Loading...
1540 Stonewood Lanelt*P City of Eagan Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink Permit #: Permit Fee: /64•' �S Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: /`rgc, �sy ,)-CialEc Unit #: RESIDENT / OWNER Name: 0./00()870 R J'SC. Phone: Le s a) do ?- l reef r Address / City / Zip: /S3a' f /.5-4/0 ‘1-772/1.-04,v0,>.0 c.,it-", Applicant is: Owner r/ Contractor TYPE OF WORK Description of work: Q`RioF — /200/c Construction Cost: 't.8'000 Multi -Family Building: (Yes —• / No ) CONTRACTOR Company: AMez X�J;d/Pit770,0Ov," Contact: '5;:fryi6'V e(.7- 0,...) Z,4( 7. Address: / 73 / 6. 4eFi 'i/p,.t) 4 its . �z City: 44s‘,6"v/ Gtr - State: ill/Li Zip: 3`'- 4/ V Phone: l9cra-J 3 7e- Soo, License #: J•o C 37a 3 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit areLLconsidered to be public information Portions of fhe information maybe classified as non-public if you provide spealfipspecific reasons that would permit the City to ° conclude that they are trade secrets.:...,. .a 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.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. x v Zs4 L,6" z Applicant's Pritited Name Applicant's Signature Page 1 of 3 Address 1540 Stonewood Lane Zip 55122 Lot I BIk I Sub Bloodstone Townhomes THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: ?; - Yes No Inspector: Final grade (6" from siding) U` a Lr Permanent steps (garage) j( Permanent steps (main entry) Permanent driveway X Permanent gas Sod/Seeded grass Trail/curb damage X Porch Basement finish Deck H/? Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy 1 0? 1 ?iOJ_ I r?j (? 91-1 V?o y?,ti?c? - ti'?_a- --?o w?`?0 RESIENTIA fUIING PERMIT APPLICATION CITY OF EAGAN fy)f y q 0 -t 3830 PILOT KNOB RD - 55122 ?\\ 651-681-4675 P O y of 10-r °i O -?v New Construction Requirements Remodel/Repair Reouiremens • 3 registered site surveys showing sq. ft. of lot, sq ft, of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated addition • 2 copies of plan showing beam & window sizes; poured found design, etc.) 1 site survey for exterior additions & decks j `1 rj ?j 64 • 1 set of Energy Calculations Indicate if home served by septic system for additions v • 3 copies of Tree Preservation Plan it lot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE 4Lir l n VALUATION 64600 JOB SITE ADDRESS 0 10 IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER 7Ylltl L''Im az; TYPE OF WORK V FIREPLACE(S) _ 0 )( 1 - 2 APPLICANT PHONE?# A5;W ADDRESS l1 DE?_ PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category MINNESOTA RULES 7670 TEGORY (check one) - Residential Ventilation Category 1 or s eet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted ?- Plumbing Contractor: Phone #: Plumbing System Includes: Z Water Softcncr t W. Lawn Sprinkler Fee: $90.00 Water Heater / No. of R.I. Baths a? No. of Baths Mechanical Contractor: Mechanical System Includes: _ Ail Conditioning Heat Recovery System Sewer/Water Contractor: All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the with all applicable State of Minnesota Statutes and City of Eagan Ord Signature of Applicant Phone # mil- ALL-) . 4 b a.Z Fee: $70.00 FEB correct, arl(de(gree N comply Certificates of Survey Received ? Tree Preservation Plan Received - Not Required Updated 2002 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling X 03 01 of "?, plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn.(4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi 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 Bldg only)'- Give PCA handout to applicant J Valuation ?7000 Occupancy 2-3 MC/ES System Census Code / D ;;t, Zoning ?- City Water SAC Units 0i Stories _ L Booster Pump Nbr. of Units 6,+ Sq. Ft. /55'/ PRV Nbr. of Bldgs 0/ Length _ 6 Fire Sprinklered Type of Const ]X/1) Width q5-- REQUIRED INSPECTIONS X Footings (new bldg) Final/C.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding AK_ Stucco Stone Fireplace _X R.I. k Air Test X Final Windows (new replacement) Insulation - Retaining Wall Approved 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 2=12 24' ?ro OWL ?o'0 n y' r2?; /L y L/ T6 lJ (? 31Y L-1- un? r, v/ 5k?i? y5G @ l5 0 g n&113IF TS9-I-.d'_? 5-e , 7409 Building Inspector ?Lq 700 !0/6'11" /6038 ?V_ I-yG'zy pp ?_ (O ?O7.r ou MNcheck COMPLIANCE REPORT Minnesota Energy Code MNcheck Software Version 3.0 Permit # Checked by/Date COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 1-24-2002 DATE OF PLANS: 01-24-02 ,PEVO ECT INFORMATION: Lot 1 Woodstone COMPANY INFORMATION: MW Johnson Construction, Inc. 17645 Juniper Path Suite 100 Lakeville, MN 55044 COMPLIANCE: PASSES Required UA = 339 Your Home = 293 13.5% Better Than Code Area or Perimeter Cavity Cont. Glazing/Door R-Value R-Value U-Value UA ------------------------------- ------------------------------------- CEILINGS 858 44.0 0.0 23 CEILINGS: Raised Truss 450 38.0 0.0 11 WALLS: Wood Frame, 16" O.C. 1616 19.0 2.0 90 BSMT: Conc. 4.0' ht/4.0' bg/4.0' insul. 272 10.0 0.0 19 BSMT: Conc. 8.0' ht/8.0' bg/8.0' insul. 480 10.0 0.0 27 GLAZING: Windows or Doors, Above Grade 229 0.480 110 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 permi?/appl atip_D. The proposed building has been designed to meet the ?r ?i fie s?of the Minnesota Energy Code. ?? ??_ 7 GAO Builder/Designer `-" Dat Jill, Sit,! rlddb'd99: w "CATE"GORY I" ALTrRNATT FOR ONE & TWO F.& MILY. DWTI.ILINGS • INS7'MIC flt)NS: '1'h I9 nllonulilvu play 110 used far ono- and kvA-fuwlly dwailhtgs 1111111 la Intel the Calegory I requlra11m111s of Al to it evil to It totem. Chapter 7670. Complete Paris A. Be and C. Cloudy marl[ plant whit Insulation R•volnar window and YhyllQlu IJ- vululn; sled and typo of aqulpmenlt aqulpment controls; ¦nd Iodation of vapor retarder and wlndwaah harriers. Marv dalalled Inrrum.r.Unn am. 1.0 hound lei the Allo'"Vain 17oeryy Cada summary Shoals available ham ilia Minnesota Dapsnnuml ac CauvuaroY. ?>t-?: ??. Y3? ILDINO ]EN V•]ClClor?c Cbecl:1111111014111 envalopaJolnlacallnaoption 3;` QF Proser1p_T1 Chueh mannal ems8y aaleulallon lopllan used -3 q •'C,.ookbonbil _- ,1 ., r.:hl? •i .••1• L performance "Coolchoolc" worksheet hlaratICTIONS Slop 1. Clnach Item(s) drat dsslign menu on Mbd nnar Rdrymlrenunu [let to the flails. Must most all hams to usa "Cookbaal:" option. Snap 2. ludicute propassd wall lypa an labla bellow. 51up 1. Indlculo window U-value and murce. ilep 4. Verily fatal window (Including area of all foundation windows) line[ don( DIVA Is cg11nl or less than allowable pareenlage. U-value aaltlulallans) Minimum R-44 whh low lines heal: or Mlnin eln 11.38 with R-5 shamnhlua wh, par 7i70Aa70 (InLp. 7.C.) • (allocall ratio 11) Inuhod (auaall analysis) NNW- 1 only) fiiR • ner0y ae . tar I` a ad .111C. Sall wool w 1111om1 I 7 m -2 woo or v ny ante r ,.. ABLE POR DET En61I 1 I&IJAX1111, 1111JUVII O -W D (]R A EA • xf ,•..•' , . tax unni Allowable nta h pw an Door jaa olp xpOSed Wall " •'?1'',. 1 (l al ; S[? ?}7V4Y Il 't)Vq?i( lQ?11,,IK1e)} ', iu, ?i .U , IYI O•?t^ !]"iili Ma 412J'`4. 2 . i ? . •; 6.4 18:5 .Y III ?Tyypu SSlaca and pram ng ::.: -? - o ax munt•Avar o mow. ,Va ua ease 1 limn of on w n ws :1,•: '• la•1, 11.1] fnY1P1 Ia 1) fl- s Icsn 1 nQ _I 2x4, n- n' ynhn Pn n• .f uhin 'r •., s -r • , i / ? ', `6:39:•1 iu 0.17 2 . o {r 6-' .,0.25 0.7 7 -- 17i I<• 9 non, ?I ? PI ,111, d Y Idnl 111 •?- ? r - R a•YI • ,."• . , . ff. , - tl./J'1 2 6.34 (l.j is. fi- 19 Insulation, R• a IN 1 n ? t.:,.48''I i•, , .. . . Al '• 'x. •V "0 18 n Z i Vii, R41 11su of on, < R- s teal l n ' Jl. •;; •.t . 3 t ••1 . Ill f.C . . . A, Jule l ,2 ' 1• .1 0 25 0 2) 0 L 1 3 6; 1t31lnsu al tan. 11 R- s laalli nT g -O aT,: :: s N• : - ,Yin 1y 0: a . . , . 1.,A. 50,11 x 0.3 .+ ' • 0 29 1 . n 2T .71 n 7s wall yllu (Advanced Pa1mbIL n • • Max fawn very a : . , W ndow. 141 tae office t faun a on wlndowal: L • . . ??x l R- 9 fine al n : It s mud 1 n PS 1x6 R - 9 nm of o on R 0.52'', Y? ??. . 1•?0, 9,I I:'D. I'n • ; .28 01 ,' 2 •• O,b1 0.21 i - , - s Iml 1 n '- -. axY la- min PI on <R• r teal t1t1 ??, ' Ilrll Ot PA • S m01 1 n ?????, -•?a•?a.-Y- ? 60 • " i0: .Y2 #10.32%. :•' 0.29. ?q1r- ? ' u 1 , ' 'i•+` - 0.27 -- I ? . - -- , t 1 1 Y,ita T '2a • nab wllldPw u.a4lr,n, I 1 ... .. I•. y--.---- - '100 x <I u . - nI "• n, --••?..-.r •,.1 AI.I.Y WA aL11 V I,I IYh YYIIYVVI 141NNESOTA ENERGY CODE-- WHICH RULES MAY1 USE? Tl'1`E/litnRSIDEN77d.nrnr.DlNGt :. r. ..,.•,d a;APPi.IC. IEntJr.ES llelllcllCll Il-7 UCa1111411Cy 1-allil ]•fYnlllly IIWt I IIQI Hxe d d l h l' • n a d I u CIIaP(af 7672„ a(?I;r • ICb 7670 • 'C o 4 i n ' ny asl o a I ml s <V Iwl men du l x l • ( s Isr , a e hli latul 1(41 ressurlallon and venllllollon ra ulrememr Alluehud lJ odgglwleyl w. a8e: •,., v:" ,.:, Nxom last Irl l l b d ( l li. lplet ).d .•.yt.Y.;:• t1.. is •: •. .. n' C e 7d70' h lar l lli 'A 1' ' '•' I cx own auaas an v ellses ro ; .. w a es _ _ p ary 1 or C4ieary 2 nrovhlonl 11-1 nccapn11ey 111111 tags 8[3 stories or lost . • • • .L Dh pia 7 or, ??• i . Rpun.plan amld_undninma or aparmlanu r'' ' _ 1r Cie& br7670 wid ahhaor aCifal?ory l"'or r"Cslsaory2"'uravLlani ' 1 ` Il-1 ucrupauay w a ups ever9liar ae 1 Q n Rxum den 111911 rlia candosaru adnluaL l;- '• tt. 11oplar,. ,1. !?' r •. •h.,: 'tl'?: !'•;.;?i;)I ,?..'• I • ?WeY.eYWY•ul. ?......• • Chuck option used: a` pilot bunting equipment (complain schednlm below) q No filet burning equipment INSTRUCTIONS , :4191 1, Cmnplulu Ilia Combustion Equipment Seherhds below. Only equipment with a Y (Yes) may be selected under Ills "Category 1'I alternate. - Slop 2. Complclc Erhmui/ktoke•up dit-Scharhsle on Ilia right If direct or power _ valued or salld filet almospheric vent space heatbtg equipment Is selected. • CONMUSTIONEQUIPME .SCiIEID •":'..:. `,',.::, :.,.: '':. ;•ti'rl.• .iC.? I. v I: 12-4 Ollaelr All to r"' tl . f • .. , ra aIIad) f, n'. Space lien 111111 - nauaolb 11141 ?._ 3coled c0mbns1l°o Y.' Ifeedik Lt oq! 4 ...?, )fir ? Dlmct or power venlad •• Y+ i ' ??'?'• 1. slums -111111201111 alai q ,Saeled aomboalfon Direct or lower Vol •': • • l'•:' •. r•.t' ' • I{•i.?;t 4•: .,A lmoa tar odl VY r lYIn10YPI1?1'•ee y WI11et teo tr tot( rte y•pq _EOty la•ret?nlrad furoich }it111irldilal'oxlrltus't aayF6o v Part 0. VENTILATION I C:hecL'-'nmthod(r)ii'roposad4;,U AS DESIQNRD ., 01141 filet., •: Sealed cmnbunlou Y a:i•:°I Dlrector awervenled l 4' •,.,.•AnnOSpbe collYVenled rl i sa1W Rtel,:? _q Anlmspbedcall? ,j ?..I rot 41 Alai- q A 1 09) m, Ca vn1roJ ?• o n 1. , .. Adam urlunll?.imid- -V'! lug °gJ I? stn • t 1 up toe e•up air to mule rlti>I.7;1 yh•:N1litji,,,,•ttil:., tnhiil'fe+I.......... '•t '?•II fq,s ,.t ..5 ,l ty,eYl%II,IaI Vtlele?V?.(?i.i • ?? • I • ? ,' thyll It 0 ad" 4.4. o`m) 1115 ehp'L•I® cGu tna rttsf«A!+Ilt`#1?.tt17Y.4'.'2'..fllL:. . t gy vent lator$ air exchanger- etc.) --- -- ?.. ....ur /Go .•cfin• (0 cfin! 9mtmumll of Camplluneel The propoYed t building design npnse led In theme deaumenta to consistent wh1.11 Yltaellleenens. it, a other onlaudallons ntbmI ad will am parmlyt? Ilontlnn. 71te proposed btdidln the bulldln ' ruqutr mums ordta Ivl utlesotn Energy Cat 13. / g Olen., 8 has been eilgnml to ntam sill Applicant (pri'11 nunm) St Ill Ira 'n/` it Dot-ems ? ?• fit' h' y ?? Pasapbw1e n0111bur ?fl III C2. (3ubusfs Torf CZ np0u anniplollnn d(syslam vorlflcallaut) J<----- Jnl• Site A tlllrosat - - ` "' ` - Pan deaarl rNon nr locWi • Perm11 Number bIRASURRO , -^ ' 1 IIIIeL'e nn.. _?_ Tnm. r n 1 venmau0n retelling ha masnired art verified when I to perramunoq o 1 oa a lien 141. a6n cfin n! nlnU bt Ibe bullJln 'ennd111ona;1 anvaln;d firbiri hers A% .."'•i )I:'t I srP,• I' •• n -tell o •i m piascr pl ye oplion far slid rcnllnp Glugdlnnce Siuiunranu Ins1011e11 ventilation syalem Is In compliance wllb MN Energy Codn and is shad to provl41a nha design sir Ilnu•, Appllcl...I (p,,,d 1111114•) Signalura Donu -'-` ry"aluphunc nunl69r .,% LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION 'PROPERTY LEGAL: i DATE OF SURVEY: ?' 2 LATEST REVISION: 2 - 2 L- 0 2 m m c a U DOCUMENT STANDARDS Y Q O z ¢ fa' ? ? • Registered Land Surveyor signature and company ? ? • Building Permit Applicant 6 ? ? • Legal description V11 ? • Address ? ? • North arrow and scale [g ? ? • House type (rambler, walkout, spit w/o, split entry, lookout, etc.) ? ? • Directional drainage arrows with slope/gradient % ? ? • Proposed/existing sewer and water services & invert elevation ? ? • Street name ? t? ? ? • Driveway /, ? • Lot Square Footage ? /? ? • Lot Coverage Cti ? ? • Benchmark ELEVATIONS Existing / ? ? • Sewer service (or Proposed) C, ? ? • Property comers d/ ? ? • Top of curb at the driveway and property tine extensions d ? ? • Elevations of any existing adjacent homes ? [?/ ? • Adequate footing depth of structures due to adjacent utility trenches ? ? ? • Waterways (pond, stream, etc.) Proposed 0/ ? ? • Garage floor C ? ? ? • First floor ? • Lowest exposed elevation (walkout/window) t3/ ? ? • Property comers tB ? ? • Front and rear of home at the foundation PONDING AREA (if applicable) ? 4T'/ ? • Easement One NWL ?' ? • HWL ? :/? • Pond # designation ? ? • Emergency Overflow Elevation q ? ? 0/1 ? ? /? ? E? ? ? 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 utilities within those easements Setbacks of proposed structure and sideyard setback of adjacent existing structures Retaining wall requirements, if an Reviewed: CER TIFI CA TE OF SUR VE Y M. W. JOHNSON CONSTRUCTION HYD O ° p' 21 RECT S/L jL-/t/ a15 1. O In °o Tn 1 889.2 50.1 'II?IU? ? I DIMENSIONS ARE TO )UNDATION STONE WOOD BENCHMARK - TNH (EST END STONEWOOD LANE - 888.36 LOT 1 PROPOSED GARAGE FLOOR ELEV.-887.7 P, P, = 3 0 in f- ,Ir a LOT 1 AREA = 3750 SO. FT. HSE AREA ex 1601 SO. FT. LOT 2 AREA - 3750 SO. FT, HSE AREA - 1601 SO. FT. SErR SVC LOT 1 - 876.8 (PER PLAN) SE ER SVC LOT 2 - 875.5 (PER PLAN) PROPOSED TOP OF BLOCK ELEV.=88&7 PROPERTY DESCRIPTION: PROPOSED BASEMENT FLOOR ELEV.=880.7 LOTS 1 & 2, BLOCK 1, W00DSTONE TO NHOMES. LOT 2 CITY OF EAGAN, DAKOTA COUNTY, MINMESOTA. PROPOSED GARAGE FLOOR ELEV.=886.3 PROPOSED TOP OF BLOCK ELEV.=887.3 - DENOTES PROPOSED DRAINAGE DIRECTM PROPOSED BASEMENT FLOOR ELEV.-879.3 000X0 DENOTES PROPOSED ELEVATION 000X0 DENOTES EXISTING ELEVATION ADDRESSES - 1538 & 1540 STONEWOOD LANE ? DENOTES (SPIKE/NAIL) (LOT 2) (LOT 1) • DENOTES FOUND IRON PIPE MONUMENT o DENOTES SERVICE LOCATION I HEREBY CERTIFY THAT THIS SURVEY WAS PREPARED BY ME OR UNDER OTA. LAND Bohlen SURVEYOR UNDER THE NLAWS OF THAT THE STATE OF REGISITERED Ourveying & Engineering 31462 Folioge Avenue 5 123rtl Street W. DATE= 2-12-02 Northfield, MN 55057 47su3ite 200 Savoge 55378 REVISED 2-26-02 LEROY LAND SURVEYOR Phone: (507) 645-7768 B E Phone: (952) 895-9212 AMINE BOHLEN. SOTA LICENSE NO N0. 10795 Fox: (507) 645-7799 99 Fox: (952) 895-9259 9 uo-Afl7_n9- cer r C' r: li N ;. 1" = 30' Use BLUE or BLACK Ink Am. r - - - - - - - - - - - - - - - - - I For Office UseG~ 2, I Permit#: ' ✓JI~ City of EaEd~ 4~_a5 Permit Fee. l 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 I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: / Unit Name: Est Phone: Resident/ Owner Address /City / Zip: Applicant is: Owner -Contractor Type of Work Description of work: & 4 AM Construction Cost: Multi-Family Building: (Yes / No ) Company: r, d ontact: Contractor Address:~~ t/1CC~bUI ~i ~d > City: l (QL) ~ State:/ _ Zip: _ ) 7 L 7 Phone: 763 C1 T o7 S 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 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 it issuance. X_ per 4"1 Z x Appl' ant's Printed Name -App rca s &R-06 -re Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA132628 Date Issued:08/25/2015 Permit Category:ePermit Site Address: 1540 Stonewood Lane Lot:1 Block: 1 Addition: Woodstone Townhomes PID:10-84900-01-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Roberta J Turner 1540 Stonewood Lane Eagan MN 55123 (651) 688-0987 Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460-6022 X253 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA143815 Date Issued:06/28/2017 Permit Category:ePermit Site Address: 1540 Stonewood Lane Lot:1 Block: 1 Addition: Woodstone Townhomes PID:10-84900-01-010 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Roberta J Turner 1540 Stonewood Lane Eagan MN 55123 (651) 600-2305 Plumb Right 1216 82nd Ave N Brooklyn Park MN 55444 (763) 561-3306 Applicant/Permitee: Signature Issued By: Signature