1506 Deerwood Bendc RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
A ?b0,-0
New ConsWction Reauirements RemodeVReoair Reauiremenh Office Use Oniv
3 regisfered sife surveys shaxing sq. ft of lot sq. R of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y _ N
(20%maximumbtcovemgeallowed) lsato(EnergyCalculationsforheatedaddNOns Tree Pres Plan Reod _Y _N
2 copies of plan showing beam 8 window sizes; poured fouM design, etc. 1 site survey for additions & decks Tree Pres Reqd _ Y _ N
isetaf EneryyCalcula6ons Addifion-irMicateilon-siTesepticsystem On-siteSepticSystem _Y N
3 copies af Tree Preservatlon Plan if lot plat[ed aker 7l1193 _
Rim Joist Detail Opfians selection sheet (bldgs with 3 or less units
Date /0 ld,/ / 0? Construction Cost
eCWOO6L`
1506 QQ
Sit
Add
e
ress . UniuSte #
?t N SS/?,Z
Description of Work ? ,6L
'Al
Multi-Family Bldg
v N Fireplace(s) _Do_ 1 _ 2
Property Owner dL,0 Telephone #( G S?) (? ?? `(? L' ?/
Contractor ? ?f?2e
Address City.
State Zip Telephane # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category
. Residentiai Ventilation Category 1 Worksheet • New Energy Code Worksheet
submission lype) Submitted Submitted
• Energy Envelope Calculations Submilted
Have you previousiy constructed a building in Eagan with a similar pian2 _ Y _ N If so, 25% plan review
fee applies. ?
Licensed Plumber
D
,
Telephone #(
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # ( )
I hereby apply for a Residential Building Pikqyand 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 pemut, 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.
? o mq"r) L-zvU'T n"
ApplicanYs Printed Name
Applican4's Signature
?;.
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex ? 17 Garage O 22 PorchlAddn. (4-sea.)
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level 0 24 Storm Damage
O 06 04plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 30 Accessory Bldg
? 31 Ext. Alt - Mulfi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundadon) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant '
Valuation X O U O Occupancy MC/ES System
Census Code Z743 ?f Zoning City Water
SAC Units I Stories Booster Pump
Nbr. of Units O Sq. Ft. PRV
Nbr. of Bldgs / Length Fire Sprinklered
Type of Const .? ? Width
REQUIRED INSPECTIONS
_ Footings(new bldg) FinaUC.O.
_ Footings (deck) ? FinaUNo C.O.
_ Footings (addition) Plumbing
/
_ Foundation HVAC
Y
Drain Tile Offier
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final
? Framing _ Siding Stucco _ Stone
Fireplace
RI.
Air Test Final
Windows (new/replacement) ,
_
_
? Insularion _
_
_ Retaining Wall
Approved By 5 P1O"a'2-a 3 , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
ToWI
Siteaddress: l?? t7cP„?z.?o?c( ,Qcinat Lot_Q L Block? Subd. IrJCodSlor.c-
f
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 consWcted to meet minimum requiremenls of the Mn Energy Code, Chapter 7670
OR
_ This sUucture: will be constructed to meet more restricfive requirements of Chapters 7672 or 7674
APPLIANCE
WaterHeater GAS ELEC MANUFACTURER
0 ? ? MODEL
F-P? g'p BTU'S
41,Ooo gVENTING E
Fumace ?( ?n- NC 9o ? ooo
Dryer
VENTED
EXHAUST SYSTEM LOCATION TYPE MOOEL CFM's rES r+o
Kitchen kitchen
Bathroom 1 usl? 3` -f t,?t f3rou.v? (00 X
Bathroom 2 O x
Bathroom 3 16
Bathroom 4 „ . 60 X
LIL
Other
FIREPLACE S
!
LOCATION
GAS
WOOD
MANUFACTURER
fNG/a
MODEL
Lcoo P/Z
BTU'S
aSaoO VENTING
DIRECT A7MOS
x
MAKE-UP AIR MODEL TYPE ,CPM's
QtnwN?'if T?t OC L 2-0. ao
I hereby acknowledge that the above information is correct and agree to comply wilh the Minnesota Energy Code and City of Eagan
requirements.
---
SignaWre
CompanyName
?
J--
Date
• This fortn is the responsibility of the General Contractor.
6 E' - 5o ti434
int' .So437
6? P -9ft0so
S+n/ S o `4 43
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KPIO6 RD - 55122
651-681-4675
New Construetion Reauiremenb
• 3 registered sRe surveys showing sq. R of lot, sq. iL of house; and ?II roofed areas
(20% macimum lot coverage allowed)
• 2 copias o( plan showing beam 8 window saes; poured found design, etc.)
• lsetofEneyyCalcWations
• 3 copies of Tree Preservation Poan iF lol platted aRer 71193
• Rim Jaist Delail Optlons selection sheet (bldgs wiGi 3 ar less units)
DATE d a
Phone #7 ?3 4-7 3 ?2(0-7
JOB SITE ADDRESS I So co Oe -c V w o o 6 \3e n
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTYOWNER ?1?.? ?C71?nS0?'1
TYPE OF WORK S??l C, l-C --V_aYYl A4 -lOVY1-P FIREPLACE(S) _ 0 ?_ 2
?
APPUCANT _KA L.Q 3-0 ti'1Y1S0r1 PHONE# 177a0
ADDRESS 1 _-1 (oA ?) _?TC) n l 2f'Y- h L-O`y-QV " k ZIP CODE SSbA 4
PAGER #
CELL PHONE #
FAX #
NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category V"". MINNESOTA RULF.S 7670 CATE ?Gj IS ? u??
(check one) - ResfdenUal Ventilation Category 1 Works t'Submittd 2002
- Energy Envelope Calculations Submitted n M AY ? 3
_ MINNESOTA RiTLES 7672
New Energy Code Worksheet Submitted
Plumbing Conhactor. S`&?Da v`?- Phone #: -7 (03 4 a? I t
PlumUing System Includes: Water Softener L,awn Sprinkler Fee: $90.00
? Water HeaCer No. of R.I. Baths
?t No. of Baths
Mechanical Contractor. .X.t hre
Mechanical System Includes: ? Air Conciitioning
_ Heat Recovery System
Sewer/Water Contractor: w on-Z? kje chG n1(1Cl I
ce sa9 7. a .s-
, ?90. sa
59 SR- 6S
Fec: $70.00
Phone # (o S j 4-c- Ei) IS GS
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read ihis 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 Applfcant
Certificates of Survey Received / Tree Preservation Plan Received _ Not Required v?
Updated 2002
RemodeURewir ReauiremeMs
• 2 copias of plan
• 1 set of Erergy Calculations far heated addiUons
• 7sitesurveyforexterloradditiais6duks
• Indicate rf home served by septic system for addiUons
VALUATION a00 000
OFFICE USE ONLY
,
? 01 Foundation ? 07 05-plex ? 13 18-plex ? 20 Pool ? 30 Accessory Bldg
-;K 02 SF Dwelling 0 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. AR- 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 ? 18 Deck ? 23 Porch (screened) ? 36 Multi
13 05 03-plex ? 11 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
? 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolitlon (Entire Bldg only) - Gtve PCA handout to applicant
Valuation ??00 Occupancy MC/ES System
Census Code Zoning (i City Water
SAC Units
- Stories Boaster Pump
?t
Nbr, of Units Sq. Ft. PRV
Nbr. of Bldgs Length y y, Fire Sprinklered
Type of Const V? W idth ?
REQUIRED INSPECTIONS
? Footings (new bldg) ? FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
Footings (addition) _ Plumbing
k Foundation _ HVAC
,
Drain Tile Other
? Roof _ Ice & Water _
Fiaming Final = Pool Ft s Air/Gas Tests
Siding Stucc Stone _ Final
Fireplace ? R.I. ?AirTest Windows(n acement)
?Final
?
Insularion ?
Retaining Wal]
Approved By T 2- , Building Inspector
---------- ------- ----- ------
Base Fee ------- ----------------------- -------------------------
---------------------
--------------------------
Surcharge
Plan Review +, y
??2 /` I S ?
T
L
`
I?? v 3 O
f {v
l
lyf?3? ?
MC/ES SAC
?ity SAC 4 2-
Water Supply & Storage /
S&W Permit & Surcharge
Treatment Plant
5 v
'
Plumbing Permit O d
J
Mechanical Permit D
.
?uJlf'?.
'
License Search
Copies
?
r9
?
r
G2 t 9 0
Other
Total
MNcheck COMPLIANCE REPORT
Minnesota Energy Code
MNcheck Software Version 3.0
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 4-22-2002
DATE OF PLANS: 4/22/02
PROJECT INFORMATION:
Lot 21 Woodstone
1506 Deerwood Bend
Eagan, MN
COMPANY INFORMATION:
MW Johnson Construction Inc.
17645 Juniper Path
Lakeville, MN 55044
COMPLIANCE: PASSES
Required UA = 558
Your Home = 546
2.1%- Better Than Code
Permit #
Checked by/Date ?
?
Area or Cavity Cont. Glazing/DOOr
Perimeter R-Value R-Value
----- U-Value
------------ UA
-----
--------------------------------
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, Above 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 building design described here is
consistent with the building plans, specifications, and other calculations
submitted with the permit applica ' The proposed building has been
designed to meet the . irem s of th Minnesota Energy Code.
Dat
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- LOT SURVEY CHECKLIST FOR RESIOENTWL
BUILDING PERMIT APPLICATION
PRO PERTYLEGAL. Lv?S o?/y 7'' 5 D?'_/ (.loiv?S'f'anP ? La?..s
DATE OF SURVEY: 2
y LATEST REVISION: .i /?{- e oZ
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DOCUMENTSTANDARDS
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?/ ? ? • Registered Land Surveyor sgnature and company
U/ ?
? ? ?
? ' • Building Pertnd Applicant
U/? • Legaldescripdon
4}?
? G
? • Address
N
h
/
' • art
artow and scale
fd
/ ? ? • House type (rambler, waUcout, sptit w/o, spfrt entry, lookaut, etc.)
? ? . Directional drainage artows with slope/gradient %
? ? • Proposed/existing sewer and water services g invert elevation
? • SUeet name
?? ? • Driveway
0 • Lot Square Footage
o? ?
/ ? • Lot Coverege
R
? 0 • Benchmark
ELEVATIONS
Euistina
!?? ? • Sewer service (or Praposed)
? ? ? • Property comers
?? ? • Top of curb at tbe drnreway and property 6ne extensans
0 G1? ? • Elevations of any existing adjacent homes
? Ga? ? • Adequate footing depth of sVUCtures due to adjacent utifiry Venches
? Gl/? • Waterways (pond, stream, etc.)
Prooosed
Vo ? • Garage Hoor
r? 0 ?
?? • First fbor
?
/ • Lowest exposed eievation (walkouUwindow)
-
? ? yv
v • Properly comers
? ? • Front and rear af hame at the foundation
PONDING AREA fif aooGCablel
? R/o • Easement rine
? R( ? • NWL
? w/? • HWl
cl f,i/, o • Pond # designation
? ? • Emergency Overfbw Elevatbn
OIMENSIONS
? ? ? • Lot lines/Bearfngs 8 dimensions
R? ? o • Right-of-way and sVeet width (to back of curb)
Ca? 0? • Proposed home dimensions including any proposed deeks, overhangs greatertlian 2', porches, etc.
(i.e. all swctures requiring pertnanent foodngs)
9/C7 ? • Show all easements of record and any Cdy utilities within fhase easemanis
0? • Setbacks of proposed sWCtu2 and sideyard setback of adjacent existing sWCtures
E 00 • Retaining wall requirements, if any
Reviewed:
CERTIFICA TE OF SUR VEY
M. W. JOHNSON CONSTR UCTION
sr?-r FE?c£ ??--
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DEERWpOD BEND
LOT 21 1506 DEERW000 BENO
PROPOSED GARAGE F100R 0.EV. 887.9
PROPOSED TOP OF BLOCK ELEV.=882.2
PROPOSED BASEMENT FLOOR ELEV.=$74.2
LOT 22 1504 DEERWOOD BEND
PROPOSED GARAGE FLOOR ELEV.=879.1
PROPOSED TOP OF BLOCK ELEV =879 4
DRIVEWAY
50.00
1" =30'
LOT 21 AREA = 3750 SQ. FT.
HSE AREA = 1858 SQ. FT.
LOT 22 AREA = 3750 SQ. FT.
HSE AREA = 1519 SQ. FT.
SEWER SVC LOT 21 = 869.7 (PER PLAN)
SEWEP. SVC LOT 22 = 873.0 (PER PLAN)
PROPERTY DESCRIPTION:
LOTS 21 & 22, BLOCK 1, WOODSTONE TOWNHOMES,
CITY Of EAGAN, DAKOTA COUNTY, MINNESOTA.
PROPOSED GARAGE FLOOR ELEV. 871.4 DENOTES PROPOSED DRAINAGE OIRECTU
OOOXO DENOTES PROPOSED ELEVATION
OOOXO DENOTES EXISTING ELEVATION
BENCHMARK - TNH WEST END STONEW000 LANE = 888.36 ? DENOTES HUB SET
• OENOTES FOUND IRON PIPE MONUMENT
6 DENOTES SERVICE LOCATION
I HEREBY CERTIFY THAT THIS SURVEY WAS PREPAREO BY ME OR UNDER
MY DIRECT SUPERVISION AND THAT I AM A DULY REGISITERED LAND
SURVEYOR UNDER THE LAWS OF THE STATE OF MINNESOTA. $ph1eII
Surveying & Engineering
a
5-8-02 ? 31462 Folioge Av<nua 4735 123rd Street W.
it
20
DATE• e
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Northfield, MN 55057 m
B E Savage, ?.ai 55378
REviSED 5-14-02 LEROY H. B LEN, LAND SURVEYOR Phone: (507) 645-7768 Phone (952) 895-9212
MWNESOTA LICENSE NO. 10795 Fox: (507) 645-7799 Fox: (952) 895-9259
Mpy 15 REC'D I
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NOTE:
.O ALL HOUSE DIMENSIONS ARE TO
vj OUTSIOE FOUNDATION
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er
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