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685 Stonewood Rd CITY OF F-AGAN 3830 Pilot Knob Road WATER SERVICE PERIIAIT P. O. Box 21199 PERMIT NO.: ' Eagan, MN 55121 D^TE: Zoninp: . No. of Units: Owrwr: - _ a Address: Slft /lddroas: . . , Plumber: , - - ~ e r No.`! , 6c b f a I qrw wNi~ e6. c14 • u Orlin~' 1 -r. aeade. elnsp.: - Totol: ey ; Dot oI~ ; . CITY UFrzAGAN sEWER sERVICE pERMR 3830 t'ilot Knob Rosd P. O. Qox 21199 PERMIT NO.: Eagan, MN 55121 pATE: Zoninp: p 1 No. of Unttx OYYI'Iff: T')~ AddIQSS: ~ Slt!' AddrE55: Plurnber, ~ to eeaoy .ruu +I~. Gy .i y~,. Corna.tlon ~rpe; n"L Auount Drposit: - , Pemdt Fee: ~ SurcFwrps: i ! By Misc. Gwrgac DoM of Insp.: Total: Insp.: DaM Paid: ~ _ - > - CITY OF EAGAN ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 . 12359 PHONE: 454-8100 BUILDING PERMIT Receipt # • To be ussd for ''F D~/Gs~ value 99 ,000 Date JULY 7.8 119 36 Site Address 685 3 TONEWOOD RD Erect Occupancy R3 Lot z Black 1 Sec/Sub. WINDTREE 6Tfi Remodel ? Zoning Rl Parcel No. Repair ? Type of Const. VIl Addition ? No. Stories W NBme i'A1I'.K .70HNSOI`1 CUyST Move ? Length 56 = 41,19 STRAWBF.RRY LN Demolish O Depth 40 3 Address Int. Impr. ? Sq. Ft. 0 City EAG`,"a Phone 454-0623 Install ? = o Name ';A! ST' APProvab Fees ~ Q Address Assessment Permit ' U~ 49 . 50 ~ ciri Phone Water 8 Sew. Surcharge Police a DAPv ?i~.:;~ ~'"'T,DT Plan Review~o F Name Fire SAC ~a Addre~ Eng. Water Conn. 54 . 00 g W Ciry none Planner Water Meter5d Council Road Unit ~ F 00 I hereby acknowledge that I have read this application and state that the gldg. Off-~B Tr. PI. 156.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Parks ~I - i ~ ~ Var. Date Copies , . 0 a Signature of Permittee Total ~oxNSOr~ cocasT A Building Permit is issued to: r~v ` on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official ~ _ . Parmk No. ft mN MWder DNe TNWphom N IPlumbiny -7 -7 -S - e IM.YA.C. -7 / / O Eleclric - SOIIMM InopecUon Date Insp. Commsnb I Footlnqsl ~ L Footings II 7-1 IFouodafbn Framiny Roollny 11 I Rouyh Pibp. Rouph Hty 11 Insul. 11 IFM*place I Ffnd Hty Flnel Plby. &dp. F" ICeri. Occ. Dock Fty. Deck Frmq. Dperibe Locstlan: WNI rDlap. ~ CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121N2 12359 PHONE: 454-8100 BUILDING PERMIT Receipt# st vawe $99 1000 Date JULY 28 19 86 7o be used ror SF DWG/GPtR 685 STONEWOOD RD Erect Occupancy R3 Site Address Lot 2'Biock 1 Sec/Sub. WINDTREE 6TH Remodel ' Zoning RI Parcel No. Repair ? Type of Const V}} Addition ? Na. Stories W MARK JOHNSON CONST Move ? Length Name SF Y 4149 STRAWBERRY LN Demolish ? Depth-~~ o Address Int. Impr. ? Sq. Ft ciry EAGAN phone 454-0623 mstau ? ~ Name gAYjE APProvals Faes o ~a nddress Assessment Permit $ 430.00 ~ Cify Phone Water & Sew. Surcharge 49. 50 DAN MANSFELDT Police Plan Review 215.00 F W Name Fire SAC 575.00 a i AddreBss VILLE ' 890-9689 Eng. Water Conn. 500. 00 a w Ciry Phone Planner Water Meter 63, 50 Council Road Unit 290.00 Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. 7/18/8 Tr.PI. 156.00 information is correct and aqree to comply wilh all applicable State of Minnesota Statutes and Ciry of Ea an Ordinances. APC Parks Var. Date Copies Signature of Permittee ~ , . Total ~~Q A euilding Permit is issued to: MA& JOHNSON CONST on the express condition thet all work shall be tlone in accordance with all applicable State linnesota Stat tes C' y oi Eagan Ordinances. Building Otticial , s'Jry~ RESIDENTIAL ` BUILDING PERMIT APPLICATION CITY OF EAGAN O, O C~ 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Constmction Renuirements RemodaVReoair Reuuiremants • 7 registered site surveys showing sq. ft. oCot. sp. R. of house; and all roofed areas • 2 copies of plan (20% mazimum lot coverage allaxed) . 1 set of Eneyy CalculaUans for heated aCditions . . 2 copies of plan shaxing beam 8 window sizes; poured found tlesign, etc.) . 1 site survey far e:terior additians 8 decks • 1 se( of Eneyy CalcWations . Indicate iF home servad 6y septic syslem foradditians • J copies of Tree Preservation Plan if lot platted aRer 711193 • Rim Joisl Detail OpGons selection sheet (bldgs with 3 or less units) DATE / D~;l/ ~ VALUATION SITE ADDRESS 6- a -2 Od MULTI-FAMILY BLDG _ Y xIV TYPE OF WORK d-P c; FIREPLACE(S) _ 01_ 2 APPIICANT aT STREET ADDRESS 6S .S~ ~ W CITYI-a ~Zq n STATE ?l~ZIP TELEPHONE # yGSf=b_e77 CELL PHONE # FAX # 33O ~ I~ T ~P77 PROPERTY OWNER tz c e '/G f~ TELEPHONE # ~?75`,?- -7 S- COMPLETE POR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ N[IN\I:50'C:1 Hl'I.L•'S 7670 C:1'CEGORI" 1 MI\VESO'C:\ RCLES 7672 (J submission rype) . Residential Ventilation Category 7 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: _ Phone # Plumbing systcm includes: _ Water SoFtener _ Lawn Sprinkler Fee: 590.00 Water Heater No. of R.I. Baths No. of Baths Mechonical Contractor: Phone # Mcclianical s}•stcm includcs: .air Conditioning Fcc: S70.00 I-Icat Rccovcry Systcm Sewer/Water Contractor: Phone # I hereby ocknowledge that I have read this application, state that ihe information is correct, ond agree to comply with all opplicable State of Minnesota Statutes and City of Eagan Ordinan es. Signafure of Appllcanf / 11~ . OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Upda[e0 4102 OFFICE USE ONLY ~ ? Ot Foundatlon ? 07 OS-plax E3 13 16-plex ? 20 Pool O 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 76 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Att - SF ? 04 02•plex ? 10 08-plex ~18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storcn Damage O 06 04-plex ? 12 12•plex Plbg_Y or _ N ? 25 Miscellaneous LB 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteratlon O 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolitian (Entire 81dg only) - Giva PCA handout to applicant Valuation ~_Z i e) vv Occupancy MC/ES System Census Code y 3~ Zoning City Water SAC Units Stories 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) tg FinaUNo C.O. _ Footings (addirion) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AirlGas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC Ciry sAC Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanicai Permit License Search Copies Other Total ~ FdON KRUEGER & ASSOCIATES, 'INC., REGIS?ERED LAND SURVEYORS ' 7382 WASHINGTON AVENUE SO. EDEN PRAIRIE, MINN.55344 PHONE 612-941•3030 CER'T1FICATE OF SURVEY Survey torMA2K JOHAf50N ~NSTRUGT/ Job No ~5a~ Bk 4-3~ Pq 4I T ~ C"o y 0 .10 9p.9 1~0~ l~,<O ' ~g o~ o . . 20~' 15 1`.30' r91 s') / ~ir;s • ~ P` R '~O n• p 1 r o• a ~3• \3•~ jIS'~N q s ~ Q O r p D •O Q~ O 'y+ \ 30 N. ~ ck . \ 2'y' Og . . 1. . O 1 • 'S~ ~ Tr~ / _ -LOWE57 FLoo2=9~7~ \SF 00 GA2AG[ F4Oa2 r \~,T,L. l d" Toa af FvvNOArioN. 9!5 10 \p xxx = Ek/Sf ELEV. ( xxx) = PRopo sEO E1-E1• -s-- = OIRECYlor/ oF 5V2FAcC 02AlNAGC 1 hereby certity lhat lhis is a Irua and correct representeHOn ol a aurvey ol the boundarles ol L 07' 2 ~ BL OG IC , f~ yV/NDTRE6 6TN AOOIT/oN Da.kofa. ~ Counly, Minnesota. Surveyed by m dey o! 19 . . . . . _ ..c_ . . _ . . . 533 RESIDENTIAL BUILDING PERMIT APPLICATION ~ CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Consuucdon Beaulrements BemotleVHeoelr Heaulrementa ~ • 3 registered site surveys showing sq. M. ol bt, sq. R of houu; antl gg roofetl areas • 2 coDies M plan (20%meximumbtcoveregeallowed) • lsetofEnergyCaiculetbnsfarheatedatltlAions • 2 copies of plen showing beam & window sizes; poured fountl desgn, etc.) • 1 site survey for ezterbr addttbns & decks • t set of Energy Calculations • Indipte M hame served by septic system for additbns • 3 copies oi Tree Preservation Plen d lot platted ailer 7/1/93 • Rim Joisl Defall Optbns selectlon sheet (bklgs wiN 3 or less untts) DATE T VALUATION UG~•~ SITE ADDRESS S_)~OPLIDOGdPo Qd MULTI-FAMILY BLDG _Y _ N TYPE OF WORK e-OOI- 4Z ~ FIREPLACE(S) _ 0_ 1_ 2 APPLICANT KMFi n 0 STREET ADDRESS ICNR'S PI 0n2 er Trw 1 CITY CDYQ r; e- STATE Mll_ ZIP .S~S 7 TELEPHONE # 913-a0_2a CELL PHONE # T F,4x # 983- ao7(10 n (~S/- 4~- PROPERTYOWNER Br1I CP. °~I 7"CZ_0 DQ~/ T~TELEPHONE# 10~77 COMPLETE THIS SECTION FOR °NEW- RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (J submission type) • Residential.Ventilation Cetegory 1 Worksheet Submitted • New Energy Code Worksheet Submitted . Energy Envelope Calculations Submitted Plumbing Conhactor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Conhactor. Phone # Mechanical system includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System SewedWafer Conhactor: Phone # I hereby acknowledge that I have read this appllcation, siate that the ' f rmation i or gre o comply wtth all applicable State of Minnesota Statutes and City of Eagan Or, i n s. Signature of Applicanf - U5E ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg 13 02 SF Dwelling ? 08 OCrplex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. AR - Multi O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorcNAddn. (4sea.) ? 33 Ext. Alt • SF O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 LowerLevel 0 24 Storm Damage ? 06 04plex 0 12 12-plex Plbg_Yor_N 0 25 Miscellaneous 0 31 New ? 35 Int Improvement O 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. //42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ~ 43 Reroof ? 46 WlndowslDoors ~ ? 34 Replacement "Demolition (Entire 81dg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories 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) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total J Q/ ~ ~s ( O V/ ~ 1986 BIIILDING PERlSIT APPLICATION - CITY ON EAGAN NOYE: ALL CONTRACTORS MUST BE LICENSSll iIITH THE CITY OF EAGAP SINGLS F9HIILY DiiELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLE DilELLINGS - RSSIDENTIAL BENTAL DNITS FOE SALS ONITS INCLUDE 2 SETS OF PLANS, CERTIFIC9TB OF SURYSY - CHECg iiITH BLDG. DfiPT., 1 SET OF BNERGY CALCULATIONS COMMERCIAt: ~ INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, t SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND I Weco. l1~ 8 To Be Used For: Valuation: ~ Date: ` Site Address ~ S !J OFFICS DSE ONLY Lot ZL Bloek Erect ~ Occupancy ~3 Remodel Zoning f'D Pareel/Sub (,bi,~ Repair _ Type of Const Addition # of Stories Owner /o/~,~,C c}610Z0rJ Move Length o Demolish _ Depth ~ Address Int.Impr. _ Sq Ft Install _ City/Zip Code Phone 9PPROVAL4 FEES Contraetor {jwE,cidaAfiuSO.TI /c%,T ZwK Assessments Permit y~J Water/Sewer Surcharge ~ Address C/jy9 6&w6¢/fq Aw.,A Police Plan Review Z7/17- Fire SAC :277 City/Zip Code /rt„ 5'S42~ Engr Water Conn Planner Water Meter , d Phone 4tsv-66a3 Council Road Unit 16 Bldg Off~ Treatment P1 Areh./Engr. Aa,,,, APC Parks Varianee Copies Address '6urnsu:~~P TOT~ ~ City/Zip Code Phone S 96 , 7($2 NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOBNER MOST DSSIGN9TS AHICH ADDRESS IS DfiSIRED. NO CHANGES fiILL HE ALLOHED ONCE BOILDING PERMIT IS ISSOED. ~ p~ 23 = ~13~~ `z = 5 z < I-V zSrx ~z= z77 Z :~-b iielvx ? AON KRUEGER & ASSOClATES, 'LN.C.. REGIS-7ERED I.AND SURVEYORS I 7382 WASHINGTON AVENUE SO. EDEN PRAIRIE, MINN. 55344 PHONE 812-941•3030 CER'T'IFICATE OF SURVEY Survey for_ /v`ARXJONNSON ~NSTRCJCT/ Job No ~Sa~ Bk 4-3~ Pq 41 0 0 9q,y - ~ . ~.pN... ° . ~ 01 ~ ~3A ~R~' Q1I f %3•O °`~•O ~a~o l 6 ~ ' Oeo~~~ 3a \ o QQ'. ,Z.d~ g5,~ ~ 4 . ~ \Qrq ~ 4oWC57 FLoo2= 9~'J ~ F.~ / 00 ~,ARAGE F6oo2 < <Tl5°- \~j 7oP Of FUf/NOATIONo K.A . . . y~ /0 D . XXX Q ZFX/ST• ELEV. r ( KKx~ = YRoPO SEO ELEv = DlREGTloN oF 5u/rF/1[E ~72AlN/aGE A I , I h~er~eby certify that lhis is a true an0 corract representatlon ot a survey ol lhe boundaAes ot L~T '2' ~5 LOG yv/ND T2EE 6 Ts1 ,d100 /r/O/1/ ~ Da.koia. Counry, Minnesota. Survayad by m. 9~ day of 19 8(O , . RON KRLIEG & ASSOCIATFS INr. EXTERIOR. ENV},L-OPE AV_ERA(;E "It" COMPUTATIOH 04? 1'i ER -SITE ADDRESS CONTRACTOR DATE 7-/~I' Q~ pHONe vs~-OLz3 ' Determine uorking square footage of each. 1. Total exposed wall arca sq. ft. x f. o~ - Total roof/ceiling area /2oyJ-0 sq. ft. x ..014-= dZ~ _ Total :loor/cant. area sB~U sq. ft. x Total exposed ua].1 area above floor = o2y3~.C~ a. Total wall window area . . . . . . . . b. Total door area . . . . . . . • • 38•~ c. Total sliding glass door area 72.0 " d. Total fireplace wall area . . . . . . e. Total wall framing area (ave:age 10%). f. Total net wall area above floor g.. Total rim joist area . . . . . . . . • Y. Total exposed foundation area = I71o. O h. Total foundation uindow area i. Total net foundation area ebove grade. ./7Lo O Determine "U" value of each wall segment. a. ~IV o Ytiv" _ 35Z = 7S_ 33 b. X elu" • 3/ s C. z_v X„U„ 3s-z s 3 d. - x ~~U" = e. x' ~Utt _ 089 = 7. lZ f . /73/. X '~U«• g• /841 o X U" .oe/ - 73G _ h. x U~~ _ i. b X „Ull .07& _ l3.38SUBTOTAL S7 4, TOTAL = If item#y is the same as, or less than item 91, yo met the intent of SBC 6006 (c) 2. • = ' Total exposed roof/ceiling aren /COyo2• ~ j. Total skylip,ht area k. ':otal flat roof/ceilinF framing arra..........._ 1. Total net insulateA flat roof/ceil..ing area..... /53 9•.3 7 M. Total vault roof/ceiling framing area n. Total net insulated vault roof/cei]inr area.... - netermine "u" value for each roof/ceiling, sement x tilli x 1. 1539.37 x oz = 36.79 M. x ~iull n. x ,itiot 5. Total = 3_ If total of p5 is the same as, or less than H2, you have et .e intent of SBC 6006(c)1. Total exposed floor/cant. area o. ?otal floor/cant. framing area (average p. Total net insula':ec] floor/cant. area ~.oZ Determine "u" val.ue for each floor/cnnt, segment . o. J`1- e x"U" 0lo = - 35 P ~ X „uii 6. TOtal = If total of 116 is the same as, or less than N3, you have intent of SBC 6006(c)3. ALTF.R?lA'CE BUILPING EAIV};L(1PE DESIGN To utilize the total envelope s,ystem method, the.values establis}:er. Dy the sum of items 44, fl5 and #6 sha].1 not be ,n,reater than the suT of items H1, fl2 ancl H3. 1. ~g 2. y~ / S/ = 33108 4. ~f S7 5. 33_ZZ 6. 49lo =2S'Qf Prep,ired by Datc l ~ PERMIT City of Eagan Permit Type:Building Permit Number:EA126764 Date Issued:09/09/2014 Permit Category:ePermit Site Address: 685 Stonewood Rd Lot:002 Block: 001 Addition: Windtree 6th PID:10-84475-01-020 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Viktar Skirukha Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - David W Gohl 685 Stonewood Rd Eagan MN 55123--132 Smart Builders Inc 7001 Garland Ln N Maple Grove MN 55311 (763) 691-5021 Applicant/Permitee: Signature Issued By: Signature To 101 RECEIVED NAR 31 2016 February 4, 2016 Ice and water shield installation con Irma on it may concern: Re: Roof Replacement Owner: David Gohl 685 Stonewood Rd Eagan, MN 55123 This letter is to confirm that ice and water shield has been installed on this home according to code: 1. Adhered to decking 2. Extended 24" inside exterior wall Please feel free to contact me if you have any questions, Sincerely, Victor Skirukha Project Manager 763-639-8142 11672 Butternut St NW, Coon Rapids, MN 55448 "'* Phone 763.691-5021 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA142018 Date Issued:04/11/2017 Permit Category:ePermit Site Address: 685 Stonewood Rd Lot:002 Block: 001 Addition: Windtree 6th PID:10-84475-01-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - David W Gohl 685 Stonewood Rd Eagan MN 55123--132 Adam's On Time Plumbing & Water Heaters Llc 13791 Jonquil Lane N Dayton MN 55327 (612) 205-6060 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA158811 Date Issued:11/04/2019 Permit Category:ePermit Site Address: 685 Stonewood Rd Lot:002 Block: 001 Addition: Windtree 6th PID:10-84475-01-020 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - David W Gohl 685 Stonewood Rd Eagan MN 55123--132 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature