1523 Deerwood Bend.
City 0? Eapfl
Mike Maguire
Mavoa
Paul Bakken
Peggy Carlson
Cyndee Fields
Meg Tilley
COUNCIL MEMBERS
Thomas Hedges
CI7Y ADMINISTRATOR
Ml1NICIPAL CENTER
3830 Pilot Knob Road
Eagan, MN 55122-1810
651.675.5000 phone
651.675.5012fau
651.454.6535 TDD
MAINTENANCE FACILI7Y
3501 Coachman Point
Eagan, MN 55122
651.675.5300 phone
651.675.5360 fax
651.454.8535 TDD
www.cityofeagan.com
THE LONE OAK TREE
The sym6ol of
strength and growth
in our community.
Mazch 13, 2008
Paul & Jacqueline Wornson
5831 130`h St Ct
Apple Valley, MN 55124
Re: 1523 Deenvood Bend
The CiTy is retmaing your check 3797 in the amount of $131.84, because of an inconect
amount.
The balance due for this property at 03/12/2008 is $105.47, this amount being good
through 12/3 U2008. Please see the attached special assessment search swnmary for
information on tlvs amount. In addition, $35.59 was levied by Dakota County to be
payable with the 2008 taxes.
Thanks for your attention to this matter.
Sincerely
Ryan Stevens
Enc:
Special Assessment Seazch
Check 3797
CC: Parcel File
Report Name: Cl}?, Of Eagan
` 2008
Printed:3/
Assessment Seazch ? Pa
b '
Special Assessm ents Search
Prouertv ID Lot Block Addition Additi on Name/Leeal
10-84901-020-01 002 001 1084901 Woodstone Townhomes 2nd
Property Address Property Status ----- Special Flags ----- 2008 I ert:
1523 Deerwood Bend Active 1 2 3 4 5 6 7 8 9 10 $35.59
Eagao, MN 55122 N N N N N N N N N N
SA Nbr Descriotion Year Term Rate T°tal urr P' Pavoff Status
100004 SAN SEW TRK 0 1 0.0000 $68.00 $0.00 $0.00 Closed
100221 SEWER TRK 1972 20 8.0000 $33.00 $0.00 $0.00 Closed
100732 SSTR297 . 1982 15 12.5000 $234.00 $0.00 $0.00 Prepaid
101787 WLTK 455 1988 15 8.5000 $32.00 $0.00 $0.00 Prepaid
101788 WTK455 1988 15 8.5000 $33.00 $0.00 $0.00 Prepaid
101789 WSVC455 1988 15 8.5000 $25.00 $0.00 $0.00 Prepaid
101790 SS 455 1988 15 8.5000 $44.00 $0.00 $0.00 Prepaid
101791 ST 455 1988 15 8.5000 $99.00 $0.06 $0.00 Prepaid
102103 ST372 1992 15 11.0000 $177.00 $0.00 $0.00 Prepaid
102406 SLTK W412 1993 10 6.5000 $49.00 $0.00 $0.00 Prepaid
102822 SL682 1997 15 7.0000 $30.00 $0.00 $0.00 Prepaid
102825 SSVC682 1997 15 7.0000 $32.00 $0.00 $0.00 Prepaid
103232 WTK WVR 628 2001 5 7.0000 $833.00 $0.00 $0.00 Prepaid
103233 WL WVR628 2001 5 7.0000 $382.00 $0.00 $0.00 Prepaid
103234 SSTKWVR628 2001 5 7.0000 $468.00 $0.00 $0.00 Prepaid
103235 SS WVR628 2001 5 7.0000 $567.00 $0.00 $0.00 Prepaid
103251 SL 682 2002 5 0.0000 $455.00 $0.00 $0.00 Prepaid
103252 SL 682 2002 15 0.0000 $690.00 $0.00 $0.00 Prepaid
103253 WL682 2002 15 0.0000 $89.00 $0.00 $0.00 Prepaid
103674 ST 942-Deerwood Drive 2008 5 6.0000 $131.84 $26.37 $105.47 I.evied
Summary ofLevied: $131.84 $26.37 $105.47
Summary of Deferred: $0.00 $0.00
Suaunary of Closed: $4,340.00
Pending Estimate: $0.00
Future Estimate: $0.00
Hookup Fee Estimate: $0:00
vG
? ?. ;? ? •<
%i.?-----
aikNA
T ?y
' .. ? ,. .. .
Q }L I/A V:,?' '74/
The special assessments are:
Special
Type of Improvement SA No. Assessment
STREET OVERLAY 103674 $131.84
er 2007, at the Eagan City
>a1 assessments against the
Annual First Year First Year
Principal Inferest Installment
$26.37 $8.57 $34.94
The City of Eagan wi11 accept payment for any portion of these special assessments free of interest charges
for a period of 30 (tlurty) days. The interest free period begins November 6 and ends December 5, 2007. ff
you choose to pay after December 5, 2007, interest will be charged from November 5 to the date of payment.
The First Year Interest is calculated from the date of the assessment hearing through December 31 of the
following year.
Please make your check payable to "City of Eagari". Mail your payment to, or pay in person at, the Eagan
Municipal Center, 3830 Pilot Knob Road, Eagan, MN 55122.
Any unpaid portion will be collected in annual installments of principal and interest for the next 5 YEARS
on your future property tax statements, which will be issued through the Dakota County Auditor's office.
The annual installments include interest at the rate of 6.00 PER CENT per yeaz on the unpaid balance.
(Over)
01
Address: 1523 Deerwood Bend Zip: 55122
Lot: 2 Block: 2 Subdivision: Woodstone Townhomes 2nd
i
THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT RINAI, INSPECTION ON .,-O0
Yes, No Comments
Final grade - 6" from siding
Permanent steps - gara e
Permanent steps - main entry y
Permanent drivewa
Permanent gas
Sod/Seeded lawn ?`
Trail/curb dama e
3:1 Max. SIo e/Retainin Wall
Porch
Lower level finish
Deck
Fire lace ?
• Verify with your builder that roof test caps from the plumbing system have been removed.
• Tum off waCec supply to the outside lawn faucets before freeze potential exists.
• Call tlie City's Engineering llepartment at 6?1-675-5646 prior to working in righaoT-way or installing-
irrigation system.
? BOILDING INSPECTOA:
?
CONTRACTOR:
MW 7ohnson Construction
17643 Juniper Path #100
Lakeville MN 55044
Site address: ? 5 Z.3 0R Lot Block
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 consWcted to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLUWCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
waterHeater A0 olrru o?.?cti Ve?, f
Fumace ? ?iZkrJG -fuX 0 LeC 9? G rJ
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YES No
Kitchen kitchen )4--n M i, vt, 7 Z 1 - 414 6 yS z o„ Z ?,, ?
Bathroom 1 L
c?cw ?bw N 'G $AC
Bathroom 2
Bathroom3 s 5'0
Bathroom 4
Other
FIREPLACE 5
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DiReCi n7M0S
64&9,r-z-n '/• ./ 'V 44 _ '7' ? rR tl?
MAKE•UP AIR MODEL TYPE ' CFM's
r? 0? A-+? G o! 6 I L ' 0g'
I hereby acVledpj that the above information is correct and agree
requirements.
/
Signature ?
Mw ?/ c??..F.....
Company Name ??-
to comply with the Minnesota Energy Code ity of Eagan
,
Date
' This form is the responsibility of the General ConVactor.
, CLAIM VOUCHER- REFUND REQUEST
CITY OF EAGAN
MAKE CHECK PAYABLE TO: M W JOHNSOPI CONST INC
ADDRESS: 17645 JUNIPER PAT H #100
LAKEVILLE MN 55044
LOCATION: 1523 DEERWOOD BEND
RECEIPT #/DATE: 18034 9/28/01
REASON FOR REFUND: PERMITS EXPIRED PERMIT #: 47161, 47163, 47165
VALUATION: $157,000
TYPE OF REFUND:
Plumbing Pexmit 9001.4087 $ 90.00
Mechanical Pemiit 9001.4088 $ 70.00
Building Pemvt Fee 9001.4085 $ 1,312.95
Plan Review Fee 9001.4222 $ 426.71
SAC (MC/WS) 92202275 $ 1,138.50
SAC (City) 9379.4681 $ 100.00
SAC (Admin) 9001.4246 $ 11.50
Water Connection
Sewer Permit
Water Permit
Account Deposit
Watei Meter
Watei Tieatrnent
Watei Supply & Stoiage
Surcharge
Overpayment
Curb Bax Deposit Refund
Consriuction Meter Dep Refund
pther
92203865
9220.4532 $ 50.00
9220.4507 $ 50.00
92202252 $ 30.00
9220.4509 $ 115.00
9220.4685 $ 516.00
9220.4680 $ 860.00
9001.2195 $ 80.00
90012250 $
9220.2253 $
9220.2254
TOTAL $ 4,850.66
I declaze undex the penalties of law that this account, claim, oi demand is just and tha[ no part of i[ has been paid.
??Q/ 1/21/03
SIGNATT.iRE DATE
Note: 1/2 of plan review retained.
PAT G&iGAN
Mayor
PEGGY CARLSON
CYNDEE FIELDS
MIICE MAGUfRE
MEG TILLEY
Council Members
THOMAS HEDGES
Ciry Adminis[raror
Municipal Cencer:
3830 Piloc Knob Road
Eagan, MN 55122-1897
Phone: 651.675.5000
Fax: 651.675.5012
TDD: 651.454.8535
Maintenance Faciliry:
3501 Coachman Poin[
Eagan, MN 55122
Phone: 651.6755300
Fax: 651.675.5360
TDD: 651.454.8535
www.ciryofeagan.com
communinJanuary 21, 2003
THE LONH OAK TRLE
The scmbol of s[reng[h
and grow[h in our
MS TAMMY CAREY
M W JOHNSON CONST INC
17645 JLJNIPER PATH #100
LAKEVILLE MN 55044
RE: REFUND OF PERMITS 47161, 47162, 47163, 47164, 47165, 47166
1523/152S,DEERWOOD BEN ,
Deaz Tatnmy:
As you and I discussed earlier today, the aforementioned permits issued in 2001 have expired. A
request has been submitted to our Finance Division to refund $4,58138 for permits 47162,
47164, and 47166 and $4,850.66 for permits 47161, 47163, and 47165. This refund will be
forthcoming under separate cover. The City retains one-half of the plan review fee for building
permits that aze cancelled.
This letter is also meant to advise you that effective January 1, 2001, the City of Eagan's Fee
Schedule assesses a$50.00 fee to refund any permit that has been processed and receipted. As
a courtesy, the City waives this fee the fust time a refund is requested; however, any refund you
request in the future will be assessed a$50.00 administrative fee per permit.
If you have any questions, please feel free to give me a call at 651-675-5671.
Sincerely,
.-?-C- ?
anice D. 5everson
Office Supervisor
cc: Dale Schoeppner, Chief Building Official
C,'3 ? ? ?] (Jjp, 1035 33 -5° ? cf',i -7- 3?7
2004 RESIDE?AL BiJILDING PERNIIT APPLICATION
?? },V? City Of Eagan M. d "
p P_? 3.?'-t" ? 0•?
? li "` 3830 Pilot Knob Road, Eagan MN 55122 9
.3?
Telephone # 651-675-5675 FAX # 651-675-5694 ?r7l 103
New ConsWIXion Reauiremenfs
3 registered site surveys showirg sq. ft of lot, sq. fl of house; and all roofed areas
(20% mazimum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured lound design, etc.
1 set of Energy Calculatlons
3 copies of Trce Preservation Plan if lot platted after 71153
Rim Joist Defail Options selection shcet (bldgs wRh 3 or less units
<?Aw ?-i?r.-?
RemodeVReoairReauiremenLS L' . . es"-
'2 copies of plan
1 set af Energy CalculaWns for heated additlons
1 site survey for additlons & decks
Addition -indicate ilon-sfie septk system
?'ierSofSmrye -.Recd j+# :N
?
1___
Date jj2?-/ 30 / 0/13 Construction Cost I ?? o? 6-0-D
SiteAddress I15,22I-? W -r? UniUSte #
Description of Work
Multi-Famil
Bld
N
z Y 2
l
Fi
0
/1
y
_
g t rep
ace(s) _
_
--V
PropertyOwner Telephone#(gj"))
Contractor H
Address 11 LP
y6 City
'
State I"t N Zip Z?q Te?ephone #?S?) Cl? ai -?7?0
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) Submitted Submitted
• Energy Envelope CalculaGOns Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber ofuayf 1710m1qu1-Q Telephone #qO a- I? 33
Mechanical Contractor Telephone #6jl) q10D "
Sewer/Water Contractor Telephone #05 1 `15?A " 1?SI
I hereby apply for a Residential Building Pemut 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 wor ? rv fs I' . r
permit; that the work will be in accordance with the approved plan in the case of work wh?curTeew
n ? d
approval ofplans. ?I ? ?
{j ?? 2004 I I?
ApplicanYs P'nted Name ApplicanYs Signatu / -. -- --?
(?
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.)
"K 03 01 ofzplex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.)
/
?
04
02-plex
?
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 Plbg_Y or _ N ? 25 Miscellaneous
Work Types
x 31 New ?
? 32 Addition ?
? 33 AlteraGOn ?
? 34 Replacement
Valuation ulg2
Census Code
SAC Units
# of Units
# of Bidgs
Type of Const
6 t
? 30 Aceessory Bldc
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
35 Int Improvement ? 38 Demolish Interior ? 44 Siding
36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bldg) - Give PCA handout to applicant
Occupancy /C, MCES System
Zoning ep City Water
Stories C2_ Booster Pump
Sq. Ft. (./ W) PRV
Length op Fire Sprinklered
Width S'1-I
Y REQUIRED INSPECTIONS
_tx Footutgs (new bldg) ? FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
Footings (addition) _ Plumbing
Foundation _ HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ft s Air/Gas Tests Final
? Framing _ Siding Stone _ Brick
Fireplace # R.I. ?AirTest -Y Final _ Windows
Insularion _ Retaining Wall
Approved By: Building Inspector
---------------- °----------------------------------------- ------------- ------- ----------- ---------------------- -------------------------
BaseFee ??/ ? /[rv0
Surcharge `?d
Plan Review /p '3` ? ? ,?-,e!
( f?
MC/ES SAC
City SAC 5-15v y 6-q = 24j 70v
Utility Connection Charge
? ? ,??
S&W Permit & Surcharge
Treatment Plant
License Search x 0?v
Copies F ?/ ? ? r1
Other 't'3 =
Total ?13r
Y
MNcheck COMPLIANCE REPORT
Minnesota Energy Code
MNCheck Software Version 3.0
tK
Permit #
Checked by/Date
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 12-3-2003
DATE OF PLANS: 12/02/03
PROJECT INFORMATION:
Lot 8 Block 1
Woodstone #8
Eagan, MN
COMPANY INFORMATION:
MW Johnson Construction Inc.
17645 Juniper Path #100
Lakeville, MN 55044
COMPLIANCE: PASSES
Required UA = 467
Your Home = 389
16.7°s Better Than Code
Area or Cavity Cont. Glazing/Door
Perimeter R-Value R-Value U-Value UA
CEILINGS 1042
WALLS: Wood Frame, 16" O.C. 2614
BSMT: Conc. 4.0' ht/4.0' bg/4.0' insul 88
BSMT: Conc. 8.0' ht/4.01 bg/4.0' insul 592
GLAZING: Windows or poors, Above Grade 212
DOORS 38
FLOORS: Over Outside Air 13
HVAC EQUIPMENT: Furnace, 90.0 AFUE
44.0 0.0 28
19.0 2.0 146
10.0 0.0 6
10.0 0.0 94
0.480 102
0.350 13
30.0 0.0 0
-- - --------- - ---------------------------------------------- - ------- - -------
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 reqirements of the Minnesota Energy Code.
Builder/Designer Date
_ ?
SCtiEI•t?'ITC DUGR! lI
Ba:h tr_at r?C?
BarhVeat ?
BaJh vent ?
Bath Veat
Taeal YeMt Bat
Vent Ranp y ?T .
Fr°?.? air E' iorveai a?+ s v.:.t ery= nc w- Am*c
Sc?u== of Opmrafian
1. Veatlztar ta opca;e ca cmj?nnous Iow
? WasI cafficl urabie ainip
Oet,
G'i-'l
y';s.izS'
fF'aD? dc
crkl
u ? ??
SuuoI;m=t V=t
:13-IS=
(=p ?)
?
.a
? R=lace ntrrm Mt=mmtuly
Qean fiRYspa: Rh= -monaay
QreHKV cm ev=f gaonths
isPeCt mtaL- md =:? = jioad umm ?onthiy
:::?I l-, ' S,---?
:?e2
G--.5 AS
. ?
_ • [ i. .??L=.Pi ••-
t
j f Vc?v7?•?:
{ i F.rTD
• , ti:..
Job Site Address:
?,I D
"CATEGORY 1" ALTERNATE FOR
ONE & TWO FAMILY DWELLINGS
INSTRUCTIONS: This alternaGve may be used for one- aud hvo-family drvelGngs built to meet the Category 1 requirements of
Minnesota Rules, Chapter 7670. Complete Pazts A, B, and C. Cleazly 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 barriers. More detailed
infonnation can be found in the Minnesota Energy Code summary sheets availahle from the Minnesota Departrnent of Commerce.
Part A. BUILDING?ENVELOPE
Clieck` prop?ed evVelope J+u?PseaLng oph m ??r Prescnpbve (cautlung gaskets etc ) ,. ? Perfonnance (test per 7670 0470 subp. 7.C)
.. .^,.?._ .. .._ -. . _ :41?::.'
Perfonnance (attachU-value
"Cookbook" Worksheet
TNSTRUCTTONS
S[ep 1. Check item(s) that design meets on Minimum Requirements lis[
to the right Must meet alI items to use "Cookbook" opfion.
Step 2. Indicaze proposed wall type on rable below.
S[ep 3. Indicate Window U-value and source.
Step 4. Verify rotal window (including area of all foundation windows)
and door azea is equal or less than allowable percentage.
MIlV?TLEQTJIItE14IE1?'1'$
-
S? !. h 4 f?`rc? f?
?
?'ok6
?t!
' H
?
?
'
? '
?
-?, oo
?,o
ori,on
?
•
.
3 ,_
_ t? , fo
. C
? Ceiling Insulafion: Minimum R-38 with 7'/=" encrgy heel; or
Minimum R-44 with low truss heel; or
Minimum R-38 with R-5 sheathin when no attic.
? Ent Doors: Max. U-value of 030 or 1'b" solid wood with storm
? Rim Jois[ Insulation: Minimum R-19
? Floors over unconditioned aces: Minimum R-24
O Founda[ion Insulation: Minimum R-10
O Paundation windows: %" insulated lass, wood or vin 1 Game
...oC,.'m<w r .,s.,`,7u=1-TABLGIFOR.DE7
?MaximqmAllo?ableTotal?}biudovy?d?Cio??.Areaasa
p .r1 .
;a?P,eChRn e,of.Bx osed:4S7ai? "'' ? ^
;
. _ . ., _.-. IZMILTIN
'.s ?,
? ?2%0_
,'•IofainlFmm CY;IViAXIMITMv'?WI1+iDOWiA1V
t?.,i ? ?u,?..`? ? ?
?A4e e:VJiiidow U„va(uei, e?cc Dfi00Rt?'PiRLA,"?„.'-?.i?'•k`
.?'? `^'„sl• u' .y x? ', ' ,?,
TMti_ o 0 0 0-'-.
-,<20% .?4 32?/em , >24/0,. .p28,/a,` ,
;.
C tSouadstioa•winflotvS`t, , ?+.u-. _
? 2x4, R-l3 iusulatiou, R-0 eheathiu '•''?,0 95, "?0 47,,. °,+ 'bi91 ? ?? 0 36?"° -w0 33 n? :: 6 30 '?i^??O TT _ x,,4b!25 a ,?, i0 ?3_ j 1
? 2x4,R-I5 insulation, R-5shea i 1,°0521 ?tj ???'0.39t[. ?4'.Ot35N j0.37?vt?i??17t2&-? =e.°,026J!? ,r02
? 2x6,R-19insulation<R-5 sheathin ,?0;9b 4•0321- ?x2 W029o,"r.,,0241% ZUQi2- ii; ;42 144
? 2x6, R• 19 insulation, R-5 sheathing '" 0'56" -50 28„
? 2x6, R-21 insulation, <R-5 sheathin O.Sta?, „?013$x x ?° 0:3 ?'k0 30 s ^281, `? ?`0 255?. ,„r,0[23,. ``-?0-22-s„a
? 2x6, R•21 insulation, R-5 sheathin ?? 0 Sb,?i+ ??.!0(44„, .?Or39.1a ?.?035a?,?x q"?0'32"?°' 1i0 2? wk-_Oi27±?^`" ?+^R0:25, r;
t'dunndation'wmitows:? + :..:"?• ..'_"^i:.`..
-
? 2x6 R•19 inaulatioq <R-5 shealhin r^`,A.52 „ .;0.45. k •'0,'r38.? ? °' 35?,? ?0;22
F:
? 2x6, R-19 insulation, R-5 sheathin f;,, 0 58 0 504, , 0?44?, 39i.; 0 3i ?°`092y ?-'?yQ 29f,9 Q:?7? 0:25
? 2x6 R-21 insulatioq < R-5 sheathin 33.;-t .
? 2x6,R-21 insulation, R-Ssheathin en',zVJU,33N? Z,'40,30l_ 026
r?r ? u ??,udoW U•valud???? ??, f! ;U?' ;'?'?;z?x,'a t ; ?,`t , .P5ouroe` ° ? NFR C ? ASHRAE 1993 Han dbook
MINNESOTA ENERGY CODE - WHrcH RutES MaY 1 UsE ?
Part B. DEPRESSURIZATION PROTECTI4N
Check option used: 14 Fuel buming equipment (complete schedules below) ? No fuel buming equipment
INSIRUC170NS
Step 1. Complete the Cambustion Equipment Schedule below. Only equipment
with a Y(Yes) may 6e selec[ed under the "Category 1" altemate.
Step 2. Complete Exhaust/Make-up Air Schedule on the right if direct or power
SeIECCOd. p.me?uddv.ut341li?rtl'hF?f :'ExaAUSWS
vented or solid fuel atmospheric vent space heating equipmert is
'n"pJ%?laUBNdeVio63 S?Yt+?et"g6Q..GfiII
' cfmt..
•;i? ofm-'.
:.r p ? Y i.? mx tto 4 bY .& c ? ? XJf ? " r 1« L' ? .
. . ?? l?F.NTILA?ION'QUAN7TTYM1 .?. + .? - ? ?
S k w .s d ?? - 4 9 i(}^ +i ? ??'?` ae ia4` "h'g ? M ri Pg ?
,(NIecllamcal?venhlatroufnLaE.he?emidedperthenlacgerquantt,tyfcale'S1atedbelo'?w''j?u?
x . nx - r
`? cnbid?i'eet x Q?045$3,?/m?uute ?;? cfm t,?r x;l5cfm/bedroom)+,15afm? ??? cfm
me,of=,IiaUitable roomsi ?? W_ ,,f, .. ,' .'.._, nu
vol'u
?'?w '
CF[?ck method s
?
d .>
heat recove ventilator, air exchan er eta,
Fpn
Tf3TALS. , ';;
VENTIL'ATION ` _ :Intake;
t cfm?i,
4.
cfm:
:' cfm_: cfm `.
G /0(7 efin
'??
:AS.DESIGNED °' Exhaus"t; ? ? r^cfm!4r', cfm. / tcfm;t c&ni} yb "cfm::
Statement of Compliance: The proposed building design represented in these dowments is consistent with the building plans,
specifications, and other calculatiom submitt It the rmit application. The proposed huilding has been designed to meet the
req ements of e Minnesota Energy Code
?i ?n-„A Aee? `, ) 9k7
Applicant (print name) St nature Date? Telephone number
Part Ca.
x -------
Job Site Address:
VENTILATION (Submit Part Cz upon completion of system verificationt)
-----------------------------------------------------
Peanit Number
F2ndeacn hon;orlkroattour, ;TbTAL5` ?
2v1F1ASURED ?_ Iqtake>}; cfin.' cfin: cfm" cfm cfm `
`
'PERFfl1tMAIYCE '??+.?kliausC`: tn :s
cfm ci
"t'-Yentila'tiori rate musCtbe?mcasured and*vepfiedrwhen the;petformance opt?on is -,used m'l?eu?of,{the?prescnphve1ophon for theA
:sealin `d£? omt?'ih;ttiaibuF?dut "iood?ki?hbn?2l?et5'?'Cl'a e^ ; .
Compliance Statement: Installed ventilation system is in compliance with MN Energy Code and is sized to provide the design air
flow.
Applicant (pnnt name)
Signature
Date Telephone number
Part Cl. VENTILATION
LOT SURVEY CHECKLIST FOR RESIDENTIAL
" BUILDING PERMIT APPLICATION
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PROP ERTY LEGAL:
6
F
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J DATE OF SURVEY: FZ - /O
LATEST REVISION:
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O Q DOCUMENT STANDARDS
T? ? ? • Registered Land Surveyor signature and company
? 0 ? • Building Permit Appiicant
? ? ? . Legal description
? ? • Address
? 0 • North arrow and scale
bw ? ? • House type (rambler, walkout, splif wlo, split entry, lookout, etc.)
Td 0 0 • Directional drainage arrows with slope/gradient %
X ? ? • Proposed/existing sewer and water services & invert elevation
,`&( ? ? • Street name
? ? . Driveway (grade & width - in R/W and back of curb, 22' max.)
? 0 • Lot Square Footage
? ? ? . Lot Coverege
ELEVATIONS
Existina
S. ? ? • Sewer service (or Proposed)
?e ? ? . Properry corners
$k ? 0 • Top of curb at the driveway and property line extensions
,OL ? ? • Elevations of any existing adjacent homes
?NZ ? • Adequate footing depth of structures due to adjacent utility trenches
;K ? ? • Watenvays (pond, stream, etc.)
Proposed
? ? • Garage floor
iL ? ? • Basement floor
? ? ? • Lowest exposed eleva[ion (walkout/window)
]a ? -wr • Property comers
y? ? ? • Front and rear of home at the foundation
PONDING AREA (if aoolicable)
X ? ? • Easement line
0 ? • NWL
? ? ? • HWL
X ? 10-- • Pond # designation
? ? • Emergency Overflow Elevation
,$( ? • PondlWetland buffer delineation
DIMENSIONS
? ? ? . Lot Iines/Bearings & 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. all structures requiring permanent footings)
:K ? ? • Show all easements of record and any City utilities within those easements
)K ? 0 • Setbacks of proposed structure and sideyard setback of adjacent existing structures
?g ? • Retaining wall requirements, if any
Reviewed: ? 3_'14?-
Name Date
G:/FORMS/Buiiding Permit Appliration Rev. 12-16-03
CERTIFICATE OF SURVEY
• ° ° FOR
M.W. JOHNSON
CONSTRUCTION ,
35 wnTaw.wfi
ELEV-85&0
DRAPIAGH R I7IILI7Y NWL:868.0
FdCHMENT RALL s 871.0 ?
opc ' o. een.o
8793 s»,a 577-ooQO £ ?
I n 68.81
879.1 $ (ti g so? 6.8 ?6x0
? tz? ?
?8763
6 8tl6.3
0
35
6855 eo
8 D8 o
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'? 11.66 i
C"lR4GE y ?883.1 `
P 17,34
8
8
? 985.
.
$
85;
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9
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2 ?
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1"=30'
9
g
•14 3 3
Q
GE
?c85
.
$5
PRpp05go 19,q
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DR&"BW i'Vi
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\ 883.2
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3.59 \
?
?83,? kB?m ??,
DEE'Z tceR WOO83zeD we?
BE
?
NOTE- VERTICAL DIFFERENC& BETWEEN ?
PROPOSEDGARAGEFIADR&PROp,QSED.TOP-.....-.- . -----?o?g.o?. No?rs:nu.sun.nu+annffi+sIm-+sAnx
OFCURBATCENTEROFDRNEWAY: L1=1.6, L2-2.1 4 SHpµ77TpOVTSIDEOPPOUNDA770N
LOT 1 1525 DEERWOOD HEND ff ? ? y
LOT AREA= 3750 SQ.F7'.
SEWER SVC INV. (PER PLAN)-- 873.5- ?J-
IS2T.2 1523 D&ERWOOD BEND BSNCHMARK -TNH @ WES7' SND
LOT AREA° 3393 SQ.FC. S'fONEWOOD LANE, ELEV.e 886.36
SEWER SVC INV. (PERPLAN)== 873.5'
'
LOT1
f
?ENOTES FOUND IItON PIPS MON[JMLN
PROPOSED GARAGE FLOOR ELEV. = 886.0
PROPOSED TOP OF FOLJNDATION ELEV. = 886.3
PROPOSED SASEMENf FLOOR ELEV. = 8783
LOT 2
PROPOSED GARAGE FLOOR ELEV. = 8853
PROPOSED TOP OF FOUNDATION ELEV. = 886.3
PROPOS&D BASEMENT FLOOR ELEV. = 678.3
PROPERTY DESCRIPTION
LOT S 1& 2, BLOCK 1, WOODSTONE SEWND
ADDTTION, CITY OF EAGAN, DAKOTA COUN'I'Y,
MINNESOTA.
Bohlen
Surveying & Engineering
37462 Follage Avemie 4735123rd Streat W.
NOrthfield, MN 55057 Suite ZOD
Sevage, MN 55378
Phone:(507)645-7766 Phone:(952)8959212
Fu: (507) 645-7799 Fex: (952) 895-9259
n
? DENOTES PROPOSED DRAINAGEDIItECTION
w
? DENOTES SSItVICE IACATION
Q DENOTES WOODHUB
000.0 DENOTES EXISTING ELEVATION
000.0 D&NOTES PROPOSED ELEVAT[ON
HUB=000.0 DENOTES HUB ELEVATION
I HEREBY CERTIFY THAT THIS SURVEY WAS PREPARED BY ME OR
UNDER MY DIRECT SUPERVISION ANO THAT I AM A DULY REGISTERED
LAND SURVEYOR UNDER THE LAWS OF THE STATE OF MINNESOTA
DATE: 12-10-03 lXo X?/d
REVISED: 3-76-04 LEROY H. OHLEN, LAND SURVEYOR
MINNESOTA LICENSE NO. 10795
LI?l?-L
R??T bF
'ES BUILDING PERMIT APPLICATION_n
CITY OF EAGAN
55122 ??
Woo?s{? he To 3830 PILOT KNOB RD - 'm ?"
651-681-4675
New Consiruction Reauiremente RemodeVReoair Reauiremenxi
. 3 registered si[e surveys showing sq. ft. of lot, . fl. of house; and all rooted areas • 2 copies of plan
(20% mazimum lotcoverage allowed) . 1 sel o(Eriergy Calculations
• 2 copies of plan showirg 6eam &window sizes; p red found design, elc.) . 1 site survey farexlenorad
• 1 sel of Eneryy Calculatbns Indicate if home served by s
3 copies of Tree Preservation Plan if lot plaHed after 193
• Rim Joist Detail Options selection sheet (bldqs with 3 o unils)
DATE
-30- 01
JOB SITE ADDRESS 15a
IF MULTI-FAMILY BUILDING, HOW MANY
PROPERTY OWNER I? WSd h?'
TYPE OF
APPLICANT m u' ??
ADDRESS ?
PAGER #
v
rc.?a0od, C
VITS? a
&n
j? ?( P YQ.V (? it ZIPCODE 55044
CELL PHONE # FAX # °!52 -S9a -T4 Db
- FILL OUT COMPLETELY
Energy Code Category
(check one)
Plumbing Contractor. ?
Plumbing System Includes:
Mechanical Conhactor:
?
' n JIUOIIEnveIIGI V GI IUI
- nergy lope
New Energy Code W
n.t Ae-chanica
Water Softener _
Water Heater
No. of Baths
Y
7670 CATEGOR
Category 1 Worksheet
ilations Submitted
i
7672 ;sheet Submitted BY ffi'V ?
Phone #: ( O5 1 P5 65
I.?wn Sprinkler Fee: $90.00
of R.I. Baths
Mechanical System Include ? Air Conditioning
Hcat Recovery System
Sewer/Water Contractor. WQn?-t ,"?nlCGI.l
All above informatlon must be suhmitted prior to processing of application.
FIREPLACE(S) _ 0 ?1 _ 2
PHONE#
Phone #?'? b 3 4?3 2@6?
? Fee: $70.00
# ?,5( A5a -1565
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appifcan+ '/A /?'1'1/?'Y1 D .1? ?
Certificates of Survey Received ? Tree Preservation Plan Received _ Not Required
Updated 1101
l?? 90.?
for led add'Aions ?
dHi s & decks
tic system (or additbre
C"? a . I ?--? 1
rao,ooa
OFFICE USE ONLY
? 01 Foundation
-002 SF Dwelling
? 03 Ot of_plex
0704 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? OS 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 LowerLevel
? 12 12-plex Plbg_Y or_ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 PorohlAddn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
. ? ,
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement ' *Demoli4ion (Endre 81dg only) - Glve PCA handout to appllcant
Valuation I6'?Z La_e Occupancy MC/ES System
Census Cotle C0 .2. Zoning ?D 1J City Water ,
SAC Units 15-l Stories 2? Booster Pump
Nbr. of Units ? Sq. Ft. PRV
Nbr. of Bldgs ? Length Fire Sprinklered ?
Type of Const Width
REQUIRED INSPECTIONS
? Footings (new bldg)
_ FinaUC.O.
Footings (deck) Final/No C.O.
Footings(addition) Plumbing
? Foundation HVAC
Draia Tile
Roof Ice & Water Final
? Frazning
Fireplace _ R.I. _ Air Test _ Final
? Insularion
Approved By G?Y , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
city SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
?
Other
_ Pool Ftgs Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
G??`lk ?s= l jrL?.a ?''
I?'Ll9???'J C ?U ?C
a-,LW L
GA-k 9-G E
6c8.??? L
G_--?--
(0 q
Use BLUE or BLACK Ink
r _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
I For Office Use
non Permit t J r
City of EaRd as
Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
I I
Fax: (651) 675-5694 I Staff:
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: / Unit
Name: CL Phone:
Resident/
Owner Address / City / Zip: /Sa 2 gZw coal
Applicant is: Owner ~AContractor
Type of Work Description of work: & 4 poz
Construction Cost: 1200o) Multi-Family Building: (Yes / No )
Company: `G ,-C ra,~a l 5contact:
Contractor Address: ~9CS6~rc Ld'~ > City: ~~oc1
State:W Zip: ~ ' Phone: 7
License M Oz~ 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 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.gopherstateonecall.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 with the Minnesota State Building Code must be completed within 180
days of per it issuance.
X_ /L
X
Appl' ant's Printed Name ,4p~iiica s Y ure
Page 1 of 3
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Unit #:
Resident/
Owner
Name: 1 Phone`s (P57- 7 -6 -7 -0'5 -5 ---
Address / City / Zip: %SA--' / � �C✓'C-e)e)C,a 12-2_
Applicant is:Owner 4� Contractor
Type of Work
Description of work; avi-Ot,--e �� jr;
Re 5 `
�
�j
Construction Cos /, 00(0 Multi -Family Buildii : (Yes / No )
Contractor
Ill
Company: r il S e >, ,/. G 4— i 0ntact: p tj `,t i
Address: 3COD V' 1 Gk Lope `ii _ 0.9-C,ZFOQ ,
)�/'�®
State: 40- i1,) Zip: Jj qt/) Phone: 7. -,_C -O"- OW
License #: '...20(09f3 Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
L
In the last 12 months,
Yes _No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING H
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.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•
Alb*
ure
Page 1 of 3