2100 Cedar Grove Tr_n./?' SR67141 ?,t8ss: 0
?--i? (??`1 "? S'o L.?' A P G 1is-l t7o• ?fz
2004 RESIDENTIAL BUILDING PERMIT APPLICATION?r?
' City Of Eagan ?
3830 Pilot Knob Road, Eagan MN 55122 s() ? ,(? 9
Telephone # 651-675-5675 FAX # 651-675-5694
New Constmctian Reauirements RemodeUReoair ReauiremenGS Office Use Onlv r r? ?
3 registared site surveys showing sq, ft. of lot, sq. ft. of house; and all mofed areas 2 copies of plan CeRof Survey Recd _ N
(20% maximum lot coverage allawed) 1 sef of Eneryy Calculalions Por heated addNons Tree Pres Plan Recd =?
2 cropies af plan showing beam & wintlow s¢es; poured found desigq etc. t site survey for additions & decks TreePres Requlred
lsetofEnergyCalwlations Adddion - ind?ceteif onsdesepficsystem On-steSepticSyatem
3 coples of Tree Preservation Plan'rf lot platted after7/1193. ?+ a CU n v, a S?v J??.?
Rim Joisl Defail Opfions seledion sheet (61dgs with 3 or less units r O'?
Date ? / _t?_ / ? --v u e-e-_'- yNf-eS ? i-?s
ost ??'qQU
Construetion C
Site Address /
L/ ( o\'_ UniUSte #
Gt
Description of Work
Multi-Famity Bldg x Y_ N Fireplace(s) _ 0 y 1 _ 2
Prapecty Owner Telephone # ,low?j)
f irr
Contractor
Address 4149 lN??,/A? CiTy
State 'I
Zip Telephane # (00/42
Lx-u?-e_A_. lr\'o...d 'j Cr?._L cs
'Y\ U i J' i
COMPLET?IS AREA ONLY IF C NSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Cetegoty . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
.(J submission rype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a simiiar plan? _ Y ix N If so, 25% plan review
fee applies.
Licensed Piumber 6^z' - VyAw
Mechanical Contractor ll'DMt - pq#4
Sewer/WoterContractor
Telephone # ?j) 7 ?
Telephone #(k? 891L '//?
ocr 13 cuu4
I hereby apply for a Residential Building Permit and acknowledge the information i
that the work wil] be in conformance with the ordinances and cod of the City of Eag
Statutes; I understand this is not a permit, but only an application f y ,
permit; that the work will be in accordance with the approved plan in the case of wark which
approVal ofp ns. /..-
?
r
Apphcant's Printed Name e!! s :Y' atur
?,Sf -l`1`?,
?
3fiiplete and accurate;
and the State of MN
not to start without a
reauires a review and
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
.T 03 01 of `f plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.)
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_ nl ? 25 Miscellaneous
Work Types
M' 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46
? 34 Replacement •Demolition (EMire Bldg) - Give PGA handout to applican[
.,
? 30 Accessory Bldg
[3 31 Eut. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
Siding
Fire Repair
WindowslDoors
Valuation 97? Occupancy P'3 MCESSystem
Census Code Zoning P D City Water
SAC Units 1 Stories "t Booster Pump
# of UnAs Sq. Ft. 96]q PRV
# of Bldgs I Lengih 38` Fire Sprinklered
Type of Const V 3 Width
? REQUIIiED INSPECTIONS
?/ Footings (new bldg) ? FinaUC.O.
? Footings (deck) FinaUNo C.O.
Foo6ngs (addiuon) Plumbing
? Foundation ? HVAC
? Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
? FrazTiing Siding Brick
Stucco
Stone
? Fireplace ?R.I. ?AirTest ?Final _
Windows _
_
? Insulation _ Retaining Wall
Approved By: L-- , Building Inspector
Base Fee Lawer " 1
Surcharge i? lk tiN-Nnisl,ar(
PlanReview MAINFIDOf Finisked
MC/ES SAC LLr Flwr
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
c189 ,c 25 12,225-
µL Is 11190
948 sy sl,ta'L
498 5'} 241892
414 _ b,b2
qi , W
?, .. ? ?.
m
m
c
m
t
U
?
02 Q
'0? o
"z ? ?
n 1Id" ? ?
.B? ?
,? 0 ?
? ?
? ?
?
?' ? ?
? )r
PROPERTYLEGAL:
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
S
DATE OF SURVEY:
LATEST REVISION:
DOCUMENT STANDARDS
• Registered Land Surveyor signature and company
• Building Permit Applicant
• Legal description
• Address
• North arcow and scale
• House type (rambler, walkout, split w/o, split entry, lookout, etc.)
• Directional drainage arrows with slope/gradient %
• Proposed/existing sewer and water services & invert elevation
• Street name
• Driveway (grade 8 width - in W W and back of curb, 22' max.)
• Lot Sguare Footage
• Lot Coverage
ELEVATIONS
ei ? 'g ?? o
'z 0 ?
,B' ? ?
o'z o
Ew'stina
• Sewerservice(orProposedLf?,.e-4pQ/InVy.}Sa,,e,??;1?(eS???o?<,
• Property comers
• Top of curb at the driveway and properry line extensions
• Elevations of any existing adjacent homes
• Adequate fooUng depth of sGuctures due to adjacent utility trenches
• Watenvays (pond, stream, etc.)
Prooosed
.9 o ? • Garege floor
? Q .0 • Basement floor
' $ ? ,3 • Lowest exposed elevation (walkouUwindow)
Z )( • Property comers
11 X • Front and rear of home at the foundation.- )2l; Fy 2I[?c0'M1 - /pa'-f d4•?'?'p,-Q„?X Crw?i Cr?4 ? ?GN
PONDING AREA (if aoolicable)
? 8 0 • Easement line
? 0 D • NWL
? ,H 0 • HWL
? ? ? • Pond # designation
? ,d ? • Emergency Overtlow Elevation
? ? ? • PondlWetland buffer delineation
DIMENSIONS
y1 ? ? • Lot lines/Bearings & dimensions
-Z ?? • Right-of-way and street width (to 6ack of curh)
??? • Proposed home dimensions inciuding any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring pertnanent footings) 5HoW XOTf jR0/9 PLH'?' y}A?11JG' 'DRA1,?Ip('jE
d'
x ? ? • Show all easements of record and an City utiliUes within those easements pta?t???R?'y EpsEMFat oJER p1y ? pk{L? A.
? 0 • Setbacks of proposed structure an?i yaM setback of adjacent existing sVpu?L?u?e'SE4 C?? p' SNo?,j Tp/S on? q«
,g a? • Retaining wall requirements, if an? Fk7aR£c?C7?F?CpY?s y?qSE
Reviewed:
Name Date
G:/FORMSBuilding Permit Application Rev. 12-16-03
Surveyor's Certificate
SURVEY FOR :Lennor f,.-
DESCRIBED AS :Lot5 1,2,3, and 4, 81ock 1, NICOt'S RIDGE, City of Eagan, Dakota County,
Minnesota and reserving eoseiiients yaf''record.
Se?eto?? ??
Cr,D
r
66
9°
Gp, 4
11o1°
P j,
-?o°n
'? 7
Q °r
?J
?
d ?
m ?
`c?
.
??;:??
824.0
f
--?yr- a
CP ?
824.4 9^
`%.'co !
.
lb =o3D A p? ? a
82$.?
\ c oo Og`
NOO' ?d
?? ? m • ?
00° °.> .? >
826.4
10 o c+??\ o•op Oe° O i
6_ t?ysoo ?
? o
O ?
c'O GotO?e a D q ? O°?,?
Be?? `?J ?`y? $ S@ ?
?• 0' N6y?P6 , / ryc
?•r?/
oo"V 824.8
660l,
?
?
Proposed
Home
?t Tob=
?
m
PROPOSED ELEVATIONS ,
1 ,j
\
,?
,......
BENCHMARK
E? D. ?'?NO '%
2 3 4
,
Top of Foundation =
823.8 ,
,
.
,
? .G
2 .
824.8 825.8 8
6.8.=?? TTfH6Ge arva e r. edar Grove Prkwy
Garage Floor = 820.6 821.6 822.6 823:6? EGISTERED :2 =EI=821.26
Bosement Floor = 820.3 821.3 822.3 8233*;
R
Aprox. Sewer Service =
810.4 VEYOR
U
811.9 813.3 876:3
Proposed Elev. _
? N;• MIN. SETBACK REQUIREMENTS
1a376
Existing Elev. ,
?o\.'
g
Drainage Directions ,??MINN,oFront- House Side -
Denotes Oftset Stake = . Rear - Garage Side-
SCALE: 1 inch = 30 faet
JOB NO:
I HEREBY CERTIFY THAT THIS IS A iRUE AND CORRECT ftEPRESENTATION 04R-472
HEDLU/V D OF iHE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SUftVEYED
BY ME OR UNDER MY DIRECT SUPERVISION ANO DOES NOT PURPORT TO BODK: PA6E
PLANN/NG 6NG/N66RlNG S1Z1?V6Y7NG SHOW IMPROVEMEN75 OR ENCROACHMENIS, E%CEPT AS OWN.
2005 Pin Oak Drive
Eagan, MN 55122 DATE ?_L A CAD FILE:
Phone: (657) 405-6600 J EY . LINDGREN, LAND RVEYOR NiClos Ridge
Fax: (651) 405-6606 NESOTA LICENSE NUHIBER 14376
' 2004 RESLiIENTIAL BUII.DING PERMIT APPLICATION
City Of Eagan ?? ?O? ?'nO
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construdion Reauiremenis
3 registered siie surveys showing sq, ft. of lot, sq. ft. of house; and all roofed areas
(20% mazimum lot cove2ge allowed)
2 copies of plan showiny beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted afier 7!1/93
Rim Joist Detail Options selection sheet (bldgs wilh 3 or Iess unils ?
? Mimmesota Rules 7670 Categorv 1
Energy Code Category , Residential Ventilation Category 1 Worksheet
(J submission lype) Submitted
• Energy Envelope Calculations Submitted
RemodeVReoair Reauiremenls
2 copies of plan
1 sel of Energy Calalafions for heated adrlitions
1 site survey for addilions & decks
Addifion - iridicate if on-sife sepfic system
e.?2:E"
17 / (C / V4
D
t nCost`ff 'r? o 6, 9oa
ti
t
C
a
e
?
Ce 6a ruc
ons
o
11 U
#
i
lS
r
'
SiteAddress n
t
te
'Nc
'C'A-seA -"
?'?Lj `7c-
C
'
Description of Work -
-
`^
Multi-Family Bldg Y _ N Fireplace(s} _ 0C, _ 2
_.. r?? .
.
Property Owner ^ `
Telephone #(
-
? '
E- vi Vl ct ?
Contractor
Address TLl 5 ?? J e-k 'F?r l"j' City
State Zip SS 3`i t Telephone #(`1`5z )`a6 (' !235-
%'I I -I /o ?{ '`(N-vX-4 L'2.?cA
COMPLETE TFjM AREA ONLY IF
Have you,preYipusly constructed a building in Eagan with a similar plan2
fee applie{,?
. . ( .. ?; p ?'.. . ?JJ 'IYN •
4{XSS o 9
D. S-0
y` 6 •6R1
Sa-01
61116Use 6?u /
CerEafSurney:Recd ?x ?N
Il2@Pre4$I.s.A.RECd _Y _t?;
TreC,F'resRequ¢ed „,::?' „rN
DtFSde3epXc?ystem _Y _fJ.
.? vv.it? ? Co?l.c j
A NEW BUILDING oj?9
L-e
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted ,
57. plan review
Y Z If so.'?
Licensecl Rluhib?s-4r,s;:?«?.. Telephone #(W
1 .-. w'a?+ '•tir;:.I' " U:?:'?
?ech9nicyluContractbr ' ?+,-•?' ?
. •a
Telephone
(? S/- Co 3_ //Y?/
1`
Telephone ? ? 0 L5 a ?
I hereby apply for a Residential Building Permit and acknowledge that the info mation is can accurate;
that the work will be in conformance with the ordinances and codes of the Ci ? e of MN
Statutes; I understand this is not a pernut, 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
approv 1 of plans.
icant's Printed Name
Ap icant's Signature
OFFTCE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
0 02 e
lling
SF Dw ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
19' 03 .
`
'01 of 7plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo)
? 05 03-plex ? '11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous
Work Types
e 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
4m .
? 30 Accessory 81dg
? 31 Ext. Alt - Multi
? 33 ExF. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entlre 81dg) - Give PCA handout to applicant
Valuation R?, G?.r 7 3 Occupancy -?3
Census Code /Oa-- Zaning
SAC Units ? Stories t
# of Units Sq. Ft. 9?g
# of Bldgs ? Length 38' /
Type of Const I?b Width e!+ ?
? Footings (new bldg)
_ Footings (deck)
Footings (addition)
? Foundation
? Drain Tile
Roof Ice & Water Final
? Framuig
.?/ Fireplace ?R.I. ?Air Test ?Final
? Insulation
MCES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIItED,INSPECTIONS
? FinallC.O.
FinaUNo C.O.
_ Plumbing
_ HVAC
Other '
Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
Windows
_ Retaining Wall
Approved By: Wk2 LexC4t _, Building inspector
Base Fee
Surcharge
Pian Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Suroharge
Treatment Plant
License Search
Copies
Other
Total
La+xr ?,eoel ?;e1i5?+ea
?? ?? a„aMtl•!M?
MAiM ?? 'fl'.oslel
.1 r.
wGe
25 IZ14S0
4'?8 15
5?,192
s?i
y98 sy '2401892
?4 ?Zy
q1??73
• ^a
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUlLDING PERMIT APPLICATION
PROPERTYLEGAL:
7„04S
DATE OF SURVEY:
m
?
c
m
t
U
02 Q
'0' ? ?
"2 ? o
o ?
? X?
0
? O
o
°
? 0
? ? ?
.B? 0
,E` ? ?
LATEST REVISION:
DOCUMENT STANDARDS
• Registered Land Surveyor signature and company
• Building Permit Applicant
• Legal description
• Address
• North arrow and scale
• House type (rambler, walkout, split w/o, split entry, lookout, etc.)
• Directional drainage arrows with slopelgradient °/,
• Proposedlexisting sewer and water services & invert elevation
• Street name
• Driveway (grade & widih - in RNJ and back of curb, 22' max.)
• Lot Sguare Footage
• Lot Coverage
ELEVATIONS
s6K
? ;PJ ?
'W ? ?
,0' ? 0
O fd' ?
Ew'stina
• Sewerservice(orProposed),2T ec4t,a,/jh,/44s0,re
• Propertycomers
• Top of curb at the driveway and property line extensions
• Elevations of any exisBng adjacent homes
• Adequate footing depth of sVUClures due to adjacent utility trenches
• Waterways (pond, stream, etc.)
Prooosed
? ? • Garage floor
Q ? • Basement floor
$ ? ,0 • Lowest exposed elevation (walkouUwindow)
???"?? ?' ?( • Property wmers
?yv? ? yf • Front and rear of home at the foundation-112l; F`1 p(,'cp"o<.,cc ,. 1
PONDING AREA f'rf auolicablel
? .H 0 • Easement line
? .ef 0 . NWL
? ? ? • HWL
? .2( ? • Pond # designation
? ? ? • Emergency Overflow Elevation
? ? • PondNVetlandbufferdelineation
,Z ? ? • Lot IineslBearings & dimensions
-Z ?? • Right-of-way and street width (to back of curb)
'ff 00 • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings) ^80ti A,mE GnoA Pt.qT stA?!?G ??DRai?,'AGE
d'
i??jd' ? Jd • Show all easements of record and anKCity utiiities within those easements iLnY ENSEMFNT o?ER piz ? ak.?? A'
???ure EL 09? A ' SHo4j Tp1S o,v q L4
00 • Setbacks of ProP ? osed strucYure an A
sid Ya?d setback of ad1acent existin9 stru; ?
? FL?7wRECE????GpY?s P?ESE
?Pl ?? • Retaining wall requirements, if an7/ >
? ?J
Reviewed: ? / p7
Name Date
G:/FORMS/Building Pertnit Application Rev. 12-16-03
, : ^.
Surveyor's Certificate
SURVEY FOR :Lennar
DESCRIBED AS :Lots 1,2,3, and 4, Block 1, NICOL'S RIDGE, City of Eagan, Dakota County,
Minnesota ?nd reserving easePrients af'`record.
S? ???
cr,? ?
C0
EENCE
o az,. ?? . 524.0
66. oo r
?,?g F- ? °o , oa
i q t 'J 'S'1'? Jn`4;Q?o
.F. /\ 111 p
G??OIP
10?
c?
?
?
IuU
?
o? .
' dJ
m 0
PROPOSED ELEVATIONS
1
Top of Foundation = 823.8
Garage Floor = 820.6
Basement Floor = 820.3
Aprox. Sewer Service = 610.4
Proposed Elev. = 0
Existing Elev. _
Drainage Directions = -
Denates Offset Stake = •
'Pa 't
? a
0
w
µ
O°?oo O
,o
0- ?
4
?4 0? 0
v 6 p i J?
?s ?y sP
'7 9p
? 826.4
Q00
n o?eo
??O ? a
,4°
% S
0.0
?
a? ti'n y P ? ? •
o y?o ??yC
?p9o s ' m 'o
?•?/
?? 824.8
66 OP
?
Proposed 11
acM.*'"??
sr
+ Home
?
t Tob= CQ30.7?-
1
?y ?
Z 3 . BENCHMARK,
,
824.8 825.8 826.Sr; ;
°;:'' TN,F?,?Ce arva-d& ?edor Grove Prkwy
821.6 822.6 823.6 L-Csf:?ri=?3f=?• °•," Ei=82t.26
821.3 822.3 823;3„ !-VD _
811.9 813.3 816.3
=..:r ?'•, ?,i{;g - ` MIN. SETBACK REQUIREMENTS
?c• ? Front- House Side -
Rear - Garage 5ide-
SCALE: 1 inch - 30feet
JOB N0:
HEDL?/AVD I HEREBY CERTIF`! THAT THIS IS A TRUE AND CORRECT REPRESENTATION 04R-472
OF THE BOUNDAftIES OF THE ABOV'E DESCRIBED PROPERN AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PACE:
PLANNlNG 6NGlN6A'RlNC SURP6YINC SHOW IMPROVEMENTS OR ENCROACHA?ENTS, E%CEPi AS OWN.
2005 Pin Dak Drive /?/J • :
Eogan, MN 55122 DAlE ?/1/(/? • CAD FILE:
Phone: (651) 405-6600 J EY . LINDGREN. LAND RVEYDR Niclos Ridge
Fax: (651) 405-6606 NESOTA LICENSE NUMBER 14376
? ?
G
o,
.
7
az4.4 ?? ?m
J
l ??`,?1
G
??. o?? 'b
p O %y ?
?. ?i
?r ??P
(n (? 'I n?,
9
?
f q N
?
J' \ DN O
y
'+ \ ?. &P 6-7i49 4?yss, o y
A P G 7 is`3 96• Sa
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
i°
7l 5-7
( qo. j
City Of Eagan p O
3830 Pilot Knob Road, Eagan MN 55122 16, o
Telephone # 651-675-5675 FAX # 651-675-5694
NewConsWctionReauirements RemodallReoairReauirements OfiiceUSe nl /
3 registared site surveys showing sq, ft. of lot, sq. R. of house; and all roofed areas 2 copies of plan CeR of Surve/ Recd N
(20%maximum bt croveraga allowed) 1 set oi Energy Calculations for healed additians Tree Pres Ple.n Recd _Y _ N.
2 copies of plan showing beam 8 window sizes; poured found desgn, etc. 1 sNe survey for additions 8 decks Tree P2s Requlred _ Y_ N
lsetofEnergyCalculaGons AddAion-indicatei(onsitesepGcsystem OnsdeSeptF:Syslem _Y_ N
3 copies oi Tree Preservation Plan if lot plafled after 711193
Rim Joist Delail Options seleIXbn sheet (bldgs with 3 or less units
Date 2/ f0 l 0y ?/O (( Construction Cost ??O( 7G9 O
SiteAddress Unit/Ste
M
Description af Work
Multi-Family Bidg x Y_ N Fireplace(s) _ 0 ?1< 1 _ 2
Property Owner Telephone # 615z)
Contractor Ul?,NNAd(1.-
Address G71?S ?o>4f City W
?l pCfikr
State ?N I
Zip Telephone # (CiS1 yW - 2A SS
1? I i--?1d ?-_?^^
COMPLETE THIS AREA ONLY IF CONS7*UCTING A NEW BUILDI
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted ? Subirlftled • Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y ?:dys: if ,s6;;2$% plan review
fee applies.
LicensedPlumber6TWzr!?=7ptN Telephone#S?j) /-f ZZJ"II q q
Mechanical Contractor GV'kL Z- el:?Q AJJ Telephone #{.p5b q -(, L40
Sewer/Water Contractor ?? lZlA/aN Telephone ? ) ['? ?
I hereby apply for a Residential Building Permit and acknowledge that the info a ion is compl ccurate;
that the work will be in conformance with the ordinances and codes of the Cit g?f EaQa ±h ?*?* of MN
Statutes; I understand this is not a permit, but only an application for a permit, an 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.
?4`; h?Un7 !?I tzkBH.-
Applicant's Printed Name A Ys ignature ,
r ?
Sub Types
OFFICE USE ONLY
? 01 Foundation ? 07 OS-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
lff' 03 01 of I pleac ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea. ) ? 33 Ect. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
Er 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolition (Entire Bldg) -Give PCA handout to applicant
Valuation 94,291 Occupancy R-3 MCES System
Census Code ! aa- Zoning ?D City Water
SAC Units ? Stories Booster Pump
# of Units ?°f Sq. Ft. QD'? PRV
# of Bldgs I Length 3g ` Fire Sprinklered
Type of Const V3 Width
? Footings (new bldg)
_ Footings(deck)
Footings(addition)
? Foundation
? Drain Tile
Roof Ice & Water Final
? Framing
? Fireplace ? R.I. ?r?ir Test ?inal
? Insulation
REQUIl2ED,INSPECTIONS
./ F1naUC.O.
FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Approved By: X6 LlHLG , Building Inspector
Base Fee (_
Surcharge
Plan Review ?v1a?N Floo.
MC/ES SAC l.l?r Fla?f
City SAC GRrAGe
Utility Connection Charge
S&W Pertnit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
R,a: (d 498 w
25-
UuFipiSN? 3'1 IS
Fin?sl.ed qOl 94
? • 'FSS ?I
'+?? ?b
! 4*
m
?
c
m
L
U
*0
OZ Q
'H' ? ?
? ? ?
? O
? R(
D?' 0 ?
?
? Jd'
?°
? 0
"
? ?
.B- ? ?
? 0 ?
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTYLEGAL: ,,(?tSt 2,3 £4,'81?c.k I lU1C?OfS
DATE OF SURVEY: ?
LATEST REVISION: III
DOCUMENT STANDARDS
• Registered Land Surveyor signature and company
• Building Permit Applicant
• Legal description
• Address
• North artow and scale
• House type (rambier, walkout, split w/o, split entry, lookout, etc.)
• Directional drainage arrows with slope/gradient %
• Proposed/existing sewer and water services & invert elevation
• SVeet name
• Driveway (grade & width - in R/W and back of curb, 22' maz.)
• Lot Sguare Footage
• Lot Coverage
ELEVATIONS
..? ? ,ef
? ;8 0
? ? ?
,? ? ?
?
eX?_ 'stina
• Sewer service (or ProposedZ e??? A V4,,¢s a,e ? a,?,?;??(??? ?g?,.??p6Se? eler?q,t,'? c,
• Property comers
• Top of cur6 at the driveway and pmperty iine extensions
• Elevations of any existing adjacent homes
• Adequate footing depth of structures due to adjacent utility trenches
• Watenvays (pond, stream, etc.)
Prooosed
.? ? ? • Garage floor
Q y1 • Basement floor
H ? ? • Lowest exposed elevation (walkouUwindow)
v?"?? ,E • Property comers
qw0 ?? • Front and rear of home at the foundation- JPI; Fy 04w7'"S -/Op'-r a(,'p',-,? 4-
ra+" E'ren? rn
(xc,y
PONDING AREA (if applicable)
0 Pf ? • Easement line
? .PJ ? • NWL
0 ,B ? • HWL
? 2( ? • Pond # designation
? ,? ? • Emergency Overflow Elevation
? ? ? • Pond/Wetland buffer delineation
DIMENSIONS
,0 0 ? • Lot iines/Bearings & dimensions
,Z 0? . Right-of-way and street width (to back of curb)
??? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requi(ng permanent footings) °rbw A+arf G)zoA P[.qT sfp77?IG ?"DRAI,vn66
W?j? ? fz • Show all easements of recoM and any,City utilities within those easements kW16my £ASEM-N? OdER p4 of Ok4L67 q'
,1T ?? • Setbacks of proposed structure aniid yard setback of adjacent existing struL?R re E? ??? A. 5Ho(;, T?lS o.v y Lc
A ?? • Retaining walt requirements, if a? / F?Tµ????F?cA*fS P?EqSE
Reviewed: ,? ? Otf
Name Date
GJFORMSBuiiding Permit Application Rev. 12-16-03
4r
S2,crveyor's Certificate
SURVEY FOR :Lennar
DESCRIBED A"J :Lots 1,2,3, and 4, Block 1, NICOL'"S RIDGE, City of Eagan, Dakota County,
Minnesota and reserving easePiients ,pf'record.
GE9
ce
0NSTA9.0.
AM FENCE
' O azi. eza.o
66, oo ?.
J5?•1h ? .o CP
4( q ??fµ 0
?6?°•?' °'`? ?? •°,@
r y ^ Go( o9a °o `'v
o?
O??O
? o
? R
8 5.?
I ?
!J
Go'oA°
oq?'S
0
i- .W ?'ysm
,P ?
?0°o,
Q °r
?11
?
LU
A N
a0 O
PROPOSED ELEVATIONS
t
Top of Foundation = 823.8
Garage Floor = 820.6
Basement Floor = 820.3
Aprox. Sewer Service = 810.4
Proposed Elev. = 0
Existing Elev. -
Drainage Directions = - -
Denotes Offset Stake = .
?
2
6• Oqa ?m 79?i o' i
? ?. 82 .? a_ co°? ° O
DO
r •xh
Praposed
Home ?
?
Tob= C@30.7 ? `?
i
Yvva? Y *?aV?al?Y al?dV?'
2 3 4 ° r?
BENCHMARK,
824.8 825.8 826.TNH,QCe arva e r. edar Grove Prkwy
821.6 822.6 823,6';` ? ui?rt_?Fn°•?? =.EI=821.26
821.3 822.3 823:3?, l)R`JGfYOR
811.9 813.3 816.3 i
MIN. SETBACK REQUIREMENTS
Front - House Side -
scnLE: i inch - 30 ra,s Rear - Garage Side-
JOB N0:
HEDLUAVD I HEREBY CERTIFY 7HAT THIS IS A TRUE AND CORRECT REPRESENTAl10N 0413-472
OF iHE BDUNOARIES OF 7HE ABOVE DESCRIBED PROPERTY AS SURVEYED
8Y ME OR UNDER A1Y DIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PACE:
PLANNlNG 6NGlN66RlNG SURV6YfNG SHOW IMPROVEMENTS OR ENCROACHMENTS, E%CEPT AS OP1N.
2005
DATE -LL/1,a4- CAD FII.E:
Phone: (651) 405-6600 J F EY . LINDCREN, LAND RVEYOR
Fax: (651) 405-6606 NESOTp LICENSE NUMBEft 14376 NICIOS Rldge
?j
S? ?
' ?,0
g'?`?,?
r5 l ? c,? ? ? 8 p b 7 I s?+ ?" C?X Ss . 0?
y - ?
2004 RESIDENTIAL BUILDING PERMIT APPLICA'? ON ??S 70?
„ City Of Eagan pp (0?/ 50 go ?,.?
3830 Pilot Knob Road, Eagan MN 55122 so 16. 0
Telephone # 651-675-5675 FAX # 651-675-5694
New Consfruclion Reauirements RemodeVReoair Reauiremenfs 6Efice UseOpAt
3 registered site surveys showing sq. N. of bt, sq. fl. o( house; and all mofed areas 2 copies of plan ?9 T ?+eY:Row 44 ?(20%mauimumlotcoveregeallowed) isetofEnergyCalculationsforheatedadditions 7heePtesPlB0ectl M,
2 wpfes of plan showing beam & window sizes; poured found design, etc. 1 site survry for addiliorrs & decks TFeO Pres Rerylit¢d ,,,;,? ? N
1 set of Energy Calculations Addifion - indicate if oo-site septic system Oh-Siie Sep?ia'.System ??:Y N.
3 copies o( Tree Preserva(wn Plan if lot plafled afler 7f1/93
Rim Joist Detail Options selection sheet (bldgs with 3 or less unAs
r o o .
Date 10
`? ? . ACX)
? Construction Cost CO)y
?+
Site Address
??G /
CO `-D
} Unit/Ste #
AvA) M
Description of Work ? ?w (AI?'3 ?J?1r?'IU??
Multi-FamilyBldg ? Y _ N Fireplaee(s) _ 0 xl _ 2 ;t, •?,
)
t M^ Tele
hone#(qa?z ?7y1 ? 707J
PropertyOwner LZI
NKf
+ p
'?.....;
, . . '.. ,, .
Contractor LY' N/J A'IDi
Address yl?L- tl,%((1?q City
State " N Zip43s A t Telephone #(9?5a -?283 5
ti\ YVU-S? VL C s-7 V\-C..o -R V`?_s) L-) CA„k- c.S
)UH __ . ,. .. --L- -1 - -?-.. , fl .nn n 3 „.Il n .
COMPLETE THIS AREA ONLY IF
Energy Code Category "esota Rules 7670 CateQOrv I
(J submission type) • Residential Ventilation Category 1 Worksheet
Submitted
. Energy Envelope Calculations Submitted
Have you previou$ly constructed a building in Eagan with a similar planB
ife,e appliesr .,?Q:'
_z ..
- LicensedPPurrSbe?
74'',
? `"`l'R+(NL?i
Ivl?chanicpl Cor??ractof
Sewer/NjBter Cpntractor ?2 $YfZ.? A ?,?I
l?
• ? ,.. ??
.?=: :...?..i , .,
A NEW BUILDING
Mimesota Rules 7672
. New Energy Code Worksheet
? Suhmilliled I
_ YJN. '. If::sA, 25% plan review
Telephone #wl)' 112S-11u y
Telephone # /I qv
Telephone
'?:..
I hereby apply for a Residential Building Permit and acknowledge that the info tion is ?d?npQete
that the work will be in conformance with the ordinances and codes of the Cit of Eagan and the
Statutes; I understand this is not a pernut, but only an application for a permit,
permit; that the work will be in accordance with the approved plan in the case of work which requi^s
approval of plans.
e- 'n??
TApplicant's Printed Name
S-take of MN
Lnjwnnouc a
a review and
OFFICE USE ONLY
+' }
Sub Types
O 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
Eff' 03 01 of,+ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
e 31 New ? 35 Int Improvement ? 36 Demolish Interiar ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) -Give PCA handoutto appiicant
Valuation q
'1. I R3 Occupancy R-3 MCES System
?
Census Code /Do2 Zoning PD City Water
SAC Units ? Stories Booster Pump
# of Units /•f `? Sq. Ft. 9y8 PRV
# of Bldgs ? Length 31, Fire Sprinklered
Type of Const V 8 Wid[h .04 1
? Footings (new bldg)
_ Footings(deck)
Footings (addition)
.?Foundation
?Diain Tile
Roof _ Ice& Watec _ Final
11'/ Framing
? Fireplace ? R.I. v"?ir Test ?final
Insulation
REQUIIiED J1VSPECTIONS
FinaUC.O.
FinaVNo C.O.
_ Plumbing
_ HVAC
Other
Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
Windows
_ Retaining Wall
Approved By: g LBNti , guilding Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Pertnit & Suroharge
Treatment Plant
License Search
Copies
Other
Total
-F?.14l„d Lowe,e Level 4% x 2s I ?yq00
t
lS
U.n?;Nislyd " '•
MAiN FIOpY F+i?is64 y-1 x 15
94 3y o
S/,192
W fek 4-88 sy zj3S2
GRrAc? 16 4)6 q
91, t s3
j w
LOT SURVEY CHECKLIST FOR RESIDEkTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL:
?OfS
DATE OF SURVEY:
m
w
c
R
L
U
Y a ?
oz a
'0' ? ?
Jd' ? ?
W' y ? )Ir
E7 ? ?
0 0 ?
? ?
0
,jd' ? ?
? ?'
LATEST REVISION:
DOCUMENT STANDARDS
• Registered Land Surveyor signature and company
• Building Permit Appiicant
• Legal description
• Address
• North arrow and scale
• House type (rambler, walkout, split w/o, split entry, lookout, etc.)
• Directional drainage arrows with slope/gradient °/,
• Proposed/existing sewer and water services & inverf elevation
• Streetname
• Driveway (grade & width - in R/W and back of curb, 22' max.)
• Lot Sguare Foofage
• Lot Coverage
ELEVATIONS
.? ? ,?
?
,W o 0
;T ? ?
? Jd ?
Existina
• Sewerservice(orProposedVFc.{AA//h,14.,.}SowQ
• Property comers
• Top of curb at the driveway and property line extensions
• Elevations of any existing adjacent homes
• Adequate footing depth of sWctures due to adjacent utility trenches
• Waterways (pond, stream, etc.)
Prooosed
///??/ .? ? ? • Garege floor
Basement floor
? )3 • Lowest exposed elevation (walkouUwindow)
n'?? ,9` )[ • Property comers
pw? ?? • Front and rear of home at the foundation- V2!' P.1C?c?'viS ?/Oa'-r r?/!?
° ?y b?+tte/awCe. ?rawi Frorl lo .?.?c,K
PONDING AREA (if anplicable)
D g ? • Easement line
? .e( ? . NWL
? ? ? • HWL
? ,? ? • Pond # designation
? ? ? • Emergency Overflow Elevation
? ? • Pond/WeUand buffer delineation
DIMENSIONS
,0 0 ? . Lot Iines/Bearings & dimensions
.'U D ? • Right-of-way and street width (to back of curb)
? 00 . Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings) `+low Nar£ Fnort PLpT s+p-rJuG:'MWA(jt
;?+v?' 0? • Show all easements of record and any City utilities within those easements I tauITY E/3SE14ENT OJER µLt oG Ok}L6f q'
??? • Setbacks of proposed structure aid yard setback of adjacent existing sti&ure F'-??? A• SNo(,) 7pIS pti y L4
,g 0 ? • Retaining wall requirements, if an F?7?????f 4/EqSE
Reviewed:
Name Date
GIFORMSBuilding permit Application Rev. 72•16-03
Surveyor's Certificate
SURVEY FOR :Lennar
DESCRIBED AS :Lots 1,2,3, ond 4, Block 1, NICOL'S RIDGE, City of Eagan, Oakota County,
Minnesota and reserving ea?ents pfrecord.
5e O? ?
G?' ?
CEQ
. M\\
f
i
?
Ye? Pr P
? H
ob= ,
? z
2
m G
ce
PROPOSED ELEVATIONS
1
Top of Foundotion = 823.8
Garage Floor = 820.6
Basement Floor = 820.3
Aprox. Sewer Service = 810.4
Proposed Elev. _ C=)
Existing Elev.
Drainoge Directions =-
Denotes Offset Stake = .
SCALE:
?
BENCHMARK,
e arva e r. edor Grove Prkwy
EI=821.26
? .ruvu
U C-i
SvC-'YOii
;s-`, ?;i,j,h MIN. SETBACK REQUIREMENTS
..
Front - House Side -
1 inch - 30 faet Rear - Gorage Side-
JOB ND:
HEDLUAVD I HEREBY CER7IFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION 04R-472
OF THE BOUNDARIES OF 7HE ABOVE DESCRIBED PROPERTY AS SURVEYED
BV ME OR UNDER MY OIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PACE:
PLANNlNC 6NGlN66R/NC SURV6YlNC SHOW IMPftOVEMENTS OR ENCROACHMENTS, EXCEPT AS OWN.
2005 I a D e
E gan,MN55122 DATE CAD FILE:
Phone: (651) 405-660D J F EY UNDCREN.I,4ND RVEYOR Niclos Ridge
Fax: (651) 405-6606 NESOTA LICENSE NUMBER 14376
,?•1??
/66
<1
oq ?
?? $O S
\=DP ?
OIdSTAL1.
AW FENCE
Q
o.
?
824.4 °n °on
f O
? ?aG ?
?? o ?O,
O o?a d? \ JT.
-0
o p?
4
6' '? s y o?OO. 1
00 6`??
0'?O Gp?09 °.. .? .. >
z?
2'?? lP 6. ., ? m'f' P
y B2
??°oti' d! 82
i
?ROY\
?06t
\
o?oA° ' o
0
?i °o s
`p40 0S
/
/L B24.B
66 O13
r
1
1
1
Proposed
Home ?
?
Tob- C630.7.'
?
X%
?ow
?IC
2 3 4
824.8 825.8 826.
821,6 822.6 823.
821.3 822.3 823;
811.9 813.3 816.
Address: 2104 Cedar Grove Tr Zip: 55122
Lot: 3 Block: 1 Subdivision: Nicols Ridge
TtIE FOLLOWING ITEMS WERE/WERE NOT COMPLETN AT H7NAL I\SPECTION ON OS/LG/ZOOS
Yes No Comments
Final grade - 6" from sidin V/
Permanent ste s ara e ?
Permanent ste • main ent ?
Permanent driveway
Permanent as
Retainin Wall or 3:1 Max Slo e
Sod/Seeded lawn
Trail/curb dama e ?
Porch
Lower level finish
Deck
Fire lace ?
• Verify with your builder that roof test caps from the plumbing system liave been remwed.
• Tum off water supply [o the ou[side lawn faucets before freeze potential exis[s.
• Call Uie City's Engineering Department at 651-675-5646 prior to working in right-of-way or installing
irrigation system.
J BUILDING INSPECTOR: Mf ^'? 1,,n&e"
CONTRACTOR:
US HOME CORPORATION
935 E WAYZATA BLVD
YZATA MN 55391
Address: 2106 Cedar Grove Trail Zip: 55122
Lot: 4 Block: 1 Subdivision: Nicols Ridge
THE FOLLOWIYG ITEMS WHRE/WERE NOT COMPLETE AT FINAL INSPECTION ON 7, gQ• OJ
Yes No Comments
Final rade - 6" from sidin /
Permanent ste s- gara e ?
Permanent ste s- main ent
Permanent driveway
Permanent as
Retainin Wall or 3:1 Max Slope ?
SodlSeeded lawn
Trail/curb dama e
Porch ?
Lower level finish f
Deck
Fire lace
• Verify with your builder that roof [est caps from the plumbing systcm have been removed.
• Tum off water supply to the outside lawn faucets before freeze potential exists.
• Call the City's Engineenng Departrnent at 651-675-5646 prior to working in nght-of-way or installing
urigation system.
J RUILDINGINSPECTOR: / /I(lt L'^e?-
CONTRACTOR:
U.S. Home Corporation
935 E. Wayzata Blvd.
Wayzata,MN 55391
Site Address: 2102 Cedar Grove Traii
Lot 2 Block 1 Subd. Nicols Ridge
On April 15, 2000 the Minnesota Energy Code, Category 1 Building Requirements of insulation Protection, Air
tightness, and ventilation, was adopted. As a result, the Cky of Eagan is requiring that lhe following information be
submitted priorto issuance of a Certificate of Occupancy.
This structure: is constructed to meet minimum requiremeMS nf ihe Mn Energy Code, Chapter 7670
X This sVUCture: will 6e canstructed to meet mae restnctive requirements af Chaptere 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL 8TU's VENTING TYPE
Water Heater X Rheem 41VRP50H 40,000 Power Vent - Direct
Furnace X Carrier 58MCA060 60,000 PowerVent - Direct
Der X G.E. DWSR483E6 Direct Vent
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
Yes No
Kitchen Micro-Hoad G.E. JVM1871S5 300 X
Bathrooml MasterBath Panasonic FV-11VQD2 110 X
8athroom 2 Main Bath Broan 1670F 50 X
Bathroom 3 112 8ath Broan 1670F 50 X
Bathroom 4 Bsmt. Bath Broan 1670F 50 X
Other
FIREPLACE(s)
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU's VENTED
Direct ATMOS
1 Livin Rm X Heatilator ND3933 23.000 X
I hereby acknowledge that the above information is correct and agree to comply with Minnesota Energy Code and City of Eagan
requirements.
I
Signature
Lennar Homes
Company Name
May 24, 2005
Date
This form is the responsibility af the general contractor.
Site Address: 2106 Cedar Grove Trail Lot 4 Block 1 Subd. Nicols Ridge
On April 15, 2000 the Minnesota Energy Code, Category 1 Building Requirements of insulation Protection, Air
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be
submitted prior to issuance of a Certificate of Occupancy.
This strucWre: is constructed to meet minimum requirements of the Mn Energy Cude, Chapter 7670
X This structure: will be constructed to ineet more restrictive requirements af Chaptere 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTLJ's VENTING TYPE
Water Heater X Rheem 41VRP50H 40,000 Power Vent - Dired
Furnace X Carrier 58MCA060 60,000 Power Vent - Direct
D er X G.E. DWSR483EB Direct Vent
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
Yes No
Kitchen Micro-Hood G.E. JVM1871SS 300 X
Bathroom 1 Master Bath Panasonic FV-11VQD2 110 X
Bathroom 2 Main Bath 6roan 1670F 50 X
Bathraom 3 112 Bath Broan 1670F 50 X
Bathroom 4 Bsmt.Bath Broan 1670F 50 X
Other
FIREPLACE(S)
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU's VENTED
Direct ATMOS
1 Livin Rm X Heatilator N03933 23,000 X
MAKE-UP AIR MODEL TYPE CFM
I here6y acknowiedge that the above information is correct and agree to comply with Minnesota Energy Code and City of Eagan
requirements.
Signature
May 24, 2005
Date
Lennar Homes
Company Name
This form is the responsibility of the general cantractor.
Mltil^f T`SYS,T,fM , p9CATI0N_ , ? JYPE
' Kttdt?2t? '; kitohe fAi Icitv `f%I?
8?lt1resorti 1 S t?r ? , ?.4?;
Bathrooiti 2 ? V?
' t? ??l??iL
i?oM13,
`
?Pr,t!trl ;
l?rM!L;
Bathrdom;4 .
7 1 Other ...
FIREFI,?G? S L47CArtI0N , GA15 ,ItiAp[Y
rA?' x
.
..
M UP?1?1? ? MRDEL
,. :
,
' . .
..
? - .
.
:
,.
:-
}
. :.. ? , .
.
...... .
? .v i n ' :
r q3
.:. ... .. . .. . .
_ . ??.?.._. ? ?...? ...... . `?i .a?.lv
I
i?gn
t. ? ?
Address: 2102 Cedar Grove Trail Zip: 55122
Lot: 2 Block: 1 Subdivision: Nicols Ridge
THE FOLLOWING ITEYIS WERFJWERE NOT COMPLETE A'P FINAL INSPF,C"I'ION ON 74„6•0-5--
Yes No Comments
Final grade - 6" from sidin
Permanent ste s - garage
Permanent ste s- main ent
Permanent drivewa ?
Permanent as
Retainin Wall or 3:1 Max Slo e
Sod/Seeded lawn
TraiUcurb damage
Porch
Lower level finish V/
Deck ?
Fire lace ?
• Verify with your builder that roof test caps irom ffie plumbing system have been removed.
• Tum off wa[er supply to the outside lawn faucets before frceze potenUal exis[s.
• Call the City's Engineenng Deparunent at 651-675-5646 prior to working in righ[-of-way or installing
uriprion sysrem.
Y BUII.DING INSPECTOR: ftIce, Le hct-
CONTRACTOR:
U.S. Homes Coryoration
935 East Wayzata Boulevard
Wayzata,MN 55391
Use BLUE or BLACK Ink
r-,.----------------
I For Office Use I
Permit U j
City of Eanon y
I Permit Fee: 1 O
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I 1
Fax: (651) 675-5694 1 Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ~ - Site Address: Unit
c '3 ?
Name:Ji 1 GC'~iv,S C 14o/L ! / r C G"`1 C' S Phone:
Resident/
Owner Address / City / Zip: 6--o
Applicant is: Owner Contractor
Type of Work Description of work: C E'C c ` ~ , ~5 f 2 Lk ZL
Construction Cost: J Multi-Family Building: (Yes / No )
P Y:a, Ue_ P 6s°tC'1 tlf'( ~ r 62- flu C/ Contact:
( 2316 l z city:
Contractor Address:
State: 1'q 1 / Zip: Phone: 116 3 _ 3 70. ~.0 0 7 ~
License #:L(-, T)_3 Z Lead Certificate M O C 6,
S~
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 _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 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.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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance. r e
~7 _
Applicant's Printed Name Applicant's Signat e
Page 1 of 3
Use BLUE or BLACK Ink
( For Office Use
j Permit
City of Dean Permit Fee: 0
3830 Pilot Knob Road I I
Eagan MN 55122 j Date Received:
Phone: (651) 675-5675 i 1
Fax: (651) 675-5694 1 Staff: I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address; Unit
Name: Phone:
Resident/
Owner Address I City 1 Zip: dam( OD , 9. 10 D' 0'-t aa\kR GRW15:±K
Applicant is: Owner Contractor ~ Q 3 ? )
Type of, Work Description of work: tf_Q r\~ e.\e VC41 C) , S kC~ r r1, r et) \CLC_eV-J e_ Y+\
Construction Cost: Mufti-Family Building: (Yes ✓ / No
C'P !2 - l 3 15-
Company: fl, 7y S I <vt a 'g of tC did, ZL ontact: o~-r lr (p► u~ ka l/
Contractor Address: '13S-S SJ, City:
State: h1J Zip: 5.1 Phone: Email:
License 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 _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and su
pportmg documents that you submit are cansJdered to be publfc information. Portions of
the information maybe classified as non-public ff youprovide specific reasons that would permit the City to
conolude thot``the pre trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cal 48 hours
before you Intend to dig to receive locates of underground utilities. www.gopherstateonecal.ora
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.
Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
x x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
v
r For Office Use /,,2 I
Permit#: 1 S6 J`1
*.,.,, EAGANnEcEIvE Permit Fee: ��1 —11 Date Received: I - / /L 9
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 JUN 19 2813
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-56 Staff: PA
y J
2019 RESIDENTII.._ i.ou11LV1ri v r L....... ."
......r.. APPLICATION
Date: 06/19/19 Site Address: 2100 - 2106 Cedar Grove Traill unit#:
Name: Nicols Ridge Summit Homes Phone:
Resident/ 1 7100 Northland Circle, Suite 300, Brooklyn Park, MN 55428
Owner I Address/City/Zip:
Applicant is: Owner i Contractor n , S '
tali./replace entry stair treads and risers, install bracing for treads r
Description of work:
1 Type of Work .
Constru1. ction Cost: 7800.00 Multi-Family Building: (Yes ✓ / : i
Company: Keran Home Services, LLC Contact Tim Keran
265 Fillmore Ave E St Paul i
Contractor Address: City:
State: MN Zip; 55107 Phone: 651 334-686d Email: timkeran@hotmail.com
_ License#: CR593945 Lead Certificate#:
�If the project is exempt from lead certification, please explain why:
2006 construction
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 No If yes,date and address of master plan:
Licensed Plumber. Phone:
IMechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor. Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
€ classified as n• •ublic if u • •vide • Mc reasons that would permit the C_ to conclude that the are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(881)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities.
I hereby acknowledge that this information is complete and accurate;that the work will be in con ......,ce 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 is not to art r out a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and app r• al of•
xTim Keran �il►�
rI/. /
Applicant's Printed Name •'' •pti :� a, -` !�
DO NOT WRITE BELOW THIS LINE Di , �( ()a �� 3
,�pp .
SUB TYPES Ca-Ce okr G �r�T✓
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
— Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi Deck Porch(Screen/Gazebo/Pergola) _ Miscellaneous
4 01 of'Y`Flex ____ Lower Level — Pool , Accessory Building
WORK TYPES
— New Interior Improvement _ Siding Demolish Building*
_ Addition Move Building — g
_ Alterationdo _ Reroof — Demolish Interior
Fire Repair _— Windows _ Demolish Foundation
Replace _ Repair Egress Window Water Damage
_ Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation Occupancy ,a_ MCES System
Plan Review Code Edition
It Iti)it if' SAC Units
(25%_100%J Zoning _r_p_____ City Water
Census Code Stories Booster Pump
#of Units
Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction6 Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) d` Final/No C.O.Required
Foundation Foundation Before Backfill HVAC,Service Test Gas Line Air Test_Hood
Roof:_Ice&Water __Final Pool:_-_Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:___Rough In Air Test _Final Siding:_Stucco Lath Stone Lath Brick_EFIS
Insulation Windows
—
Sheathing Retaining Wall: Footings,Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
ir_ .Reviewed By: / ,__, Building Inspector
RESIDENTIAL FEESit
Base Fee p0V-
Surcharge v,/1l L4vP� -
Plan Review /
MCES SAC
Ø(LIt C rtiv CitySAC
Utility Connection Chargep\otr, iri
S&W Permit&Surcharged �;` 0
Treatment PlantL
.)
Radio Meter ReadreLri)
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA169228
Date Issued:05/19/2021
Permit Category:ePermit
Site Address: 2100 Cedar Grove Tr
Lot:1 Block: 01 Addition: Nicols Ridge
PID:10-50900-01-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kristen Bullard
2100 Cedar Grove Trl
Eagan MN 55122
(952) 221-2637
Burnsville Heating & Air Conditioning
3451 West Burnsville Parkway, Ste. 120
Burnsville MN 55337
(952) 894-0005
Applicant/Permitee: Signature Issued By: Signature