4000 Cedar Grove Lane
2005 RESIDENTIAL BUILDING PERMTT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Nevr Construction Reoui2ments
? 1a regYstered site surveys showing sq. tt. of lot, sq. ft. af hause; and all roofed areas
(20%mazimum lot coverage allowed) T, D?wc W. r177 /h,
? I /? coPies of plan showing 6eam & window sizes; poured found design, etc.
* 1 sel of Energy Calculations
3 copies of Tree Preservation Plan If lot plaked alter 7M193
Rim Joist Defeil Options selection sheet (buDd'mgs with 3 or less uniGa)
Reno aVReuair Reauirements
2 wpies of plan
1 set of Energy Calculafions (or heated add'N'orce
1 site survey for additions 8 decks
Add'rtion - indiceM ilal-site sepfk sysfem
bp -?aQ? -. LAg5\ LA
PIP -taaal 0,10. 50
4YN?17ai2 -ro 5t,
Office UseOnlv' ??5,""q?
CeROfSurveyRecd =N--
Tree Pres PWn Recd _ Y_ N,
Trea Pres Required _ Y_ N
On-si[e Septic System _ Y_ N
s?o 72yG4 oioo--?-Niq
Date _IC) / _Lj / `_ ??0 2N G SG
Construction Cost 3
Site Address cr_?a C ?1'COntl. InYia ??1 . UniUSte #
C lG??(e 2
Description of Work MV) ?? IC
4nr?,1v 1??.?A
M16v?'?4
Multi-Family Bldg ? Y_ N r
Fireplace(s) _
0? 1 _ 2
PropertyOwner (..ennQ(" 7 ,. Telephone#(C?S1
L
CA ('
Contractor
Address Slis zna;on ?c?? Ql?? c,Ty w& 2
State i? L N• !
Zip 5?AI Telephooe #(Cisl ) 9 9^3W
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
? Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residentiai Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submifted Submitted
• Energy Envelope Calculations Submitted
In The IasT 12 months, has the City oF Eagan issued a permit for a similar plan based on a master plan8
']( Y _ N If yes, date and address of master plan:
Licensed Plumber ('°CAL - RyA?1
Mechanical Contractor L3"eAt " kY0.n
Sewer/Water Contractor
Telephone #(GSI )
Telephone#W) -?O'1cx*ja
Telephone #((?,V) ?q I? "G3?I
lid
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requues a review and
approval of plans.
?JCaI4?isr. "?C
Applicant's Printed Name
A4j4JL
ApplicanYs Signature
OFFICE IISE ONLY
Sub Types
.f .
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
fir' 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt- SF
? 04 02-plex ? 10 DS-plex O 18 Deck ? 23 Porch (screenlgazebo) 13 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y Ot _ N ? 25 MiScellane0u5
Work Types •
. ;a? . . , . :
Er'31 New ? 35 Int Improvement ? 38 DemoAsh Interior ; ? 44 Siding
? 32 Additan ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement •Oemolition (Erit7ie Blilg) - Give•PCA hantltiut to epplic?n!
Valuation Gl 23
Plan Review. 100% or ?25%
Census CoiJe 4?c to i' '
SAC Units I
# of Units ?
# of Bidgs . .(
Type of Const 3G $1 ' °.
Occupancy iP3rt3,
Zoning -P?)
Stories 'Z.
sq. Ft. 9s?
Length 3FI '
Width
?Footings (new bldg)
_ Footings (deck)
Footings (addition)
? Foundation
Drain Tile
,Roof _ Ice & Water _ Final
1./ Framing
? Fireplace ? R.I. -Air Test WFinal
? Insulation
MCES System
City Water GS
Booster Pump -
PRV
Fire 3prinkisred,
REQUIRED INSPECTIONS
? FinaUC.O.
_ FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool Ftgs Air/Gas Tests
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining WaII
Approved By: %Lc 1-a+,c` , Building Inspector
Base Fee
Surcharge "
Plan Review,2s% - w
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
.
Lo? 4??
FiN?sk?d
«,aas
" p?° [i Lln?ni?s?e[? (oQd
,.. ..MAiN .171Aor' .s111 9;.
? L .?G? 89?.
?CAye. b, 6a14
Jec-k a, 06 o
------
_
? 99, 6a3
• ' ?
Wlehaek C9WLIAIICE REPORT
Minnesota EnerpY CeAs
Iptneek BefeWare Yeroion 9.0
COUNIY: Hennepin
STpTH: Yinnesota
TANE: 2
CONSTRUC7ION 'trvE: SinOls FanilY
d1TE: 8•74.2005
ppTE OF PLANS: 9-8-04
PROJECT IW'OIbMATIOM:
Syvit tolleetion
Nieels R1dge
EdO?
Ycxxo Cc?as Gco.,c L,n.
cowaxr nOUwnnon:
Lennar Corp.
11DTES:
? racsnisy untt (4's°)
CONPIIANCE: PA55E5
1 ?
I 1
? Parmit U ?
? --- ?
? Checke0 by/Cate ?
I 1
Requirea Ua s 604
Your None = 400
90,8% Bettsr Snan Coae
Area or cavity Cor+t. G1w"/0oor
Periieeter A-yaluo R-Value
------- U-YSlue W?
._...-........---
......--'^ •--._......•-------------'--...........----'
CE=L=aGS 962 98.0 0.0 29
lb1t,LS: Mfaed Frme, 18' O.G. 9?52 19.0 2.0 182
fd,qZiNQ: W3ndow3 or- Doora, Abovo GraCe 258 0.350 90
DOORS 42 0.330 1b
FLOOR9: Over tlneondisionea Space 414 30.0 0.0 14
sUe Ftcons: unneatsa, 'rt.o• insui. l16 10.0 70
HvAC EdlIPAIENT: Furnaee, 80.0 AFUE
........................... ----------------------------------- ------ ...--'--.__
CaMpLspuoCE STA7EMEn'r: nre OroPosad bu11dinp aesign qescri.bad fisro is
eonslssaM r1M !he Mii1dL+9 Plaos. RPeeiticatians, and othwr ealeuiaeions
aubsitted ritA the paemit aODlication. 1TS proposed buildinp has Deen
deai0ned te mnat the requireeents of the Yinnesota Enarpy Ceda_
'C?S
` o-! 7
BY31Aer'lOlSSQMrDe t6
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: ?T? I Z 3 F? ? IOGJ< I IU? CaJS ?? G?G'
DATE OF SURVEY: ?
LATEST REVISION:
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DOCUMENT STANDARDS
. Registered Land Surveyor signature and company
• Building Permit Applicant
• Legal description
. Address ¢COb?¢oOz??fO????00(? ?'P£c7.r'?jro??-?n.
• North arrow and scale
. House Type (rambler, walkout, split wlo, split entry, lookout, etc.)
• Directional drainage arrows with slope/gradient %
• Proposedlexisting sewer and water services & invert eievation
. Street name
• Driveway (grade & width - in RNV and back of curb, 22' max.)
• Lot Square Footage
. Lot Coverage
ELEVATIONS
Existin
? r? ? • Property corners
? ? ? . Top of curb at the driveway and property line extensions
? '0 ? • Elevations of any existing adjacent homes
'W ? ? . Adequate footing depth of strudures due to adjacent utility trenches
p jg ? • Watenvays (pond, stream, etc.)
Prooosed
?1j ? ? . Garage floor
?' ? p . Basement floor
? ? ? • Lowest exposed elevation (walkoullwindow)
? ? ? . Property corners
?? p • Front and rear of home at the foundation
PONDING AREA (if aqpiicable)
? '( ? . Easement line
? ? ? • NWL
? ? ? . HWL
? ? ? • Pond # designation
? ? • Emergency Overflow Elevation
? ? ? • PondlWetiand buffer delineation
y ? . Shoreland Zoning Overlay District
Y Conservation Easements
DIMENSIONS
)6 ? ? • Lot Iines/Bearings & dimensions
?'0 'p • Right-of-way and street width (to back of cur6)
,pJ ?? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
Z ?? • Show all easements of record and any?Q utilities within those easements
??? • Setbacks of proposed structure and fdey d setback of adjacent existing structures
? ? • Retaining wall requirements:
Reviewed By: Datef?.f?
G:lFORMSlBuilding Permit Application Rev. 11-26-04
„??Surveyor's Certificate
SURVEY FOR :Lennar
DESCRIBED f1S :Lots 7,2,3, and 4, Block 1, NICOLS RIDGE 2ND ADDITION, City af Eagan, Dakota
Count , Minnesota and reserving eosements of record.
9-39
9iVSTALL ERO
BLANKCT OR
c°
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V!
By `
Date
y 831A Q
,
EAGAN ENGWEEKING DEPT.
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66.00 RetPWOlI? ?
640.3 /
3?' 31 n G. /
hODe 2Q.? /
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Droihoge & Utillity Eosement
ProPosed i /°ver oll of Ovtlat A
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Tob= (840.3?? ?
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PROPOSED ELEVATION S
U L2 L3 L4_ - BENCHMARK,
Top of Foundation = 835.3 836.3 837,3 TNH?Ce arvae r.&?dar Grove Prkwy
Garage Floor = 832.0 833.0 834.0 835.0 EI=821.26
Basement Floor = 832.1 833.1 834.1 s 835.1 •
Aprox. Sewer Service = 820.2 821.2 822.2 824.1 ,
Proposed Elev. MIN. SETBACK REQUIREMENTS
Existing Elev. _
Drainage Directions = Front - House Side -
Denotes Offset Stake = .
SCALE: 1 inch = 30 raat Rear - Garage Side-
JOB N0:
HEDLUND ' HEREOY CERTIFY THAT THIS IS A TRUE AND CORRECT REPftESENTATION O5R-496
OF THE BDUNDARIES OF THE ABOVE DESCRIBED PROPERtt AS SURVEYED
BY ME OR UNOER MY DIRECT SUPERVISION ANO DOES NOT PURPORT TO 60DK: PACE:
PLANNlNC 6NGlN86RlNC SU1?V6'Y(NC SHOW IMPROVEMENTS OR ENCftOACHMENTS, EXCEPT A HOWN.
2005 Pin Ook Drive 1 ??_7/ Eagan, MN 55122 DATE 0 1 1J? CAD FILE:
Phone: (651) 405-6600 P E D LIN REN. IAND URVEYDR Niclos RidgO
Fax: (651) 405-6606 N SOTA LICENSE NUMB 14376
;
Br?a?a,q :4c6a3 q+
2005 RESIDENTIAL BUILDING PERMIT APPLICATION pP,a `?>0
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694 7
New ConsWCtbn Reouiremenls RemodeVReoair Reauirements INfice Use Onlv
? ??3 registered sAe surveys showing sq. R. of lot, sq. fl. of house; and all roofed areas 2 wpies of plan CeK of Survey Recd _ Y_ N
(20% maximum lot wverage allowed) T pp,e i.J, i tl-7 .3yJ i set of Eneryy Calalations for heated addPoons Tree Pres Plan Recd _ Y_ N.
? 1.7copies of plan show(ing beam & wiMow sizes; poured found design, etc. i site survey for additlons & decks Tree Pres Requlred Y _N
? 1 sel of Energy Calwlations Add'NOn - indkete tl onste sepfic sysfem On-site Septic System _ Y_ N
3 copies of Tree Preservation Plan N lot platted after 711/93
Rim Joist Detail Options seledian sheet (6mldings wM 3 or less unAs) l o Q-_?yq
l?lJ lo Il+f
<
Date I t.) /_11- /ct, 5 Construction Cost 1$ 3pi 5T T
Site Address CcA a 4l . UniUSte #
cl"1'ioQ? ) 10 `.5('j ' CIO— i CQ? S
Description of Work Tcliwh ('I ame
Multi-Family Bldg ?S Y_ N ? Fireplace(s) 0
, I V 1 _ 2
Property Owner LQ, ?\r10.t
i Telephone iF (_,s( )? S 9' ?38 S
Contractor C.Cd1A f ?
_
Address ? ys C C`?(" lJ't ?pit. Tr• ? City w 0.
State A N Zip 551011 Telephone # (GS'
V-Cl
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
? Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submissiontype) Submitted Submitted
. Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master planZ
?51 Y _ N If yes, date and address of master plan:
licensed Plumber GCIN2' h.yaA
i
Mechanical Contractor i tyql\
Sewer/WaterConiractor ?+?Y"s ScNi??s
Telephone #((41)
Telephone #((rs() T `o
Telephone#<41) Djc0l
I hereby apply for a Residentia] Building Permit and acknowledge that the informa6on is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application fot a permit, and work is not to start without a
permit; that the work wili be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
0?
ApplicanPs Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
9( 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? OB 04-plex ? 12 12-plex Plbg_Y or _ N? 25 Miscellaneous
Work Types „
''? 'G ,. :•: ... , , .
H/ 31 New .
? 35
Int Improvement , ?
38 ,Demofish Interior ?, '44 ,
:Sio ing
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolttion (Entire Bldg) - Give PCA handout to Applicant s
Valuation 1-1 '!
Plan Review 100%or ?25%
Census Coiie
SAC Units I
# of Units I
# of Bldgs ". I_ .. Type of Const
Occupancy u
Zoning 7
Stories
Sq. Ft. ?
Length 3R' ?•'? a
Width
IZ Footings (new bldg)
_ Footings (deck)
Footings (addition)
? Foundation
Drain Tile
Roof Ice & Water Final
? Framing
,? Fireplace ?R.I. ?Air Test ---F-inal
,-' Insulation
MCES System 2 s
City Water
Booster Pump -'
PRV ?
Fire Sprinklered ,. `. ho
.
REQUIRED INSPECTIONS
FinaUC.O.
FinaVNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Approved By: ?L ?- , Building Inspector
--------='--- ; ---------- fi-------------------------------------?-------------
BaseFee Jcie•
Surchar9e , ' •• , - . . . , ?? ..`, n : . l:ln?i??_zl,ec{
Plan Review 15 %, ,. • bN1 fkirJ . F(ov? ??'?,s? e ?C
MC/ES SAC ? . • " • + Lj ?; Ik 1?
City SAC ?A5 P-
Utility Connection Charge
S&W Permit 8 Surcharge
Treatment Plant
License Search
Copies
Other
Total
SS5
?, IRo
ODo
c-ti 7 q`/
I
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MNehsck CCWLIANCE REPORT I i
1
Minneaota Enerpy Code ? Panait 0
tB4cheak Sofiwaro versfon 3.0
ChaCked by/Data
C91ANTV: Hennepin
STA7E: Yinnesota
ZONE: 2
CONSTRUCTTON TYPE: Sln91e FmilY
DAT£: 6-11-2005
OATE OF PLax4: 9-6-04
PpQlECT INFO?WTYDM:
SuMit Colleciion
Nicola NidBe
a?
do?. G.a? C?.1-n •
CONPJWY INFOAMATION:
Lennar Corp.
? NOTES:
Rusnaoro unit <4S%)
COMPL=qNCE: PASSES
Raquirod Uw a 587
Your Hose - 369
37.74 Better Than Cade
AMa or Cavity Cenf. tSlatinp/door
PerLoetar R-value A-Value U-Value UA
-----'---...----°------------------------------------------------^ -
CEILYNGg 962 98.0 0.0 29
ryA{,LS; NIOOO Fraee, 16' O.C. 9208 79-0 2.0 180
GLAZTtaG: Mindars or poora, Above lirade 778 0.350 62
DOOpS 42 0.360 7S
FLOORB; Ovar unoonditionati7 Spaae 447 80.0 0.0 74
SLAg FLpOps; Unneatea, ".04 insul. 114 10.0 M
HVwC ECUIPYEMT: Furnaae, 80.0 AFUE
...............••--...__......----__-_-•-.......--'-------........ .
CONPLLWCE STATEMeMT: 1he proposea buildinp daaipn deatriDed here is
oonsistent wi.th cAe bulldie0 plans, speeitieasions, aed oiAer caleulations
submitted with tha peroit applicatipn. The propoaetl buildinp Aas been
Eaaiyna0 t0 aeet ihereqninmeats pf the Nlnrrosota Enerqy Coee.
BuilAer/Oasipner 6l'?""`??.f? Date ?? "? 'OS
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LOT SURVEY CHECKLIST FOR RESIDENTfAL
BUILDING PERMIT APPLICATION
?>> c!i 'C, I. . Ir I II l'rr.l: ?: r?nL? 71'd AL?a-
PROPERTYLEGAL:
DATE OF SURVEY:
LATEST REVISION:
DOCUMENT STANDARDS
• Registered Land Surveyor signature and company
. Building Permit Applicant
• Legal description
• Address ?-COO?4.ooL?<fOOQ-??o0(? CPI??Ctr'?j/'oc?2 ???.
• North arrow and scale
. House type (rambler, walkout, split w/o, split entry, lookout, etc.)
• Directional drainage arrows with slope/gradient %
. Proposedlexisting sewer and water services & inveR elevation
• Street name
. Driveway (grade & width - in RNV and back of curb, 22' max.)
• Lot Square Footage
. Lot Coverage
ELEVATIONS
Existin
p X ? . Property corners
p?? • Top of curb at the driveway and property line extensions
0 '0 ? . Elevations of any existing adjacent homes
r ?? • Adequate footing depth of structures due to adjacent utiiity trenches
p 0 ? . Watenvays (pond, stream, etc.)
Prooosed
?j ? ? • Garage floor
? p ? . Basement floor
? ? ? • Lowest exposed elevation (walkouUwindow)
? p ? . Property corners
? p ? . Front and rear of home at the foundation
PONDING AREA (if applicable)
p pj ? • Easement line
p 0 ? . NWL
p 'P ? • HWL
p p . Pond # designation
p ? p • Emergency Overflow Elevation
p g D . PondlWetfand buffer delineation
y . Shoreland Zoning Overlay District
y ? • Conservation Easements
DIMENSIONS
z ? ? • Lot Iines/Bearings & dimensions
'
p ? -p . Right-of-way and street width (to back of curb)
osed home dimensions including any proposed decks, overhangs greater than Z', porches, etc.
P
? ? ? .
rop
(i.e all structures requiring permanent footings)
,e( ? ? . Show all easements of record and anyf,utilities within ihose easements
tback of adjacent existing structures
?d
? ? ? se
. Setbacks of proposed structure and sfdey
o{j p ? . Retaining wall requirements: /
Date
Reviewed By:
G :/FO RMS/Bu ilding Permif Application Rev. 11-26-04
Surveyor's Certificate
SURVEY FOR
DESCRIBED A5
:Lennar
Lots 1,2,3,
Count Mii
and 4, Block 1, NICOLS RIDGE 2ND ADDITIDN, City of Eagon, Dakota
iesota and reserving easements of record.
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EAGAN ENGiNEERING DEP'f.
Praposed
Hame
Tob= <840.3 ?
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644.2
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OrmrSoge & Utillity Eosement
/over all oi Outlat A
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PROPOSED ELEVATION S
L1 L2 L3 C4 _:. BENCHMARK,
Top of Foundation = 835.3 836.3 837.3 838.3.7 THH@Ce arva e r. edar Grove Prkwy
Garage Floor = 832.0 833.6 834.0 835.0 EI=821.26
Basement Floor =832.1 833.1 834.i, 8:35.1
Aprox. 5ewer Service = 820.2 821.2 822.2 824:1 .
Proposed Elev. -? MIN. SETBACK REQUIREMENTS
Existing Elev. -
Drainage Directions = Front - House Side -
Denates Offset Stoke = • SCALE: 1 inch = 30 feet Rear - Garage Side-
JOB N0:
HEDLUND I HEREBY CERTIFY THAT THIS IS A TRUE ANO CORRECT REPRESENTAiION OSR- 496
DF THE BOUNDARIES OF THE A804E DESCRIBED PROPERtt AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PUftPORT TO BDOK: PAGE:
PLANNlNC 6NClN66RlNC SURV6'YINC SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT A HOWN.
2005 Pin Oak Drive '?] Eagan, MN 55122 DATE ?Q/?45- • -? CAD FILE:
Phone: (651) 405-6600 F EY 0. LIN REN, LAND URVEYOR Niclas Rid
Fax: (651) 405-6606 N SOTA LICENSE NUMB 14316 9e
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConstNCtion Reauirements
? I i3 regislered site surveys showing sq. ft of lot, sq. tt. of house; and all roofed areas
(20°k marimum lot wverage allowed) 7', OA?Jf G?, 117--,- /1+J
? I Q coPies of plan showing beam & window s¢es; poured found design, etc,
v t set of Eneyy Calculations
3 copies of Tree Preservation Plan H lot platted after 711193
Rim Joisl Detsil Oplions sdedion sheef (bulldings wNh 3 orless un'rfs)
RemodeUReoair RenuiremeMs
2 copies of plan
i set of Energy Caiculafinre for heated add'Rions
i sfle survey for additions & decks
Add'dion - indkafe Hon-sne sepfic system
4?' 1a133 , go,?c
c?
?Dlo1. Lv9
Otfice Use OnN
CeAofSurveyReal _Y _N
Tree Pres Plan Recd _ Y_ N,
Tree Pres Required _Y _N
OnaeSepticSystem _Y _N
R#raa--?-yy
Date i C), // G? Construction Cast
Site Address C:JJ : Ln . UnitlSte #
2ff
Description of Work T07Wy... ?6W11,4L
r -
Multi-FamilyBldg ? Y _ N,
Fireplace(s)?'_ 0
)C 1 _ 2
Property Owoer Let.pAe Telephone #(?j
L
o
Contractor
l
. ?
M `
Address S?5 zn??p`(t } I tbv?Ap
u? ? F ?
CttV ?.?J 6?v2A
State Zip SS?q Telephone #( fi,S"/) .Z 8?` 33g S
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
X Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilafion Category 1 Worksheet • New Energy Code Worksheet
(J su6mission type) Submitted Submitted
. Energy Envelope Calculations Submitted
In the last 12 monThs, has the City of Eagan issued a permiT for a similar plan based on a master plan2
\? Y _ N If yes, date and address of master plan:
Licensed Plumber GCAZ' 1`YQA.
Mechanical Contractor ?? -
Sewer/Water Contractor ,?A -'S :?CC Lc6$
Telephone #((40 TGI"Icw
Telephone # (GS! ) T?pj"low
Telephone #(6,5,) :)y(0"V3q1
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
ApplicanYs Printed Name App icant's Signature
.
OFFICE USE ONLY
Sub Types
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
1211' 02 SF Dwelling ? OS OB-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 Ot of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenfgazebo)
? 05 03-plex ? 11 10-plex ? 79 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Wo rk Types
0? 31 New ? 35 Int Improvement .? 36, DemWish Interior, ' ? 44
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46
? 34 Replacement 'Demolitlon (EnGre Bldg) - G ive PCA hand"out to edplfwnY ^
? 30 Accessory Bldg
? 37 Ext. Alt- Multi
? 33 Ext. Alt - SF
? 36 MuKi Misc.
Siding
Fire Repair
WindowslDoors
Valuation Occupancy R-3j U MCES System
Plan Review 100% or ? 25°h
Census Code ` 1 O( ? Zoning ?? 17 City Water
SAC Units 1 Stories ? Booster Pump
# of Units ? Sq. Ft. S? PRV ?
# of Bidgs Length Fire Sprinkleied .., us? .
Type ot Const .. .. '? ? Width
REQUIRED IFTSPECTIONS
? Footings (new hldg) / Final/C.O.
_ Footings(deck) _ FinaUNo C.O .
Footings (addition)
? _ Plumhing
Foundation HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
? Framing , / Siding Brick
Stucco
Stone
Tireplace ?R.I. ?AirTest mal Windows `
_
? Insulation _ Retaining Wa ll
Approved By: A&,Le , Building Inspector
Base Fee . _ . , ? ..,. ; . .:
?L?L?? /a ??n
`T?0
Surcharge'
Plan Review 2,-?;% :
„ a. . ' ,. %-fu
av,?.. ..F/ai4;.
, .. . .
jq?
MC/ES SAC ` uWe r 35.?
City SAC n
ISFi 2F1 G E
?c 604
Utility Connection Charge
k
??
GUU
?
S&W Permit & Surcharge ?
Treatment Plant 9% ? 93
License Search
Copies
Other
Total
1?
WcAsck CG1PLIN1CE REPORT
Ylnneeeta Emtyy Code
YN[ncok 9ottwaro Yer6lon 3.0
cqom: HOnnepin
STATE: MlnnBeotO
ZOME: 2
CpNSTpUCTXON 7YPE: Sinple Faoily
DATE: 8•14-2005
ppTE OF PLANS: 9-8-04
pqWECT IMFOIIWTwm:
Suo1t Collsotion
Nicols Pidqe
Eayen
ycmbf G?or Gco.m 71.++ .
cwaun iNFWAAnaM:
Lsnnar Corp.
NOTES:
? Evsrost Unie (qlz?)
COIRLI/WCE: PASSES
I ?
I - ?
? Pee?wii N ?
I ?
? CheCked by/Oate ?
ROquiPSd W - 582
Your Hoee - 371
35.9% BetSer Than Gotle
wrea or CavitY Coas. Glazin9looor
Perineter R•Value A-Yalue tl-Value
--
. UA
--•"
'
...-----"•• .. " ....................
...........................'
962 88.0 0.0
29
CEIlTN6S
LS: WooA frara, 18' O.C. 5144 19.0 2.0
ttuLL 176
.
(iLAZING: Windo++a er Doora, Ahova GraQe 180 0.350 67
42 0.350 13
DOOfls
pLpOtg: Over Uneondicionsd Spaoe 433 30.0 0.0 14
SL/4g FLOpRS: Unhea[a0, 72•0' insul. l18 10•0 70
HvAC Eq11pHENT; Furnaee, 90.0 AFUL
.
.....
.,.-.-• ........................•-----.
......................... .'-'-....
.
OpMpLIqNCE S7wTFl1ENT: TNe proposed buildinp design deserJ.0e0 hera is
eonaistent rith the bulidlnp plans, speeitScaSfoes, an0 oiher ealeplstions
aub.itead rith tAe pormit applieaeion. The proVosed duildlnp has bean
Arements of Yne w.nneaate EnerOY Ceela.
eesiqnaa tc ?aat tne qn
DaLe /0171ar
-
Buildar/OaSipner
? LOT SURVEY CHECKLIST FOR RESfDENTIAL
? ? BUILDING PERMIT APPLICATION
PROPERTY LEGAL: ?` i 0iu4^ "" """" ,
DATE OF SURVEY: lc
LATEST REVISION: _
d
a>
c
R
z
U
Q
O z 9
¢
DOCUMENT STANDARDS
,Z ? p . Registered Land Surveyor signature and company
? . Building Permit Applicant
?
? ?
? ?
J • Legal description
. Address ?600b?¢`?oZ??fOO?f,?oo6 CPr'?er????e ?».
-Z ? ?
? • North arrow and scale
. House type (rambler, walkout, split w/o, split entry, lookout, etc.)
?
? ?
? ? • Directional drainage arrows with slopelgradient %
G 0 • Proposediexisting sewer and water services & inveR elevation
y? ?
? ?
? • Street name
. Driveway (grade & width - in RNV and back of curb, 22' max.)
g
p X I 1 • Lot Square Footage
p yf 1 . Lot Coverage
ELEVATIONS
Existin
p
p
? ? .
? • PropeRy comers
Top of curb at the driveway and property line e?ctensions
p ? ? . Elevations of any existing adjacent homes
res due to ad)acent utility trenches
d
f
t
r ? ? • ru
u
s
Adequate footing depth o
p pj p . Watenvays (pond, stream, etcJ
Proposed
,il p ? . Garage floor
?
? ?
? ? .
? . Basement floor
Lowest exposed elevation (walkouUwindow)
?f ? ? . Properry corners
? ? p • Front and rear of home at the foundation
PONDING AREA (if applicable)
p )? ? . Easement line
p ;9 p . NWL
p ;? ? . HWL
p ? . Pond # designation
p ? ? . Emergency Overflow Elevation
0 Z p • PondNJetfand buffer delineation
y . Shoreland Zoning Overlay District
y ? • Conservation Easements
DIMENSIONS
ne, Add-
)j ? ? . Lot Iines/Bearings & dimensions
p R( 'p . Right-of-way and street width (to back of curb)
osed home dimensions including any proposed decks, o?erhangs greater than 2', porches, etc.
P
? p ? .
rop
(i.e. all structures requiring permanent footings)
,PJ p ? . Show all easements of record and anyi utilities within those easemenfs
tback of adjacent existing structures
d
? p ? se
. Setbacks of proposed structure and idey
? ? ? . Retaining wall requirements:
Reviewed By: Date % S
G: /FO RMSBU ilding Permit Appiication Rev. 17-26-04
,
??Eni Surveyor's Certificate
SURVEY FOR :Lennar
DESCRIBED AS :Lots 7,2,3, and 4, Block 1, NICOLS RIDGE 2ND ADDITION, City of Eagan, Dakota
Count , Minnesota and reserving easements of record.
?
N:y f?
3L ?j
y@QpS?BEpi??tl.W?, pEYF.
?O?{AILd-3YVi??7 OR
C
/
J? ? ?
aro9e o °
D
S
o4 S3
B'Q
o
i
O Qi
''Q
o
N
DO i
r'Or o v
0 o
r
p
9e
ry D
Q S`
p 3°
$ o
o
? MOa..-£
? D ue
I N? Corp9 o yrFp
A! ? 833. a
6J4.
? 2 oge p D v
. ...' .,.. 6. ? ? o D
? j 834.6 «l,s p? ? h a y° ? s w
' ::_ (?`O a o ? ?n' ecR
. , 3z 3r
835.7 ?
N6.98 hro 37.
?o000"w ?o zp0(
66..0 837.3
l ?
i i
Proposed i
WE % Home ?
To6= (F0.3 ) ? .
i ?
i ?
By, ,
,
Date
EAGAN ENGWEERIIVG DEff. %
PROPOSED ELEVATIONS
L1
Top of Foundation = 835.3
Garage Floor = 832.0
Basement Floor = 832.1
Aprox. Sewer Service = 820.2
Proposed Elev. _ ?
Existing Elev. _
Drainage Directions =
Denotes Offset Stake = •
A ??.(.,',.__•. ,..... ,
830. 9.39
., .,,?;???.....??.....8?.
5.7a
Go
/
/
ss' 00 R t won ?
540.3
?
?
/
3? ? 845.4
060
/
00 /
- '0 844.2 /
^
Ct)'
? -.- 8441
O /
O /
'111 44.2
/
/ I
r
845.4
/ OUTLOT A
Droihage & Utillity Eosement
/over ati a/ putlat A
?
/
L2 1-3 ? '„14 BENCHMARK,
836.3 837:3 , 838.3. TNH@Ce orva36-e r.&edar Grove Prkwy
833.0 834.0 $35.0 EI=821.26
833.1 634.1 , 835.1
821.2 822.2 824:1 ,,, -. -'-:- `
MIN. SETBACK RE4UIREMENTS
Front - House Side -
ear - Garage Side-
SCAIE: 1 inch - 30 faet R JOB ND:
g/EDLUND I HEREBY CEftTiFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION 05R-496
OF THE BWNDpRIES OF THE ABOVE DESCRIBED PROPERN AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO 77177
PLANNlNC 6NClNB6RlNG SURVBYlNG SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEP91? Z
Eagan,1MNa551D22e DATE 10/.?/D?]
CAD FILE:
Phone: (651) 405-6600 F EY D. LIN REN, LAND URVEYOR Niclos Ridge
Fax: (651) 405-6606 N SOTA LICENSE NUM6 14376
Bn -I ai35 : 495i.U9
2005 RESIDENTIAL BUILDING PERMIT APPLICATION '(7p
City Of Eagau
3830 Pilot I{nob Road, Eagan MN 55122 l? ?at 3?1 :?? •??
Telephone # 651-675-5675 FAX # 651-675-5694 JU? a Lo9
New ConsWdion Reauirements
I ,3'reg'stered sBe surveys showing sq. ft of lol, sq. ft ot house; and all roofed areas
(20%maximum lot coverage allowed) To Dil.v?( w - i ' 57,-A+
v ?.Ycopies of plan stwwug beam & window s¢es; poured found design, eh.
1 set of Energy CalculaGons
3 copies of Tree Preservation Poan N lot platted atler 7/1193
Rim Joist DeteB Options selecNon sheet (6uldings wAh 3 or less units)
RemodeVReoair Reauiremenis
2 copes of plan
1 set of Energy Calwlatlons for heated additbns
1 site survey tor additions & decks
Addiffon - indicate if arsRe sepfk sysfem
54- vJ " "I ?4 (1 ?-
Ofice Use Onh
CeRO(SurveyRecd _Y _N
Tree Pres Plan Recd _ Y_ N,
T2e Pfas Required _ Y_ N
On-site Septic System _ Y_ N
k--w /ao7yy
Date / OS Canstruction Cost tS? RYS
Site Address CO4 ?DV'C Ln . UniUSte #
14-'sCA DE MLirl-f.' ;?nqa c)H? C) I Kli"l. I . ,-_
Description of Work T c Cv'tc
Multi-Family Bldg ? Y _ N Fireplace(s) _ 0-k 1 _ 2
PropertyOwner Ler.no ?'1??o -, f Telephone#(Wn) ?fi Q'J3 OS
Contractor LC^!\
\
A
W
Address aY71A.
L
d3Ad Ue Cit3'
State ? N Zip S0Telephooe #(?iS?) 38 S 338 S
COMPLETE THIS AREA ONLY IF CONSTfi
Energy Code Category x Minnesota Rules 7670 Cateeorv 1
. Residential Ventilation Category 1 Worksheet
(J su6mission type) Submitted
. Energy Envelope Calculations Submitted
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Worksheet
Submitted
In the last 12 months, has the CiTy of Eagan issued a permit for a similar plan based on a master planZ
>?_ Y _ N If yes, date and address of master plan:
Licensed Plumber (rGAZ' f1YG1h
Mechanical Contractor lStAZ ''M1.VAlI
Sewer/WaterContractor &kav"S SC(ViCGS
Telephone #((of( J ??How
Telephone#(4j) ?VHOW
Telephone #((41
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
ap oval of plans.
'a?n2ai. ?•? ????--
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 18-plex ? 20 Pool
C9/02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.)
? 04 02-plex ? 10 OS-plex O 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? OB 04-plex O 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous
Work Types
Gd" 37 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation cic
?
? 30 Accessory Bldg
? 31 EM. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement , O; 38 'Demolish Interior, . ? t44 Siding
? 36 Mave Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building' ? 43 Reroof O' 48 Windows/Doors
'Demolition (Entire Bldg) -Give PCA handouCto applicant '
Plan Review 100% or ?25%
Census Cocle `10 ?
SAC Units I
# of Units I
# of Bldgs
Type of Const
Occupancy --?
Zoning -}> L
Stories
Sq. Ft.
Length
Width
? Footings (new bldg)
_ Footings(deck)
Footings (addition)
? Foundation
Drain Tile
RooF Ice & Water Final
? Framing
? Fireplace ? R.I. V'Air Test ?Final
_k/ Insulation
MCES System ?s
City Water
-wrT S
Booster Pump '-
PRV
' Fite Sprinklered - ? iiLc?
REQUIRED I SPECTIONS
?FinaUC.O.
FinaVNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
Windows
_ Retaining Wall
Approved By: 10- L- , Building Inspector
--------__•-'--------------------
• ---------------•
Base Fee
Surcharge ? _ • • • ,.
Plan Review , • .. ,:
„ a
MC/ES S4C „ , .
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
?nWEZ?z??l t'?his?c?
. b? • , /A_ 'UnAn4ec1
" . . i'L RDO? .Frytis{?Pt,Q
rt
l?ECk-
+P la,3so
6/S
5/, 1q:?.
a4,891?
`I9, 673
e 1?scAoZ_
• ,
.
Mlehaek CAIAPt.IANCE REPORT
Ninneeota Enerpy Cods
Mlcheok 9oftwaro veroian 3.0
Cp{rAiY: Nennepin
STAiE: Yinnesota
zONE: 2
(kNSTpIICTION 7YPE: Sfn91e FamilY
D11TE: 6 • 1s-20o5
DJ1TE 0F Pt,ANS: B-B-Os
pflp,lfCt tlFORWTION:
swrie Colleotioo
nioels Ridpv
eparl
qp(' Ce?" Cs<%:V-M 1-1A •
oawanr irrtOMwtioN:
Lennar Cerp.
!Wl'ES:
? CasaaCe IMAt t4-S'j)
COIIPLIANCE: Pn88ES
pequired UA ¦ R"
Your Itono n 400
8M BsLtlP Th8D COde
I ?
1 ?
? Por'mit
I ?
I ?
? Cheekad tfyl113ate ?
1 I
38.
Arra or CavitY cant. alaZie9/naor
PeriaeTar R-Value p-Value U-Value
.....•.-...
-. UA
-
?-----------------------------•.••.•_•----- -----.
CEILIN63 962 98.0 0.0 29
yALLg: INOpp FraW, 78' O.C. 8262 78.0 2.0 182
0.350
CZING: Windoe?s or Doora, Above Grade 258
OOONS 42 0.350 75
FlA0R3: Over Uncontlitioned Space 414 30.0 0.0 14
SLAB FLOON3: Unhaatad. 72.0' i"SYI. 778 70.0 70
HVnG ECUFPNENT: furnaCe, 90.0 AFUE
---------------------- -'------'--
-"'"
.......................................
Cq1pLiMICp gTATEMENT; TMB proposed Iwi,ldi.np dsaign desoriDed nere ia
oenslStetlt 1r1th tM0 buildLlp plae9, speoifieaLlona, antl o'tlror CsleYlations
aubmittetl rith the penit appliea[ion. The proposed build3.np has been
aeeiqnad io waat th* Irv"nTs ot tAO Yieaeaeta Enepy Ceda-
?? 1 ??
r _ Date
O
i
pna
as
guf,idey
F
?
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDfNG PERMIT APPLICATION
PROPERN LEGAL: 3`?' I C_K I IU; CoIS 1?
DATE OF SURVEY: I6
LATEST REVISION: _
m
rn
c
R
L
U
a
O Z a
a
DOCUMENT STANDARDS
?? ? . Registered Land Surveyor signature and company
? ? ? . Buiiding Permit Applicant
? p
? ? ?
J . Legal description
• Address ?-OOb?¢oo? ? ?OOQ- ?00? [?P.(?,ct? ?j??J?_ Z-n_
„g ?
? ?
? • North arrow and scale
• House type (rambler, walkout, split w/o, split entry, lookout, etc.)
?
?? ? . Directional drainage arrows with slope/gradient %
? p ? . Proposedlexisting sewer and water services & invert elevation
? ?
g? ?
? . Street name
. Driveway (grade & width - in RNV and back of curb, 22' max.)
p r . Lot Square Footage
? ? t . Lot Coverage
ELEVATIONS
Existin
p ? . PropeRy corners
ppr ? • Top of curb at the driveway and property line extensions
p? p . Elevations of any existing adjacent homes
?? ? • Adequate footing depth of structures due to adjacent utdity frenches
p ? ? . Waterways (pond, stream, etc.)
Proposed
?tj ? ? • Garage floor
? ? . Basement floor
? p ? . Lowest exposed elevation (watkouUwindow)
? ? ? . Property corners
?? ? . Front and rear of home at the foundation
PONDING AREA (if applicabfe)
p ?f ? . Easement line
p ? ? . NWL
p ?3 ? . HWL
p
? . Pond # designation
p ? ? . Emergency Overflow Elevation
p jg ? . Pond(Wetland buffer delineation
y ? . Shoreland Zoning Overlay District
y ? • Conservation Easements
DIMENSIONS
e Z"0 Ad d -
)? ? ? • Lot Iines/Bearings & dimensions
p y1 'p . Right-of-way and street width (to back of curb)
. Proposed home dimensions including any proposed decY.s, oveshangs greater than 2', porches, etc.
? ? ? (i.e. all structures requiring permanent footings)
? ? . Show aIl easements of record and any utilities within those easements
A ? ? • Setbacks of proposed structure and dey d sefback of adjacent existing structures
Sj ? ? . Retaining wall requirements: / / J
//?S?t
t
D
a
e
Reviewed By:
G /FORPJiSlBu ilding Permit Application Rev. 11-26-04
Surveyor's Certificate
SURVEY FOR :Lennar
DESCRIBED AS :1-ot5 7,2,3, and 4, Block 1, NICOLS RIDGE 2ND ADDITION, City of Eagon, Dakota
Countv Minnesota and reserving easements of record.
o+. o
7t ?i
.__ ..,__. .......
............ _.,
i
?
? 432 6. Q
z 31
`
31.9 w D y?
° C v E\
,_. .s.??.Y..,?.,......831.8 ?v v?o8e $ 02° ?
s,00 o- a`?3,,,a ?
INSUHR.14 [:!I'>O
BLANKET GTi
c
i?
r (f,
f
a'
1
?
/
66.Prvposed /
?? Ret Wail
B4D.3 ?
? \zp'
? 2' N Cvr q o D
6 ?9e oN ¢ S 3 0 832
..t2o OO s 4`o3r?`a
ec
O o p?
0 ? r
! ^)
33. o °.. ?0
N GOr m o D?
O9e o o¢ ? 3 p 836. . ?
?
a ct o<?Q ?. C
54 Dec?, p
r0 Coro ?? Op ^ ^
n cy
6,p He o- 0 0 o i56'? LJ
oa rJ* m . a '0 844.2
4a ? c D
eck
" hro 837. ,
? oo 0O••w /o zp.00 tv
6a aas.a
?
045.4
?
v 844.2 /
n
?O /
?44.1
/
?
?
?
?
/
/ OUTLOT q
Oroihoge & Utdlity Easement
/over oll o/ Qutlot A
?
/
f
t ?
?
' /
C
i
Proposed
Nome B Tob= CQ4?
Lo
y? - ;
EAGAN EIYGINEERING DEPT. ;
PROPOSED ELEVATIONS
L1
Top of Foundotion = 835.3
Garage Floor = 832.0
Basement Floor = 832.7
Aprox. Sewer Service = 820.2
Proposed Elev.
Existing Elev. _
Drainage Directions =
Denotes Offset Stake = .
. _ ?
L2 1-3 ". L4 ;. BENCHMARK,
836,3 837:3 838.3. ? TNH@Ce arva&C-edar Grove Prkwy
8310 834.0 835.0 - E!=821.26
833.1 834.1 , 835.1 - `
821.2 822.2 '824;1
MIN. SETBACK REQUIREMENTS
Front - House 5ide -
ear - Garage Side-
SCALE: 1 inch = 30 feet R JOB NO:
IIEDLUND I HEREBY CERTIFY THAT iH15 IS A TRUE ANO CORRECT REPRESENTATION 0SR-496
OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERtt AS SURVEYED
BY ME OR UNOER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO BDOK: PACE:
PLANNlNG 6NGINB6RlNG SURV6YING SHOW IMPROVEMENTS OR ENCROACHMENTS, E%CEPT A HOWN.
2005 DATEL/LSL.2 ' .
CAD FILE:
Phone: (651) 405-6600 F EY D. LIN REN, L4N0 URVEYOR Niclos Ridge
Fax: (651) 405-6606 N SOTA LICENSE NUMB 14376
!^
Address: 4000 Cedar Grove Lane Permit: 72126 Zip: 55122
LoY: 01 Block: 01 Subdivision: Nicols Ridge 2nd
r/ra?? o?
THE FOLLOWING ITEMS NERE/WERE NOT COMPLF,TE AT FINAL INSPECI'ION ON
Yes No Comments
Final grade - 6" from siding
Permanent steps - ara e ?
Permanent ste s- main ent
Permanent driveway
Permanent as ?
Retainin Wall or 3:1 Max Slope ?
Sod/Seeded lawn ?
Trail/curb dama e
Porch
Lower level finish
Deck ,
Fire lace
• Verify with your builder that roof tes[ caps from the plumbing system have been removed.
. Turn off water supply to the outside lawn faucets before freeze potenUal exists.
• Call the City's Engineering Department at 651-675-5646 pnor to working in right-of-way or installmg
irrigation system.
? BUILDING INSPECTOR: PiFE imeCl
No. 37a vea
i
y000 /? 1 1 ?e a.? d
Slte a?s: C e? p ? l??o v e4.ct„ e Lot ` Block ! s?d /?l ?
On Aprl 15, 2000 the Minnesota Energy Code, Category I BuNding Requirements for fnsulatlon protection, air
tighlness, and ventila6on, was adopted. As a resuN, the City ot Eagan is requiring that the tnllowing information be
submitfad priorto issuance of a Ceroficate of Occupancy.
? Thia shuchn kconshyctedlo fftt mihimwn rePdrdnenta d tlre AOn Enargyr Coda, ChOiar 7670
OR
_ This ?ruchae: ?caUfeln?ed ?o tr?eatfnrna resV?h?s ?ik6tlwRS o1 Ch?t? 7872 at 7674
AVPLJANCE GA6 ELEC MANUiACTURER 610QEC BN3 VEMTINGIYPE
WaterHeaoer GGM O 146O'? 65 Pow Y
Fumace ? t 58mc- _' 64ow 46S
Drpr Y• ' oCsR 8 w w
EXNAUSTSYSTEM
IOCAitON
TYPE
M013EL
CH6Ys VENTED
Ys No
KibNen kiichen d N" C'o -+ 1
BetNoom 1 ?? Qp? (o 70 X
ee9voom 2 (,??r L?„l CCA? X
BaUmoom3 X
BsMrean 4 3ea F oa'. • C, PANFVI V ? 80 X
Odrer Own?e' G 20 X
FIREPLAC LOCAiION 6AS WOpp MANUFAG7UREA MOpEt. B'fIPS DiaECf AThBOs
? 0p? X
I herebY acMnotWedpe fhal Iha ebava Irdarmetlon is rxnect and agree fo mmply wlth fhe MfnnwMa Errergy Coda and City d Eagen
rawwdrwta
signmum L e.,n\Ax
CwMwr rlanre --
JUL g 6 2006
Date -_
nf
4 This fonn 1s tl+e ra5panslDil((y ot Ihe Generel CmrbaQOr.
,
I
'72-42°t
Address: 4002 Cedar Grove Lane Permit: -72-132 Zip: 55122
Lot: 02 Block: 01 Su6division: Nicols Ridge 2nd
THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FINAL INSPECTIO\ ON v U
Yes No Comments
Final rade - 6" from siding
Permanent ste s - garage
Permanent ste s- main ent
Permanent drivewa
Permanent as ?
Retainin Wall or 3:1 Max Slope ?
Sod/Seeded lawn
TraiUcurb damage
Porch ?
Lower level finish
Deck ?
Fire lace
• Venfy with your builder that roof test caps from the plumbing system have been removed.
• Turn off water supply to the outside lawn faucets before freeze potential exists.
• Call the City's Engineering Depar[ment at 651-675-5646 prior to workmg in righbof-way or installing
irrigation system.
J '/ /
BUILDINGIVSPECTOR: ?FL h?GMeG?-
1%;
rio. 37z oea
yG02 Cec?ar/' ?
Sitead?'ees: l?rov Lti„e Ld81odc? subd mtQ11
On Aprl 15, 2000 the Minnesota Energy Code, Category I BuNding Requlrements for Insulatlon pratectbn, air
tightness, and ventila6on, was adopted. As a resufl, the City oi Eagan is requiring that tha following information be
sudrnided prior to issuance of a Cerdficate of Occupancy.
2< This *wAm fs oauh4ed to mmd mMimwn reqkawte of tlm Aiqn EneW Code, ChepEar 1670
OR
_ 7tia stucbue: I" construcUed b meetmote wAprclMe reqyUements oi dnpters 7672 a 7674
MPI.IANCE GAB ELEC MiA1dUiACTURER dICML BN3 VENTINGt1'PE
warerHeaoer GGm o 196oO 65 PQ'w Y
Fumaoe ? f 580NC 0" GW A' S
Dryer ? ^ ()l-,s 8 " W
EXHAUSTSVSTEM
LOCA110N
TYPE
MODEL
CFIN's VEIJTED
Kil*Ian klWw nJ - G?1
ewtnom , o064% (o -?o x
seIeaom2 l,a,..Li.d cGO.A X
BaUmom 3 ?1 ?/w ?c'CGd? ?o X
ean+room 4 3e4 F one •c, v( V Q ;1 100 x
Otlrer Ownck'
FIREPLAC LOCAiION ffAS WOOp MANUFAC7UIiEp d10pEL 87U'S DIIiEM ATAeOs
X po? x
MAKE? NR MODEt TYPE CENI'a
i1 ??Gc t Nw
I hereby ecknowledga thnt fhe abova intormation is correct and agree to oomply wiih the MMneeota Energy Coda and L1ty M Eagen
fequkermte.
? kk-^
Sign re
L Gf?A4P
Cartparqr Nano
,JvL g 5 2006
pate - _-
nf
4 This k" la ihe lasponaibRy oT fhe Generei CcrNeaor.
Address: 4004 Cedar Grove Lane Permit: 72132 Zip: 55122
Lot: 03 Block: 01 Subdivision: Nicols Ridge 2nd
129- o k
THE FOLLOW[SG ITEMS R'EREIWERE NOT COMPLETE AT FINAL I\SPECTIOiY ON
Yes No Comments
Final grade - 6" from sidin
Permanent ste s - arage
Permanent ste s- main ent ?
Permanent drivewa ?
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 systcm have been removed.
. Turn off wa[er supply [o lhe outside lawn faucets before freeze po[enlial exists.
• Call the CiTy's Engincering Deparlment at 651-675-5646 pnor to working in right-af-way or installing
irrigation system.
J
UliILUING I\SPECTOR:
??? ?
NO.372 p02
. ?r
Sltea?s: ` 06y ce?pr ?ro?re ?c?Ne(.?t ? ?ook? subd ?I? Q1a ??0??, . ?-
On Aprl 15, 2000 (he Minnesohd Energy Code, Categoty I Bu'dding ReqUirements for iRSUladoa protectlon, air
Gghtness, and ven6lation, was adopted. As a resuN, the City ot Eagan is requiring that the inllowing information be
submited priorto issuance of a CeNficafe of Oceupancy.
2< TMs educdaa kconsbLoted to meet mlNmum requkanents a) tlre Va Ene1gy Coda, CfVter 7670
OR
, Thia struafure: ?gconsinmted b meatmor?s testrictlre req4hem?sta d ChapGars 7672 or 7674
APP4IANCE GA6 ELEC MANUFACTUPER MWEG 9TU9 VEMTINGTYPF
WaterHeater [Gm 0 `?? 65 ?rY
Fumaoe v (?amlcr 58mc - ? 64ow i A 5
Dryef ? - o%,s e ?
EXHAUSTSYSTE1A
LOCAliON
7YPE
MOOEL
CRN's VENM
? uo
KikOen kitchen N ?'0-+ 1
8etlraom 1 ^4n mr% ?v 70 X
aeenm x "« Ll..+ cbo?,n X
BaUroom 3 -J%ea P/..r ?COb.h ?o X
Wo°", S.4a F,.e c PANFVIIVQ03 O x
°om ownJe Co 70 x
x
f
MAKE1? aIR MGOEI. TYPE CfRTa
O ' '? ?CX t Ny,r
I herabY aclwwledge fhel Iha ehove InfarmeAion is oorrect and agree Fo wmply wlth fhe MMneaota Energy Code and City oT Eagan
"141kanW"
_._,??? JUL 8 5 2006
SignAi(re ? Paoe
L e.r.nAc'
QaRpanY Name
• ThiS tonn 13 the rosponaibilily oT Ne Generol CotNecWr.
?
Address: 4006 Cedar Grove Lane Permit: 72135 Zip: 55122
Lot: 04 Black: 01 Subdivision: Nicols Ridge 2nd
:?,a$,Gb
THF, FO[,LOWING ITE?I5 WEREIWERE NOT COMPLETE AT FINAL INSPEC'PION ON
Yes No Comments
Final rade - 6" from siding ?
Permanent steps - gara e ,/'
Permanent ste s- main ent ?
Permanent drivewa ?
Permaneat as
Retainin Wall or 3:1 Max Slo e ;/
Sod/Seeded lawn ?
Trail/curb dama e ?
Porch
Lower level finish
Deck
Fire lace
• Venfy with your builder [hat roof test caps from the plumbing system have been removed.
• Turn off water supply to the outside lawn faucets before freeze potenrial exist5.
• Call the City's Engineenng Deparunent al 651-675-5646 prior to working in right-of-way or installing
irrigation system.
? BUILDIhG INSPECTOR: M?' ' - "" C-P,-
i ?
Slteadr8mu: `C,D`p Ce?pr l?.rov??c?hZW v Blaok l
n+o. 372 oez
a?
Subd. ?tt_ )??q? •
ri
On AprN 15, 200D !he Minnesota Energy Code, Category I Budding Requirert+ents tor fnsulaaoo protectbn, air
6ghtness, and ventilation, wae adopted. As a resuk, the Cdy of Eagan is requiring that the tollowing information be
submitbed priorto issuance of a CeAificate ot Ouupancy.
2<Ttas shjdna 0 corzhcGed to mea mwmm mqdmnx* of iha Mn Energy Code, crapfer 1670
OR
_ Thia ?e: I?i he consU+uted m meet more restri?hne ?aqy?elTl?ta oil?ap6ers 7W2 a767a
AFPUANCE GA5 ELEC MANUiACNpER NOpEL 9TU3 VENTIN6T'PE
WawrHeater eem O 14000 W pa-wY
F"ma° ? r 58mC -? a» f}QS
°ryer r'
C-V
EXNAU9TSYSTEM
LOCA110N
iYPE
MOOEL
CFM's VENTED
Ys uo
Rimhen kiidren N ^ Ce-+ I
6earoom 1 nw6e Cw+. Oo.q% Co 70
X
aawoOMz "« Ls.d cc,N,n x
BeUroom9 '2wa F/+r (?c'c?ckd\ (o X
Ba«m"' 4 3eJ : a", • L V( V 62 7 i too x
othw Cwnck' Co ? X
FlWkAM
LOCATION
OAS
WOOP
MANUF/CiURER
MODEL
'B'fU'S VENi1NG
DIRECT ATR90s
x OqV x
MAICE? aR IqODR 7YPE cEM'e
1 ? - ?? ?.^/cx I-vb t Nw
I hereby acknowWpe that Ne a6ova fnlaertion la corract and agrae fa oomply witFt the MMneaota Energy Cade and Cily oi Eagen
raq*em"•
Sign ire
L GAA0.f
Corww Nam
[JUL 2 5 2006
pate
nf
4 rhia ionn Is the rosparisibllily cf the General Caweetor.
Use BLUE or BLACK Ink
r
For Office Use 1
Permit*
City of EaEd I Permit Fee: 3 I
y I
3830 Pilot Knob Road
Eagan MN 55122 Date Received: 10
Phone: (651) 675-5675 1 I
Fax: (651) 675-5694 1 Staff:
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: r Lr Site Address: Wc -W06 C ett~y 64yue . &t-u((_ Unit
C m
Name 6) iLel . s -1C~~I,iG4l y- ( t L` Phone:
Resident/ r p > f
Owner Address / City / Zip: SO t(,
Applicant is: Owner ` Contractor
ms`s
r•
-
Type of Work Description of work: ~~.~~'~(~IT 1-4/1 ! ~2 rlt✓
Construction Cost: Ji Multi-Family Building: (Yes / No )
Company: Ne- iL' t S Viii' f `f ( c' Contact: u` ( fc I f [=J ; 1 f
Contractor Address: / e G` cl- city: `C-
State: Zip: Phone: j 3 7.;~.~'9f Y
M/,/
License 1 ( .Z 2 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 supporting` documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
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. }
x -
Applicant's Printed Name Applicant's SignatL e fi
Page 1 of 3
Use BLUE or BLACK Ink
� For Office Use ` �
� ���� 0 �
Cit of�a a� i Permit#. j
� � ,
� Permit Fee: ���� �
3830 Pilot Knob Road �
Eagan MN 55122 j Date Received: �
Pho�e;(651)675�b675 � I
Fax:(6511675-5694 � Staff: 1
� I
I....�.������.���������J
2014 RESIDENTIAL BUILDING PERMIT APPLICATtON
c� e�da.r G��.�e t..� �a��► +r�N
Date: t�'� l�"` �� Site Address: ��c�C� '" ����` ���{"��O�P Unit#:
Name: Phone:
Residentt
Q���� Address 1 City/Zip:
! Applicant is: Owner Contractor
Type Cf UVOr�C Description ofwork: e�c d..����ron�j V��.e.�
` Construction Cost� �0 C�O Multi-Family Building: (Yes /No_)
' Company: i c�.l t�`Contact: �('C �t�"'� ��_
_ �-
Address: �J J.�' I�t�'f` �T • City: L--�"�-(-�
CQt1�1'BCtOC ���� � � �,
" State:��J Zip: �S�1_ Phone: CD i�"�'f t�°���Email: d°
License#: Lead Certificate#:
If the project is exempt from (ead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA UNLY 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 8�Water Contractor: Phone:
Mt?TE':Ptans and supportin�;dacuments tft�rt you sub�mit are consider�al to be�t�blic i�#v�rmafior�. Pot�icrns o�
t�1@ lilfQt71►.9'R�10li/ile'#j/bB C/8S5�f1�a'1S t!Q#t plf�1!'C;�f JlC?11�11'�V%t��S�i�.'C%ftC/`I@itSQtC1S'�i�l'f iAIQiIIt��i!@�Y�%t�f+B;.(il�j/f4 `
; canclude tttat m� are�trad,e s+�criers.
CALL BEFORE YOU [31G. Gall Gopher State One Call at(651)454-0002 for protedian against underground utility damage. Cai148 hours
befor�you intend to dig to receive locates of underground utilities. www.popherstateonecall.org
1 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 ! understand this is �ot a permit, but only an application for a permit, and wrork is not to start without a permit; that the work will be in
accordance with the approved plan in the cass of work which requires a review and approva!of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota 5tate Building Cade must be completed within 180
days of permlt issuance.
. ,.:�
x ��-f�� }�t�I't'lCc�1� x,/�G��'�_ .,�/
Applicant's Printed Name Applicant's Signature
Page 1 of 3
'
i
r EEET' ?
* EAGA
EAGANJI � p�,. Date Received: -(q-1 /_
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 JUN Iii( ''
(651)675-5675 I TDD:(651)454-8535 FAX: (651)675-BY 9 e Staff:
J
2019 RESIDENTIAL BUILDIN IT APPLICATION
Date: 06/19/19 Site Address: 4000 - 4006 Cedar Grove Lane Unit#:
WER,S ,; 'del' -5<ao 6,
a Name: Nicols Ridge Summit Homes Phone:
} Resident/ 7100 Northland Circle, Suite 300, Brooklyn Park, MN 55428
i Owner Address/City/Zip:
P
Applicant is: Owner ✓ Contractor
Description of work: replace entry stair treads and risers, install bracing for treads
Type of Work p i
7800.00
Construction Cost: Multi-Family Building: (Yes ✓ /No )
Company: Keran Home Services, LLC Contact: Tim Keran
Contractor
Address: 265 Fillmore Ave E cit,. St Paul
MN . 55107 651-334-68% timkeran@hotmail.com R
State: Zip. Phone: Email: timkeran@hotmail.com
CR593945
License#. Lead Certificate#
If the project is exempt from lead certification, please explain why: I
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?
I
Yes No If yes,date and address of master plan: !
Licensed Plumber. Phone:
i
I
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone: I
I
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 nonpublic If you rovide apecfic reasons that would ermit the-city to conclude that ffie1 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(651)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 - • a « 'th 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 -•rk is not to st• hout a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approal of� -•
x Tim Keran /'`r" -
,,�►j
Applicants Printed Name Ap•fit"-"'r ,to
i
. ��(), 4o�� L f , q� ( 73
DO NOT WRITE BELOW THIS LINE
SUB TYPES
ar6 r-ov-� (_.q ,,p
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
01 of-t Plex Lower Level T Pool Accessory Building
'K -- - —
WORK TYPES
_ New — Interior Improvement _ Siding _ Demolish Building'
_ Addition — Move Building _ Reroof _ Demolish Interior
_ Alteration Demolish Foundation
— Fire Repair _ Windows _
Replace _ Repair _ Egress Window Water Damage
— Retaining Wall 'Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation 0'3 Occupancy MCES System
Plan Review Code Edition ii*11 u if SAC Units
(25%_1 00% ) Zoning (0 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of ConstructionWidth
REQUIRED INSPECTIONS �-t'
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVACService 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:
Reviewed By: ______424_,Building Inspector
RESIDENTIAL FEES C
Base Fee 007
1111111
Surcharge 141;a11-11' f e.2.
Plan Review / ��
MCES SAC 191 Z i S rill/P/1
City SAC
Utility Connection Charge r 1/04/d
S&W Permit&Surcharge 11 i
Treatment Plant �L'r\ 41
Radio Meter Read
Copies
TOTAL
Page 2 of 3