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1533 Stonewood LaneSite address: 1-5? S7yU e476Y.? c Lot 3l Block I Subd. G/Da>/D 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 constructed 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 APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE Water Heater A.G. J.,.?2. AIL, wJ Furnace ?'Cyr,v/ {,yak g,? Mc.Ni+w 91G1? ?t7 oOr? o.aJB/ Dryer ?r /` K P"Pn Off- E I. lk .4- VENTED EXHAUST SYSTEM LOCATION TYPE MODEL CFM's YES NO Kitchen ki n Bathroom 1 x Bathroom 2 X Bathroom 3 X Bathroom 4 Other FIREPLACES LOCATION GAS WOOD MANUFACTURER MODEL BTU'S VENTING DIRECT ATMOS I ?-I' x /-f??l N 61o waao MAKE-UP AIR MODEL TYPE CF M's grocr 1 C u ?.? . h 2u ao? xx G I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan requi ments. Signature Ila 7rA,rr- `'- s/ Company Name '4/i o?u3 Date " This form is the responsibility of the General Contractor. Address: 1533 Stonewood Lane Zip: 55122 Lot: 31 Block: 1 Subdivision: Woodstone Townhomes THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FINAL INSPECTION ON . J UL? Yes No Comments Final grade - 6" from siding permanent steps - garage Permanent steps - main entry Permanent driveway X Permanent gas X Sod/Seeded lawn X Trail/curb damage Porch Lower level finish Deck Fireplace 'ff 5??2 • 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. • Call the City's Engineering Department at 651-681-4645 prior to working in right-of-way or installing irrigation system. n )?_n BUILDING INSPECTOR V cdlbldginsp/forms/2002/final mspec0on checklist r, iiiSIDENTIAL n>P- ' ?` {'? t Ufa . k BUILDING PERMIT APPLICATIQN CITY OF EAGAN 1?{ 3830 PILOT KNOB RD - 5512 Lo) 31 l E)Iock 1 WOOC1S?vn? 651-681-4675 ep New Construction Reauhmments RemodellReaair Reauirenunts -? 3 registered site surveys showing sq. R of lot,sq. d. of house; and g_II TPNho= 't"1 areas 2 espies of plan U U 3 c-i (20% maximum lot coverage allowed) ' 1 sal of Energy Calculations for heated addif? L • 2 copies of plan showing beam & window sizes; poured fond design. etc.) ` 1 site survey for exterior additions & decks • 1 set of Energy Calculations Indicate if home served by septic system for additions • 3 copies of Tree t'reseelePlan g lot platted after 711193 Rim Joist Detail Options s selection sheet (bldgs with 3 or or less units) DATE q IPA /n';-" 0 VALUATION 40., 000 JOB SITE ADDRESS 15 _3 aj f7 -C lA) 0oCj L aY1 C IF MULTI-FAMILY BUILDING, HOW MANY UNITS? a PROPERTY OWNER M I,y To hrf--,on TYPE OF WORK e-); LS? 1P T-UYY1, l ?t "o m e FIREPLACE(S) 0 0 _ 1 _ 2 APPLICANT ZVLU Tn Y) Y_)!?)C r) PHONE# Q 5a, `?9 a -7 - a 0 ADDRESS 17 (o4 5 U n l e C K Pct4 h La K--e. V( I Ir ZIP CODE 550-44- PAGER # CELL PHONE # r. L,) Q S2- 72 7a- FAX # 95D 59a '5;;3 1 NIEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPL-ETEiY Energy Code Category _ MINNESOTA RULES 7670 CATEGORYI l' - 2 2002 I IJ (check one) - Residential Ventilation Category 1 Worksheet Submitted' - Energy Envelope Calculations Submitted L.'.: MINNESOTA RULES 7672 lHY _ _ __ -- - New Energy Code Worksheet Submitted Plumbing Contractor, S ?WCNf + Phone #: (a 3 A a`$ Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 X Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: S l l I I T Phone# 14 L? 0 Mechanical System Includes: Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor we Phone # (o r j A 5 a- _) 5 forD All above information must be submitted prior to processing of application. 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 Applicant Ir?n? OaA w Certificates of Survey Received 4193 Tree Preservation Plan Received - Not Required i?p Updated 2002 OFFICE USE ONLY I ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi X 03 01 of :2.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 (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous X 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 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 'Demolition (Entire Bl dg only) - Give PCA handout to applicant Valuation / Occupancy 3 MC/ES System - Census Code /DI Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Z71 Sq. Ft. A( 20 PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const _Z&V Width _qT REQUIRED IN SPECTIONS Footings (new bldg) JV Final/C.O. Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation _ HVAC Drain Tile Other Roof ,?/ Ice & Water X Final Ftgs Pool Air/Gas Tests -Final _ Framing _ _ _ Siding _ Stucco _ _ Stone Fireplace ,k R.I. Z Air Test [Final Windows (new/replacement) 4 Insulation Retaining Wall 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 Approved By Building Inspector v,t/ Pv" 1351747-11VId'4V6" /Jr= ???u a ip 7V MNcheck COMPLIANCE REPORT Minnesota Energy Code MNcheck Software Version 3.0 COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 9-11-2002 DATE OF PLANS: 09/11/02 PROJECT INFORMATION: Lot 31 Woodstone Eagan, MN COMPANY INFORMATION: MW Johnson Construction Inc. 17645 Juniper Path #100 Lakeville, MN 55044 COMPLIANCE: PASSES Required UA = 529 Your Home = 508 3.9% Better Than Code Permit # Checked by/Date Area or Cavity Cont. Glazing/Door ----------- ----------- Perimeter R-Value R-Value U-Value UA CEILINGS ---------- ------------- 2673 --------- 44.0 ------- 0.0 ------------- ----- 72 WALLS: Wood Frame, 16" O.C. 1134 19.0 2.0 64 WALLS: Wood Frame, 16" O.C. 1328 19.0 2.0 74 BSMT: Conc. 4.0' ht/4.0' bg/4.0' insul 160 10.0 0.0 11 BSMT: Conc. 8.0' ht/4.0' bg/4.0' insul 688 10.0 0.0 109 GLAZING: Win dows or Doors, Above Grade 344 0.480 165 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, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the r irem of the Minnesota Energy Code. Builder/Designer v ?_ Date U-? It Job Site Address: "CATEGORY I" ALTERNATE FOR ONE & TWO FAMILY DWELLINGS INSTRUCTIONS: This alternative may be used for one- and two-family dwellings built to meet the Category 1 requirements of Minnesota Rules, Chapter 7670. Complete Parts A, B, and C. Clearly mark plans with: insulation R-values; window and skylight U- values; size and type of equipment; equipment controls; and location of vapor retarder and windwash barriers. More detailed information can be found in the Minnesota Energy Cade summary sheets available from the Minnesota Department of Commerce. Part A. BUILDING ENVELOPE U "Cookbook" (complete workshoet below) f? MnCheck method (attach report) ? Performance (attach U-value calculations) U Systems Analysis method (attach "Cookbook" Worksheet INSTRUCTIONS Step I. Check item(s) that design meets on Mmimum Requirements list to the right. Must meet all items to use "Cookbook" option. Step 2. Indicate proposed wall type on table below. Step 3. Indicate Window U-value and source. Step 4. Verify total window (including area of all foundation windows) and door area is equal or less than allowable percentage. 1k,Q?T?lk11J)17,12I'+?YJII?S n" ' ` i foi: (bbJtbanll ! o ,ttiall aat111. ? Ceiling Insulation: Minimum R-38 with 7%" energy heel; or Minimum RA4 with low truss heel; or Minimum R-38 with R-5 sheathing when no attic. ? Entry Doors: Max. U-vatuc of 0.30 or B/4" solid wood with storm ? Rim Joist Insulation: Minimum R-19 ? Floors over unconditioned spaces. Minimum R-24 ? Foundation htsulation: Minimum R-10 ? Foundation windows: 'G" insulated lass, wood or vinyl frame ' - a tkA'IfLh3k' R &l E IIY M kiNp,O?V „aPerdenta :,dfEx tlked33'alf Wai),Tyip„ftridaril:Jt"`"' "` .. -,__ :, a"°' i r;)yeta WiridawTTv alae 9s(d "founda ubir equiel6 Ks . . . ? 2x4, R-13 insulation R-7 sheathin , Iw,$?5$ ;- s?0,.49 - _ : v,Q 4}. 3 , +M1 J<i6Y=u ?s,, . }3, ?,, , ?, 0 3'¢ -`a . i) 27 r _ -, 0 25 -,(1;2Ssfs'- ? 2x4, R-15 insulation, R-5 sheathin °r+0S2" ?' p 45?=: ; , 5ir,'N (t?rtih,?1fS) ;,,t,Jk"' p'^y,Q,$ ? ; , ' #1`26 n!`0 24 t"1Q``.:, ? 2x6, R-I9 insulation <R-5 sheathin a ?Q 4g?=" , ? 0 4I f. , . ', X0,36 '"*{Ot32 ' ==Qf29 £:'ra , 0,2d` 24.?; a s?0 2?" "'; ;'',21;; ? 2x6,R-19 insulation, R-5 sheathin 056F''. `;.,048r . . _ 7s<yi-,- 97t(r'. a tlk;?'$'t', . ;-0i26j' . , s"0:24 ; " ? 2x6, R-21 insulation, <R-5 sheathi v,* T"` : a. tl-43 °Lt iiVW3&?" ti0.3,} n ,r ; y . , ; ? 20, R-21 insulation, R-5 sheatlvn s 7 0,58 `^ 050 ' -° u;.9 "- s+4?t ''f(1 '"s r , , , . ; ? tlylalnmiid i:Avfrd a's W,riii21tikII'_tf8lueace"--?t.?gktt$a ht?rklviti8oi vs ... r. . .- -, -°,. ? 20, R-19 insulation, <R-5 sheathing 0,52 -.l =± 045 ;x: ("'.'0 3.§ .,'. 1.10 3-5=11.I- l ` , 0 21,i ` W2 0 24 :0.22 '. El 2x6, R-19 insulation, R-5 sheathin , 0 5$: , ' $.......:4 32yn. , 029,.. ,,027 .. 25. - ? 2x6, R-21 insulation, <R-5 sheathing 14 . ? 2x6,R•2linsulation, R-5 sheathin --tl60'*, i•O;S2;'- "?04G ,0,41."s .._& ;yb';? 7* Q"3b'sit. ;?;Jf2 bQi25<:. •';?V'mdow-7Vd[p tq?- ?t;?d+t r??.z?`xr?,{,•?,; "' .t!:-;:S6Yir`Ce4'`' ?NFRC ?ASHRAE 199311 1. nk 100 ?' : T"?Wtddnw&?hnr,"ni MINNESOTA ENERGY CODE - WHICH RULES MAY I USE ? Part B. DFPRE55URIZATION PROTECTION Check option used: R Fuel burning equipment (complete schedules below) ? No fuel burning equipment INSTRUCTIONS Step 1. Complete the Combustion Equipment Schedule below. Only equipment with a Y (Yes) may be selected under the "Category 1" alternate. Step 2. Complete Exhaust/Make-up Air Schedule on the right if direct or power vented or solid fuel atmospheric vent space heating equipment is selected. ExhdiSs `devtces B et S00 cfnl ';" .blew .?777 %, cfrh ?sefin; T9ST T 1? ' " W *01Y1 M 'i } lY?1JX1r Vft1 H1 f ;n . .+.^ _? olre$l { ait... d ,.5, 5 kprp used Space ]ieafYimg nonsohd„ fu RI.Sealed combustion Health won§ohd fuel :' ? Sealed combustion Y ? Direct or power vented ? Direct or power vented _' : ea 0a '"xyerc ^.?ai g " 7 " ? I _ ,?' z y m - n L'k " " ' ,1jta ter heating n6&6litl ,fii& sealed combustion ace e hr);gti r„ ,5 t `; El Atmospherically vented =`m ? t l X V* ,n? ? Direct or power vented dtefKb t ' "'-?"-rsohd` ( L3 Atmospherically vented i°Attno`lshficall x ht i FA 's'd ult Ie fd' ? At t d h i ll ' Y y , ar ) it y ven e mosp er ca . * If atmosphencallq vented sohd'fitel or??ttect or -W -make aiv ;fldw;js,rc ,tgedtfol' ." h, d; e__ _don ovre? MuYir?hgeds300 eublcjfeet°"er`'.m to 5_; Part C1. VENTILATION if, 41 udi 3 m f w ;+e.Yyrdv{F '.4' E o 4 r' °c??YF.IsITI?SA`I'AQ?:?Nr?l`I+?'Y , - "..' 'Mn ?'µfe 1N 'I r'4lrv l P'S`Y W.? '$ of 3? l mk .F.P "''+?Y'k.s;{ ?: ', K ` ?1?ts?stiil ttila`b'?h?mug'bt?'ptux?ISe?t erilie?larger quantrylYm owafedlbw)-? I °j cabiafeet x 0 UQ, ItniuntC L1 J cfm, . " ( x ]5lcfnp/o4tn) +_j , 5SS1 v i _cfni- vglurgoflietittab)efhs.inberdoomr. # ? u?'N FAhTS )E ? r?? , the®k;rtelhtl8(s))tztlp6sed _ ? Exhaust onl )Sk Balanced heat recovery ventilator air exchan er etc. - i9F C A 6TK 541-4 "AT tut-a4Z .. <fiOfiefiES 1s::'ry VENTILATION „-'Eln"take.' !'cf`rii`wv "`sfdi'.° •`cf$i=;:? +ofil??: ?ni=: S$'bESIGNEl3 Exlusrui t. c iil` v SV o iti':,' 1 50 100 cfrii`,:' `al clthi'' Statement of Compliance: The proposed building design represented in these documents 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! mrements of t e Minnesota Energy Code. i aol? (fir c Applicant (print name) Signature ?- Date Telephone number Part C2. VENTILATION (Submit Part C2 upon completion of system verificationt) x --------------------------------------------------------------------- Job Site Address: Permit Number MEASURED' "'!'fhtakea', cfm ¢lti*4, cfMw eftii€: cttr'' `PERFORMANCE ._]rSehausE? "aftn" `?cf";,' ;cfrri, `:'cfns=` cfilx' 't. Yrentilidoh ta#a miia f`I SmCaelire ! -96dNl 144-. fheti the pecfofUignaetopt 4flf is='used't i `Ije kf the A)t almn , il m`nt3nat#idbwldth't64fr8tciije'?($bvelt"e; •froml'att . prescilpnvo ?opttan tbr, Compliance Statement: Installed ventilation system is in compliance with MN Energy Code and is sized to provide the design air flow. Applicant (print name) Signature Date Telephone number d it if, P? / j I • t • tt 11 g? q ? .?7 lT7{ ,? q9 ? tlo I,"ll!: K .ti ?I t??IJ Nf • a• .? t S'1 ?1 •d s .? ?• -no t q F? A ?J j? •g tt ' ? 9i un fo >T;> ,. to an r an H r ul .: cI vi ri C ? 1? il' n? + R LOT SURVEY CHECKLIST FOR ESIDENTIAL. ' BUILDING PERMIT APPLICATION PROPERTY LEGAL: LOfS 3I,?_?R Bli,,,h I G??'id57D`nP. /G'.?:.z„?,g,y?e? DATE OF SURVEY: LATEST REVISION: m c s V a w < DOCUMENT STANDARDS 9 ?? ? • Registered Land Surveyor signature and company d/ ? • Building Permit Applicant d ? ? • Legal description ? 0 • Address f? ? ? • North arrow and scale [a, ? ? • House type (rambler, walkout. split w/o, split entry, lookout, etc.) -1 ? • Directional drainage arrows with slope/gradlent % f3 ? ? • Proposed/existing sewer and water services & invert elevation ? ? • Street name ?/ ? 0 • Driveway ? 0 • Lot Square Footage ? ? • Lot Coverage ELEVATIONS / Existino 9 ? ? • Sewer service or Proposed) ? • Property comers T f h 7 ? • op o curb at t e driveway and property fine extensions ? ? • Elevations of any existing adjacent homes ? rkrl 0 r? • Adequate footing depth of structures due to adjacent utility trenches ? ? • Waterways (pond, stream, etc_) Proposed / Ir/ " ? • Garage floor r?I ? ? • Basement floor Y ? ? • Lowest exposed elevation (walkouVwindow) P/ ? 0 • Property comers N ? ? • Front and rear of home at the foundation PONDING AREA (if applicable) ? P/, ? • Easement line ? ? NWL ? ? • HWL 0 ? • Pond # designation ? ? • Emergency Overflow Elevation ? Gi ? • PondMedand buffer delineation r/? ? ICY ?7 ? DIMENSIONS • Lot lines/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) • Show all easements of record and any City utSties within those easements • Setbacks of proposed structure and sideyard setback of adjacent existing structures • Retaining wait requirements, Reviewed: G:/FORMS/Budding Permit Application I CERTIFICA TE OF SUR VEY F09- M. W. JOHNSON CONSTR UCT 33 FUTURE HOUSE st ?-= toe STONEWOOD IONS f-e' IOPT 1 7 200)2 , j? III Ji L AN E 3., me-Ann 5w o Regaining W80 Be Required PROPERTY CORNERS NOT SHOWN TO BE SET BY HEDLUND NOTE: (ICe?,?.o/?7r ALL HOUSE DIMENSION E"TO OUTSIDE FOUNDATION BENCHMARK - TNH WEST END STONEWOOD LANE = 888.36 LOT 31 1533 STONEWOOD LANE PROPOSED GARAGE FLOOR ELEV =885.2 PROPOSED TOP OF BLOCK ELEV: 885.5 PROPOSED BASEMENT FLOOR ELEV.=877.5 LOT 32 1535 STONEWOOD LANE LOT 31 AREA = 3750 SQ. FT. HSE AREA = 1480 SQ. FT. LOT 32 AREA = 3750 SQ. FT. HSE AREA = 1480 SO. FT. SEWER SVC LOT 31 = 873.5 (PER PLAN) SEWER SVC LOT 32 = 873.5 (PER PLAN) PROPERTY DESCRIPTION: LOTS 31 & 32, BLOCK 1, WOODSTONE TOWNHOMES, CITY OF EAGAN. DAKOTA COUNTY, MINNESOTA. PROPOSED GARAGE FLOOR ELEV.=885.2 PROPOSED TOP OF BLOCK ELEV =885.5 DENOTES PROPOSED DRAINAGE DIRECTii PROPOSED BASEMENT FLOOR ELEV =877.5 0 0X0 DENOTES PROPOSED ELEVATION OOOXO DENOTES EXISTING ELEVATION ? DENOTES HUB SET • DENOTES FOUND IRON PIPE MONUMENT 0 DENOTES SERVICE LOCATION I HEREBY CERTIFY THAT THIS SURVEY WAS PREPARED BY ME OR UNDER MY DIRECT SUPERVISION AND THAT I AM A DULY REGISITERED LAND Bohlen SURVEYOR UNDER THE LAWS OF THE STATE OF MINNESOTA. Surveying & Engineering 31462 Foliage Avenge 4735 1231d Street W. 9-17-02 site 200 DATE Northfield, MN 55057 B E Savage. MN 55378 REVISED 10-7-02 LEROY BOHLEN, LAND SURVEYOR Phone: (507) 645-7768 Phone: (952) 895-9212 MINNESOTA LICENSE NO. 10795 Fax: (507) 645-7799 Fox: (952) 695-9259 M9-611-02s FILENAM : O S n      ìü    øî ü û þýýü  ûûú     ùüüýý õùòüí ëõýùóñý ÿîë þý þý   çäöý ùø÷ õùø÷ç÷  ý÷á ý ýþ ë öý ëã ÷ ø Û    ýþ ë  ý äý÷ý÷÷ä û ñ ýñý÷óß   ä ú é  ý  ÷ ú äý÷ýé  ýèæëÝæÿÿé ÿéÿ ÷ù     ýê  æé îéî ê  ëûé  öøô  óò ÷÷  úçý â ð øðá àëÝøå û  ëë ó   åðô ü ðô  ïî íëàÿ  úø ó   å ý ÷÷  ý  äñ ý  ñ÷øó  ÷÷ ú   äðý    ý öøäü ã ýé ÷÷ ßñ    ýý ø     Use BLUE or BLACK Ink r________________- I For Office Useej I Permit city AQd Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: 1 I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: / Unit Name: crt Phone: Resident/ ( G < ZZ Owner Address / City/ Zip: QCQJ Applicant is: Owner ~~actor Type of Work Description of work: _ & i plm ~j Construction Cost: Multi-Family Building: (Yes / No ) Company: ~~n (contact: Contractor Address:~ ~9CS6U1 c City: State:/,Zip: '1' 7 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.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 , x Appl' ant's Printed Name ~4p(Stica s e ure Page 1 of 3  !" #$%&'()'*+*, -./$%'"&0-1 -DJ*,$D*2 -./$%'53/4-.167879O9 <*%-'!==3->1?9@7?@:?7A -./$%'#*%-+(.&1--./$% B$%-'6>>.-==1''7C99''B%(,-I((>'M*,-''  (8"#$% &&8)**++, &&D*1,2&-Q,./21 567 8'9!V<''9'89(8'& =12 <-=D.$0%$(,1 >?@&-AB2 C21+*2,+0# DE%&-AB2 C2B#0$2 721$E+B+, R?E,0$2 \]?21+,1&E240E*+,4&2#2$E+$0#&B2E/+&E2P?+E2/2,1&1.?#*&@2&*+E2$2*&&>02&Y#2$E+$0#&6,1B2$E^&F0E%&),*2E1,&0&J<;WL& #(//-,%=1 VV;9W!V'M N0E@,&/,O+*2&*22$E1&0E2&E2P?+E2*&Q+.+,&8'&H22&H&0##&1#22B+,4&E/&B2,+,41&+,&E21+*2,+0#&./21&JF+,,210&>02& FY&9&52E/+&R22&JC2B#0$2/2,1LU;<M''&'!'8MV'!! E--'B3//*.&1 >?E$.0E429R+O2*U8M''&<''8MW8<; "(%*21F;?G??' #(,%.*D%(.1HI,-.1 9&&)BB#+$0,&&9 \\2,G&CA0,&5#?/@+,4&S&320+,4F0E#A1&7&a2,,2*A WW''&D21&3+4.Q0A&8(8;((&>,2Q*&0,2 "?E,1X+##2&FI&&;;((:Y040,&FI&&;;8WW J<;WL&:K:98'''JK;8L&(V'988W' 6&.2E2@A&0$%,Q#2*42&.0&6&.0X2&E20*&.+1&0BB#+$0+,&0,*&102&.0&.2&+,HE/0+,&+1&$EE2$&0,*&04E22&&$/B#A&Q+.&0##&0BB#+$0@#2&>02& H&F+,,210&>0?21&0,*&N+A&H&Y040,&ZE*+,0,$21M )BB#+$0,T52E/+22 &>+4,0?E2611?2*&"A &>+4,0?E2 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA142126 Date Issued:04/14/2017 Permit Category:ePermit Site Address: 1533 Stonewood Lane Lot:31 Block: 1 Addition: Woodstone Townhomes PID:10-84900-01-310 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater & Water Softener 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 - Marlys D Kennedy 1533 Stonewood Lane Eagan MN 55122 (651) 340-1120 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature