1490 Deerwood BendAddress: 1490 Deerwood Bend
Zip: 55122
Lot: 29 Block: 1 Subdivision: Woodstone Townhomes
THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FINAL 1NSPECTION ON
Yes No Comments
Final grade - 6" from siding
Permanent steps - ara e
Permanent st s- main enky
Permanent drivewa
Permanent as
Sod/Seeded lawn
Trail/curb dama e
Porch
Lower level finish
Deck
Fire lace
/
• Verify with your builder thet roof test caps from the plumbing system have been removed.
• Turn off water supply to the outside lawn faucets before freeze potential exists.
• Call the City's Engineering Departmen[ at 651-681-4645 prior to working in right-of-way or installing
irrigation system
BUILDING INSPECTOR 1,?L/
V
ccWldginsp/forms/2002/final inspec[ion checklist
b ?n pl S a?'1 ?(j)'lS?l.t U? `Y??? ??l W
?Z??s'Jua?p?r iU? ? Io O
,. CERTIFlC'A TE OF SUlC' VE'Y
M. W. JOHNSON C4NSTR UCTION?a? 21 REC'0
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r?W?.G 869z6 OO 29
869x5 O ?o*h pROPOSED FB/WO Vr„
0
\ VF S FB0 G?P
\ o? ? J? 2 ,ob Q? 8j 22
30
10 n 10 a+0 PROPOSED FB/WO 2pn?? $ y.?? '
28
FuruRE
HOUSE -
,75 S ??.,?
^ti+? ? SQoO?.o
0H°
tce72x2
? 405? W ?.:.. ; ?p 2s ? ?m?cero•? ? 15i .y+'Y
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0 C14, 1447 O
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97°
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A,,?,Ll PAaximu ?a1lWill
or Re4aining
30• a-ege Realuired a° = so,
NOTE
ALL OUTSDOE UFODIDATON NS ARE TO ?+a8? LOT 29 AREA = 3790 SQ. FT. HSE AREA = 1480 SQ. FT.
LOT 30 AREA = 3274 SQ. FT.
BENCHMARK - TNH WEST END STONEW00D LANE = 88 HSE AREA = 1809 SQ. FT.
SEWER SVC LOT 29 = 868.0 (PER PLAN)
LOT 29 - 490 DEERWOOD SEWER SVC LOT 30 = 868.0 (PER PLAN)
PROPOSED GARAGE FLOOR ELEV =875.4
PROPOSED TOP OF BLOCK ELEV =879.5 PROPERTY DESCRIPTION:
PROPOSED BASEMENT FLOOR ELEV =871.5
LOTS 29 & 30, BLOCK 1, WOODSTONE TOWNHOMES,
LOT 30 488 DEERWOOD B CITY OF EAGAN, DAKOTA COUNTY, MINNES07A.
PROPOSED GAFiAGE FLOOR ELEV =877,8
PROPOSED TOP OF BLOCK ELEV: 879.5 DENOTES PROPOSED DRAINAGE DIRECTI(
PROPOSED BASEMENT FLOOR ELEV =871.5 OOOXO OENOTES PROPOSED ELEVATION
PROPERTY CORNERS NOT SHOWN OOD?XO DENOTES (SPIKE/NAIL) ELEVATION
TO BE SEi BY HEDLUND • DENOTES FOUND IRON PIPE MONUMENT
4 DENOTES SERVICE LOCATION
I HEREBY CERTIFY THAT THIS SURVEY WAS PREPARED BY ME OR UNDER
MY DIRECT SUPERVISION AND THAT I AM A DULY REGISITERED LAND HOY11eII
Sl1RVEY0R UNDER THE LAWS OF THE STATE OF MINNESOTA. Surveying & Engineering
31462 Folioge Avenue 4735 123rd Sheet W. -
DATE• ? ?'2 ?-02 Northfield, MN 55057 B F suite 200
Sovaga, MN 55378
REVISED 10-25-02 LEROY H. BOHLEN, LAND SURVEYOR pho?e: (50?) 645-?768 Phone: (952) 895-9212
MINNESOTA LICENSE N0. 70795 Fax: (507) 645-7799 Fax: (952) 895-9259
M9-fi90-051s hILtNAMt: WUVUJIVIVt/IOCS
???? ?1-
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
#-/ S.so
Date /? 7 I iP 45'
Site Street Address /Wq/7
Unit #
Property Owner 4442Q'fL? Telephone # ( )
/',
Contrector .9
) L?/7?'eic'
Address 4242Z/¢,) ;C-;,i9 City ? ?iI,'-'n)SJ 6 s`i /9 7 ?
Telephone# (o )
/Zl e- Statez!2?nj_ Zip,5"-?5
The Applicant is: _ Owner IgContractor _Other
Alterations to existing dwelling
_ Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Ahandonment
_ Water Turnaround (add $125.00 if a 5/8" meter is required)
Other: $ 50.00
? Water Softener _ Water Heater
_X new _ replacement $ 15.00
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total $ /S
I hereby apply for a Residential Plumbing 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 plumbing codes; that 1 understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and appro
?n rzd? N /w,/P2 ved ??4 '
ApplicanYs Prinfed Name Ap IicanYs Signature
? ;?, ei C)
RESIDENTIAL
, BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
657-681-4675
New ConslrueHon ReouiremeMs
• 3 registered stte surveys showirig sq. R. of lot, sq. ft. of Muse; and all roofed areas
(20% mazimum Wt coverage allowed)
• 2 copies of plan slwwing beam 8 window sizes; poured found desgn, etc.J
• 7 sel W Energy CalcWations
• 3 copies of Tree Preservation Plan H lot patted after 711/93
• Rim Joist Deqil Optiore selection sheel (bldgs wM 3 or less units)
5l\7zr'? )
!hE -? I 1'Z 1A
-Ic; . gv
cl j) 50
9CA
RemadellReoairReauirements ? ???? • 2 copies of plan
. 7 set o( Energy Calalations for heated additions
• lsitesurveyforaxteriwadditions&decks
. Indicate if home served by sep8c system far additions
DATE IVJ aa-1 Da VALUATION
JOB SITE ADDRESS I A'qC D-e-e ru00Q!i 6eYIC)
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER M LV ZU rlr1S0 Y1 L.
TYPE OF WORK 1 'n A 4:ia rn 't 1 PYl FIREPLACE(S) _ 0 1 _ 2 w
APPUCANT kj LU 0hY15tt'1 PHONE# aSDI 89a 51t7Zl`C)
ADDRESS 17(Ab ?Sun ioeK Pct+1--\ L-C14Vi'fl-r, ZIPCODE 04'4'
PAGER# CELLPHONE# (v4D-a$a6 ^7S-I7- FAX# °?5a8qa5a5l
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category ? MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RUI.E.S 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor. ZPT P
V _ Phone #r, _q5a ?q a?ga ? g
Plumbing System Includes: Water Softener _ Lawn Spiinkler Fee: $90.00
? Water Heater ? No. of R.I. Baths
No. of Baths
- ? -- - --??? ?? ?- Phone# (051A(00- 620aa
,ir Conditioiung Fee: $70.00
, [eat Recovery System
i MP C hCLY1 1 (G ! Phone #
rocessing of application.
?i
is application, state that the information is correct, and ae to comply
rtutes and City of Eagan Ordinances. - ?__ J
Signafure of Appltcant ?
Tree Preservation Plan Received _ Not Required ?
. Updated 2002
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
703 01 of?.plex
? 04 02-plex
? OS 03-plex
? 06 04-plex
- 31 New
; Y
? 32 Addition
? 33 Alteration
? 34 Replacement
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
Valuation /,2,o G?G Occupancy R-3 MC/ES System _
Census Code -;?= Zoning ?d City Water _
SAC Units 0/ Stories 6L Booster Pump _
Nbr. of Units' 0/_ Sq. Ft. /17(5c PRV _
Nbr. of Bldgs ? Length I-VZ4 Fire Sprinklered _
Type of Const A_ , Width, 1119
REQUIRED INSPECTIONS
? Footings (new bldg) ? FinaUC.O.
_ Footings(deck) FinaUNo C.O.
_ Footings (addition) _ plumbing
Jt Foundatlon _ HVAC
? Drain Tile Other
Roof _X_ Ice & Water ? Final Pool Ftgs Air/Gas Tests _ Final
? rrammg Siding Stucco Stone
Fireplace k R.I. ZAirTest _
/Final _
Windows(new/replacement)
? Insulation _ Retaining Wall
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Water Supply & Storage,
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or_ N
/.?.? 6
? Y v ?r$a
?-? 0 ? ? ?
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/DOOrs
*Demolition (Entire Bldg only) - Give PCA handout to applicant
--- o T'T
Approved By
v,t/ r-?N
f SY ?i"
Fu`-
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
Building Inspector
5?c ey i4? =
/--/ 7,?oZU
l /1 l 30
?
MNcheck COMPLIANCE REPORT
Minnesota Energy Code I Permit #
MNcheck Software Version 3.0 ?
Checked by/Date
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 9-25-2002
DATE OF PLANS: 09/25/02
PROJECT INFORMATION:
Lot 30
Woodstone
Eagan, MN
COMPANY INFORMATION:
MW Johnson Construction Inc.
17645 Juniper Path #100
Lakeville, MN 55044
c?OMPT?Ni?.?&SS?
Required UA = 638
Your Home = 568
10.9% Better Than Code
Area or Cavity Cont. Glazing/DOOr
Perimeter R-Value R-Value U-Value UA
- -------------------------- - ---------------------
CEILINGS 3516 4 4 0.0 95
WALLS: Wood Frame, 16" O.C. 1260 19.0 2.0 71
WALLS: Wood Frame, 16" O.C. 1648 19.0 2.0 92
BSMT: Conc. 4.0' ht/4.0' bg/4.0' insul 152 10.0 0.0 10
BSMT: Conc. 8.0' ht/4.0' bg/4.0' insul 816 10.0 0.0 130
GLAZING: Windows or poors, Above Grade 450 50 157
DOORS 38 0.350 13
FIVAC EQUIPMENT: Furnace, 90.0 AFUE
------------------------------------------------------------------------
COMPLIANCE STATEMENT: The proposed building design described here is
consistent with the building plans, specifications, and other calculations
submitted with the permit application. The proposed building has been
designed to meet =1rem ts of the Minnesota Energy Code.
Builder/Designer Date aZs
L? ?
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Job Site Address:
"CATEGORY 1" ALTERNATE FOR
ONE & TWO FAMILY DWELLINGS
INSTRUC170N5: This alternative may be used for ono- and two-family dwellings buil[ to meet the Category 1 requirements of
Minnesota Rules, Chapter 7670. Complete Parts A, A, and C. Clearly mark plans with: inaulation R-values; window and skylight U-
values; size and type of equipment; equipment controls; and bcation of vapor retarder and windwash barriers. More detailed
information can be foond in the Minnesota Gnergy Code sutnmary sheets available from [he Minnesota Departrnent of Commerce.
Part A. BUILDING ENVELOPE
"Cookbook" Worksheet
INSTRUCTIONS
Step 1. Check item(s) that design meets on Minimum Requiremenu list
to the right. Must meet all items to use "Cookbook" option.
Step 2. Indicate proposed wal] type on table below.
Step 3. Indicate Window U-value and source.
Step 4. Verify rotal window (including area of all foundation windows)
and door azea is equal or less than allowable percentage.
?iK f0?r.-?`Gu?Co Ikbook'r"?o
? Ceiling Insulation: Minimum R-38 with 7'F," energy heel; or
Minimum R44 with low truss heel; or
Minimum R-38 with R-5 sheaUiln when no attic.
? Entry Doors: Mu. U-value of 0.30 or PR' solid wood with stotm
? RimJoistlnsulation: MinimumR-19
? Flaors over unconditioned aces: Minimum R-24
? Foundation insulation: Minimum R-10
? Foundation windows: 'h" insulated lass, wood or vin I frame
?JA
, T?et.ni?.,n?'•s*1cp .11«;..?:i
AND:D?O
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? 2x4, R-l3 insuiafion, R-7 sheathin 023r';
? 2x4, R-15 insulation, R-5 sheat " ,
.
0 52?, 0:39'?d 0 3 L."? ?F a0 2^ 0 26u;? ??a01A
? 2x6,R-19inaulation,<R-5 sheathin T"IOi43fffi
? 2x6,R-19insulation, R-Ssheathing 7zOr56";-a048
? 2x6 R-21 insulation <R-Ssheathin
? 2x6
R-21 insula6on
R-5 sheat6in y?0 i0 ¢
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;WallT I.Apvanrk?IFiaFni ,` ^'? ...`i}Marziinum'Aveta tWin?oyrCT?val?ieetcc vfuu"?d"ahon:t@ind'ows
.
? 2x6R-19 insulation < R-S sheathin r „0 52 2,4, , . 0;22 .%
? 2x6 R-19 insulation, R-5 sheathin .?=0:39?€ ? 'L6 35 3-2?"' ?1129?' r .27
O 2x6 R-21 insulauon <R-5 sheathin ,0 55
?' 047 tq }=+Oi41,
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? 2x6 R-21 insulauon, R-5 sheathin .
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,;wiadovrxv-tlbdrazea 1, geasseiiposedwallarea, r ' , ;:DPSIGN? ,o A?CLdWABi?E '(frutptp??eaibve)
MINNESOTA ENERGY CODE - WHICH RULES MAY l USE ?
Part B. DEPRESSURIZATION PROTECTION
Check option used: ?, Fuel burning.equipment (complete schedules below) ? No fuel burning equipment
INSTRUCTIONS
Step 1. Complete the Cambustion Equipment Schedule below. Only equipment
with a Y(Yes) may be selected under the "Ca[egory 1" altemate.
Step 2. Complete Exhaust/Make-up Air Schedule on the right if direct or power
vented or solid fuel atmospheric vent space heating equipment is
selected.
;::Ei?i:4ITST?t?/l?Iek'I{E=LTP.AIR',SCHffitsDULE*,' `
?;•,wEkliaaust;deYiaes
!
{,:•eftiiv:
I,,cfri%;!
COMBiTS'?ION;EQUIPNiENTS?HTSDUL'Ei
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5pace heafiug: nQnsolI ealed combustion Y' ?Hearth nonsoltd fuel ? Sealed combustion ,Y:;F
irect or power vented a s s '
` ? Duect or power vented
Yo $
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Water heahng% nonsohd,"fii0( ;' Sealed combustion Y
? y5?ace heatmg G?'soltdlitel?.?. ? A[mospherically vented =._
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? Direct or ower ventcd Y?' ```VVV?ter heatuY ,;'Stlltd'fiiel`;! ? Atmos hericallvented , Y"
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Part Ci. VENTILATION
?- ` ' F°' .3'EINTII,elTION QUANTTfY„
_ : .. =
? ? a ? ?anhty c?ulatedfbelow) .. ? ;-
(Mechamc'alSVebtlldtion_must be providFd?per 4he larger
_ .:: ?._ ........f . wt. ^-
ri
cubie f0et x 0.00m 3 /m9uuY0,+ ??o J ofine ? k la c6Pdr oom)+r13 cfm i? eTm :
-volqmeofhaliitableroofns qngmbec,o drooms
?, s^ i f + a ? ?ikr ?'I'Il?"A?7bN FAlA'S?
?'
. ?.?
Checkmethdtl(s)prQposed
• ?
?
? E?ck?aust onl
Balanced heat recove ventila[or, air exchan er etc
_
., ;:....?. . - ,_. .. .. ...?._..
. r__ . .--.
. ._. ...... ._. . ,.. ....._ . T_._.. _.. ... . _..
. ... _. _ . . s.,__.
.
a??n?[?escn riqil,or`(ocaUqit+ ?_?,_. :.::I'iOTAL?S'?; -:`...
VEIV ILA'Pff)N 'Intaif?'' Eftn:-
'r1S D?SIGNED .'Ezhaus`C: cfin r=
Statement of Compliance: The proposed building design represented in these documents is consistent with the building plans,
specifications, and other calculations submitted ith the p it application. The proposed building has been designed to meet the
?rements of he Minnesota Energy Code.
????? _ .?a.?- 4 6? 6(AXJ
Applicant (pnnt name) Signa re Da e Telephone number
Part C2. VENTILATION (Submit Part Cz upon completion of system verificationt)
x ---------- ---------------------------------------
Job Site Address: Permit Number
:Fan descn iion or lacation "'
., Tb??i?s'?.
?MBAS(JREW? +cfin?-_ C cfrn?`. "`cfm: ` :cfin`>.
•P?R?'ORMANCEt ?'$zfiaus`?',' ilc£in?i' u,c&ii.°= .;Gfiu? r;cfin:'. cfm..`
f' Ven?El?hqn,rate must`26?wz??'?surkd att???cn?red`?hen tFi?,p?r?'omianae,'dpi?on?is ?'sed*}pof'th??v?p?scnpni?a?b?htSn for
+s'z°
:sea??g;`ofamnf?uw'd[e;b5ildufgKoQndifa?ned.envelo{id.(fromAIaYt
Campliance Statemenh [nstalled ventilafion system is in compliance with MN Energy Code and is sized to provide the design air
flow.
Applicant (print name)
Signature
Date Telephone number
LOT SURVEY CHECKLIST FOR RESIDENTIAL
, . BUILDING PERMIT APPLICATION
PROPERTY LEGAL: L ajt57 29y-P11 zIL c K I i.?h ads7DN,e, "/a?li. 4 nNn??
DATE OF SURVEY: /D -.2/- O :';
LATEST REVISION: l J
ro
a
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DOCUMENT STANDARDS
0 ? . Registered Land Surveyor signature and company
V ? ? • Building Pertnit Applicant
G?D ? • Legal description
?? ? • Address
f?// ?
' ? • North arcow and scale
Gd
/ ? ? . House type (rambler, walkout, split wlo, split entry, lookout, etc.)
t4'/ ?
?i ? ?
? .
• Directional drainage arrows with slope/gradient %
Proposed/existing sewer and water services & invert elevation
? ? ? . Street name
? ? ? • Driveway
? ? . Lot Square Footage
? ? • Lot Coverage
ELEVATIONS
Existina
? ? ? . Sewer service (or Proposed)
f5? ? CI . Praperty comers
p/ 0 / ? . Top of curb at the driveway and property line extensions
?( Fd ? • Elevations of any existing adjacent homes
?? . Adequate footing depth of sWCtures due to adjacent utility Venches
? ? . Waterways (pond, stream, etc.)
Praoosed
[a/ ? ? . Garage floor
? ? ? • Basement floor 4y ? ? • Lowest exposed elevation (walkouVwindow)
V ? . Property comers
?? . Front and rear of home at the foundation
? 6/ ?
? ?
0 ?
?/??
A ?/ ?
? f? ?
?/? ?
? ?
m' ? ?
? I]
? ?
PONDING AREA (if applicable)
• Easement line
• NWL
• HWL
• Pond # designatlon
• Emergency Overflow Elevation
• PondlWetland buffer delineation
DIMENSIONS
. Lot lines/Bearings & dimensions
• Right-of-way and street width (to back of curb)
• Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring pertnanent footings)
• Show all easements of record and any City utilities within those easements
• Setbacks of proposed structure and sideyard setback of adjacent existing sUuctures
• Retaining wall requiremei
Reviewed:
G:/FORMS/Building Permit Applicatlon
City of Ea�all
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
115 a.1
10
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
Resident/
Owner
Name: / 4/0 Q clW(�'/'j e 164 Phone: c1 7%5'Y -a
v %
Address / City / Zip: / f Vrf p,/() ooceig1, ( 575-i Z7,-
r r
Applicant is: Owner Contractor
Type of Work
Description of work:eci-,e. Pow
Construction Cost: 1 y 0C 6 Multi -Family Building: (Yes / No )
Contractor
r
Company: 1 -CSS e,,,llf,4 a4,746_ %5 -Contact: %lfl7it Ewk-
Address: S-2 6.�''C _Sbv// (— 7 City: /,ic1r 1
State:Zip: J y 7 Phone: 06 Li v -L 7) 5 -
License #: 67 73 Lead Certificate #: o iTs—
License
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
_Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
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.qopherstateonecall.orq
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 authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of per it issuance.
Appl ant's Printed Name Appfica s
Page 1 of 3
City of Eaftall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
/9 a
Permit Fee: 6/4-5
Date Received:
Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Unit #:
Resident)
Owner
I
Name: ! /Phone s (P5�_ 77 —FPS
y iedgk � //Oft
Address I City I Zip: / re-,----/e(40),,,e t, -mi eo j ,-,a° <3 /77
Applicant is: Owner 4--- Contractor
of Work
5&,/,,-
Description of work: avi-ar-e � �A`(�Type
Construction Cosf. 000 ` Multi -Family Builth : (Yes I No )
Contractor
Company: r S . �, C _! C E _ , c•ntact: CiSO
Address: 4'tck�b Lit_ au.c'�'t,go
`�'`) ` y pi
yiviout
State: 41,A. ft) Zip: J /hf) Phone: _‘;7 ] -,s17) Otis
License #: ,O (09f._? Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
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.orq
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 authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of per it issuance.
x
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA140384
Date Issued:12/14/2016
Permit Category:ePermit
Site Address: 1490 Deerwood Bend
Lot:29 Block: 1 Addition: Woodstone Townhomes
PID:10-84900-01-290
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Linda L Redmond
1490 Deerwood Bend
Eagan MN 55122
(952) 270-6151
Aeshliman Plumbing Inc.
307 Jackson Ave. Suite #4
Elk River MN 55330
(612) 290-8959
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA153371
Date Issued:12/13/2018
Permit Category:ePermit
Site Address: 1490 Deerwood Bend
Lot:29 Block: 1 Addition: Woodstone Townhomes
PID:10-84900-01-290
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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 -
Linda L Redmond
1490 Deerwood Bend
Eagan MN 55122
Hero Plumbing Heating & Cooling
3110 Washington Ave N, Suite 100
Minneapolis MN 55411
(612) 827-4674
Applicant/Permitee: Signature Issued By: Signature