1525 Deerwood Bend1-al-D3- ,?w QFq31? af,
1"^"? RESIDEfVTIAL
L INUOdS?pile? TpwhtiomBSILDING PIERo I?c NPLICA?ION y?
3830 PII.OT KNOB RD - 55122
651-681-4675 P p '--A
New ConsWCtion Reouirementa RemodeVReosir ReouiremeMs
• 3 rcgistered site surveys showing sq. ft. of lot, sq. R. of house; and all roofed areas • 2 coDies ol plan
(20% mazimum lot coverage allawed) • 1 set of Ene?gy Calwlations for heated additions ?
• 2 copies of plan shawing beam 8 window s¢es; poured found design, etc.) . 1 sile survey for wAenor additiore & decks
• 1 set of Eneryy Calculations Indicale if home served by seplic syslem foradditions
• 3 copies of Trea Preservatbn Plan il lot platled aRer 711193
• Rim Joist Detail Oplions selection sheet (61dgs wilh 3 or less units) 03L) 31 0 Z.
D
DATE VALUATION a.O(o . D?Q
JOB SITE ADDRESS 15a- 5 pee rLoMd 8en d
IF MULTI-FAMILY BUILDING, HOW ANY UNITS? -a
PROPERTY OWNER LAW J nnso n z ?
TYPE OF WORK Sl W f?(11 ? FIREPLACE( _ 0?1 _ 2
APPLICANT O h ns PHONE#,525WIZa-7
ADDRESS (oA vr-j? r? L-4.%:AV< < ZIPCODE r'JS044
PAGER # CELL PH NE # FAX # q'Ja'$Q a'1 Q OO
NEW RE5IDENTIAL BUIL IN ONLY - FILL OUT COMPLETELY
Energy Code Category ? MINNE TA RUI.ES 7670 CATEGORY 1
(check one) - Re de tial Ventilation Category 1 Worksheet Sub D
- E ergy nvelope Calculations Submitted
_ NESO RULES 7672
New Energy de Worksheet Submitted By ?Plumbing Contractor. l.V'e.n ? Q ? I Phone #: ?CJ +r7 f Q 5a 0S
P1umUing System /ude Wa[er Softener I.awn Sprinkler Fee: $90.00
Water Heater No. of R.I. Baths
No. of Baths
Mechanical Cone Phone #?b3? 473M a'b?
Mechanical Syste Air Conditioning Fee: $70.00
Heat Recovery Sys[cm
i Phone #?5145a t 5?5
AAcchar)
Sewer/Water Con I
All above Informatijfn must be submitted prior to processing of applica6on.
I hereby acknowledge that I have read this application, state that t information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan O dinances.
Signature of Applicant
Certificates of Survey Received ? Tree Preservation Plan Received - Not Required Y Updated 1101
OFFICE USE ONLY
? Ot Foundation
? 02 SF Dwelling
? 03 01 of _ plex
W04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex O 17 Garage
? 10 08-plex ? 18 Deck
O 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
Approved By Building Inspector
----------------?-?W?---------- ----
8 S/kr t'
8'?iz rs.' !3? 3Gs 00
? 30 Accessory Bidg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
F 31 New ? 35 Int Improvement ? 38 Demolish (Interior) 0 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demotltion (EnUre Bldg only) • Give PCA Fiandoilt to applibant
Valuation ?
Occupancy ,?/
/?MC/ES System
Census Code l0a- Zoning P-,,) ? City Water
SAC Units 00, Stories ' ' 6;z Boostel Pump
Nbr. of Units ar( Sq. Ft. PRV '
Nbr.?of Bldgs Length J?a Fire Sprinklered •
Type of Const Width vo
REQUIRED IN SPECTIONS
L Footings (new bldg) ? FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
Footings (addirion) _ Plumbing
Foundation
k7 _ AVAC
7
Drain Tile
Roof Ice & Water Final Other
?
_
Framing _ = - -
Pool Ftgs Air/Gas Tests -
Final
Fireplace R.I.
Air Test Final Siding Stucco Stone
? Insulation _
_
_ _
_ Windows (new/replacement)
, ... _., , . 0 . .
Base Fee
Surcharge
Plan Review
MC/ES SAC
Ciry 5AG ,.
r ?
Water Suppiy & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
; - •
Copies •
Other
Total
?.
S?1 ?xS4? =
t , .
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
gogpx Sq =
CP G(? .? l (?
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070 `12-
20115 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constmction Requirements
RemodelfReoair Reauiremenls _..._._.. .
C7ffoeU5et3nlv
3 registered site surveys showing sq. ft, of lot, sq, fl. of Muse; and all roofed areas 2 capies of plan CertdiSuneyRecd Y N
(20% maximum lot coverage allowed) 1 set of Energy Calculalions for heated additions FE9m PY88 P?h RCCd
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks '€res P(?SRtiWtiiiCd .,,:,Y
isetofEnergyCalculations Addifion - indicafaiforrsitesepticsystem Dn-9ileSepGCSysIeRe_ _N,
3 copies of Tree Presenration Plan if lot platted after 7/1193
Rim Joist Detail Options selection sheet (buiidings with 3 or less units)
Date _oq / Os /.20 0!i-
Site Address Constructian Cost 1_ st 04 L o 6
UniUSte #
DescriptionofWork ?ower2 ?cr.e,4 la'ii r's ?r
MuIH-Family Bldg Y_ N Fireplace(s) ;C 0_ 1 _ 2
Property Owuer Q4 14 ,?, Q/ s n v7 Telephone #((? 5?( )q-tia , O 7 33
Contractor Pa ,s tz -: D ?,]A a
Address
State City
Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Mimiesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submissiontype) SubmiQed Submitted
• Energy Envelope Calculations SubmiNed
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25176 plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #( J
I hereby apply for a Residential Building Pertnit 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 approved plan in the case of work which requires a review and
approval of plans.
u?,?
Applicant's Printed Name Applicant's Sig ature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-piex ? 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 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea. ) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgszebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish IMerior ? 44 Siding
? 32 Add'Rion ? 38 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (EMire Bldg) - Give PCA handout to applicant
Valuation ? 49,:9 Occupancy TZ ?J MCES System
Census Code ? C Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const ? Width
REQUIRED INSPECTIONS
_ Fooflngs (new bldg) FinallC.O.
_ Footings (deck) ? FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Final _ Pool _ Ftgs _ Air/Gas Tes[s
Roof _ Ice& Water Final
_
? Framing _ Siding _ Stucco _ Stone _ Br ick
_ Fireplace _ R.I. Air Test _ Final _ Windows
?O Insulation _ Retaining Wall
Approved By: Bu ilding Inspector
------ --------- -------------------------------- ------------------- --------------------------
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utiiity Connection Charge
S&W Pertnit & Surcharge
Treatment Plant
License Search
Capies
Other
Total
6s ? Z?
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.
Q 'F
Date ic*f/ t? I l O?
Site Street Address / 5 d 5 Qt>_r R tdino a&L n, el Unit #
Property Owner A a uc. A?. C?G s'n :a Telephone #(6s-k) SL 5 Z`G7T33
Contractor?pr?, QwnP.R Telephone # ( )
Address City State Zip
The Applicant is: Owner _ Contractor _Other
Alterations to existing dwelling $ 50.00
? Add plumbing fixtures (excludes water softener and/or water heate r--complete next
section if installing these appliances).
_Septic System Abandonment
_Water Tumaround (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 L $ .50
Total $ DiI 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
p.ermit, 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.
?.fl CN ?'a Qf? Son
ApplicanYs Printed Name Appli nYs Signature
Address: 1525 Deerwood Bend Zip: 55122
Lot: 1 Block: 1 Subdivisioo: Woodstone Townhomes 2nd
THE FOLLOWING TTEMS WERE/WERF, NOT COMPLF.l'E AT FINAL INSPECTIUN ON z-/G - 0
Yes No Comments
Final grade - 6" from sidin
Permanent steps - gara e
Permanent ste s- main entry
Permanent drivewa
Permanent gas
Sod/Seeded lawn
Traillcurbdama e J c/i??(, R bv;?)'7 ?- 1)I0t1dw.P
3:1 Max. Slo e/Retainin Wall
Porch X
L,ower level finish X
Deck
Fireplace ?
• 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.
• Ca!l thz City's Lngineer.r.g Departmen: at 651.-675-5546 priar tc ?verki-ng in riaht-ef-waq or ir.stalling
irrigation system
? BUILDING INSPECTOR:
/^ r
? ? i
CONTRACTOR:
MW Johnson Canstruction
17645 Juniper Path #100
Lakevilte MN 55044
• CLAIM VOUCHER-REFUND REQUEST
CTTY OF EAGAN
MAKE CHECK PAYABLE TO: M W JOANSON CONST INC
ADDRESS: 17645 JUNIPER PATH #100
LAKEVILLE MN 55044
LOCATION: 1525 DEERWOOD BEND
RECEIPT #/DATE: 18034 9/28/01
REASON FOR REFUND: PERMITS EXPIIiED PERMIT #: 47162, 47164, 47166
VALUATION: $123,000
TYPE OF REFUND:
Plumbing Permit 9001.4087 $ 90.00
Mechanical Permit 9001.4088 $ 70.00
Building Pernilt Fee 9001.4085 $ 1,122.55
Plan Review Fee 9001.4222 $ 364.83
SAC (MC/WS) 92202275 s 1,138.50
SAC (Cify) 9379.4681 $ 100.00
SAC (Admin) 9001.4246 $ 11.50
Water Connec[ion 9220.3865 $
Sewer Permit 9220.4532 $ 50.00
WaterPemut 9220.4507 $ 50.00
Account Deposit 9220.2252 $ 30.00
WaterMeter 9220.4509 $ 115.00
Water Treatment 9220.4685 $ 516.00
Water Supply & Storage 9220.4680 $ 860.00
Surcharge 9001.2195 $ 63.00
Overpayment 90012250 $
Curb Box Deposit Refund 9220.2253 $
Consiruction Meter Dep Refund 92202254 $
Other $
TOTAL $ 4,58138
I de e under the penalties of law that this accoun[, claim, or demand is just and that no part of iT has been paid.
?? ? 1/21/03
SIGNATLiRE DATE
Note: I/2 of plan review retained.
PAT GFAGAN
Mayor
PEGGY CARLSON
CYNDEE FIELDS
MIKE MAGUIRE
MEG TILLEY
Countil Members
THOMAS HEDGES
Ciry Adminisvamr
Municipal Cenmr:
3830 Pilot Knob Road
Eagan, MN 55122-1897
Phonr. 651.675.5000
Fac: 651.675.5012
TDD: 651.454.8535
Mainrenance Faciliry:
3501 Coachman Poin[
Fagan, MN 55122
Phon<: 651.675.5300
Fax: 651.675.5360
TDD: 651.454.8535
www.cityofeagan.wm
THE LONE OAKTREE
'Ihe spmbol of s[reng[h
and growch in our
communin•
January 21, 2003
MS TAMMY CAREY
M W JOHNSON CONST INC
17645 JiJNIPER PATH #100
LAKEVILLE MN 55044
RE: REFUND OF PERMITS 47161, 47162, 47163, 47164, 47165, 47166
1523/1525 DEERWOOD BEND
Dear Tammy:
As you and I discussed eulier 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
forthcomine under separate cover. The City retains one-half of the plan review fee for building
permits that are 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 Ciry waives this fee the first 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, j
anice D. Severson
Office Supervisor
cc: Dale Schoeppner, Chief Building Official
?-.a+ I 3t in `L i '-s-t W t, '?) c, tD 60-
aIkkA004 RESIDENTIAL BUII,DING PERNIIT APPLICATION
City Of Eagan 1I7 p
? p w v\. ?Lo 3830 Pilot Knob Road, Eagan MN 55122 P f
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWction Reauirements
3 registered site surveys showing sq. k. of lot, sq. ft of house; and all roofed areas
(20% maximum lot coverage allowed)
2 copies of plan showing beam 8 window sizes; poured found design, etc.
1 set of Energy Calalations
3 copies of Tree Preservafion Plan it lot platted atter 711193
RimJoistDetailOp6onsselectionsheet (bldg5with3orless unBs
RemaleVReoair Renuiremeft
2 copies of plan
1 set of Energy CalalaUons (or heated addNOns
1 site survey for addilbns & decks
Add'Aon - indkate if on,stte septic sysfem
--1 (? 3_l ? 3s? a ?o ;z?
(I 31?543 C) U-`50
Date
03 Construcdon Cost
?
?j?,?
Site Address 115e?5 UnitlSte #
Description of Work
Multi-FamilyBldg X Y _ N
T- Fireplace(s) 0_ 1 _ 2
Property Owner M W ,' v! lX 1,?(?\ Telephone 09 ?, `-7 72_,0
?..
Contractor ? ? ?;JU Y?-YId-? r ?
Address City ?-?(X???
S[ate ? Zip 1_ Vq Telephone # 7? ?
;D
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEYY BUILDING
? Minnesoh Rules 7670 Cateeorv 1 Minnesota Rules 7672
Enercgy Code Category . Residendal Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan8 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumbe_jh*y? Pll) Telephone #?(t0'4?l R - 033
Mechanical Contractor A7 Telephone #(tQj') 0(oo- bDa),
Sewer/Water Contractor oj_,Cf`?? Telephone #(?S 9 "7S a-ISZS
I hereby apply for a Residential Building Permit and aclrnowledge that the information is complete and accurate;
that the wark will be in con£ormance 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 wor ??e i?e I@v7 and
approval of plans. D ? L? I?
-FwL?vt? ?N _F& 2004
Mylc?
ApplicanYs Printed Name ApplicanYs S; atu? n? ?. , -?
OFFICE U5E ONLY
Sub Types
,_ .
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory 81d{
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ex[. Alt - Multi
x 03 Ot of Q.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 (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_v or _ N ? 25 Miscellaneous
Work Types
X 31 New ? 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 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applipnt
Valuation 1 f V?v17 Occupancy g
MCES System
3- &
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs ? Length Fire Sprinklered
Type of Const v Width
REQUIRED INSPECTIONS
Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
# Foundation _ HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ft s Au/Gas Tests Final
Framing _ Siding Stone _ Br ick
_ Fireplace _ R.I. _ Air Test _ 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
51? 5" )' fP _
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MNcheck COMPLIANCE REPORT
Minnesota Energy Code
MNcheck Software Version 3.0
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 12-3-2043
DATE OF PLANS: 12/03/03
PROJECT INFORMATION:
Lot 7 Block 1
Woodstone
Eagan, MN
COMPANY INFORMATION:
MW Johnson Construction Inc.
17645 Juniper Path #100
Lakeville, MN 55044
COMPLIANCE: PASSES
Required UA = 445
Your Home = 419
5.9% Better Than Code
Permit #
Checked by/Date
Area or Cavity Cont. Glazing/Door
Perimeter R-Value R-Value U-Value UA
CEILINGS 1406 44.0 0 .0 38
WALLS: Wood Frame, 16" O.C. 2254 19.0 2 .0 126
BSMT: Conc. 8.0' ht/4.0' bg/4.0' insul 784 10.0 0 .0 125
GLAZING: Windows or poors, Above Grade 243 0.480 117
?OORS 38 0.350 13
FLOORS: Over Outside Air 10 30.0 0 .0 0
HVAC EQUIPMENT: Furnace, 90.0 AFUE
-------------------------------------------------------------------------------
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 re rements of the Minnesota Energy Code.
%
Builder/Designer Date /1>ci<e. Z&;*
:1 ?4"tum-&
{Oe
Bath Zj= st 5-12'
Eath 1, mt -eZ?>
Bath 1i--zt
Bath Veat
i otzl Vcat 3adi
Vent R=-;: Yct,
rr-a air S" iorvai b2lhs v:;,t d.yc ma arat.: .r-?r.r
Srsu=ce oi OP=Zdon -
SCtrEI•ts'tIC DLA.GRLM
scmoiem =c venc (78`---'??,?' '-- :) q(?
(tecI s?. : c) _
F=oie- Vct
(a?)
l(?Cj
zCJ
!. VeaBiz.twia .? t- aa p&na¢s Icw se?. Rqtac: Tou," n?f? monCniy
Z WaII contrnI cmable na m6 me:d Q-m MZ77 saon? : -•.-
' 3. g?blc.cm oec-,;: ca eantnnaz ma?y
ior.r s? GcMHRV cac c7=Y5 mowE .
i*.=??mtak: aid ?azf hN,a - . .
Jbb Site Address:
"CATEGORY 1" ALTERNATE FOR
ONE & TWO FAMILY DWELLINGS
INSTRUCTIONS: This altemative may be used for one- and hvo-family dwellings built to meet the Category 1 requirements of
Mionesota Rules, Chapter 7670. Complete PaRs A, B, and C. Clearly mazk plans with: insulation R-values; window and skylight U-
values; size and type of equipmen[; equipment controls; and location of vapor retarder and windwash bazriers. More detailed
information can be found in the Minnesotu Energy Code summary sheets available from the Minnesota Deparhnent of Commerce.
Part A. BUILDING: ENVELOPE
"Cook6ook" (comptete worksheet
Perfocmance (attach U-value calci
"Cookbook" Worksheet
INSTRUCIIONS
Step 1. Check item(s) tha[ design meets on Minimum Requirements list
ro Me right. Must meet atl items to use "Cookbook" option.
5[ep 2. Indicate proposed wall type on table below.
Step 3. Indicate Window U-value and source.
Step 4. Verify total window (inciuding area of all foundation wuidows)
and door area is equal or less than allowable percentage.
s MINIMUIVIaREQV=MENTS?'9 . q wM
A ; ..,., .;, (fo?.",?unkhUOlc^ oPddn only)? .+
? Ceiling insulation: Minimum R-38 with 7%:" energy heel; or
Minimum R-44 with low truss heel; or
Minumum R-38 with R-5 sheathin when no attic.
? Entty Daors: Mas. U-value of 030 or 1'/n" solid wood with s[orm
? Rim Joist Insulation: Minimum R-19
? Floocs over unconditioned aces: Minimum R-24
? Foundation Insutazion: Minimum R-I O
? Foundation windows: h" insulated lass, wood or vin 1 frame
?? ?". k...••??? ??t .????`v.'?`.'.T't1B1:?'^FARDT,'1'd'.RM[NING'MA7?1[TM.+WINDOOWa"t1`NDSPOOOR?`AREA°?'?+'.?` ?? e,•v.''`s:.«.. _. _`.?.',•..
,yx..:?q vx 6CV??CITOIAI wiR?O BIIaPDOOt?i4fC32Sm .» , mi3t? s ? ,- ? X3 ° 4 ,. > '* '1 ` s j , .&"?CC0??9tl??All% V .. OSCd???l? .?'n-1
?M
Wintl01vU :value ezc t=foiwi3aNon ?vin3o"v?s` , °. , "y ' ''
,
02x4,R-l3iusulation, R-7sheathin S5 0 ;41 ?E_036?C 033,?j';,030+??'YQ27;z.VQ:2i 3.?".
? 2x4, R-IS insulatioM R-5 sheathin 5_ 0 529s3i??{q 45;a`?' s50:39 ?,? 35t`;?- ?,ti0432t; I
? 2x6 R-19 insulation <R-5 sheathiu ff,0,$6Z;b „, „'Qf3$ RA YRz0.29Mft' 24?4?`'D,`;22?,.
? 2x6,R-19insulatioq R-Ssheathing ardT¢2r#k?F€A0;9y`,l;i??3,-026?a}?
? 2x6 R-21 insulation, <R-5 sheathin ?0:?9?.5= _u0:23
? 2x6, R-21 insulation, R-5 sheathing y 0 58"3, j ;0l44??„. ?,;0.39,_7 ?..6 35%7?Ob32?r 29,,E,
,?WsLL. ' er`? AdvanCeZll?painiii' ?^?t'. .+?H"..,'* ? ?'??Ma?mmul?'A,""uEiz" ti4?id8'ow;U-Valne ez 'ti`ftndaliuft"'iAAow?.: ..!? l
?2x6 R-19 insulation, < R-5 sheathin ?, 0 52 0:35", . 0.31 ^;-
? 2x6, R-19 insulation, R-5 sheathin ','D 50?? 0:44? 0.39i'o 092`„?, i: ';024 ) 4? <k(?27 ?'025-? 2x6 R-21 insulafioq <R-5 sheathin P;si,O SS u„''kU 47 et ?=`0:4?1?'. . 036?;? „X0.33
ii•>. r 0'30?, ryQ 27r"?Z..i0;;35 a •0.23'-, -
? 2x6,R-21 ineulaYion, R-Ssheathi'4"r',O6tIr.'";6520E4$.?;#'047aj ?r0?Q:7T.0'Y? 3?.?;V
,- r' '+Wmdow q Yalue; S??' ?'F -? ?? Source ? NFRC ? ASIIRAE 1993 Handbook
y` i a" x ?t 1? ?•? ? .+ -sK w ?-a ?-? e ? u,?g'i!F rY S? ? c
,at . ? ? w oWt?y ?k??fi ,yasa os wall axea' ? r r ? , ,.DESIGN ' , . `? ?AL`Lf.2?ABL' E (ffom fable ebo?e)
MINNESOTA ENERGY CODE - WHICH RULES MAY I USE ?
Part B. DEPRES5URIZATION PROTECTION
Check option used: 7?,,Fuel burning equipment (complete schedules below)
INSTRUCl'IONS
Step 1. Complete the Combusdion Equipment Schedule below. Only equipment
with a Y(Yes) may be selected under the "Category 1" akemate.
Step 2. Complete Exhaust/Make-up Atr Schedule on the right if direct or pawer
vented or solid fuel a[mospheric vent space heating aquipment is
selected. ,? s b;;a,?= ??;m ?. u?.-,z:,.•u,?:fi:
O No fuel burning equipment
=;,rE?H?Ai?Ssfi?(?:YR' Aflt MU;*
,:'EX118llBXdBYlOBS ?1Y,?Y?.3??:0$II , ?-^n??+ S?}'Y ;'. "
? .
ofm';
Part Ca. VENTILATION (Submit Part Cz upon complerion of system verificariont)
x ------------ ------------- -- ------- -----
Job Site Address: Permit Number
flaw.
Applicant (print name)
Signature
Date Telephone number
Part Cl. VENTILATION
Statement of Compliance: The proposed building design represented in these documents is consistent with the building plans,
specifications, and other calculations submitt -ith the permit applicatioa The proposed building has been designed to meet the
re M77 ts of he Minnesota Energy Code 6-0- Ad J
?t?L'? 5
Applicant (print name) Signature Datd Telephone number
Compliance Statement: Installed ventilation system is in compliance with MN Energy Code and is sized to provide the design air
? , • LOT SURVEY CHECKLIST FOR RESIDENTIAL
• BUILDING PERMIT APPLICATION
PROPERTYLEGAL: Z-?&72'k IF e-? ?IoC+?I ?.S`7?6ac ?f?r7?
0
1
DATE OF SURVEY:
LATEST REVISION: 3- /Ie .- O 3
m
?
c
R
t
U
Y a v
O z ¢ DOCUMENT STANDARDS
F( ? ? • Registered Land Surveyor signature and company
>C' ? ? • Building Permit Applicant
? ? ? • Legal description
? ? ? • Address
X ? ? • North arrow and scale
DC ? ? • House type (rambler, walkout, split wlo, split entry, lookout, etc.)
?? ? • Directional drainage arrows with slope/gredient %
?? ? . Proposed/existing sewer and water services & invert elevation
? ? • Street name
JK ? ? • Driveway (grade & width - in R1W and back of curb, 22' max.)
>( ? ? • Lot Square Footage
0 )& ? • Lot Coverage
ELEVATIONS
Existina
W- ? ? • Sewer service (or Proposed)
19! ? ? • Property corners
?? ? • Top of curb at the driveway and property line extensions
? 0 ? . Elevations of any existing adjacent homes
? Yd ? • Adequate footing depth of structures due to adjacent utility trenches
? ? ? • Waterways (pond, stream, etc.)
Prooosed
? ? ? • Garage floor
'4I. ? ? • Basement floor
? ? ? • Lowest exposed elevation (walkout/window)
;Q ? -wr • Property corners
y? ? ? • Front and rear of home at the foundation
PONDING AREA (if aeolicablel
X ? ? • Easement line
? ? • NWL
? ? ? • HWL
X ? VIP- • Pond # designation
? ? • Emergency Overflow Elevation
x ? • Pond/Wetland buffer delineation
DIMENSIONS
)Z_ ? ? . Lot lineslBearings & dimensions
?', ? ? . Right-of-way and street width (to back of curb)
pr ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
? ? ? • Show all easements of record and any City utilities within those easements
)K ? ? • Setbacks of proposed structure and sideyard setback of adjacent existing structures
? g ? • Retaining wall requirements, if any 0!..!= i
Reviewed: \\ L600I ffue?'.- 3-1B-Q
Name Date
G:lFORMS/BUilding Pertnit Appliwtion Rev. 12-16-03
• - CERTIFICATE OF SURVEY
FOR
M.W. JOHNSON
CONSTRUCTION ?
35 wnxetu,me
ELEV-668.0
DRAPIAGE&UT?,[IY ?L =?.0
OFS?CMIDVY RA1.[. HWL-87LO ?
E.OF.=673.0
879.5 "+ S77y?„An ?
yNq'8]7x4 ?l/vy-f ?
69•81
12.
~ 879.? 876.8 876 / 8762 ?
iais' ?? ?v.s? a?sx
O ? ? 87Ix ? 13.pp P
i. 39.84 8 877,0
6 8863 PROppSF,? mNq $
HO(ypPgnYO 7-0
WA', O 671x8
39.83
P? 2QV. •v
3 1 n'?,° e
684.] P@Opps
¢?d`? ,3 ;e"t' N NOIyE ?T?Ny
T p O m
887.2 „O 1.1 s? B D 2 ^o'
?° ? ..... ?aQ
p 1t66 8 ?
Gnnaca
35 ( y g8?B1 ? ??•3QpG7'A? 8
y 9.08 17.34
!
8 q? a
a? 79.16 ... "' 18.50 g y° xB
885 J IOpp $ @8 .a.
a ??.:... " 18.30 $ 9.
?8
BSSSeD? 8
?O4' b PRO SQpp 8 86 ?°' DAO? ...19.pp.
D?soyp? N 89x e?wqy?
J S77'po0oo?y 50.00 ! I
T(1/1 n_ ry W
1" = 30'
To
9
?
\ 8832
?
35 ?
88214
\ ryO ? ryN v 1
'
35 O Ur \•
\ \
2889# Ic983x8 [c893s6 h893x2 M??
DEER BE?
NOTfi- VERT[CAL DIFFERENCE BETWEBN WOpD PROPOSED GARAGE FLOOR & PROPOSED 1'OP- _. Nma nu. BUn.nurc nUnN3lONS ARE
OFCURSATCENI'EAOFDRIVEWAY: L1=1.6, L2=2.1 ? SHOWNi00UT3mSOFFO71NUN40N
t e7'? r
° ?,n? ???. ;{ ' . ? n',;, ,l '' • ' ?:?
jATI 1525 DEERWOOD BEND
LATAREA=37$OSQ.FT.
SEWER SVC [NV. (PERPLAN)-- 873.5 T. 1523DEERWOODBfiND BENCHMARK-TNHa3 WESTEND
LOT AREA= 3393 SQ.FT. STONEWOOD LANE, ELEV = 888.36
SEWER SVC INV. (PER PLAN)= 873.5' -- -?-d--- y??, - ;
LOT 1 DENOTES FOUND IRON PIPE MONUMENT
PROPOSED GARAGE FLOOR ELEV. = 886.0 ?
PROPOS&D TOP OF FOUNDATION ELEV. = 8863
PROPOSED BASEMENT FLOOR ELEV. = 878.3 ?- DENOTES PROPOSED DRAINAGE DIItECTION
?
LOTZ ? DENOTESSERVICELOCATION
PROPOSED GARAGE FLOOR ELEV. = 8853
PROPOSED TOP OF FOUNDATIONELEV. = 8863 Q DENOTES WOOD HIJB
PROPOSED BASEMENT FLOOR ELEV. = 878.3
PROPERTY DESCRIPTION
LOT S 1& 2, BLOCK 1, WOODSTONE SECOND
MDTITON, CITY OF EAGAN, DAKOTA COUNTY,
MINNESOTA.
• r
Bohlen ` ? '
Surveying & Engineering
31462 Follage Avenue 4735 123fd Streat W.
Nortlifleld, MN 55057 SNte 200
SaveBe. MN 55378
E
Phone: (507) 845?7768 Phone: (952) 8959212
Fez:(507)845-7798 Fax: (952) 895-9259
000.0 DENOTESEXISTINGELEVATION
000.0 DENOTES PROPOSED II.EVATION
HUB=000.0 DENOTES HUB ELEVATION
I HEREBY CERTIFY THAT THIS.SURVEY WAS PREPARED BY ME OR
UNDER MY DIRECT SUPERVISION AND THAT I AM A DULY REGISTERED
LAND SURVEYOR UNDER THE LAWS OF THE STATE OF MINNESOTA.
DATE: 12-10-03 ??X/.??L?-? .
REVISED: 3-16-04 LEROY H. OHLEN, LAND SURVEYOR
MINNESOTA LICENSE NO. 10795
MB-176A-095
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