1518 Deerwood Bendi', -? 3 i : ?
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55722
651-675-5675
Please complete for modifications to existing residential dwellings.
-#So.sd
DatB IZ /C" ( I
Site Street Address l 5/? Ds.e?,? c? U° e? c4 Unit #
Property Owner wLk fG? Telephone #(6S/)
Contractor Telephone # ( )
Address City State Zip
The Applicant is: Owner _ Contractor _Other
Aiterations to existing dweiling $ 50.00
Add plumbing fixtures.
If you are only installing a water softener and/or water heater, the fee is $15.00 plus the
state surcharge - see next section.
_Septic System Abandonment
Water Turnaround add
$
12
1.00 if a 518" meter is requ
i
r
ed
)
,
`
??
,
.
,
p
Other: 1V,-L? ? vl,i
Water Softener Water Heater $ 15.00
_ repiacement _ additional
Lawn Irrigation System _RPZ _PVB _new _repair _rebuiid $ 30.00
State $urcharge
. $ 50
J?U U, ''
?
Totdl
?(?. S
$
'JL1 `?
I hereby apply for a Residential Plumbing Permit and acknowledge that the informat on is complete
and accurate; that the work will be in conformance with the ardirvances- na escod 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 ' I be in accordance with the approved plan in
the event a plan is required to be reviewed and ap oved
?
?^- d
ApplicanYs Pr ted Name c nt's '
Address: 1518 Deenvood Bend Zip: 55122
Lot: 15 Block: 1 5ubdivision: Woodstone Townhomes
THE FOLLOWING ITEMS WERE/N'ERE VOT COMPLETE AT FINAL WSPECTION ON
f
Xes No Comments
Final ade - 6" from sidin 14
Permanent ste s- ara `e X
Permanent ste s- main entry X
Permanent drivewa
Permanent as
Sod/Seeded lawn
TraiUcurb dama e
Porch X
Lower level finish X
Deck )(
Fireplace
• Verify with your builder that roof test caps from the plumbing system have been iemoved.
•'Itiun off water supply to the outside lawn faucets befoie freeze potential exists.
• Call the City's Engineering Department at 651-675-5646 prior to woxking in right-of-way or installmg
urigation system. . ? BUILDING INSPECTOR: ?
CONTRACTOR:
Johnson Construction,lV4W
17645 Juniper Path #100
Lakeville MN 55044
: 4-V-S
Site address: % Lot _ Block _ Subd.
On April 15, 2000 the Minnesota Energy Cotle, 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.
X This structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
_ This structwe; will 6e constructed to rrteet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MOOEL BTU'S VENiINGTYPE
Water Heater
N' Sm'r.-
- So Zl o
?v
\)C--
Furnace C
Dryer
??
MTi aa
i0 oan ,?
EXHAUS7 SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YE5 No
Kitchen kitchen
Bathroom 1
X
Bathroom 2
Bathroom 3 X sl? ?? S-U X
Bathroom 4
Other
FIREPLACE 5
LOCATION
GAS
WOOD
MANUFACTl1RER
MODEL
8TU'S VENTING
DIRECT ATMOS
?s .L X - N(,Ic? 128 a o oba
MAKE•UP AIR MODEL TYPE CFM's
ZCX0 18-6s
I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
0
04-
Si ture
Q 11 5dW
Date
CompanyName
* This form is the responsibility of the General Contractor.
2004 RESIDENTIAL BUII.DING PERMIT APPLICATION
City Of Eagan
(6, to gu t 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
a `lU.°c)
NewComWCtbn Reauiremenis RemodeLf2eoairReauire
meMS 3 regislered site surveys shwe'ug7 sq. R of lot sq. ft of house; and pif roofed areas 2 mpies of plan
(20% mazimum bt cover$7e allowed) 1 ut of Energy Calculatiore for heated additlons . 2 copies of plan ?g beam 6 win0ow sizes; pourad found desgn. etc. 1 sfle survey for additions 8 deds
7 set of Eneagy Cakwlafions Addition - iridiwte NonsiTe septic system 3 copies of Tree Preservatlon PWn ff bt platted after 711193
Rim Joist Detail Options selectlon sheet (bidgs with 3 or less unils
Date Z) / Z) 7 Cons uchon Cost
SiteAddress ??/,?j ,[?????i?// ?J(S/? UniUSte #
Description of Work l NS/? I w Ca' ( S FC ILI Sd(/`j--
Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 214--- 2
Property Owner 06 619 Telephone #(bS7 ) Z??- Y)/ L
Contractor I??-? 1,? ?f. ?? ?? I
Address 36-3D
LJ-
PO`l f.?7 City ?/
State ? Zip '55337 Telephone#(CJ3q)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- I?iinnesota Rules 7670 Cate¢orv 1 Minnesota Rules 7672
Energy Code Category , Residenfial Ventilatlon Category 1 Worksheet • New Energy Code Worksheet,
(Jsubmissiontype) Submitted SubmiUed
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Pernvt and acirnowledge 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 tlus is not a pemut, but only an applicarion for a permit, and work is not to start without a
h requires a review and
c
permit; that the work will be in accordance with the approved plan in the c VT
approval of plan . \
?, ?l ??r , ??-, I?
? , 1 ?J" 1--
ApplicanYs Printed Name Applica#t's Signature
?V
2004 RESIDENTIAL BUILDING PERMTT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
W'70 .? 6
e_a j,U_S i i- -a-?
New CwuUUCtbn Reou'uemen4s RemodellReoair Reauirements Oflice ?Use?.Onlv
3 registered site surveys showing sq. ft oi lot, sq. ft of house; and all roofed areas 2 copies oi plan CeA ot $urvey Recd Y _N
(20% maximum bt mverage allowed) 1 set of Energy Calculations for heated additions Tree PresPlan Recd ?Y _N
2 copies of plan showing beam & window sizes; poured found design, efc. 1 site survey for additions 8 decks Tree Pres Requir2d ? Y . N
isetWEnergyCalculafions . AddiNon-imlicffiei(on-sResepticsystem On-sdeSepUcSy&tem.. _Y _N
3 copies of Tree Preservafion Plan if lot platted after 7l1193
Rim JoistDetail Options selection sheet (b1d35 with 3 or less units
Date ID / -2 f / OV Construction Cost A .5O6) .bU
Site Address ?Jr ? g /ie e12 LU?O?( lJL'??vl Unit/Ste #
Ee? M? 5- 6- /2 2
/' 1-2
Description of Work i
i?.r•, ?S,edz.e. ?
Multi-Family Bldg VY _ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner 42 I/'1,>/ L%:r hetp 5 0 ,?i Telephone #( )
Contractor
Address / 7 a/T 70 714. /' c/- iV City
State Zip 5,5_3 Telephone #(6/ 2) 2 9 d' ? 30 46
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(q submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan?
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 informationLk_ e;
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
hich requires a review and
w
permit; that the work will be in accordance with the approved plan in the W-,,Wor
approval ofplans.
re-,? l2iy ("4 eot??vViril A ApplicanYs P nted Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 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 O 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt- SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ nl ? 25< Miscellaneous
-?Cnc1ODe5
WorkTypes
? 31 New kP 35 Int Improvement ? 38 Demolish 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 ReplaCelnent •Demolition (Entire Bldg) • Give PCA handaut to applicant
Valuation
- Occupancy MCES System
?-
Census Code Zoning City Water
§AC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Y Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) ?d FinaVAio C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof Ice & Watex Final Pool Ftgs Air/Gas Tests Final
? Framing _ Siding _ Smcco _ Stone _ Brick
_ Fireplace R.I. _ Air Test ' Final _ Windows
?p Insulation
` Retaining Wall
Approved By? •Z
- i?'_ , Bu ilding Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S8W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
FI y`1'r FeL°.. d,060,60
L4-- rs
' RESIDENTIAL BUILDING 70 „!;b
, Permit Apptication
City Of Eagan ?/o=5C3
3830 Pilot Knob Road, Eagan Mn 55122 --J`
Telephone # 651-675-5675 FAX # 651-675-5694 (9S5 `7
New Construqbn Reauirements RemodellReoairReauirements ice lJSe Onl
3 registe2d stle surveys showing sq. R. of bt, sq. ft. of house; and all rooted ar?s 2 copies of plan ert of Survey Rerd
(20°h maximum lot coverege allowed) 1 sel of Energy Calcula6ons for heated addNOns Tree Pres Plan Real
2 copies of plan showmg beam & window saes; poured found design, etc. 1 site survey for additions & dedcs ' Wrce Pres Not Reqd
1 set ot Energy CalcuWtions Addition - i/ro'icafe if on-sRe septic sysfem _ On-site SepGc System
3 wpies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Opfions selection sheet (bidgs with 3 or less units
?.+
Date r I?!?- l?
SiteAddress 45ISr /?eP?c.?aoal Construction Cost lgZ7,6 0 d
/3w+? UniUSte #
Description of Work # Ve4,1 ltcnc ctn., .r?,
Mulri-Family Bldg Zt Y_ N Fireplace(s) _ 0? 1 _ 2
Property Owner /`1W J?Jtivut,,n Cu.o 4. Telephone #(!o/d yYL7
Contractar rj-.1 T ejqV,,314?
Address _12G L-C S
State /7 N J,, ?DpC? 1O6.fA L., City L<, ktu: lle
Zip 5 Y 0L/(4 Telephone #( G/,L) .215- ?/ ?G 7
COMPLETE THIS AREA ONLY IF
A NEW BUILDING
ZMinnesob Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Cpde Category , Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber S'kwQr'?"'
Mechanical Contractor CD?7--?Ol4u H,?-
Sewer/Water Contractor
ephone #[76 l Na?- /83 3
phone #(?a ? YLD - 4OZ?
Telaphone # ( GSl
I hereby apply for a Residential Building 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 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 approve? plan in the case of work which requires a review and
approval of plans. / ? / _
P4 v L s?ti?la-a39-q(/?7
Applicant's Printed Name
Applicant's Signature
OFFICE USE ONLY
Suh Types t
? 01 Foundation ? 07 05-plex p 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plax ? 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 Ext. Alt - SF
?K 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03•plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
x 31 New ? 35
? 32 Addition ? 36
? 33 Alteration ? 37
? 34 Replacement
Valuation o?p
Census Code
SAC Units ?
Nbr. of Units /
Nbr. of Bldgs
Type of Const ?
Int Improvement ? 38 Demolish (Interior) ? 44 Siding
Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
`Demolition (Entire Bidg) - Give PCA handout to applicaM
Occupancy MC/ES System
Zoning ? City Water
Stories _ ; Booster Pump
Sq. Ft. PRV
Len th r? `
g Fire Sprinklered
Width
X Footings (new bldg)
_ Footings(deck)
Footings (addition)
Foundation
Drain Tile
Roof _ Ice & Water Final
? Framing
Fireplace ?/ R.I. L?Air Test y Final
Insulation 1` 7?' T`
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
]( FinallC.O.
? ` FiuaVNo C.O.
_ Plumbing
_ HVAC
Other
_ Pool _ Ftgs _ Au/Gas Tests _ Final
Siding Stucco Stone
Windows (new/replacement)
4 Reraiiilng Wall
Approved By , Building Inspector
717 p 3 j'&*X
? 7wp
;? ?
7'
? b 7? ° ??
MNcheck COMPLIANCE REPORT
Minneaota Energy Code
MNcheck Software Version 3.0
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 3-17-2003
DATE OF PLANS: 03/17/03
PROSECT INFORMATION:
Lot 16
Woodstone
Eagan, MN
COMPANY INFORMATION:
MW Johnson Construction Inc.
17645 Juniper Path #100
Lakeville, MN 55044
COMPLIANCE: PASSES
Required UA = 633
Your Home = 565
10.8% Better Than Code
Permit #
Checked by/Date ?
?
Area or Cavity Cont. Glazing/Door
Perimeter R-Value R-Value U-Value UA
-
- ------------------------------------------
CEILINGS 2814 ------- - --------
44.0 0.0 - ----------- - -
-
76
CEILINGS: Raised Truss 224 38.0 0.0 6
WALLS: Wood Frame, 16" O.C. 3114 19.0 2.0 174
BSMT: Conc. 4.0' ht/4.01 bg/4.0' insul 152 10.0 0.0 10
BSMT: Conc. 8.0' ht/4.0' bg/4.0' insul 816 10.0 0.0 130
GLAZING: Windows or poors, Above Grade 324 0.480 156
DOORS 38 0.350 13
HVAC EQUIPMENT: Furnace, 90.0 AFUE
--
---------------
-------------
-----
-----
-------------------------------------
COMPLIANCE STATEMENT: The proposed building --
design described here is
consistent with the building plans, specific ations, and other calculations
submitted with the permt application. The proposed building has been
designed to meet the requirements?of the Minnesota Energy Code.
Builder/Designer i Date
'
j? ?/
ti%rr:V i
?
Hatit Sl_-I[
Easn Vent
,a'+L*',vG'it
$ath Vent
l-.
iata1 Vdai 3am,
V=t
5?um ee ?c 4?-?ar •
SCIiE-A-L3TIC DL3 CTR'IM
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't V CuTr? ? at fl?i jrj .
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' '*r •'"'^``i ID?rch `ud `^^^?'?-"-n'--t hod,
Job Site Address:
"CATEGORY 1" ALTERNATE FOR
ONE & TWO FAMILY DWELLINGS
INSTRUCTIONS: This alternative may be used for one- and two-family dwellings buitt to meet the Category 1 requirements of
Minnesota Rules, Chaptcr 7670. Complete Parts A, B, and C. Clcazly mark plans with: insulation R-values; window and skylight U-
values; size and type of equipment; equipment controls; and location of vapor re[arder and windwash bamers. More detailed
infomiafion can be found in the Minnesota Fnergy Code summary sheets available from the Minnesota Department of Commerce.
"Cookbook" Worksheet
INSTRUCTIONS
Step 1. Clieck item(s) ihat design meets on Minimum Requiremenls liet
ro the right. IvIust meet all items to use "Cookbook° option.
Step 2. Indicate proposed wafl type on table befow.
Step 3. Indicate Window U-value and source.
Step 4. Verify total window (including area of all foundation windows)
and door area is equal or less than allowable percentage.
a 14?IlVII1?IIM REQijIREMEN!'S ' -
"fdr:?Cook6ook??o hon'onl ),`!:
O Ceiling Insulation: Minimum Rd8 with 7%d' energy hee1; or
Minimum R-04 with low truss heel; or
Minimum R-38 with R-5 sheathin when no attic.
O En[ Doors: Max. U-value of 030 or I'/a" solid wood with stortn
? Rim Joist Insulatiou: Minimuam R-19
? Floors over unconditioned s aces: Min'vnum R-24
O Foundation Insulation: Minimum R-10
? Founda[ion windows: 'h" insulated lass, wood or vin 1 frame
Part A. BUILDING ENVELOPE
MlNNESOTA ENERGY CODE - WHicH RuLES Ma Y I Use ?
Part B. DE?RESSURIZATION PROTECTION
Chcck option used: Fuel buming equipment (wmplete schedulcs below) ? No fuel burning equipment
INSTRUCTIONS
Step L Complete the Cambustion Equipment Schedule be(ow. Only equipment
with a Y(Yes) may be selected under the "Category P" altemate.
Step 2. Complete Fxhaust/Make-up Air Schedule on the righ[ if direct or power
vcnted or solid fuel atmospheric vent space heating equipment is
selected
,
zC0ffiTBUSTIONv EQUIP MENT<SCHE3lULE
'r che?ke
, .. , all e s; ro osed
Space fieati ng nousolid'fuel ` ealed combusfion Y` Hearth .,nonso(cd fuel '-i ? 5ealed combustion Y i
Direet ot powec ven[ed irect or power vented Y.'
=a s ?, i Ix*
et ? ?
w.. m
Atmos'hericall''uented.;
' N..=.
,Watex heatthg nonsohd?fuel " Sealed wmbusGon Y Spaae heahng '" sn]ic3,??uel i ? ACmospherically vented
rr?'?S;„r3
? Direct or ower vented `W'ater heatin ? 5biid'%?G= ? Atmos hericall vented
- Atmoh`e"ricali ?ented!`..,.N; .Heatth`-.solid'?FueL+ «. ,;;.k ? Atmos hericall vented Y, '
*. Tf atinosphenCally+wented soli&fuet ordirec't or, pn?rer vented nonsofid fuel space heahngis iqstatled;' €hen make up°air to match '
flowtis cc 'red?for each ttidididual=?ex#iausk?device whichiex?eads 30Q c,tdic fcet efminute. ' '
t
`k?ENTILATIOlY
< FFiPI SCH?p[?LE r
'
C
heckmethdde r o?sed 4 ? i
r
„
Exhaust
onl .;
?
covc ventilaWr, air exchan er etc.
re
Balanced heat
. .
-
UENTILATION take`: '`efm.'., 77m :.cfm;"..
AS bESIGNEb • y Exhau'st; - ?-o u.cfm^: •ofm.ir cfm %
Statement of Comptiance: The proposed buildin design represented in these dowments is consistent with the building plans,
specifications, and other calculations submitted ith the pe it aj5plication. The proposed building h been designed to meet the
requ emen tti ? e^ ta Energy Code.
Ap ican[ (print name) Signature Date 7'elephone num6er
Part C2. VENTILATION (Submit Part Cz upon completion of system verificatiant)
X ----------------------------------------------- --
7ob Site Address: Pemiit Number
-Fandescritz.Qnor+l'ocatioW '? ° `=TOTAI.S- :
MEASURED `:Intake`?' cfrn•r: efrn-' ofrii,?' '=cfm . ofm ;
'PE&FORMANCE., $" Szh&us't;% 'cfm?' cfnx;'; :"cfin i .afrn": cfin ;
t Uentil64i4n raCeAust br uieaSitr?41"8nd.verified4 hen?.tlYa=,performanee option"`is,used m'lieu of t}?e.prescngrive option"foYthe;
sealin ,'Dfa oint5'ircttie,btYil{ii'i1' ionilitioaed'envelo e; f[nmxl?arif A .
Compliance Statement: Installed ventilation system is in wmpliance with MN Energy Code and is sized to provide the design air
flow.
Applicant (print name) Signature Date Telephone number
Part Cl. VENTILATION
?
LOT SURVEY CHECKLI3T FOR RESIDENTIAL
BUIIDING PERMR APPLICATION
? PROPERTY LEGAL: La r5 / 5 4{ (G ^ElLt.l? ? LJ aaJ S fime.
DATE OF SURVEY: 3-=
LATEST REVISION:
m
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c
m
L
U
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O Q
DOCUMENT STANDARDS
? • Registered land Surveyor signature and company
? • Building Pertnit Applicant
?
? 0 • legaldescription
? ? • Address
d a Q • North arrow and scale
? ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
? • Directional drainage artows with slope/gradient %
r.f/n ? . Proposed/existing sewer and water services 8 inveR elevation
P?jL] ? • Street name
C?Y?fl ? • Driveway
GY?[7 ? • Lot Square Footage
? ? • Lot Coverage
ELEVATIONS
Existin
q? ? • Sewer service (or Proposed)
/ ? • Property comers
Cd? ? • Top of curb at the driveway and property line extensions
Gd' ? • Elevations of any existing adjacent homes
? • Adequate footing depth of structures due to adjacent utility trenches
G ? • Waterways (pond, stream, etc.)
Prooosed
?j ? • Garage Floor
p??L ? • Basement floor
p • Lowest exposed elevation (walkouUwindow)
¢' ? ? • Property comers
E?o ? • Front and rear of home at the foundaUOn
PONDING AREA ('rf apolicablel
? f0/d • Easement line
? v'? • NWL
? l3r? • HWL
? q/ ? • Pond # designation
? C?Q • Emergency Overflow Elevation
? q/p • PondNVetlandbufferdelineation
?? ?
CY ? ?
?o u
? Ll
n
? ?
• Lot lineslBearings & dimensions
. Right-of-way and street width (to back of curb)
• Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. ali swctures requiring permanent footlngs)
• Show all easements of record and any City utllities wifhin those easements
• Setbacks of pmposed struciure and sideyard setback of adjacent exisdng sWCtures
• Retaining wall requiremen
Reviewed:
GYFORMS/Building Permit Appliratlon
,
. CERTI.F'ICA TE OF SUR VEY
FpF-
M. W. JOHNSON CONSTR UCTION
A? 9 REC'? ?LE Fl1TURE 17
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? 69o0?" 883r2
• z6
3'2ry \,
NOTE: ?
\'s'a
ALL HOUSE DIMENSIONS ARE TO ? 1S,06
OUTSIDE FOUNDATION 14
BENCHMARK - TNH WEST END STONEWOOD LANE = 885.36
?
1518 DEERWOOD BEND;`
?
?
35
Q?y,2
?? /
yh ?
M%ti? I
3P
LOT 75 AREA = 3750 SQ. FT.
HSE AREA = 1771 SQ. FT.
LOT 16 AREA = 3750 SQ. FT.
HSE AREA = 1771 Sq. FT.
SEWER SVC LOT 15 = 873.6 PER PLAN
SEWER SVC LOT 16 = 874.2 PER PLA
PROPOSED GARAGE FLOOR ELEV.=884.2 ???SI?a,
PROPOSED TOP OF BLOCK ELEV =884.5 9M83t ?galwPROPERTY DESCRIPTION:
PROPOSED BASEMENT FLDOR ELEV =876 O? R,?4(1ing LOTS ?5 & 16, BLOCK t, WOODSTONE TOWNHOMES,
LOT i 6 1516 DEERWOOD BEND 8g FlBQLWed CITY OF EAGAN, kDAKOTA CDUNTY, MINNESOTA.
PROPOSED GARAGE FLOOR ELEV -885.6
PROPOSED TOP OF BLOCK ELEV 885:9i / ' •' t? `
PROPOSED GARAGE FLOOR ELEV 8Z7:9 ( i DENOTES PROPOSED DRAINAGE DIRECTI(
L OOOXO DENOTES PROPOSED ELEVATION
/
: OOOXO DENOTES EXISTING ELEVATION
_ _S+ ???? ,C _?--• DENQTES NUB SET
DENOTES FOUND IRDN PIPE MONUMENT
DENOTES SERVICE LOCATION
I HEREBY CERTIFY THAT THIS SURVEY WAS-•PREP,/{REO;IB1C`sME:?.6RTLNDER
MY DIRECT SUPERVISION AND THAT 1°AM A DUL'Y`REGISITERED LAND ' Bohlen
SURVEYOR UNDER THE' LAWS OF THE STATE OF MINNESOTA. S11PV2ylRg & EIIg1ReBI'lllg
-25-03 31462 Foliage Avenue 4735 123rd Street w.
?ee zoo
?/r°?+?????-?. - Northfiele, MN 55057
DATE' 3
LEROY H. HLEN, LAND SURVEYOR $ E Sovage, NN 55378
Phone: (507) 645-7768 Phone: (952) 895-9272
MINNESOTA LICENSE N0. 70795 Fa.: (507) 645-7799 Fax: (952) 895-9259
73-03s FiLENnME: o s n cert.
1" = 30'
? t o 2p08oo ESIDENTIAL MECHANICAL YEUMiT arri,icATIoN
SUL City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete 1oc single family dwellings & townhomes/condos when permits aze required for each unit
?.?
Date7?1/(f) ??_
5ite Address (c?3 ?hA Unit #
PropertyOwner C/a fiJA Q??J? '???Ia/L Telephone#(161 ) 24
Contractor )10i yi ea,
StreetAddress City
State ? ?? • Zip ZZ?,? Telephone # q4,6) ?-472, - 2 ?a
[
?] Q
Bond #: Expires: d?
The Applicant is _ Owner ? Contractor _ Other
Ftire repair (replace burned out appliances, ductwork, ete.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alterafion to existing dwelling unit $ 50.00
_ furnace ?Additional _Replacement _ New
air exchanger
air conditioner
heat pum/yp
/
,
? other ?- 1?} 1? I?'??
State Sorcharge $ .50
Total $ ?
I hereby apply for a Residen[ia] Mechanical Yermit und acknowledge that thc information is completc and accurate; that the work will
be in conformauce wiffi the ordinances and codes of the Ciry of Eagan and with de Mechanical Codcs; Ihat 1 understand this is not a
pennit, but only an application for a permiC, and work is not to start without a permit; Yhat the work will be in accoidance with the
roved plan in the case of work which requirIs a review and approval o la nllY1 L
? jl,??.? ?67
Applicant's Printed N me cant's Signatur
Aaron Perkins 651-493-0706 p.5
Use BLUE or BLACK Ink
1 ForOPfice-Use I
j Permit ! ( ! /
City of Eap
€ Permit Fee:
3830 Pilot Knob Road t
Eagan MN 55122 I Date Received. 1
Phone: (651) 675-5675 I
I Staff:
Fax: (651) 67"694 1 I
------------..----J
L 2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: v Aill :2- Site Address: 1.51 lb I S I g P►2. f tNO o 992nd unit
Iw ~ Name: Phone: t
RESIDENT I
OWNER 1! Address 1 City / Zip: Qf W nod i-'e t
Applicant is: Owner Contractor
'YW
TYPE OF WORK Description of work: ~,r=o a►n ok Re - ee fe
i
Construction Cost A P Multi-Family Building: (Yes 1 No
4- . T-- V Company: wontl er I Home 19 t& IAt" Contact: Aaron Perkins
4186 bnAa Lwna city: Grc-le Pines
CONTRACTOR Address:
-7
State: V Zip: Phone: D 3 7 s - 33:73
License , 6 '3118 3 Lead Certificate NA1 -!rS3a3-►
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?
i
_Yes _No if yes, date and address of master plan:
t
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
t
Sewer & Water Contractor: Phone: _
x 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_aonherstateonecali.ora
I hereby acknowledge that this information is complete and accurate; that the worts 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 ttte 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.
x a roK Per k i ®1 x
Appli nrs Printed Name Appr ant's signature
Page 1 of 3
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use I
Permit
City of Ea
Ed~ a
Permit Fee: `f I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: / Unit
Name: 44 csi Phone:
Resident/
Owner Address / City / Zip: I<-n 477~4 j2
Applicant is: Owner Contractor
Type of Work Description of work: Lh-P
~j
Construction Cost: Multi-Family Building: (Yes / No )
Company: i l contact:
Contractor Address: ~9CS6 ~i ~d7 City: ti NI/ it,
State: Zip: Phone:
License 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 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.ora
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.
X x
Appl' ant's Printed Name --AppT s f ure
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156080
Date Issued:06/14/2019
Permit Category:ePermit
Site Address: 1518 Deerwood Bend
Lot:15 Block: 1 Addition: Woodstone Townhomes
PID:10-84900-01-150
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 -
Olga Engebretson
1518 Deerwood Bend
Eagan MN 55122
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature