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1582 Rustic Hills Dr - - - - - - - - - - - - - - - - I For Office Use n ~ ~ r-, j ~ A` I ~ ;I I ; Permit t D ~J City of Ea p f~ U Permit Fee: 3830 Pilot Knob Road AUG 1 4 2009 I Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 Staff:, CT L----------------- 2009 MECHANICAL PERMIT APPLICATION Date::" Site Address: 17 Tenant: Suite RESIDENT / OWNER Name: _z i C- ~J o 6j_ Phone: Address / City / Zip: lC..il!ll.~L CONTRACTOR Name: k (6-1 License Address: ie'n 'e'-) u - 31 City: Wks, State: Zip: SW Phone: 61,r - ? 6V 7Contact Person: 61'e-'t TYPE OF WORK New 1/Replacement Additional Alteration Demolition Description of work: -L&W t-i NOTE: Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement Install Piping Processed Air Conditioner Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank - Install / _ Remove) **When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repel replace urned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. If Permit Fee is > $1,000, surcharge increases by $.50 for each State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTAL FEE 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 dot rmit, but only an application r 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-ofwork iph r~ it a review and ~ryproval of plans. x X A$plicant's rated Name Applicants Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground _ Rough In Air Test -Gas Service Test In=floor Heat -Final Exterior HVAC Screening Inspection ìü íøö þýýüÿûúûúø ÷üüýýøÿúý éýþ íÿ á îí þý ÿþýüû÷õ ß ø ÿýüû ÷ýüû÷õ ß öõßûó ûáÿ ø ÿ øäåÿûü Ú òÿú óûçó ññóòÿ ó þó é æ õõû ææó ý ûéøææ ûæ é øþóè òÿþüõ æóüñó é úêäàêëëéîëéëî ó÷ ÿñ Üÿêäàêéîéíî Üÿäé òñ ðï ûû õ þ íøÿüø÷ îëíÿ á çðöîîä ðöîîí ïîìíããã ñþüõ ñ ñçñ ûû ññæó óûüõñûûþ æð ÿ øüæ å é ûûßó ÿ ÿü ÿ -- - CITY OF EAGAN 3795 Pilot Knob Rood Eagan, MN 55122 N2 5245 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date 19 Site Address Erect ? Occupancy Lot Block Sec/Sub. Alter ? Zoning Parcel ,# Repair ? Fire Zone Enlarge ? Type of Const. 0! Name Move ? # Stories z Address Demolish ? Front ft. I Ci Phone Grade ? Depth ft. Name Approvals Fees ,o u? Address Name _ Address Assessment - Water & Sew. Police Fire Eng. Planner Council Permit Surcharge Plan check SAC Water Conn. Water Meter I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittee A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit # Date lamed Penmktee Plumbing -? , OO /U Q a i-b / Mechanical o - - S?? ?'LOtrt'i - eke- c? 16'),S- 9 ok - INSPECTIONS DATE INSP. Rough-In Final Footings Date Insp. Date Insp. Foundation _ Plumbing Frame/ins. Mechanical Final Remarks: INSPECTION RECORD Control No. CITY OF EAGAN PERMIT TYPE: 01 is ! "'' 3830 Pilot Knob Road Permit Number: 0* 1 t ? ! Eagan, Minnesota 55123 Date issued: 2 y (612) 681-4675 ??( l clearSS SITE ADDRESS: L07 s 12 R L oC x: r 3682 RUSTIC HILLS OR RUSTIC HILLS PERF41T,,?,YPIYPE: APPLICANT: HEAT-H-OLO FIREPLACES (627) 990-R76e TYPE OF WORK: Mew Parma No. Permk Holder Date TWOphone • SNV PLUMBING HVAC ELECTRIC ELECTRIC utspWtton Date Insp. Commems Footings I Foundation Framing Roofing Rough Pbbg- Rough N?g. 3 /S? Isul. Fimplac e Final Htg. Orsm Test Final Plbg. Plbg. Inspector - Notify Plumber Coast. Meter EngrJPlan Bldg. Final Deck Ftg. Deck Final Well Pr. Dlap. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 Mf I I I1 I N1i 0<1I1ti /,!f. SITE ADDRESS:' ` N 10 `'t--000 1 0.00 APPLICANT: i[ 1 I 11 Ei l u f ? i It f I I II I I i 'Ii(. ,i ;t;!Pti i tiPERMIT SUBTYPE: TYPE OF WORK: !tl .t I tt 11ttIJ f+ [' I I' A l lk ' - It 11' A I Ii ( I,•11 11 P I N(y ) Permit No. Permit Holder Date Telephone M ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING (1? S ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Remarks Addition RUSTIC HILLS ADDITION Lot 12 Blk ]p Parcel Owner Street 1582 Rustic Hills Drive State Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. I 91to 1855-41 195-54 1 1484-33 A(110181 _ _ STREET RESTOR. GRADING SAN SEW TRUNK y 24.57 010181 5-15-81 SEWER LATERAL WATERMAIN WATER LATERAL 1.3 1979 170-98 A 70 85.58 010181 5-15-81 WATER AREA 1977 79,55 -1; - -,in i z; 53.05 010181 5-15-81 t water lateral 1980 STORM SEW TRK Q I 1 1979 312.13 31.21 10 21R-50 A010181 5-15-81 f STORM SEW LAT ' service 0 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 75.00 14530 6-1-79 WATER CONN. 270-00 14510 6-1-79 BUILDING PER. #5245 SAC 525.00 6-1-79 PARK ?' ? ?1i070t1 Lye: ;. I:XTERI@RMVELOPE AVERAGE "U" COMPUTATION '-' ' . OWNER • w x 1 SITE ADDRESS CONTRACTOR Kpomj i& OATS L -(Io' PHONE IV Determine working square footage of each. 1. Total exposed wall area ...... ?,t,85- - +-, sq. ft. x __..17 = . 2. Total roof/ceiling area ......_ 1321 • sq. ft. x r05, Total exposed wall area above floor = L120- a'. Total wall window area ......... .......... !-....... b. Total door area ............R .................... c. Total sliding glass door area .................... d: Total fireplace wall area ........................ e. Total wall framing area (average 10X)...:........ f. Total net wall area above floor ................. 9- Total rim joist area ............. .......:........ Total exposed foundation area = 5-TAft. ¦ 0 h. Total foundation window area........ .............. .3 i.Joal net foundation area above grade ............ Determine "U" value of each wall segment. a. 211.32 X UUM b. o X flu„__ c. 44,p X „g,i A971., x 2 2 d. 40 X Lulls _ ??. .'. f. 1r-93.WL X "U" .V ` 11,95 9- 1131 W- X „U„ _ -1Q h. 6.5 X "u" 3 a .... ...............Z?. ?1 .402 .........Total 1 If item 03 is the same as, or less than item #1, you have aunt the intent: of SBC &M(c)2. t 3 •. t ? I? r? r . Total k. Total 1. Total Total exposed roof/ceiling area = 132t.? Total gross roof/ceiling area = 152,1j1h skylight area ........................ roof/ceiling framing area ..?......... net insulated roof/ceiling area....... I T' Determine "U" value for each roof/ceiling segment. j. v x "U" k. 1 X2.13 x "u" .or2' too 1. 11 M , Z5 x "u" , o4z. s Wo4 4 .............. :? :.,.? ........Total = If total of #4 is the same as, or less than f2, you have met the intent of µ SBC GOOfi(c)l. To utilized 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 #1 and 02. 3. + 4, r MATERIALS There* Resistance "a" Uterior Air •1"? - - Siding Material Sheathing • insulatloa ; sheetrock Interior ?ir studs Rim Cone. MA. Aj?Zb i; ?L• 'rJ CITY OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: -- Address: - - Site Address: Plumber: agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: By Date of Insp.: Insp.: Permit Fee: Surcharge: Misc. Charges: Total : Date Paid: WATER SERVICE PERMIT ' CITY OF EAGAN 3795 Pilot Knob Road PERMIT NO.: Eogan, MN 55122 DATE: Zoning: _. No. of Units: j t_3rr er i Cnt3t:. Owner: Address: ` Site Address: Plumber: °^C+a?.'•, - - - 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.: CITY OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road Fagan, MN 55122 PERMIT NO.: DATE: Zoning; Owner: No. of Units: Address: Site Address: Plumber: 1 agree to camPly with the City of Eagan Ordinances. By Dote of Insp.: Connection Charge: Account Deposit: Permit Fee: Surcharge: Misc. Charges: Total: Date Paid: CITY fF EAGAN WATER SERVIC E P ERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: _________ No, of Units: Owner: Address: Site Address: Plumber: Meter No : _ . Size: Connection Charge: Reader No : Account Deposit: . Permit Fee: I agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total; By --- Dote Paid: Date of I nsp.: _ Insp.: CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 53122 MONS: 454-8100 BUILDING PERMIT APPLICATION SF Dwla & Garage t:.t vm,? 70 Site Address 176L 1015L1C ri111S Ur1Ve Lot 12 Block 1 Sec/Sub. Rust1C HI11S M parcel .# 10 65000 120 01 w Name rrcul L-P, .?c.? 3 Address 6490 Ri Herz: eW Terrace o r .., Fridley, r MDT Dr..,..e o Name Sable z? 8? Address r- City Phone w Name r iZ Address 1 hereby acknowledge that I have eod this application and state that the information is correct and ree comply with all applicable State of Minnesota Statuj@s o City\pf Eggan Ordinances. Signature of Permittee - V , cZ A Building Permit is issued to: W ter all work shall be done in actor ?e wi II N2 5245 Receipt # IIS3r-) Erect Occupancy R3 Alter ? Zoning Rl Repair ? Fire Zone 3 Enlarge ? Type of Const. V Move ? # Stories Demolish ? Front 63 ft. Grode ? Depth 35 ft. Approvals Fees Assessment _ Water & Sew. Police Fire Eng. Planner Council Bldg. Off. - APC Permit i07..uu Surcharge 35.00 Plan check 84.75 SAC 525.00 Water Conn. 270.00 Water Meter 60.00 Road Unit 75.00 Total 1,219.25 on the express condition that Statutes and City of Eagan Ordinances. Building Official /- 9082H 2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please wmplete for: single family dwellings & townhomes/condos when permits are required for each unit 5a, 5? CWC'K Sg Date/ d/ /e0' 7 n ?°( Site Address /s ?i? Y-/ ?i/ r V Unit # Property Owner S)IM 4 )r g. G' 1C3c-)IV Telephone # ((p j l) ®y (y?-' ?F ? Contracto / J O r , 4A13 / Street Address 4`h ?j id' (') &Z ??• City State N Zip /0 7 Telephone # Bond#: Expires: The Applicant is Owner ? Contractor Other Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 furnace -Additional Veplacement _ New _ air exchanger A air conditioner _ heat pumpn N other l?IilL10)tle ;?drn !Y?J"rI2.t?-' . State Surcharge 50 $ . Total // , $ U I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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. ? j Ylu N L'ZUk, dC, Applica is Printed Name Applicant' Ignature CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: CRAW BUILDING 026410 09/18/95 SITE ADDRESS: 1582 RUSrIC HILLS DR LOT: 12 BLOCK: RUSTIC HILLS P.I.N.: 10-65000-120-00 DESCRIPTION: ,°""-? (ROOFING) aldinq,°-'lermit Type 'wilding Wct Type n z, ? ?, A€€s SF (MISC.) REPAIR " PC ix { iz REMARKS FEE SUMMARY: VALUATION Base Fee Surcharge Total Fee $87.25 2.00 $89.25 $4,000 CONTRACTOR: - Applicant - ST. LIC. OWNER: GENE'S HOME CARE & REPAIRS 14543402 0002715 ERICKSON R A 2017 FLINT LN 1582 RUSTIC HILLS DR EAGAN MN 55122 EAGAN MN 55123 (612) 454-3402 (612)454-2250 I hereby acknowled€go that S travo read this applieati9n'and Stato that t1,e nform-atipri is Gorroet and agree to comply with all opplieahle State of tin. ! tatutes and 'City of Eagan Ordinan,,ces. CA T/PERMIT SIGNATURE ISSUED BYJ SIGRTUREI INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 026410 Date Issued: 09/18/95 (612) 681-4675 SITEADDRESS:P.I.N.: 10-65000-120-00 APPLICANT: LOT: 12 BLOCK: 1582 RUSTIC HILLS DR GENE'S HOME CARE & REPAIRS RUSTIC HILLS (612) 454-3402 I_ J PERMIT SUBTYPE: TYPE OF WORK: SF (MISC.) REPAIR DESCRIPTION (ROOFING) FiLL410 CITY OF EAGAN3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 881-4675 New Construction Reoutrements Remodel/Reoair Reouirements ? 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 Use preservation plan if lot platted after 7/1/93 required: _Yes No DATE: /F -? 9-:5- CONSTRUCTION COST DESCRIPTION OF WORK: STREET ADDRESS: 1:5-9Q ?US LOT_ BLOCK t/ll - SUBD./P.I.D. #: PROPERTY Name: ?.?/c ?sd ?? ??? Phone #: 2s2/ c2? s? OWNER l T Street Address- FOP City: ?',9?A?? State: W41 Zip: s:LtLZ CONTRACTOR ,,ll Company: ??s f7?/ G•;'F r F?Pe? Phone #: Street Address: dlJl /?,yT <?? License #: City: ?••??.? State: ,y / Zip, ARCHITECTI Company: Phone # ENGINEER Name: Registration #, Street Address- City: State: Zip: Sewer 8 water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. hereby acknowledge that I have read this application and state that the information is come n agree to comply with all applicable 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 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 APPROVALS Planning ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition f.. r 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous _ Basement sq. ft. MCNVS System _ Main level sq. ft. City Water _ sq. ft. Fire Sprinklered _ sq. ft. PRV _ sq. ft. Booster Pump _ sq. ft. Census Code. _ Footprint sq. ft. SAC Code Census Bldg Census Unit Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SAN Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ % SAC SAC Units X %CIT* OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE Permit Number: Date Issued: 1582 RUSTIC HILLS OR LOT: 12 BLOCK: 0 RUSTIC HILLS BUILDING 001171 07/29/92 DESCRIPTION: uildi'!ng Permit Type FIREPLACE BuildingiWork Type NEW ?ti t by 5 '? ra 71 REMARKS: e p FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: - Applicant - ST. LICOWNER: HEAT-N-GLO FIREPLACES 18900758 0002960 ERICKSON SANDY 3850 W HWY 13 1582 RUSTIC HILLS DR BURNSVILLE NN 55337 EAGAN NN (612) 890-0758 (612)454-2250 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. L_ - t?t APPLICANT/PERMITEE SIGNATURE ISSUED BY. IGNATURrn?1 E?? Control No. 0877 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: 1582 RUSTIC RUSTIC HILLS PERMIT SUBTYPE: FIREPLACE INSPECTION RECORD Control N 0877 PERMIT TYPE: BUILDING Permit Number: 001171 Date Issued: 07/29/92 LOT: 12 BLOCK: 0 APPLICANT: HILLS DR HEAT-N-GLO FIREPLACES (612) 890-0758 TYPE OF WORK: NEW PERMIT REAL f IVATE fill CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, I copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re guest is made or lot change is requested once permit is issued. Date / 7'I / 9Z1 Valuation of work $ 1110Z,OD Site Address:_ STREET SUITE iR Tenant Name: (commercial only) LOT BLOCK _0 - 1 SUBD. ? ? J t es? U P.I.D. N Description of work: The applicant is: ? Owner Contractor. ? Other (Describe) Name -5 Phone 4511- 2 Z 5-0 Property LIST FIRST Owner Address (5S3Z ?(ni.t? l pie' STREET STE City State zip 1 Company ?? D UzG G(? Phone VW-Z21sr' Contractor Addres s 3850 ?ll. ???ic? 13 License # Zq(16 Exp.- / ? city State 1?1 1711 zip 77 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 ith all applicable State of Minnesota Statutes and City of ? Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? Site ? Wallboard Basement sq. ft. 1st F1. sq. ft. 2nd Fl. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance ? Footing ? Final U ? 16 Basement Finish u 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRY Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments ? Framing ? Insulation ? Draintile ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: vatmtim: $ SAC % SAC Units BUILDING PERMIT APPLICATION Zoning Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy caicuations. M To be used for A Valuation 7®0 doO Site Address: ?d t?uZGc 1 C?? ?, Lot Block Sec./Sub. Parcel Vumber 'IQ 6S-dD4 /.2 O D? / 0z 1 /uvl Al? a Owner Telephone Address <? y(J1iJ Cl 2/z!P/?/?/X Contractor Telephone Address Arch/Eng. Telephone Address OFFICE USE ONLY Erect Occupancy I-r-3 Alter Repair Enlarge Move Demolish Grade Date of Approval a Initial J Assessment) " 617 Water/Sewer Police ,? Fire _ Engineer Fire Zone Type of Const. A of Stories Front Depth l ? DATE 3 - > v Fees Permit Surcharge Plan Check. SAC Sots Water Connection 0-0 Planner Water Meter_ yfvb Council 7s' Bldg. Off. A.P.C. Ia ----TOTAL ?- - - I _ - / Y7le2.O?! `n EGAN, FIELD NOWAK SURVEV®RS _7 _=• ?` 7415 WAVZATA 6LV6 WMINNEAPOLIS, MINNESOTA - ?i Ie No.lml< /2/ e Cities Digital Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. T14di 'r r. 7,v i It?.J R, .IA.:. II'. AI. lvY'4( It.Yj !. v akK:# tM(*+nfi i:'k,\ ! :^ ?Pn1t t'?'M>y?;(Ylk.tl'7'6 YR.. ' - Vo 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) l CITY OF EAGAN S / Z 3830 PILOT KNOB RD - 55122 651.681.4675 New Confituetion Requirements Remodel/ReDaIr Requirements 3 registered site surveys showing sq. ti. of lot, sq. ti. of house 2 copies of plan and gf roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additions D 2 copies of plans (show beam L window sizes; poured Ind. design; etc.) 1 site survey for exterior additions L decks D 1 set of energy calculations 3 copies of tee preservation plan R lot platted after 7/1/93 DATE: ?? ?? ' r c7 CONSTRUCTION COST: i J `- L DESCRIPTION OF WORK: S ?ASo ?o ?111'11S STREET ADDRESS: ?y S T1 (' LOT: 12- BLOCK: U SUBD./P.I.D. #: ?J S T/ L ?{/ 1IS AWA6 Name: Phone #: PROPERTY Last First OWNER Street Address /?? Z ?? u s 7-/ City L? A.J State: Zip: Company: A/9/t- ? .J e, e "4 /'j y y Phone #: 2 (area code) CONTRACTOR _? ? y 3?3//,Zoao Street Address: 7 License # ;2 0I468 2- city State: Zip: ARCHITECT/ ENGINEER Company; Name: Telephone #: area code ( ) Street Address: Registration #: City State: Zip: Sewer L water licensed plumber (required for new construction onlvl: Penalty applies when address change and lot change is requested once permit is Issued. r I hereby acknowledge that I hdve read this application, state that the Information Is correct, and agree to co ply with a0 applicabl State of Minnesota Statutes and City of Eagan Ordinances. ; ?// ?"/n 7 Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No hl(lV Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE s Y ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE 31 New " ? 35 Tenant Impr ? 39 Gas Line On ly ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof Give PCA handout to applicant for demo lition permit GENERAL INFORMATION Const. (Actual) ? Basement sq. ft. Census Code ) (Allowable) V W Main level sq. ft. SAC Code UBC Occupancy JL3 -12 sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length I q i sq. ft. City Water Width I Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: Valuation: $ OLqo IS xis ?5-q =1 y;q0 i T ' r SAC Units % SAC MINNESOTA 1-2 Family Residential Building EXTERIOR ENVELOPE U-VALUES WORKSHEET Applicant Name: Phone AnooIL 4') (e EG- 7`e /4,v o/v 9 Y 6 /2-S-lrP-9920 1 Date 0/o/5;4 Statement of Compliance: Applicant Address: -? 33p J?/Q 0 N _ -eh T?j¢/ The proposed building design represented in these documents is consistent with the CLAN hgrye, , /tea ? 1 ? buildine plans. specifications, and other calculations submitted with the permit Building Address?:y h / r1' ?C ., application. The proposed building has been designed to meet the requirements of the Minnesota Energy ode. Apolicant/Engineer Assembly - Ceiling/Roof Area (Sq Ft) U-Value U-Value x Area Ceiling/Roof (Total Framing and Insulation Area) 2 Ceiling/Roof (Total Framing and Insulation Area) Skylights Other Totals C 5? 2 ® ?^. Z Average U-Value: OO , 0 L 1 ' _ t0 S?Z ® p ,? /D ®= O x a0 = Required U-Value from Energy Code: 'a@ 0,026. 6,^Se Assembly -Exposed Wall Area (Sq Ft) U-Value '. U-Value x Area Wall (Stud and Insulated Cavity) 0 k/ Wall (Stud and Insulated Cavity) Fireplace Wall Rim Joist Windows- /00•r?3'? .28 28.0 Doors Above Grade Foundation Wall Foundation Windows Other l=/d- a %. 210 Totals m Average U-Value: O ' /D0 : - ® fi _ ® 1 *0 ®= ®x ® _ Required U-Value from Energy Code: ®0.110 b 0 .'Fy TRADE-OFF PROCEDURE: If ® is greater than 40, or ® is greater than ®, revise the design as necessary to meet envelope criteria of the Energy Code. If the total of ® +®G 1. I is less than or equal to the total of ® + then the design meets Energy Code. I Wood frame, metal frame, masonry U-Values are found on the WaII U-Values Tables. Calculation equations arc on pp.I 1-15 of the code. +a•p.16 a. we wuluuw ,rtua ac ucterminca oy me Nanonai renestrauon Kating Council Standard 10091 or ASHRAE 1993 Handbook of Fundamentals, Chapter 27, Table 5. This is a summary only. Other requirements may apply. See the Minnesota energy Code. 2/5/96 Questions? Call Department of Public Service Information Center at 612/296-5175 or 1-8001657-3710. 0 . i tt' s 7 I i ii - +lV-3I ?[ ................. • MARQUEE • TECHNOLOGY • • • • • • • • • • • • • • • • • HOME THEATER INSTALLATION • REMODELING AUDIO-VISUAL SYSTEMS • SECURITY SYSTEMS BOB HAAK 612.518.9920 Cell 7338 FRONTIER TRAIL • CHANHASSEN, MN S5317 - 612.934.8792 MN LICENSE 0 CCO0995 @ A 20185882 • BONDED • INSURED I i ? ,r S t IN NS t r:. ' "`` ? /O' UT/UTYI p?pq/NRbE ussAt&vr a R-110.00 , t-s.s1, 62.Zo r 1 t- -I ? I e I i W I 1 ? n I 1 SCALE. /"=SD' o I I m l 2 N Iq w a iRCw 92.10 -°y?RON /olulrl= Naa:aw `f GE?CR/PT/ON: L07- /2, &&K RUSTIC HILLS A0017110N ile No-1441< /2/ Book No. by EGAN, FIELD & Io OWAK' Ne hereby certify that this is a true and correct representation of a survey of the boundaries of the land above described and of the location of all building; if any, thereon, and all visible encroachments, if any, from or on said land. )ated this 7th day of Auoust , 1978. EGA r*E '0 NOW AK,IMr- b eyor , SURVEVORS.? TITS WAYZATA 6W0 E MINNEAPOLIS, MINNESOTA EStA?. 1!)7 N CERTIFICATE OF SURVEY ,m trasT GUARANTY - CORP. IRON PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA159318 Date Issued:12/10/2019 Permit Category:ePermit Site Address: 1582 Rustic Hills Dr Lot:12 Block: 0 Addition: Rustic Hills PID:10-65000-00-120 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Robert A Erickson 1582 Rustic Hills Dr Eagan MN 55121 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature