4695 Nicols RdAddress 4 h 0 5 N; poi q R a Zip 55122_
IAt 1 Blk i Sub Cedarview 2nd Addition
THESE ITEMS WERE / WERE NOT COMPLE'TE AT THE TIME OF THE FINAL INSPECI'ION.
Date: _ 2-o Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage) X
Permanent steps (main entry)
Permanent driveway
Permanent gas X
Sod/Seeded grass
TraiUcmb damage x
Porch
Basement finish X
Deck
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.
Contaa engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
Whi[e - City Copy Yellow - Resident Copy Pink - Contractor Copy
RESIDENTIAL
BUILDING PERMIT APPLICATION
OT KNOB RD122 70, ?
' N 55
3830 PIL
? ys3?a 651-681-4675 CalW ?IIqIp I
lew Construction Reauirements RemodellRaoafr Reauiremente ?
3 registered sile surveys showing sq. ft. af lot, sq. k. of twuse; and all rooted areas • 2 copies of plan
(20°k manimum lotcoverage allowed) . 1 set of Energy Calculations for heated additions
2 copies of plan showing heam & vnndax sizes; poured found design, etc.) • 7 sNe survey for exterior additions 8 decks
1 set of Energy Calculations . IMicate it home sened by septic system foraddNOns
3 copies of Tree Preurvation Plan if lot platted afier 711/93
Rim Joist Detail Optlons selection sheet (bldgs with 3 or less units)
)ATE APC??L ? aa ?a? r VALUATION bb
10B SITE ADDRESS y 6?^t 5 Nic4s KCa.d F-!5-.-,. "r.1 551-ila
F MULTI-FAMILY BUILDING, HOW MANY UNITS?
'ROPERTY OWNER pb"k
'YPE OF WORK
FIREPLACE(S) _0 ,Ll _2 _3
4PPLICANT D?r?n Pe?l PHONE# ?41•4,71'4311
kDDRESS `4464S N«ols 2rA ZIPCODE SSia.a
'AGER #
FAX# 4 51-6?-(•6d(o l"
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RUI.ES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor. _
Plumbing System Includes:
Mechanical Contractor: _
Mcchanical System Includes:
Sewer/Water Contractor:
Phone #
Phone #
Fee: $90.00
Tee: $70.00
UI above information must be submitted prior to processing of application.
hereby acknowledge that I have read this application, state ihat the information is correct, and agree to complywith
iII applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature oF Applicant ?`"`? W.J_
;ertificates of Survey Received
Wacer Softener
_ Water Heater ,
No. oF Baths
Phone #:
Lawn Sprinkler
No. of R.I. 13atYis
Air Conditioning
Heat Recovery System
Tree Preservation Plan Received _ Not Required _
Updated 1/01
OFFICE USE ONLY
7 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
7 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 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
] 04 02-plex ? 10 08-plex PO 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
lV 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
] 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
7 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
] 34 Replacement •Demolition (Entire Bldg only) • Give PCA handout to applicant
?i
/aluation ?D00 Occupancy MC/ESSystem' "
:ensus Code Zoning /0 _z) City Water
iAC Units Stories Booster Pump
dbr. of Units Sq. Ft. - , PRV
dbr. of Bldgs ? Length Fire Sprinklered
'ype of Const W idth
REQUIRED INSPECTIONS
Footings (new bldg) FinallC.O.
? Footings (deck) ? FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation AVAC
Drain Tile
Roof Ice & Water Final O[her
_ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
_ Insulation _ Windows (new/replacement)
t j
Approved By4_, Building Inspector
3ase Fee
3urcharge
'lan Review
J1C/ES SAC
;ity SAC
Nater Supply & Storage
i&W Permit & Surcharge
"reatment Plant
'lumbing Permit
Aechanical Permit
.icense Search
;apies
)ther
fotal
; '?
+ ?.
'' .
S'urvey?t or's Certificate
_Y i OR :COLLEGE CiTY 'IDED AS :Lol 1, Ufock I, CEOARVIEW 2N0 AD011lON, City o/ Eogan. Ookola Counfy, Minnesofo
ond reserving easemenls of record. .
r-4e.s4--?
>8 'S9'01 "W 240.65 930R
t.3? 1 B 9 .0 1
L--------- - - - - "'l-'-----
1 "I 930:
1 $1
1 I
1
1 25.67
1
I
;? r 1 N Propoeed
o p Sp111-Entry
Sce. w/o
r. ?-?1.l O,oi-oge k Utility I?
0 EosCmo+! {o =
,o ?
1 929
? q D.5 26 3
?
i ?
X
? 926. n
'c--
r ?o
- - - - - - - - - - - - - - - - - - -
I o
N ? 60.00 1 I-
S89'46'27"E 214.76
?z 9ro3J
?47
Goroga
B.OOS ? ?
928,? ? i I
N 93Z' til I
n
°o $1 I I
I ? I
?t e 27.2 ? i
I
I I
I
___________
LOT SQ. FOOTAGE = 25,262
HnUSE SQ. FOOTAGE = 1,876
Zo
A
N
?
O
m
rn
CITY USE ONLY
PERMIT #: `7So?ai 7 RECEIPT DATE: S' 7'0
r?, ..5aao - (A 7cv 5
RESIDENTIAL MECHANICAL P£itMIT APPLIClFTION
crrY oF $asax
3930 ru.or Kxos an
£AHRN MN 551 EE
651-6$1-4675 •
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: '0? 1
SITE ADDRESS: /l (p CUc
OWNERNAME: hC?1(\ °4"C1_
DEPcN6A8LE lNDOOR A1R QUALITY. ING
INSTALLER NAME: C40.N RcGins Roin FyARD
??' 19"? vOGN RA IDS. MN 66433 STREETADDRESS: CC-(?C1C'? '• I o-nar(1
CITY:
STATE:
Place a check mark next to the nermit work Woe
TELEPHONE #: ?51 ^ U' ?`? ?J ? I
(AREA CODE)
TELEPHONE #16z? 5 J C?
(AREA CODE)
ZIP:
New residential dwelling unit under constructionand not owner/occupied $ 70.00
?. Add-on, modification or alteration to existin dwelling unit $ 50.00
• furnace replacement
• air exchanger
• air conditioner i
• other
Natureofwork^?n4CL'` I
C,e- fl?A
State Surchar e $ 50
Total
u $?5) .5D
I
Reininder: Call for inspectious.
II? ItlIH1 UI LVU,
u LJ
SIGNATliRE OF PERMITTEE
Updated 1:01
L ? g` -L CITY USE ONLY
sueo. WQYU1M U4
RECEIPT#:
RECEIPT DATE:
PERMIT #
E000 PLUM$Iftfi PaiMTl' (fiE5IDENTIAL)
crrYoF $nsnx
saso Paor Kxos sn
£A6RR, MA 55l EY
e51-661-4675
Please complete for: ? single family dweliings
? townhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
FIXTl1RES
EACH #
TOTAL
Alterations to existing dwelling - minimum fee
Describe:
$ 30.00
Bath tub $ 3.00 x 1 = $ ?
Floor drain 3.00 x 1 = $ ='
GeS i in OUtlet ' minimum -1 3.00 X = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $ °-°
Laund tra 3.00 x = $ "-°
Lavato 3.00 x = $ _
Se tic S tem newlrefurbisned ` reulrea MPC iic. 75.00 x = $
Se tiC S Stem abandonment 30.00 X = $
RPZ new installation/re0air/rebuild 30.00 X = $ ?
Rou h o enin 1.50 x = $ L1 ?-
Shower 3.00 x = $ G"-
Under round s rinkler if dwellin is under wnstructian 3.00 x = $
Under round s rinkler if exisun dwelling 30.00 x = $
Water closet 3.00 x 2 = $ lo?`-' I
W ater heater 3.00 x = $
W ater softener If dwelling under construetion 5.00 x = $
Watersoftener xexieetn dwemn 30.00 x = $
Waterturnaround 30.00 x $
State Surchar e -50 $ •50
Tctal s r
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
------------------------------------------------------------ •-•--••----•---------•---------•------•----------...-------•------•----•-------
I hereby acknowledge tlhat I have read this application, state that the information is correc[, and agree to comply with all applicable City of Eagan ordinances.
It is the applicant's responsibiliry W notify the property owner that Ne City of Eagan assumes no liability tor any damages caused by fhe Ciry during ils nortnal
operational anC maintenance activities to the facitities consWCted under this permit wilhin City property/right-of-way/easement.
SITEADDRESS: L40g5 N?Ct?fS 'F?(p
OWNERNAME:: C,zIIeGe C-r5' Ao?»GS TELEPHONE#: Inl2 L-109- &96C-)
(AREA CODE)
INSTALLER NAME: (?)w Z- ?.4C?.1'7 TELEPHONE #: ? ?I z 3- l l?SI
(AREA CODE)
STREET ADDRESS: IL-f' '/ U J ?S(7 /-OPKo?/ 7 iZ[-
C?
CITY: & l/= nT- STATE; lx? fIj ZIP: 6156(o
SIGNAT RE OF P RMITTEE
LOT I BL ?
susD. Ccdar vi eW 2na
CITY USE ONLY
PERNIIT #: *W 4060(
RECEIPT #: /
RECEIPT DATE: ?- ') S' OD
2000 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGPN P•1[I 55122
651-681-4675
Date:
Complete this section onlv if you are installing HVAC in a single faznily dwelling, townhome or condo under
construction and not owner/occunied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
$ 30.00
6.00
to CgD
State Surcharge .50
Total $ 3?OD
Complete this section onlv if you are remodeline, addine to, or renairine an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
New Alteration
_ Furnace
_ Air exchanger
Repair _ Other
_ A'v conditioning
Other
Fee $ 30.00
State Surcharge .50
Total $ 30.50
Reminder: Call for inspections
SIT'E ADDRESS: 4(/?-! "rJ Alrn(s ?
OWNER NAME: Col k'J(`-? ( a ???-?(7Yy,Y?S PHONE #:
(AREA CODE)
INSTALLERNAME: Y-) PHONE#: taSl
(AREA CODE)
STREETADDRESS: 14 /U`? :?n (L'756?dB'r I iP_C_
CITY: CmLaz ,LP-)T- STATE: an, ZIP:66CUR
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
<L'1 0 . 0cJ
New Constmction Reauirements RemodelRteoair Requirements Ofhce UsednW
3 registered site surveys showing sq. 8. of lot, sq. fl, of house; and all roofed areas 2 copies of plan CePkni Sepaeg Reed
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions IVCePneS PI0RO6ii Y _R
2 wpies of plan shaxing beam & window sizes; poured found design, etc. i site survey for additions & decks Tre6Pre$Reqwred
._..._._. _._. _._...
_ TY ?N
..... __._. _:.,
lsetofEnergyCalculations Addifion - ind?icateifon-sifesepficsystem Ojrs7feSepYic'Syslem
3 copies af Tree Preservation Plan if lot platted aiter 711/93
Rim Joist Detail Oplions selectian sheet (bldgs with 3 or less units
Date J L- / 7.Z- / O'l Construction Cost 3ccoJ
Site Address wnl?? L'? Unit/Ste #
(---ft A -pj
Description of Work ??(-58 5 Fg?(A-(;.
Multi-Family Bldg _ YK_ N Fireplacc(s) _ 0-V 1 _ 2
Property Owner .N-?J £ 1 1 \lr\, ?0Mi, Telephone #
Contractor iJ?+
Address 1n7, ?W?"l 1.3 City
State 1?4j Zip Telephone # ( f Q)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Mimiesota Rules 7672
Energy Code Category . Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet
(4 su6missiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone #( )
I hereby apply for a Residentia] Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of NIN
Statutes; I understand this is not a permit, but only an application for a pe 't, and work is not to start without a
permit; that the work will be in accordance with the app4Apicant's pl in c e of work wh'ch requires a?r ? II
approval o pla?-I? ns. u?
611 NOV ? o 2D04
?? ?
, ,
Applicant's Printed Name Signatu
?? _ -- - . --
*****+*+*********?***+****?**** CONTINU
CITY OF EAGAN
CASH IER: JS TERMINAL NO: 795
DATE : 04/28 /00 TIME: 08:49:03
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
3866 9379 4691 NICOLS RD 100.00
3430 9001 4691 NICOLS RD 0.25
CR128 319 ** CONTINU
USER ID: JAN ** CONTINU
*****+*?******?*+?*+******???*?****+??*
?**?? *??*?****?*d *?.?*?.
CONTINi
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 795
DATE: 04/28/00 TIME: 08:49:04
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 Receipt Amount: 13,896.06
CR128 319
USER ID: JAN
--±+±+*?.:r**:r**********?**,t,r****?**** r*:r*:
......-.Frxrxx?xxxxx?xxxY
CITY OF EAGAN
CASHIER: SS TERMINAL NO: 795
DATE: 04/28 /00 TIME: 08:49:00
ID:
NAME: COLLE GE CITY HOMES
2252 9220 4695 NICOLS RD 30
00
3210 9001 4695 NICOLS RD .
965
75
3866 9379 4695 NICOLS RD .
100
00
3422 9001 4695 NICOLS RD .
627
74
2275 9220 4695 NICOLS RD .
1
089
00
3446 9001 4695 NICOLS RD 1
.
11
00
2155 9001 4695 NICOLS RD .
0
50
3743 9220 4695 NICOLS RD .
50
00
2155 9001 4695 NICOLS RD .
48
00
3868 9220 4695 NICOLS RD .
492.00
CR128319
USER ID: J
AN ** CONTINU:
** CONTINU:
****r***?* **+*? ??******??*******?*+****
****?*?:?******+*??**?*?*?*+*+* CONTINU
CITY OF EAGAN
CASHIER: JS TERMINAL N0: 795
DATE: 04/28/00 TIME: 08:49:01
ID:
NAME: COLLEGE CITY HOMES
3716 9220 4695 NICOLS RD 114
00
3713 9220 4695 NICOLS RD .
50
00
3865 9220 4695 NICOLS RD .
840.00
2252 9220 4681 NICOLS RD 30.00
3210 9001 4681 NICOLS RD 1,195.35
3866 9379 4681 NICOLS RD 100.00
3422 9001 4681 NICOLS RD 776.98
2275 9220 4681 NICOLS RD 1,089.00
3446 9001 4681 NICOLS RD 11.00
2155 9001 4681 NICOLS RD 0.50
CR128319 ** CONTINL7'
USER ID: JAN ** CONTINU
?a..s.?a.a++iY+a?.?...... . . . . ?............?..?.?.?..?_......?.......?.aaa.?.
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
cirr oF E?cani
. ' 3830 PILOT KNOB RD - 55122
651-681-4675
?. .
N6w Cont?vctlon 1ern9rarreMa gsmodel/Reoalr Reauireman6
????1• ??
Calltd
y?zbf o0
a ] replsterod tlSe wneyi Ywwinp sq. fl of lot, s4 8. d house 2 aoWes ol plan V?^
aM gp roofed areos (20X mmdmum loi eoveraae allowed) 1 set o1 ene cdadaMau for heofed ad?XOna
-OY
? 2 copies Ot plans (ahow beam 3 Mntlpw sizes; poured tnd. deslpn; etc.) 1 qfe umeY for exleibr additlona a decks
a i lo? a «mrgy ccdanrni«,.
n 3 eodes a tree presenanon pwn u bt pkttea Mer 7/1ro3
DAiE: apr i
r I (3??? cowsrnucnor,cosr:
DESCRIP'IION OF WORK: Aj 1,l) (':h?? i7lVYl?'Lr' 4 SiREETADDRESS: 4A6 NICOI S
LOT: I BIOCK: I SUBD./P.I.D. M: C fl?tl V l/1 I(.0 Z17YlI'tl t?
PROPERTY last Rrsr
OWNER
,?heef Address:
y ?* Cly State:
.
Phone #:
Lp:
. Company: O.QUeQqO? C.!, ?A 4M-P S Phone N: ?PI2
(area code)
COMRACTOR
sh??,???: `??? .?Y??n lI? ?l U?? ?e? # 2?.
Cily siafe: _W?-n- zip:
ARCHIiECT/
ENGINEER '
Telephone A: ( (f)l L )
Name: I/16YJaI A ?'I lA0 ?itiU
Sheet Address: RegishaHon #t:
city
Sewerlwater licensed plumber
I hereby xkrawledpe lhat I have read this applicafbn, afate
of Minnesola Sfalutea and Ciy of Eayan Ordinancea /
Certificates of Survey Received Yes
Tree Preservation Plan Received _ Yes
Atire of AppliCant
OFFIC NLY
_ No '
_ No ? Not Required
Stafe:
Zip:
Phone #: 5 . // q
and agree Ao comply wNh ad app6cable Sfate
,Z
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 FoundaUOn ? 07 05-plex O 13 16plex ? 21 Porch (3-sea.) O• 31
X 02 SF Dwelling ? 08 OB-plex 0 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33
? 03 •01 of _ plex O 09 07-piex O 18 Deck O 23 Porch (screened) 0 36
? 04 02-plex ? 70 08-plex ? 19 Lower Level O 24 5torm Damage
? 05 03-plex O 11 10-plex ainp Yor_N O 25 Miscellaneous
? OB 04-plex ? 72 12-plex O 20 Pool ? 30 Acxessory BWg.
Ejct. Alt - Multi
Ext. Aft - SF
MuIU
WORK TYPE
? 31 New O 36 Move Bldg. ? 43 Reroof
O 32 Addition ? 37 Demolish (Bidg)' ? 44 Siding
0 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
• Give PCA handout to applicant for demolftion permit
GENERAL INFORMATION
SAC Code 61 # of Stories sq. ft.
No. of Units Lenyth sq. ft.
No. of Buildings ? Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code It?
(Allowable) ? Main level sq. ft. . MC/ES System
UBC Occupancy Q 2 1 i4. (2lfaALsf-sq. ft. ? City Water :FW
Zoning _ZZi sq. ft. Booster Pump
PRV -0-drm-.
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
O Stucco/Stone
APPROVALS
Pianning Building 4Z257111Y Engineering Variance
Permit Fee Valuation
Surcharge
Plan Review
License ?
MC/ES SAC
City 5AC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies ?
Total:
SAC Units
% SAC
$J410-00
/ / 9 1'e? r /5?-
-el
171 Qqo
?
1? _- ??Gdv
. P_ I I
• -- EX7ERtOR ENVEIOPE AVERAGE "U" L014PUTniiON
. ?„
041NER
SITE AODRESS ?(Q? ?` ? I f D I244? ?L, _)
LON7RACTOR ,?oLLE-GE C_ rrt? ?G? DATE PHONE -
Determine working square footage of each.
: ¢ ZzZ
-?1--
1. Total exposed riall area ........ 1-. sq. ft. x
sq. ft. x.aZfn a.blo
2. 7ata1 roof/ceiling arca ......?-
•Total er.posed wall area above floor = Zo I
a. Total wall window area .............•:••••••••••••
b. Total door area ................................. s?-
e. 7ota1 sliding glass door area ...................
d. Total fireplace wall area ....... ... ...:........ - ?
e. Total wall framing area (average?l0%)............ IS
t. Total net wall area above floor .............:::: I.?qZ
g. 7ota1, rim joist area ........................
Total- ezposed foundation area =
0
h. Total foundation window :area...:... .....:......... 9?-
1. Toal net foundation area above grade .......:....
Determine "U" value of each wall segment.
a. 257 X "u"
- •3
_- ` `?3-_
X
a. MU„ ? ?20 ° YIT?
^
Cr• 40 •X MVM • ??? Y 1 ?
a. - x
MU. r
.
e. t? x "u"_ .092 R
? x
f. Mup
. .045
- - _ ? . '
l 31 x
9•
„u,o
, o J, I
= ?
O x
?. v uw a
X
. "u" .0101 ° ?-
?
3 ........................:.......
....
. Total a 11
If item 03 is the same as, or less ttian item 11, you have met the intent
of SBC 6006(c)2.
.
?
,-
Tatal..exposed roof/ceiling area e t 333
J. 7ota1 skylight area ..... .................. ... -
k. Total roof/ceiling framing area (average 10X)... •1•?.,
1. Total net insulated roof/ceiling area...........
Uetermine "U" value for each roof/ceiling segment.
I111
n V Mv
k. 1 ?? A X . 0
X "U" 0 2Z
4 ..................................Tota1 ¦ o ?
lf total of 04 is the same as, or less than :2, you have met the intent of
SDC G006(c)1,
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the
sUm af ltems 13 and 14 shall not be greater than the sum of items C1 and 02.
1• + 2• ' R
3. t 4. b
?
K !gfl
U, '
1YIC1:?LLf+ AIr?? 1?n?r;Wrwr14?/Is.?1r^?iV4?S"?L?i?Q.?r
'? .7 ? i•C1?=r?'MYZp.
?
NJ NDoW ARE-A :
TYPr, OP WlND04V i
6/g', %NSuc. Gs-ASS
ATWi w',voomu uuirs kert eic? Tisr<'P ro4 V,+??.ia, tu?Y ?sc ? 4iNtP
ADoJc qyo r»y d1 .t?siy4fo .?A Ou?fiN [iArc1 Vs+..I4r, oI .R•? y.8
INC?NDiNC A?R MS .?,•
MR .
FOUNDATIQN yViNraow. A"A :
?
TyPC or lh111400w :
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? ' LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
%W PROPERTYLEGAL LJT I T`Lvk IaOfrel?r2N13 QJD2'?'loi,
? DATE OF SURVEY: 4'-Itz'oo
?
w
LATEST REVISION: 4 - /7' 00
?
p DOCUMENTSTANDARDS
O
d? a • Registered Land Surveyor signature and company
? ?
? ?
? • Building PermRApplicant
• Legal description
aa ? ? • Address
9?/ ? ? • North arrow and scale
00 0 • House type (rembler, walkout, spfd w/o, split entry, lookout, etc.)
e? ? a • DirecUOnal drainage artows vrith slopeJgradient %
?? ? • Proposedlepsting sewer and water services & invert Hevatian
? ? ? • Street name
V( ?
dl ? . Driyeway
?
? ? • Lot Square Footage
o ? • Lot Coverage
EIEVATIONS
istin
? ? ? • Sewer service (or Proposed)
? ? ? • Properry comers
?? ? • Top ot curb atthe driveway
? vo • Elevations o( any wdstlng adjacent homes
cY ?? Adequate footing depth ot structures due to adjacent utiliry trenches
Prooosed
? ? Garage floor
? ?
Firstfloor
? o • Lowest exposed elevation (walkoutM1vindow)
?? ?
? • Propertycomers
t th
t
d
ti
F
d
f h
q
? ? on
ome a
e
oun
a
•
ront an
rear o
PONDING AREA (if aodicade)
/
? 0//
a • Easement Ifne
? 4' o • NWL
? [ ? . HWL
o /? • Pond # designaEOn
? ef a • Emergency OveAlow Elevation
2/? ?
;/? ?
?o a
?f o 0
o/a a
? a
DIMENSIONS
• Lat Iines/Bearings & dimensions
• Right-of-v+ay and street width (to back of curb)
• Proposed hame dimensions induding any proposed decks, overhanga greater than 2', porches, etc.
(i.e. aA structures requiring permanent footinga)
• Show atl easemeMs of record and any City utilNes within those easemenis
• Setbacks of proposed structure and sideyard setback of adjacerrt epating structures
• Retaining wall requirementa, R any , „z-
Reviewed:
, ??-010
Maroh 1989
caAKUBLocwRMr.FM
r -
7? J7 ? 2006 RESIDENTIAL BUILDING rExMiT arrLicnrioN
City Of Eagan
3830 Pilot Knob Road, Eagan NIN 55122
Telephone #t 651-675-5675 FAX # 651-675-5694
S
lqa.7
New ConsUuction ReQUireirrenis RemodellRenair Reauiremenls OfAce Use OnN
3 regislered site surveys showing sq. ft. of lot, sq. ft of house; aM all roofed areas 2 copies M plan showing footings, 6eams, joisB Cert of Survey RerA Y-N
(20%maximum bt wverege allowed) 7 set W Energy Cakula6ons for heated addifions Tree Pres Plan Recd _Yr _ N.
2 copies of pWn showing beam 8 window sizes; pwred (ound design, etc. 1 site wrvey kr additions & tlecks Tree Pres RequireA _Y :_ N
-
1 sat of Energy Calculatlons Addifion - indirafe if on-sde septic system Ori-site Septic System -- _Y
=N
3 wpies ot Tree Preservatlon Plan rf IW platled after 7l1193
Rim Joist Defail Optlons selection sheet (huildinqs with 3 or less unit5)
Minnegasco mechanical ventila[ion fom
Date 01R_ / ?)9 / b , Construction Cost -7
Site Address y? ??-) N 1 c.? l S F ?i Unit/Ste #
- ? ? n ? y -A
Description of Work :LY?.SI -- I (
Multi-Family Bldg _ Y? N Fireplace(s) _ 0 1 _ 2
PropertyOwner n c?.r- ?dGti' Telephone#(GS t)
?
Contractor ?
Address City (J?
?Vo:.y?-? I
State ?
Zip S -51.2 !?:j Telephone #-(r'j Sa) 7- f.-cri p-. I
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Kules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residen6al Ventilation Calegory 1 Worksheet • New Energy Code Worksheet
(dsubmissiontype) Submitted Submitted
• Energy Envelope Calwlations Submitted
In the lasi 12 months, has ihe City of Eagan issued a permit for a similar plan based on a masTer plan?
_ Y _ N IF yes, date and address of master plan:
Licensed Plumber rc -`"?
MechaniCal Contractor
Sewer/WaterContractor
Telephone #(
Telephone #(
Telephone #( J
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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. .
ApplicanYs Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
.. . S
Sub Tvpes
? Ot Foundation
? 02 SF Dwelling
? 03 Ot -of_plex
? 04 02-plex
O OS 03-plex
? 06 04-plex
Work Tvpes
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 07 05-plex
? OB 06-plex
? 09 07-plex
? 10 OS-plex
? 11 10-plex
? 12 12-plex
? 13 16-plex
? 16 Fireplace
? 17 Garage
? 78 Deck
? 19 Lower Level
x 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn.(4-sea.)
? 23 Porch (screenlgazebo)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
'Demolitlon (Entire Bldg) - Give PCA hantlout to applicant
DQSCrIDt100: WaterDamage`Yes
Valuation ooo Occupancy MCES System
Plan Revfew 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice&Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
_ Sheetrock
Final/C.O.
? Final/No C.O.
HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Windows
_ Retaining Wall
Approved By: 11, , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies `7 ,- 0"5' 1?/? 0
B7'I'j01/IL ?7'dif?le/!.'
? PQOL
-?, 0 LR P
Other
Total
` ? f• . . . . .. •
1
Surveyor's Cert2ficate
=Y r-oR :Co«EGF Cl tY
'IDED A /`S :Laf 1, Dlock 1, CEOARVIEW 2N0 AnOITION, City al Eagon. Dakoto Counly, Minnesalo
ond reserving easemenls ol rerord. .
C??EM,/
ey _4u
e
Datc
EAGAN IENGU4EERdNG Dw1I:
co fJC»S+zC? ?
?
LnG3'?"?On
; - 75.67 zu.o/ 929.
S8 'S9'O1"W 240.65 9?09 9301 a39.0 929.3
o ° ° 1
93
?----- - - - - - - - - 19.67 m.? 30Jo I
1 o'
1 I g t.00 q32.
? ' Caroqe r.? ?r ?
1 25.67 o I
? V Z
? 12.00 7.3 0
•;p r 1 N Proooaed m 928.5
OJ1? 1?? - n 5pli` Eno Y 8.00°0
-5s?
n r.71.? O'a;noqe k UNlity I? 93
Eoecmenl
I`% - „ 932 i.? I? N
o f ti ?
rD
?' D o gi I i ?{
1 929• I
? q3D.5 fi}
cn
1 I
I rn
. 1 0? n? dq27,2 I
? 1 x ?3? 27.5 ? I
f 93,3A ?. ?
Z 1 928. n I ? zo
r - - - _________
??. `•° ? o y ?isoa
50.00
i= 9b5'1 76 92.9 927,7
/b
T SQ. ??`? 1
LO
unr icr- cn [7nnrA(F = 1.R76
+4- 4
P00! PERMIT - APPLICATION SUBMITTAL REQUtREMENTS
Address: „40s' A),' ?'-cJs 12d
Appiicant Name: tw
?
?
GENERAL INFORMATION
o
dz U
I
,d ? ? Applicant - name, address, phone & fax numbers, signature
p' ? ? Property owner name
p'' ? ? Legal description and address of property
Ad ? ? North arrow, scale (1" = 30' or 40') and date
? ? ? Location and name of a11 streets adjacent to property
? ? Site Plan drawn to scate showing location of house, pool and other existing or proposed struchues
JZ ? ? Directional drainage arrows (existing and proposed)
ELEVATIONS
Eytistin
? ? ? House corners
? ? ? Properiy comers
?? On property lines at point of ineasured dimension to pool (see below)
?? ? If applicable, ground elevation at each end of retaining walls and at wall's gieatest height
Proaosed
? ? ? Finished pool deck comers
?? Top of retaining walls (if any) and at each different elevation (if it changes)
j j ?? Pool bottom (or maac. depth)
DIMENSIONS
Existin
ZO ? 0 All property/lot lines
Proaosed
fd' ? ? Pool
? ? ? Pool plus integrated deck/patio
?? ? Shortest distance from outside edge of pool
Reviewed:
Name
lot lines and house
Date
(}:FORMS/Pool Pecmi[ CfieckliaN06-02A4
Y
?
Surveyor's Certif2cate -
SURVEY FOR :cocLecE cirr
DESCRIBED AS :Lot 7, Block 1, CEDARVIEW 2ND ADDITION, City ol Eogan, Dokota Counfy, Minnesoto
ond reserving eosements of re 1,
d. -
?
0
?
V\ i
? i
m ?
?
6.3
_ .
?
, ., . 25.67 2057
.
qb32 94G ? n? 929, ( .
S89'59'01 "W 240.65 q3og 9?0? qao.a 929.3 29.0
At 9?3. t
L ------------- 3 I
? N? °iI ?30Jn , 19.67
? n ?/Q3 °0 1.00 932. IS?p ?
I? q 8Z, 25.67 Garo9e o I ? ?l
---? ? I n I
1 31`" Z! ? ?
12.00 7.3 o Oc 110, oProPOSed m 928.5 C)
o Split-Entry o I`- I IV 'i ??`S
I I I 1 ^? C ',; `?
? pO Droinoge & Utility o Scs, w/o 8'000
W•'? Eosement ?o E a N N iq2q.g ?r^ I
p n 1?
`40 NI i ? ?` i
--` o .5
/26.33 g27 S I ? I j ?; ,°' ? ?
1 °? o q19.5 0 ? ? m b
? I
aaz?,z
•5
911
Z `I . . S o' y .6 ? , ... . . .. I j i ` ?
I Zo
12.78 2902
Q iD t
rj i 60.00 ? . ?130:p I I
589'4 '27"E 214.76 26, 927,-7 ! 924.17
? 9e3. f i
\ Ln
\ 3
\+(
LOT SQ. FODTAGE = 25,262
HOUSE SQ. FOOTAGE = 1, 8 76
LOT COVERAGE = 7.4?" k
re ?'
x v?
e
RE'V ? V V?-La-
E'X4$r7
? A
WEIMr.q?`r DEPT,
PROPOSED ELEVATIONS ?
BENCHMARK, C,p Curb Stop
Top of Foundation = q33.1
Garage Floor = q32,7 Eiev_q29.99
Bosement Floor = 929•9
Aprox. Sewer Service = 920.0±
Proposed Elev. _? MIN. SETBACK' REQUIREMENTS
Existing Elev. _
Droinoge Directions = Front - House Side -
Denotes Offset Stake = . scnLe: i inch = 30 feet Reor - Garage Side -
I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATIDN JOB N0:
Rr_ ? !!r-i ar? ?
OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED DOR-168
BY ME OR UNDER MY DIRECT SUPERVISION AND DQES NQT PURPORT TO
SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. BOOK: PAGE:
PLANNlNC ENC/NE6R/NC SURVBY/NC
2005 Pin Ook Drive A
Eoqan, MN 55122 DATE x/I?!/QQ CAD PiLE:
Phone: (651) 405-6600 RE , IINDGREN, LAN SURVEYOR GV2 -
Fax ;(651) 405-6606 a" ? NESOTA UCENSE NUMBER 14376
PERMIT
City of Eagan Permit Type: Plumbing
3830 Pilot Knob Rd Permit Number: EA092162
Eagan, MN 55122 . Date Issued: 11/27/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4695 Nicols Rd
Lot: 1 Block: 1 Addition: Cedarview 2nd
PID 10-16931-010-01
Use
Description:
Sub Type: e - Water Heater
Work Type: New
Description: Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:
Mike Skaja
2090 County Road 42 W.
Burnsville, MN 55337
Fee Summary: PL - Permit Fee (WS &/or WH) $50.00 0801.4087
Surcharge-Fixed $0.50 9001.2195
Total: $50.50
Contractor: - Applicant - Owner:
Tony's Appliance Tatyana Novitsky
2090 County Road 42 West 4695 Nicols Rd
Burnsville MN 55337 Eagan MN 55122--230
(952) 435-2442
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
2011-Oct-05 0820 AM Muska Electric 651-636-0916 1/1
Use BLUE or BLACK Ink
1 For Office Use
lt#: I
I
City of Ea an i Perm
Permit Fee: j
3830 pilot Knob Road I D i
Eagan MN 55122 I Sete Reoei d:
Phone: (661) 675-5676 CL I
Fax: (651) 876-6994 Staff:
INFLOW & INFILTRATION PERMIT APPLICATION
X Plumbing / Sewer & Water
Date: Site Address: l 16 cz, ca -r, ./e
Tenant: Suite ff;
Name: ~w G! 4 v ✓i fiS IC' Phone:
RESIDP.NT LOWNER
Address / City / zip: W6Q
L 5 Al, ~c o t! 5 Ile)
Name: U " License P 060V /'m
Address: If k 5 l)4 ~ C J ~ x - City: It [a S e° y , It 'e-
CONTRgCTOR 1n^)
S-3 2 6-2 tate: L V~ ZIP: S 5 I Phone: d 5 t- - 6 0! o
Contact-. 1JGt u -0- Email:
i
PLUMBING (within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF''WORK Sump Pump Repair _ Repair
Other Other:
o t~ t?
Description of work: OU S 4fn a Por e 0 i S /I b'f' e-
DESCRIPTION
FEES
$55.00 I Each (Includes $5.00 State Surcharge) TOTAL FEE $
"Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be sound by visiting yvw~t iVgftf gaan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
2ALL BEFORE YOU DIG . Call Gopher State One Call at (651) 464.0002 for protection against underground utility damage. Call
48 hours before you Intend to dig to receive locates of underground utilities. www.conharstateonecai.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 appiloation 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.
x M q7t ~9,,, ~ 1"es&4/ x ~
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required-Insprections: _,UnderGround Rough-In __final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113073
Date Issued:08/29/2013
Permit Category:ePermit
Site Address: 4695 Nicols Rd
Lot:1 Block: 1 Addition: Cedarview 2nd
PID:10-16931-01-010
Use:
Description:
Sub Type:Reroof
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.
Carbon monoxide detectors are required by law in ALL single family homes .
Vladislav Fogel
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 -
Tatyana Novitsky
4695 Nicols Rd
Eagan MN 55122--230
Estate Claim Services LLC
934 Cromwell Avenue, Suite 2
St Paul MN 55114
(651) 309-1114
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
I------------------,
I For Office Use I
1 1
I ,
Cif of Eajan l Permit I 4P5
I Permit Fee: I
3830 Pilot Knob Road I ` I
I Date Received: a ti
Eagan MN 55122
Phone: (651) 6755675 j
Fax: (651) 675-5694 I Staff: 1
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: mcols K44. Unit
Name: 7a.t a L.- valerrnan Phone: I'_O5l - --~ta5 - $C,9a
Resident/
Owner Address / City / Zip: 4 a g s i c-o is Rai# € a4a n MW 55-1
as
Applicant is: Owner Contractor
s
Description of work:
i Type of Work
Construction Cost: -S I"
. pO Multi-Family Building: (Yes / No-X-)
Company: Cairn S"vices "e, contact: _156-HY1ey -Tivnari
Contractor Address: g314 0,r0r0uj&1J Aye- City: _-,:3r. Ri4u L .
i ~ State: _Mt~ Zip: 55 ((4 Phone:. Lp I a - a 4S- 19 a a
License (.031301 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
built AFtcr 19-7S
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 maybe classed 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.oopherstateonecall.org
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 worts 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 Code must be completed within 180
days of permit issuance.
x_ IJri~14Y1eV I& Wit x by,;L&(
Applicant's P nted N r e- Applicant's Si ature
Page 1 of 3