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4681 Nicols PtRESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN ? 3830 PILOT KNOB RD - 55122 ??- ?-t 651-681-4675 New Constructlon Reuuirements RemodeUReoairReauirements . J registered site surveys showing sq. fl. of lot sq. ft. of house; an?ll roofed areas • 2 copies of plan (20°6 maximum lot coverage al6wetl) • 1 setof Energy Calculations for heated addi6ons • 2 copies of plan showing beam 8 window sizes; poured (ound desgn, etc.) • 1 site survey for exterior additlons & decks • 1 set of Energy Wlalations • Indicale if home served 6y septic system foradditions • 3 copies of Tree Preservation Plan if lot platted aher 711193 . Rim Joist Detail Oplions selection sheet (bldgs with 3 or tess units) DATE I D- g- ZOO 1 VALUAtION 4 S,bOD JOB SITE ADDRESS A-IOSI N l Ws Pol ?14' IF MULTI-FAMILY BUIIDING, HOW MANY UNITS? PROPERTY OWNER pa+ Pev- v-e t+ TYPE OF WORK 02CIL FIREPLACE(S) Z0 2 APPLICANT 4nn-ha? L6ri5?Iv?A-L_-I-I 6x. PHONE# qSz-?14o-?1`?S? ADDRESS 1 SD101D &L6IAA.w60-C? ?Y , ZIPCODE SS 3-la PAGER # CELL PHONE # 1911- `)02-01 107 FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESO'PA RUI.LS 7670 CATL:GORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted _ - Energy Envelope Calculations Submitted ? I? ??p n M ?? II U O (r'ro?Zcr?l _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted ?y Plumbing Contractor: Phone #: P1umUing System Includes: Water Softener Iawn Sprinl:ler ` Fee: -`g90:U6 4Valcr Hcatcr No. of R.I. Balhs No. of Baths Mechanical Contractor: Mechanic:il System Includes: Sewer/Water Contractor: Air Conditioning Hcat Recovery System Phone # Phone # I'ec: $70.00 Ail above information must be submitted 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 Ordinances. SlgnatureofApplicant VA& Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1101 OFFICE USE ONLY ? Ot Foundation ? 07 05-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 ? 03 01 of _ plex ? 09 07-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 OS-plex A 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding A 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation .1,OAi Occupancy R-3 MC/ES System Census Code '7el Zoning ?Z2 City Water SAC Units {'j_l Stories -l Booster Pump Nbr. of Units OL Sq. Ft. ? PRV Nbr. of Bidgs O( Length Fire Sprinklered Type of Const ? Width REQUIRED INSPECTIONS Foorings(new bldg) ?Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Frazning _ Fueplace _ R.I. _ Air Test _ Final _ Insulation FinaVC.O. y FinaVNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) Approved By? ---------------------- --------------- -------------------------------------------- ----------- ------------ Base Fee G Surcharge /? ? C /v Plan Review ?? MC/ES SAC City SAC W ater Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies -V a's= 3-aS? Building Inspector ??O f Other Total Address 4 F, R 1 N; r n 1 c r r Zip 5512_9 IAt 4 B11C 1 SUb Cedarview 2nd Addition THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 4qe-Zj-p0 Yes No Inspector: Final gtade (6" from siding) ? Peimanent steps (gazage) x Pettnanent steps (main entry) Pennanent driveway X Permanent gas ? Sod/Seeded grass )r TraiUcurb damage ?r Porch X Basement finish Deck ? Please verify with the builder the removal of roof cest caps from the plumbing system and the shutoff of water supply to the outside lawn faucet beforo freeze potential exists. Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy ?+ tj 4-1 ? o Ly3 ****?**********?************?** CITY OF EAGAN CONTINUE CASHIER: JS TERMINAL NO: 795 DATE: 04/29/00 TIME: 08:49:11 ID•: NAME: COLLEGE CITY HOMES 3743 9220 4681 NICOLS RD 50.00 2155 9001 4681 NICOLS RD 68.00 3868 9220 4681 NICOLS RD 492.00 3716 9220 4681 NICOLS RD 114.00 3713 9220 4681 NICOLS RD 50.00 3865 9220 4681 NICOLS RD 840.00 2252 9220 4691 NICOLS RD 30.00 3210 9001 4691 NICOLS RD 1,105.75 i 3866 9379 4691 NICOLS RD 100.00 3430 9001 4691 NICOLS RD 0.25 CR128319 ** CONTINU USER ID: JAN ** CONTIN s.aaaaaaa aaa+a aaaa+aa .tt,ttt* ir******,t#*** ***?* ??+r*?*****?*****+ r+******* CONTINUE CITY OF EAGAN CASHI ER: JS TERMINAL NO: 795 DATE: 04/28/00 TIME: 08:49:12 ID: NAME: COLLEGE CITY HOMES 3422 9001 4691 NICOLS RD 718.74 2275 9220 4691 NICOLS RD 1,089.00 3446 9001 4691 NICOLS RD 11.00 2155 9001 4691 NICOLS RD 0.50 3743 9220 4691 NICOLS RD 50.00 2155 9001 4691 NICOLS RD 60.00 3868 9220 4691 NICOLS RD 492.00 3716 9220 4691 NICOLS RD 114.00 3713 9220 4691 NICOLS RD 50.00 3865 9220 4691 NICOLS RD 840.00 Total Rec eipt Amount: 13,896.06 CR128319 USER ID: JAN ... ..... ._,_----- - ?y.?? +++t???J ? ?95b? 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EACAN 3830 PILOT KNOB RD - 55122 857-881-4675 ? 3 t6yi519red tlle wNeys flwwinp tq. R of lof. W. B. O( h0ut6 GrW SaroOlbd areaf !A4% rtimdmum lot coveraae albwad) D 2 coWei of Wans (ahow beam 8 wlntlow Yua: Poured fnd desiyrr etc.) a t tet a enaryy cdcuianons > S coples oi hee preservaMon plan M bt plaMeC pRer 7/1 /93 DATE: 1'InY I I ?=? _ aoo 0 ?q81b. t3 RemodeVReoafrReaulremenh U [((?6(00 2 caples d plan ? 1 set ot energy cdwlaMOna 1or heated addflont ltltewrveYtoraxtedoraddlHOns& decW CONSiRUCTION COSf: DESCRIPTION OF WORK: 1UC UJ C PY1S"CYLA (' `t"1 iY`( IC-PF1 T I01`71(Y4I C, ((.f YI' l t_ STREET ADoRESS: MAI Pol n*i- LOT: `"T BLOCK: l SUBD./P.I.D. 0: 2{?d AdAjbzy-) Name: Phone C PROPERTY wst Flrat OWNER Sheet Addreas: City SMte: ZIP: Phone A: _l,9 1?-`? (area code) COMRACTOR SheetAddress: M 1 RILen Ile-" fi )t U,/-I Ilcense #12Lq-Exp. atv sta?a: nP: ARCNRECT/ -?'' ( I ENGINEER Company: Otlvav ( ?e?' Name: ? 44 I La P,l Le12 Telephone g: rneet CHy Stafe: Regishatlon N: Sewer/water licensed plumber lif installlna sewer/waterl: ?? ? I hereby xknowledpe Ihat I have read this applicatfon. atate Maf Ihe onnation k cortee of Minneaota Stalutes and CMy of Eayan Ordlnonees. Siynalure of Zip: Phone ILI , and agree to comply wNh a9 app6cable State OFFICE USE ONLY Certificates of Survey Received ? Yes _ No ' 13 Tree Preservation Plan Received _ Yes _ No t Required -Z772? OFFICE USE ONLY BUILDING PERMIT SUB7YPES ? 01 Foundation " O 07 OS-plex b? 02 SF Dwelling p 08 06-plex ? 03 01 of _ plex O 09 07-plex O 04 02-plex ? 10 OB-plex ? 05 03plex O 11 10-plex ? 06 04-plex O 12 12-plex WORK TYPE IB??31 New ? 32 Addition ? 33 Alteration O 34 Repair ? 13 16-plex p 21 Porch (3sea.) O 31 Fxt. Alt - MuIU O 17 Garage ? 22 Poroh/Addn. (4-sea.) O 33 Ext. Alt - SF 0 18 Deck ? 23 Porch (screened) O 36 Multi ? 19 Lower Level O 24 Storm Damage Plbg Yor_N O 25 MiSCellaneou5 O 20 Pool O 30 Accessory BId9• O 36 Move Bldg. O 43 Reroof O 37 Demoiish (Bldg)' [3 44 Siding ? 38 Demoiish (Interior) O 45 Fire Repair ? 42 Demolish (Foundation) 0 46 Windows/Doors ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code o ? No. of Units ? No. of Buildings I Const. (Actual) ,? (Allowable) ? UBC Occupancy Q-3/0-1 Zoning PdD # of Stories Length W idth Basement sq. ft. Main level sq. ft. r,-...4e sq. ft. sq.ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS ? G Planning Building 1 S2 l-7z! 77N4 6k0 Engineering sq.ft. sq.ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance 242y IG I y,s 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 Total: Valuation: $ I 3 6,T ?/yew.l k<,cJ ?IfiBxZS ? 1?2Gf? ? L?Lawl ???:_:r?d 123Sr'k-, Lt- Ib;S7 U . S5r xzSs = I62N =zs '174H ?Jsq 2d-?ic?y G4mSe 32xZG=6NG 2yz.Gz `IG ` 68G xf6 - /O) Frkp SAC Units % SAC LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION ? PROPERTY LEGAL: lc>r `f Be" / 4?2).n/1 vrEk/ 2f'C .?a/'.zrroiU ' • vi DATE OF SURVEY: `F ° 0 -vU ? tATEST REVISION: 4 - l7 `c7d w ? o DOCUMENTSTANDARDS O oyg? ° ?? . Registered Land Surveyor signature and company ?/? ? • BuildingPermitApplicant ?l ? a • Legal description M/? ? • Address r? ?? • North arrow and scale o ? • House type (rambler, walkout, split w/o, split enVy, lookout, etc.) ED/ ? ? • Direclianal drainage artows with slopelgradent % r? ? a • Proposed/epsting sewerand waterserrices &invert elevation ra? o ? • SVeet name c? ? ? . Driveway d ? ? • Lot Square Footage ? ? ? • Lot Coverage ELEVATIONS Exdstina [A/ ? ? • Sewer service (or Proposed) ?/ ? ? • Property corners ;/? ? • Top of curb at the driveway ? m' ? • Elevations of any exdsting adjacent homes ? r,? ? Adequate fooGng depth of struclures due to adjacent utiliry trenches / Prooosed d/ ? ? • Garagefloor ? ? • Firstflaar w ? ? • Lowest exposed elevation (walkouWrindow) d ? ? • Property comers ch" ?? • Front and rear of home at the foundation / PONDING AREA (if aodicade) ? cY/ ? • Easement line ? ra" ? • NWL ? d ? • HWL ? ? • Pond # designation ? d ? • Emergenry Overflow ElevaGOn DIMENSIONS ? a • Lot Gnes/Bearings & dimensions d o? • Rightof-way and street width (to back of curb) ? c o • Proposed home dimensions induding any proposed decks, overfiangs greater than 2', porches, etc. (i.e. alI structures requiring permaneM footings) ?/? ? • Show all easements of record and any City uUlides within thase easements d? ? . Setbacks of proposed structure and sideyard setback of adjacent ebsling structures ? a? ? • Retaining wall requiremenb, if any Reviewed: ',2 m / D2t9 March 1989 CRANilBLOGPRMf.FM U41NEa do[: SITE ADDRESS _ TERIOR' IELOPE AVERAGE "U" CC UiATIOt c=T7 LONTMC70R ?OCC..FGF GlI'T? dAi?? DA7E PHONE W2W' 06Q Determine working square footage of each. 1. Total exposed aiall area ...... ZooA- sq, ft: x_,1L ° 2. Total roof/ceiling area ..... l8`10 sq. ft. x,Ozkv ° A.8•G?La Total exposed wall area above floor = a. Total wall iaindow area ........................... 'Z Z 3 b. Total door area ............... ............ :..... s 5!5 _ c. Total sliding glass door area .................:. ? O d. Total fireplace wall area ....... ... ............ o e. Total wall framing area (average 10%)...:........ -' 7 O f. Total net wall area above floor ................. L'oo. g. Total rim joist area ............................ I9Z . Total' eicposed foundation area = (O Q- h. Total foundation window-area ..................... 0 1. Toal net foundation area above grade ........:... lo` 4-_. petennine'"U" value of each wall segment. a. X . b'o !55 a X liut, C: Q 'x uull 7-7.1b ;IZQj = "7,04- ? a 0 d. O X "U" e. 1-70 X"U" ?OR2_ Q ?5•b4- f. 12X Pull g. Iq 2 x °ull h. O X „U„ i. I oA- z ,iuli 10 4-3 -oA-I = 76 . C) ° 0 ,o-7cl . B.LZ 3 . ...................................7ota1 If item 63 is the same as, or less tlian item #l. you have met the intent of SaC 6006(c)2. , - Total..exposed roof/ceiling area = I-7 8.0 J. 7ota1 skylight area..... :.............. .. :.. O k. 7ota1 roof/ceiling framing area(average lOX)... ?-7g 1. 7ota1 net..insulated roof/ceiling area...?........ ?L, E;?-Z.- ' Qetermine "U" value for each roof/ceiling segment. X„ull k. S18 x'"u,o _ .0.¢ _ _7.12 . Xliuio 4 ....... ......................:...Total = z.:?so . • , lf total of #4 is the same as, or less than :2, you have met the intent of SUC 6001, (c)l. ' ' Alternate Building Envelope Design 7o utilize the total envelope system method, the values established by the' sum of items #3 and #4 shal,l not be greater than the sum of items al and €2. ?. + 2. 3. . + q. , a ' _ ..' . 1, M F? AND U VAL '. ANALYSIS. OF Wql.i Srun / F?< AM,N4 SEG7 io"5 „ R". vACUe =b' E)INTERjoR A!R ?Lt-1 ii GYv.sclM W.vLLeon2 a . i ?Vd ??S ?/G 5of r+NOOo _?? ? ? S1DII.IC? ?i•r V AAMQ b"AkfutR_ - #1 1. g1'lR10R, ql/C fILM 10 .?3 -7'orAL' R...; IIAL Nc U,t=!/"n • 1A°•'b3, .v z 1( / TornL rmrAGC 1"70 _ ?NSU- I- ATF-D ARtA Br_TWc.aN STUGS "R"- VALtL(. .bl Iurr¢ioa Aip. rILM ii ?A-S IL (qYPSLLM y,/A??.6oqC0 ? 14.0 a! INSLLI/?T ION ZAc:!J ? SNl? TN I N4_ T72-1 T? r y A r? o?R. lys? K.R- ? C i I ( / Q/,TL/LlqX A1JL 1'I1.M Zti9bj'OtAL Wwt YALHC. ?,•V?. i ?Z2,`jlo. ? M c-4 1"vw R, ToTAL roorAqL /Z?,O ?.,rc7'?c?.Y?os'cuco_ /p`C'? •--,rRIIAND MU? VAL1 '. q?JALy5+5 OF '4E RCI'nF/tEILIQG SEGTIONS JOIST/ FRnMi m G flRe+, .0 R4• vA Lu e .(O ( 1NT? RIdR AIR FILM - ?.31? 3Z" SoFTwOOO .,/ 7 7? CrtYP54M WALLpOn40 NTER IOR, AM, fiLM TOTAI. "Rw, ?ALLl.E u,?? s i / ?? ¦ ? / .- ' _ •C? Z 7.73S ' ToTAL FoorA.Gi ,yNSULqTEm? AR[A J?crWccN TNE TOISTS ~O't' - Ve,Lu.e IIIJTERIOR A+R F(LM ? bLDw?NSLtLnTIoN CR-#k) .?_ ?CayPSUM WAiLD"ALO ? VAPaR DARRILQ. -J-/- INTE.KIOfC AiK f11-M A,53& ro-rA L VALuF. U,-Z = lhK?j _ !/ = azz- oM1 ? ti 10 /lsl7b Iq'i -MTAL Roorncc. / U ?L prnq7.3v _X-3iyNrp? .. . 4RN _ .. r „ • qN D?.?. VAL u R, M 1o, s -r ,?ILE.A ; "R. = V ; Lu E ^I 2 fIL M -?Q_ ?nr?lusu?nr?oN cR-?? ) Z.Ub SHEar - •lo`? %Z sio?,?4_L?P _ - j ! _E,(Tf21o R ,q M f14-01 24.3y Tor a ?• r?.?? ?A«.c u"? • ? ia..a • ? z4"'' . pi TOrn??cr?rnc?t 19 z. Founi D AT IoN WALL. ARE,-, CABovr, CiRAoF--*) ,. R,, v A L u. E IN1-ER1o2 A1R. Htr\ @oNCa Y r[ pLoCK. I.oo 8 F. (R. ?EKTLKIOR. AlIZ FILM ? Z •?t3 'rOTAL ?,q, ?/A?u.? l50.in t-i icw"l.fr. roTAL fe?TA,-,f- \0 4- DN1c?'JU-0k2911„vcD -?r .. , •: 1? ? // ?? 1 ' ?I NlD u VALu YYlNDOW ARg-A : ANAJ.Y515 OF L)QP--5 Al1Zi LA2ED ARLA5 TY, PIE pF W f NDOW i T146 \.ViNDOW Uul'rS ,yAVC g[ii./ TisriP FoQ "Yi'=VA?t446, 7HlY Asc Aa Lif1tD qBoJc qNO 1H4y 4t .7ssiyNEa Aolr-914,?? Cs.rc7 Vw"wf- oF s Z•?? lNGLuDW4 A+/t Ir/LMS, 4-??#5? FooiAA LZZ.? '4'FoeTqa01 FOUNDAT ICW WiNOOw APMn: TYpE oF Wi-VOpW : 'rl{r- VVINDOI? !J/JlIS/4.rbff_ LLi1./ TESr4D FoR*R' VAta+C. THLYARF AS 1J U1LD AtAVR AAtL M9y' 9r QSl1lyNR.v A OtSlcji4 [3APL) VAWk 6r- •?"?. OIN9 AI.R RILMS . O L?2: 1lr?a. • 1/ sF-? Foor?4? i FoornqC ? SLlDINC, (5LA5S Qaat2 AR&q : TYPL PP pooR: ?. !>ti0l47c-j G,31A259 170ORS 4I, JC AILR'4 7L37 40' foR"2=YA"K ry THCY Asi vi.4ar60 .,HOvL q1J0 rvlAy 66 qJ.iI tiNl? R n vA 21tjNGsArU yA"K G oF'iQ,"• ?ucLyni .410 LILr1S /'1 L-143 • ?J'r9a ? 1? _ ? Fwr>.4r- =?! DDOR AIZF-A : TYPC oF L?R : ?OOCZ 1Jt1lY5 HqyL bl'.fN TLOr[O AND Rou..lp To 1-ilkVC 44 W-VALLlA Or '7.81 ?uu.KO1 04 4 AlN P14.M3, !.b1 % I/Rdi = 1 -? 0s?1 . / 2 (3 roorw4 ?. ?. /! ? 5PecIALs ; rypE : FarcM a•r ]?irE?-30 e3? gN Ea Surv e y o r's SURVEY FOR DESCRIBED AS . COLLEGE CIiY = 9,S2,o ? 1 ? ? O N N N ? ?p N p ? J a 9bLt Op Lot 4, Block 7, CEDARVIEW 2N0 A0017lON, City o/ Eogon, Dakoto County, Minnesoto ond reserving easements o/ record. 00 ol ? ? C? -i ? s ?95o,?N / / 9 / 451.9 z.0o - ?? M ?oro9e 0 ProPagey oa p? 3cs.b/w/o , ? Ia Drainoge & U;ility 1 + Easement I I qq { 51 1 1 ?--- - r---------- Cert2f2c a te 1' 'v??A4/YT_ !oi 1? 992,5 ? o°I ry I 28.33 ?., 943. ??942.b ---/- _ i32 ? .a. ?r I I ? I I ? I I I I I -- -- - --- --- - 0 37'18"W 241.85 LOT SQ. FOOTAGE = 20,403 HOUSE SQ. FOO TAGE = 21462 LOT COVERAGE = 121'o PROPOSED ELEVATIONS Top of Faundation = q52.q Goroge Floor - q52,0 Bosement Floor - q43.4, Aprax. Sewer Service = q41.o1 Proposed Elev. _ ? Existing Elev. _ Drainage Directions = Denotes Offset Stake = . - VAGA NT -- ? 3l.7 O I cn O N ? N A N fT1 O? A zo ? ? cz? r,., t-4 ?l ? b 1930.9 ? ? r ? RE iE D {> ;: ?.{ ?, :T. ` BENCHMARK, -17JFf SCttf1'1 eVtd a Cu) -d? -50c, euY = 955,19 MIN. SETBACK REQUIREMENTS Front - House Side - scnLe: i inch = 30 feet Reor - Gorage Side - ECEIVED :?;'r; a l' 1000 1 HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION JOB rv0: ??????? OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED - OOR-769 8Y ME OR UNDER MY DIRECT SUPERVISION AND DOES N07 PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. 800K: PAGE: PLANN/NC 6NC/NE6'R/NC SURVI4Y/NC 2005 Pin Ook Drive Eogon, MN 55722 DATE CaD FiLE: Phone: (651) 405-6600 F D. LINDGREN, LAI SURVEYOR Fax :(651) 405-6606 1-7/00 MINNESOTA LICENSE NUMBER 14376 CV2 L BL I cirv use oNLv Suso. l, /'?cdarvieW 2nd RECEIPT tt: (? p L C? RECEIPT DATE: PERMIT# 8000 PLUM$iNG PERMiT (RESIDENTIlkL) crrY og gnsM 3830 PaoT icivoa Rn f.A6AN, MP 55122 651-8$1-4675 Please complete for: ? 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 3 = $ qCQ_ Floor drain 3.00 x = $ 3c5d, Gas i in outlet ' minimum -1 3.00 X a = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ ? Laund tra 3.00 x I _ $ tO- Lavato 3.00 x 14 = $ 2 S0 tiC S tBfTl new/refurbished • requlres MPC lie. 75.00 x = $ Se (IC $ St@fTl abandonmen[ 30.00 X = $ RPZ newinsWllationJreairlrebuild 30.00 x = $ ? Rou h o enin 1.50 x = $ Shower 3.00 x = $ pO- Under raunds rinkler itdwellin isundereonstnrction 3.00 x = $ Under round s rinkler ifexisun dwenin 30.00 x = $ W ater closet 3.00 x -15 = $ pO- I Waterheater 3.00 x I W ater softener If dwelling under eonsVudion 5.00 x = $ Watersoftener irexisHnadwewn 30.00 x = $ Water turnaround 30.00 x -- = $ State Surchar e .50 -> ---> ---> $ .50 Total -> --' ---' -°-' a - Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. ----- •-------•-•-----------------°-----•-----• •-----------• •----...------------ •-----------...----- •------------••----------•----•--di---• nan•ce--s- I here6y acknowledge that I have read this application, sta[e Mat the informa6on is cortect, and agree N comply with all applicaCie Ciry of Eagan or. I[ is the applicant's responsibiliry to notify the properry owner that the Cily of Eagan assumes no liability for any damages pused by the Ciry during its normal operational and maintenanee activities ta the facilities constructed untler this permit within Ctry propertyJright-of-way/easemenL - SITEADDRESS: 41Ldi-Iy IV\cVx-t1`?L-zP OWNER NAME: :`' ZWQ(l \,:C4 ??S TELEPHONE #: qK?Z l-AP - (p4[Y) ' (AREA CODE) INSTALLER NAME: G-nZ TELEPHONE #: IQSI (AREA CODE) STREET ADDRESS: ) L-(_%U ?' Q zit-4u YJ v?- 'i YLFt I L- CITY: TE: I/ VI Iv ZIP: ?Ina_ r? *SIGURE OF ERMITTEE CI'CY USE ONLY LOT ? BL I_ PERMITti: 4073II SUBD. CtdurView ),d REcE,pr #: ? ??'94a RECEIPT DATE: sv q' O ? 2000 MECHANICAL PERMIT (RESIDENTIAL) Date: 5 Q Complete this section onlv if you aze installing HVAC in a siogls family dwelling, townhome or condo under construction and not owner/occupied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas outleu (minimum of one required @$3.00 ea.) $ 30.00 6.00 State Surchazge Total $? Complete this section onlv if you are remodelina, addiny 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 Air exchanger Reminder: Call for inspections SITE ADDRESS: Repair _ Other _ Air conditioning Other Fee $ 30.00 State Surchazge .50 Total $ 30.50 ? .50 OWNER NAME: lr1Q? ` J 7Y L6o?S PHONE #: L-fc)CK? ^ (AREA CODE) INSTALLER NAME: PHONE #: ??_- ?FZ3=_T/ (?/ lI (AREA CODE) STREET ADDRESS: CITY OF EAGAN 3830 PIIAT IRN08 RD EAGAN hIlI 55122 651-681-4675 C17'Y: ,V1/\(°n Yvr ST ATE: ? ZIP:?25p(nt ,S'urv e y o r's SURVEY FOR DESCRIBED AS . ? ry O? N O(0 Q 9?? :COLLECE C1TY i ? ? q .g C / Lol 4, B)ock i, CEDARVlEW 2N0 ADDITION, City o/ fagon, Dokoto County, Minnesota ond reserving easements ol record. ? ? .Cb ? qAa 931? 1 1 ? 95i ?y !w 1 49 1 1 ----------- q??, I cOfO9e Cert2f2cate ?3:z' ' , ' .. 3 S24T` ` i 1 0?,? ? I I I I I I _ - _ _ - _ _ - _ _ ---- --------------------- h Q) N Droinoge & Utifity I? Easement '37'18"w 241.85 1' Rom6/$?tl ?? ier jCS. M/O ? 0 ' °lS2,S I o°f NI 28.33 ?? 993. l? 1442.So - - -1- - ?----;-- - I 3?. l11.H, ? 0 I N O O IJ ? h N A t/? N f'l rn ? A 1° CD Q QZ ? 30, b 1930.9 ? _ vActi Nr- LOT SQ. FOOTAGE = 20,403 HOUSE SQ. FOOTAGE = 2,462 L07" COVERAGE = 121'o PROPOSED ELEVATIONS Top of Foundotion = q52,q Garage Floor = 952.0 Bosement Floor = q43,ip Aprox. Sewer 5ervice = 941.0± Proposed Elev. - 0 Existing Elev. _ Drainoge Directions = Denotes Offset Stoke = . NEADLuNAD PLANN/NC BNC/NBBR/NC SURVd'Y/NC 2005 Pin Oak Drive Eagan, MN 55122 Phone: (651) 405-6600 Foz : (651) 405-6606 ? B/ I? F= ; RE . ?... r, , - .: - . .....9__....zz.-.o_ - . .. . . .. ?i, ..i? BENCHMARK, ?N1? ?tfh end cf wl•dF -sac. e(ev = q55,I9 MIN. SETBACK REOUIREMENTS Front - House Side - scnLe: i n,cn e3o reet Reor - Goroge Side - 1 HEREBY CERTIFY iHAT THIS IS A TRUE ANO CORRECi REPRESENTATION JOB N0: OF THE BOUNDARiES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED OOR-169 BY ME OR UNDER MY DIRECT SUPERVISION ANO DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOwN. BOOK: anCi DATE -4-/12/ O0 kIN I- -?lo? REN, IqURVEYOR Cn0 FiLE: INNELICENSE NUMBER 14376 CV2 PERMIT City of Eagan Permit Type:Building Permit Number:EA107020 Date Issued:09/24/2012 Permit Category:ePermit Site Address: 4681 Nicols Pt Lot:4 Block: 1 Addition: Cedarview 2nd PID:10-16931-01-040 Use: Description: Sub Type:e-Reroof Work Type:Replace Description:House & Garage 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. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Patrick J Perkett 4681 Nicols Pt Eagan MN 55122 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA160579 Date Issued:03/23/2020 Permit Category:ePermit Site Address: 4681 Nicols Pt Lot:4 Block: 1 Addition: Cedarview 2nd PID:10-16931-01-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 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 - Patrick J Perkett 4681 Nicols Pt Eagan MN 55122 Angell Aire Inc 12253 Nicollet Ave S Burnsville MN 55337 (952) 746-5200 Applicant/Permitee: Signature Issued By: Signature