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1504 Deerwood Bend Use BLUE or BLACK Ink For Office Use Permit City of EaEd I mss- I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION I. Date: Site Address: j' D ~C Efc („tlULC _Unit Name: w9oD~s'TD~E ~4SS~. Phone: CG/aJ3a9-/?8J" RESIDENT / OWNER Address / City / Zip: 24 /&,EA.~n Applicant is: Owner Contractor TYPE OF WORK Description of work: 121-'100p~C - ~2o pf Construction Cost: OP, oa a Multi-Family Building: (Yes r / No ) Company: , U LF 4 6's'T7~2A'17G~.J Ell C, L4~ Contact: Address: 73 , " CONTRACTOR <<~~~ .9d~ d0~ City: L4e-C. e State: !a&-Ll Zip: S.S e y~ Phone: ~gsa,} 3 7~P- S' pp License 2 to ~ 3 '7 3 0~- 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 the 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.orci 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. x ~Am.E 6/~i niu 2.9 ~.C' x Applicant's Print 6d Name Appl an 's Signature Page 1 of 3 Address: 1504 Deerwood Bend Zip: 55122 Lot: 22 Block: 1 Subdivision: Woodstone Townhomes THE FOLLOWING ITEMS WERElWERE NOT COMPLETE AT FLVAL 1NSPECTION ON Yes No Comments Final grade - 6" from siding ?I Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/Seeded lawn Trail/curb damage tl" Porch Lower level finish rr Deck ;i Fireplace Verify with your builder that 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 Department at 651-681-4645 prior to working in right-of-way or installing irrigation system. BUILD[NG 1NSPECTOR cd/bldginsp/forms/2002/final inspecfion checkiis[ Site address: l3 G,d- Lot ?a siock--]- Subd. W 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 Certificate of Occupancy. ? This structure: is constructed to meet minimum requiremenls of the Mn Energy Code, Chapter 7670 OR _ This sbucNre: will be consimcted to meet more restrictive requirements of Chapters 7672 or 7674 APPLIANGE WaterHeater GAS ELEC MANUFACTURER ? MODEL BTU'S VENTINGSYPE Furnace ? Dryer EXHAUST SYSTEM LOCATION TYPE MODEL CpM's VENTED YEs No Kitchen Bathroom 1 Balhroom 2 Bathroom 3 Balhroom 4 Other FIREPLACE S 0 LOCATION U2 GAS WOOD MANUFAClt1RER MODEL BTU'S VENTIN6 DIRECT :ATMOS MAK&UP AIR MOOEL TYPE ,CFM's I hereby acknawledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan ?equire nts. Da i°//?fo1 Si atu ? te Company Name ` This form is tBe responsibilily of the General Contractor. } Job Address Heating Contractor Name of Tester Date Percent 02 Percent COZ Percent CO Stack Temp. 140N 17.ak+?d? ?4.+A Controlled Air L?I'S 6.y 6 il? ? RESIDENTIAL ,fri+$'? Soc.F?3 P• P- so 4 35 BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-687-4675 NewConaWetion ReauiremeMs • 3 registered s'de wrveys shawing sq. ft. of lot, sq. fl. of house; and all rooted areas (20% maximum bt coverage allowed) • 2 copies of plan showing 6eam & windovr sizes; poured found design, etc.) • 1 set M Fsertgy Calculatlons • 3 copies of Tree Preservation Plan if lot platted aRer 711r83 • Rim Joist Defall Optlons selection sheet (bldgs wilh 3 or less units) DATE S- I 3 `o_-;)- RemodallReoair Reauiraments • 2 copies of plan • 7 set of Energy Calculations kr heated additions • 1 sfte survey kr euterior additiam & decks • Indicate rf home urved by septic syslem for additions VALUATION aool 000 JOB SITE ADDRESS ! So 4 () 2 e f?C"?C? ?- ??6 IF MULTI-FAMILY BUILDING, HOW MANY UNITS? `_1 PROPERTYOWNER TYPE OF WORK FIREPLACE($) ?0 _ 1_ 2 APPLICANT I?U) 7T(`2?h(?50f-) PHONE# 95D 89'a-17aC ADDRESS ?'C'4? V-l L_0.Yp Iii ? 1f' ZIPCODE 65044- PAGER # ? ?fg`f?'• ? / NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category ? MINNESOTA RULES 7670 CA ? (check one) - Residential Ventilation Category 1 W e u i?e?;? ? ?i - Energy Envelope Calculations Sub MAY ? 3 :U?? _ MINNESOTA RULES 7672 - New Energy Code Worksheet Sub d PlumbingCoMractor. v `e?ac} phone#: Plumbing System Includes: Water Softener lawn Sprinkler v Water Heater ? No. of R.I. Baths ? No. of Baths `3110- 6 / Pee: $90.00 Mechanlcal Contractor: Phone #?(103 q-7 3 a?b Mechanical System Includes: 1/ Air Condiaoning Fee: $70.00 _ Heat Recovery System Sewer/Water Contractor. wCh 7P ? MPr,ha h i'CCl ? Phone #?S S?5 All above information must be submitted prior to processing of application. I hereby acknowledge }hot 1 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. Signafure of Applicant ? <<.D /YYVM-?? \_SdVIX?/A" 1/ Certificates of Survey Received s? Tree Preservation Plan Received _ Not Required _ Updated 2002 CELL PHONE # FAX # OFFICE USE ONLY ? ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg 1( 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ?0 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) 11 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 71 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous x 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair [3 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy I Z 3! MC/ES System Census Code Zoning p In City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs ? Length ? Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS Footings (new bldg) ? FinaUC.O. _ Footings (deck) _ FinallNo C.O. Footings (addition) _ Plumbing ? Foundation _ HVAC Drain Tile Other Roof Ice & Water Final Pool Ft s Air/Gas Tests _ Final ? Fxaming _ Siding Stu cc _ Stone Fireplace _ R.I. _ Air Test _ Final Windows (n acement) X Insularion _X Retaining Wall Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ;/?? qq-L x /s / ?, 9L/0 g?'.?7 1< ?`? %?? ?? 2(? ? fv0 90 ? x S-V s317 ?y 6_7`'HK vS X Ao = ?) 2__0o ? ?(c? F nv71/19"Ljhul 13???y t MNCheck COMPLIANCE REPORT Minnesota Energy Code MNcheck Software Version 3.0 Permit # Checked by/Date COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 4-22-2002 DATE OF PLANS: 4/22/02 PROJECT INFORMATION: Lot 22 Woodstone 1504 Deerwood Bend Eagan, MN CQMPANY INFORMATION: MW Johnson Construction Inc. 17645 Juniper Path Lakeville, MN 55044 COMPLIANCE: PASSES Required UA = 558 Your Home = 546 2.1% Better Than Code Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value ------ U-Value ------------- LTA ----- --------------------------------- CEILINGS ------------- 2370 ------- 44.0 -- 0.0 64 CEILINGS: Raised Truss 224 38.0 0.0 6 WALLS: Wood Frame, 16" O.C. 1242 19.0 2.0 70 WALLS: Wood Frame, 16" O.C. 1952 19.0 2.0 109 BSMT: Conc. 8.0' ht/4.0' bg/4.0' insul 1104 10.0 0.0 176 GLAZING: Windows or poors, Ahove Grade 303 0.350 106 GLAZING: Windows, Foundation, <= 5.6 ft2 6 0.350 2 DOORS 38 0.350 13 HVAC EQUIPMENT: Furnace, 80.0 AFUE ----------------------- - -------- - COMPLIANCE STATEMENT: The proposed consistent with the building plans, submitted with the permit ap 1'cati? designed to meet the re 'rement Builder/Designer -------------------------------------------- building design described here is specifications, and other calculations :) proposed building has been the nnesota Energy Code. Date ? ? SCHEI•UTTC DL-IGIt.j l,i 3atfi V=at s? Bacn V=ac ? Bath V--zt SY? Bath Veat 1 otdl Vqt Bafh V?t Rangt Y H Fr-sa azr o forveat bathss v,;,,t drv; 20a wat., hmt= Srsu--scr oc Opcaaon 3. Veati'Iatnrtc cc?sa;ate ou pn.'m?us low w? 2 Wail eantal capable oi aiM _Tecd " B. F=aac blacvc m?o? cc pa?n?? lacr saeed /5a cpM v'"'A? rt:..:.c ?:? :t] fOF? CFM 5uMl--M=t Vem Z?7F /??C, %a 4 `? y ? '=n1et%ent ??7,??x15 -ii ?a' O? .."u??K?) .3 4lacef,"= fltcs mont* Qeaa HRY somge Sit= momhlY CIcmHRV cate cv,:?y 5 motrt5s ?? ?tab md fi` h°0d =,c= monthiy 5u,>Ft:r . ?P l i^.;7Jv2I , G tS ?.?wt ?•• n . ? ' r F2 :'.? i,?2 ? ? • =!Y? vili .... ? y,lhTti, i i F.r::. • , tiE.. ?. ub Siie ?\ddn:ys: - • „ s;C, oRy l.a9 ALTr10rAXE FOR D1Vr Pi?: T"S)VO -FAM.:nf?'.Y. :i)WELL:IIwIGS . N:'I'tlll("I'111N!:: '1'hla ullurunllvu nuty hu uyud Gtr ana- ni1d ItYn-Guldly 11wu111nQs bulll In wecl Ihe CulcQUrp 1 requh'ewmns uf , IlnnovnIu Iluley, CbnpI ar 7670. Coniplum PnAs A. U: and C. Cimcly muk plana whlu Imulnllon A-whmsp whulow otiA mL•yllp6i U- ?ulnaa; ¦Ixq mul rypn nf eqnlpmml; aqidpmsnl oamrolq aod Iooallon of vopor rourdar and wlndwailL bnrclan. hlnru Jaiullad uYnrumol.m mm 6u IhonJ Ln II.w Alhuiurom &nurssry Cudi ounimnty wLeas uvnUahl. hom "6a Mlnnuam PNponmdm ol'Camnwmu. [":, y-t: A. .1$UI:LDxNGrNVE LOPE rlmcl: proposed.rwalopa Jo4q 1ealhiy npllnn •?^.?" 'raicrl?Va (eau 6?I'Tng, pu? ?alI,ala. . l] parfno?i?nca;la, i per i : 7670.0.170 mbp. 7.C.) 'Imel: ?Imnml mlef ' • • }: :? '? l:i?: ' y...:;.11?1. ? • U•• , , . OY adcninl?on npllon u?ad a'.? "CnakUauk' (qamplale wniCduet be?oi?) •'???L.aL•??na?AnJ (anne6 ?e on) A . ?.?. ? :ln P •i , 'i. p FarMrmnnca (alinah U.uohta oxlmeimllnm) _Ll 9Y?lem? AnalY?b malbod [ur och ennlvd.i I ;CnnllbonlG", worIGSheet Irinnvcrious upl. ch?al:lmm(?IdimJmlgmmaapnnh/hr7mnooR+ou7rrminulln m Ihe rIphl. hlnq mucl ull htms lo Uso "Coakbook" aptlmi. qI 3. fndlcme prnlmyml woll lypo on lnbla Uclow. p ]. ? Indlcma WlnJmv ll.valne nnJ moarce. p,I. Vcrl ry miol +v6idnw (Inclndlnp Pmn af all lhimdatlan wlndnwt) imJ dnnr aren 11 eqnol or leSS ihon allown6le purcenuge. .•• ?)> ;• 7'Atll.lt POR I71ET ERM1IIP i O Rf HIh lh p0 ?p n qR•AR&A •,:?(' i• ?•? ? . 3 Illtlnl A IIWII I Y 1110 ql ?IW AIIIITIIU(' .IAA?A. t !r ?!I ? i ?d??'?rl? ? 4?r ? l?1Yi) ? ? ??? T ? ? d r ? arcm?npuef176?ocJ Wo11 : t .?X? i . C ? '1i1 1 ?? ' CA ?? T? ? 13i?id1?•??d%Y. •'?B• i II Tytpu (?.^,rylu-ndu?r.l Pruml ?nr11l?{t.... '•'. ' ?N•1? ??J IIItl111011111. u Il-! ? ICOI l llp AJ/u?x?m?um 1? 9]I'?i ? •Awr a .1 Y W n?{d'?n?w. yva ne exce t fuunAnl ?on w-y•nJnwl tl,?;'• •? .. :L:!.?I.'.?.????%A' ku{1-0 -? ? 7013 ?"?'•. ??.J L . 0.17 . (? ? ! • • .!N4 I?-? I1111?IIi all ?l- { ICOI I II L Q •'( . 1 ?. If? ? ? ? .. - . , (1.;1J }j +? ???Jy -?--?.? ? '••U.JI•F1: I??? Z '? ? 7B, sl. !) 11l11111111111. + l- M fu01 -? ? 11-19 iem ul nn (l?-' i i?elr? 3 t 5? . 'u0 A61•1 . 1 . n.?? • n?Z ."0.19. 7VJ1-?? 1 . .??.i•1 ?.?Z ?1.?? d • ' ? , nu 1N(?II-2I I1111111?OII?KR• lIOAl1I11Q . .. .MI?• •L?I :? . ••l . ? i •, , , I 4F'?'a! .3 •?(! ir 0.78 . .?p.2 ? '.1 B?? ?? ' ?", i?=x f l???dni „o. 11- s iaoaTip ? i. 0? j ? 0.33 0. 2 Z :? o. CT r+? a?q !a.a.354 11 ; o.3z.:; ?• n a? 0 27 6 dll'yIm (ddvmmedPnnnluil?r'" •'„ ... ' - ANxmnm Avaru e . . ?• . .21 WaJnw.tl-4lup exce tfunn ellonwlndawalt : • ? I, 1-19_In?n ul nn, t Il-S ? mm i nfl ? HR u-i9 Lot 4il n l6 •.,O,SZ' •? ae . ` .i, o?'? z . . i??0.' 9r dJ ? ?:•a. ? u.h .serx. ..s .?? n.s 01? i . . - .?eo? a?`n=sTlma Af .81 T K n- . ?.o?Gf? ?; N??Tlm l .. . r _? , r . .?. 4u c i J, ! 10!Jl.?.'. f' 0.31p, T 0.79 .. 0.37 ( .35 . • • . •??. . o v. ; 7 . . 'ai-' 03 u oa , • r uulli?n ------------ I' .60•? . ] .• .7 . . wi... inw f - I qr••• ? •.• rvr?w 'u ASIqM11 - .. ?;.?;t: . . l,?): 5 •?' .jj Srr ? ' ? ?. ? ? ? IPPI am on • _ , •. I nn )( ?i) ? .?r ?• ?TI$IuN'y11r,J 'C n/ J • ' ? . wlmmv,o?onrsrun urou??xpe?u m? ?r?n. L • . • ____ ___ _ 'i1:7?tVJ?ISL1? Aeso Ip41 1 ) ? 7NN,CJSOTA f N,ERGY CODE -- VVt-11cfI RULFs M.ny C UsE ? ,. ?; ,•. ... . .. ., . , .11. wuqmpmicynrvnnnpm ; •?,, v:"' I.. qC7 I:l, -1. . j..: •,. . •Z - Ilxnmplear Irli?d?a?x l?otvnlmnies und mW limitat •' ? C6a dor.7670'w Ili allliur"C??agury" ?ti' op'hCii6pory'2'•'?i?avliloni I necnpnncy (mll?uyl 0 7?IOrIof o?• e????T /., .--'?I?eplef. 7 or, .. . Ilxnnryildsl omldamin6niuarnnnrImanlO I dChmN1at7F70iwI1I?o111mF"CqI°i?}o?ul°'n'r?"f`.m lennni9'I: . 1 nemipuuayliul1i11upx avdM9HOYw IJph : '• 4ChuplaP,.Ib75,1, d ? . - - Ilxmn?duaf hlpl?rbacnndmorupnAnlanlalt- i••. ?iiw?:•.? :?.•::'.'?'•'l,'?I.i•'1?:,?i:':i? • ? ;.s" . . . ' • Vrtu!?Urnlnll ?'??''?[ZAIJQ)1V PRO`:N':?C''xO1V Cbccl: olnluu uzcJ: equlpmcnl (camplalo schcdules 6alow) . q Tfn 1i1e1611nIhag cqulpmenl . 4I3TIlqCT10119 !"iLp I. CmnplulellmCumLusHanF.qnfyntuufSchedululielow. ppdycqulpmcn! ivhh n Y(Yea) mny be aelcmod under Ilio "Cntngary 1" nllomnla, Si°Il ' C*01i1P1u1cG•.clmurl/dlnke-up.IlrSchuduleonIliadqhtlfdlroctorpntver amncd or soIIJ Oicl xlmosphcric vent epnce hanlfnp equlpmcilt ?a eolecteJ. ' . r • CU14111TJ9TIONTi.QU/P14IL T.SCIyTllULIG .? _,;•,:.•:?:?:•'.?•.?:.?i%i'f!?.' .i':.: ??,?i:?r••alieckAqIyI es ro?6lied)i:i•.a° •,??y?!•v? enlh?p-un?lanlld/llcl Sonledcumbu?llnn 'V,.' araphl1.u.? '•?? : ? ? u . • : ? 11o114oul npel •. CI Dlmetur owarvanlaJ •Y+1 i•?T+?;;""' ' I^ .. .,:.. . ? : ?: . ? l?fr.'i., A4no?Dl?or apll nnfad ??. ?? -• 1' ???;1" +•u4f'rY ?? Jt}.r??' :'?'n?'.l:??; cfll?nv-.un.,e..tl.l li._l, r1 n._? . . '' __ _ f?•r?•li?'?' ?.t..l'?'... . . I..:i .. 1. : r . 1.i . ????lIIV VENTILATxON •. I ,',1..:•,; ::I?uc k ?mc?bnA(aj ??ropoiad , 4; 3•F-CF-P1 19 n11!SI(I7iII?17 •r e.l•J1}?P??=_ ?+rw.rr?w •.i: ? ---- .??-._ ,s`t??;,?• -°-=--?-----_. ------.--...?-• ........ ..,•"' I ifin. l i f j Ilulau?uul nf Cnqlpllanvrl '?'pq proryneaJ 6nI1Jh1p dadyn r.p....nbJ In'Ihau 4Io411MNUn1A lo uPnelqqll WIIII Ihr bplldlngg plumi pnoulouilon?, nnd mliap onloulmUnm ruLmllladwllh Ilm psm yil1"11oji. '17?o prapo?ail 61111A1btg hnA Lam JadQnnil lo mecl 111' inp?lrumumy of dio Ivlhmnaow 1?ncrQy Cndu. 1 .DA70,1--? p pllcnn1 (prLu nnmu) ii?uqplllfa la I?Irphunu mmi6ur ?714'u 4L,_2. v.1_1;.i.V FTr_JATTON . (3uinidf Pnl•f C]apnn anluiilallnti nlsyylaul varl(Icnlinufl ___----- --"'--- . --^-------^-^--^..- __.. _ i Clio AdJrnami Parmlt Nnm6er rm rn a rnnai ........ uq. imd nl?i vorlllad whan 1 ia parfomu?ic n I on ? ??ed n ?fin cfiu nf nL?(. lu Il?a ImIW(ng oundlllui?: I e'rrvelo?pqilYAlri j'?rt A)..';'•i. ??i•' A,%rn•::'' " ? ua?? „ri sa rra,ar n,rv, or1io11 ror liia:aoi 07a ' ? 'r; ' s ? ,,?•.. . upllnucn SlnrumulUr Inalullnd vcnlUNlnu ayamm 1s In campllnnca wll4lvlh! Lncrpy Cndn and la alzud in pravLla flw dealpu ulr ?lnw. . '.: y.. I' iliciuU (prinl nnnm) Slpnuluru Dm-u - ry•,;Inpluinu nnmbur LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTYLEGAL Lv? S a/ 'J? '01Dc4-e ( ? DATE OF SURVEY: -7 ? LATEST REVISION: ? c m L U DOCUMENTSTANDARDS Y < O z v Q 9/0 0 • Registered Land Surveyor signature and company G? ? ? • Building PertndApplicant ? 0/0 ? ? • Legal description ? . Address ? G ? • North arrow and scale ' / cl ? • House type (rambler, walkout, spid wlo, split entry, lookout, etc.) G-Y/ o ? • Directional dreinage arrows with slope/gradient °? 4?? ? • Proposed/existing sewer and water services & invert elevation 0'/ ? 0 • Street name ?" ? ? • Driveway ?,CJ ? • Lot Square Footage ?? ? ? ? • Lot Coverage G ? ? • Benchmark ELEVATIONS Existinq Q/ ? ? • Sewerservice(orPraposed) ?/? ? • Propertycorners 6Y ?? . 7op of curb at the dmieway and property fine extensions ? 4]? ? • Elevations of any existing adjacent homes ??? • Adequate footing depth of structures due to adjacent utiiity trenches ? O/? • Waterways (pond, stream, etc.) Prooosed Vo ? • Garage floor G1? ? ? • Firstfloor ?? ?- / • Lowest exposed elevation (walkouthvindow) ? ? ty • Property corners 2/0 0 • Front and rear of home at the foundation PONDING AREA ('rfaoolicable) 0 p/? • Easement line ? d ? • NWL ? CR/ o • HWL ? ?/ ? • Pond # designation 0 [?' ? • Emergency Overfbw Elevatlon DIMENSIONS y/?? • Lot lineslBearings 8 dimensions C1? ?? • Rght-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 pertnanent footings) R/ ? ? • Show ail easements of recorcl and any City utilfties within those easements ?? ? • Setbacks of proposed sWdure and sideyard setback of adjacent exisfing sWCtures ?? ? • Retaining wall requirements, if any Reviewed: CERTIFICA TE OF SUR VE'Y Fo? M. W. JOHNSON CONSTR UCTION MA, 15 REC`D StLT f 1/; jE 23 O O N W O 0 0 0 0 0 !.; ELECI \ DEERWOOD BEND LOT 21 1506 DEERWOOD BEND PROPOSED GARAGE FLOOR ELEV.=881.9 PROPOSED TOP OF BLOCK ELEV. 882.2 PROPOSEO BASEMENT FLOOR ELEV =874.2 LOT 22 1504 DEERWOOD BEND PROPOSED GARAGE FLOOR ELEV =879.1 PROP05ED TOP Of BLOCK ELEV =879 4 --- -----^ 20 3r .1 M8*MM ? fkeisining Required 1 " = 30' LOT 21 AREA = 3750 SQ. FT. HSE AREA = 7858 SQ. FT. LOT 22 AREA = 3750 SQ. FT. HSE AREA = 1519 S4. FT. SEWER SVC LOT 21 = 869.7 (PER PLAN) cE4?EP. SVC LO? 22 = 3?3.0 (PER °LAti) PROPERTY DESCRIPTION: LOTS 21 & 22, BLOCK 1, WOODSTONE TOWNHOMES, CITY OF EAGAN, DAKOTA COUNTY. MINNESOTA. PROPOSED GARAGE FLOOR ELEV. 871.4 OOOxO DENOTES PROPOSED DRAINAGE DIRECTI, DENOTES PROPOSED ELEVATION OOOXO DENOTES EXISTING ELEVATION BENCHMARK - TNH WEST END STONEWOOD LANE = 888.36 ? • DENOTES HUB SET DENOTES FOUND IRON PIPE MONUMENT b 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 SURVEYOR UNDER THE LAWS OF THE STATE OF MINNESOTA. Bohlen Surveying & EngineetiIIg 5-8-02 3146 2 Falioge Avenue 4735 723rd S[reet W. DATE• North field, MN 55057 suite 200 B ?+ Savage, MN 55}78 REVISED 5-14-02 LEROY H. B LEN. LANO SURVEYOR MINNESOTA LICENSE NO 10795 phone: (507) 645-7768 Phnne: (952) 895-9212 . Fox: (507) 645-7799 Faz: (952) 895-9259 d9-497-02s FILENAME: WOODSTONE/IOtS2 1n22CEft.S9( ? ea,.,??? s i S- U2 --`` E?.,?TCxY.'EP L_ NOTE: ? O ALL HOUSE DIMENSIONS ARE TO ` uj OUTSIDE FOUNDATION ?-?of 2007 RESIDENTIAL BUILDING rExMiT ArrLrcnTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 l-3b - New ConsWCtion Reouirements RemodellReoair Reauirements Office Use Onlv 3 registered site surveys showing sq. fl. of lot, sq. tt. of house; and all roofed areas 2 copies of plan shaving tootings, beams, pists Cert of Survey Recd _ Y_ N (20%maximum lo[ coverage allowetl) 1 set M Energy Calculatlonsfor heated additions Soi4s Repod ? _Y _N 7 Soils Repod d pmposed building is to be placed on distur6ed sal 1 si[e survey for additions 8 decks Tree Prw Plan Recd Y_ N, 2 copies of plan showing beam & window sizes; pouretl found Oesign, etc. Adddion - indicafe if oo-sife sep6t system Tree Pres Required ?. _ Y_ N 1 set of Energy Calculations On site Septic System Y •_ N 3 wpies of Tree Preservafion Plan if lot platled after 711133 Rim Joist Detail Options seleclion sheet (6uildings with 3 or less units) Minnegascomechaniralventilationform ci ? ) ^ ? Plans are considered aublic information unless vou state thev are trade secret and the re on. Date ? I 1 O ? n onstructiou Cost # ? U iUSt ? Site Address i.000C? e n Description of Work 'wE'p 5,,z? ct?d Y.S ,) Multi-Family Bldg _ Y ? N Fireplace(s) _ 0 _ 1 _ 2 ? ? Property Owner 7?e. UL? Telephone kl?? ) .S Z, Contractor P_4_)r'Ce- Address ?- W City State Zip Telephone #?' Z) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota. Aules 7670 Categorv 1 _ Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 7 Worksheet • New Energy Code Worksheel (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted _ Y _ N if yes, date and address of master plan. Licensed Plumber loI ? U? U v? II II Telephone #( Mechanical Contractor I1 l1 Mak 2 8 2007 Telephone #( Sewer/Water Contractor Telephone #( i herehv annlv fnr a ReciAential Rnilflina PPrmit anrl ar.knnwledae that the information is comolete and accurat In the last 12 monThsas the City of Eagan issued a permit for a similar plan based on a master plan? e; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN 5tatutes; I understand this is not a permit, but onty an application for a permit, and work is not to start without a pertnit; 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 Sub Tvaes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 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 Porch/Addn. (4-sea.) ? 33 EM. Alt-SF ? 04 02-plex ? 10 08-plex ? 18 Dedc ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex /K 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair x 33 Alteretion ? 37 Demolish Building` ? 43 Reroof ? 46 Wndows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant D85Cfipt100: WaterDamage_Yes . Valuation Occupancy MCES System - Plan Review 100°k 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 ? REQUII2ED INSPECTIONS _ Footings (new bldg) _ Sheetrock _ Footings (deck) FinaUC.O. = Footings (addition) ? Final/No C.O. Foundation HVAC Drain Tile Other ? Roof _ Ice & Water _ Fina] = Pool Ftgs Air/Gas Tests Final Franiing Siding _ Stucco Lath Stone Lath Brick Fireplace _ R.I. _ Air Test _ Final _ Windows ? Insulation _ Retaining Wall Approved By: , Building Inspector --------------------- ---- ----- -- ------ ----?-: ------?3---------------- ------------------------------------------------- -------------------°----------- Base Fee Surcharge ? Plan Review ? MC/ES SAC City SAC Utility Connection Charge S8W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 15/11 2007 RESIDENTIAL PLUMBING PeRMiTaaPLicarioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. ?, 5Z7' Date ? l 3 o 1 0 7 Site Street Address 150q Deer vuocd 13E-r1Gy Unit # Property Owner Telephone # ( ) Contractor 141GLH17611V Lf V2i Ll.E Telephone# ov;l ? ? _3 v Address 1?"J ,? O ro e- City {iCfoEf7lOl.lb' "rf' State A4 A) Zip 5r`'O(n The Applicant is: _ Owner ? Contrector _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 Alterations to existing dwelling $ 50:00 ? Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are insfalling onl a wafer softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _ Water Turnaround (add $136.00 if a 5/8" meter is required) Other. Water Softener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total $ 5U,Sv 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 I 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 revid W. d. MU?i`1- N??nfin?+?fi?i? Applicant's Printed me ' p s Sig ' ure C Date: 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 #: A Permit Fee: `) " S Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Unit #: Resident/ Owner Name: / 1l (1 � d-�f%2e /14 Phone: j l �%f - c— vv Address / City / Zip: /SUI-/ - /f[/,� /5)0 �o, 0 j`ZZ Applicant is: Owner Contractor Type of Work Description of work: k oh -t' Construction Cost: 1 CO 0 Multi -Family Building: (Yes / No ) Contractor Company: i ' r .1.1 J r ontact: �. r 410 %'_i Address: j0 0i'claciP c Lf . City: / /Ip(clo /4 i State: Zip: _575.--„/ ,� �i7 Phone: 7 ` _s ---6--o--- OC y.� �j• ft = ]) 5- License #: 6 7 ? Lead Certificate #: o 7s/15- 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 perit issuance. /7— X Applant's Printed Name _-Apptrca s .:Fr. . ure Page 1 of 3 Date: City of Eaall 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: I 0-5 Date Received:(f/. (1/1 Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Unit #: Resident! Owner { Name:/ Phone:('-'56K7 ��C�`��I/0 tP��_ 75-FPS�S� Address / City / Zip: ( —//. �•:� : ._ ,s -, . Applicant is: Owner ✓ Contr'actor Type of Work Description of work: avt/z-Red-gC.12 _ 5 /r; Construction Cos I, 000 / Multi -Family Buildii.: (Yes / No ) Contractor Company: eV A S C -t Intact: a- a L 'Aor Address: 3C V t e -k L,c,rc `tel . ,v.��'f't, ®t \ Pi ,] Yriekrill State: itAit) Zip:cq Phone: 7/Q sS0'- License #: 90 Of 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: r 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.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 permit issuance. Appli ant's Printed Name x a ure Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA156690 Date Issued:07/15/2019 Permit Category:ePermit Site Address: 1504 Deerwood Bend Lot:22 Block: 1 Addition: Woodstone Townhomes PID:10-84900-01-220 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - David B Orren 1504 Deerwood Bend Eagan MN 55121 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA173529 Date Issued:11/15/2021 Permit Category:ePermit Site Address: 1504 Deerwood Bend Lot:22 Block: 1 Addition: Woodstone Townhomes PID:10-84900-01-220 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - David B & Marna W Orren 1504 Deerwood Bend Eagan MN 55121 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature