4746 Nicols RdCITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
Control No.
000 14;1
ild /(!! /*.?:?
SITE ADDRESS: t nt t J
914v NlCULS Rf?
P OT 1''.
PERFAIT,§,UBTYPE:
?? acx t i. APPLICQNT:
S7EP114-AM NE1MES INC
E r ''
Y3? , -2 ? z7
TYPE OF WORK: MEw
INSPECTION
, + N,, .. .
r-RANINQ .•
iNS IJ I arI f.t N rIMaL
F 1.RFP1 ,Ai f
WkNi,f L PlE3Ci
ParmR No. Permit Holder Date Telaphone A
S11N
PLUMBING
HVAC .+j? ?1?..- ???•?//
ELECTRt ao
ELECTRIC
inspection Dete Insp. Cvmments
Footings I y _ ?S
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg. S-(4Z c? S 1?
fsul. z
Fireplace
Final Htg.
O'
Orsaf Test
Fnal Plbg. ?2r-7 4>10 Plbg. Inspacior - NoUty Plumber
Const. Meter
Engr./Plan
Bldg. Final ?ZV 9Z,
DeCk Rg.
Deck Final
weu
Pr. Disp.
w') 5?
1osa y--'y
J 31 a * .?? T (On,2a
Request Date Fire No. Rough-in Inspection
2 2
3- 3-9 q ?9
a
?" ? Reatly Naw Will Notiry Inapector
Wh
R
,
v
? UNO an
a?n
ID?censed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (Street. Box or qoute No.) City
4746 Nichols Road Eagan
SMion No. Township Neme or No. Raige No- Counry
Dakota
Occupant (PRINT) Pbona No.
Ste han Homes 42 - 22
PowerSuppNer Aderess
Dakota Electrie 4 00 220 St W Farmin ton MN
Electncal Contraaor (Company Named Contraaor5 License No.
00 le tric 8
MaiLng Aaeress (COnVaclor or Ownar Mahing Inslallallon)
Di'9ye, Bur?
orizeo 5 aWre ICOnlractotlOwner Maki pJne Ilaiian) - Gborie Number
_??_ ? 'U-4755
mJnrvE50TA STATE BOAqD OF ELECJJ(ICITY THIS INSPECTION iiEOUEST WILL NOT
?Iggs.Mitlway BW9. - qoom S1]y BE ACCEPTEO BV TME STATE BOARD
1821 Unlvenity Ave., SL Paul, MN 5?`10C -_ UNLE55 PROPEF INSPECTION FEE IS
PMne (612) 642-0800 nem
3/a,`+j /SoL REQUEST FOR ELECTRICAL INSPECTION ? ?rff=?`•?a, ee.oooo, oe {3?
28531 einstmclions !w mmpleting mis brm on back ol yellow copy.
°X" 6elow Woik Covered by This Request ??o-?
J
e Add Re Type of Building AppliancesWired EquipmentWiretl
Home Range Temporary Service
Duplex Water Heater Elec[ric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other(syecity) CqnVattorS Femarks:
Compute /nspection Fee Below:
# . Other Fee # ServiceEntrance Size Fee d Circuits/Feeders Fee
Swimming Pool 0 10200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps A6ove tOq _ Amps
Signs Inspectors Use Only: ? T?TA?
'
Irrigation Booms ? 6. 5 0
Special Inspection
Aiarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WRHIN 18 THS. -
I, the Electrical Inspector, hereby Rougbin oala
certifythattheaboveinspedionhas
been made. F;,,ai oaie,
J - 7?` e?-
OFFICE USE ONLY
This reQuest voM 18 monins lrom
Address: 4746 NICOLS RD Lot 1 Blk 1 Sec/Sub POTTS
These items were/were not complete at the time of the final inapection.
Date: 5/29/92 Yes No Tnspector, ,S
Final grade (6" from siding)
Permanent steps - garaga
Permanent steps - main entry
Permanent driveway
Permanent gas ?O
Sod/seeded grass
Trail/curh damage
Porch
Basemant finish
Deck
Please verify with the bu3ldar tha =emoval of roof test caps from the plumbing
system and the shut-off of water supply to tha outsida lavn faucet before
freeze potential exists.
vf
?nnEOnwn
White - City copy Yellow - Resident copy Pink - Contractor copy
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
' SITE ADDRESS:
PERMIT
4746 NZCOLS RO
LOT: 1 BLOCK: 1
POTTS
Control No. 0153
PERMITTYPE; BUILDIN6
Permit Number: 008142
Date Issued: 04 /01 /92
DESCRIPTION:
Buildin;gp Permit Type SF DWG
BuiSding`Work Type NEW
UBC Uccuparfcy-, R-3 pl-1
Construct•ian Ty,pe V-N
r Zoning R-1
Building EengCh 62
Buildimg Width 42
REMARKS: U1?6-7 q
PRV
S br W CONTRACTOR - WEN2EL PL86
FEE SUMMARY:
8ase Fee
Plan Review
5urcharge
SAC
SAC 8
SAC Units
Subtotal
VALUA7ION
$758.50
=493.03
$67.00
$700.00
100
1
$2,018.53
$134,000
MISCELLANEOUS $1,610.50
Total Fee $3,629.03
COIVTMVaP'womES INC pR 14233322 0001 5 WSTEPIl-AN HOIqES
14340 PILOT KId06 RU 14340 PILOT KNOB RD
APPLE VALLEY MN 55124 APPLE VpLIEY MN 55124
(612) 423-3322 (612)423-3322
I hereby ackocwiedge tbat I have read bhis application and state that the
informatinn is carrect and a9ree to eomply with ell applieable 5tate ofi IAn.
SCatutes and City of Eagan Ordinances.
L ( ? -
APPLICANT/PERMITEE SIGNATURE -ISSUED 15Y. IGNATURE `?
INSPECTION RECORD °°n ° "° l) 1- 5 3
CITY OF EAGAN PERMITTYPE: euiLorNG
3830 Pilot Knob Road Permit Number: 000142
Eagan, Minnesota 55123 Date Issued: 04 / 01 / 92
(612) 881-4675
SITEADDRESS: t,or: i
4746 NICOLS Rp
PpTTS
PEW la&BTYPE:
TYPE OF WORK:
NEW
INSPECTION
FOOTIN6 D .
FRAMING ..
IN5ULATION FINAL
FIREPLACE
REPIARKS: PRV
S& W CONTRACTOR - WENZEL PLBG
1-
? i
?. n i! : i V a ,., e. 1 i?i i? .? i+.: :' I u!,•yt,
} i11 I ;I
BLOCK: 1 APPLICANT:
S7EPH-AN HOMES INC
(612) 423-3322
0 '1 '.; i : 1 . .
fJ `, . .f .
. t4l
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675 -dAR 3
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set af
specifications, 1 copy-of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date *74'-a-A So //971 Valuation of work
Site location: y7n /0/4c Is /0
STREET STE M
Tenant Name:
LOT ? BLOCK SUBD. P.I.D. #
Descri tion of work: L? ifir,&j" /-c fh',0m?/ /?
The applicant is: ? Owner ?Contractor ? Other (oescr;be)
Name Phone
Property LAST F1RST
Owner
qddress
STREEi STE Jf
City State Zip
Company f-7 ;91??'i'Je--S Phone
Contractor Address 11y 3 5O License # 670,0,, -%5 +
City 444 pZr 7' State }?'/?yrrr Zip 51
,
Company Phone
Architect/
Engtneer Name Registration #
Address
City State Zip
Sewer & water licensed plumber _ 0c,72.eA Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this apptication and state that the infarmation is
correct and agree to comply with all. applicable State of Minnesota Statutes and City of
Eagan Ordinances.
?
Signature of Applicant: ?f
?
OFFICE USE ONLY
BUILDlNG PERMIT TYPE
? 01 Foundation
J& 02 Single Family
? 03 Two-family
? 04 Multi-fam. T.H
? 05 Apt. Bldg.
WORK TYPE
fi? 90 New
? 91 Addition
? 92 Alterations
? 06 Garage/Accessory
? 07 Fireplace
? 08 Deck
? 09 Basement Finish
? 10 Swim Pool
0 93 Remodel
? 94 Repair
? 95 Tenant Finish
? il Res. Add./Parch
0 12 Comm./Ind. New
O 13 Comm./Ind. Add
? 14 Comm./Ind. Rem.
O 15 Public Fac.
O 96 Move
? 97 Demolish
? 99 Undefined
GENERAL INFORMATION
Occupancy R 3 -1
Zoning
Const. Actual) v- N
(A1 owable) ;-N
# of Stories
Length 62--
Depth 92
AFPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
? Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. Sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
?- 3/ :? z ??)?5
? Footing
? Final
11 Framing
? Draintile
? Insulation
? Fireplece
Permit Fee 158•5o
3urcharge 61,00
Plan Review 49 3.03
License
MWCC SAC 9CD,00
City SAC 100,00 Water Conn. 01
Water Meter q,,?
Road Unit 380.00
Treatment P1. 3oo,ap
Rea4-9"tAw-r Aep, 30, o0
Park-Bed. 51w 30,00
T_.,';..°.-Ded.,Sfw.?G
Copies
Other
Total:
SAC % )Dd
SAC Units 1,_
vaiunc;p,: Ig 134,000"'
32xt4='168';i' -
1
764 x 16 = 12,I 92
85MTzxiy: z?a
3nxzb: 790
6ttil ? 6L
12xIL= 144
t*33= br.
I aqa x is ?. t6?3So
157 Fi.o?J
BSMT,= loqo
2 xq = / 0
I I 00 X53s 5811ZLI
2ND F4o0k
30 X29 ?= l 8n0 X53= Li 6
I 33, 3-7 (o
.?... ? .
,
??; .. ;.
? 16 Agricultural
? 17 Buildi'ng Move
0 18 Demolition
? 20 Miscellaneous
MWCC System Yes
City Water Es
PRV Required
Booster Pump
Fire Sprinkler
Census Code l01
SAC Code o l
Assessments
EXTERIOR ENVELOPE AVERAGE."U'"COMPUTATION
04TNER:
SITE ADDRESS:
CONTRACTOR:
DATE: cJ ' .! y PHONE:
DETERMINE I10RKING SQUARE FOOTAGE OF EACH:
1. TOTAL EkPOSED WALL AREA .. 2445 sq ft \ "U" . 11 = 2(0`?•29
2. TOTAL ROOF/CEILING AREA .. 1217 sq ft x "U" .02(o =
3. TOTAL EXPOSED WALL AREA CALCULaTIONS:
Total exposed wa11
are2 a6ove floor. . .
a) Total wa11 window area:
Dt3L, glazed. . .
glazed. . .
2222 sa ft
(t)
sq ft x „0"
- sq ft x "U"
120.45
b) Total door area .. .. 38 sa ft x "ti" ?4(p - ?-1•¢g
c) Totz1 sliding glass door area:
gLc22fi. . . SG iC :i "Ll" - •??
glazed. . . sq ft x "U"
d) Total L/place coa11 a,za 5?- sq ft
e) Total wa11 framing arza
(Average 10e) . . . . . 222.20 sq fz: x "u" .09 - 20•cx?
f) Totai nec wa11 area above
floor (insulated) . . . l?l°I9.8o sq ft ? °u" . o¢
g) Tota1 rim joist ara a. . 'LZ(c sc ft x "U" 10¢ - Total foundation area
(exposed) . . . . . . . 10S sa =t :: " U?? _
h) Total foundation
window area . . . . . . 8.19 sq ft x "U" • 55 _ 4 .56
i) Total net foundation
area above grade. ... 106 sq ft x"U" , 1 1 - (?•Sd
. TOTAL a) thru i) = 2CoPj.?jlp
If Item m3 is the same as, or less than Item m1, you have met the intent of 2 A'.CAR
1.16008 A and 0.
?zge 1
, 4. TOTAL EXPOSED ROOFJCEILING CALCULATIONS:
Total exposed
roof/ceiling:area . .
j) Total skylight area
12-?-I sq ft
sq ft a "U"
k) Total roof/ceiling framing ¢
area (Average 10%). .. 1ZI• ? ? sq ft a"U" pZ
1) Total net insulated '
roof/ceiling area ... IV?5.3? sq ft s"U" • ?Z = ZI?4
TOTAL j) thru 1) _ ?A. 8Z
If total of Item #4 is the same as, or less than Item #2, you have mzt the :n'Cent of
2 MCAR 1.16008 A and D.
ALTERNATE BUILDING ENVELOPE DESIGN
To utilize the [otal envelope system method, the values estaolishec by the sum of
Ztems ;3 and n4 shall not be greater than che sum o•_° Itzms T1 and f2.
1. 'Llaq. 28 + 2. 3!.[c4- - 3o?.°12
2. 21.08. + 4. 24.8Z - 2?13.7 e)
G E R T I F I C A. T 7 0 TI
I.hereb}' cerLify thzt 7 have calculacee the "U" factors ar,d "R" value>- nere'_r. ard
that the building harz described mzzcs or exceeds the Stace o= einnesota Er.-.ggy
Conversation Act.
( gnat -e) ?
3; 12 L f- -?-:
(Date)
Pag?e 2
CITY OF EAGAN FOR CITY USE ONLY
3830 PIIAT RNOB ROAD
EAGAN, !SN 55122 YERHIT #
P$ONE (612) 454 8100
.5
RECEIPT if
y?!?p}?yyEZ?IG: ?!?IT.
.?i.a.^:................:.iR.:xa.....<.. DATE:
- 91111-
?ID?N3'IA? PLEASE CDlSPLETE
,,. :..................., .. :..-::.. IIPPER PORTION ONLY FOR SINGLE FA?SZLY DWELLINGS 6
TOWNHOMES/CONDOS WHEN PF.RIiIT5 ARE REQIIIRED FOR EACH IJNIT.
------------------------ -----
{JORK DESCRIPTTON --------------------- _---- ------------____-----
COMPLETE THE FOLLOWING: ____-
N0. FIXTURES EA. TOTAL
ATEW CONST _ ADD-ON MINIMUM 15.00
ADD ON SHOWER 3.00 .0 O
REPAIR WATER CIASET 3.00
BATH TUB 3.00 'OQ
5 IAVATORY 3.00 540
OWNER NAME: _XCX/atl?J -C!/YIJ KITCHEN SINK 3.00 3,04
LAUNDRY TRAY 3.00 .3: DO
SITE 6DDRESS: 'i?7 NOT TUB/SPA 3.00
IAT: ? BIACK L SUBD. WATER HEATER
FIAOR DRAIN 3.00
3.00 ?
3.6
GAS PIPING OVf.
/
INSTALLER: (MINIMIIM - 1) 3.00 9,00
/ ROUGH OPENINGS 1.50
'
?p?
ADDRESS:_ /SI ?67.d/.IYl2GCi ?AI?G.-- OTHER
WATER SOFTENER 5.00
CITY: ZIP: PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
#:_?Sc2 -?S(v5
PHONE -
/?
7?Qm,77- SIIBTOTAL
ST. SURCHARGE S
.SD
OF
TOTAL: S Syi s0
YLEASE COMPLETE THZS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUZLDINGS AND
MULTI-FAMILY SUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
IAT: BIACK _ SUBD.
INSTAI.LER:
ADDRESS
CITT: ZIP:
PHONE
£OR:
CITY OF EAGAN
FEES
1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT F'EE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCNARGE $
TOTAL:
(5IGNATURE)
$
CTTI' OF EAGAN
L? B CHANICAL PERMIT RECEIPT /05??5
SUBD. ir? ME(612) 681-4675 DATE
RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DR'ELLINGS. AISO, COMPLETE FOR
TOWNHOMES/CONDOS WHEN SEPARATE PERMTfS ARE REQUIRED FOR EACH DWELLING iTNIT.
OWNER: FEES
SITE ADDRESS: ADD ON/REMODEL (EXISTIIIG
CONSTRUCITON ONM $ 15.00
AVAC: 0.100 M BTU 24•00
INSfALLER• ADDITTONAL 50 M BTU 6.00
ADDRESS: J GAS OUTLEfS - MINIMUM 1 Q $3 EA. 3•UV
crrY: zIr: 5 5? Y 1 suRCxaRCE $
.so ?
SIGNATURE: TOTAL: S a -7 , 50
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIr\I/INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WKEN SEPARATE PERMI'I'S ARE NOT REQUIRED FOR
EACS DWELIdNG UNTI'.
I WORK DESCRIPTION:
CONTRACf PRICE: I FEES
1°k OF CONTRACT FEE. ?
STATE SURCHARGE IS $.50 FOR EACH
S1,000 OF PERMIT FEE. s
PROCESSED PIPING - $25.00 ?`
?$
MIMMUM FEE - $25.00
I
OWNER:
SITE ADDRESS:
II TEN
' SITTI'E #:
INSTALLER:
?A-D-D-RFSS:
CI I1y;
PHONE #:
SIGNATURE:
TOTAL: I $
ZIP:
CTl'Y SIGNATURE:
z 2004 RESIDENTIA.L BUII.DING PERNIIT APPLICATION
? / ? ?- City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constructian Reauiremenis RemodeVReoair Reauirements
3 registe2d site suneys showing sq. P. of lof, sq. R of house; aM all roofed areas 2 copies of plan e, w
(20% maxlmum lot cover
age allowed) 1 set of Energy Ca?ulations for heafed addifions 2 copies of plan showing beam & window s¢es; poured fouM design, etc. i site survey for additions & decks i set of Energy Calculatwns Addifion -indicefe Bon?ite septic sysfem
3 copies of Tree Pmsenation Plan if IW platled after 719193
Rim Joist Detail Options selection sheef (61dgs witli 3 or less unils
Date Construction Cost 7 OI,JL, G`
Site Address leD UniVSte #
Description oF Work
Mul[i-Family Bldg _ Y?N Fireplace(s) _ 0 '14 _ 2
Property Owner J J i'J'/ 2?J r^ <' ci rJ "? Telephone #(/IiSl )?'Y-
Contractor -Tk yn n(T G ,-p
Address 7,eCwLr- City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW SUILDING
- Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672
Energy COde Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) 5ubmitted 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/Wqfer Contractor
Telephone #(
Telephone # (
Telephone #f
I hereby apply for a Residential Building Permit and aclrnowledge that the information is complete and accurate;
that the work wiil 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 pernut, but only an applic on for a permit, and work is not to start without a
permit; that the work will be in accordance with the app ved planthe case of work which requires a review and
approval of plans.
ApplicanYs Printed Name
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T hereby certify that thi s curvey was l,rcpa:rcd by tne or
under my direct supervision and that Iarn a dial,y Registerec
IKind Surveyor undP,r, t.he 'I.aws of L-;.e Stai:e of Mi»nesota.
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