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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 ? ? gS ? ? ? ? (` Address: W C . - ? 3Sa Zi C S 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