4024 Cedar Grove Lanef m
Address: 4028 Cedar Grove Lane Zip:55122 Permit: 74434
THF. FOI.LOWInG i'PF.MS WERE / WERE NOT COMPLETE AT FINAL INSPECTION ON:
Yes No Comments
Final grade - 6" from siding
Permanent steps - gara e ?
Permanent steps - main entry
Permanent driveway
Permanent gas h/
Retaining Wall or 3:1 Max Slope
Sod/Seeded lawn ?
Trail/curb dama e
Porch
Lower level finish
Deck
Fireplace
• Verify with your builder that roof test caps from the plumbing system have been removed.
• Turn off watex supply to the outside lawn faucets before freeze potential exists.
• Call the CiYy's Engineering Department at 651-675-5646 prior to working in right-of-way or mstalling
irrigation system.
? BUILDINC iIVSPECTOR: Ak toaz
i
; . +
Siteaddrass: (Srvv 81aoky
N0.372 D02
s?. Ald.d13 t??o, ,?,°? n
On Aprii 15, 2000 the Minnesota Energy Code, Categpry I Buiiding Requirements for insulatlan protec6an, air
Gghtness, and ventila6an, was adopted. As a resuH, the City of Eagan is requiring that the tollowing information be
submitted prior to issuance of a Cenificate af Occupancy.
2< ThIs shucdra is oonsbsmted,to maet minimun ieq*anerft of Mro Mn frrersr Code, cnspter 7670
'I OrR
?.. This etnxhrt? ?HI be ca?nslrycted to m?t mae iestrictlae rer?UetTt?+ts af Chapfers 1fi72 or 7&7<
li
I
APpLANCE
WaterNeater GA6 ELEC MANUiACTURER 61pDEL BTIPS YENi11
tf?'1YPE
«m ,?:,
Yl 0A oo (?S ?,..x
Y
Fu"am '" c -
561mc '
Coc -'.? cc? f} $S
Dtyer p
n4'3co
EIqiAUST+IBTEM IOCATION II TYPE MOOEL CFM's VB No
Knc,a, k;tctm
N -
G?r
8atlroom 1 0a? (o ?O X
s
n
2
m?om
e 1,??„?L?..t; c?o,n j - X
Batlrwm3 (o X
Salfiroan 4 lw? VANFV11VQQ e0 X
Co --N -tq x
FIREPLACE 5 tOCAtIOM GAS,, WOOP MAHUFRCTURER MDREI. BTU'S DREcf " ATMOS
i x ; oa, x
I hereby acknotNedpe fhal lhe s6ova in}erme6en is corwct and agree Ee cvmply wlth lhe Minnesota Energy Ceda and City d Eagan
requirarrwta,
Sign re ?
CampanyName
' Thisloim 13 the respcnsibiliry of Ne',General CorNeetor
?aAD n ? nnn?
Pata --m•'•• avs?.?c?.. .. ,
J
Address: 4024 Cedar Grove Lane Zip:55122 Permit: 74426
THE FOLLOWING ITEMS WERE / WERE NOT COMPLETE AT FINAL INSPECTION ON: .3•4-t7o7
Yes No Comments
Final grade - 6° from siding
Permanent steps - garage
Permanent steps - main entry
f
Permanent driveway
Permanent gas
Retaining Wall or 3:1 Max Slope
Sod/Seeded lawn
Trail/curb damage
Porch
Lower level finish
Deck
Fireplace
• Venfy with your builder that roof test caps from the plumbmg system have been removed.
. Turn off water supply to the outside lawn faucets before freeze potential exists.
• Call the City's Engineering Department at 651-675-5646 prior to woiking in right-of-way or installing
inigation system.
BUILDINGINSPECTOR:
No.372 oez
ro ?r ?,y?N e {? ?. 81,oCk _
?--t-- ?
subd
dn Aprif 15, 2000 the MinneSOta Energy Code, Category i Buiiding Requirements for Insulatlon profectlon, air
Gghtness, and venalaBan; wasrt'adopted: As a resuN;,me Ciry of Eagan is requiring #hat the lollowing rnformation be
submitted prior to issuance af a Cerdficate of Oceuparwy.
? Tids struc4sx ? oaiapucled?,W med mhrtqun reqiarMbnts of tlro hM Enargy Cade, Chapter 7670
OR
, This s4ucAa? ? consNioted ? tneat tnor? ?a reqqfre111snts of Chapter5 7672 ar 7674
APPIJANCE
Water Heater UAS _EfEC MANUFACTURER MppEL 8N3 VENiINGT'PE
c C m pO1' CSS ?iwr Y
Fumace ? c 58fnC CvC?- a o00 ?}QS
Qryer ? '" Q1.3sM1 8
EXHAUSTSVSTEM LOCA110N 'I 'fYPE MO?EI
G??
8atl
uoom 1
Cp ,
I
aWn+,?o,z
l,o,..?L??.r l - P;
Z
Fl..r coG.?1
Co
ro°'"A t4 v I?Qo? 90
Od+er ?? FIREPLACf 6 LOCA110M GpB' , vEN71NG
WOOP MANUFACTURER MODEL BTUS DIRECT ATA908
x
I hembY acknowle* thet the above ihtcrmetion is corteet and agree to wmply with the Minnesata Energy Cade and City of Eegan
requw"Wa.
MAR p 5 2007
Sign re -- -- -
Qarpenyldartfe
' This fortn Is thE responsibility of Ne!,General Contrecipr,
?
1f
K?74--? 6P ,yy?? y, S SI. ?9
? ,?2DO(? 12ESIDENTIALBUILDINGi rP ?K?2g ?y-o. S o
City Of Eagan 01 2,& q
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
I ns ctionRe uirements RemodeUReoairReauiremenls C3fficelJ
se?n?u
3 18stered site surveYs shovrinA s9. ft of bt, s9. R of twuse; and all ruofed areas 2 coPies of Plan showin9 footin95, 6eams, l'a'sLS Nt a90? N
? (20%manimumlotcoveragealbwed) lsetofEnergyCalculationsforheatedadditions T{?g? ??,?-c?=?
2 co
pies of Dlan showin9 beam & window sizes; poured found design, etc. lsttesurveyforadditions8deoks ?'?ee??„?.??":?=? ° N
;/isetofEnergyCakulations Add'?ion-indicaferYon-sifese{Micsystem ;Sepfw„ysfem;.:?4=??,YyTN
3 mpies of Tree P2servafion Plan rf lol pla@ed after 71/93 C' ?Z Vy zq
Rim Joisl DeYdil Options selection sheet (6uildings witli 3 or less units)
Minnegasco mechanipl ven6laUon fortn
Date PVL Z ? 2006 Construction Cost ?! 3
SiteAddress Z7aay (edGr 6(UVL' ?--C??1 <' UniUSte #
Description of Work / ??? ?+J CC3 n3-t'"l-Li Gk),\ m &Y'l (J
Multi-Family Bldg X y_ N Fireplace(s) _ 0 >(' 12
PropertyOwner r'Ip'luf- c C`r%DW-N Telephone#((51 ) zV " 32,112
Contractor Sri f'''t ?-'
Address IS- q ,S t F v? rlqO U-I C? (Fq,$' f City ? M GL?
State rA /V Zip :55 3q ? Telephone #
COMPLETE THIS AREA ONLY IF CONSTRUCTtNG A NEW BUILDING
Energy Code Category Minnesota Rules 7670 Ca[eeorv 1 ?._„.Nlinne'sota Rules 7692
• Residential Ventilation Category 7 Worksheet New Energy Code Worksheet
(4 su6mission type) Submitted Submitted
• Energy Envelope Calculations Submitted ; ?
In the? sT 12 months, has the City of Eagan issued a permit for a similar pl6n based o a mas plan? 3-Q.?
Y N If yes, date and address of master plan: oZ 100 C'eC?c?r o 1
Licensed Plumber 67(f ?1 Z-?,-?qh
Mechanical Cpntractor (?, e1'1 2?.K `?Gt v\
Sewer/Water Contractor ?? rxt;2 ? e L.t e/
?
Telephone # ( 952) ?b 7` (001)
Telephone#(qsjL)?b_7 "000
Telephone #(6st) 2 yb - 63 `I I
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 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
approval of plans.
0_G\CeY\
?J v
ApplicanYs Printed Name p icant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvaes
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
?
02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
/
003 3 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
W rk T es
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 'DemolHion (Entire Bldg) - Give PC A handout to applieant
DesCriAtion: WaterDamage_ Yes
Valuation -a:!f Occupancy ?3 l U MCES System ?
Plan Review 100% or '? 25%
Census Code _
/ D 'y
Zoning
P?
City Water /
?
SAC Units / Stories 2 Booster Pump
# of Units
/
Sq. Ft.
°I52
PRV ?
# of Bldgs 1 Length 3 S Fire Sprinklered
Type of Const Width 24.
/
? Footin
s (new bld
) REQUIRED INSPECTIONS
? Sheeh?ock
g
g
_ Footings (deck) ? FinaUC.O.
Footings(addirion)
? FinaUNo C.O.
Foundation _ HVAC
Drain Tile
? Roof ? Ice & Water Final Other
_ Pool Ftgs Au/Gas Tests Final
Frazning
?
?
?
? _ Siding _ Stucco Lath _ Stone Lath _Brick
Fireplace
R.I.
Air Test
Final Windows
? Insulation _ Retaining Wall
Approved By: CjgA-( ('- , Building Inspector
Base Fee T-- - ---_--- -- -------------
?/NlS?EOLGW?? L?f/EZ'.??2-iZ2S?• °?"
Surcharge 1/NFiN?Sftr? ?? •• ? Q 0. r-o
Plan Review p1A-!N F1,000-- L&VC'L
MC/ES SAC u pP&x- L-?V e L
- 2 G?'9 a•"-?
y 2I/
?
City SAC qkv-0
6-? r
Utility Connection Charge ?
D ? p O O • c*'aJ
S&W Permit & Surcharge G?' 3•o-0
Treatment Plant
License Search
Copies
Other
Tatal
MMCheck CDIIPLIANCE REPONT
tlinnesota Enerpy CoAe
NNOneck SofcwaPe Versioe 3.0
COUN7'Y: Hennepin
STA7E: Mfnnesota
7ANE: 2
CONSTRUCTION T'PE: Si.ngle Family
CATE: 6-14.$005
paTE 6F PLANS: 9-8-04
VRQlEC7 ZNfOAMATIUN:
Su4rf2 Gollection
Nicols Ri.dge
EdQan
tOMPaNY INFORMATIOM:
lennar Gorp.
lpTES:
? NcK3nley unit
CONPLIANCE: PRSSES
pequired UA = 604
Your Nooe = 400
83.8% Beiter Than CoOa
i ?
i ?
? Permit
I I
? Checked bylDeta ?
i i
Area or Cavity Corct. Waring/Doar
Per3ieeter R-va].ue N-Value U-Va2ue W+
--'- " -----------'---'•-'-'---------'--..." •...'.----------'-'--..___- "-^---
cssLzacs 962 38.0 0.0 as
qML,LS: Wood FramB, 18' O.C. 9252 79-0 2.0 182
GLAZING: Windows or Oaors, Above Graqe 258 0.350 90
ppppg ag 0.360 75
FLODRS: Over Uneortdici.ened Space 414 30.0 0.0 14
StAg P1.0O15: Ynheated, 72_0• insul. 118 70.0 70
Kvnc EoutPaIENT: Furnace, 90.0 AFUE
---------------------- -----------------------------------------•-•-------------
C04PLIAtKE STATEMEMT: Tne proposed buildlna dasign peacribed here is
consi.sceni with the Auiidinp plans, apeci}ieaiions, and otner, calculaciana
su6mitted wieh the permit application. The proposed buildinq has been
desiqned to oeet the requireaents of the Minnesoea En8r4y Code.
Buader/oesiprrer_ _ Date?
SEP 0 2 ?p05
f ".
Ya
Oz
B 0
B' ?
.0` ?
,6' ?
.e( ?
.H ?
.0 ?
..? ?
.Q ?
? ?
? ,B
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTYLEGAL: Lgi5I,Z,2,_?4 ?I?-k?F N?COI:
DATE OF SURVEY:
LATEST REVISION:
m
s
c
m
?
U
V
Q
DOCUMENT STANDARDS
0 • Regisfered Land Surveyor signature and wmpany
? . Building Permit Applicant
? • Legaldescription
? • Address
0 • North arrow and scale
? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
? . Directional drainage arrows with slope/gradient %
0 • Proposed/existing sewer and water services & inveR elevation
? . Street name
? • Driveway (grade & width - in R/W and back of curb, 22' max.)
? • Lot Square Footage
? . Lot Coverage
t'd
ELEVATIONS
Existin
? fd ? • Property comers
'z p ? • Top of curb at the driveway and properiy line extensions
pl ? ? • Elevations of any existing adjacent homes
g ? ? . Adequate footing depth of stnictures due to adjacent utility trenches
? ,? ? • Watenvays (pond, stream, etc.)
Prooosed
,B ? ? • Garage floor
'z ? ? • Basementfloor
,9 ? 0 • Lowestexposed elevation (walkouUwindow)
? ? . Property comers
? ? • Front and rear of home at the foundation
PONDING AREA (if applicable)
? z ? • Easement line
? 0 ? • NWL
? )a' 0 • HWL
p ,g ? . Pond # designation
? ,B ? • Emergency Overflow Elevation
? 19 ? • PondNVetland buffer delineation
Y . Shoreland Zoning Overlay District
Y
9
• Conservation Easements
DIMENSIONS
,e ? ? • Lot Iines/Bearings & dimensions
p?' ? • Right-of-way and street width (to back of curb)
'g ?? . Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanenf footings)
?? ? • Show all easements of record and any ' ?r ufilities within those easements
?? p • Setbacks of proposed structure an idey'rd setback of adjacent existing structures
? D 0 • Retaining wall requirements:
Reviewed By: Date 7 Z
G'/FORMSlBuilding Permit Application Rev. 11-26-04
. ?
-'? Surveyor's Certificate,
fi ?M1
\Y C - ??
,\J? ?
`SURVEY FOR :Lennar
OESCRIBED AS 4, Block 4, NICOLS RIDGE 2ND ADDITION, City of Eagan, Dakota
\1center"ne ty, Minnesota and reserving easements of record.
Northern IJDo?nUO ?t?,?`_'L?? ?D
100 footi
o of
I Naturol Gas ComPony P'?pelina Pe
8f 3:1 M2ttimum SEopes
I Book 72 MR. = Ur :isel:d1r11nQ Udall Wlel
-- ?" Be Requirecl
-1-- _?
-? 1
?
I >3a;
,.. ?
I 838.7
I B39.4 ..,`?? ''.,.
•
S?K?- ryo .
OOO ? 6q, 00 . ?' o4J sS ' 20 639.1 S 37ah'??? ..,?
838.9 °
I .?04 % O
tl, 0s C
0 a
841 B
?
o?9P
1 ? 10
I 842. u?° A°q ?d
0S?
I ?? 26 cky?
9 .7 ry O°?' ?O J?e'
I /L 4?.8 L? O
1 ry?',?y6 ? `??'
I ?O
I 641'6 v 847.F
o?
P
JOF\
7? ryp. ?
I ,
r
841.6
\ 6'j ,c
\
\
\
827.7'?32$.3
OUTLOT A ? 843.5f
\
Orainage & Utillity Easement ?
over all of Outlot A ?
\
?
PROPOSED ELEVATIONS
Top of Foundation = 842.5
Garage Floor = 839.2
Basement Floor = 839.3
Aprox. Sewer 5ervice = 827.2 827.5
Proposed Elev. _ C=>
Existing Elev.
Drainage Directions =-
Denotes Offset Stake = •
/
/ r .o - -s `a B;
?°i °.o ti-
`?c
Oq?
841. J ,Qp
ryop0 / /p\
/
` ..
Proposed
Homa
7ob=
ED
l By
Oace ? ?Z?-?o b '
? ?EAGAN ENGIIVEERING DEPT.
?
BENCHMARK,
TNH@Ce arvae r, edar Grove Prkwy
EI=821.26
?
SCALE: 1 inch = SO feat
MIN. SETBACK REQUIREMENTS
Front - House Side -
Rear - Garage Side-
N0:
HEDLUND ' HEREBY CERTIFY THAT THIS I$ A TRUE AND CORRECT ftEPftESENTATION
OF THE BOUNDARIES OF THE ABDVE DESCftIBED PROPERN AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION ANd 06ES NOT PURPORT TO
PLANNlNG 6NGIN66RlNG SURV6YfNG SHOW IMPftOVEMENTS OR ENCROACHMENTS, E%CEPT AS SHOWN.
2005 Pin Oak Drive ? `r? ^r
Eagon, MN 55122 DATE ?/_{/?
Phone: (651) 405-6600 R . LINDGREN, LANO VEYOF
Fax: (651) 405-6606 NE TA LICENSE NUMBER 14376
O6R-317
FILE:
Niclos Ridge
??_ ?,.,,? y??? ?•?,? z?.a( 6 P:?-Y Y 3 0
? a00 4 RESIDENTIALBUILDINGsMeP--4.ky 32
?
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements
?3 registe2d site surveys showifg sq. ft. W lok sq. ft. W house; and all roofed areas
(200k maximum lot coverage albwed)
V2 copies of plan shaxing 6eam &wirniow sizes; poured found design, etc.
?/l set of Energy Calwlations
3 ooples of Tree PresenaGon PWn'rf lot platted after 717/33
Rim Joist Dehil Options selection sheet (bwYJings wAh 3 or less unifs) ?j d" iJ
Minnegasco mechanical veffdlation form
?G y,Sz3.RY
9o.so
-9-v. S o
98y. 9Y
RemodeVReoalrReauiremenls
2 copies of plan showing footirgs, beams, joisfs 0--ait=o{ Sii[l*?t1
WI??-N
1 set of Energy Calculatlons tor heated additions firec"p;?sPJarcRet?i?i"
N..?.
lsilesurveyforaddiGons&decks ,',..u"i`retl?_Y'vla
Adddion-indkafeilonsNesapticsystem p?j=5$?ep?S,yS,i?m???;`?.?'??1?„ ?.. N
?k33
Dat
/ rrL 14 ZODS E I s 3
C
i
C 57 -7?
e
Sit
Add / os[ L
onstruct
on
L q ei e
r?1-b ?e r
e
ress -
UniU Ste #
?1/i cvl5 ; lo? k
Description of Work ?? ? `t? ?t?fi??t C.7-16iz(1 s4tM b"12.F,;
Multi-Family Bldg ? Y_ N Fireplace(s) _ 0 ? 15O'??h 2
PropertyOwner ? Lti yIAr Cc'/Telephone#(657 ) 2 e7- 3?y.3
Contractor 5°i F"l -c-
Address ('l0 U', Cl eQ,$'f'- City L-,?%? ,Ocl t'
State rA IU Zip 2?'3-791 Telephone # (6S/ ) 21 1- EdVJ'
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
=,,i
Minnesota Rules 7670 Cateeorv 1 NIinnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet, New Energy Code Wotlcsheet
(J submission type) ? , ?,? -,.
Submitted - . ,,7 i Submitted
• Energy Envelope Calculations Su6mitted
In ihe last 12 monThs, has the City of Eagan issued a permit for a similar plan based?on-a-r?aster plan? +'-A 3.,?-?
4 Y _ N If yes, date and address of masTer plan: c? ltla
Licensed Plumber. ?Z-94c, h Telephone #( 9S2) 76 7`(001)
Mechanical Contractor 2 Telephone #(qs? -26 -7 ' (00 Q
Sewer/Water Contractor A_ 'Kct:?, _S e t,J 2 f Telephone #(65/) 2y6 ' b3 q I
I hereby apply for a Residential $uilding 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. ?
0-c,c-ey\, L9_nnr4e-
Applicant's Printed Name plicanPs Signature
DO NOT WRITE BELOW TAIS LINE
1
Sub Tvues
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 27 Porch (3-sea.) ? 31 Ext. Alt - Multi
.12( 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 70.plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvaes
IFEr 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 (Entlre Bldg) - Give PCA handout to applicant
D@SCripti0n: Water Damage _ Yes
Valuation qL 71
Plan Review 100% or ? 25%
Census Code ? 6 2
SAC Units f
# of Units
# of Bldgs
Type of Const
Occupancy = '3pi U
Zoning ! P
Stories L
Sq. Ft. qD 7
Length .'S 6
Width _T&?
MCES System
City Water
Booster Pump
PRV
Fire Sprinklered
V
?
,l
? REQUIRE? INSPECTIONS
_ Footings (new bldg) / Sheetrock
_ Footings(deck) ? FinaUC.O.
/ Footings (addition) FinaUNo C.O.
? Foundation HVAC
Drain Tile Other
/ Roof ? Ice & Water V/Final _ Pool Ftgs Air/Gas Tesu Final
? Fnming ? ? Siding _ Stucco Lath Stone Lath _Brick
? Fireplace ? R.I. Air Test Final Windows
? Insulation _ Retaining Wall
Approved By: (T , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
I.ot,Uf? LTVE1- FIIJ(SFrErAD =
I I UAJFiNiSl4&-D =
M aa 1? ?OO¢. -
uPPet- r-?V- -
D£tlk =
/ 2 ' f S"o . o-o
S55 . u-?
45,9'7 8 • - _.
2iij /9 0
20 0 0 . a.-o
9`•'797
Copies
Other
Total
.
?Mlcheck COIpLIMICE REPOxT
IAinneaota Enerpy Code I Permit
MBYeheck SofitwarC yersion 3.0 I I
? Checked by/Date (
CDUNIY: Hennepin
STATE: Minnesata
20NE: 2
CONSTRUCTION TYPE: Singlq Fawily
DATE: 6-14-2005
DATE OF PCaNS: 9-6-04
PpOJECT IMFORWM7ION:
Suaait COllecsion
Nicols Ridge
Eagan
CdIPANY IHFOFWATIQIi:
LCDfldr COPp.
? li??$ --
RusMaore Un12 ('SO)
COAIPLIANCE: PASSES
Requited Va = 587
Your Hoae m 369
37.1% Better Than Gpde
Area or Cavlty Coat. Glazing/Door
Perimecer R•Yalue R-Ya1ae
__ U-Value
----
.'-'-^ UA
-----
-----------------------------------------"'
CEILING.,S 962 - " -------------
$8.0 0.0 - 29
MALLS: Mbod Fra?e, 16' O.C. 8206 19_O 2.0 180
GLAZING: Windows or Ooors, Above Grade 178 0.350 62
OOORS 42 0.850 76
FLOORS: War Unconditloneq &pace 477 36.0 0.0 14
StAB fL00RS; Ileheatoa, 72.0' inaul. tla 70.0 69
WnC E6l1IPMEN7; Furnaoe, 90.0 nFUE
.
....
----------••-----------------------------..
GOwPLI/WCE SrArEMENT: The proposetl buildinp ..._ ......
Oeaiqn qeaeriDed .
.....
here is
consistent aiih ihe buiidi,ng plans, specifioations, aad other ealculasions
submi[ced with tha perris applicatipn. Tha proposetl building has been
designe6 to eee[ the requiraaeats pf the MinAOSOta Enerpy Code.
BvilderlDesipner Date
A --?
.
Ya
Oz
'& 0
A' ?
z ?
.0 o
.e ?
.P( ?
? 0
0?
,..? ?
.? ?
? ?
? .B
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTYLEGAL:
l
DATE OF SURVEY:
LATEST REVISION:
m
?
e
?
L
U
?
Q
DOCUMENTSTANDARDS
? . Regisfered Land Surveyor signature and company
0 • Building Permd Applicant
? . Legal description
0 • Address
? . North arrow and scale •
? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
? • Directional drainage artows with slope/gradient %
? . Proposed/existing sewer and water services & invert elevation
? • Street name
? • Driveway (grade & width - in R/W and back of curb, 22' max.)
? • Lot Square Footage
? • Lot Coverage
1-d
i,
ELEVATIONS
Existin
? fd ? • PropeRy comers
,g ? 0 • Top of curb at the driveway and property line extensions
'z ? ? . Elevations of any existing adjacent homes
.Z 0 ? • Adequate footing depth of structures due to adjacent utility trenches
? ,0 ? . Watenvays (pond, stream, etc.)
Proposed
,H ? ? • Garage floor
'z ? ? • Basement floor
10 ? ? • Lowest exposed elevation (walkouUwindow)
z ? ? • Property comers
_z O ? • Front and rear of home at the foundation
PONDING AREA (if applicable)
? H 0 • Easement line
? g p • NWL
? p' ? • HWL
? g ? • Pond # designation
? g ? • Emergency Overflow Elevation
? ? ? • Pond/Wetland buffer delineation
Y . Shoreland Zoning Overlay District
Y ? • Conservation Easements
,B ? ? • Lot lines/Bearings & dimensions
p'z ? . 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 requiring permanent footings)
?? ? • Show ail easements of record and any ity utilities within those easements
??? . Setbacks of proposed structure an idey ?rd setback of adjacent existing structures
'z ? ? • Retaining wall requirements:
Reviewed By: Date 7112?10'4
G./FORMSlBuilding Perznit Application Rev. 11-26-04
Surveyor's Certificate _
_-
SURVEY FOR :Lennar
DESCRIBED AS -.Lats-Y2,3-ond 4, Block 4, NICOLS RIDGE 2ND ADDITION, City of Eagan, Dakota
County, Minnesota and reserving easements of record.
? Centerline of 100 foot Nortihern p
cn
° I ony Pipeline Pe? ?
Naturol Gas Comp
I 89 -- ' ?
gook 72 MR. P098 J 3:9 M8XIP49Y1PT1 SIOpes
orr-'?atiaining Wall !}ViN
r --- "? Be Feequireti
?
I ?,y
I 838.4
O .8,,... .. `.,,,
? S? ? • ?I• 6?e o,
37.°9'?' ?C-
I? 2p?`g39.1
ry ti., 1
836.9 o P'O 4 ?'?° 39.1 7.5
T?k °a
I O? ? ?'>? Oo. Co
I / 641.8 ?s8?°'7° ?9a
F
?
I 842. % ?d
0,1 o?
I ? cy5?a
SO?
I 41. ?a
I ' B41.E
?O ?9. V 6 ,O
A ?s
?o
h?y s`°a 00,
o ? e e °9e
I ,,?6 ti ?l+'?
841.8
\
\
\
\
OUTLOT A ? 943.
Orainage & UtilHty Easement
over all of Dutlot A ?
\
?
\
?
r,F
PROPOSED ELEVATIONS
S
?lfj
Top of Foundation
Garage Floor
Basement Floor
Aprox. Sewer Service
Proposed Elev.
Existing Elev.
Droinage Oirections
= 842.5
= 839.2 . «„
= 839.3
= 827.2 827.5 827.7 828:3
Denotes Offset Stake = •
ryp?/ ? ?' Prapased
Home
_Y Tab=
?rW- E D
gy ? - _
? Date
?
EAGAN EMGIIVEEL@INCi DEF'4:
BENCHMARK,
TNH@Ce arvae Ur.&Uedar Grove Prkwy
EI=821.26
MIN. SETBACK REQUIREMENTS
SCALE: 1 inch - 30 feat
Front - House 5ide -
Rear - Garage Side-
JOB N0:
HEDLUND I HEREBY CERTIFY THAT THIS IS A iRUE AND CORRECT REPRESENTATION 06R-317
OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SUR4EYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PACE:
PLANNfNG 6NGlN66RlNC SCJRV6YLNG SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN.
20?09 Pi ?Oo551D22e DATE -Z/?/P- "D' r ? CAD FILE:
Phone: (651) 4D5-6600 R D. LINDGREN, LAND VEYOR
Fax: (651) 405-6606 NE TA LICENSE NUMBER 14376 NiClos Ridge
y
" ?-00`q tRESIDENTIALBUILDING'n M ?
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCNon Reauirements
3 registered site surveys shaxing sq. R of bt sq. ft of house; and all roofetl areas
(20% mazimum lot coverage allowed)
2 copies oF plan showing beam 8 window sizes; poured found design, etc.
1 set W Energy Calculatiais
3 copies of Tree Preservation Plan N ht plalled after 711/93
Rim Joisf Defail Options selection sheet (build'mgs with 3 or less unilc)
Minnegasco mechanipl ventilation fotm
:? 4'f 3y' lil'y,BS/ . 69
?-wa3S 9a.sa
?yv?L 40.50
.t3'5,0I-2.6 R
RemodelRtepair Reaui2menls dtfie?:[1se. = 2 copies otplan slawing faolings, beams.joists Ceit"?iCsh?ie.y;.Ras.?1N
1setofEne Cakulationskrheatededditions ?`s°' ?? ?-?`'?"`
9Y 3iee ?`k?, ',?,???Y:_:N.
1 sRe survey for additiNOns & decks T#epeplrei]?sw=':=>=_??;_?'" ?N
AddiUon-indicateifon-s/Tesep6csystem _N
Sa- t,J : --7- y `i 3$
Date / UJ L YA 2006 r? Construction Cost S, 15L, ( 6 6
SiteAddress YQ d+? (QdGr' / 13-17)Ye- ?-Gj+'12 UniUSte #
t. -o ' i ,2?d 6lo4
Description of Work `c C,TI6
Multi-Famity Bldg x y_ N Fireplace(s) _ 0 ? 16Oj?h 2
Property Owner ?e?Iv1AY' ` ca/cd %dr? Telephone#(b!7j) Z?`/- 3ay3
Contractar S°i 1?t t?
Address IS- y..Y ?n C I q vN
State f? 0 U-1 C) FC93 $ 4'
Zip 55 •'9 ? City L? h
Telephone # (65-/) 21 GL4 '
1 - '' d I j
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
, , ?------?
- Minnesota Rules 7670 Cateaorv 1 Minne'sota Rules 7672
EnCrgy Code Category . Residential Ventilation Category t Worksheet,?; i a,a ., ,• New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelape Calculations Submitted
In The last 12 months, has The City of Eagan issued a permit for a simlar'pldn tiased=on.a.master plan?
? Y _ N If yes, date and address of master plan: a 100 ('e ??? ???G ? 1
Licensed Plumber G? 2 ?IZ h
Mechanical Contractor 2
Sewer/Water Contractor ? ???? -S e W e f
Telephone #( 9S2) 76 ??? 1600
Telephone?67 `(OoQ
Telephone #((01) 2416 - 639 1
I hereby apply for a Residenrial Building Permit and aclmowledge 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. Applicant's Printed Name Aq?licant's Signature
DO NOT WRITE BELOW THIS LINE
.
Suh Tvpes
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
2 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt - Multi
03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Exl. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? DS 03-plex ? 11 70-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
War? T es
NO' 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move 8uilding ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof , ,. '? 46 WindowslDoors
? 34 Replacement `Demolkion (Entire Bldg) - G ive PCA handout to applicant
DCSCrIptl011: WaterDamage_Yes
Valuation I I , ?, 23 Occupancy U MCES System V/
/
Plan Review 100% or `
25%
Census Code ?
( Z
Zoning
P? City Water ?
SAC Units ? Stories Z Booster Pump
# of Units ?
Sq. Ft.
? S Z PRV ?
# of Bld
gs ?
Length
3?l Fire Sprinklered
?
Type of Const ? g Width
/ REQUIRED?NSPECTIONS
? Footings (new bldg) ?/ Sheetrock
_ Footings (deck) ? FinallC.O.
Footings (addition) FinaUNo C.O.
? Foundation HVAC
Drain Tile / ? Other
/Roof ?/ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final
? Framing ?
? F'
l /
V Siding _ Stucco Lath _ Stone Lath _Brick
vep
ace R.I. Air
? Test
Final Windows
Insulation _ Retaining Wall
Approved By , "Y4--- , Building Inspector
--------
Base Fee ---^?
1.GW? LL-HM ?INlSN L'? =
(2 27? , o-e? ----
r
Surcharge '' V t-i FINISYD
51
l ti Z. •?.?'
Plan Review AF"o III-_. ?
MC/ESSAC UPP 61L FLppR- ? 2
ciry sAC &Aj-n-&.E7 = L fb2 4. - • ,
Utility Connection charge b15-r-? = Z; 600
•?-c?
S&W Permit & Surcharge '?"??_ _ Af c? cj
6.?3
?
j
•
Treatment Plant
License Search
Copies
Other
Tofal
,
Ma+cnaok coWLineice xevortr
Minnesota Enerpy CeAe
MNCheck Software Version 9.0
COUNTY: Hnnnepin
STATE: Minnesata
ZONE: 2
CdrSTRl1CTIWl 'n'vE: Single Family
DATE: 6-74-2005
pATE DF PLANS: 9-8-04
PRQIECT INFOAMATION:
Suerft Collection
Nicols Ridge
Eagan
COWPaNr IuFORMrtT20N:
t,ennar Corp.
/WTES:
? recKinley unit (4S")
CONPLIANCE: PRSSES
Reqairea UA = 604
Your Nome = 400
39.8% Better 'fhan Code
I 1
I I
? aermit 1l ?
I I
I 1
? Checked by/9ate ?
1 I
Area oP Cav12y Coni. GlaaingJDOOr
Perimetar p-value R-Value U-Yalue
.-.
_.
. Un
_----
--......_--' ....................'----_-_.•--
CEILINGS 962 ......------'-----
38.0 0.0 .
•
---
- 29
NAlLS: Wood Frame, 18' O.C_ 9252 19.0 2.0 182
GLqZING; WindowS qr GOOrS, Above Grade 258 0.350 90
OOOAS 42 0.350 15
FLOORS: Over Uneondi.ti.oned Spaee 414 80.0 0.0 14
StA6 fL00NS: pnheated, 72.0' insul. 178 10.0 70
HVAC EWIPMENT: fWnaCC, 90.0 AFUE
'
---
-'-• " '--- -
-----
-----------_'_' .............- ---- "--•- "-•
CpWLvwCE STATENENT: ihe proposed Euildiny ----- -------
-
deslyn peacrihatl here is
eonsia[ent w1,th tho M,iidinp plany, 9pecitie ations, and other oaieuiacians
subsitted rith tAe perult applfeation. The proposed buildinq has bBen
dasiqned to neet the requireoents of !he Yinneso'ea Ener9y Code_
Buildar/Designer Date - ^
SEP ? 2 pp05
?
I
`1 a
OZ
.z D
?
.0` ?
.0' ?
.Q( ?
R1 ?
? D
jw D
Z ?
.Q ?
? 0
? .e
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLlCAT10N
_ _ . . , . i . .?. PROPERTY LEGAL: ? O`CS !<- ? z`I- mst-r' `i" Jvf u-s?'
DATE OF SURVEY:
LATEST REVISION:
m
rn
c
R
Z
U
?
a
DOCUMENT STANDARDS
p • Registered Land Surveyor signature and company
? • Building Permit Applicant
? • Legal desaiption
? • Address
? • North arrow and scale
? . House type (rambler, walkout, split wJo, split entry, fookout, etc.)
? • Directional drainage arrows with siopelgradient %
? • Proposedlexisting sewer and water services & inveA elevation
? • Street name
? • Driveway (grade & width - in RM! and 6ack of curb, 22' max.)
? • Lot Square Footage
? • Lot Coverage
ELEVATIONS
Existinq
? Jd ? • Property comers
,17! p? • Top of curb at the driveway and property line extensions
p1 ?? . Elevations of any existing adjacent homes
g? 0 • Adequate foo6ng depth of structures due to adjacent utility trenches
? dd' ? • Watenvays (pond, stream, etc.)
Proposed
,g ? ? • Garage floor
? 0 • Basement floor
,U ? ? • Lowest exposed elevation (walkouUwindow)
z ? ? . Property corners
,Z 0 ? • Front and rear of home at the foundation
PONDING AREA (if applicable)
? H' ? • Easement line
? ,[?l ? • NWL
? ? ? • HWL
? ,g ? • Pond # designation
? ,S ? • Emergency Overflow Elevation
0 :?l 0 • Pond/Wetland buffer delineation
y . Shoreland Zoning Overlay District
Y • Conservation Easements
DIMENSIONS
0 ? ? • Lot Iines/Bearings & dimensions
p'ff 0 • Right-of-way and street width (to back of curb)
?g ?? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requi(ng permanenf footings)
?? ? • Show all easements of record and any ity ufilities within those easements
??? . Setbacks of proposed structure an idey rd setback of adjacent existing structures
?g ? ? • Retaining wall requirements:
Reviewed By: Date 2-?4
G)FORMS/Building PeRnd Appiication Rev. 11-26-04
t V
? Surveyor's Certificate _
SURVEY FOR :Lennar - --` ?
IDESCRIBED A$ _;J_ats--172„S ond 4, Block 4, NICOLS RIDGE 2ND AODITION, City of Eagan, Dakofa
County, Minnesota and reserving easements of record.
? Northern ?a???n ? C?UH ? ?D
o Centerline of 100 foot
I Notural Gas CompanY P'peline per `
I 9001, 72 MR, P°9e 89 3:1 Max7q? U lOpB$
C7r "f9913if1Q W?l VY1N
J- ?
?
I
1
? 638.7
I 839.4
I ro0 14K ,6?•?/,.' 38.
r?' o ?
I o?J? `6, •yS ' r,o 839.1
I B389?r0 ?, ?OO J `r3r? ?`/•??o..,...t? ?
6,1 30'9$
I 841. ?`Sg°tiy?" ? O, Cn
?, ? ?a 9@ ?. s 7
I 842. _ ??`. °o?R
8 .7 ?a ?p ol° i °,pe 60 ?C
I 41.
23r
' t?a
O' 'LO
q,_ O
ooffir : ? 841. ' k??
I 84?
I
\ .6, 'Y p S ? a93o ,y`1`
\ 841.8 ? 47. .?
\
OUTLOT A ? 84'
Drainoge & Utillity Easement ?
over all of Outlot A ?
\
\
\ \ ?
?
PROPOSED ELEVATIONS \
Top of Foundation = 842.5
Garage Floor = 839.2
Basement Floor = 839.3
Aprox. Sewer 5ervice - 827.2 827,5
Proposed Elev. _?
Existing Elev, _
Drainoqe Directions -
Denotes Offset Stake = .
' i Proposed
Home
/ Tob= ('41.61
Oate
? ,EAGAN ENGINEERING DEPT.
?. ?
?
BENCHMARK,
TNHOCe arva r e
EI=821.26 dar Grove Prkwy
827.7
SCALE: i inch - 30 feet
MIN. SETBACK REQUIREMENTS
Front - House Side -
Rear - Garage Side-
JOB N0:
HEDLUND I HEREBY CFF7IFy 7ryq7 7F{I5 IS A TRUE AND CORRECT REPRESENTAiION O6R-377
8Y EEORUNDER MY DIR CT SUPERVISIONRIA D DOESNDT PURPORTETp BOOK: PAGE:
PLANNlNG lINClN66RlNG SpRV6YlNG SHOW IMPROVEMEN75 OR ENCROACHMENTS, EXCEPT AS SHOWN.
2005 Pin Oak Drive
Eagan, MN 55122 pa? ??? ?. ?
Phone: (651) 405-6600 / D. UN?GREN, LAND CAD FlLE:
Fax; (651) 405-6606
61 NE 7A LICENSE NUMBER p3j60R 9B
Niclos Rid
&,v? Lr -n?
Y -74 q 39
?poty d2ESIDENTIALBUILDINGm ('1° ?? ?
City Of Eagan "? P
3830 Pilot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX # 651-675-5694
New ConsWchon Reauiremen4
3 registe2d site surveys showirg sq. R of bt sq. R of house; and all roofed areas
(20% manimum bt coverage anowed)
2 copies of plan showing 6eam & windovr sizes; poured found design, etc.
7 set of Energy Calwlations
3 copies of Tree Preservatlon Plan H lot platted aNer 7l1/93
Rim Joisl Defail Options selection shcet (buildings wtlh 3 or less units) S 4 Lj
Minnegasco mechanipl venhla4on form
RemodeVReoair Reauiremenls
2 copies of plan showirg footings, beams, joisfs
1 set ot Energy Cakula6ons (or heafed additions
1 sile survey for additions 8 decks
Addfion - indicate rlon,sde sepds system
-?qLf ql
3%"Y, 8sr. (09
9o.Sa
?7-a.So
TreE=.?e.'?'a'%, u:0?f=?.a?,? . 1f„ iV
T;st?,Se,.?.(s', `ii?..?,_: `. f'ryitt,-._ N
Date /JUL 1? 2006 Const
ruction Cost 159,
D(?
ress K d ,7D C
Site Ad
d l
E dQ ? l3 fU ?e 4. G} ?1 'C UniUSte #
?
?
Description of Work /A (.J ` O?'1,.Sf?c,t G?'r7? Cst ??r b?
Multi-FamilyBldg X Y_ N Fireplace(s) _ 0 ? 1(5Oj?h 2
ProperryOwner ILC rlvlcti" CC, r Pca/'4?/drN Telephone#(6g/ ) zb?-
Contractor
Address t Gvx Cl eg,3City
State {N? /J Zip ?5S s'7 I Telephone #(6S/ ) 2 h-? 3d613
--
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
?--- - --' - - -, -
Energy Code Category - Minnesota Rules 7670 Cateeorv 1 Mmne§ota Rules 7672
• Residential Ventilation Category 1 Worksheet New?Energy Code Worksheet
(? submission type) Submitted ,
Submitted
• Energy Envelope Calculations Submitted
In the lost 12 months, has the City of Eagan issued a permiT for o similor plan based on a masterp lan? I,? a 3???
? Y ^ N If yes, date and address of master plan: oZ:lOO_ ('eG???-G?s-: ??7?;, 1
Licensed Plumber ?c rIZ - tq`?Q h Telephone #( 9S2) 76 7- (00 d
Mechanical Contractor ? e vi 2 .??a v? Telephone #(qs34 '767 ^(000
Sewer/Water Contractor _Al- Y-ct:?m 5 e LJ ¢ T Telephone #( G,5/) 2,46 -?3 9 1
I hereby apply for a Residenrial $uilding Permit and acknowledge that the information is complete and accnrate;
that the wark 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 pernut, and work is not to start without a
permit; that the work will be in accardance with the approved plan in the case of work which requires a review and
approval of plans.
3-?l c' ey\?
Applicant's Printed Name Appl' Ys Signature
DO NOT WRITE BELOW THIS LINE
Sud Tvpes
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
?/03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10.plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Wof? T es
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 Buifding' L] 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement 'Demolition (Entire Bidg) - Give PCA bandout to appl[cant
DBSCrIptt011: Water Damage _ Yes
Valuation q&73 Occupancy 2• MCES System
Plan Review _ 100% or w125% p /
Census Code Zoning City Water ?
SAC Units ? Stories 2 Booster Pump ?
# of Units 1 Sq. Ft. PRV
# of Bldgs Length ? Fire Sprinklered
Type of Const -J9'1105 Width
2G ?
REQUIREDjNSPECTIONS
?
Approved By: Building Inspector
? Footings (new bldg) Sheetrock
_ Footings (deck) FinaUC.O.
Footings (addition) FinaUNo C.O.
? Foundation HVAC
Drain Tile Other
Roof ? Ice & Water V/Final
?/ Framing
?/ Fireplace ?R.I. ?AirTest Final Windows
?Insulation
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Tofal
?
_ Pool Ftgs Air/Gas TestS Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Retaining Wall
?D W ?12-- ?l'E? FI N tSri'6D =
n " UNFW?sl+tsp =,
Mkiu Ltrfg- -
U P PtIL- I,BvoL =
D? -
'r o Tjf'L =
l2? 3S'O . ?
fo/S • aw
5l ? /92. • u-?
ZL , 9?i .
?, ?z.?.•-0
Z? o e a. c.,.,,
99?.73. ?
?
1 I
faVCheek CO4Pt,InNGE REPORT i ?
Permit A ?
Minnesota Energy Cade I
MCheek Software vefsian 3.0 ? I
? Checked by/Date ?
I I
OOtlNIY: Mennepin
STATE: Minnesota
zoNE: z
CONSTRUCTSON TYPE: S,3ngla Faaily
DATE: 6-14-2005
QATE OF PtRNS: 9-8-04
ppWEC'f TNFOtb1ATIQN:
Susmit Colleotion
Mieols Ridge
Eagan
CpMPANr INfQNMNTION:
Lennar Cerp.
NO7E5:
CascaAe Unit (45s)
LOMPLZANCE: PASSES
Required UA = 604
Your Nore = 400
93.8vs 9e[2er Than Code
wrea or Cavity Cont. Glazinp/Oaor
Perireier R-Value R-Value U-value
.
--- un
- ---
............................................. ^-----------.._.
CEILINGS 952 98.0 0.0 ......
... 29
MfALl8: Woad fra#e, 16' O.C. 3252 19.0 2.0 782
GuZING: Windaws or poors, above Grade 256 0.950 90
OOOWS 42 0.350 15
P4pOR5: Orer Unconditioned Spaoa 414 30.0 0.0 14
5tJIB FLOOPS: Unhea[ed, 72.0' insul.- 116 70.0 70
HvAC EOUFPMENT: furnaCe, 90.0 AFUE
----------------------------------------- ---------- ... ......
COMPLIANCE STATEMENT: 7Me proposed bu3ld;tng design described .
here ia
eensistent witn the buflEing plans, specificatlons, and other calculations
aubieittetl viih the perwit applioazion. The proposed builAing has been
Cesigned io neet the requirementa of tl+e NinnesOZa Energy Coda.
?
8uilder/Designer Dat e
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
d
PROPERTYLEGAL: LOTS? ?
DATE OF SURVEY:
LATEST REVISfON:
m
?
c
m
s
U
p Z ¢ DOCUMENT STANDARDS
,Z ? ? • Registered Land Surveyor signature and company
g- ? ? • Building Permit Appiicant
.s' ? ? • Legal description
,g ? ? • Address
.PI ? 0 • North arrow and scale
z ? ? . House type (rambler, walkout, split w/o, split entry, lookout, etc.)
,H ? ? • Directionai drainage arrows with slopelgradient %
0 p ? • Proposedlexisting sewer and water services 8 invert elevation
„ff ? ? • Street name
,e ? ? • Driveway (grede & width - in RM+ and back of curb, 22' max.)
? 0 ? • Lot Square Footage
0 .H ? • Lot Coverage
ELEVATIONS
Existina
O Jd ? • Property comers
,m ? ? • Top of cur6 at the driveway and property line e#ensions
,Z ? ? • Elevations of any existing adjacent homes
id ? ? • Adequate footing depth of structures due to adjacent utility trenches
? gl ? • Watenvays (pond, stream, etc)
Proposed
,H ? ? • Garage floor
,Z ? ? • Basement floor
.9 0 0 • Lowest exposed elevation (walkouUwindow)
z ? ? • Property comers
'z ? ? • Front and rear of home at the foundation
PONDING AREA (if applicable)
? B' ? . Easement line
? 0 ? • NWL
? )er ? • HWL
p ,0 ? • Pond # designation
0 8 ? • Emergency Overflow Elevation
? A ? • Poncl/Wetland buffer delineation
Y • Shoreland Zoning Overlay District
Y ? • Conservation Easements
DIMENSIONS
t i _ , nd
.0 0 ? • Lot lines/Bearings & dimensions
?'z ? • Right-of-way and street width (to back of cur6)
f8 ?? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
? p ? • Show all easements of record and an" utilities within those easements
??? • Setbacks of proposed strucYure an idey rd sefback of adjacent existing structures
f8 ? ? • Retaining wall requirements:
Reviewed By: ? Date 7 z?
G:lFORMS/Building Permit Application Rev, 11-26A4
Surveyor's Certificate _
_-
SURVEY FOR :Lennar
DESCRIBED AS -j-ots-i-,z3-and 4, Block 4, NICOLS RIDGE 2ND ADDITIDN, City of Eagan, Dakota
J--- County, Minnesota and reserving easements of record.
115) O
100 foot Northern t3LFLI 13
??n ?o ? Centerline
Eil I pipeline Pe? -?'-
Notural Gos ComPany
? e 89 3:1 M?imuPPt SIoU9e
I Book ?2 MR, Poe ar Rc:taining Wa11 V1li19
Be 1--laquired
?
?
.,
;,.
I 838.7
*
. ? ? ...
ta..?j
838.4 l
»"a .,._ ., "'?'? •,...
I OO `oq, r,poo??.
' `637a97
' Io{7O 6'S ' 2a 839.1
,? .? s p0 .: fJ?p;•.,L'?'\
?
I ;? D?
i 841. ? 9eka°3a c?o o .?o
I d ?p 9e 0
r
I 842. ?.o
? o
o ?A ? sc
I ?'?0 2s c?`y?'e r°
I J 10k vp
B
?rq ?s
%
I A sq?? °s
I e4 _ 841, q o
? 6) o o a
r
eai.e , ai.
\ o
\ ryp?/
\
\
OUTLOT A ? 843. f '
Drainoge & Utl11Ry Easement
over all af OuUot A ?
\
\
?
PROPOSED ELEVATIONS
Top of Foundation = 842.5
Garage Floor = 839.2
8asement Floor = 839.3
Aprox. Sewer Service = 827.2
Proposed Elev. _
Existing Elev. _
Drainage Directions =
Denotes Offset Stake = .
?
827.5 827.7" 8.28.3 ,
6ry?•
?ss 1ry? ?
?098 O ?^r?>Y
?
h'?ib ?r '6 •E ? 8;
°aycZO'.n.5 r?.
@y
?
Wer
r.
J ?
Proposed
Home
Tob=
iE l?J
Date -71L4-6 b v
? ??GPaPd ENGWEEMG DFP'&:
?
?
BENCHMARK,
TNHOCe arvaedar Grove Prkwy
V 1? EI=821.26
MIN. SETBACK REQUIREMENTS
SCALE: 1 inch = 30 faet
Front - House Side -
Rear - Garage 5ide-
JOB N0:
HEDLUND I HEREBV CERTIF'! lHAT THIS IS A iRUE AND CORRECT REPRESENTATION 06R-317
OF 7HE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED
87 ME OR UNDER A1Y DIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PACE:
PLANNlNC 6NGlNB6RlNC SURV6YLNG SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEP7 AS SHOWN. .
2005 Pin Oak Drive ?'j
Eagan, MN 55122 OATE 7/L/^' ? le? ?• Y . CAD FILE:
Phone: (651) 405-6600 D. LINDGREN, LAND VEYOR Niclos Ridge
fax: (651) 405-6606 NE TA LICENSE NUMBER 14376
4 •%'7i072006 ' 11:49 EFGRN ENG+COM DEV 4 94335165 N0.982 D01
2006 FIRE SLIPPRESSIUN SYSTEMS PERMIT APPLICATTON
City Ot Eagan
3830 Pi1ot Knnb Road, Eagan lYtn 55122
Telephone # 651-675-5675 Fax # 651-675.5694
Requiremems: 2 complete sets of drawings and spaciTicauons
cut sheets on ma6e.ria15 end com nants to be used
.ti ?-I 1,t4
Date 7 1 7 / ?6
Site Address: 1501 Ga47A C- R!<u-`;
Tenant / Building Name: r!l GA1.+ eAol'^!t'SS/J1.t 4 t `tt- Uf A.r G
The Appiicant is: - Owner ?Contractor Other
PYtQPERTY OWNER
Address:
City: State: Zip:
CQNTRAC'1'QR MN Lieense Cc96 I&
nddress: 21775 Mearlnwhrook Ave. N City:
star?: Scandia, MN 55?lp3 phone #:
xsTIMATFn conzrLETrarr nArE: R 1 30 i a G
FIRE PEI2MIT'i"YPE: 5prinkler System (# of heads Fire Pump Standpipe
Othcr:
WORKTYPE:,<New _ Additian ? AlterAtions _ 12emodel
Other:
DESC[t[PTIQN OF WORK: ? Gommercial ? Residential ? Educational
- -- -
Other: - - - - ?
-
Please copt7nue op reverse aide j,
r? . '9?i07i2006 - 11:49 EFlGAhI EhG+COM DEV -) 94335165 h1O.982 D02
pERMIT T+'EE: $50,50 [ rrm Fao (lncludes State SLreharge)
?
Contract Value $ 2.47 71-a *?-' x.Ol =$ 2'17• Permit Fee
.So
+ If Permit Fee is $1,000 or icss, add $SO ;?> $ State 5urofiarge
If Permit Fee is ovcr $1,000, Add 5.50 per
$1,000 Permit Fee
l G??-. ?u k# i I ? ???gylo
3/4" pisplacement Fire Meter - $167.00 $
TOTAL FE&: $ ?
I hereby apply for a Fire Suppression System permit and aclmowledge IfiaY the information is complete and
accurate; dsat the work will be in conformance with the ordinances and codes af the City of Eagan and with tht
Minnesofa auilding(Eire Cpdes; that ! undetstand thts is not a parmit, but anly an applicacion for a permit? and
work is not to start without a permit; that the work will be in aecordance with the approved plan in the case of
work which requires a review and approvst ofplans. ?
PF-7c4 riona"1<4
Applicant's Printed Name Appliean@s Signatur?
DQ NOT *I= BEI.,44Y TAiB LINE
,, ;..
,.
REQUiREU UVSPECTTONS , ' '.. t .
? Rough in
' MiA 7°ast
? Hydrostatic FIow A.iprm D
? Trip Tbst CenCra]'8t?tion ? Pinal
;,, .'. , , •
Condi[ions of Issuance:
?o
PermitApprpvCq
,:
-7 q `1°-4-
2006 RESIDENTIAL MECHANICAL rERvuT arrLicaTiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes(condos when permits are required for each unit
-?-3o, 50
Date I / 100_ / (102
Site Address 11) -,rj 3 ?r -'-N C,`r Unit #
PropertyOwner Telephone # ( (,Ps\ ) ?pb
Contractor Ct tC
Street Address City
State Zip ?-.?j5 LU'L- Telephone # ( IOIjL ) `7 2co - jL4C
Bond #: p N\ 0 Expires:
Tbe Applicant is ? Owner ? Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
? furnace _Additional 4Replacement _ New
air exchanger
? airconditioner
heat pump "-
other
State Surcharge $ .50
Total
$ ?%N.Go
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accucate; that the work will
be in conformance wich the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
pemiit, but only an application for a permit, and woxk is not to start without a permi[; [hat the work will be in acwrdance with the
approved plan in the case of work which requires a review, and approval of (ans. l° M ?.?.? an-
App icant's Printed Name Applicant's Signature
-:? ij L,(o (?p
'Iclephone#( b ? ? )?
I'I?.nc inmplflc lui ;in,dc fmnik dwellmgc Rs lmI nhninr.s/cnndus whcq pcrinils ,vc raquucd fin curh unil
Unif #
I'roprrll'
---??? ?-???--
? nnlr:ii•tnr ? ?? " ? .
? , ?I p
91rce1 A(idress -I-?
1? __r_ r!_9_[,L_??
- --
ti?atc -
1i? h
T? -- -+
-- -- ?'` -------------- ---- - ) 1
6uud ii:
E.xpires:
_ cily -0( 6
( ????,--
Irlep6onelf t.---? ) _?.t7U----
'!'he .1pplir;ml is
?Add- i nr alteratinn fo existinG dwelling unit
_ furnace _Additional ?/ Replacement _ New
_ au exr,hanger
? air conditioner
heatpump
nther
'AAFC .?illl'f?1flPItiP
p U1?
------ --------
??,?,?? ------- - --- JUL 2 5 2006 -
4 io
?o
$??-
I hci,hv n1pply for a Residcnlial Nleclianical Perntii and aclcnowledgc Ihat thc inforinatiou is complete tmd accniate; that ihe wnrk will
ii: cunloi niaoce wih Lhe nrdinances and codes of die ity of F.agnn and with tlic ;19echnniall Codes; ihat I understand this is noi a
?,r.ru:n, bw only an npphcnhon for a permit, nnd wnrl; is not to stail without a peimit, that Ihe work will be in Teuwdance with thc
TPi,oIvrd plao in 1he uqse of work whidt rcquires a icview rInd flpproval oCl) ans.
- ?
-
I'rinted Name Ap??licanPs Si-gnnture
zooc RESTDENTIAL MECHAMCAL PEuMrTn>>rLIcnTioN
ci[y orEaKan
3830 Pilot Knob Roacl, Gagan MN 55122
Tclephone # 651-675-5675
,z 3o,s0
Address:, 4030 Cedar Grove Lane Zip:55122 Permit: 74439
THE FOLLOWING ITEMS WERE / WERE NOT COMPLETE AT FIVAL IIVSPE('TION ON: I'S ? 7
Yes No Comments
Final grade - 6" from sidin
Permanent ste s- ara e
Permanent ste s- main entry
Permanent driveway
Permanent as
Retainin Wall or 3:1 Max Slo e
Sod/Seeded lawn
Trail/curb damage
Porch
Lower level finish
Deck
Fire lace
• Verify with your builder that roof test caps from the plumbing system have been removed.
. Tum off water supply to the outside lawn faucets before freeze potential exists.
• Call the Crty's Engineering Department at 651-675-5646 prior to working in right-of-way or installing
irrigation syscem.
4 RUILDINC INSPECTOR: M 1L., te*.. c'#-,
N0.372 D02
site?: aw? s,w A1?13
On April 15, 2000 the Minnesofa Energy Code, Category I Building ReqUirements for insuiadon protection, air
GghUiess, and ventilati?on, was;kopted: As a resul; the City-ot Eag? is requiring that the fnlfowing information be
sudmitled priorto issuance of ?' Caocate of Occupancy.
2< TNa sducLrM b omsauc(ed,;1o meat minimun raq*wnents of tlhe Mn &negy c.oda, Chapter 7670
OR
_ TNastruckue:?eonsbiieledtomeattr?e?esOktlverequ?TientsdCh?Gers7672or7674
GA8 E?.£C MANUFACTUqER 610pEL BTUS t/EN71NG1YPE
g L t m O '?}oou {3,5 ?.
EXi1aUST5Y81EM
K" lOCA7fflN i
"''?' TYPE
N kODEL
G?t Cfkl's ?VENTED
soboom I
„uto
twr
Co
'}G]
X
Q?
2
raam L,0104P1.IN1
een,mma
a
c,
v? v Q 1
80
x
FIREPIACE 6 I,OCATION GAS? yyOQp MpryUFAC7URER MOpEL S'S DpiECT vemNo
qTpBpS
?E4P aR MODR TYPE CRuI'e
? '' '! ?'?Cac t N?Jv
1 heraby acknowledge that the a6ova irntormation is correct and agrea Ea wmply wlth tha Atiqc? fD10 Cade and City d Eegen
r?ux?ta_ MAtC
C pvv?? ??-
SignA
L e.r?nac' .
Ownwr Name -. _ ?. ..
' Thi? fortn Is thc responsib?ky oT Ne;General CotkreoWr.
14?
Address: 4026 Cedar Grove Lane Zip:55122 Permit: 74430
THE FOLLOWING ITEMS WERE / WERE NOT COMVLETF, AT FINAL INSPECTION ON: ? b
Yes No Comments
Final grade - 6" from siding
Permanent steps - ara e
Permanent steps - main entry ?
Permanent driveway ,/
Permanent gas ?
Retaining Wall or 3:1 Max Slope ./
Sod/Seeded lawn
Trail/curb damage
Porch
Lower level finish
Deck
Fireplace
. Verify with your builder that roof test caps from the plambing system have been removed.
• Tum off water supply ro the outside lawn faucets before freeze potential exists.
• Call the City's Engineering Department at 651-675-5646 prior to worMng in nght-of-way or inatalling
irrigation system.
BUILI7[NGINSPECTOR: ?LfL N?W
a?
sa??: d
Mo. 37a vea
Djb? APIt013 ?,J!he .a ?
On Aprfl 15, 2000 the Minnesofa Energy Code, Cafegay I Build'rng Requiremerrts for InsulaHon prafecHon, air
tightness, and ventilaation, was adopted. Asa resut the Ciry of Eagan is requiring that the toflowing information be
sudmiEted prior to issuance of a' Certificate af Occupancy.
2< TNs snucana: ie oonsm,clea,'w mad miaimum mq:rmnenft ot tha Mn Eroyy code, cnapW 7670
OR
_ Tltia shucAaa: wiq 6e consNIW ko tt+eatrtrote rastrictlvs req&wwta d Chapmrs 7672 rn76T6
I
APPLIANCE
Wafet Neacer GAS EI.FC MANUFACTUflER MQpEI. BNS VENTlNG7YPE
CC?M p o°'2
Fwnace ?
r
5'BfnC `
, CaU - 1 ooA
f? BS
Dryar
, p
E%HAUSTSYS"
Kiow LOCATiOH li TYPE
nJ MOpEL CFM's YM
aetlxoom x -
La..? ?,..a coo,n }t x
epuroom3 ?j ?/.r {?rob.+l? Co ??j X
BalMnan 4 3? ? a? •C, t? VI v Qo .l 8 0 X
otl'e` `a"'^c?e Co? 70 X
FIREPIACE 6
1
LOCATION
GAS?.
X '
yy0pp
MANUFACTUREq
MOpEL
$'P(pS
w, VNo
ogtE E" qTMOs
X
eIAKh.ua aR MunEt Tvre cFlor9
O = '? ?'Ic?c e Nw
I hereby acknowlzdge lhet the a6ove informa6on is eotrect and agrea fo mmply wltFf ihe Minnesota Energy Coda and Ci}y d Esgsn
m,p+irementa.
OvtO^'? ??`-" ?
Sign re -
4C
Compwy Name '
RM d 5 OD?
M1f
This form Is the responsibill(y of the Generai CotRreetor.
Use BLUE or BLACK Ink
r
For Office Use I
Permit#: I
City of Ea(ion Permit Fee: a13.a~
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: 10 /q/1-3
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date. I/ . Site Address: ~C~~~ ~ C'C ✓UJ ~ ~ <i~ ~1 _ Unit
1
Name:(, U G_el ;s ~°Cl I,t o-L I- c s t~ f C f z l 't Phone:
Resident/
~ 64
Owner Address / City / Zip: I t , c 1 ✓
Applicant is: Owner Contractor
r-
f
Type of Work Description of work: e, Vocr C t %4:2Z1, T
Construction Cost:Multi-Family Building: (Yes / No ) G'
Company: NJ tol f fx t c)o Contact:
Address: f ' j .~2 c I ; !r
r
Contractor City.
State: jR 1/l/ Zip: 5 '(F- L Phone: /¢6 3 170. 0 0
License #:1 Lead Certificate :1) 54~..r
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 classirted 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. ? , , a
x x. ~`fa C L` / 't~ t L eQ~aV':7s~a
Applicant's Printed Name Applicant's Signat fe
Page 1 of 3
Use BLUE or BLACK Ink
� For Office Use � � �
� � d �P�� � '
Clt of�a a� I Permit#. �
� � � �
� Permit Fee: 1 � �
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: �
Phone: (651)675�673 1 staff: I
Fax:(651)675�694 � �
I.������.�..��r�������J
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ����� l� Site Address: � ' � � Y' Unit#:
` Name: Phone:
Resid�ntf `
Clwner Adar�ss i c��y i z�P: ;
Applicant is: Owner � Contractor
.t.�P������ Description ofwork:.'(��1�11'�i��i('�Yl� D�_ �
Construction Cost:_��'ict`7�� Multi-Family Building: (Yes /No )
Company:l'�'�"�- ��G\�`�l� $ C�i';Ya'!ICXj1`��li�G �ontact:�,t�,,�('�1'l �,ol�-'"���6'�?3`5 �
� Address: �3'"J`J �"Zv��"�' ��'� �
Contractor City: 1-c��'r-�-c� �
State: �1,1J Zip: � e�� Phone: ��La'��g'D���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 Gity 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: �
N07E;Plarts and suppot'ting d�acumen#s�tat you submit�re ceanside�erl fa 6e p�rb#ic i�t'vt�r►��iart. Po�ns o� '
;the infarma�on may be ciassi�l as nan pu#!��if yau provid�sp�ific re�so�s fhat wa��c��erm�the C�ty tt�
conclttd+e thaf tt�e aEe fr�cfe s+�crets.
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.qopherstateonecall,ora
I hereby acknowiedge 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 onty an application for a permiY, and work is not ta start without a permit; that the work will be in
accordance with the approved plan in the case of v�rork which requires a review and approval af plans.
Exterior work authoriz�by a building permit issued ln accordance with the Minnesota State Building Code ust be completed within 180
days af permit Issuance. .
X�`���i('�.:���'�' x � ��
Applicant's rinted Name Applicant's Signature
Page 1 of 3
i
I
r For Office Use
::::t:,
731
E AG A Ci
Jti 1 n Date Received: I I
3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 ' Zj:3
/
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-56M)! Staff: 51111
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 06/19/19 Site Address: 4024 - 4030 Cedar Grove Lane Unit#:
Nicols Ridge Summit Homes
Name: Phone:
Resident/ 7100 Northland Circle, Suite 300, Brooklyn Park, MN 55428
Owner Address/City/Zip:1.
Applicant is: Owner Contractor �,c; 177A ‘?
Type of Work Description of work:
replace entry stair treads and risers, install bracing for treads
Construction Cost: 7800.00 Multi-Family Building: (Yes ✓ /No )
, LLC Tim Keran
Company: Contact:
265 Fillmore Ave E St Paul
Contractor Address: City:
MN . 55107 651-334-6811 timkeran@hotmail.com
State: Zip. Phone: Email: timkeran@hotmail.com
#: 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:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor Phone:
NOTE.Plans and supporting- information documents that you submit are considered to be public information. Portions of the Dation may be
i classlAed asubbc f vide Nic reasons that would permit the City to conclude that.thiy 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'• -:- : ance '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, a • work is no to s - without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and a••royal of.
xTim Keran � ��A -
Applicant's Printed Name f• . r7-1.- I n- •�"`�
, - Li(),)G . ‘-f-oA -k-463`) / 57P -33cLa
DO NOT WRITE BELOW THIS LINE G e)Y-1 / I
SUB TYPES
— 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
'les 01 of Plex Lower Level _ Pool _ Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition ^ Move Building _ Reroof _ Demolish Interior
_ Alteration — Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
_ Retaining Wall 'Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation f5 E 00 3 OccupancyMCES System
Plan Review Code Edition ; Wp v t f SAC Units
(25%_100% Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction y6----
Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
—
Footings(Deck) Final/C.O. Required
Footings(Addition) IX 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:
Reviewed By: 2,, , Building Inspector
RESIDENTIAL FEES f
Base Fee ,,�� {� �V�
Surcharge M ut pi?71t ' '`�
Plan Review t
MCES SAC 19 f 7 44 S ( P`1
City SAC
Utility Connection Charge
S&W Permit&Surcharge 01/*UiVitv'd
Ji 11 o
Plant f ,L.,,)
Ve
"3 e
( ,p,
a i
Radio Meter Read
Copies
TOTAL
Page 2 of 3