4687 Nicols RdAddress
4687 NICOLS KOAD
I,ot j Blk
Sub O?EDARVIEW 21?D
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date: 1- 1-(J Yes No Inspectot:
Final grade (6" from siding)
Permanent steps (gazage) k
Permanent steps (main entry) X
Pecmanent driveway
Permanent gas
Sod/Seeded grass X
TraiUcurb damage
Porch
Basement finish
Deck X?
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contad engineering division at 681-4645 before working in rightof-way or installing undergtound sprinkler system. ?
W6itc - City Copy Yellow - Resident Copy Pink - Contractor Copy
Zip 5512?
G?
2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
cinr oF EAcau
3830 PILOT KNOB RD - 55122
? ?-j 51-681-4675
NConshucgo,ReaLdrement, e&e? ?-J-(?- ?'S- Remodei/ReoalrReauiremenh
D 3 reyisferetl Yle wrveys Ywwinp sq. R of bl, sq. fl. of IwLne 2 capiea of plan
and g( roolatl areas t106 mmclmum lot covamaa Wbwedl 1 ief o} enerpy caladatlons lor hWW addMau
D 2 copiea of plau (ahow beam & wlrWOw tlzes; ppured Ind. deWpn; etc.) 1 tlTe wneY fm exfeAOr addlNons A decb
> 1 tet of anerpy cdculoHOna
> 3 copies d hee presenwtlon plan d bl plaMetl aRer 7/1/93
DATE: SEPTE,IMY?iE?2- Il 1 2LCO
CONSTRUCTION C05f:
DESCRIPTION OF WORK: QEIV GUWS1 ?UCTION j12c-sioErisi2L, S,tivc-,k-e-
STAEET ADDRESS: 4064" uC,D? S vD2CI
LOT: BLOCK: ? SUBD./P.I.D.M:
Name: Phone #:
PROPERTY Laar Fiat
OWNER
Sheet Address:
CHy Stafe: Zip:
. companr C0u.EC, _ C1rY I-loitiiES P,onar: tiZ y0. WbC)
(area code)
CONTRACfOR
Skeet Adaress: 402l) LlikEu1 BI U cl _ ucense r ?? Exp.
cny I A IC&vi l-t,&- srofa: Il-I nJ vp: 55 b4L4
ARCHIiECT/ j?
ENGINEER Company: CUI.I.CC?aE GTY I-URU&S Np?: aMI'UY 11?AU6lLEa1
Telephonei: ( 0I52) LNGg' Iooon
Slreet Address: Regkhafion It:
CHy State: Zip:
Sewerlwater licensed plumber (if Installino aewer/water): M2 ??Oh( Phone #: (&61 ) `I -3 • r ? `?' /
I herebY acknowtedpe ttwf I have read this applicaHon. a?ate fFwt the InfortnaZact, and apree b comply wilh a0 applicable Sfate
of Minnesota SMlufes and CMy of Eapan Ordinances.
Sipnature of Appli , nt ! z. '1Z'V=L?
CeRificates of Survey Received T Yes
Tree Preservation Plan Received _ Yes
OFFICE U:
_ No
No
c4i14.d 9/12
RY?'
_ Not Required
SEP 12 2000
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
p 01 Foundatlon O 07 OS-plex O 13 16-plex O 21 PorCh(3-sea.)
pt 02 SF Dwelling O 08 O6-plex 0 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 Ot of
plex ? 09 07-plex ? 18 Deck O 23 Poroh (screened)
? 04 _
02-plex ? 10 08-plex ? 19 Lower Level O 24 Storm Damage
? 05 03-plex ? 11 10-plex Plbp _Yw_N O 25 Miscellaneous
O 06 04-plex 0 12 12-plex O 20 Pool 0 30 Accessory Bldg.
o si Exr. wc - Murd
0 33 Ext. Alt - SF
O 36 Muki
WORK TYPE
p 31 New ? 36 Move Bldg. ? 43 Reroof
O 32 Addition ? 37 Demolish (Bldg)" O 44 Siding
? 33 Alteration O 38 Demolish (Interior) ? 45 Fire Repair
p 34 Repair ? 42 Demolish (Foundation) O 46 Windows/Doors
• Give PCA handout to applicant for demolition permit
GENERAL INFORMATiON
0(
f St
ri
#
sq. ft.
SAC Code o
o
es - ft
sq
No. of Units
No. of Buildings
? Length
Width _
-J- .
.
Footprint sq. ft. 19-3 U
Census Code ??
Const. (Actuai) Basement sq. ft. ?,?74S
(Allowable) ? Main level sq. ft. /,?R11_ MC/ES System
UBC Occupancy na°e- sq. ft. GQO City Water
Zoning ? sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning
B
uilding ?
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
rotal:
Valuation:
1306,
$ !2o? .C?',a--
D
d- D
??.r? / ?• ??'''C 5 ? ?! 8"d.o??
Ga.r a B _
???? lU ? o f U
?? S- s y a--
SAC Units
% SAC
? 651-68300 ?t?? eo(I
TREE PRESERVATION-,";PLAN'SUMMARY.`W
CITYOF'EAGAWFORESTRYDIVISION ''.
(SEE ATTACHMENTS)
Development C--T-,DfAM tZu,J 2%11- &p)MON
Lot Number 3 Block Num6er ?
Address LtU-1 NlC-Ul'$
Builder ('O E66 Cl lT
61Z-It - 6 (fp
Tree Protection Requirements:
Tree Fencing
Oak Tree Pruning (Immediately seal waunds during April 1 to July 31)
Therepeutic Pruning
Retaining Wall
Other:
Replacement Trees:
--:K__
Attachments:
-1--
Not Required
As Follows: ?-
Yes
No
?
or
'-? ctil'?VY? C
Additional Notes:
Mr-ka,.L'«J e.??-zkr-"?I.
??? ?ti? ?,? ,
? T?¢p f7+D?G?c.+? V"e?'`CQ ?v`?.t.1y YE4?G,,.ti
?'H:\gove\2b00ee(tre6pes\Tree Pre)ryahon Plan hummary-
EAWN
G'C?170?7 D
By? lU- -cJ1/
TREE PRE,SER VA TION PLA N
SURVEY FOR : rource arr
DESCRIBED AS :Lef J. Block I, CEOnRNEW 2N0 Ap01110n'. Lity o! Eaqan, Oakoto Counry, Minneaata
and resarNnq easemmh o{ recortl.
?
? I
? 2
co
?
? I
Q I
b
I
EXISTING TREES
i = 42° BUR OAK
2 = 26" BUR OAK
3 = 16" RED OAK
4= 16" RED OAK - REMOVE
5= 12" RED OAK - REMOVE
6= 16" BUR OAK - REMOVE
7= 19" BUR OAK - REMOVE
8 = 17" BUR OAK
9 = 14" BUR OAK
10 = 22" BUR OAK
11 = 16" BUR OAK
12 = 12" COTTON
13 = 12" COTTON
ia = 12° corroN
SCME: 1 InM - JO laet
HEDLUND
PLANN/NC 6NG1N68RWC SURV6YlNC
2005 Pin Oak prive
Eagan. Mn 55121
Phone: (651) 405-8600
Fan : (651) 405-6606
LICENSE NUMBEft 14776
N0:
OOR-114
iILE'.
C V2
TREE SUMMARY
SIGNIFICANT TREES = 14
7REE5 REMOVED = 4 (28.67)
ALLOWABLE REMOVAL = 207, = 3
TO REPLACE (4-3=1) i TREE
MITIGAiION = 2 TREES WILL BE PLANTED
WHEN CONSTRUCTION IS COMPLETED,
MID TD END OF JUNE.
I HEREBY CEFTIfY MAT THIS IS A iRUE ANO CORRECi REPRESENTATION
OF iHE BOIINDARiES OF THE ABOVE DESCflIBEp PROPERTY AS SURVEVED
BY ME OR UNDEft MY OIftECT SUPERVISIDN AND OOES N0T PURPORT i0
SHOW IMPROVEMENTS OR ENCROACMMENiS, E%GEPi AS SMOMN.
OAiE <Y_/-2/QQ
.
MNcheck COMPLIANCE REPORT
Minnesota Energy Code
hAlcheck Software Version 3.0
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 9-11-2000
DATE OF PLANS: 8-23-2000
TITLE: Home for Todd and Lisa Pontious
PROJECT INFORMATION:
4687 Nichols Road, Eagan
COMPANY INFORMATION:
College City Homes
7920 Lakeville Blvd.
Lakeville
COMPLIANCE: PASSES
Required UA = 384
Your Home = 301
21.7$ Better Than Code
Permit #
Checked by/Date
Area or Cavity Cont. Glazing/Door
Perimeter R-Value R-Value U-Value UA
--------------- - ------------ -------------------------------- ----------------
CEILINGS: Raised Truss 1330 44.0 0.0 29
WALLS: Wood Frame, 16" O.C. 1246 19.0 0.6 74
WALLS: Wood Frame, 16" O.C. 670 19.0 0.6 40
BSMT: Conc. 3.5' ht/3.0' bg/3.5' insul 539 11.0 0.0 39
GLAZING: Windows or poors, Above Grade 239 0.440 105
DOORS 38 0.350 13
FLOORS: Over Outside Air 18 30.0 0.0 1
HVAC EQUIPMENT: Furnace, 92.0 AFUE
----------- - ------ -- -------------------------------------------- -----------
COMPLIANCE STATEMENT: The proposed building design described here ie
consistent with the building plans, specifications, and other calculations
submitted with the permit application. The proposed building has been
designed to meet the requiremKv nnesota Energy Code.
Builder/DesignerTOJ?V?,W?w Date 1 A ? QaA)
Part B. DEPRESSURXZATION PROTECTXON
Check option used: 0 Fuel buming equipmtnt (complete schedulcs 6clow) ? No tuel buming equipment
INSTAUCT10N5
`itep 1. Complete the Combusdnn fquipmen[Sch2dtrf2 bclow. Only cquipmrn[
wiih a Y(Yes) mny be selected undu the "Catcgory 1" almmaee,
Srop ?. Complete £ihausUNfake-up Air Sc6edule on the right if direc[ or power
venced or soGd fuel attnospheric vent space heariug equipmenc is szlected.
&NRAUST / MAKE-UP AIK SCHEDLZE-
ExLaustdevicesovcr300cEm Flow
c?
c&n
cfm
COMBTISTION EQUIPMENI' SCFiEDULE
check a]] es co sed)
Spacchcating-noncolidfuel i Szsledcombustion Y Hcaxth - nonsolidfuel ? Seatedcombusaon I Y
? Direct or ower vented Y• ¦ D'uect or ower venmd Y
Acmos hcricallv venced N Atmo hericallvenied N
Waterhearing - nonsolidfuel ? Sealedeumbustion Y S scchtadn¢-solidfucl ? A?nos hcncall vcnted Y•
?0 D'uect oi o?vcr venttd Y Warer heatine - solid fud ? Amios haricall vented Y
Atrnos htn"call vented N Haxth-solid fuel ? Atrnos hericail vented j Y
' If aunospherically veuted solid fuel or d'uect or power ventzd nonsolid fuel space Lrating is insWlled, then roake-up air to ma[ch
flow is ce ui[ed fur eacb individual zxhaust device which exceeds 300 cubic fect er minu[c.
Part C1. VENTILATION
vF:rrrn.aziov Quuv-rzrY
(Mechanical venhlaHon must bt provided por ehe lacgec quanriry calculated below)
21 2?;O I wbic feet z 0.00583 /minute a(m (?-I i 75 ctm/bedroom) +IS cCrri c(m II
volume of habitable cooms numbzr of bedrooms
SCHEDULE
.licck mc[had(s) pcoposed a
VENTQ A'iION
AS DL•SIGiNED
Statemcnt oF Compliancc: 'Ihe proposed building design repcesentcd in
specificarions, and other calc«larions submitted with ihe pcmvt applicarion.
requuements of the N[ian o L•neegy Code.
Applicant(printnncne) Signacure
c1 i avv- '-{lA - VIGL7
Date Telcphone number
Part Cz. ,VENTILATION (Suhmit Part Cz upon completion of system verificariont)
x - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Job S lte
on racc must be measuced and veriFcd when the
in the buildinQ conditioned envelooe (frc?.??f
for thc scaling
-=nmpli3nce Statement: Installed ven sy5tem is in compliaoce with MN Energy Code and is sized [o provide the desiga 2ir flow.
(printmmmc) Sfgnature
Questions? Call 1-800-657-3710 ar
[hese documena is consistent with the building plaas.
The propostd building hss been designed to meet the
Dace Telephone numbc=
651-296-5175
ef
U
r?.. ?
C?
O -
U •
HOMES
MECHANICAL SCHEDULE:
JOB ADDRESS: LI ,08 -? hc ? l S R? • ???--
• 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 B an 70 CFM per bath(toilet area)
• HRV: Venmar 1.5 2.0 2.6 Solo ?EED HE
• Furnace Interlo . an recycler sized per home
• Fireplace: Heat and Glo gas units direct vented
• CombustiorrAir: 7"
• Dryer: 150 CFM (default)
• Exhausting devises over 300 CFM: none
• Ventilation: J2`-( CFM
W:/design/mechanicat schedule.doc
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
? // ND
PROPERTY LEGAL: LoT .3 ??OCx / '?2 TO/V
h DATE OF SURVEY: q oo
H
?
W
LATEST REVISION:
?
p DOCUMENTSTANDARDS
0
O ?
ii/p' a • Registered Land Surveyor signature and company
?ja ? ? BuiidingPermitApplicant
ea?
? Legal description
? ? • Address
? ? • North arrow and scale
m'
y .
? : House rype (rambler, walkout, spNt w/o, spGt entry, lookout, etc.)
?y
a ? Directional dreinage arrows with slopelgradient %
? .
ProposedJexdsOng sewer and water aervices 8 invert eleva0on
rd? ? ? • Sheet name
2/0
/ ? . Driveway
m
?
o • Lot Square Footage
V
o ? • Lot Coverage
ELEVATIONS
/ • Existin
m?,a ? . Sewer service (or Proposed)
Y ? Property comers
?? • Top of curb at the driveway
?? y • Elevations of any epsting adjacent homes
?q? ? Adequate footing depth ot structures due to adjacent utiliry Venches
/ Prooosed
m'/ ? ? • Garege floor
d ? ? • Firstfloor
r? o? • Lowest exposed elevatlon (walkouNwindow)
? ? ? • Properry corners
?? ? • Front and rear of home a[ tfie foundation
/ PONDING AREA (if aodicaWe)
? d/ ? • Easement line
? d/ a • NWL
? dX/ ? • FIWL
? ar/ ? • Pond # designation
? ra ? • Emergency Overflow FJevation
DIMENSIONS
? ? • Lot GneslBearings 8 dimensions
e' o? • 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 pertnanentfootings)
/? ? • Show all easemenis ot record and any Ciry uti6tles within those easemenfs
m? o/o • Setbacks of proposed structure and sideyard setback oi adJacent ebating strudures
? M a • Retaining wall requiremenb, if any
Reviewed: ????'? Oo
March 1999
cRn0SLoovnWr.Frn
? RESIDENTIAL
? BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 0.6
?
-? 651-681-4675
NawConstruetionReauirements RemodellReoairReauiremenb
• 3 registered site surveys showing sq. ft. of lot, sq. tl. of house; and all roofed areas • 2 copies of plan
(20°h mazimum bl coverage allaxed) . 1 set of Energy Calculations for heated addftions /
• 2 wpies ot plan showing beam 8 window sizes; poured found design, etc.) • 1 site survey for exterior additiom 8 tlecks
• lselofEncergyCalculalions . IMicatei(homeservedbysepticsystemforadditions_ n/i ?
• 3 copies of Tree Preservation Plan If bt platted aRer 717193 C?S .??(--Z?
• Rim Joist Detail Optlons selecUon sheet (bldgs with 3 or less units) !7 - f7
DATE /.I - f Z - 0 2- VALUATION
J08 SITE ADDRESS14 1""" 6Q ] P P-6 C_&?a%/Zr./U
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER
TYPE OF WORK U EG1l, FIREPLACE(S) _ 0_ 1 2
_
APPLICANT V!?-M 7 7?• PHONE# ?-L/DI G
ADDRESS L/ 6 8-7 Al /&-: J. f 9;1) t-. Grkl- J? l`'1 &J ZIP CODE j_s/_ZrL 19 PAGER # ""PHONE # ?.( I• D? 6?// fAX # lvT2Z??1? ?D6cf
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Sub TAPR'l Energy Envelope Calculations Submitted MINNESOTA RULES 7672 2 2002
New Energy Cade Worksheet Submitted
Plumbing Contractor:
PlumUing System Includes:
Mechanical Contractor:
Mcchanical System Includes:
Sewer/Water Contractor:
Phone #
96-1
ree: $90.00
Fee: $70.00
All 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.
SlgnatureotApplicant
Certificates of Survey Received _ Tree Preservation Plan Received _ No Required _
Updated 2002
_ Water Softencr
Water Heater
No. of Baths
Phone #:
Lawn Spnnkler
No. of R.I. Badis
Phone #
Air Conditioning
Heat Recovery Syslem
OFFICE USE ONLY I
?
? 01 Foundation ? 07 05-plex ? 13 16-plez ? 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-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex x 18 Deck ? 23 Parch (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 ,
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolitlon (Entire Bldg only) - Glve PCA handout to applicant
Valuation Occupancy ??. MC/ES System
Census Code y 3 y Zoning City Water
SAC Units ? Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const t/A/ Width
REQUIRED INSPECTIONS
Footings (new bldg) FinaUC.O.
? Footings (deck) Y FinaUNo C.O.
_ Footings (addition) plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool
Ftgs
Air/Gas Tests Final
_ Framing _ _
_
Siding Stucco Stone _
_ F'veplace _ R.I. _ Au Test _ Final _ Windows (newlreplacement)
_ Insulation _ Retaining Wall
Approved By ? 2, , Building Inspector
Base Fee
Surcharge
Plan Review
MCIES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Q
? -
PR-10-2002 16:43 COLLEGE CITY HOMES 6124696910 P.01i01
I J 2G7'"UG yU7" 5 [, e?1 (, V C, t; wC, G I
?
SURVEY FOR :cwutct arr
DESCRIBED AS :La1 ; eiax i, unArtucw aNO noancw, alr of
ond nwrFO ?uannM1 o/ nexd
l I r ? r 1
/ ? ? ? I I I I I
,-?, r r•, •r ? :
? I Far?. xom? ?
?? TOB ? 9!2! j r
r
/ •_'7 ;'?"
/ 'r??
Y?•9a??
9'37'1 "9241.81
, qwn?y, umn.'i
? I
? i
I 1
I ?
? I
I ,
?
I t
a
I m I I I p I ? i ? ? I
.,
--y
? ??.q, ? ? ? ? ! , ; ! , •3 e
.... , . ? I ? i
, 1?ty
N
q?gx
LOT SQ. FOOTAGE = 23,371
HOUSE SQ. FOOTAGE = 7,913
LOT COVERAGE = 89
PROPOSED EIEVATI0N5
Top ol Foundation v940.2
GaruQe Floor o q39.8
Baeament Floor eqyp.o
Aprox. Sewer Sarvlce . q235!
ProOOaed Elev. - d
Existlny Elev. e _
OralnC9e Olrectione e -?
Denotee Offeel Stoke . .
o..
0
t d?
-,?
? o
? EW:Mx?? 1
j i0B IJI? I i
' I
? I 1
9] i
]KA ?
I I
--------,
I I
' ---'
fC.LLE: i Ma? - N IM
?
? I
?lA I
I \
0
BENCNMARK, ?wx@cna.s?
i1eu.96+.14
MIN. SE7BACK REWIREMENTS
Front- Houaa Side -
Raw - Garoqe Sltle -
I XEREBY t£XTIY TIAT TXIS IS A iRUC AND CORRECi RFPNESENTA7ION
HEDL?/ND a? BOUNCARIES Of iNE ABOVE OESp11BE0 PXOVfATY AS SUXVEKO
BY ME OR VNDEF MY OIRECt SUPElINSION ANO DOES NOT PUIIPORT TO
SXOW IMPIIOYEMENJS OR CNCRWCNMENTS. E%CEPT A SXOMN.
PLNNINO LN6VNl{'NNC SVAVL1lN0
'M 17.
2005 vm ow an. p 11/luL
Eapan, ?W !51=2 DATE 3L/1LPoena (e51) 105-ee00 E ..LhlOGNEN, 1M10 RV[YOf
Odf-IH
CV2
TOTRL P.01
•
`i(o??? N;ra?s I?. 3
Site address: Lot 11 Block ?
Subd. C:e? X U[-P.UJ 2VA
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 Cert'rficate of Occupancy.
This structure: Is constructed to meet minimum requirements of ihe Mn Energy Code, Chapter 7670
OR
This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
waterHeater x ?5",?4?- Fit5ffsZD U P,f,s,'?Fc
Fumace x r?D 1? - 7,5" ?.>7JOc7 f}?S ??`5
Dryer
•
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
res No
Kitchen kitchen 2C x
Bathroom 1 Midti fl) ? • p y?
h Bathroom 2
8athroom 3
Bathroom 4
Other
FIREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DIRECT ATMOS
l L,t ,k 6{- /,j o SL ?SD 6o x
P.A MAKE•UP AIR MODEL ?YPE CFM's
2 , s k 20
r
7" F!-->s i vt o,pe,,^.a ...
I hereby acknowledge that the above information is ect and agree to comply with thE
requirements.
Sign? Date
Company Na e ?
Minnesota Energy Code and City of Eagan
-(o
This form is the responsibiliry of the General Contractor.
CITY USE ONLY
L ? BL ? RECEIPT #:
N 5UBU. G t1Y'II;?. ? ? -" RECEIPTDATE:
PERMIT # Lj 3I o n
2000 PLtJMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT IINOB RD
- EAGPN, AQ7 55122
, 651-681-4675
Please complete for: D single family dwellings
? townhomes and condos when permits are required for each unit
D backflaw preventer for underground sprinklersystem
FIXTURES
EACH #
Y ICeS C\ I
Alterations to ezisting dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $ :2 c'
Floor drain 3.00 x = $
Gas piping outlet ' minimum - 1 3.00 x = $ °
Hot tublspa 3.00 x = $
Kitchen sink 3.00 x $ 3pO-
Laundry tray 3.00 x = $ ?O
Lavatory 3.00 x = $ toe!2-
Septic 5 stem new/returbished •requires MPC iic. 75.00 x = $
SepGC System abandanment 30.00 X = $
RPZ new installatioNrepairlrebuild 30.00 x = $
Rou h opening 1.50 x = $
Shower 3.00 x = $
Under round sprinkler if dwelling is under consWCtion 3.00 x = $
Underground sprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $ SQ.
Water softener if dwelling under consWetion 5.00 x = $
Water softener if eztsnn9 dwemn9 30.00 x = $
Water tumaround 30.00 x $
State Surchar e .50 -> -> -> $ .50
Total ' _> -> -> -?
Reminder: Call for inspections of alteretions, i.e. water heaters, water softeners, etc.
---------------•--------------•----•------------ - - - -------- ----- -------- ••--•----- --------- ---------------------- ------- •--••••-----
I hereby adcnowledge fhat 1 have read this applicalion, stata that the infartnation is conect, and agree to compty wilh all applicable City of Eagan ordinances.
It is the applipnYs responsibility to notify the praperty owner that the City of Eagan assumes no liabiliry for any damages pused by the City during its
nartnal operationai and maintenance activities to the fadl@ies consWCted under this pertnit within City propertylright-af-wayleasement.
SITE ADDRESS: 1 i (` C)?C -?
OWNERNAME:: CcIIef,e,??r? F+?l? TELEPHONE#: UZ u?o°, - Loq?L7
(AREA CODE)
INSTALLER NAME:
STREET ADDRESS:
TELEPHONE#: ? 4Z?J- 11LIU
(AREA COOE)
CITY: t'x-Q Cbr? A?%l"? STAT ZIP: S?g
SIGNATURE OF PER ITTEE
CITY USE ONLY
-: LbT 3 BL I
SUBD Cejarxl;eA,)
PERMIT
RECEIPT #:
RECEIPT DATE:
2000 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT I410B RD
EAGAN A4Q 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/occupied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
State Surcharge
Total
$ 30.00
6.00
9 °°
.50
$39s=
Complete this section onlv if you are remodelin¢, addine to, or reoairins an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New _ Alteration
Fumace
Air exchanger
_ Repair _ Other
_ Air conditioning
Other
Fee
State Surcharge
Total
Reminder: Call for inspections
crTF annRFCt• Ud nc?I
$ 30.00
.50
$ 30.50
OWNERNAME:Sr)hPC??-,P PHONE1n17 -?iln9-ln9?1>
/? (AREA CODE)
INSTALLER NAME: ??Y/ ? 7- K lX? .1?1 PHONE #: ?_- L-l Z?- ( I L4 LI
(AREA CODE)
STREET ADDRESS: I U?? S ?^? (/aP dZ T TY2 L? -
CITY: " A Y'fr STA'CE:ZIP: S?
L .. .
,S'urveyor's Cert2ficate
SURVEY FOR
DESCRIBED AS
? p
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<
: COLLEGE CfTY
Lot 3, 81ock 1, CEDARVIEW 2ND ADDITYON, City o/ Eagan,i0okota Qounty,
and reserving easements of record. ?
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=P raF-sC Lopdb At
@ '31 5Lo?lE 4? a''2er,
I AAa,y `?e NE???tb .
,
,
I Feisf. Nnmw I ?
LOT SQ. FOOTAGE _
HOUSE SQ. F00TAGE
LOT COVERAGE _
---------- ;
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,
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Exist. Home ? i
TOB = 934.4 i i
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q?x xt-----? i
9339 i ,
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23,371
= 1, 913
8%
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PROPOSED ELEVATIONS
Top of Foundation = 940.2
Garage Floor = 939.8
Basement Floor -q 37,0
Aprox. Sewer Service = 923.5*
Proposed Elev. _ ?
Existing Elev. _
Drainage Directions =
Denotes Offset Stake = .
HEaLuNa
PLANNING ENGIN68'RING SURVEYINC
" 2005 Pin Oak Drive
Eaqan, MN 55122
Phone: (651) 405-6600
? Fax : (651) 405-6606
BENCHMARK, TNHe oA a.soc
GIPO=955.14
MIN. SETBACK REQUIREMENTS
SCALE: 7 inch - 30 feet
I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION
OF THE BOUNDARIES OF THE ABOVE OESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO
SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT A&SHOWN.
DATE 3`11110
ELYREA.0. LINDGREN, LAND65URVEY
MINNESOTA LICENSE NUMBER 14376
Frant - House Side -
Rear - Garage Side -
N0:
OOR-474
C PAGi
FILE:
CV2
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use 111110, Permit 1631-71k'
j City of Ea
Ed I I Permit Fee: / J S I
I
3830 Pilot Knob Road
Eagan MN 55122 Date Received: '~Z-~
Phone: (651) 675-5675 I -j I
Fax: (651) 675-5694 1 Staff: / I
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: fe,' 2t0 `'2- Site Address: ~t0 9~ ntCV1Q kS Unit
Name: J t 9+,EV3 CJ. Phone:
RESIDENT /
O M ~ 22
WNER Address/ City/ Zip: 4CO~7-+ h16~0IS f-d. eCYOQQ
11
Applicant is: Owner __)_16 Contractor
TYPE OF WORK Description of work: ! V-O ®t
Construction Cost: Q- G~ 0 Multi-Family Building: (Yes 1 No )
Company: E-9-4k t" 14D(VV'P- knV\6V0c"Q0S Contact: Ck<2_4b6 °C~ ~OQ
CONTRACTOR Address: 209 1 \I 0a k) F-M)m _X-V-0- I City: 'eOIL`I0.e1
_ n p
State: MN Zip: ~c ( a2 Phone: ~O
License Igo- 6,k-$5,t 6 04 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the 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 onz a bu i permit issued in accordance with the Minnesota State Bu" Ming a ust be completed within 180
days of p it issua e. 1
x 14-bU` C
Pri V~O1vtn
plica ted Nam App ' ant' Signatur
Page 1 of 3
PERMIT
City of Eagan Permit Type: Building
Permit Number: EA105769
Date Issued: 0712712012
itj of 0n Permit Category: ePermit
R
Site Address: 4687 Nicols Rd
Lot: 3 Block: I Addition: Cedarview 2nd
PID: 10-16931-01-030
Use:
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
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.
Fee Summary: BL - Base Fee $4K $103.25 0801.4085
Valuation: 4,000.00 Surcharge - Based on Valuation $4K $2.00 9001.2195
Total: $105.25
Contractor: - Applicant - Owner:
Next Generation Contracting Inc Jill E Steward
6043 HudsonRoad, Suite 140F 4687 Nicols Rd
Woodbury MN 55125 Eagan MN 55122--230
(651) 730-2075
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114675
Date Issued:09/17/2013
Permit Category:ePermit
Site Address: 4687 Nicols Rd
Lot:3 Block: 1 Addition: Cedarview 2nd
PID:10-16931-01-030
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 -
Jill E Steward
4687 Nicols Rd
Eagan MN 55122--230
Dmz Construction Llc
2121 Cliff Drive, Unit 212
Eagan MN 55122
(612) 570-0907
Applicant/Permitee: Signature Issued By: Signature