1514 Deerwood Bend?R95 2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Kaob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWction ReauiremeMs
3 registered site surveys showing sq. lt. of lol sq. fl. of house; arM all mofed areas
(20Yo maximum lol coverage allowed)
2 copies oi plan showing beam & window s¢es; poured found design, etc.
1 sel of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after 711l93
R'vn Joist Detail Options seledion sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
RemodeVReoair Reauirements
2 copies of plan showing footings, beams, joists
1 set of Energy Calculations for heated additions
1 site survey foraddftions & decks
Adddion - indicate if on-sife septk sysfem
??? oo
OHice Use Oniv
Cert of Suney Recd _Y _ N
Tree Pres Plan Recd N,
Tree Pres Required _ Y_ N
On-site Septic Sysfem _ Y_ N
`''i?0t0l. I I [l,1 N?--
Date ?
Construction Cost?` ??Cld
SiteAddress /S (? ??"wtc,,lc ??n 3Fin1p Unit/Ste #
Description of Work QF?cuz
Multi-Family Bldg _ Y? N Fireplace(s) ? 0 _ 1 _ 2
Property Owner &_ AA&.L Telephone
Contractor ? z-(-'?
Address
-_i
City F77.-? ""'-----
State Zip ,
Telephone #(
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING---
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitled SubmiBed
. Energy Envelope Calculalions Submitted
In the last 12 months, has the City of Eagan issued a permif for a similar plan based on a masTer plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is comp]ete 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 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.
Vu..t P?--\ f B 1 D?w
Applicant's Printed Name App ican?t's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? Ot Foundation ? 07 05-plex ? 13 16-piex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - 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 (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Aiteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
D05C?IptiOn: WaterDamage_Yes
Valuation 6 2) Occupancy ?- 97 MCES System
Plan Review 100% 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
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
_ Founda[ion
Drain Tile
Roof Ice&Water Final
? Framing
_ Fireplace _ R.I. _ Air Test _ Final
? Insulation
REQUIRED INSPECTIONS
_ Sheetrock
Final/C.O.
Y FinaUNo C.O.
j? HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Windows
_ Retaining Wal]
Approved By: ? e 1 ` ? 4 4'? , Building Inspector
Base Fee
Surcharge
Pian Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W Permit 8 Surcharge
Treatment Plant
License Search
Copies
Other
Total
?? 4?t Ll
2007 RESIDENTIAL PLUMBING PeRMiT aPPLicaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please comolete for modifications to existina residential dwellinas
Date (:J
Site Street Address I S(`k bFZuLuYzc,Q ?>r,rJD Unit #
Property Owner Telephone #(??y t) ';`? - 30 (O ?
Contractor Telephone# ( )
Address City State Zip
The Applicant is: _X Owner & Occupant _ Licensed Plumbing Contrector
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
This fee a lies when extensive lumbin re airs are made to a buildin .
Alterations to existing dwelling $ 50.00
? Add plumbing fixtures to _X_ main level lower level. This fee includes
installation of a water softener and/or water heater at the same time. If you are
installing onlv a water softener and/or water heater, do not complete this section;
move to the next section and place a checkmark next to 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 $ a j
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 reviewed and approved.
W?????m ?kAkL lgm:?Xop
ApplicanYs Printed Name ApplicanPs Signature
*dtV oF eagen
PAT GE°.GAN
Mayor
PEGGY GIRLSON
CYNDEE FIELDS
MIKE MAGUIRE
MEG TILLEY
Council Members
THOMAS HEDGES
Ciry Adminis[nwr
Municipil Cenmr:
3830 Pilot Knob Road
Fagan, MN 55122-1897
Phone: 651.675.5000
Fax: 651.675.5012
TDD: 651.454.8535
Mtin[enante Fauliry:
3501 Coachman Poin[
Fagin, MN 55122
Phonc: 651.675.5300
Fu: 65I.675.5360
TDD: GS 1.454.8535
www.aryofngan.com
THE LONE OAK TREE
The symbol of suength
and growth in our
communiry
September 3, 2003
MR DAVE YOLTiG
M 1V 70HNSON CONSTRUCTION INC
17645 JCJNIPER PATH #100
LAKEVILLE MN 55044
RE: 1512-1514 DEERWOOD BEND
Deaz Mr. Young:
I am in receipt of the plan M.W. Johnson dropped off for 1512-1514 Deenvood Bend on
September 2nd. Please be advised that you are required to supply all of the information
requested by both Jeff Wheeler and myself. For this reason, your plan is being retumed
with this letter. In order for us to proceed with plan review of this townhome, you must
submit all required documents at the same time.
Your anticipated cooperation is greatly appreciated. If you have any questions, please
feel free to call me at 651-675-5679. Thank you.
Sincerely,
Tesy Zelenka
Building Inspector
TZ'j5
cc: Jeff VJheeler, Building Inspector
Dale Schoeppner, Chief Building Official
?
W a O & ??Ov?a- ?p W titi v? G YY?a- IYI I'? (pl S?i? !? ?` SZ?
RESIDENTIAI. BUILDING4-dO So
Permit Application
C? ?J O?fY
City Of Eagan '
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694 S GJ (o /5 /8
New ConsUuCtion Reauirements
3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all mofed areas
(20% maximum lot coverage aliowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
7 set W Energy Calculations
3 mpies M Tree Preservation Plan if IM platted after 711193
Rim Joist Defeil Optlons seleqion sheet (bldgs wBh 3 or less units
RemadeUReoair Reauiremenis ffice Use Onl
2 copies of plan Cert of Survey Reoi
1 set of Energy Calculations for heated additions ?ree Pres Plan Recd
t site survey for additions & decks ree Pres Not Reqd
Add?ition-indicateifonsifesep6'csystem _ n-siteSepticSystem
Y ??-F 9 5 a-
Date g /1-I / 0_7? Construc[ion Cost 14 S. 000
SiteAddress 1CJ1'Q. DeeYLLmd ge? L9r12 UniUSte #
T?
Descrip[ion of Work ~ + - 1 cy?
Multi-Family Bldg ? Y _ N Fireplace(s) _ 0V1 _ 2
Property Owner 1A?4LoV r) ?sO n ? Telep6one # (q 5:,} $q c)_ -7?7a
m'
Contractor ?CJI
tJ
Address p V n i r City V(
State kA/k-/ Zip 6504-4 Telephone #853) o?t a ? a?
COMPLETE THIS AREA ONLY IF CONSTRUC
Energy Code Category X Minnesota Rules 7670 Cateeorv 1
(J submission type) • Residential Ventilation Category 1 Waksheet
Submitted
. Energy Envelope Calculations Submitted
Licensed Plumber?,L?, P u m bi ?
Mechanical Contractor
Sewer/Water Contractor zQ-1 /1/IeCha n? ca ?
A NEW BUILDING
Minnesob Rules 7672
• New Energy Code Worksheet
Submitted
Telephone # 4q`z). 4 14-1
#((d? 3(.3'1403
I hereby apply for a Residential Building Permit and aclrnowledge that the in?rxnatio-n is complete arid accurate;
that the work will be in conformance with the ordinances and codes of the &3Y?-o€-Eagan=a?d=tlre-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 ofplans.
?'C?, m rn V ??. y ?J ,
ApplicanYs Printed Name Applicant's Signa e
?cr s'
Sub Types
35 Int Improvement ? 38
36 Move Bldg. ? 42
37 Demolish (Bldg)* ? 43
*Demolitlon (Entire Bldg) - Give PC
Occupancy
Zoning ?
Stories 4).
O 01 Foundation ? 07 05-plex ? 73 16-plex D 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4•sea.)
75-1 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo)
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plpg_Y or _ N ? 25 Miscellaneous
Work Types
/1C 31 New ?
? 32 Addition ?
? 33 Alteration ?
? 34 Replacement
Valuation 9 ?-, -c>
Census Code 164 21=_
SAC Units
Nbr. of Units
Nbr. of Sldgs ?
Type of Const ?/'{J
? Foorings(new bldg)
_ Footings (deck)
Footings (addition)
? Foundation
_ Drain Tile
Roof _ Ice & Water Final
? Framing
X Fireplace -,j? R.I. _yAu Test )(Final
Insularion
OFFICE USE ONLY
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 EM. Alt - SF
? 36 Multi Misc.
Demolish (Interior) ? 44 Siding
D'emolish (Foundation) ? 45 Fire Repair
Reroof ? 46 WindowslDoors
A hantlout to applicaM
MC/ES System
City Water
Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
W idth
REQUIRED INSPECTIONS
FinaVC.O.
Final/No C.O.
Plumbing
_ HVAC
Other
_ Pool _ Ftgs _ Au/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatmenf Plant
License Search
Copies
Other
Total
GRX6..f, s 7 r x/4 =
tf3i"!f 74)
n 6- ?) ? 7 X. Ly =
0"A ss0 X ?/ =
¢-
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9 ?,S'73
MNcheck COMPLIANCE REPORT
Minnesota Energy Code
MNcheck Software Version 3.0
COUNTY: Scott
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 9-9-2003
DATE OF PLANS: 08/11/03
PROJECT INFORMATION:
; Lot L7-'
Woodstone
Eagan, MN
COMPANY INFORMATION:
MW Johnson Construction Inc.
17645 Juniper Path #100
Lakeville, MN 55044
COMPLIANCE: PASSES
Required UA = 410
Your Home = 394
3.8% Better Than Code
Permit #
? Checked by/Date
?
Area or Cavity Cont. Glazing/Door
Perimeter
--------------
- R-Valu e R-Value U-Value UA
--
-------------------- - -----
CEILINGS 982 --------
44.0 - - --- - --
0.0 ------------ -----
27
WALLS: Wood Frame, 16" O.C. 2232 19.0 2.0 125
BSMT: Conc. 4.0' ht/4.0' bg/4.0' insul 344 10.0 0.0 24
BSMT: Conc. 8.0' ht/4.0' bg/4.0' insul 400 10.0 0.0 64
GLAZING: Windows or poors, Above Grade 161 0.480 77
DOORS 38 0.350 13
FLOORS: Over Outside Air 22 30.0 0.0 1
SLAB FLOORS: Unheated, 42.0" insul. 92
-------------- 10.0 63
------------------------ - -- -
COMPLIANCE STATEMENT: The proposed building --------
design - - -- - ---
described ------------
here is -----
consistent with the building plans, specific ations, and other calculations
submitted with the permit pl'. ion. The proposed building has been
designed to meet the,:equ3r ments of the Minnesota E nergy Code.
Builder/Des
Date
Job Site Address:
"CATEGORY 1" ALTERNATE FOR
ONE & TWO FAMILY DWELLINGS
INSTRUCTIONS: This alternative may be used for one- and two-famity dwellings built to meet the Category 1 requirements oF
Minnesota Rules, Chapter 7670. Complete Parts A, B, and C. Clearly mark plans with: insulation R-values; window and skylight U-
vatues; size and type of equipment; equipment controls; and location of vapor retarder and windwash barriers. More detailed
infovnation can be found in the Minnesota Energy Code summary sheets available from the Minnesota Depaztment of Commerce.
Part A. BUILDING ENVELOPE
7670,0470
Pedosmance (attach U-value calculafions) ??Systems Analysis method
"Cookbook" Worksheet
INSTRUCTIONS
Step 1. Check item(s) that design meets on Alinimum Requrrements list
ro the right Must meet all items to use "Cookbook" option.
Step 2. Indicate proposed wall type on table below.
Step 3. Indicate Window U-value and source.
Step 4. VeriCy total window (including area of all foundation windows)
and door area is equal or less than allowable pemcntage.
f
? Ceiling Insularion: Minimum R-38 with 7%x" energy heel; or
Minimum R-44 with low hvss heel; or
Minimum R-38 with R-5 sheathin when no attic.
? Entry Doors: Marz. U-value of 0.30 or 1'/1' solid wood with stortn
? Rim loist Insulation: Minimum R-19
? Flools over unconditioned s aces: M+nim,m R-24
? Foundation Insulation: Minimum R-10
? Foundation windows: 'h" insulated lass wood or vin I&ame
,c.7'ABLE'tF4)R°DETERD'Wi.ING==MAM1V1U1NqWINDOW?AY DM00$tiREAi.-_m+ . .. . .
M°ax?my?AllowableE'?ofal??ndo?an'dlfUOCllre.3a3? y,.a,°I+fi Ir +--
"e
df?`
ed`Walli
='
Pk ? 12?/
;14%x'
16
%
?a4
?
i
tcenta
as
e
.
..?„ .,..
,
o
..
?.
?
J
,Wall T" ei S'fa@dard Fizniin""•?? $'`' :"i '.ivfa2umiim Avera Wmdow U value, eScc e t foundation vnndo w
O 2x4, R-13 inaulahon, R-7 sheatliin °z 0'SS n?0 47n ' 0 4l 0 34>.q, " Da33 Q?6 `, fs =0 27 Z1i0;25 Q 23r..•.,
? 2x4, R-IS insulatioq R-5 sheathin
? 2x6, R-19 insulation, <R-5 eheathin 7141 + bti,`,Oi9'6 ?.a e3'Oi32.'-41 ?"?r0.29??'?CeYI 2G,i ?"-0 ^24 ? ?R'r?2i" , 1 T7 21*_ i7
? 2x6, R-19 insWatioq R-5 sheathing "?YO Sb,.,i ? Q 48 5 ?,. ??'?r+0,F16`
? 20, R-21 insulatioil, <R-5 sheattun tl:51 U, "'"0 43 >1 ?3'0``;38? atA:30;?`I? s0 25 u"'''-4€23
? 2x6, R-21 insulation, R-S sheathin '{"^?0,',4,$6y?.39' ?,O??S?,yri "`032_,?. ,?";029, ? n;0:27, , , s30:?,3c •i
;V?al(:,Ad`van?ed?Frew' &Mazimumff+:v'era ' WviilowLJ-valve ezc e foundAnomm?do ws? s ?a? ? ' , 1
? 2x6 R-19 insulahon, <R-5 sheathin 700p 03'L '°^' 02$ ., ,. ?D 2G_ , i OS24„ ? 0:27: ?
? 2x6,R-19insulatioq R-Ssheathin 029
? 2x6, R-21 insulatioq <R-5 sheathin -?U?4`I
? 2x6, R-21 insulatioq R-5 sheathing 0.60"Y? ?''?;,P,`S2 ?p iE -,Q:4¢ ,, tftQ 41.?,4. ,.,x;0'3,¢??„? ???,0 33 „_ p +?? 30 ?„ $,%'i?9,,28? „ ., „0 26
'
?NFR C. .._? ASHRAE 1993Handbook
MINNESOTA ENERGY CODE - WH1CH RULES MAY 1 USE ?
P
Check art,oBSed. DE?RESSU1RIZATIONSPROTECTIONquipment
INSTRUCTIONS
Step 1. Comple[e the Combusdon Equipment Schedule 6elow. Only equipment
with a Y(Yes) may be selected under the "Category 1" alternate.
Step 2. Camplete ExhausdMake-up Air Schedule on the right if direct or power
vented or solid fuel atmospheric vent space heating equipment is
selected.
'.;,EXIIAiTS`G-s?/, MAKE=IIP AI?7?S GIIEATJEE*: `?
4rExhauS?evice"s€over3004cfm <'.'Flow..?.,.:
6610
r+,;;dfirrj.
?e&n.
?
Sealed combustion
Direct or power vented
Sealed combustion
?
or
, , .?...-.._ . . ._ _
? Sealed combustion
irect or power vented
`} 1 ?Atmosphencallyventet
? Atmospherically vented
? Atmosphencalty vented
? Atmosohericallv vented
Part Cl. VENTILATION
iF ; ?? . ^ t
,YENTIGAFI'ION FA3v?SGFIkDULE3
??
' rk, , ,- ?r , ;
L ??? ,, ,
? .
,
?, ,
ps d, 3?
Check m?th'dd(s?,pzop ? Exhaust onl Balanced ea[ recove venhlator ur exchan er etc
' ??? ,:
?
?! . ^k ?4 .. . .-... . » _... . . . . . .......?...., . -
a
?Fan d?scn hon„o locaho? : ?-
?ytt?
U
UEIVTIT.A1'ION
` « °`Infake-: cfinC: cfm ? "- cfm `. !ad Tcfmv: ? ? c&n°;
?
.AS'DE5IGNEb ."Ezh'au'st; U ??cfi?i'+w 50 ;cfm /S? '- cfm'`. ?U °c£mi?' C? . cfm>
Statement of Compliance: The proposed building design represented in thcse documents is consistent with the building plans,
specifications, and other calculations sub=Signature it application. The proposed building has been designed to meet the
req 'rements o thMnnesota Energy Co t
4Dat-7 ? Applicant (print name) Telephone number
Part Cz. VENTILATION
x --------------------------
Job Site
Permit Number
Compliance Statement: Installed ventilation system is in compliance with MN Energy Code and is sized to provide the deslgn air
flow.
Applicant (print name)
Signature
(Submit Part C2 upon complerian of system verificationt)
-------------------------------
Date Telephone number
CERTIFICATE OF SURVEY F? M 11'• JOHNSON CONSTRUCTIO.
>
ExIST
HOUSE
887z4
fii886a3 _
ORAINAGE & UTILITY EASEMENT
13y- ???` V R??-• _ OVER ALL OF LOT 35
35
--" ia
?:.'i-.GE== DEP'fl'. S 89°58?20" W 75.00
;
S T.
Q
zo
W ?
Q W
00
F+-1 ?
W
o
Q V)
NOTE:
ALL HOUSE DIMENSIONS ARE TO
OUTSIDE FOUNDATION
LOT 17 1514 DEERWOOD BEND
o? wt9 ?
:886.6 ? : gg5xt
f
52.17 I
?
n GARACE
p
0930 i
o
o H DRP 1 CRS
? ?
p
' I
PROPOSEO
m
? '
y' ?
?
885:0 28.00 TWIN HOME Z
s:o :
FB/LO M
DECK
c I
o
18
f
'
?
? ).Sx BBSFI
?
f 0
, DRIVEWAV
0 eBB5vneee5a] ? 24.17 885+1
S 89°58' 20" W
46.00 I
ea2.o
?s.s O
Z
,s.ao e
? m
? W Bear7
DEC K ?
ae5.2 22.00 PROPOSED ? Q
ORNEWAY ? T'NIN HOME n
F8/LO O
6.4% g GARAGE
m 0
? oRa t cRS 17 O
? 2.00
TELQ..--34 .`?'........ ?: m ? 23.50
•
88
1x]
p
p: m 20.67
^ eetx4
9 BBSxS';.5.1 ?
' 884.4 8Ba: :
882v9
CABL 8e4x546.17 ne88 0.9 BB Oxb
00
S • 20" W 75
.
„
> '885x1 B]]x9 eB1
` r5
? 1 30'
T 877x4
EXI
S
E ? LOT 17 ?A? 3442
" SQ. FT.
16
'NSE AREA = 1571 SQ. FT.(46% LOT COV)
SEWERSVC LOT 17 = 875.1 (PER PLAN)
LOT 18 AREA = 4058 SQ. FT.
?49SEWER SVC LOT 185? 04( EROPLAN)v)
875
.
PROPOSED GARAGE FLOOR ELEV =887.2
PROPOSED TOP OF BLOCK ELEV: 8882 PROPERTY DESCRIPTION:
PROPOSED BASEMENT FLOOR ELEV.=880.2
I,OTS 17 & 18, BLOCK 1, WOODSTONE TOWNHOMES,
L07 18 1512 OEERWOOD BEND CITY OF EAGAN, DAKOTA COUNTY, MINNESOTA.
PROPOSED GARAGE FLOOR ELEV =887.2
PROPOSED TOP OF BLOCK ELEV: 888.2 DENOTES PROPOSED DRAINAGE DIRECTII
PROPOSED BASEMENT FLOOR ELEV.=880.2 ODOXO DENOTES PROPOSED ELEVATION
OOOXO DENOTES EXISTING ELEVATION
BENCHMARK - TNH WEST END STONEWODD LANE = 888.36 0 DENOTES HUB SET
• DENOTES FOUND IRON PIPE MONUMENT
4 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. SllrVeying & EAgineeriIIg
DATE'8-18-03 ? 31462 Foliage Avenue 4735 123rd Sheet W.
Northfield, MN 55057 suite 200
MN 55778
S
avage,
B F
REVISED 8-27-03 LEROY H. HLEN, LAND SURVEYOR Phone: (952) 8e5-9212
phone: (507) 645-7768
REVISED 9-2-03 MINNESOTA LICENSE N0. 10795 faz: (507) 645-7799 Fax: (952) 895-9259
kAo_ 1 nvz_nz?
Address: 1514 Deerwood Bend Zip: 55122
Lot: 17 Block: 1 Subdivision: Woodstone Townhomes
THE FOLLOW ING ITEMS WERE/WERE IVOT COMPLF,TE AT FINAL INSPECTION ON 7.. -'b.- 047
Yes No Comments
Final ade - 6" from siding
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/Seeded lawn !
TraiUcurb damage
Porch
Lower ]evel finish
Deck
Fireplace
• V eriFy with your builder that roof test caps from the plumbing system have been removed.
• T um off water supply co the outside lawn faucets before freeze potential exists.
• Call the City's Engineering Department at 651-675-5646 pcior to working in right-of-way or installing
iniga[ion system.
Y BUILDING INSPECTOR:
CONTRACTOR:
MK' Johnson Cons[ruction
17645 Juniper Path #100
Lakeville MN 55044
,.1
Aaron Perkins 651-493-0706 p.4
Use BLUE or BLACK Ink
f For Office Use - - - - - - - - - I
t 1
j Permit
City of Eap '
1 Permit 1=ere: `
3830 Pilot Knob Road j l
Eagan MN 55122 i Date Received: 1
Phone: (651) 675-6675 1 Staff: j
Fax: (651) 675-5694 1 t
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: lqli SibeAddress: F-~I~CIISI VeefWoJ 9#.r1d Unit
Name: Phone.
RESIDENT I
OWNER Address / City 1 Zip: ~e a rW pO~ ~'~'~1
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Applicant es:Owner ~ Contractor
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Description of work:
TYPE OF WORK . QQ 1" oisk ~ e
Construction Cost: Mufti-Family Building: (Yes /NO .~._._;Company: WOhder •1 Home 6ytJ-fit :Contact: Aaron PerKTv%s
Address: 4186 Linda Lake city: oirc-le Pines
CONTRACTOR /
State: ~N Zilo: SSo l Phone: 7 6 3'~ ~s - 33 3
NAT-1
License 63 I $ 3 Lead Certificate 53aZ - t
sL 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:
r
Sewer 8 Water Contractor. Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of f
the information may be classirred 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 (01) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.Org
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 vAth the Minnesota State Building Code must be completed within 980
days of perrnk issuance.
pe-w-k3#15 a r~o x /420, dzn4~~~
I' nrs Signature
Printed Name APP
Appli amt's
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