4665 Nicols PtAddress 4 6 6 5 N i c o 1 s P t Zip 55122`
IAC $ Blk I $ub Cedarview 2nd Addition
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date: Yes No Inspector:
Final grade (6" from siding)
Permanent steps (gazage)
Permanent steps (main entry) X
Permanent driveway
Permanent gas )<
Sod/Seeded grass
TraiUcurb damage ?
Porch
Basement finish x
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 befote wotking in right-of-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Convactor Copy
. ?eda3 tjicw'?orc ovt-ctc1
Site address: (' L{ S p 0?1? -?-rot? Block ? subd. CM? J N?? a ? . -
. '
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be
submitted prior to issuance of a Certificate of Occupancy.
_ This structure: Is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
_ This structure: wlll be constructed to meet more restrictive requirements of Chapters 7672 or 7674
?
APPLIANCE GAS ELEC MANUFACTURER . MODEL BTU'S VENTING?YPE
WaterHeater ?/.?O -4?Cpi70 415?j 14 $
Furnace x t4f44it?7 C2(oQ3-75
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
ves No
Kitchen 16tchen 1XI
Bathroom 1 0
Bathroom 2 70
Bathroom 3 V
Bathroom 4
Other
?
FIREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DIRECT nrMOs
h:l w a r o: (o6d0 3Soo
Ve., ?i 1 wA a,.-.
.
Abuawzmw MODEL TYPE CFM's
?t4l 4 ,C?? ?? . . /
"""'' l w ? - 4?10k ?'r?a?
I hereby acknowledge that the ahove information is correc[ and agree to compy with the Minnesota Energy Code and Ciry of Eagan
requirements.
Signature
Date
)It Company Name
/G
1,S'po ' This form is the responsibility of the General Contractor.
t uk
4
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
cmr oF EacaN
3830 PILOT KNOB RD - 55122
657-881-4675
NSMiConshucMOn Irements cg,??
D S raplsl6mtl tlta wtv6ys Ehowl G^?' ?G
rg sq. tl. ol bt. s4 8. ot house
andygrooted ar9as (2D7(+maxlmum bf Covemae allowed)
? $ coples o1 pkafa (ahow beam & window gzea; poured Md. detlgn: etcJ
9 1 ael of en9rpy cdculWlons
> > coPies of hee proservotbn plan if tol Plalled aRer 7/1N3
unTE: MN 31 2"
DESCRIPTION OF WORK:
STREETADDRESS: `t-?GTJ mIC()IS 91- •
LOT: `-' BLOCK: ?{_ SUBD./P.I.D. S: l PLV.I V VTt.Lj1J a11tl
Name: Phone #:
PROPERTY taat Flrst
OWNER
Sheet
City
State:
Zip:
Company: C1Ti1 OD-Y}?Ge, Phonek: "152. goi - 14,96
(area code)
CONTRACTOR J
Sheef Address: 7?`1 ?,Gi IL2L't I d?'Qj t l11[ ? Llcense: ?Exp.
ab LA ICev+ 11-c-, store: I"AY-l ap: 556 qq
ARCHITECT/
ENGINEER
Telephone i: (
Name: 1/!I'MYN,?Jll1,ILPQOf.dsT _
?
Sireef Address: Regkharion M:
citY
Sewar/water licensed plumber
1 herebY acknowledge fhat 1 have read Ihic applicalbn,
of Mlnnesota Stalules and Ciry of Eagan Ordinances.
of AppficanY.
Certificates of Survey Received ? Yes , No
Tree Preservation Plan Received ? Yes _ No _ Not Required
vl??
' y6c9.ss
cc)llPl? b1&100
2 copfea ol plan YM
1 set W energy oalcWaHoru for healed atlcAHant
1 iBB fUNBy (0167A61101 Otltlflbil5 & dBCb
coNsrRucnoN cosr: 1141, NO- --?
Sfate: Lp:
#: 6I y23 • I I Lt
mnd agree to comPN with a6 applicable State
ViA`il 3
-fo
I???
Agl
OFFICE USE ONLY
7y ?, i
BUILDING PERMIT SUBTYPES '
O 01 FoundaUon ? 07 05-plex ? 13 16-plex p 21 Porch (3-sea.) ? 31, Ezt. Alt - MuMi
? 02 SF Dwelling O 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ezt. Att - SF
O 03 01 of_ plex ? 09 07-plex O 18 Deck ? 23 Porch (screened) ? 36, MuRi
? 04 02-plex ? 10 08-plex ? 79 Lower Level O 24 Storm Damage
? 05 03-plex ? 11 10.piex arog Y or_ N? 25 Miscellaneous
? O6 04-plex ? 12 12-plex O 20 Pool ? 30 Accessory Bidg• I
woRK nrPE
X 31 New ? 36 Move Bidg. ? 43 Reroof
O 32 AddiUon O 37 Demolish (Bldg)' O 44 Siding II
? 33 Aiteration O 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair O 42 Demolish (Foundation) 0 46 Windows/Doors
' Give PCA handout to applicant for demolition permit i
GENERAL INFORMATION
SAC Code --aL # of Stories Lf sq• ft. ?
No, of Units Length sq. ft. 'i
No, of Buildings --1- Width Footprint sq. ft. I?
Const. (Actual) A? Basement sq. ft. 4WCensus Code / m/ '
(Allowable) M?ai?n,? /!?vel sq. ft. ? MC/ES System I
UBC Occupancy sq. ft. _? City Water '
Zoning sq. ft. Booster Pump ' ?PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
E3Stucco/5tone
j
APPROVALS ?
Planning Building Engineering Variance
Permit Fee Valuation: $q, 0t70
II
Surcharge
Plan Review ? Z? 37 SJ
License
MC/ES SAC (C? ?i '7 UlGI ,5?5lp
city sac
WaterConn.
Water Meter ? ? y o x 5` II
Acct. Deposit ?
S/W Permit
S/W Surcharge
Treatment PI. 17? 1
Park Ded. '? J/ 9/!
Trails Ded.
Other '
Copies 4 .I -c)O ,
Total: I
SAC Units
% SAC
?
Y?
O
?
; ?
'
?o
?o
?
m'?/?
GY ?
a/?
?
?0
n
H
?
W
?
C
0
O
a
¢
?
?
?
?
?
?
?
?
?
?
?
0
PROPERTYLEGAL:
X/l, / 64W,e
DATE OF SURVEY:
LATEST REVISION:
DOCUMENTSTANDARDS
• Registered Land Surveyor signature and company
• Building Permit Applicant
• legaldescription
• Address
• North arrow and scale
• House rype (rambler, walkout, spfit wJo, splR entry, lookout, etc.)
• Oirectional drainage arrows with slopdgredient °k
• Proposedlexisting sewer and watet services & iavert elevation
• Street name
• Driveway
• Lot Square Footage
• Lot Coverage
ELEVATIONS
. / Existina
o ? • Sewer service (or Proposed)
?/ ? ? • Property corners
Top af curb at the drNeway
? Elevatlons of any epsUng adjacent homes
? ih' ? Adequate foo6ng depth of structures due to adjacent u61iry Venches
/ Prooosed
d o u . Garegefloor
? ? ? • firstfloor
b? ? ? • Lowest exposed elevalion (walkouUwindow)
? 0 ? • Property comem
P/ ?? - Ftont and rear of home al the foundation
/ PONDING AREA (if aoolicade)
? 'b o ? Easement fine
? ??
? . NWL
?
? • HWL
o ? • Pond # designalion
? cY o • Emergency Overflow Elevation
/ DIMENSIONS
o o • Lot hneslBearings & dimensions
e' ??
? • Rightof-way and street width (to back of curb)
'
? ? , porches, etc.
• Propased home dimensions induding any proposed decks, overhangs greater than 2
(i.e. all structures requiring permanent footings)
ra/ ?? . Shaw all easements ot record and any Ciry utilitles within those easements
ry ?,P? • Setbacks of proposed strudure and sideyard setback of adjacent ews8ng shudures
a V ? • Retaining wall requirements, Aany j-
Reviewed:
LOT SURVEY CHECKLIS? FOR RESIDENTIAL
BUILDING PERMIT APPUCATION
Date
March 19BB
LRAKYBLDGPRMf.FM
MNCheck COMPLIANCE REPORT
Minnesota Energy Code
MNCheck Software Version 3.0
COUNTY: Dakota
STATE: Miririesota
ZONE: 2
CON5TRUCTION TYPE: Single Family
DATE: 5-26-2000
COMPLIANCE: PASSES
TITLE: Cedarview Brookfield
PROJECT INFORMATION:
4665 Nicols Pointe, Eagan
Lot 8, Block 1, Cedarview
2nd
COMPANY INFORMATION:
College City Homes, Inc.
7920 Lakeville Blvd., Lakeville
Required UA = 416
Your Home = 293
29.6% Better Than Code
Permit #
Checked by/Date
Area or Cavity Cont. Glazing/DOOr
Perimeter R-Value R-Value U-Value UA
--- - - ---- - ---------------------- - -------------- - --------------------------
CEILINGS: Raised Truss 840 44.0 0.0 19
WALLS: Wood Frame, 16" O.C. 2120 19.0 0.6 125
BSMT: Conc. 8.0' ht/7.5' bg/8.0' insul 942 11.0 0.0 57
GLAZING: Windows or poors, Above Grade 225 0.350 79
DOORS 38 0.350 13
FLOORS: Over Outside Air 15 19.0 0.0 1
FNAC EQUIPMENT: Furnace, 92.0 AFUE
- -- -- -- - - -------------------------------
COMPLIANCE STATEMENT: The proposed building design described here is
consistent with the building plans, specifications, and other calculations
submitted with the permit application. The proposed building has been
designed to meet the requirements t e Minnesota Energy Code.
Builder/Designer 1QAM4nl+? Date e'?`Z 2crm>
MNcheck INSPECTION CHECKLIST
Minnesota Energy Code
MNcheck Software Version 3.0
DATE: 5-26-2000
PLAN REVIEW PND INSPECTION ISSUES
This list of items may be helpful for Plan Reviewers and Building Inspectors to
use as a guide for enforcing the Minnesota Energy Code. The items apply to
Group R, Division 3 Occupancies, one- and two-family residential dwellings.
The items marked with * apply only to detached one- and two-family
residential dwellings.
PLAN REVIEW ISSUES
FOUNDATION INSULATION
- foundation wa11 insulation R-5 minimum
- foundation insulation extends from top of wall down to top of the footing
- exterior foundation insulation is covered by a protective coating finish
CONCRETE SLAB OR UNDER-SLAB INSULATION
- slab on grade perimeter insulation R-5 minimum
- slab insulation extends from top of slab to design froat line or top of
£ooting
- floora over unheated space R-30 minimum
WINDOWS / DOORS / SKYLIGHTS
- average U-value is 0.37 maximum for windows and glass doors (excludes
foundation windows)
- window U-value consistent with building plan and MNcheck Report
- window and door area consistent with building plan and MNcheck Report
MECHANICAL VENTILATION ISSUES
- residential mechanical ventilation system provides adeguate ventilation
per code requirements*
- furnace efficiency is consistent with mNCheck or building design plan
- protection against excessive depressurization is installed per code
requirements*
ENVELOPE INSULATION FOR PLAN REVIEW
- interior basement insulation R-5 minimum (if no exterior insulation)
- ceilings with attics R-38 or consistent with building plan and MNcheck
Report
- wall framing and insulation level is conaistent with building design
and MNcheck Report
INSPECTION ISSUES
CONCEALED INSULATION
FRAMING AND SHEATHING
- wind wash barrier installed at attic edge
- exterior wall corners framed so that insulation can be installed after
exterior sheathing is installed
- intersections of interior partition walls and exterior wa11s are framed so
that insulation can be installed between the partition and exterior
sheathing after exterior sheathing is installed
- gaps between framing less than one-half inch are eliminated by securing
framing together or are insulated at the time of assembly
- all penetrations between conditioned and unconditioned spaces made
prior to framing inspection are sealed
INTERIOR AIR BARRIER
- all £ire stops are air sealed
- pipes, ducts, wires, equipment and fluea and chimneys through the interior
air barrier are sealed
- a sealed continuous interior air barrier is installed on the warm side of
the building envelope at ceilings, wa11s, and floor rim joist areas•
- air barrier behind tub and shower is sealed and protected
- recessed light fixtures are sealed
ENVELOPE INSULATION
- basement insulation R-5 minimum
- wind wash barrier on wall separating house and garage is sealed
- loose fill insulation is prevented from entering the eaves
- insulation on skylight shafts and walls exposed in attics is supported
on the unconditioned side
ATTIC INSULATZON
- attic acceas panel insulated to R-38 for ceiling panel and R-19 for
wall panel
- attic card attached to framing near access opening
- notification of attic R-value and date of installation posted near
building
permit inspection card
This is a summary only. Other requirements may apply. See the Minnesota
Energy Code. Questions? Call the Department of Public Service In£ormation
Center at 651-296-5175 or 1-800-657-3710.
C'o/9y
(SEE ATTACHMENTS)
Development G0DA(Zw-Ul.V Z`" QmI'rlOm
Lot Number g Block Number
Address q6(?V-- WCAI.S `Pb f f.l"rs,
Builder G6l.1.?6E, GtT`(
Tree Protection Reauirements•
? TreeFencing stLT (t-KO)
_ Oak Tree Pruning (Seai wounds during April 15 to July 1)
_ Therepeutic Pruning
_ Retaining Wall
_ Other:
Reolacement Trees:
_L Not Required
As Follows:
Attachments:
Yes
No
Additional Notes:
np,7G
EAGM
? i, al,, ,Ir ..ilSurveyor's Certificate
SURVEY FOR :ca.Lece cirr
DESCRIBED AS :LOt 8, B1ock 1, CEOARNEW TNO ADDITION, pfty o( fogon, Dokola County,
Minneaota ond reaerdng eoarmeMs o/ record.
Sk?
h ?
^01 ?
?
a'
?
Q? Ok
x
?53. `.? ?•? S89'a6' 7"E 157.27
? ' Gww,y w' Zif z.
,_.
---- `t -
"i ji?i.(+K10"
i ? i
O h
qqj ?q N 22.67 C/)
Ef! P
O I I ?j? ?' 28.88 J ' ? I I tV
I
7 N
? 1? P.eva??G V Carap? i.0 • I T ?
9-SIorY Drep Zes. o p3a I I ?
? ITn.
O ' 1I0 SaJ
0.00 p ". . A
N -_-
t0 I 1 ?zl
? q3-.7. cf' N3,3,.9h
L------ •`'-- ---------?
94t.4, t
- 9a a1?•
? g L_18 • ap ? 36 B? 9'37'1B°E
S89.3 d_ 7. 1p
NICOLS POINT
LOT SQ. FOOTAGE = 14,942
HOUSE SQ. FDOTAGE = 1,583
LOT COVERAGE = 11%
PROPOSED ELEVATIONS
Tap of Foundation ?J40.5
Goroge Floor =939,7
Bosement Floor sq32,¢
Aprox. Sewer Service
Proposed Elev.
Exlsting Elev.
Drainoge Directions = -?
Denotes Of(set Stoke = .
9ENCHMARK,
([,I. rye 4'..
MIN. SETBACK REOUIREMENTS
Front - hiouse Side -
scAu: -30 im Reor - Goroge Side-
.ae Na
HEDL(/ND I HEREBY CEPTIiT THeT 1N15 IS A iRUE AND CORFEC} REPRESENTATON 000-719
q' ME BWNDAPoES Oi TNE A90VE OESCR19E9 PRpPCFiT AS SUNYEVEO
BY uE OR UNDEM NY plPEtt SVVEaN510N AND OOES NOT PuRPOPT TO BDOK: P?CE:
PGA'N1NC ENC/NBLRINC SORYSy/NC SnOw iuFqOVEMENTS OR EN OnCNUENrS, C%LFPi A5 SND'AN.
2003 Pfn Oot D.ivc 9C ?,r?,
Eoqon. MN 55122 OAiE ?JEl/]C=' • I__ LAD ?4E:
Phone: (651) 405-6600 f D.LINDGREN, UNO Nv[vaR
Fat: (69) IDS-9606 in LIGCNSE NuMBEP 14375
???
y . Alf
4 • - Surveyor's Certificate
SURVEY FOR ;COLLEGE CITY
DESCRIBED AS :Lot B. e)ock 1, CEDARVIEW 2ND ADDITION, City o/ Eogan, Dokoto County,
Minnesoto and reserving easements ol record.
?F
Y UE??U?? 'n^IN1? jI ?:
€.1?T
lJi:w CO ? '(itl
??,T. ?i.I'dG:??1z'T. -
?
_._ .,., ..?,,.... ..-. ? . ?., ... 139.0
` ' Z I
o ?
L;i I
o i
fr1
0
0
N611
? )C"
J
--- ?*-- --
?Rvr ruKlo" ?`?
J8.@5- --
N 'j
q3? ? 29.66 m
)e
I . ? ProOOSed Coroge
2-Story Drop 2ca.
" 12cs.
?--? ?
???---•r??
?
i
? I
i
7 ?a I-
?,3,? I I
3?> .? I
i ?
O.OOI I
,- aa4•9
4z.8 o R=
589.3 • 5 =27' 10
NICOLS POINT
9665
SCALE: 7 inch - 30 faet
LOT SQ. FOOTAGE = 14,942
HOUSE SQ. FOOTAGE = 1,583
LOT COVERAGE = 11 %
PROPOSED ELEVATIONS
Top of Foundotion =9ja;
Goroge Floor =Y38.7
Basement Floor =q32,¢
Aprox. Sewer Service =`tZB.I r
Proposed Elev. _ (Z--::)
Existing Elev.
Droinage Directions = -
Denotes Offset Stoke = .
HEQLvNQ
P41NNlNC 6NC/NBSR/NG SURY6Y/NC
2005 Pin Ook DrivB
Eagan, MN 55122
Phone: (651) 405-6600
Fox: (651) 405-6606
37'18"E
?
?Y
?
;i
ti
?
ti
?
?
%
?' y33,4b.
BENCHMARK,
-i?.IN(" ?rid CuI-de Sc?r..
N?cols Vo?r?1?. s(Py: 953.16
MIN. SETBACK REQUIREMENTS
Front - House Side -
Reor - Garoge Side-
I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION
OF THE BOUNDARiES OF THE ABOVE DESCRIBED PftOPERTY AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO
SMOW IMPROVEMENTS OR EN OACHMENTS, E%/C?EPT AS MOWN.
?
DATE ? /L?[/? D.
F D. LINDGREN, LAND 66RVEYOi
I OTA LICENSE NUMBER 14376
N0:
OOR-249
CV2
JUPl02 2000
L ? Bl
SUBD. ?/c G Oi
Y ? 1? CITY USE ONLY f?
RECEIPT#: 13a ?1Y?
G d
? ?vik RECEIPT OATE: 6
/
PERMIT # I -J ?Q lfi
2000 PLUM$1N& PEPJMiT (RESIDEN17Ai.)
crrY og $wskx
3930 eu o r xxos gn
EAfiRN,1NN 55122
as?-sg?-as?s
Please complete for: ?
D single family dwellings
townhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH
TOTAL
Alterations to existing dwelling - minimum fee
Describe:
$ 30.00
Bath tub $ 3.00 x f = $
3-
Floor drain 3.00 x $ ?
Gas i in outlet ` minimum -1 3.00 x = $ °O-
Hot tubls a 3.00 x = $
Kitchen sink 3.00 x I = $
Laund tra 3.00 x = $ 15
Lavato 3.00 x = $
Se tic S stem newrrefurnisned ' requires MPC Ilc. 75.00 x = $
S2 tiC S StBm abandonment 30.00 X = $ I
RPZ new installatioNrepaidrebuild 30.00 X = $ ?
Rou h o enin 1•50 x -
4 4
$
Shower 3.00 x = $ a°
Under round s rinkler if dwellin is unaer conswction 3.00 x = $
Under round s rinkler if existin dwelling 30.00 x = $
Water closet 3.00 x
Waterheater 3.00 x $ 3"O
W ater soflener if dwelling under wnstruction 5.00 x = $
Water soRener Nextsen dwemn 30.00 x = $
Water turnaround 30.00 x ---- _ $
Siate Surchar e .50 --> ---> ---> $ .50
Total $ Lp4t°L
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-------------------------•---------------------,-------.....----------------------------....... -------------- - ---- -- - -- -- --- • ---- - -- ---•---
1 hereby adcnowledge that I have--read this appliwtian state thal the information is correct, and agree W comply wiN all applicaGle City of Eagan ordinances.
It is the applicant's responsihility to nati(y ihe property owner that the City of Eagan assumes no liability for any damages raused by Ne City durfng its noRnal
operational and maintenance actlvitles to the facilitles mnsWCted under this permit within City property/n9ht-of-wayleasement.
SITE ADDRESS: ?A?.9? ?
OWNER NAME: :? IO C a y'Y o}yDP` TELEPHONE #: a2 U1R-(090()
(AREA CODE)
INSTALLER NAME: C- 7-X-) TELEPHONE #: ?.95 I LI Z-t)' I(??
(a.Re.a cooe)
STREET ADDRESS: T(2-c- -
CITY: 6f 1?e X1?2A Yl'? ST ?E: ..7JP: 5 S? C
RE MITTEE
S ATU
ta=?!7
CITY USE ONLY
I.OT BL PERMIT #:
SUBD. CQ.Jc, r62.LJ ? r RECEIPT #:
RECEIPT DATE:
State Surcharge
2000 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT IINOB RD
vnr_au NJl7 55122
651-681-4675
Date:
Complete this section onl if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner/occupied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
Total
$ 30.00
6.00
0
3°-
.50
$ 33 ?
Complete this section onlv if you are remodelin¢, addina to, or reuairing an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
New _ Alteration
_ Fumace
Air exchanger
Reminder: Call for inspections
S[TE ADDRESS: 4-f
Repair _ Other
6 _G
_
132 -7 169
(9-?a- UU
Air conditioning
Other
Fee
State Surchazge
Total
$ 30.00
.50
$ 30.50
OWNERNAME: I?I IOf P OaTu, ?"nP5 PHONE#: q 52- - `-ttoR - (nrM
(AREA CODE)
INSTALLER NAME: PHONE #: IoC 1 -?-123
(ARFA CODE)
STREETADDRESS: I117fJ? ? raLS.? ?Z? Ti2F}I
CITY:
_ STATE: VaN ZIP:
S GNA OF PE E
RESIDENTIAL
BUILDING PERMIT APPLICATION
ct CITY OF EAGAN
3830 PILOT KNOB RD • 55122
651-687-4675
Naw Construcdon ReauiremeMs
. 3 registered site suneys showing sq. fl ol lot, sq. ft. of house; and all rooted a2as
(20% maximum lot coverage allowed)
• 2 copies of plan shaxing beam 8 window sizes; pourad found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservatian Plan if lot platted after 71193
. Rim Joist Delail Options seletilon sheel (bldgs wiN 3 or less unfls)
DATE
JOB SITE ADDRESS /I//C 0L S
/V ll
Z
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER uvY S? i'*11-k 6 SI-G F 6- OS-5'I3
TYPE OF WORK RUSPrH.rn/7` ?/f/i Sx FIREPLACE(5) ZCO _ 1_ 2
APPLICANT
ADDRESS
PAGER #
PHONE#
ZIPCODE s577.2- z
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT C
Energy Code Category _ MINNLSOTA RUI1?.S 7670 CA'1'EG
(check one) - Residential Ventilation Category 1 Works
- Energy Envelope Calculations Submitted
MINNESO'1'A RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plmnbing System Includes:
Mechanical Contractor:
Mechanical Systern Includes:
Sewer/Water Contractor:
_ Air Condirioning
_ Heat Recovcry System
Phone #
Phone #
MAR O 1 2002
nitted jp (
P'ee: $90A0
P'ee: $70.00
All above information must be su6mitted prior to processing of application.
I hereby acknowledge that I have read this application, state That the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordip?es. ?i?
/
Sfgnafure of ApplicanT ? 7
L
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
CELL PHONE #
_ Water Softener
_ Watcr Heater
No. of Baths
? `I I.U0
Csx?U'? ?J -?- 0?'
RamodeVReoair Reauirements
• 2 copias of plan
. 1 seiof Ertergy Calculations forheated addAlons
• 1 site survey for exterior additions & decks
. Indicate'rf home sened by septic system for additions
VALUATION
Phone #:
I.awn Sprinkler
No. of R.I. Baths
OFFICE USE ONLY ?
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ;< 19 LowerLevel ? 24 StormDamage ?
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ?
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ?
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
X 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doo'rs
? 34 Replacement *DemoliEon (Entire Bldg only) - Give PCA handout to applicant ,
Valuation Z9 J Occupancy t? ? G¢ MGES System ?
Census Code Zoning Ciry water "
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs / Length Fire Sprinklered
Type of Const ? [h/ Width
i
REQUIRED INSPECTIONS
t'
?
Footings (new bldg) Final/C.O.
Footings (deck) X Final/IVo C.O.
Footings (addition) _ Plumbing ,
Foundation HVAC
Drain 'Cile Other ?
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
Framing Siding Stucco Stone ,
Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) ?
Insulation _ Retaining Wall
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
ToWI
Approved By 7?2, , Building Inspector
-------------------- --- - - - --------- - - ------
?.OO ? 2?2C,?rL Ca ? I
PERMIT#
RECEIPT DATE:
8008 fiESIDEftTIAI. PLIJMBIAH PERbIIT APPLIC1kT10N
ci1Y oF EAsM
S$SO P1LOT KAOB RD
Rf18141Y, MR 55122
FL!'
gsi-681-46?g Please complete for: single family dwellings, townhomes and condos when pertnits are required for backflow preventer for irrigation system SITEADDRE55: / 6C7 ? /l/ IGCT'S 84, Fq?x 19-IN SS /Z Z ?
OWNER NAME: : S{'ILG•G!i uu01/ TELEPHONE #: G SI -6 fS6 -D S?1 .?
(AREA CODE)
INSTALLER NAME: TELEPHONE #:
(AREA CODE)
STREET ADDRESS:
CITY: STATE: ZIP:
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
. MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
? Adding fiMures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of saptic system.
Water turnaround - existing dwelling unit 5/8" meter'rf needed -$118)
ocner: f ower leve,?
_ RPZ: new installation/repairlrebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: _ water softener _ water heater $ 15.00
State Surcharge $ .50
$ ISV
sb
Total -
I herebyadcnowledge that I have read this application, state fhat the information is corract, and agree to complywith all applicable Cityof Eagan ordinances. It
is the applicanPs responsibility to notiTy the property owner that the City of Eagan assumes no liabilityTor any damages raused by the City during iGs normal
operafional and maintenance activities to the fadlities constructed under this permit within Ci ropeprtyQrigh? -wa/ytet.
SIGNATURE OF PER?MI EE 1102
I Permil #: ?
I ?
? Pertnit Fee: Q vz)--? ? I
I Date Received: ?
? ??y I
? StaN: C:
-----------------i
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: ? I Ia Site Address: -1 LowS?,3iW 1 O I S P81 r6-
Tenant:
Suite #:
RESIDENTlOWNER Name: SVQ1AAa>C,,A Phone: u2 SI IOpLo
Address / City / Zip: R c1 C?5 GF ?n rt"w?
CONTRACTOR Name:3a,US ???I,YYU'.?? Y13, License#: Lr)LO !l
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Address:
W C
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p:
iry:
tate:
Phone: l4 l? 5?1119 )'I1021 Contact Person:
TYPE OF WORK X,-New _ Replacement _ Repair -Rebuild _ Modify Space _ Work in R.O.W.
?
Descri tion of work:
PERMIT TYPE RESIDENTIAL
Water Heater _ Water Softener
? Lawn Irrigation _ Add Plumbing Fixtures
RPZ PVB) (_ Main _ Lower Level)
Septic System _ Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (inciudes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge)
'Water Tumaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
p
I hereby acknowledge that lhis information is complete and accurale; thai ihe work will be in conformance wiN the ordinances and codes oi the City of
Eagan; that I urWerstand this is not a permit but only an application tor a permit, and work is not to start without a permit ihat ihe work will be in
accordance with the approved plan in ihe rase ot work which requires a review an;p?rant roval ot plans
/?
X ?(?1Lti. (?Cn/jGL +t
ApplicanYs Printed Name s Sign ature
Use BLUE or BLACK Ink
r
For Office Use I /
Permit / I ~
411100 ✓
City of Ea a~ I Permit Fee: -
3830 Pilot Knob Road I I
I I
Eagan MN 55122 Date Received:
I I
I
Phone: (651) 675-5675
Fax: (651) 675-5694 i Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: 5 A4 /YV_ ~d Phone:
RESIDENT /
OWNER Address / City / Zip: t
Applicant is: Owner Contractor
06 F
Description of work: (Z r-
TYPE OF WORK
Construction Cost: Multi-Family Building: (Yes / No X)
Company: F- lT (14 0497`_ Contact: G1
CONTRACTOR Address: l City: P_O SCE L4 e
State: Zip: Phone: or r,
License C2~ 0 / b Lead Certificate M
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Cod t be completed wi n 180
days of permit issuance.
I ~
x f x
Applicant's Print d Name Ap ' ants Signature
Pa e 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113042
Date Issued:08/28/2013
Permit Category:ePermit
Site Address: 4665 Nicols Pt
Lot:8 Block: 1 Addition: Cedarview 2nd
PID:10-16931-01-080
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Sherwood D Smith
4665 Nicols Pt
Eagan MN 55122
Marshall Building & Remodeling Inc
6975 Washington Ave S
Suite 215
Minneapolis MN 55439
(612) 369-0123
Applicant/Permitee: Signature Issued By: Signature