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1581 Rustic Hills DrSEDGWICK HEATING & AIR CONDITIONING CO. 8910 WENTWORTH�AJVENUE SO TH • MINNEAPOLIS, MN 55420 • (952) 881-7739 J ADDRESS /5O Li "TIS' i - `L'L'� �+�L' CITY "_'„",w`'' OCCUPANT OWNER f. I A -$k• SOLD BY ' Upr_Ag INSTALLED BY Z,49., „A" .....",9X HEATING TEST RECORD MAKE SERIAL NO `` • THERMOSTAT VALVE LIMIT miL 1 i 14-1,•/ Ozo LIMIT SETTING FAN SETTING ECM MODEL INPUT JOB NO 52-810/ 9,10019V31( VENT SIZE 2" CNC TYPE OF LINER NIA LINER SIZE FILTERS. SIZE tCQ`--C NUMBER WIRING (14C, PILOT TYPE rnr, "kokTEST TAG IGNITION MODEL .` PILOT TIMING ' r vv i �i PRESSURE 3- PERCENT CO2 G. 8 INPUT CFH 35' PERCENT 02 '- COMPANY TESTING E SS STACK TEMP. l O �] PERCENT CO 0 NAME OF TESTER LIGHTING INST. DATE TESTED FORM 235 (REV. 6/08) FORM DISTRIBUTION: WHITE COPY - JOB FILE YELLOW COPY - CITY C!ty of Eqpt 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office User Permit#: Permit Fee: 9a Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3/taJ(l Site Address: /5713/ sr!c-F//L.L5 A6fr Unit#: RESIDENT/ OWNER Name: ill (4-E- fl4NS/( Phone:44.z- 5 -3a ----.2v V5-- '5RESIDENT Address / City / Zip: /6763/ XII; rL y/LLS 2' g 'Ai -4-N /hic 5-3-Y z/ Applicant is: Owner X Contractor TYPE OF WORK Description of work: &A 2.44 �EO%Z PE-PU`t-C E� Construction Cost: 7r16 a- ' Multi -Family Building: (Yes / No i( ) CONTRACTOR Company lid/A/ G/Df d''A crC:: Pt' Contact' $rEOE srA� hE M1ll rL l-- Address: //79 _ E. CL/ FF /tb City: rt -f 5iofE C-1- State: Mit) Zip: 5`$3.37 Phone: 9. o?- 6? -8-C License#: L- 3033a09) Lead Certificate. N47 72373-1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, _Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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 they 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.cooherstateonecali.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved /plan in the case of work which requires a review and approval of plans. x (9-1/10ay 1/Vi +E'_r x Applicants Signature Applicants Printed Name Page 1 of 3 City of Eagan Eagan, PERMIT City of Eaan Permit Type: Building Permit Number: EA095917 Date Issued: 09/15/2010 Permit Category: ePermit Site Address: 1581 Rustic Hills Dr Lot: 1 Block: 0 Addition: Rustic Hills PID: 10-65000-010-00 Use: Description: Sub Type: e-Windows/Doors Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: Valuation: 3,000.00 BL - Base Fee $3K $88.50 Surcharge - Based on Valuation $3K $1.50 0801.4085 9001.2195 Total: $90.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 - Applicant - Owner: Michael Manske 1581 Rustic Hills Dr Eagan MN 55123 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. Applicant/Permitee: Signature Issued By: Signature CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 `?f- MR SOFTEM171 PERMIT Date: if 22/8' Site Address: 1.5`817_ f?11.'7C iilJ.s Lot Block ?L Sub/Sec. 'f Receipt No.: Single Residential Multi Res., Comm./Ind. Leo Sultmimn Name /Repair New/Alter . 3 Address S Cost of installation O city Phone: 15? -1 4 Permit Fee Name C(D ;T''_1 r':Oft "'Ater Surcharge Address e e City Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. No. Building Official BUILDING PERMIT T. 1.. .WI i... NO. 4964 t ... Site Address " ? 1 i- v s t i c Hills Dr. Erect Q t Occupancy Lot Block I Sec/Sub. '' ,.- sr • tc III t 1 % Alter ? Zoning g Parcel # ' '' 65000 010 i l Repair ? Fire Zone Enlarge ? Type of Const. ec Name 81L llaTr+. ,nst. ITiC. Move ? # Stories Address 64'it) `,iverview Terr. Demolish ? Front ft. r:.. Fridley eL..__ 5150-6894 Grade ? Depth Name Name I hereby acknowledge that I have read this the information is correct and agree to c State of Minnesota Statutes and City of Signature of Permittee A Building Permit is issued to: all work shall be done in accordance with Building Official CITY OF EAGAN 8795 Pilo Knob Road Eagan, MH 55122 PHONES 4548100 Receipt # state that applicable es. . Approver Fees Assessment Permit Water & Sew. Surcharge Police Plan check Fi re SAC Eng. Water Conn. Planner Wafer Meter Council Bldg Off. . APC Total bolt. Y.i "onl't., inc. on the express condition that applicable State of Minnesota Statutes and City of Eagan Ordinances. rwm* # Date lewd Pemdttee Plumbing )t;l,(-? 11 . -7- -78 (_ , Mechanical 3, (-fir J1 "J INSPECTIONS DATE INSP. Rough-In Final Footings 2 K Date Inap. Date Insp. Foundation e Plumbing Frame/ins. .11.7 _ -) Aa- Mechanical Final Remorks: 91 a _`? , 7 ?, COL., CITY OF EAGAN 3795 Pilot Knob Rood' Eagan, Minnesota 55122 Phone: 454-6100 PERMIT Date: 11-24-78 CCMBUSTICIN AIR WMT 1581 R o ti.c Fills Dive Site Address: 1 Lot Block Sub/Sec. PLUrac Bills No. 1352 Receipt No.: 12442 Single Residential Multi Res., Comm./Ind. T?'alt Harrier onmt. Inc . Name New/Alter. /Repair 6490 Ri?vimt '_-ac Address Cost of Installation G Fti ?-i(w 5f 0'f 93 9 '1 City Phone: Permit Fee Wit. 11- rie Sheet AatA.: TT!r . , r(1 ame Surcharge 1941 ,S7i nq Ia}m Park Rrej-1 Address e City Phone: Totol This Permit is issued 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 CITY OF EA"N 3795 Pilot Knob Rood Eagan, Minnesota $5122 Phone: 454-5100 PLUM37V PERMIT Date: 11--7-78 Site Address: 315P? Rte{' I11I1s Lot L Block 1 Sub/Sec. PMBtlC 14111.9 No. 12455 1?.331 Receipt No.: Single Residential X Multi Res., Comm./Ind. Name "!alt QT18t. IM. New/Alter./Repair. Address 6490 RiverA w Terra a Cost of Installation City Fridl0y Phone: 560--6894 Permit Fee 20.00 N e 000 Ra AAS Plumbing Surcharge .50 Address 17.0 - 1n-Ird Ave. N-Ul. City : (-r. -O 5r-,A-1 < Phone: -757-157;7 Total .?9.50 This Permit is issued 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 CORRECTION NOTICE Address _ ?l s - Owner/Agent ?'k?c ztl, / Y9G 1 { -f 7- Owner/Agent Address .? /',-. Ordinance Nos, and Corrections - Correct By 7 For reinspection Eagan Dept. of Inspection 3795 Pilot Knob Rd. Eagan, Minnesota 55122 454-8100 Inspector: Dept.. to-45-000 v I a- a O -?'" Site Nam CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RCCRIV EC FROM AMOUNT $ DOLLARS 100 CASH [:] CHECK FOR White-Payers Copy Yellow-Posting Copy Pink-File Copy ank You ?,?? BY CITY OF EAGAN Remarks - Addition RUSTIC HILLS ADDITION Lot 1 Blk Par 10 65040 Owner,) Street 1581 Rustic Hills Drive State Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. [ G 1855.41 0006679 10-15-79 STREET RESTOR. GRADING SAN SEW TRUNK 968 45.85 1.53 30 26.09 C006699 2/1180 -?OGEWERLATERAL 441- 1990 3454-56 230.30 15 3454.56 0006679 10-15-79 WATERMAIN WATER LATERAL 1972 170.96 8.55 20 94.10 C006699 711180 WATER AREA 7 79.50 5.30 is 59-30 C006699 211/80 *waterlntprft,7 1990 STORM SEW TRK get 1979 360.00 36.00 10 C006699 2/1/80 -X46TORM SEW ViTso 1980 * service 1980 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit Ch 2. 75.00 11538 9-1-78 WATER CONN. 250.00 11538 9-1-78 BUILDING PER. #4964 SAC 500.00 PARK CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: •? iil H(i1 i t 1 f; :i ff 'PERMIT SUBTYPE: W MARL, ":: % I AkM OAMal.i1 INSPECTION RECORD PERMIT TYPE: Permit Number: 7 Date Issued: 1 at 00 fl R APPLICANT: I 1 1 4!. r 00101 TYPE OF WORK: W'.1 1' I I 1 11i1'J t'f'li1N Permit Holder Date Telephone M PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING p? r7[Y ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: ! , „ , P11''111 V41.11! Iitt I :> INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: LOT- I N I lit J APPLICANT: If 11. 1 fik li! t1, 0'0. k :% !lb I'+'1 F NilI1111N11 H.' 1 t!.1t IitN I I PERMIT SUBTYPE: TYPE OF WORK: Of-W 1?) .4 I: 1 I' I 1 !itr ( 1 A ' 111' I A(111H Permit No. Permit Holder Date Telephone A S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Ptbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Deck Final ? cc,oR ? ® a Well f Ador Pr. Disp. 0 7 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: t )I I I fit oil I APPLICANT: 11 f Ii. Nt1.tSi OR i.. i11 Jiiillrirjl 4 r"t 1,11',111 III11'• (a.Lx) !?1>-h/1,h PERMIT SUBTYPE: , 1 , ; ,r TYPE OF WORK: ill ,I ;. 1 I 1 1 IM 1111 1 :tit 1.1413 11 It W. 1 1 NU 1•) (III k.V I N I I I I I I I II) INSPECTION DATE INSPTR. • TYPE DATE INSPTR. I r1,111 ;, ??r.I I ? ? . I r;I 1 1 I N -%I I rl MA10 I L UPAPA rt- VU VM I I "l ARF FtF.4U I KF I) IF Ulf ANY 1 I 1 r. 111 11 AI (1f? 1A IIMIi I Nil IJ1110 J Permit No. Permit Holder Date Telephone # S/w PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments FootingsI Foundation Framing f f Roofing Rough Plbg. Rough Htg. Isul. W-t Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final Deck Fig. Deck Final Well Pr. Disp. oT,5 31 ?? 17 /5 B' 1915r>10177l n-)F, A620!7' ,,91t QF ? s2 , . ,A(5P. A445. N WATER SERVICE PERMIT ,CI T7 OF EAW% ;3795 Pilot Knob Road Eagan, MN 55122 Zoning: _ er PERMIT NO.: DATE: No. of Units: . - n .Address: - - site Address: 'Plumber: Meter No.: Connection Charge: Size: - Account Deposit: _ 'Reader No.: Permit Fee: agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: _ Total: By Date Paid: Date of Insp.: Insp.: clrr of EACAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: r Own : • " ^" er ddress: Site Address: l umber: agree to comply with the City of Eagan Connection Charge: 9 -.9 L_a dinances. Account Deposit: Permit Fee: Surcharge: Y Misc. Charges: ate of Insp : Total: . Insp.: Date Paid: 411A/7R W) 1o. Meter FL AB NO, -4 L -77- Z-0 CITY OF BUILDING DEPA RTMENT • EXTERIORS RAGE "U" COMPUTATION (To be submitted With building permit applicati Lq& ? r One nr two family duelling X owner CJI A &L All 671 Site address Contractor Date 8-5--17 one LINEAL FT. OF EXPOSED MALL= wa?2lc.S?t S -ft. above grade - `' '`? L' TOTAL EXPOSED WA OPAQUE WALL CONSTRUCTION: "U" value x area ;AAMC WALL ?.10, I "U" o?s x sq. PteM P 2 "U" a x sq. coqe, F "U" x sq. Detail reference "U x sq. from "U" x ma. attached sheets "U" x sq. WINDOWS: "U" Make & t1pe R w R w w w w w " "U" x sq. RU" x sq. "U" x sq. "U" x sq. value x ?i?:k wo?KSk??ti "V* 5S x "U" x mum x mum RU x wVw x ft. 55 ;,cc - 7L.:!j (U) (A ) ft. r 1 (U)(A) ft. 1 - (U) (A) ft. - (U)(A) ft. - (U) (A) ft. - (U) (A) (U? (A ) ft. (U)(A) ft. - (U) (A) ft. __(U) (A) sq. ft. 53.0• 21 15r (M )(A ) sq. ft. - (U) (A) sq. ft. - M(A) sq. ft. - (UHA) sq. ft. - (UHA) sq. ft. - (UHA) DOORS: OUR value x area Make & t?rpe 5cr- w Vitt ki ,f "U" •5 r x sq. * "U" x sq. R R RU x sq. R R RU x sq. li,44 - TOTS I IA TOTAL (U) (A) VALUES DIVIDED BY TOTAL WALL AREA 534.;,4 -.=NW . ft. Zoe - Z",ic (U) (A) ft. -(U) (A) ft. - (U) (A) ft. - (U) (A) Sq. ft.`M(A) - 5EL AVERAGE "U" .17 or less for 1 & 2 family dwellings glk T 0 Z .22 or less for all other buildings ROOF/CEILING: -3%4 - Detail AREA reference sq. ft. Detail "U" x sq. ft. - (U)SA) from w•t ?J. "U" .01 x 41 sq. ft. - ,? M(A) attached sheets. "U x sq. ft. (UHA) Describe openings "U x sq. ft. - (U)(A) in roof. "U* x sq. ft. - (U) (A ) 1b ? I TOTALS " 316+ Sq. ft. ?(U) (A ) TOTAL (U) (A) VALUES . - o 4 3 A VG . DIVIDED HT TOTAL ROOF/ 3d54 ptPM't WAoi CEILING AREA A VERAGE "U" .OS for vent 10 for all +' ated roofs , eer construction T y . 17+,0 155 ?? ?N -LUG1 L?1.1-v6 r ? - 1 ?? = z- >• .?- a ?? 6 ? ? J ? t u A7-W°t? -rC," w cL_ TC4?? 13 Do -- 3 t - RIM a" --- 3 : ? a? t ? ?o o F 1 11 it } ? ? ? 11 1: tlA(NDoLDU Lt+ 14 14 -2- an I. it PAY iG '?k , 11 s! a a a 71 a N 111 0 w?.su a?a ner?rwv •leas Ow[fN i s u 1 t 1 1 • t I 31 31 33 >e >t 36 31 30 a ('cAnl Ah: - 1.11- 2T T g as - _s =4's = ?• I I; t] ? R U 'N N N 1 S 7Ji 1 C 1131 11 33 WALL SECTION - =x/32• BN141-12ITT /1W50A111VC 51DING !MOTE: USE 122 OF OPAQUE WALL AREA FOR FRAME CONSTRUCTION CONSTRUCTION 1 2 3 4 5 6 0.68 FIG. #1 PLAN VIEW "U".1/R= FIG. #1 COMB. t 11=( . 14.41 o? 12 X .I1-) )+(.88 X ,*,o )= ,C75 0.68 I,lq 1,e(. 0.17 1,,,24 FIG. #3 SECTION 1. Interior air film 4. I2 GcN?. 31.?t, 5. 6. Exterior air film TOTAL (R) "tJ"=1 / R= .4-1 PAGE (R) VALUE 45 0.17 $,16 0.68 .45i 11.00 of. ,4s 0.17 0.68 1.2-11 1,13 1. Interior air film 0.68 2. l ONL, 1;1.1. 1 3. Exterior air film 0.17 TOTAL (R) sic FIG. #1 SECTION "U"= 1/R= iZ3 FIG. #2 SECTION ,ob WALL SECTION - "Al" 91AIMIM5, FA4* M-161L 40TE: USE 12% OF OPAQUE WALL AREA FOR FRAME CONSTRUCTION CONSTRUCTION PAGE (R) VALU E 1. Interior air film 0.68 2. z" -C-Y?. iioARP 3. 4 F iR STuP 4. s lg," $N1LTV- ITf 2,Ofr S 5. FACE $WcK .' 4 6, Exterior air film 0.17 TOTAL (R) ISAA FIG. #1 PLAN VIEW 0.68 ? 4,; ?I,OD tA4 ,31 0.17 14.14 /1*p711? 1 / R= FIG. 1171 COMB. 'lull-(. 12 ,*61 X it+ )+(.88 X .046 )_ at5 0.68 II,oD Z. ?f. 0.17 14,11 1. Interior air film X0._68 2. 4. 'b" tow-, 54g -Tr 5. FhLE bIL" 3y 6. Exterior air film 0.17 TOTAL (R) 2.7,.x. 4 1 .,w. FIG. #3 SECTION 1. Interior air film 0.68 2. I off. .11 3. Exterior air film 0.17 TOTAL (R) 1.54, FIG. #2 SECTION "U"= I /R- .114 /e11"s I /R- V4 f WALL SECTION - TNRK lshRkbC- F IRS PAGE NOTE : USE 12% OF OPAQUE WALL AREA FOR ;;5AX" 'bN 1 i.T'R ITS 'f S" &YP, 5P. FRAME CONSTRUCTION CONSTRUCTION (R) VALUE FIG. #1 PLAN VIEW 1 2 3 4 5 6 FIG. Iq 1 COMB. "U"-(.12 X )+(.88 X 14,2E ,o7S 0.68 ,4V 4,1415 '3., of _ st s.?s 0.68 .4s 11, ro Z.vb .S6 1's.43 0.68 l.?g Z,od ,s6 1. Interior air film 0.68 2. 4. S3 t Doe-, .1 5. 6. fmoer4ert air film INTER "LR TOTAL (R) 241 ,• a1rRs A-v usE ,4'1 yAM6 AS I Z r LON4, OIL*, 1. Interior air film 0.68 2. 4 odd- L*-. yI 3. Exterior air film 0.17 TOTAL (R) i , Sb fluff =1 /R= ? FIG. #3 SECTION FIG. #1 SECTION "U"= 1 / R= ?i- FIG. #2 SECTION fill#'= 11R= yi s b. un PAVE .. ?:.'. . . (8 } idi?1!= 0 x.51 ZS. 7 $ 1Yr YS{?{' S a 0,61 X76 r `S. o0 50 0.6/ z'O. Z 5 o. . FIG #5 T7 IMM t "U'O• 1/R- . 4,49 FIG. # 1. Interior air film 0.61 3: Caz,?Wxf r) zz. ow lo-j Jr. fll' T02U (R) 7A •y• 1. Interior eir M2.8 O. 2.5 7,9 " G yP JaQ , or?Y+rrr 6. error ai O-A 42 TOM (R,) .?7 .lox :.2?m.qox .cam I" X(-'ft a M,4 5 -? ? J .•y?M ?YY£ no #4 Tmu CIMLIM doIBT , CITY OF EAGAN _ 8795 Pilot Knob Read Eagen, MN 55122 N! 4964 PHONE: 454.8100 BUILDING PERMIT APPLICATION %55 000 Receipt # 11538 , . Sf 1)w1g. S Garg Sept 1 1978 To be used for rst. Volae Date Site Address 1581 Rustic Hills Dr. Erect Occupancy Lot _]Block 1 Sec/Sub. n.,R fic 14 uxitA Alter ? Zoning Rl Parcel # 10 65000 010 01 Repair ? Fire Zone 3 Enlarge ? Type of Const. V o: Name Walt Harrier Const. Inc. Move ? # Stories 3 Address 6490 Riverview Terr. Demolish ? Front 53 fr. o Ci rid ey Phone 560-6894 Grade ? Depth ter- fr. p Name o? Assessment Permit 148.00 _ Address v? Water & Sew. Surcharge 27.50 CI Phone Police Plan check ww Name Fire SAC 500.00 : x? Address Eng. Water Conn. 250.00 <w CI Phone Planner Water Meter 60.00 Council oad Unit 75.00 1 hereby acknowledge that I have read thi pp atiod state that Bldg. Off. the information is correct an ree 4E ly wt I applicable APC Total 1060.50 State of Minnesota Statutes f a I , r ices. . Signature of Permittee N A Building Permit is issued alt Harrier Const. r Inc. on the express condition that all work shall be done I ggsoor a applicable State of Minnesota Statutes and Approvals Fees City of Eagan Ordinances. Building Official ? Aquest void 18 months from 0 / 0 - 00 1V6 832712 Dale of this Request ;/'. 1 R 6 ... NL I, as 04 Licensed Electrical Contractor ?Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No, S? City ?GC Sj (a Section Township Range County 1 Which is occupied by Is a roughin inspection required on this job? No ? Yes W Ready Now Q Will Call ? Power Supplier Address ? I vl Q W C PO(t 5 QSS'' Electrical Contractor - <? Contractor's License No? (company Name) /? Mailing Address i G o c A d g A r ?a T\ (Electri al contractor oI Owner Making This Installation) Authorized S tj Il E WOMB COMPIV Phone No. 7- • 1 O This inspection request will not be accepted by the State Board unless proper inspection fee is enclosed. .e State Board of Electricity Ave., St. Paul, Minn. 55104-Phone 645-7703 _%JUEST FOR ELECTRICAL INSPECTION 13ELOW WORK COVERED BY THIS REQUEST ?a 3 !2 'R 32712 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 ? xF'arm ? ? ? List List Other ? ? ? pp Heh pp Herters# COMPUTE INSPECTION FEE BELO R Erz;h Service Entrance Size: # Fee F rs& Circuits: # Fee 0 to 100 Am s. 0 to 30 er 0 to 30 Am eras 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Amperes Above 200 Amps. Above 100 Amps. Above 100 Amps. Transformers Remote Control Circ. Partial or other fee Signs Special Inspection Minimum fee $5.00 Remarks TOTAL FEE 0 I, the Electrical Inspector, hereby certify t ea e' e 1 s been made. --y (Rough-in) ate lI-/6-2'y :20.5c? (Final) / S , < < Date $O. 7 `/- This request void 18 months from I 4/7 N64634?/ ? Request Date / Fire No. Rough-In In ecYidn Requ'vetl (You m s all inspectgr when reedy) Inspection Other Th ugh-In ? Ready Nqw A:IW,;l Notify Inspaclor Ves ? No Date Ready. I ? licensed contractor wner hereby request inspection of above electrical work at: Job Address IStre . or Route/N^!o. 15F1 KL,5-hii HA br. Ci ection No. Township Name or No. Range No. County Cccu ant(PRINT)/ ? ? ? Phone No. QlCGa(/1[ZM 42 af- K!q urraSr Power Supplier Address Elec ractor (Company Namel Contractor's License No. wner AM, Mail, g Apdregs (Contractor or Owner Ma // g Installation, ' ! (70 v Authorized Signature (CO ractovOwn akin anon, PM1One Number 0 0 MINNESOTA STATE BI?ARD OF FILE CTRICnYr V vl/ THIS INSPECTION REOUEST WILL NOT Grlggs-Mldway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS Phone (612) 61 ENCLOSED. QUEST FOR ELECTRICAL INSPECTION Ee.oooof.os RE ? See instrucMions for completing this form on Eack of yellow copy. /6 4„ 4 V:? `X" fiE/ow Work Covered by This Request t ew _M Typeoi Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specity) contractors Remarks Compute Inspection Fee Below: t vrC # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 Amps Signs Inspector's use Only. TO L Irrigation Booms _? 0 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 THS " 21 I, the Electrical Inspector, hereby if Rougn-in 1 am /?? s1 cert y that the above inspection has been made. Final brace OFFICE USE ONLY O This request void 19 months from PERMIT Cfo Y oOF EAGAN Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: BUILDING Permit Number: 0 3 3 0 2 7 Date Issued: 08/27/98 SITE ADDRESS: P.T.N.: 10-65000-010-00 1581 RUSTIC HILLS DR LOT: 1 BLOCK: RUSTIC HILLS DESCRIPTION: REROOF/STORM DAMAGE Bw. -'fvf§"Permit Type STORM DAMAGE B ild` n ? k Type REPAIR a ensr Code ? 434 ALT. RESIDENTIAL `i v `EN ' 't, REM§: DAMAGE. FEE SUMMARY: CONTRACTOR: OWNER: - Applicant - SAKULNAMARKA SURASIT 1581 RUSTIC HILLS DR EAGAN MN 55121 (651)452-0091 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) U a ?1 CITY OF EAGAN t I 3830 PILOT KNOB RD - 55122 g . t O 681-4675 New Construction Requirements ? 3 registered site surveys • 2 copies of plans (include beam & window sizes; poured fnd, design; eta) • 1 energy calculations ? 3 copies of tree preservation plan if lot platted after 7/1193 required: _Ygs _ No DATE: ?L =EET ION OF V DDRESS : 2 - Remodel/Repair Requirements • 2 copies of plan ? 2 site surveys (exterior additions & decks) ? 1 energy calculations for heated additions viz CONSTRUCTION COST; S O U p _sh r VV\ ?J CA:yy`s? Is-el ? wr LOT: _ I BLOCK: O SUBD./P.I.D. #: ,s-/ Name: SAK-uz-NAMF( leV-A 9UCAs1T Phone#: 4y 2-OOQ PROPERTY Last First OWNER Street Address: 1 5- tQ " Q y S l G Ff /GG S P . City E A G A N State: /11 N Zip: Company: Phone #: CONTRACTOR Street Address: License # City State: Zip: ARCHITECT/ ENGINEER Company: Phone #: Name: Registration #: Street Address: City State: Zip: Sewer 8 water licensed plumber (flew construction only): and lot change is requested 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. , Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received - Yes No Tree Preservation Plan Received Yes - No Penalty applies when address Chang to comply with all applicabl 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 ? 05 SF Misc. ? 10 _-plex WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth ? 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. APPROVALS Planning Building ti 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Engineering Variance Permit Fee Surcharge Plan Review License MCIWS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ % SAC SAC Units -? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT TYPE: BUILDING Permit Number: 024823 Date Issued: 11/07/94 SITE ADDRESS: P.I.N.: 10-65000-010-00 PERMIT C K-53$ 01 1581 RUSTIC HILLS DR LOT: 1 BLOCK: RUSTIC HILLS DESCRIPTION: l-?`_-, (DECK INCLUDED) uilding4._Permit Type SF ADDITION uilding W&.rk Type NEW onstruction T,vDe V-N REMARKS SEPARATE PERMITS ARE REQUIRED FOR ANY ELECTRICAL OR PLUMBING WORK FEE SUMMARY: VALUATION Base Fee Surcharge Total Fee $117.00 $5.00 $122.00 $10,000 CONTRACTOR: OWNER: - Applicant - SAKULNAMAARKA SURASIT 1581 RUSTIC HILLS OR EAGAN MN 55121 (612)726-6766 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statute andGi of Eagan Ordinances. APPLICANTlPEnM E 11 TU -ISSUED B SICNATURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: LOT: 1 BLOCK: APPLICANT: 1581 RUSTIC HILLS DR SAKULNAMAARKA RUSTIC HILLS (612) 726-6766 PERMIT SUBTYPE: TYPE OF WORK: SF ADDITION DESCRIPTION BUILDING 024823 11/07/94 SURASIT NEW (DECK INCLUDED) INSPECTION TYPE FOOTINGS .DATE INSPTR. INSPECTION FRAMING DATE INSPTR. INSULATION FIREPLACE FINAL REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY ELECTRICAL OR PLUMBING WORK F L i4A CITY OF EAGAN '' 1.84 BUILDING PERMIT APPLICATION 681-4675 .$ IUM SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, talcs. COMMERCIAL 2 sets of architectural & structural plans specifications, I 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. n Date Valuation of work Q e??Q ?oY? Site Address: ?s8 ?u'9 C Hi?/ S s a=ah , M N S'YI2 l STREET DUI TE Tenant Name: (commercial only) LOT -L BLOCK Q SUBD. P.I.D. a 00 10- GSOOO -01 j AEI G bl 0- Description of work: The applicant is: 95 Owner ? Contractor ? Other (Describe) Name 5Alcuc AMA(z1cA -S'VRA.91L OTT Pho e 4s2- 0(39/ Property Owner LAST FIRST // '// CM -7Zc, ? ' I ' / v s C_ s i 1 Address _ is 8 STREET E # City State Zip Company 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 his application and state that the information is correct and agree to comply with all icable of Mi nesota Statutes and City of L Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool X03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex 1 ire lace ? ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Addl. 15 Deck ? 20 Public Facility It ? 21 Miscellaneous 40b 61u 7b WORK TYPE £xl s nu4. 31 New ? 33 Alterations ? 35 Tenant Finis h ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft . MWCC System (Allowable)j? 1st F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. f t. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code Census Bldg APPROVALS Census Unit Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site Fo oting Ef Framing 4!J, Insulation ? Wallboard fi nal ? Draintile ? Fireplace Permit Fee valuation: Surcharge Plan Review License MWCC SAC /2 y? /s'Y x 5`Y = fJ, 316 City SAC Z y2 X Water Conn. - ?ZGD Water Meter Acct. Deposit S/W Permit S/W Surchargge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units i SITE PLAN ? ffl? \ X23 / i REAR PROPERTY LINE y MPERrr I LINE truss 4*1 Fget ELV. i Fe t Gara e 212 lu o?G kM? PROPERTY L"- { 4kVt LIME IAT -1 ,+ S reet Addres , .49??? J` /` FRONT PROPERTY INF \ 100 ELV. E I ? ? ?rJ >9S- i r CITY OF EAGAN EXTERIOR ENVELOPE AVERAGE 'U' COMPUTATION OWNER: 9 GRA31T 3ppKVLNAAiA!R: KA SITE ADDRESS: I S 8 1 R. U S'i'1 C 14 144 S D ? . r- A G A N A4 IJ r_t /2 CONTRACTOR: DATE: 11 3 474 PHONE: ?l ?` 2 O A l Determine working square footage of each: 1. Total exposed wall area ., 1300 sq. ft. x .11 = 3 3 2. Total roof/ceiling area ., i z .-5 sq. ft, x .026 = 8 13 1k a?vc?'es 156.£ 6 -4 100X, Total exposed wall area above floor = 3 C,0 a. Total wall window area ....................... ..... 6 b. Total door area .............................. ..... - c. Total sliding glass area ..................... ..... 3 6 d. Total fireplace wall area .................... ..... - e. Total wall framing area (average 10%) ........ ..... 3 O f. Total net wall area above floor .............. ..... ! 6 -04- g. Total rim joist area ......................... ..... 1 3 . 2 -T Total exposed foundation area = - h. Total foundation window area ....................... i. Total net foundation area above grade .............. Determine 'U' value of each wall segment: a-. 6G x tU+ o,2.4 - /?o 56 b. - x ,UI - c. 36 x 'U' 0.2d - 8 64 d. - x 'U' - - e. 30 x 'U' 1 •OR - 2 . 70 _ f. 160.5 x 'U' 0. 043 - ro , 90 g. 31 2S x 'U' o. 041 - / 2 8 h. x 'U' - i, x 'U' - 3 . ........... .............. .. .... .................... Total = 3 6 .09 If item 03 is the same as or less than item 61, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area = 31z .S J. Total skylight area ............................... N?A k. Total roof/ceiling framing area (average 10%) ..... 3I.2 s 1. Total net insulated roof/ceiling area .............. Z 8 f P S OVER Determine OU' value for each roof/ceiling segment: k. 31-2S x ful O.CIS 1 - 0,a7 1. 281• ZS x lug 0. VZ'd _ 6.75 4 . ...................................................... Total 7, 7 Z If total of 04 is the same as or less than 02, you have met the intent of SBC 6006(01. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of Items 03 and 04 shall not be greater than the sum of Items 01 and 02. 1. 33.0 + 2.-- R- 13 - 41.1,3 3. 3 6. 0 8 + 4. 7. 7 2 - -4 3. So 2 crr v OF"°EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: 1581 RUSTIC HILLS OR LOT: 1 BLOCK: RUSTIC HILLS P.T.N.: 10-65000-010-00 DESCRIPTION: REMARKS: PERMIT k- ?11143 PERMIT TYPE: BUILDING Permit Number: 021368 Date Issued: 07/01/93 (14' OCTAGON) B4Aldln'4?_Permit Type DECK ullding t4'ork Type NEW r Be Occupancy", R-3 Building tength-11\ Building Width L,-, 1 Q. i 23 12 On r FEE SUMMARY. Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: OWNER: - Applicant - SAKULNAMARKA SURASIT 1581 RUSTIC HILLS DR EAGAN MN 55121 (612)726-7995 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 o'f_Mn. Statutes and City of Eagan ordinances. 11GNAT I APPLICANT/PERMITEE SIGNATURE SSUED Y: SIGNATUREAQd INSPECTION RECORD CITY OFEAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 021368 Eagan, Minnesota 55123 Date Issued: 07/01/93 (612) 681-4675 SITE ADDRESS: LOT: 1 BLOCK: APPLICANT: 1581 RUSTIC HILLS DR SAKULNANARKA SURASIT RUSTIC HILLS (612) 726-7995 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW DESCRIPTION (14' OCTAGON) INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTING FINAL REACTIVATE - PERMIT # CITY OF EAGAN 1993 BUILDING PERMIT 681-4675 APPLICATION 116•-60 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys,il 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 7 Valuation of work ti Site Address: STREET SUITE Y Tenant Name: (commercial only) LOT BLOCK SUBD. Ri,1571C H)Lt5 Abj? P.I.D. Description of work: The applicant is: `ZOwner ? Contractor ? Other (Describe) Name 3 A" '41" AMA2l? C' ,,A9/, I- Phon 4-f F - °O ?? Property Owner LAST FI ST 7 0 - ?pJ - , - (pro f Address / S 07 / 7 STREET STE M Ci State M rr Zip 2 ty fl M A/R -1 A Company 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 a pplication and state that the information is correct and agree to comply with all applica le tate of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: UFFIGt Ubh UNLT BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1 ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace 15 Deck WORK TYPE 31 New 32 Addition ? 33 Alterations ? 34 Repair ? 35 Tenant Finish ? 36 Move asement-Finish ? 171wim `fool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish 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 Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code t 3 Depth On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED IN SPECTIONS ? Site VS Footi ng ? Framing ? Insulation ? Wallboard 9F Final ? Draintile ? Fireplace,, Permit Fee 00 valustion: $ Surcharge rn 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: 5. 5 0 SAC % SAC Units BUILDING PERMIT ? LATE APPLICATION ,3' ----c e Include 2 sets of plans, 1 site plan W/elevations and 1 set of energy calculations. To be used for 4&ZA?tll Site Addrest / 5-'el fig u,, ht a.?P Valuation knimm L° ,006 Lot Block pp See Sub. rcel Number ?G 615 000 0/v 01 Owner Telephone Address contractor A 1 ?/.t, Address 6 ?{. Arch./Eng. Address Telephone S?0 j? 8?9y Telephone OFFICE USE Erect Alter Repair Enlarge move t>emDlish Grade Occupancy 1 Zoning le Fire Zone .3 Type of Const. # of Stories Front 3 3 Depth SY7 OFFICE USE Date oJ/f?? Approval & initial Assessment f!/J1• ?/®?7 Water/Sewer Police Fire Eng. Planner Council Bldg. Off. A.P.C. FEES Permitg surcharge Plan Check SAC _ r5OCi Plater Conn. 61 SSfi water Meter TOTAL SITE PLAN REAR PROPERTY LINE h PADPER7r j, LINE 1 ' HOUSE Feet M I -Feet ELV. Y? Gara e/2? opu JJ C PROPERTY LINE LOT -i BLOCK 1 j Street ss A ----?=?? Jo I 1 ?\FRONT PROPERTY INF j 100 j ELV. 1 1 n >9S- /s ÷í÷ ï þ ý ü ÿþþ ý üúôüúûû ùýýþþûôû þ÷ç þÿ íúÿôÿ ê ÿ ÿþ÷ ûúùø÷öéú ç õ ø÷öóò ÿ öéú ç Ùúÿÿ ý ý ö î Üú îÿÿ úù ñ ÿüû þ ÿö üèàêå þ êâ ñþ îéèíö îÿåäêãâãââ öù ûú ýéáäêãàãàê Û ú üêã õôôó ÷òñ öö ûýòô ýç ýñ ñ ÿ âó êâíúÿôÿ ñ ôý ÿñóêêþ ý ñóêê èàêåââà ù÷ òý ÿ öö ÿ ï î ÿ ý îö÷ò öö ùû ïñÿ û úÿ ÷ïþ ý ë ÿã öö æ îûý ú ÿÿú÷ûý ú