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1511 Deerwood Bend 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. iSo,?. ?° Date IV / .2 e / D S ? site s4reet Address /S%/ T_)c.e_v, wgc?j Le unit # PropertyOwner14 u-, Telephone# ( ) Contractor _<?e ,..,6 Telephone # (70) )8 33 . Addressa?CY? C? City ?o• crs- State NlecJ Zip "537 The Applicant is: _ Owner ?Contractor _Other Alterations to existing dwelling $ 50.00 ? Add plumbing fixtures (excludes water softener andlor water heate r--complete next section if installing these appliances). _Septic System Abandonment _Water Turnaround (add $125.00 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 Tota l u I hereby appiy 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 reviewed and approved, ,/ /:; ) G?-? ?,.ri s?tJ ApplicanYs Printed Name ApplicanYs Signature 2005 RESIDENTIAL BUILDING PERIVIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 New Conslrucfion Renuiremenls 3 registered stte surveys showing sq. fl of IoL sq. ft. of house; and all roofed areas (20°h maximum bt coverage allowed) 2 copies of plan showing beam & windowsizes; poured (aund desgn, etc. 1 set of Energy Calculatiore 3 copies of Tree Preservation Plan if bt platted afler 711193 Rim Joist DetaU Options seledion sheet (buddings with 3 or less unNs) H"' t RemodeVReoair Reauiremenis Office Use Onlv 2copiesafplan CeAOfSurveyReoi _Y _N 1 set o( Eneryy Calculatbns for healed addftions Tree P`es Plan Recd _ Y_ N 1 sile survey for addilions 8 decks Tree Pres Required Y _N Addifion - indicate i(on-site septic system On-stte Septic System _ Y_ N Date //0? / 6 s Construction Cost /94? ea0o4Dd SiteAddress /.S'/( Off/e 4,7000 Is£ND UniUSte # jj?Al, 17;7,U. 15'.r/ Description af Work 1`"??S/{ lor.vfA 4::? !!£[ <,ff£ "aLfJ,?> Mul[i-Family Bldg _ Y ?N Fireplace(s) _ 0 1-1 1 _ 2 PropertyOwner ?C/ 7-?Y6a"?f Telephone#(4?SO 26 Gr9o K = - o fle -?? - W/ S - ,sb -o Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 _ • Residential Ventilation Category 1 Worksheet (Jsubmissiontype) Submitted • Energy Envelope Calculations Su6mitted Have you previously constructed a building in Eagan with a similar plan2 _ Y fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone # ( N If so, 25% plan review I hereby apply for a Residential Building Permit and acknowledge that the informati ate; 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 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. R cl" X. /&cKE 41vi GQ?l ApplicanYs Printed Name A plicant's Signature A NEW BUILDING Minnesota Rules 7672 • New Energy Code WoAcsheel Submitted OF'FICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 07 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex P( 19 Lower Levei ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PIbgXY or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demofjsh Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair . ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolftlon (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System ? Census Code Zoning ? City Water SAC Units - Stories ? Booster Pump # of Units - Sq. Ft. ? PF2V ? # of Bldgs ` Length Fire Sprinklered v ` Type of Const Width REQUIRED INSPECTIONS _ Footings(new bldg) FinaUC.O. _ Faotings (deck) ? Final/No C.O. _ Footings (addition) Plumbing Foundation HVAC _ Drain Tile Other Ice & Water Roof F inal Air/Gas Tests Ftgs Pool Final ? _ Framing _ = = = Siding Stucco Stone Br ick Fireplace R.I. AirTest Final Windows ? Insulation _ Retaining Wall Approved By: , 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 Total - ` ' _?-t- i a 2D W C:570 aZ-jrl? o ct- 1 ?S? (00-3-xt * Lc02c10 -F() k.j,ti kes vva?o RESIDENTIAL BUILDINGfYIQ (,P p ,29 Permit Application City Of Eagan PP L! 0 2-9 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 , FAX # 651-675-5694 - ? 49'l9 21 - ? 7a 05b Zil C10.Sb ?- S I'-l O ,.2, G Offim ? se On C R of Survey ReW I? I?3 ?e Pres Plan Recd l '?lde Pres Not Reqd _ On-site Septic System NewConstructionReauirements odeVReoairReauiremen6 3 registered site surveys showirg sq. iL of lot, sq. ft. ot house; and all roofed areas 2 mpies of plan (20% mazimum lot coversge allwred) i setof Energy CalculaUons for heated addi6ons 2 copies of plan showing beam & window sizes; poured found desgn, etc. 1 site survey for addi6ons & decks 7 set of Energy Calculations Add'rtron - indicate i/on-sde sep8c syslem 3 copies of Tree P2servatbn Plan if bt platted after 711193 Rim Joist Detail Optbns selection sheet (bldgs with 3 or less unBs t5- l`H V Date S /C;)"7 / CL' SiteAddress /J`-// I,?-t_.WI/? I Construction Cost 1?0j 0? CJGj'iG1 UniUSte # 101 Descripfion of Work kLcJ ?6ya.e Multi-Family Bldg x Y_ N Fireplace(s) _ 0 -kl _ 2 Property Owner m' V" •?J(//I {? Sp yi Telephone #(R6-) 7-7?? Contractor m .(N. John i'1 Address 1 -7 LG`fS ,?Gl.x4J?iY State /'Q,Z/k-v /6Z) CityLtv12P,iy-t,C.Q,Y , Zip?l.? Telephone#(`'FS3)$9a--? '72i) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING x Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted LicensedPlumberp,Ikm6v,?C Telephone#(?O) Mechanical Contractor ?r1Y aup(CGNS Telephon #_((.a5/) ?4'0- ??- ?r; Sewer/Water Contractor \Nul?L1p Telephone #(1td? J ?5a"?5??? II:? n n III I hereby apply for a Residential Building Permit and aclrnowledge that the infkation_is_completewavd 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 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. -hmrn4 C ar ? Ua;y Applicant's Plrinted Name Applicant' ignature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 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 ? 22 PorchlAddn. (4-sea.) ` 04 02-plez ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex aibg_Yor_ N ? 25 Miscellaneous Work Types x 31 New ? 35 ? 32 Addition ? 36 ? 33 Alteration ? 37 ? 34 Replacement Valuation Census Code ? SAC Units Nbr. of Units 2 Nbr. of Bidgs I Type of Const ?/V ? 30 Accessory Bldg ? 31 EM. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Int Improvement ? 38 Demolish (Interior) ? 44 Siding Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors 'Demolltion (Entire 81dg) - Give PCA handout to applicant Occupancy /? 3 _Wd- MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length l' / 015? Fire Sprinklered Width ?.0 X Footings (new bldg) _ Footings(deck) Footings (addition) ? Foundation Drain Tile Roof Ice & Water Final Framing Fireplace _ R.I. _ Air Test _ Final X Insulation REQUIRED INSPECTIONS FinaUC.O. ? FinaUNo C.O. _ Plumbing _ HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone Windows (nw/replacement) ? Retaining Wall Approved By??Z , 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 Total n4APJ jp-/o 011S&t1- s 3I 3G6' 0 3cZ ?2/ o? ? ? ??1 )7- 0? ?tinT- 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: 5-30-2003 DATE OF PLANS: 05/30/03 PROJECT INFORMATION: Lot 12 Woodstone Eagan, MN COMPANY INFORMATION: MW Johnson Construction Inc. 17645 Juniper Path #100 Lakeville, MN 55044 COMPLIANCE: PASSES Required UA = 666 Your HOme = 584 12.3$ Better Than Code Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA CEILINGS 2690 WALLS: Wood Frame, 161, O.C. 1260 WALLS: Wood Frame, 16" O.C. 1530 BSMT: Conc. 4.0' ht/4.0' bg/4.0' insul 176 BSMT: Conc. 8.0' ht/4.0' bg/4.0' insul 656 GLAZING: Windows or poors, Above Grade 266 DOORS 38 FLOORS: Over Outside Air 20 SLAB FLOORS: Unheated, 42.0" insul. 126 HVAC EQUIPMENT: Furnace, 90.0 AFUE 44.0 0.0 19.0 2.0 19.0 2.0 10.0 0.0 10.0 0.0 30.0 0.0 10.4 0.480 0.350 73 71 86 12 104 137 13 1 87 ------------------------ ------------------------------------------------------ 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 the e'reme of the Minnesota Energy Code. Builder/Designer ?ate ? ? O (f I??Gek-TJA? C? Bach Vont ? Eath l%asi ? Basfi V:at ? Barh veac . Tatal Vcat 3al,? Vent Rang= V (kj ) . v Fr`a ?°s E' iorv=t baffis vmt e,;r. .?md vv.;.., n°'YF $eqLlr'!ce OC Op.:.26OII 5CI3E1•tji!C DL4GR"-?4 SsmcI??tV?t Z?Co.Q6 -= :(?s . , • (tects?. ct} '`? (a Ofb?) ? Z? a 1. Venfi3asortc oP,-at: aa Csam=as ]ow m=d R??4ac. nmacnttcmmo 2 W?11 eoauai caraai: ait?i?+ sa? L4-a HR1 sv?? a,;, ? ` 3. g? ?iosa? tn oo.-?,: cn ?nt?oc Iag -m*:d Qcn.3RY cace ev-,y 5 mautfis y . i?? in?r. m3 =Lslast aaod Job Site Address: "CATEGORY 1" ALTERle1ATE FOR ONE & TWO FAMILY DWELLINGS INSTRUCI'iONS: This alternative may be used for one- and hvo-family dwellings built to meet the Category 1 requirements of Minnesota Rulea, Chapter 7670. Complete Par[sA, B, and C. Clearly mazk plans with: insula[ion R-values; window and skyligh[ U- values; size and type of equipment; equipment contro(s; and location of vapor retarder and windwash barriers. More detailed infonnation can be found in the Minnesota Energy Code summary sheets available from the Minnesota Departinent of Commerce. Part A. BUILDING ENVELOPE "Cookbook" Worksheet INSTRUCI'fONS S[ep 1. Check item(s) [hat design meets on Afinimum RequiremenKS lis[ to the right Must meet all items to use "Cookbook" option. S[ep 2. Indicate pmposed wall Type on table below. Step 3. Indicate Window U-value and source. Step 4. Verify totat window (includi¢g area of all foundarion windows) and door area is equal or less tiian allowable pucentage. d? ? • ?- ,?onl???-?? ?y'?'?4-, rdr:?(ioo°?o b?k," P ?NT ? Ceiling Insulatian: Minimum R-38 wich 7'h" energy heel; or Minimum R-44 with low huss heel; or Minimum R-38 with R-5 sheathin when no attic. ? Entry Doors: Mas. U-value of 030 or 1'/d' solid wood with storm ? Rim Joist Insulation: Minimum R-19 ? Floors over uncouditioned aces: Minim? R-24 ? Foundation Insulation: Minimum R- ? Foundation windows: 'h" insulated lass, wood or vin 1 frame MINNF4nTd FNF_RGY CODE - WHICH RULES MAY l USE ? Part D. DEPRESSURIZATION PROTECTION Check opdon used: *-_,Fuel burning equipment (complete schedules below) ? No fuel buraing equipment Step 1. Complete the Cambustion Eguipment Schedule below. Only equipment with a Y(Yes) may be selected under the "Category 1" altemate. Step 2. Complete ExhausdMake-up Air Schedule on the right if direct or power vented or solid fuel atmospheric vent space heating equipment is selected. w?Awsu**,-W WSIRi]CTIONS ",'?Ousfi??evlc` 4?#ekr30ox... ?We: Part Cz. VENTILATION (Submit Part Cz upon completion of system veriticariont) ------------ ------------------------------------------------- Job Site Address: ? Permit Nwnber Comptiance Statemeut: Installed ventilation system is in compliance wit6 MN Energy Code and is sized to provide the design a'u flow. Applicant (print name) Signature Date Telephone number Part Cl. VENTILATION Statement of Compliance: 1'he proposed 6uilding design represented in these docutnents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requ ments of.the Minnesota Energy Code. ?? ? SV DS I??- 'Z ??- ?? ?..?;4=,??P..P? - Applicant (print name) Signature Date Telephone number ` , LOT SURVEY CHECKLIST FOR RESIOENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: l- trCS I I ?T I? gibcK j IA)UVLi.S'f'Dry)? n? Ld"'d'S _ DATE OF SURVEY: 00 tY ? 10 fiY ? ?? ?? ? -/? ?/ 4?V/ ? a W a m w c A r U 7 Q ? ? ? ? ? ? ? O ? ? ? ? LATEST REVISION: DOCUMENT STANDARDS • Registered land Surveyar signature and comparry • Building Pertnit Applicant • legaldescripdon • Address • North arrow and scale • House rype (rambler, walkout, split w/o, split eMry, loakout, etc.) • Directional drainage arrows with slope/gradlent Yo • Proposed/existing sewer and water services 8 irnert elevation • Street name • Driveway • Lot Square Foofage • Lot Coverege ELEVATIONS ?? ? 5? ? ? ?0/ ? ? fd ? ? 1[?/ ? G 0 o Existin • Sewer service (or Proposed) • Property comers • Top of curb at the driveway and property line extensions • Elevations of any existing adjacent homes • Adequate footing depth of structures due W adjacent utility trenches • Waterways (pond, stream, etc.) / Prooosed p ? C . Garage floor ? ? • Basement floor ? ? • Lowestexposed elevabon(walkouVwindow) ? • Properry comers ?? . Front and rear of home at the foundaUon PONDING AREA (ff aoolipblel ? V? • Easement line ? LN( / O . NWL ? G d 0 / • HWL ? ? E7' ? • Pond # designation ? ?'/ ? • Emergency Overflow Elevatlon ? Q' ? • Pond/Wetland buffer delineaNon DIMENSIONS 2/?o ? • Lot lineslBearings & dimensions v a . Right-of-way and sVeet width (to back of curb) U • Proposed home dimensions including any proposed decks, averhangs greater than 2', porches, etc. (i.e. all swctures requiring pertnanent footlngs) f? ?? . Show all easements of record and any City utili6es within those easements v ? n • Setbacks of proposed structure and sideyard setback of adjacent e ting sWctures ? • Retaining wall requirements, ff any 4 4 - ? Reviewed: Name ? Oate G:lFORMS/Building Permit Appllcatlon , CERTIFICA TE OF SUR VEY M. W. JOHNSON CONSTR UCTION ,c8,50 ? ",,1>? te8;,9 `L ALL OF LOT 25 IS A ^?•??0+? a °+ ?OO DRAINAGE & UTILITY EASEMENT ?o?,? S ? ?T .? ' • ° , ?M o° ,8 ^+6 hPga? `?j• ? ? 1 F9 80 B6r°9 12 O ry ST ?p ? ? O'QY SFp + o? ?S 877x1 OF "3 869x4 35 31, ? NorE: ALl HOUSE DIMENSIONS ARE TO OUTSIDE POUNDATION ? b' p Va STROA °?'y°sFo 2 \ 1 1 ?e ??`O ? 69°02. PROPERTY DESCRIPTION: LOTS 17 & 12, BLOCK t, WOODSTONE TOWNHOMES, b' HYD y y ,?''* ,? • ?' CABLE ? 883x7 0 ELEC 0 TELE ' r ? 8Bix9 ? ? 0 ?m ... .... ._. ? \`?" \ ? 1 ! 1\ !( j { ? CITY OF EAGAN. DAKOTA COUNTY, MINNESOTA. BENCHMARK - TNH WEST ENO STONEWOOD LANE = 888.36 LOT 11 1513 DEERW00D BEND PROPOSED GARAGE FLOOR ELEV: 885.0 PROPOSED TOP OF BLOCK ELEV: 885.3 PROPOSED BASEMENT FLOOR ELEV =877.3 LOT 12 1511 DEERWOOD BEND PROPOSED GARAGE FLOOR ELEV =881.5 a"G,atq ; R7G-TINEE, PdiNCrI)FE"M '`x{ 30` ? LOT 11 AREA = 3697 SQ...F.L__..._.._._.__.. HSE AREA = 1727 S4. FT. LOT 12 AREA = 3600 SQ. FT. HSE AREA = 1513 SQ. FT. SEWER SVC LOT 11 = 872•8 (PER PLAN) SEWER SVC LOT 12 = 871.5 (PER PLAN) PROPOSED TOP OF BLOCK ELEV =883.9 DENDTES PROPOSED DRAINAGE DIRECTIC PROPOSED GARAGE FLOOR ELEV: 875.9 OOOXO DENOTES PROPOSED ELEVATION OOOXO DENOTES EXISTING ELEVATION ? DENOTES HUB SET • DENOTES FOUND IRON PIPE MONUMENT * DENOTES SERVICE LOCATION I HEREBY CERTIFY THAT THIS SURVEY WAS PREPARED BY ME OR UNDER MY DIRECT SUPERVISION ANO THAT I AM A DULY REGISITERED LAND Bohlen SURVEYOR UNDER THE LAWS OF THE STATE OF MINNESDTA. Slltveying & Engineetirig 31462 Foliage Avenue 4735 123rd Street W. 5-7-03 ?n?/???_Jr?L-? North/ield, MN 55057 suite 200 DATE' Savage, MIJ 55378 LEROY H. ffOHLEN, LAND SURVEYOR Phone: (507) 645-7768 B F Phone: (952) 895-9212 MINNESOTA IICENSE NO. `-10795 Fax: (507) e45 -7799 Fax: (952) 895-9259 19-868-03s FILENAME NE/lots 1 1 n I Lcert bav n Slopes waN wiu Address: 1511 Deerwood Bend Zip: 55122 Lot: 12 Block: 0 1 Subdivision: Woodstone Townhomes "CHE FOLLOWING ITEb1S WF.RE/WERE NOT COb1PLETF. AT FINAL INSPECfION ON 3 - /` .,4? (./ Yes No Comments Final grade - 6" from siding Permanent ste s- ara e Permanent ste s- main entr Permanent driveway ? Permanent gas Sod/Seeded lawn Trail/curb damage Porch Lower level finish Deck Fire lace • 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 651-675-5646 prior to working in right-of-way or installing irzigation system. V BUILllINC INSPECPOR: CONTRACTOR: MW Johnson Construction 17645 Juniper Path,#100 Lakeville MN 55044 Site address: 15 I1 ?Kv.iq4 Lot _ Bbck _ Subd. 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 requirements of the Mn Energy Code, Chapter 7670 OR This sUucture: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674 APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE Water Heater A ro s Lb Furnace Dryer EXHAUST SYSTEM LOCATION TYPE MODEL CFM's VENTED YES No Kitchen kitchen Bathroom 1 r Bathroom 2 -,?b SO Bathroom 3 Bathroom 4 Other FIREPLACE S LOCATION GAS OOD MANUFACTURER MODEL BTU'S VENTING DIRECT A7MOS -f- N l?14x.d !/ C/ MAKE-UP AIR MODEL TYPE CFM's ? {?2? t--tS"0 f??? - Lennax lS-C7 I hereby acknowledge that lhe above information is correct and agree to comply with ihe Minnesota Energy Code and City of Eagan requiremenGs. (k I ? ?I S-- fo? nature Date ,,,,i ?-- CompanyName ' This form is the responsibility of the General ConVactor. ' Use BLUE or BLACK Ink t bo , a0- For Office Usse/l~ / I yh 1 P rmit / 365 6 I city of Eagan eD ' ~ Permit Fee: 3830 Pilot Knob Road 1 Eagan MN 55122 ~),ECEJVED I Date Received: I Phone: (651) 675-5675 Staff: I Fax: (651) 675-5694 APR U 2 2012 .2012 RESIDENTIAL PLUMBING PERMIT APPLICATION r, [(~(j Z& E~J( 4 I - .25) ? ~Date: , SiteAddr ss: ~1 I am t Tenant: V~ "I Suite 6 q(0, L/ 6 RESIDENT / OWNER Name: C 1 P&A Phone: ' Address / City / Zip: M Name: 1 License CONTRACTOR Address: 4A A l 4 City: State: Zip: SGOO Phone: Contact: Email: TYPE OF WORK - New Replacement _ Repair - Rebuild Modif Space _Work in R.O.W. Description of work: RESIDENTIAL Water Heater / Water Softener Lawn Irrigation RPZ / - PVB) PERMIT TYPE Add Plumbing Fixtures L- Main / - Lower Level) Septic System s New Water Turnaround I - Abandonment RESIDENTIAL FEES: 6 . M' imum Water Heater Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) 60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $189.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)NO TOTAL F 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 wo is t to start withou a permit; that the work will be in accoanwith the approve plan in the case of work which requires a review and approval p x x Ap ri ted Nam m Applica gnature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final 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#: 06501 I"J501 Permit Fee: IA05 Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Resident/ Owner . Name: / c/a QdO�'/1.e 164 Phone: .,,c-/— 725--g7-53— 2.Sg7 3— / Address / City / Zip: / cif,. ,. IP3 _e_,,c„,)oc c1 �e..6( cc/7 1 -- Applicant Applicant is: Owner Contractor Type of Work Description of work: ell &h -r Construction Cost: `>a 60 ') Multi -Family Building: (Yes / No ) Company: 1 i ..at �4 1' i r cit, ontact: ,it,. %'!i Address:2�O0 -i'Ci 4U� j x%fl City: /,pcI�l /4 1Contractor / State: f Zip: J ,5��q 7 Phone: 7Cl � `�s(�" 00Li c,f-1 --7 S ) ? Lead Certificate #: o cs/:5 — License #: 7 y, o (0 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. ,/ R/, Appl ant's Printed Name Appirca ure 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 r For Office Use Permit#: Permit Fee: Date Received: (ID(I /� 9 Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Owner a/ Name: ii J��C` � �1� Phone: (P5�_ %7j -�� J p1/0ls�Resident/ Address / City / Zip: f/ // — 45-2.3 s_a,-r-L IO4t &id/ -1 ? "Z_. Applicant is: Owner ✓ Contractor Type of Work Description of work: h �frt f f' `r- 7?e (� S id, Construction Cost' / OO(.) Multi -Family Builds.: (Yes / No ) Contractor Company: S Cic (Di- [clntact: C -L 0 L.`, Address: 36730 VI' (30,re / � . Il) . 9 ,L t 1 Pi `tet ` y VFIO ] State: Alt. /11 Zip: j3 »f) Phone: 7 License #: 00 t(:79%7 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 days of per it issuance. x � pid /C Appli ant's Printed Name :uilding Code must be completed within 180 6i o� a ure Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA155394 Date Issued:05/14/2019 Permit Category:ePermit Site Address: 1511 Deerwood Bend Lot:12 Block: 1 Addition: Woodstone Townhomes PID:10-84900-01-120 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Dcfj Llc 465 Nicollet Mall Ste 2108 Minneapolis MN 55401 (612) 227-8700 Weld & Sons Plumbing 3410 Kilmer Lane North Plymouth MN 55441 (763) 475-0296 Applicant/Permitee: Signature Issued By: Signature