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BUILDING PERMIT APPLICATION
CITY OF EAGAN ID ,rj`?glaa,
3830 PILOT KNOB RD - 55122
651-681-4675 fo to 5 ? $ (p 3
45i9?-74
70.50
9' o . 5 0
NawConatructlon Reaulremenb RemodeVReoafr ReaulremeMs L?
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• 3 regislered sile suneys showing sq. R of lot, sq. ft. of house; and gl roofed areas ?
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• 2 oopies of plan ? lf !
(20% manimiun IM covera3e allowed) . 1 sel of Energy Calculations for heated additions
• 2 copies of pan showing 6eam 6 wiMax slzes; poured fouM design, etc.) . 1 sile survey for ezteria edditbre & decks
. 1 set of Energy CalcWalions
rore el
/ . Indicete R home served by septic system for a?ddilions
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• R mJoist ? ta8 ODt
ection sheet (61dgs wfth 3
or less unBs)
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DATE C? 2- r9c? o00
VALUATION ,
JOB SITE ADDRESS_ 150d beerwop6 gend
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? ?
PROPERTY OWNER AA Lc) So hnx?r,
TYPE OF WORK 5IYA?)ke. 4'(A?rri OU I 40v'Yl f, FIREPLACE(S) 0_ 1_ 2
APPLICANT VYL J?O Y) V1S 0n PHONE# R5a $ 0 a S 6n O
ADDRESS 1-7 (o 4 S 3c)n i pe r pcz--t-, LQ lCe ?/ i (I C ZIP CODE 65DR 4
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CELL PHONE #??
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-1$7 :"- Fax # q52 ?99a-_7906
Te'_ mrv? y 'o qve S-}2ge r
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category MINNESOTA RULES 7670 CAT ?1? ??
(check one) - Residential Ventilation Category 1 W r heePSu mi e_ S
- Energy Envelope Calculations Sub AUG 0 8 200Z ? I
_ MINNESOTA RULES 7672 ? S
- New Energy Code Worksheet Sub
Plumbing Conhactor. 5CIA JG ??" Phone #: _7V3 4a 1 ?33
Plumbing System Includes: Water Softener _ Lawn Sprinkler Fee: $90.00
? Watcr Heater 1 No. of R.I. Baths
? No. of Baths N
Mechanical Contractor. Cr71'l+vC) HcC? ? [ C Phone # (:)GJ I 4 (o o 66 a ?
Mechanical System Includes: ? Air Conditioning Fee: $70.00
_ Heat Recovery Syscem
Sewer/Water Conhactor. Z-f3_ I Phone #6,S 1459- /565
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that t information is correct, and agree to compiy
with aIl applicable State of Minnesota Statutes and City of Eagan kances.
SlgnafureotApplicant - .
Certificates of Survey Received Tree Preservation Plan Received _ Not Required?
? ??, e Updated 2002
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OFFICE USE ONLY -
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pooi ? 30 Accessory Bldg -
b 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01of_plex ? 09 07-plex ? 77 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt-SF
D4 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage
O 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
)?, 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
O 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 ta applicant
Valuation " (?
, Occupancy 2? l?? MC/ES System
Census Code Zoning City Water
SAC Units Stories r? Booster Pump
Nbr. of Units 2 Sq. Ft. ?, 17 PRV
Nbr. of Bldgs ? Length Fire Sprinklered
Type of Const Vn1
W idth r
y y
REQUIRED INSPECTIONS
? Footings (new bldg) FinaUC.O.
_ Foorings (deck) _ FinaUNo C.O.
Footings (addition) _ Plumbing
_X Foundation _ HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ft s Air/Gas Tests Final
? Framing _ Siding S tuc Stone
_ Fireplace _ R.I. _ Air Test _ Final Windows placement)
? Insularion ?t
T Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
city sac
W ater Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
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MNcheck COMPLIANCE REPORT
Minnesota Energy Code
MNcheck Software Version 3.0
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 8-2-2002
DATE OF PLANS: 08/02/02
PROJECT INFORMATION:
woodstone 23
Lot 23
1500 Deerwaod Bend
Eagan, MN
COMPANY INFORMATION:
MW Johnson Conatruction Inc.
17645 Juniper Path #100
Lakeville, MN 55044
COMPLIANCE: PASSES
Required UA = 436
Your Home = 408
6.4% Better Than Code
Permit #
Checked by/Date
Area or Cavity Cont. Glazing/Door
Perimeter
--------------- R-Value R-Value U-Value UA
------------------------------
CEILINGS 1558 ----------------
44.0 0.0 ------------- -----
42
CEILINGS: Raised Truss 432 38.0 0.0 11
WALLS: Wood Frame, 16" O.C. 2600 19.0 2.0 146
BSMT: Conc. 8.0' ht/4.0' bg/4.0' insul 736 10.0 0.0 117
GLAZING: Windows or poors, Above Grade 227 0.350 79
DOORS 38 0.350 13
HVAC EQUIPMENT: Furnace, 80.0 AFUE
---------------
------------------------------
COMPLIANCE STATEMENT: The praposed building ----------------
design described -------------
here is -----
consistent with the building plana, specifications, and other calculations
submitted with the permit application. The proposed building has been
designed to meet the, equir me ? of he Minnesota Energy Code.
Builder/Designer Date t5 ? Q?G
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CERTIFICA TE OF SUR VEY
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M. W. JOHNSON CONSTR UCTION
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0 GARAGE ? /g o R wm m
? ? W q
O
'
O ry DRIVEWAY •
^ 18.17 0.08
?"" " ' ""14. 7 m e]].2 O
24' (B.O.C.) (n+ 10.17 22.17 17.66 17.66 " ?
- xt ?:i "'"'-
ORIVEWAY'
? ?
i., 30'
!° m^ 64.00 1 36Q?'' • 5]50
sI _7- 4 so°oo, o?? w L???? ???
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30?eocJ B wtD zv',F',I3tiC?}DEP''.
EL?
3:1 A?i8XiP11U197
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LOT 23 AREA = 3750 SQ. FT.
wQOD
R
or 6?e?ining WaN ws? ?EE
HSE AREA = 1317 SQ. FT.
B8 ReqUIred LOT 24 AREA = 3750 S0. FT.
HSE AREA = 1317 SQ. FT.
BENCHMARK - TNH WEST END STONEWOOD LANE = 888.36 SEWER SVC LOT 23 = 865.0 (PER PLAN)
SEWER SVC LOT 24 = 865.0 (PER PLAN)
LOT 23 1502 DEERWOOD BEND
PROPOSED GARAGE FLOOR ELEV =876.3
PROPOSED TOP OF BLOCK ELEV =877.3 pROPERTY DESCRIPTION:
PROPOSED BASEMENT FLODR ELEV =869.3
LOTS 23 & 24, BLOCK 1, WOODSTONE TOWNHOMES,
LOT 24 1500 DEERWOOD BEND CITY OF EAGAN, DAKOTA COUNTY. MINNESOTA.
PROPOSED GARAGE FLOOR ELEV =875.6
PROPOSED TOP OF BLOCK ELEV. 877.3 DENOTES PROPOSED DRAINAGE DIRECTIO
PROPOSED BASEMENT FLOOR ELEV =869.3 OOOXO DENOTES PROPOSED ELEVATION
OOOXO DENOTES EXISTING ELEVATION
O DENOTES (SPIKE/NAIL)
• DENOTES FOUND IRON PIPE MONUMENT
0 DENOTES SERVICE LOCATION
I HEREBY CERTIFY THAT 7HIS SURVEY WAS PREPARED BY ME OR UNDER
MY DIRECT SUPERVISION AND THAT I AM A DULY REGISITERED LAND Bohlen
SURVEYOR UNDER THE LAWS OF THE STATE OF MINNESOTA. St1PVeylrig & EIIg1IIeePirig
735 1 8-5-Q2 31462 Foliage Avenue yuite 200rd Street W.
thfi
ld
MN 55057
e
,
DATE• Nor
B E Sava9e, MN 55378
Rewseo 8-72-02 LEROY H. HLEN, LAND SURVEYOR ppone: (507) 645-7768 Phone: (952) 895-9212
MINNESOTA LICENSE NO. 10795 Faz: (507) 645-7799 Fa=: (952) 895-9259
M9-969-02s FILENAME: WOOLI?S?UNE/Iots23n24cert.590
,
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: L d l 9 ? 3t 2`F iFl? G 4? / 4-1/ y'alS
DATE OF SURVEY: P' S l3 2
LATEST REVISION:
d
?
c
m
L
c?
OOCUMENTSTANDARDS
Y ¢
o z c
a
?./ _ . Registered Land Surveyor signature and company
d . • Building Permit Applicant
? , " • Legal description
? -
? - ::
" • Address
? • North arrow and scale
H
li
k
= . • ouse type (rambler, walkout, sp
t wlo, split entry, loo
out, etc.)
f/- - • Directional drainage arrows with slope/gradient %
J- .: • Proposedlexisting sewer and water services & invert elevation
? ?
1
1" ,.. - • Street name
, = . Driveway
? C
? = • Lot Square Footage
*_
? _ • Lot Coverage
ELEVATIONS
Existina
/
?
!
/ _ :. • Sewer service (or Proposed)
-
"
? Property comers
- " • Top of curb at the driveway and property line extensions
P/
- •
• Elevations of any existing adjacent homes
Adequate footing depth of structures due to adjacent utility trenches
? 7 = • Waterways (pond, stream, etcJ
Prooosed
/- - • Garage floor
;/i - - • Basement floor
/ • Lowest exposed elevation (walkouUwindow)
? -" _: • Property corners
?_ _ • Front and rear of home at the foundation
PONDING AREA (if aoolicable)
_ ? _ • Easement line
NWL
_ ? _ • HWL
_ ? _ . pond # designation
_ .I? _ • Emergency Overflow Elevation
DIMENSIONS
`? _ _. • Lot lines/Beanngs & dimensions
Right-of-way and sVeet width (to back of curb)
?.: • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent fooGngs)
? • Show all easements of record and any Ciry utilities within those easements
• Setbacks of proposed structure and sideyard set6ack of adjacent existing structures
?. • Retaining wall requirements, if any
Reviewed:
OK
Aaron Perkins 651-493-0706 p.2
Use BLUE or BLACK Ink
I For Of c UseT--------
I
n I
j Permit v 7 I
City of Dian I
I Permit Fee: I
3830 Pilot Knob Road j
Eagan MN 55122 I Date Received:
Phone: (651) 675-6675 1 staff: j
Fax: (651) 675-5694 I
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 61V I ~ Site Address: l -sM/ ~ S tea 0eeY-Woad 9 AA Unit
Name: Phone:
RESIDENT I
Address / Cd'Y 1 Z ~2 e'rw°°d l
i OWNER p:
i
Applicant is Owner Contractor s..
l
} TYPE OF WORK Description of work: xc- o -r artA
Construction Cost: V Multi-Family Building: (Yes /No Company: YVoy%Je_r- ,1 Home CA; ( AsLg Contact: ~*.coy% P6, kins
Address: 4196 L-fn d a Lane City: Ci rc-la Pi h es
CONTRACTOR
y State: zip: 550)14 Phone: 7 tt 3- -7 5' ` 3373
! 1533
License 6~ ( 83 Lead Certificate NAT-
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
m~`~wM~yiCOMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
k
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 clasSifed 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) 4540002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground ubl'rties. www.aopherstateonecall.oro
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 authored by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x a r`o n ~2Y' K i tf1 x
Appli nYs Printed Name Appl" nt's Signature
Page 1 of 3
City of Eapil
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
r
For Office Use /� ([
Permit#: /
l I ✓` I+)
Permit Fee: I (e149•3
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
Resident/
Owner
Name: / i 10fj d :71:71i)/LF,- /10 Phone: 7c- -7%S o7-67�
'
Address / City / Zip: / 0 Isre)d- ; t c,11� 1C 5-.j ( 2-1—
--'�
Applicant is: Owner Contractor
Type of Work
Description of work: ei-k &h -r
Construction Cost: 1 ? 00 0 Multi -Family Building: (Yes / No )
ContractorAddress:
Company: i ' .4 / / r z .0 ' ontact: 43'pt 3wk-
�Q 0 ��C Sb���� City: (//ynte i
,
State:2( Zip: S� �q 7 Phone: 763` �(�._ C1oif vvt s
License #: 6 7 �, Lead Certificate #: 0 16"-S-
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 issuance.
Applant's
' 's Printed Name Appfica s
Page 1 of 3
City of Evil
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: D v g. /
Permit Fee:
Date Received: q1,� 4 //i
Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Unit #:
Resident/
Owner
Name.//00 ��ji (/ Phone:(,) / - 7757: -PP
l
Address / City / zip: /,AGO - (S." -C2--- J; (,,hoc ' Ld 677
Applicant is: Owner -t--''' Contractor
Type of Work
Description of work: .A,/ . it a Y. 0 . r:
Construction Cos / 000 Multi -Family Builds.: (Yes / No )
ContractorOf/146°111
Company: . .. g l "iY ntact: a- 0 `A
Address: 3c0D W t 6-kA0 �c� . 0.` —e, ,Ltt \
State: .A/L A.) Zip: ,47(1/11 ) Phone: 7 .3 -S-S-0- otis
License #: Jp o%? 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 maybe 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.00pherstateonecall.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 =uilding Code must be completed within 180
days of permit issuance.
CFS (,L�
Appli ant's Printed Name
Page 1 of 3