLS DR (763) 542-8626 - FAGAN, MN 551211131 651-688-2903 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. _ I / j 5 S RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq. ff. of lot, sq. ft of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam ii window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Oelail Options selection sheet (bldgs with 3 or less units) DATE -//vm 02 SITE ADC TYPE OF APPLICANT STREET ADDRESS 2M?z) W • TM TELEPHONE #40-5 -m5g CELL PHONE # ULTI-FAMILY BLDG Y •?N FIREPLACE(S) _ 0 ?1 _ 2 11 ie2?1 -FAX # * Z"S'02- WM PROPERTYOWNER kIAM_ T()j??Q'rIlM TELEPHONE# &61-i 0g-7103 COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: __ Plumbing system includes: Phone # Water Softener _ Lawn Sprinkler Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: r (- Wrw- Phone # Mechanical system includes: Air Conditioning r /?+?? Heat Recovery System T 1 Sewer/Water Contractor: I hereby acknowledge that I have read this application, state that with all applicable State of Minnesota Statutes and City of Eagan Signature of OFFICE USE ONLY 0TO Remodellikeoair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • kite survey for exterior additions& decks • Indicate If hone served by septic system for additions / VALUATION / Phone # Fee: $90.00 70. 7?:z Fee: $70.00 UI = , and agree to comply Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of-plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or - N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition r.s., ?. 36 Move Bldg. ? 42 Demolish (Foundation), ? 45, Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof •? 46! Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant V l ti O y stem MMES S a ua on ccupanc y t Zon g 1 ` Census Code in ty Water C SAC Units r • Stories 'Booster Pump • ` `i? '^ Nbr. of Upit Sq. Ft:' .i _ . ,P12V ! r°L•,?. -'I Nbr of'Bldgs ;- t ip; 14 Length Fire Sprinklered . Type of'Corisf Width ^ •? , ?. ? REQUJRED I NSPECTIO?1$ . ,.., -r, . A ng's(newbldg} _ Final/C.O. •` ' ' _ Footings (deck) _ Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC Drain Tile Other _ Roof _ Ice & Water _ Final - Pool _ Figs _ Air/Gas Tests _ Final _ Framing - Siding _ Stucco _ Stone Fireplace _ R.I. - Air Test - Final - Windows (new/replacement) _ Insulation - Retaining Wall Approved By Base Fee Surcharge Plan Review . MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit ? License Search Copies Other Total Building Inspector PERMIT # X633 ?' RECEIPT DATE: 2002 RESIDENTIAL PLUMBING PERMIT APPLICATION CITYOFIEA GAN 3830 PILOT KNOB RD EAGAN, MN 55122 651-681-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backftow preventer for irrigation system SITE ADDRESS: 157L4 ki 1 1 ICi 4111S D OWNER NAME:: S-Iltve. C-ICl -I I AQ e r- TELEPHONE #: (° 51- (QSZ ` (39D2 (AREA CODE) n INSTALLER NAME: TELEPHONE* ?GJ> Q10cl -(-0999 STREET ADDRESS: J10 1 w (AREA CODE) CITY: 1-0 f` Vf llsl STATE: y? ? I I ?] ZIP: P56oy ?l _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 - Abandonment of septic system. - Water turnaround - existing dwelling unit (+ 5/8" meter if needed - $118) Other: ,? - ???? 1'ii I , RPZ: new installation/repair/rebuild l $ 30.00 lawn irrigation system ?'In OcT 19 2002 ` d Replacementladditional: _ water softener water heater $ 15.00 State Surcharge $ .50 $ 15'5 Total I hereby acknowledge that I have read this application, state thatthe information is correct, and agree to complywith all applicable Cityo agan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability r any amage - e sed by` I ty r g its normal operational and maintenance activities to the facilities constructed under this permit Nlthjn i pr t? - a n r SIIGNNI.ATU E OF PER(((???MIIITTE 1/02 CITY OF EACAN CASHIER; tS TERMINAL. Not 615 DATA 12/19/97 TIME; 1%3502 III NAME. MOOSE: CONaT 3210 9001 2574 RUSTIC HIL 324.75 3422 9001 2574 RUSTIC HIL 211.09 2155 9001 2574 RUSTIC HIL 11.50 3430 9001 2174 RUSTIC NIL. 5.00 Total Receipt Amaunte 552.34 CROS463S USER III: JAN PERMIT CITY OF EAGAN 3830 rilot Kiob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: BUILDING Permit Number: 031273 Date Issued: 12 / 19 / 9 7 SITE ADDRESS: P.I.N.: 10-65000-100-00 DESCRIPTION: , y 1574 RUSTIC HILLS DR LOT: 10 BLOCK: RUSTIC HILLS rmit Type SF (MISC.) % Type ALTERATION 434 ALT. RESIDENTIAL REMARKS: BATHROOM BEDROOM WINDOWS A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee Plan Review Surcharge Lic. Search Total Fee r VALUATION $324.75 $211.09 $11.50 Fee $5.00 $552.34 $23,000 CONTRACTOR: - Applicant - ST. LIC OWNER: MOOSE CONST CO 16903929 0005450 GALLAGHER STEVE 1986 ST CLAIR AVE 1574 RUSTIC HILLS DR ST PAUL MN 55105 EAGAN MN 55122 (612) 690-3929 (612)688-2903 4 ?0 R,um ISSUED : SI ATUR 11 J, 997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 4J-61j CITY OF EAGAN n?QQ J f 31113, 3830 PILOT KNOB RD - 55122(?¢/A 681.4675 New Construction Reouirements RemodeVRecair Reauiremen # 3 registered site surveys # 2 copies of plan # 2 copies of plans (include beam & window saes; poured fnd. design; etc.) # 2 site surveys (exterior additions & decks) * 1 energy calculations # 1 energy calculations for heated additions # 3 copies of tree preservation plan if lot platted after 7/1/93 required: _ Yes _ No DATE: CONSTRUCTION COST: o2.2' yS? . z DESCRIPTION OF WORK: STREET ADDRESS: LOT BLOCK PROPERTY OWNER Name: fA.T Street Address:_ MST Phone #: 6 _ 3- "12 City: t,9 ? State: Zip: SS 12Z CONTRACTOR Company: 41G?'S'1= Phone #: 696 -39c?-F 0'?? 6ya--dSnY Street Address: Ffrf ? C14A- A-e-- License #: ? 0 City: S%. 49AW State: it's"` Zip: ARCHITECT/ Company: Phone ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer & water Iicer.-ted plumber (new construction only): and lot change arc equested once permit is issued. I hereby acknowledge that I have read this application and state that the information State of Minnesota Statutes and City of Eagan Ordinances. OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received ?yc9.Q-? `3a/??1 how d- eo2?dy,.,, /? iyew Ga%r 00 SUBD./P.I.D. #: Signature of Applicant: Yes No Yes No to comply with all applicable . Penalty applies when address change OFFICE USE ONLY 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 ,r 05 SF Misc. ? 10 =Alex WORK TYPE ? 31 New je 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies % SAC SAC Units ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. y; 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. y '6 SAC Code Census Bldg Census Unit Building /K6 Engineering Variance Valuation: $ 7'A o oar CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: P.I.N.: 10=65000-100-00 F. DESCRIPTION: PERMIT PERMIT TYPE: Permit Number: Date Issued: 1574 RUSTIC LOT: 10 BLOCK: RUSTIC HILLS Building] Permit Type Building Work Type ;'UBC Occupancy REMARKS: FEE SUMMARY Base Fee Plan Review Surcharge Subtotal SF ADDITION NEW R-3 s?i G/5 3 BUILDING 021026 05/26/93 /_1 l v j 2 L?J L Q'IJ P HILLS DR VALUATION $284.50 $184.93 $15.00 $484.43 $30,000 COPIES $1.00 Total Fee $485.43 CONTRACTOR: - Applicant - ST. LIC MERLE'S CONST CO INC 12911169 0002323 860 RANDOLPH AVE ST PAUL MN 55102 (612) 291-1169 GALLAGHER STEVE 1574 RUSTIC HILLS DR EAGAN MN (612)988-9930 I hereby acknowledge that I have read this information is correct and agree to comply St tes and City of Eagan Ordinances. L_ AP ANT/PERMITEE SIGNATURE application and state that the with all applicable State of Mn. 4 RJ. SSUED B: S NATO E CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: 1574 RUSTIC RUSTIC HILLS PERMIT SUBTYPE: SF ADDITION INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: LOT: 10 BLOCK: APPLICANT: HILLS OR MERLE'S CONST CO INC (612) 291-1169 TYPE OF WORK: NEW BUILDING 021026 05/26/93 INSPECTION TYPE FOOTING .DATE INSPTR. INSPECTION TYPE FRAMING DATE INSPTR. INSULATION FINAL REACTIVATE- M(CM MVED CITY OF EAUAN PERMIT #, 1993 BUILDING PERMIT APPLICATION tA6,43 421 , MAY 1-8-1993_ 681-4675 JA -------- __ X. x 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 .5` , Sk - Valuation of work Site Address: '7 R STREET SUITE Y Tenant Name: (commercial only) LOT U BLOCK SUB477 Y.I.D. k Description of work: -rW --.> I- /4-! d b . The applicant is: ? Owner filrContractor ? Other (Describe) Name g ?e v y__ j rA R e lv A//A Ac- i- Phone ?? - ' `r' 3' Property LAST FIRST Owner Address /S-7`f ?Cv S LC. HI+/l S' 6 l' STREET STE X City L`A As? State h . Zip Company 2 r Z-e- s' C'D /V S'T Phone .z Contractor Address c? /ql v (-:'N License # A3 z3 Exp. 2- City 9f PR v z- State M N 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: ? OFFICE USE ONLY BUILDING PERMIT TYPE l* tfte t F4 ? iVB ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging n n a ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool $Y03 SF Addition ? 08 8-P1ex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'i. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ? 31 New ? 33 Alterations ? 35 Tenant Finis h ? 37 Demolish A 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total ump Booster P # of Stories Footprint Sq. ft. nkler Fire Spri Length On-site well Census Code Depth On-site sewage SAC Code 131x 3 -05uS 4 9 APPROVALS "ON ?-? Planning Building Assessments Engineering Variance REQUIRED INSPE CTIONS ? Site ? Footing ? Framing ? Insulation ? Wallboard ? F inal ? Draintile ? Fireplace Permit Fee valuation: S 3 O+ OO D Surcharge 7S Plan Review License v?'d X?$ y t c " Z 13Z XS (- 3,3Z8 MWCC SAC City SAC Water Conn. Z?I X I?b m to yC6 U 32 x /5 % v Water Meter Acct. Deposit ------ S /W Permit y .2ei ?U S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies ?.au Other Total: SAC % SAC Units SURVEYOR'S -CERTIFICATE MTTELSTAEDT BRAS. CONST. _ RUSTIC _ HILLS e 00.3 DRIVE 008.6 o in 2 ?.1 503.9 805.3 92.10 S89°47'57°E I O M, N S 177 2' DVEF Ili N 0 O z N M 500.5 ••,? co.ao , 1 / 1 y n I n '" a F'OSEI O a ^ HOUSE , 2 5.66 -- ----- eat.z ri /1 1904T? m n I V l4t?Ai'TIaF •% g S p- ; W 8 809.1 ° i ` . .. N X11.6 O 26.0 n J c I v no / GAR/ N i It O /23.67 . N 1.67 --OT '10 ,,- DRAINAGE a U77LF7Y S ? - //?' EASEMENT PER PLAT JS F ?I fT0 1 ??-- 912.0 I 0 2 / 10 92.10 S89°47'57 r,r-Y• . 4 DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: I INCII - 30 FEET UENUTES IRON MONUMENT FDUND" PROPOSED GARAGE FLUOR - 80'1.8 FEET X000.O DENOTES EXISTING ELEVATION' PROPOSED L014EST FLOUR - So5.0 FEET (ODD-0) UENUTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 805.2 FEET I IIERERY CERTIFY TUIIITTELSTAECTEROS. CO"' 'ST-THAT TIIIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 10, RUSTIC HILLS ACDITION, accordinn to the recorded plat thereof, Dakota County, Minnesota. AND OF THE LOCATION OF A PROPOSED BUILDING, IT DOES NOT PURPORT TO 51101.1 IMPROVEMENTS OR ENCROACHMENTS, IF ANY, TIIEREON. AS SURVEYED BY ME, Olt U14DEll MY DIRECT SUPERVISION, THIS 20t?- DAY OF JULY 1987. SIGNED: J(/ MIE ILL, 1N/C/. BY: IIAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE 110. 12294 PROJECT NO. FILE NO, BOOK / PAGE 226/46 JAMES R. HILL, INC. Planners / Engineers / Surveyors 8200 Humboldt Avenue South FOLDER Blootnington, Mn. 65431 812-RA4-nnga 74- w6uQ ::JR :?CC1V• i/?I ?? owner Phone I Site Address /'I Contractor la<Plc CCAI,-T ST /740l /l/&,' Phone 2!21-1l1„4 Building Classification: Type Al (Single Family b Ouplex) I Type A2 (Residential) ' (3 stories 0r-re-is) (Other) GENERAL INFORMATION 1. Building Perimeter Q3 ft. 2. Wall height (ground to eave) ft. 2 3. 1. x 2. (above) gross wall 4L"A.:3 ft. (Over 3 stories) 4. Building dimensions (L) x (W) 77 ft.2 roc,S floor area A40 i"i N-tc.7 ) E?'sT = 90- 5. Square foot ar - Floor joist size (2 x It S? I X?o = 13.314 ? x Perimeter Rim 3oist area X151 sft2 ?`?? 8. Doors - Areal s = Ur 7° "z- _? > j Z Thickness in. U ractor,?? ? 7 ° xBIw?O Type of Construction 4?at erimeter 19.4?i ?l(? jt. Manufacturer 'Air Infiltration Rates-Res. Doors: CFM/sq. ft. of door area/Table No. 5-T"- )v'r i 7. Total door's perimeter t5l 01 ft 8. Windows: Aanufacturer? State approved ti !S U factor • L9 "Air Infiltration Rate: CFM/ft. of operable sash crack/Table No. 5-3' 2 TYPE SIZE AREA (Ft.2) NUMBER OF TOTAL FEET ILc, 8 L.0 - UNITS ?f T 1 Z fn 24 SLo• i Z •v 9. Total ft.2 Window t')? SEE C,-T (Z PP-oi_ 13. Fireplace area: Width x hei:nt x ' 11. Exaosad founda:ion: Heigh: x Perimeter 5 x 2 73 l Cv.`7 F C:?F_ ':va OF -AIS FOR:4 IS R'c.U:RE] FOR ALL NE:; CC::S"dUCT:ON MAJOR R2??C..LI Ann BL'IL_:':GS 3E. MO:ED 1WHE3E -:LSGY, OTHER THAN THE MI11:MA_ CODE -?L_:':ANC:. :S JSEO. ':OT=. -w-ale:- Dos. 3 and - `first 1. .(Match U Value) Lp`X (.1'S i owner/ Ft A Phcne r,-. .G?gC:?n i2t?cL:v• _- 11 lid. Site Address Contractor Building Classification: GENERAL INFORMATION (Single Family 3 Ouplex) ti's Type A2 (Residentiall (3 stories or (Other) (Over 3 stories) 1. Building Perimeter 273 ft. (L) x (W) ¦ Z/ 4 t.2 roof a floor area A?I<l i ficnl=(05 - Floor joist size (2 x ? ) cX•'sr,.9o-5 2 n X3,3,4 ? x Perimeter a Rim joist area x1 ft -7, t3I ae, hkn?Q B. Doors - AreZA r [ D Uo`tc7" = 1LZ'cU - ' i Z Ufte-7 Thic ness in. U ractorc = : ° ? /6.1.6 ?JFF Type of Construction :b1zs erimeter X171 cw y(r t. 4. Building dimensions 5. Square foot ar 2. Wall height (ground to eave) ft. 2 3. 1. x 2. (above) gross wall 10A..?ft. Manufacturer "Air Infiltration Rates-Res. Doors: Total door's perimeter ft CFM/sq. ft. of door area/Table No. 5717- ?i<UJ Wj1Jt?viS - B. Windows: Manufacturer\M1617`Dlz CAAT) GA-c?,t-AAF?,I.TS State approved\12S U factor " T- Air Infiltration Rate: oi FM/ft. of operable sash crack/Table NO. 5-: TYPE SIZE AREA (Ft.2) NUMBER OF TOTAL FEET 2 .(Match U value) EACH UNITS 7-c44--4 x 3 2- 4- i Lo I to A- 2 F? !z 1 12. L x. a '30 I 3 0 5"xis Cco g. Total ft.2 Window oTf{G,e PAVE 1J. Fireplace area: 11. Exaosad foundation: Heigh: x Perimeter 5 x ?_7 73 ??•`? F=•? MAJOR Vic??CCE'_I i ?aO 5UILC:'tGS ?c. .--i,R :. LL Y -C - O:t OF -i+IS FOR:1 'S Z'nU:3E? FE":, =N.S'AUCT:ON - MC:EO aHE.iE -ERV, OTHER THAN HE COOE :.L_C'WANCE. :S USc7. ':OT=. cos. 3 and . firs: ?. i- .r_ss .a.. lraa ??IQI? ?5? Coq, V 3% ToIA . F1?,5 7 N? ? A 41-cc. ar_a ?9? _ _ :?incc.s ¦.Z9 U am Joist area 249..E '-.- U ri3 :oist • 041 U < c7. Z Cocr area ; 1(-,) 3 U c.cr area • . . l3 . U 2-1, x ; ¦„ / 7 Fireplace area A '•. U fireplac3 ¦ U x A¦ Exposed foundation A 1310,5 ft,2 cx?xa= 55 2 Framing area A totei??l4.L;TL57?L_ft. Met wall area A IR95, 2Z ft. U founda:icrt • .08 U x A •s U framing area ¦ •0q2- 11 x A • 23.E Uwall ¦ 0 Ll3 UxA¦ ('/. (138) TOTAL . . . . . . . . . . U x A 14. Gross wall area x 0.11 (A-1 single faaily S duplex • allowable U x A,/Code (13. above) . x 0.23 (A-2 other residential) x .23 (Other buildings) x .23 (Over 3 stories) y!`?, t STUN ?lust be t 4? o 4 n?P. larger than A x lQ10 ?1 138 above E?46T;j. Ceiling framing area (Af) equals 1C¦. of tailing area 15A. Gross tailing area ¦ (L) x (7) • 1775 ft.' Ica Joist area (Af) : 1C. calling area ¦ 177, q ft.2 l idol , j f..2 15C. Not caning area (AC) (15A - 158) • U calling x A c• 0 Z Z x (Po 1 ?iS• "Z U framing x A f• •O?)Lo x 177,9 ¦ ?`?` 150. M.AL U x A ....................................... , Lo 16. Calling area (15A) x 0.026 (A-1 single family 5 duplex - czde allowable !1 x A x :.033 (A-2 other residential) x 0.06 (other) • 02la BaJN !lust be larger than 160 (above) y-%1551 1-1 x L feudal a? r 't--:: -use U arc ?ai?es 0::atre: fre- c.s arc n 3% TOTAL- at roc. ar-a -- .;ta ;mist area .: Z-49 ..6 '-. A Cocr and ?Z^3-i5 Fireplace aria A Exposed foundation A 131?,'? ft. 2 ?= 55 2 Framing area A T07s ? 14.1?M=2 59, t? ft. net wall area A ZTi ft, s_ U :, i note •. 29 U x A• J rlm :0ist • O?(f U x A D,"Z U SOCr and ¦ . /? U x A ¦ 2/. Z/ U fireplace U I A ¦ U foundation .06 U x A ¦ U framing area ¦ •092 U A A ¦ 23 •? U wall ¦ '0 /-/-3 U x A • 8/. (138) TOTAL . . . . . . . . . U x A ¦ 2. 14. Gross wall area x 0.11 (A-1 single family b duplex ¦ allowable U x A/Cade (13. above) x 0.23 (A-2 other residential) x .23 (Other buildings) x .23 (Over 3 stories) (A BIVN ?lust be larger t?h?p A l 4l o x u Q40 - (I ¦ 1`?1o- ?^??. 138 above 27A.?3 IS. Ceiling framing area (Af) equals 1C.: of calling area ISA. Gross tailing aria (L) x 00 ft.Z 1.2 Joist area (A.) -i 1C: coiling area • ft.2 15{. Net ceiling area (AC) (15A - 152) • ?l pl> ft.` U coiling x A c• x XU0 `7 U framing x A f• 0) `i x -7 Lo 19. TONAL U x A ............ ........................ :... 9r-7(..p 13. coiling aria (15A) x 0.026 (A-1 single family 5 diplax - =de allowable U x A x A-2 W.3 (A-2 ot.•.er rosicentiai) x 0.06 (other) 1, B?Uk l?us; be larger :hen 15i' (shave) r1:31 4ca x ? rrei :T of '.C.=. sa J arc va:.as 0_.31nar fr•• 0_s - Win.: 1 r a.? Sam.=av SWD SECTION .68 .4? R= 4.38 (Braming) U . Sheathing 2 C) C.p Z Siding (-C-7 Outside air film .17 IL TOTAL S •41 = •IZ 2ND t SECTION M JOIST Exterior Wall covering gip -I Exterior air film a a.17 a TOTAL 10.9 e C? 9 Z Inside i film R4 .68 Interior wall 45 ?rtt,?ru n cf-- StucQ (o•S-I (SIT%) U . . Sheathing ?:Olo (Rim Joist) Sheathing Exterior wall cove-ring - ('7 Exterior air film R¦ .17 s TOTAL 24r4(-o = .pyl Incarior air film R= .68 Insulation _ I / 14 inch soft wood R=1.88 2 , 0(-e } U=A= r OW Interior air fil= R¦ .68 '? ? Insulation ?D 1 f? Foundation (ed1.) U ¦ 't ¦ Extartor air film R= -1 V? F - r a To-AL 12,13 - cz5 ._ ! _xposad Block ~` :nsids air ftlm .68 Latartor wall :asulation i9 2•oly Sheathing lD-7 Siding U VALUE (Wall) U 3 4? Oucstda air film .17 a TOTAL Inside air film Interior wall 4•e stud ??rads 3. 7Wb I :ns a n^cn 44 MP-W i ? ?.: S?-l •:o i s Cat 1, trig 0.51 Air Film a.57 2--7. Cg6 .0-.=7 7 i 03C.P U • T UZZ FLAT ROOF OR CA-ldSn-RAL CT-?LING a ue 0. VALUE FR MVIG CcILING i 0.17 c3.SZ •cl?l Inside air film 0.51 Ceiling Joist. (seal Insulation Air spats Roof decking Insulation Built-up roof Outside air film 0.17 .otal R 39.'78 2 . U n? 5 'lindow infiltration .5 cfm/lineal foot of crack asidential door infiltration 0.5 cfa/square foot or door and minicum coda reG?ir'mert Ton-residential door infiltration 11.0 cfm/lineal foot of crack Ub 12" rncrets block no insulation • .47 R 2.1 Ub ?Z" cmncreta black insulataa torts • .25 R 3.3 Ub 12" 11gs:fei;ht block a .32 R ? ? Ub i2" ?i;nr.+eign: block insulatad czres a .12 : 8.3 U single glass • 1.13; J double glass • .55 U L.-iple glass ¦ .41 wi_h sarn window .54 1 ex.arlor halls and csiiin;s -us; have a vacor barrier (0.i0 .sn -ax.). "a.-or :arriar T.L'st to an :ms irsics (heated side) of rail. 7a:or :If-iers cf Z.-le ;o1yo:relant -min f1?m nave me A •rlua. b0f- . RECEIVEo - 1 7/fYl iv??.?1i of THiS LET?2 is Tc S? ?.: ?`T?C?.c- t JCC%/c ? T o 77Ye- /¢??fSSiyE?T ?tT %fa'i iSPr?/ Gr % G / TY ??,?,Fou?.?-rE?crJ ,a2 e,;? ? L , cr ,2?sF ±? . U c ?S-7?f ?LIfT /c= l?cGC FCC/V eel '77&c- AAW -4?, T c'l, y ??.y dF -?-? 4?LcxT /T? /NG/C,?rrc /L ? ff fil9t??}f"LL) /-e. ?/}J`-C-% F iv wl T•?/ry? f=? c u`sT,c 12 CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION r 1) PROPERTY ADDRESS: l 5 LEGAL DESCRIPTION: NDTF: PAYME TS' OF FEE AT TIME OF APPLICATION DOES NOT coNs um APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR WATER imsv 7ATTONS WILL NOT BE SCHED- ULED UNTIL PERMIT HAS BEEN APPROvED. IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: Fbn ear CMMEIAL/RETAIL/OFFICE Q INDUSTRIAL M INSTITUTIONAL/GOVERNMENT 2) 1? R-1 SINGLE FAMILY 0 R-2 DUPLEX (Two Units) R-3 TOWNHOUSE (Three + Units) ( Units) p R-4 APARTMENT/CONDOMINIUM ( Units) 1 CITY, STATE, ZIP: Z PHONE: 3) NANE• For City Use .. ) Pltmibers License: ADDRESS: l??ib/Iin z? 0 Active CITY, STATE, ZIP: Expired Not recorded PHONE: MASTER LICENSE# ,'2, 9 St Initial 4) •• • is• NAME: /pQ LILL ADDRESS:__??O fj CITY, STATE, ZIP: PHONE: ?? -5) u r ,:?, :: • a• [a? CONNECTION TO CITY SEWER CONNECTION TO CITY WATER OTHER 6) ? • PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1,/2 3, 4, ABOVE 10 i - w (C le nnal -FOR :.CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ /d JO SEWER PERMIT (INCLUDE SURCHARGE) $ $ /O 5 WATER PERMIT (INCLUDE SURCHARGE) $ ?p o o $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ / 0,0 ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ J?? S' C5 U $ WAC $ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ 166 . $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ no $ TOTAL RECEIPT RECEIPT DOES UTILITY CO NNECTION REQUIRE EXCA VATION IN PUBLIC RIGHT OF WAY? YES 'IF YES, THEN A " PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING Q NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: `7-,?1. 4-7 1987 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: ? + e Valuat ion: -7, Date: Site Address 7 OFFICE USE ONLY Lot 140 Block l 0 v? 2 On Site Sewage Occupancy ?-3 MWCC System ? Zoning -I Parcel/Sub an Site Well Type of Const ? G City Water ? (Actual) -- Owner j7?? c y??g/te n (Allowable) # of Stories Address Length 5(?, Depth 40 City/Zip Code S.F. Total Footprint S.F. Phone APPROVALS FEES Contractor !?/iT Y6c ST/???i( T %ll Assessments Permit Z3, Water/Sewer Surcharge Address _? Su O??cr i Police Plan Review Z{ { . CO Fire SAC, City 100. City/Zip Code ? e9L?Aa? ?C 71?yS/92 Engr SAC, MWCC 52-5 Planner Water Conn S7?- S . Phone /IV/2 Council Water Meter . (0- Bldg Off Road Unit -? O S. Areh./Engr. APC Treatment P1 160. Variance Parks Address Copies TOTAL City/Zip Code 14 Phone # 2q-. ? 40 )'?- /(,,, zz 2D 1C?2 ?(120 x Z-cc 4 x as - ?=?"v h 12 r ?s (0 I SS3 r Z 5z(fD C7 ??2?12 •???.-, r? r fl CITY OF EAGAN EXTERIOR ENVELOPE AVERAGE 'U' COMPUTATION OWNER: SITE ADDRESS: CONTRACTOR: DATE: PHONE: Determine working square footage of each: 1. Total exposed wall area .. Q g(? sq. ft. x .11 80 2. .Total roof/ceiling area ., ) 2 7 Sf sq. ft. x .026 = 3 3. Z 3 Total exposed wall area above floor = Ig5W a. Total wall window area ............................ /52 b. Total door area .... o c. Total sliding glass area ......................... d. Total fireplace wall area ......................... 72 e. Total wall framing area (average 10%) ............. h 2 S f. Total net wall area above floor ................... /x'7.5, I g. Total rim joist area .............................. / 7 y Total exposed foundation area = / 0 1? 513 nc- ./c h. Total foundation window area ....................... 0 i. Total net foundation area above grade .............. It) 3 Determine 'U' value of each wall segment: a• 152 x 'U' 352 - 53 S b . go x i U' 14(o ST t/ d. -72- x 'u' 0 WV e. i9P x 'U' /07 f. / L/ 7 5 ?i x ' U' o Y u - /n ?/. 9 h. x , U' = C1 i. /c x ,U' o? . = 4,27 3 . ................................................... Total = 2-G 3 ,?f If item #3 is the same as or less than item 1l1, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area = [ 2-7 $ 7 r5 j. Total skylight area ............................... 9 k. Total roof/ceiling framing area (average 10%) ..... 12,74 1. Total net insulated roof/ceiling area .............. / / g 2, (OVER) CITY OF FAGAN ?, •,r. lt/?~ MINIMUM "U" VALUE AND R-FACTOR AT ROOF, {BALL, RIP[ AND CONCRETE BLOCK Provide insulation baffles in every' rafter space. ROOF ' ? (R) VA (D WTevt* " also FIL'i y ; sus' ?'cP ED, , lNSULAlIoN yy,?r7? OO T z EX JE: IDI A19 FILM y (STILL ltUtt - (IIZ =..o S TOTAL ?R)W56I VAL QQ liy (c[ Sol FIR V ILK L10 © " GYP X1 . BD. ;,2 2 ® '` tr?sULAT1oN s?Z,, P, w Q u/iii g?l?7 ?J?c '.?.3 2 to Ivl•??NITc SIDIN(x . ? u ex;-? low kl. F[LPI .. , y TOT-IL =0;Sz Z IM l • (R) Vr1?c ,z IIITiEV-Ior. Air. Flu ff 10 15 11?SU( ATICIa 51/7-" 2 Fltz Rt(?j .lolsT .. 1. 5' ,s . . 2sf z i j gv LT fwT iQ . ?XI cjZ1DR Am FILM ? y . . u Ulf = 1•/R = 8, . ToT,&f (R' FOVDATIOO (17) VAL U. 1s iN ?Etlt?lt Al1L FIL1a on- - O I" h. YP???AvJi 9-5 - 0' u'/A a . ?Xj?P?lo2 AIR FILM It u = I /[L= j , TOTAL (Cc) = Floors o•.•er unheated spaces must have minimum R-factor of R-20 (tuck-under garages). Floors over outdoor air (overhangs) oust have a minimum F.-factor of R-33. CITY OF EAGAN EXTERIOR ENVELOPE AVERAGE 'U1 COMPUTATION OWNER: SITE ADDRESS: CONTRACTOR: DATE: PHONE: Determine working square footage of each: 1.. Total exposed wall area „ 1 ??y sq. ft, x .11 = 7/ 90 2. Total roof/ceiling area -, 12 79- sq. ft, x .026 3 3. Z 3 Total exposed wall area above floor = ?q g0 a. Total wall window area .............................. 152 _ b. Total door area .., 0 c. Total sliding glass area t/2, d. Total fireplace wall area ......................... 7?. e. Total wall framing area (average 10%) ............. t 28 f. Total net wall area above floor /;/7 T y g. Total rim joist area /7,/ Total exposed foundation area o /p j ?/3 (;',.lc. h. Total foundation window area ....................... p to Total net foundation area above grade .............. Determine out value of each wall segment: a. 15-2 x ' u' . 352 = 5-, ri b. yo x 'u' 14 - /V', V C. V.2.5 x lu' _ le = ?7. C0 d. 72- x fur 0WI/ e- /9P x 'u' 107 f. /475, tz? x fur 9 g. x our 0 13 = hi 1N ho x out i. x our - 1,27 3 . ................................................... Total = 2-03,?/ If item A3 is the same as or less than item U1, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area = ( 2-7 $ J. Total skylight area ............................... 8 k. Total roof/ceiling framing area (average 10%) ..... / 2.7-& 1. Total net insulated roof/ceiling area .............. // y 2,7 to 1.?, S 'S (OVER) CITY OF FAGAN to MINIMUM "U" VALUE AND R-FACTOR AT ROOF, WALL, RIM AND CONCRETE BLOCK "utt- -C,-z5- TOTAL (R)---U.oi RODE j C (Y? VA IQ It?TE?l* AIX FILM y i O 5(s" GAP. ED. - : i , 3Q (NSUt A ttoN y y, O EXT6RIo(? AIF FILM (5-(ILL) - y . 'q WALL Cz) VAL © Ic'T?r-Iot- AIR. FILM yo © 1/'2' G%fP.' BD.- _ . : 2 O ?, IP?S?LATIoN Sizjr 19. O ? it g?l?7 ?l?c .12.3 2 ?i EX;c"la; A12 FIQJ .. . L/ 1L ®R 55 vim TOTAL C7,)--9;.62 IIITEI'-lor. At', Flul 51/7" INSOLATICta 2 FIV- RIM ,Iljj5`[ zsf,? g???-r t?iTG N?I;s?r?ITE s1011-46 ExTEjtIDR AIR FILM W VAI C - V. 19" . o? t.5-. . y ._ If off [2, Topt .fo;11?DATtoc?t Ctz) VALU ?s tN tEizl9lz AM FIL -j C o1i 121ALtaC`. S"K, 1f3 R-5- v`?/?aa G eXjEP•Io2 AIR FILM ,y It 11 = Floors over unheated spaces must have minimum R-factor of R-20 (tuck-under garages). Floors over outdoor air (overhangs) oust lave a minimum F.-factor of R-33. SURVEYOR'S CERTIFICATE RUSTIC HILLS I ?. -r• I I L_}..' i i 1'ITTELSTAEDT BROS. COMST. DRIVE 806.6 O o M I+? d'A, I 807.9 808.3 -- 92.10 S 89°47'5711E 0 N 5 f 1 M 1 IL) n a 2' OVERH G, J Q r 26 33 r . N ? / o M z n 0 of POSE 11.6777 "1 v v HOUSE %+t 4 0 N ` 25.66 ': 12 67• . ... n *eo3a ..._.. (B64.1) c .... LOT I _ o r' g r 1 I S P N ? lJ1 ' a o .809.1 rt m M ti?} I ` 0 5)' 1 7 } I (\j , SO N 26.0 o 0 M ? a' , n Z a ? GAR/N N 25.67 ; N (eo-16) a0a.a ; H 0 10 DRAINAGE a UTILITY EASEMENT PER PLAT' S 1 --1? 12.8 1 o o .0 / 92.10 S89047157/E ' t_ L_ I V L? L. 1 ?. C .?_ DENOTES PROPOSED SURFACE DRAINAGE r O UEND'I ES IRON MONUMENT SET . .. SCALE: 1 INCH . 30 - FEET 4 DENOTES IRON MONUMENT FOUND" PROPOSED GARAGE FLOUR - 807.8 FEET X000.O DENOTES EXISTING ELEVATION PROPOSED L014EST FLOUR n So5.0 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 808.2 FEET I IIEREOY CERTIFY TOIIITTELSTAECTBR.OS. CO;ST•TIIAT THIS 1S A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 10, RUSTIC HILLS ACDITIOI!, according to the recorded Plat thereof, Dakota County, Minnesota. AMU (IF TIIE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SIIOII IMPROVEMENTS Olt ENCROACHI•IENTS, IF ANY, THEREON, AS SURVEYED BY PIE, Oil UI4DEll MY DIRECT SUPERVISION, TIIIS zoo- DAY OF July , 1987. 51G14EU; JAI1E? ILL, INC. BY: IIAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NO. 12294 PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 87430 226/46 Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South FOLDER Bloomington, Mn, 55431 812-RRA-InDa PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION k ADD-ON A/C ADD-ON FURNACE DATE G lQtl??_3 HVAC: 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (EXISTING CONSTRucnON) STATE SURCHARGE TOTAL ub 1 C, % l SITE ADDRESS: 1,6-721 OWNER NAME: // /?V?eSSztc7j? INST FEES $ 24.00 6.00 $ 15.00 x.50 #: "P-9/- /16Z 12481 Rhode Island Ave' So. ADDRESS: Savage. RAN 55378-1122 894.0005 CITY: STATE: ZIP CODE: TELEPHONE #: AT E OF PERMITTEE 1993 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 1993 MECHANICAL PERMff (COMMERCIAL) Cn Y OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: CONTRACT r PRICE: $ FEES 1% OF CONTRACT FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF EI21liTI FEE. TOTAL $ SITE ADDRESS: OWNER TENANT NAME: (IMPROVEMENTS ONLY) TELEPHONE #: INSTALLER: ADDRESS: CITY: TELEPHONE #: STATE: ZIP CODE: SIGNATURE OF PERMTTTEE CITY INSPECTOR iL /O BL CITY USE ONLY RECEIPT#: SUBD. !c? RECEIPT DATE: 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3650 PILOT KNOB RD EAGAN, RN 55122 (612) 661-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backtlow preventer for underground sprinkler system FIXTURES Shower Water Closet Bath Tub Lavatory Kitchen Sink Laundry Tray Hot Tub/Spa Water Heater Floor Drain Gas Piping Outlet ' minimum - 1 Rough Openings Water Softener `for dwellings under construction I_•_i w, C_tl_nm i_ ` r'' .cei "of enisiri,y uwm.i,ny . Ltio U.G. Sprinkler for dwelling under const. U.G. Sprinkler ' for existing dwelling - Alterations ` to existing residence Water Turn Around Private Disposal System ' Dak Cty lic. (new and refurbished systems) Private Disposal Systems `Abandonment EACH # TOTAL 3.00 x = 3.00 x = 3.00 3.00 x x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 5.00 x -? _ 20.00 3.00 = 20.00 20.00 = 20.00 = 75.00 = 20.00 = STATE SURCHARGE ?.50 Sp TOTAL - 0 °-----••----- ----•- -•------ - --- --•- - -- -- -- ••---- ------- •- ------------•------ 1hereby acknowledge that I have read this application, state that the information is correct, and agree to compy wBh sll applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to thefacilities constructed under this permit within City property/dghtof-waylessement. SITE ADDRESS: J ?? 1 r ?+ C! LL S ?h OWNER NAME: v INSTALLER NAME: 7If S IL rNL.?1S TELEPHONE #: 777-6 36 3 STREET ADDRESS: `bJ /4 W CITY: / crX2 LLB0 AA It/ STATE: 5S01f 2 ZIP: ?? 5z? SIGNATURE OF PERMITTEE CD/FORMS/PLBG PERMIT (RESIDENTIAL) 1997 /'4 ez City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1574 Rustic Hills Dr Lot: 10 Block: 0 Addition: Rustic Hills PID:10- 65000- 100 -00 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Fumace & Air Conditioner PERMIT City of Eaan Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) 445 -2840 Fee Summary: Contractor: Pronto Heating & Air Conditioning 7501 Washington Ave. S Edina MN 55439 (952) 835 -7777 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature - Applicant - Owner: Steven T Gallagher 1574 Rustic Hills Dr Eagan MN 55121 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 $50.50 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 Mechanical EA089816 06/22/2009 ePermit îú ÿþ þýý üûûú ùýý ìÿ 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 ýëúáÿ ãüùó÷ óü 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 r For Office Use I 3 I Permit City of Eap I Permit Fee: I 3830 Pilot Knob Road j I Eagan MN 55122 I Date Received: I Phone: (651) 675-5675 I j Staff: Fax: (651) 675-5694 L -_________I 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: j 0 t~ K ~4; f f'> Tenant: l _ c l t-~ _ 1 rn.. • ~~+r' Suite Resident/Owner Name: *co Phone: Address / City / Zip: " I C( Names- License Contractor Address: ( c• (rE. ~:'>4.r- City: X State: j,1 Zip: 3( Phone: t i Contact: a S l r` s Email: yes 'c C FC 14 f NIJ Type of Work -New Z_Replacement _Repair -Rebuild _ Modify Space _ Work in R.O.W. Description of work: VC.-~-, ,cc, RESIDENTIAL Water Heater Water Softener Lawn Irrigation RPZ PVB) Permit Type Add Plumbing Fixtures Main Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ 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.org 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 of plans. _r x `1y Applicant's Printed Name _ Applicant ure FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final 12/11/2014 09:37 FAX 7157493991 C&T SIDING,INC. l�002/004 Use BWE or BLACK Ink -----------------� • i For Offioe Use �0 0�� I � Pemiit�: ` I � af�� ; ��: � o�. �� 3830 Pilot Knob Road Z 2��. Eagan MN 55122 � Date Receiv�ed: � -I� Phoee:(651)675�Sb7S t � Fax:(BS1)675�8694 � �fi � I 1 � -----------------� 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: �Z �� St6eAddress: �71� �S��L Ft��S ��,lV� Unit�k Nam��iJ � �`+.+"�-e.✓1 ��L-1� Phone:�.Q l2 .��3 ��O�8 E�e�iEl@QfJ ` p t ,. "' �� Address/Ciry!Zip:I �� /�,U S'��J YL�I 5 A�� Q.l�l . �� --- --- —-- Appficant is: Ovuner Contracbor ' ` Description of work�S�d!J T�-�t�liork:: � ` ConsLuction Co� � b� � � Mutti-Family Building:(Yes_/No�) ' Company: C!N �onia� 1� `�l� �.�"QAci �l�t�dA11A l��Cl�hs �. Ca�rtractor n�`��:1 O�i �A�Ce� D►2. � PD gox �I c�y: �0�,-�S s��:W I Z,P:5�023 ��'i�-9 3 l�.z E��.Ca�ly e Gand�si d,i►� • ' ucense�:�GL3 �I 3r7� Lesd Ce�ifica�e�F: /"f'�T� �� Z.��—I ''� If the project is exempt from lead ce�rtiflcation, please exptain why:(see Page 3 for additional information) 6u,�;� - w s � � !�9? CO PLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In tfie tast 12 months,has tl�e City of Eagao issued a permk 1br a simllar plan Wsed on s masEer plan? _Yes _No If yes,date and address of master plan: LlcensM Plumber: Phone: Mechaeical Contractor: Phonc: Sewer�Water Contrac�or: PUoee: �Yl�#'1�i Plans artd supp�ortTng dacume�nts(haX you subnrtt are'carsidetisat to be publfc'n�focmatiar►: Portions cf the�orn►ation may be cJassified as rio�-publfc If you pmvide specifrc r+sasons that w�ou/d p�nniE the Ciqi ta concJude tlwt �tr�aacle sec►iets. CALL BEFORE YOU DIG. Ca11 Gopher State One Ca11 at(s51)454d002 for protec�ion against u�dergmund ut�ity damage. Call 48►aurs betore you intend to dip to raceive tocates of underground utit�ties. www.aooherstateonecall.ora I her�e�y acknowledge that thia infortnation is complete and aoc�rabe;that the work v�nll be in conformar�ce with Ihe ordinances and codes of the Cily of Eagan;that I uide�fand this is not a pe�mit, but oNy an appticadon for a pertnR,and work is rot to staR without a permit; that the work will be in accadance with fhe appmved plan in the case of work whieh requires a rev'iew atd approval of plans. Exteriorwork autfwrized by a building permk tssued in a000Manoe�rith the Minn State Building Code muat be completad wiMin 180 days of permit issuance. . lt � X �� • AppllcanCs P leted ame Applicant's Signatu Paye 1 of S PERMIT City of Eagan Permit Type:Building Permit Number:EA167727 Date Issued:03/26/2021 Permit Category:ePermit Site Address: 1574 Rustic Hills Dr Lot:10 Block: 0 Addition: Rustic Hills PID:10-65000-00-100 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations 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: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Steven T & Caren E F Gallagher 1574 Rustic Hills Dr Saint Paul MN 55121--113 Great Plains Windows & Doors 6866 33rd St N, Suite 100 Oakdale MN 55128 (651) 207-4571 Applicant/Permitee: Signature Issued By: Signature