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4677 Nicols Pt'. RESIDENTIAL BUILDING PERMIT APPLICATION ' CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651•681-4675 New Lonstruetion Reauirements • 3 registered site suneys showing sq. fl of bt sq. ft of house; am6ll mofed areas (20°,6 maximum bt coverage aWwed) . . 2 copies of pWn showing beam 8 window sizes; poured found desyn, ek.) • 7 sel of Enefgy CalaW6on5 • 3 copies oFTrae Preservation Plan rf bt pWtted after 7/1193 • Rim Joist Detail Op6ons setedion sheet (bldga wilh 3 or kss unib) /? •--? 7 ?? _ i DATE JOB SITE ADD'RESS ? ke? 77 IP MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNE q TYPE OP WORK APPLICANT (t_. ADDRESS 7 7 ? PAGER # CELL PHONE # FIREPLACE(S) _ 0 _ 1 _ 2 _ PHONE#?,??5? l) [S?? ZIP CODE L72?Z. ? FAX # ' • ve-k NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category (check one) MINNFSOTA RULES 7670 CATEGORY 1 - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 Plumbing Contractor: _ Plumbing System Includes: Mechanical Conhoctor: _ Mechanical System Includes: Sewer/Water Conhactor. _ Air Conditioning _ Heat Recovery System Phone # Phone # Fee: $90.00 Fee: $70.00 All above information must be submitted prior to processing of appiicaUOn. I hereby ocknowledge that I have read this application, state that the information is cortect, and agree to comply with all appiicable State of Minnesota Statutes and City of E6gan Ordinances. , Signature of Applieant j : i --- Certificates of Survey Received _ Tree Preservation Plan Receive _ Not R quired _ Updated 1l01 New Energy Code Worksheet Submitted Phone Water Softener _ Lawn Sprinkler Water Heater _ No. of R.I. Baths No. of Baths '_V. r -? o .() ?) 8'- R--C') RemodeVReoairRenuirements . 2 copies of PWn . 1 set of Energy Cakailations for heated addNOns • 1 site wrvey tor exterior additions & decks . Indkate tt home served by sepdc system for additions VALU/[ION 2Z OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 76-plex O 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OB 06-plex ? 16 Firepiace ? 21 Porch (3-sea.) ? 37 Ext. Ait - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex * 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage 0 06 04-plex 0 12 72-plex Plbg_Y or _ N ? 25 Miscellaneous ?10 31 New ? 35 Int Improvement O 38 Demolish (Interior) 0 44 Siding O 32 Addition ? 36 . Move Bldg. ? 42 Demolish (Foundation) O 45 fire Repair ? 33 Alteration ? 37 Demolish (Bidg)" ? 43 Reroof ? 46 Windows/Doors O 34 Replacement •Demolitlon (Entire Bldg only) - Give PCA handout to apptlcant Valuation dDGO a,& Occupancy 4"-F MC/ES System Census Code ? Zoning P".0 City Water SAC Units (O? Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs ? Length Fire Sprinklered Type of Const ? Width REQUIRED INSPECTIONS Footings (new bldg) ? FinaUC.O. Footings (deck) FinaUNo C.O. _ Footings (addition) Plumbing Foundarion Drain Tile Roof Ice & Water Final _ Frazning - _ Fireplace _ R.I. _ Air Test _ Final _ Insulatlon ?O HVAC Other . _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Siding Stucco Stone _ Windows (new/replacement) P,pproved By 0-6 Base Fee Surcharge Plan Review MGES SAC City SAC 1Alater Supply & Storage S8W Permit & Surcharge Treatrnent Plant Plumbing Permit Mechanical Permit License Search Copies ` Other Total Building Inspector AddteSS 4 6 7 7 N I C O L S P O I N T Zip 55122 LAt -S Blk 1 Sub CEDARVIEW 2ND THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON. Date: / • D$ ° p,4 Yes No Inspector: Final grade (6" from siding) ? Permanent steps (garage) ? Permanent steps (main entry) X Permanent driveway ? Permanent gas ? Sod/Seeded grass 3(, TraiUcurb damage ? Porch ? Basement finish ? Deck ? Please verify with the builder the removal of roof test caps from [he plum6ing system and Ihe shut-off of water supply to the outside lawn faucet before freeze potential exists. ContaM engineedng division at 681-4645 before working in rightof-way or instalGng underground sprinkler syscem. ? White - City Copy Yellow - Resident Copy Pink - Contractot Copy k V ? ?&-77 m; coiS Pr Siteaddress: ?t ? Biock? Subd. l. r?NU(f.l ZYl/? On April 15, 2000 the Minnesota Energy Code; Category I Building Requirements for insulation protection, air tightness, and ventilation, was adopted. As a resuft; 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 ot the Mn Energy Code, Chapter 7670 OR _ This structure: wlll be constructed to meet more restdctive requirements of Chapters 7872 or 7674 APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTINGTYPE WaterHeater x A-0 5w,i;4.L CpStf hfp L{DG ,? 4 p 6$5 PlasiiZ Fumace x yaK Q 3?? Oo Wow I1$S Plus4,2 Dryer EXHAUST SYSTEM LOCATION TYPE MODEL CFM's VENTED vES No Kitchen kitchen v x Bathroom 1 gssc.4i ? g 0 -76 Bathroom 2 .?? Bathroom 3 Krc:44 70 ;< Bathroom a M_A? Other FIREPLACE S LOCATION GAS WOOD MANUFACTURER MODEL BTU'S VENTING D+pECT ATMOs 6 U0 3srk.x? %/ eM-E+ sn; o *'? u MAKE-VPWR MODEL TYPE CFIN's 1? En wXC. IL- 2. 0 ?5?'(Gu ci?"D ilb Lu? I hereby acknowledge th the above information? correct and agree to compty with the Minnesota Energy Code and City of Eagan requir ments. i ? ? .. - ? Sig natur¢ Date ?y t ame This form is the responsibility of the General Contractor. *********?****************?*?***?****?* CITY OF EAGAN CASHIER: JS TERMINAL NO: 783 DATE: 09%95/00 TIME: 14:26:45 ID: NAME: COLLEGE CITY HOMES 2252 9220 4677 NICOLS PT 30.00 3210 9001 4677 NICOLS PT 1,301.75 3866 9379 4677 NICOLS PT 100.00 3422 9001 4677 NICOLS PT 846.14 ?275 9220 4677 NICOLS PT 1,089.00 00 11 3446 9001 4677 NICOLS PT . 50 0 2155 9001 4677 NICOLS PT . 00 50 3743 9220 4677 NICOLS PT . 50 77 2155 9001 4677 NICOLS PT . 00 492 3868 9220 4677 NICOLS PT . ** CONTINUE CR136930 ** CONTINUF USER ID: JAN ? :r:?x xxxxxxxr.. .. ........ . ....... .. ?.,.. ? ?..., CI'Iy OF EAGAN CASHIER: JS TERMINAL NO: 783 14:26:48 DATE: 09/05 /00 TI ME: ID: NA.ME: COLLEGE CITY HOMES 3716 9220 4677 NICOLS PT 114.00 50.00 1713 9220 4677 NICOLS PT g40.00 3865 9220 4677 NICOLS PT 5,001.89 Total Receipt Amount: CR136930 USER ID: JAN -?- . , 2000 BUILDING PE?MITwAPPLICATION (RESIDENTIAL) I 3830 PILOT KNOB RD - 55722 ? ? {a 3 ? 651•681-4875 _ n l Remodel/Reoalr Reautremenfs D J ropltfered tlp wrveys dwwlny eq. II, d bt, sq. R. ol houae 2 toptes ol plan aMglrooled areaa (2D% maximum bf coveraae atbwedl 1 set of enerpy cdCUlatlons 1or healed adcS6ont D 2 eoples ol plmq (dqw beam S window dtea; pouretl Intl. desipn; eTC.) 1 tlle survey for exteAOr addHOns R docks D 1 iet O( 9n9rpy CWCUIaHons Y 3 caples of fiae presenaMOn plan M bt plaMetf CiRer 7/1/93 DATE: AlA(aIIS+ X) , XM CONSTRUCiIONCOST: DESCRIPTION OF WORK: ?Il.1,U 1 1111S?YLlC ?l'61'l - 2SiCJ e?ti? a 1? nn l.e_ 1'Ylw?.? ?I,tK ??? n? STREET ADDRESS: U Ln? ?" I'w.AS PGl M' LOT: 6 BLOCK: SUBD./P.I.D. 0: IC-611V U 14 1N1 a??? ?llYl Name: Phone Y: PROPERTY lott Flrst OWNER Sheet Address: citY Telephone ri: ( Lp: . Company: lAQF MLA i-1bYmPS Phone9: 62- (area code) CONtftACTOR Sheet Address: 7a2b LFif KPUI l I-P -? YGl Ucense # Ja o? Exp. citr ?,Gt Va?n I I-c? stafe: (f A,-? zip: 556 q Li ARCHITECT/ ENGINEER State: Name: Irf!M lMA.,I WAU Pllet2- Slreet Address: RegishaHon M: CHy State: Lp: ? 0enzvj)cm- T, lurn(?sj y2,3 jiqq Sewerlwater lieensed plumber (H insfallina sewerfwaterl: f;?d(J Y -rXCnUC(-h'n0 anone a: C3C'9-) -4u 4 55(o S 1 hereby acknowledpe ihat I have read thb applicaHon, alate ttwf M)gJof7s corteef, and agree to comply wiih ap appiicable Stale of Minnasota Siahifes and Gfy of Eayan Ordinances. / 4 „ Certificates of Survey Received Slgnalure Appdcan OFFICE USE ? Yes No A??[? 2000 _ Not Requi d Tree Preservation Plan Reoeived _ Yes _ No ? Y ? sCL? ;'QT??2 OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 OS-plex (W 02 SF Dwelling ? 08 06-plex ? 03 01 of _ plex ? 09 07-plex O 04 02-piex ? 10 08-plex O 05 03-plex O 11 10-plex O 06 04-Plex ? 12 12-plex WORK TYPE Rf 31 New 0 32 Addition 0 33 Alteration ? 34 Repair O 13 16-plex ? O 17 Garage O ? 18 Deck 0 ? 19 Lower Level O Plbg _Y or _ N E3 ? 20 Poal O 21 Poroh (3-sea.) 22 Porch/Addn. (4-sea.) 23 Porch (screened) 24 Storm Damage 25 Miscellaneous 30 Accessory Bldg. 0 36 Move Bldg. O 43 Reroof 0 37 Demolish (Bldg)' 0 44 Siding O 38 Demolish (Interior) ? 45 Fire Repair O 42 Demolish (Foundation) O 46 Windows/Doors ' Give PCA handout to applicant for demotiUon permit GENERAL INFORMA?/N SAC Code No. of Units No. of Buildings Const. (Acfual) (Ailowable) UBC Occupancy Zoning O'Q # of Stories Length W idth Basement sq. ft. Main level sq. ft. aL"4 s9. ft. CAae- sa. n. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building 11,16 ? 31 ExL Alt - Multi ? 33 Ext. Alt - SF O 36 Multi sq. ft. -7Ta- Footprint sq. ft. / 7Y'O. !° ?y Census Code l oO MC/ES System City Water 742 Booster Pump PRV Fire Sprinklered Engineering Variance Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Totel: SAC Units % SAC Valuation: $ 1,1s ,Oa _ y asewce ? slz??,9ya??k2s-- =a?sS? ? 53 Ojo? i?2a.i? LGrc/ 6- 71 7?U, a? (n`70.??'K Sf = ? ? ?. G?? ? l ' f?at-a?? - ?Kl4 aa?lods' obl.Fs°( st??y? ?sa?g?'k« hINcheck COMPLIANCE REPORT Minnesota Energy Code MNcheck So£tware Version 3.0 COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 8-29-2000 DATE OF PLANS: 8-15-2000 TITLE: HOME FOR QUANG PHAM AND THU-HUONG NGUYEN PROJECT INFORMATION: 4677 NICOLS POINT EAGAN COMPANY INFORMATION: COLLEGE CITY HOMES 7920 LAKEVILLE BLVD LAKEVILLE, NIN 55044 COMPLIANCE: PASSES Required UA = 542 Your Aome = 413 23.8% Better Than Code Permit # Checked by/Date Area or Cavity Cont. Glazing/DOOr Perimeter R-Value R-Value U-Value UA ------------------ - - ---------- ---- ------------- CEIL2NGS: Raised Trusa 1085 44.0 0.0 24 WALLS: Wood Frame, 16" O.C. 2670 19.0 0.6 158 WALLS: Wood Frame, 16" O.C. 254 10.0 0.6 22 SSMT: Conc. 8.0' ht/7.5' bg/8.0' insul 904 10.0 0.0 57 GLAZING: Windows or poors, Above Grade 314 0.440 138 DOORS 38 0.350 13 FLOORS: Over UnCOnditioned Space 42 30.0 0.0 1 HVAC 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 the Minneaota Energy Code. D Builder/Designer 1D1F1I??Q1. ? a? Cj.O Part B. DEP72ESSURIZATION PROTECTXON Chack oprion used: !9 Fuel buming cquipmznt (completc schedulcs bclow) ? No fuel buming equipment INSTRUCT]ONS E7EIAUST / MAKE-UP AIA SCHEDLZE? -?itzp 1. Complete the Combusdnn EquipmenrSchedud2 bdow. Only cquipmrnt E[haust dcvices ovcr 300 cfzn Flow wiih a Y(Yts) may be selec[ed under the "Catcgory 1" altemace, cfrn Step ?. Complete EchausdrLlake-up Air Schedule on the right if d'utc[ or powtr cfm venced or solid fuel aanospherie vent space htaring equipment is selected. Cfm COMBTJS'fIO1V EQUIPNIZi`7T SCFIEDULE check all tvDes ro esed) Spacc hcating-noacolid fuet O Sesled combustion Y I3caxth - nonsolid fuel Q Sealed combusrion ? Y ? Duect oc ower vented Y• ¦ Direct or ower vrnttd Y Ahnos herieallv vented N Atmo huicall vmted N Watcrhearing -nonsolidfucl ? Sealedcumbusrion Y S scehzaane-solidEucl ? Atrnos hccical! vented Y. IN D'aector owcrvznttd Y Wateiheatine -solidfuel ? Avnos htricall vznted Y Atrnos heneall vented N Heitch-solid fual Q Atrnos Aericatl venced I Y • If atrnosphzritally vented solid fuel oc d'uect or power ventrd noasolid fuel space hesting is installed, then malce-vp air to m3tch flow is re uired fur each individual exhavst derice Fvknch exceeds 300 cubic feet er minuta. Part Cz. VENTILATION VENTrLAT70v QLUNTIrY ? a S 5319 (Mechanical venq7afion must bc providad pzr che 4ugrc quanriry calculated below) ?, I cubiefeet i 0.00583lminute =fT'T*(-l eCm (;?! i 15ofmlbedroom)+I5 clm= efm I volume o[habitabiz coams numbn of bzdrooms ?- VE1VI'LY.ATION FAN SCHEDULE I ?-ficck mcchal(s) proposed a i O Exhaust only W B¢lanccd (htat recoverv vcntilator, air rxchsnger, etc.) or locaGOn 4 cfin Statemcnt o[ Compliance: 'I7te proposed building dLsi.on ctpresented in chese documents is consistent with the building plans, specificarions, and othac talcularions submittcd with the pernut applicarion. Ihe proposed building hss been designed to meee the requucmenrs of the Minnesota L•netgy Code. sIw.\Y\v g?? y :;St 2c1? ynr1- lo9cJt.? Applicanc (princ nacne) Signamre Dace Telcphoae aumber . Part CZ. VENTYLATION (Submit Part Cz upon completion of systenx verificationt) x ----------------------------- 7ob Sice Fan duscnotion or j' Ven[iladoars[emust of ioins in the buildi7 --=nmp6ance Statement: Installed cfrn I efm Permit prescriptivc opriou for when is in compGaace with MN £necgy Code and is sized to provide the design air flow. Applicane (print name Signamre Dam Telephone nwmber Questxons? Call 1-800-657-3710 or 651-296-5175 i U O HOMES MECHANICAL SCHEDULE: JOB ADDRESS: 4-(o'7'7 }J???S P{,. .., • Furnace: Lennox G-26 92% efficiency sealed combustion • Air Conditioner 10 Seer: R.I. Only • Water Heater: A.O. Smith F.P.S.H. Power Vented • Bath Fans: one Broan 70 CFM per bath(toilet area • HRV: Venmar 1.5 0 2.6 Solo Constructo HE • Furnace Interlock: Fan recycler sized per home • Fireplace: Heat and Glo gas units direct vented • Combustion Air: 7" • Dryer: 150 CFM (default) • Exhausting devises over 300 CFM: none • Ventilation: ?4°t CFM W:/desigNmechanical schedule.doc LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPL.ICATION ? PROPERTY LEGAL: ? ? .ISL?CI' ? ?ED•IR??ELf? ? N?A?ID? h DATE OF SURVEY: H ? tu LATEST REVISION: ? C 0 DOCUMENTSTANDARDS Q O p ? Registered Land Surveyor signature and company o : Building Permit Applicant ? Legal descriptlon ?x ? ? Address p?g ? North arrow and scale 1 m? . o. : House type (rambler, walkout, spfdw/o, split eMry, lookou; etc.) ? Oirectional drainage anows wi[h siope/gradient % ? ? : Proposedlebs6ng sewer and water services 8 invert elevation 103 o Street name p 0 • Drrveway ? • Lot Square Footage ? ? • Lot Coverage ELEVATIONS Existina / ? • Sewer service (or Proposed) ?/p ? : Property corners ??o ? Top of curb atthe driveway ? • Eleva6ons of any ebsfing adjacent homes ? Adequate footing depth of structures due to adjacent utility Venches Prooosed p?/ ? ? • Garege floor o p? o . Firstnoar ? ? o • Lowest exposed elevation (walkou7window) rd/ ? ? • Properry corners v? ? • Front and rear of home at the foundation PONDING AREA ('rf apdicade) ? v'/ o • Easement Iine ? ?'/ ? • IV4VL ? t ? ? • MNL d # d i 6 n P ? W ? es gna o on • ? e o • Emergency Ovefiow Elevation ¢' ? ? vo ? p,-,o ? ?o0 ?o? ? ra' ? DIMENSIONS • Lot IineslBearings & dimensions • Right-of-way and street width (to back of curb) • Proposed home dimensions induding any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanentfootings) - • Show all easements of record and any Ciry utilNes witFiin those easements • Setbacks of proposed structure and sideyard setback of adjacent ebsting sVudures • Retaining wall requirements, rf any Reviewed: Maroh 7999 cr-McreLocaaMi.Fm ,: • ' Surveyor's Certificate SURVEY FOR ;COLLECE C1TY DESCRIBED AS :Lot 5, Blook 1, CEOARVIEW 2ND ADDInON, Clty o/ £ogon, Dokpto County, Mlnnesota and roserving oosamenta of recoid. 4 ..+ ? ?IVII 1L., ..? ?7 i By Date - ?n EAGAN ENGINM' ERIIVG DEPT. 4677 NICOLS POINT ?_?a g0 po21' 8 E 78.77 ?s96•87 ,-P27 ? I _-_'-'____-- f•?/ ? 1? + t$ }??~ =LT ? z .a4 =qf3,[ ?CE i ( ?3 ProOoy ? IS ? I ?3. °I?:. s12pt od o ?o S I 979' B.OO a b sc.q ; N N 3?# ? f I.wsz,? z 0 0 fV N ? N ? ? -'- 1 tre ?a4.3 ?J N77'4i'48"?y ~~ ? ? j 213.33 i E:iet. Home '--TO6 = 952.8 ? ? ., . --LQT SQ. F60TAGE = 22,947 i sr.f- HOUSE SQ?./? FOOTAGE = 10 780 LOT COVERAGE = 7? PROPOSED ELEVATIONS Top of Foundation ='15t?• Garage Floor = 9:1.0 Basement Floor = 943.a Aprox, Sewer 5ervice = 135.01- Proposed Elev. _ <=? Existing Elev. _ Drainage Directions = Denotes Offset Stoke = • HEDL(J/VD PG1NN/NG fNGlN6BRI4YG S1ZRV6YIN0 2005 Pln Oak Drlve Eagan, MN 55122 Phone: (657) 405-6600 R????'- 9 s?11?tj 0 ?tlg BENCHMARK', -'rN I+L End af ck(•de, ?a.c. E12v= 955.1y MIN. SETBACK REQUIREMENTS Front - Rear - I NEREBY CERTIFY 7Hhi THIS IS A TRUE AND CORRECT REPRESENTATION OF THE 80UNOMiES OF TiE A90VE DESCRIBED PROPERTY AS SURVEYED BY ME OR UNDER MY DIRECT SUPERNSION AND DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SMOWN. DnTE 11122/SN_ LINDOREN, LANO S#ItVE House Side - Garage Side- J08 N0: OOR-402 BOOK: PA?E a - CAD FILE: BL I suso. G Jaril"Pa.J -'?4 CITY USE ONLY RECEIPT #: RECEIPT DATE: PERMIT# O 2000 PI,UNIDING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - EAGPN, NK 55122 ' 651-681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits 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 3 = $ Fioor drain 3.00 x 1 = 5,3ce Gas piping outlet ' minimum - t 3.00 x 1 = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x Z = $ Laundry tray 3.00 x = $ ? Lavato 3.00 x 3 = $ Septic System naw/refurbished • requires MPC Iic. 75.00 x = $ SEptiC S stCm abandonment 30.00 x = $ RPZ new installatiaNrepaidrebuild 30.00 x = $ ? Rough o enin 1.50 x = $ Shower 3.00 x = $ ? Under round sprinkler if dwelling is under constructlon 3.00 x = $ Unde roundsprinkler 'rfexistlngdwelling 30.00 x = $ Water closet 3.00 x 99.. _ $ Water heater 3.00 x $ oO Water softener if dwelling under consWCUOn 5.00 x = $ Water softener it existlng dwelline 30.00 x = $ Water tumaround 30.00 x $ State Surcha e .50 -> -> -> $ . 0 TOtal -> -> -> -> $ Reminder: Call #or inspections of alterations, i.e. water heaters, water softeners, etc. q5• 56 ------------- .--------• °-----• •--•---_...-----•--------•----------------------------------- ------------------------- ------•----------f--E-•• ord I hereby acknowledge that i?have 2ad this appliwtion, state that the lnfortnation is corted, and agrea to Compty with all applicable City oagan inances. It is the applicanYs responsibility to notiTy the property owner that the City ot Eagan assumes no flability Tar any damages caused by the City during its normal opere6onal and maintenance adiviHes ta the facilities constructed under this permk wdhin City property/right-of-way/easement. SITEADDRESS: 4 (?D-I-1 I\__?Ct'?,S ? OWNER NAME: :CailiC C--P .Qi'ri? PrB? TELEPHONE #: l olZ Uln?-1- l nGCsn (AREA CODE) INSTALLER NAME: _ -pe-02 - TELEPHONE #: (0--9 L-I 5- I I LJLE (AREA CODE) STREET ADDRESS I L-1?1 U? cf ?? ?4-?-- CI7Y: ????Yll??l .Ir'tf S ZIP: SIGNATURE O PERMI EE CITY USE ONLY LOT P? BL I ? PERMIT #: -- q3I U) SUBD Lle-a0y-0i? a n _ RECEIPT #: RECEIPT DATE: 2000 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PIIAT IINOB RD EAGaN lYIlI 55122 651-681-4675 Date: Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner/occuoied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BN • Gas outlets (minimum of one required @ $3.00 ea.) State Surchazge Total $ 30.00 6.00 15°-° .50 $?? , Complete this section onlv if you aze remodelina, addine to, or re airin an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. _ New _ Alteration Furnace Repair _ Other _ Air conditioning Other _ Air exchanger ti Reminder: Gall jor inspections SITE ADDRESS: (-Y Fee $ 30.00 State Surcharge .50 Total $ 30.50 OWNER NAME: PHONE #: UZ - L4? - In? (AREA CODE) INSTALLER NAME: C?7P?1Z - I?L?A-?1 PHONE #: \pS 1 -?1-23 - 1? U l-I (AREA CODE) STREET ADDRESS: CIT1': enSP 1r1-ZSlI a'1fC7 STATE: O-XV-? ZIP: ?'S?lOg SIGNATURE F PE TTEE ?. -- '? ? Surv or s t;'ertificc(te ?URVEY FOR ;couecc urr )ESCRIBED AS •N?nneaota rnd resoWnp E aammDenhen?c??d o/ Eoqan, Oakplo LbuntY RF. I ED By? ? Dste :3 EAGAN ENGIldEEIiINGAEPT. 4677 NICOLS POINT BE 78.' O? "-`:.= ?r 1 4 ? .?, f2e,. y% S Porpp ? -J Edst. MomI To8 = 952.5 -LQr sQ. LOT PROPOSED ELEVATIONS Top of Foundati0n ?951•4' Carage Flocr ° 95l-0 Bosement Floor =143.a Aprox. Sewer Service =H35.Oi . Proposed Elev. ° G? Existing Elev: _ -^ Oroinage Directlans =? Oenotes Offset Stakc = • OF TIC BeuNDnbCS OP iME Alo?44ESC?PIBED PP 7?EOJ ND I M??r cunrr tnnT nus rc A muc u?o coKF B7 ME OR VNDd1 UT CR[CTAUPlA?'IAON MID OC FIOW IMrnOVGMCXTS'?M ? ? ?'?M??' E%?P1 5 crnr?mnc saarrrrNa O'h ?Ph Oak Orln an, MN 35712 (!37) 405-0l06 20/Z0'd d 0169697259 53WOH Ali:) 3031'l00 y eBed : W'?Hd `JNVfID <- O L6963bZ L9 ?orarE = 22,947 F007AGE = 1,780 ERACE = 77o . ?. ? BENCHMARK. -mt}daF cu1•dc'yu Ele.w• 955,1L MIN. SETHACK REQUIREMENTS RECEI D AUG 9 0, 2000 Reort _ ?oua9e gSide ade- scAtt: I mw -. so an ._ u^. f rtypESENTrTON 0119-401 a,rr .s suamio NOT VUfW?T TO 600K+ ??? , UMD 6 ?'E?n I CyZ nYwON iun. 7SDL S00Z-L0-9fk1 :Wd9£:l l01L /B :Pant2oaki ", + ' . . .� .,,.;, •. �% 14 �*I�� 1� '��. r1 \ �t �Y��4�i�• . • . + ' ��,N ..�.�, .�jl ��': ,. ' . � � .. . � � . ' � ' � � �" ',�, , , • � Use BI.UE or BLACK�tnk � . • � . . �-------- _r:.,. . '. � � ForOflicvUsa' ---- �I C�V Ol L� . . . i Perm►t a: (�� / 7�� i . Y �a� . . . , . � 3 8 3 0 P l lo t Kno b Road � � Parm�t Fee: �''�'�� i Eagan MN 68122 . . • ' ' . ' ��` � � Phone: �661) 676-6674 . ' j Dale Receivea: i � Fax: (661) 676�b694 � � � , ,. �s�en___ � _ , 20� 1 RESIDENT,lAI. 6UIL`hIN.G,PERMIT APPLICATION Date: l� t' Site Address; �.' -�? ^� ' . ;� L�4d�;��+'� � �� Unit p; , . ,... , �., , . . --------_ ,_.- .. . , . , , , , •. .. RESIDENT/ Name._' C��'�id�L—�J'� �G�LI'.5' �C"iU' '��Phone:�� tJ l t��' . OWNER . Address/City!ZIP;- �t�l,�� s :l-r�L-S'' ��' �.��,; -��—'� � �^ S � �, f+pPiicant Is: .Own�ar° � �.Contractor•� •:�, � . TYPE OF WORK Descr(ptJon of work;��_��.�'G�l:� C�f��2.f�fst� �1'S�2_- Constructlon CosG�!'�+=-%`t C� • Muld-Famlly B ildfng: (Yes�i No„_� Company;''Ti�✓inl��"� �QQ1�(� �K �� Contact:..��' � , . . �?o t-1�u4�/�2 �____ CONTRACTOR Addrass:_�D� �Q�N�� I-�,- ,�R/,_ ��C;ry: — �}'1f�LS , � Stata: N. Zip;��, S'...,..'�ST��S' .. �Rhone;. .5�. . �_ �� " r—�--._.; _ j • ' •••��:;�ft:•• i r�• • • ucense�: L"�f�� z::� l.oid�.Cettlflcat�#: /1/'/�,7= 3','�.3 7 3 / �� r If the project is exempt.(rom lead cartlflcatlon , leasa' "..�, , , .. . �'�p exp�a{n�Why:_'(See pa9e 3�for additfonal information) �.'s �� • , . .��, .� �:<<�.�,, ��„�..!„3�'��'��:; •, t7 J'• .°�' ri �r'% ,.�.�•• , COMPLETE TH18 AR�A �QNI,,;Y��'CQNgT�J_��Q A NE,_IN BUILDING . . , . In the last t2 montha, has the City'of Eagan,ls�usd a permlt for,a elml►ar pian baaed•on a master ptan? _„_Yes _No If yes,data a�d eddress o(master plan: � • �' • ,, l;Jcensed Plumber. . _ • Phone: Machanica!Contractor, � � Phone: s � Sewer b Water Contractor, ., . .; . � ,., ,.. . Phone; I NOTE:P/ans and supportlnq docurnen�,s tha��ypu:subm,/t��r�cqrtsl��d,tv�be publlc Infomration, Pvrilona ot . the lntormaUon may be�classjflg�!as;�p�.RU4/l�;l�y �J Y ' _ . . . � . �1r �.tt�^�(f'ICAuif9��3fa:t�t�ie��,:f��'�Q rea�svns that wou/d pe.rmtt the Ctry to .. , .., . ' • '• : ' vy .��r�txad�,secrets CAIL BEFORE YOI� DIQ, CsApo her8,tit�Onv.CiUr�� "KU�' �� ''°'"' ' ''' ` . � . �ae y°��d to dJfl to racelva locatea ot und � ��. i 4��2(a�i��at underpround uUlfty damage. Call�8 houn �9��d UWIUAi, �L.944hersteleone aylt ora ' I f1E�f6by 8Ck1101vS8dfl8 U181 thlS I�IOfif18U0l�IS COli1pI9{g bfld`BCCUfB(8��,�� j' ��, r•:;•.: ; � .��1 CI:��i�l Y11��.�'. . . Eagan; thal I undersland this !s nol a pq'rmlt, bul ONy att @pPq�gUO 4 l0(8� ftTllt�u�,��oRnence wilh lhe wdinancas end codes o11ne Ci�y o1 accor0ance with lhe approved plan ln lha'casa q(�f;whicti requlros e raview arid�ePP YAI pi.�'�yl l0 blel1 withpUl e p9rrTt1l; lhel (he wo�fc will ba in Exte�tor work authortzed by i buUdln . , � �� : ' �� '. . . days ol Dermic Is:uance. 0 Permlt laauod In accordanco Wlth�the Mipne�ota$tato gulidins Code muat be completed withln t80 x Sf��G= S�f�%o��i�}-��-�. � , ;. Appllcant s Printed Name X \ Ap eant's Slgnature , . Page i ol 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA129983 Date Issued:03/27/2015 Permit Category:ePermit Site Address: 4677 Nicols Pt Lot:5 Block: 1 Addition: Cedarview 2nd PID:10-16931-01-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Applicant: Jamie Rippel 12850 Chestnut Blvd Shakopee, MN 55379 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Emmanuel S Olowokere 4677 Nicols Pt Eagan MN 55122 (651) 688-2472 Appliance Connections Inc 12850 Chestnut Blvd Shakopee MN 55379 (952) 445-4803 Applicant/Permitee: Signature Issued By: Signature