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1498 Woodstone Cir ~ - r~ CERTIFICATE OF OCCUPANCY EA062081-01 ~ City of Eagan Department of Building Inspection (i This certificate issued pursuant to the requirements of Mircnesota Rules Chapter 1300.0220 of the International Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of ~ the Ciry regulated building construction or use. For the following: i Business Name: Permit Number: EA062081 Construction Types: V-N Zoning: PD Code Edition: Occupancy Groups: R-3 U-1 Building Address: 1498 Woodstone Cir ~ Building Owner. M W JOHNSON CONST INC Owner Address: 17645 JUNIPER PATH STE. 200 Sprinkler System: No I I II ~ ii i i i Building Qfrcial I.ssued Date o ~ a--- ~ 2004 RESIDENTIAL BIIII.DING PERMIT APPLICATION City Of Eagan n n 1_ ,T~~~A 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reouirements RemodeVReOair Reouirements Otfce Use OnIY 3 registered si[e surveys showing sq. ft ot lot sq. K of house; antl all rooled areas 2 copies of plan Cert of Survey Recd _ Y_ N (20%maximum lot coverage allowed) 1 set of Eneryy Calcula6ons for heated addNOns 7ree Pres Pian Recil _Y _ N, 2 capies oiplan showing beam 8 window saes; poured founa design, etc. 1 sHe survey tor additions & decks Tree Pres Required _Y _ N lsetofEnergyCalculations Addfion-indicateilm-srtesepficsysfem On-siteSeptic5ystem__._Y_N 3 copies of Tree Preservation Plan A lot platted afler 711193 Rim JoislDeTail OpVOns selecLOn sheet (bltlgs with 3 or less unns Date V / 2--1 /Ot Construction Cost SiteAddress WaAfastOY1G C~~1'C~ti UniGSte # Description of Work L`L FknVSh ~ 1SC'CCCY'1 Multi-Family Bldg _ Y~ N Fireplace(s) _ 0 PropertyOwner M. W. 4hnwi Telephone#05Z) V IZ' 1~~ Contractor M.nsovI (`.nn4nr.~on Address I?l~ c1un~Der Pa+11 City111 UII I{) State M ~~l Zip 550hk Telephoneli ( O 7Z - 1,70 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv ] _ Minnesota Rules 7672 Ene~gy COde Category . Residential Ventilation Category 1 Worksheet • New Enerqy Code Worksheet (Jsubmissionrype) Submitted Submitted • Energy Envelope Calcuiations Submirietl Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. ' Licensed Plumber Vo. ` o t rtQc= ~phone #oJ~ ~ Mechanical Contractor ON Telephone # ( ~ ~O ~ Sewer/WaterContractor Telephone#( ~J I hereby apply for a Residential Building Permit and acknowledge that the informati is comp e d accur e; that the work will be in conformance with the ordinances and codes of the City of an and the State of Statutes; I understand this is not a pemut, but only an application for a permit, and wor is not to start wiYhout 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. Tam imu Caxcu ~ .v?~ Applicant's ITnnted Na e Applicant's Si ature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ~ 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plez ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous WorkTypes 5t n L Pdxt-[~- ? 31 New ? 35 Int Improvement ? 38 Demolish Intenor ? 44 Siding . ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 33 Alteration ? 37 Demolish Building' ? 43 Rerooi ? 46 WindowslDoors ? 34 ReplaCement `Demolition (Entire Bltlg) -Give PCA hantlout to applicant Valuation ~2 (2cY7 Occupancy MCESSystem CensusCode Zoning CityWater SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const ~ Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. Footings (deck) ~ FinaUNo C.O. ~ Footings (addi[ion) Plumbing Foundation ~ HVAC Drain Tile Othe1 Roof Ice & PJater Final _ Pool _ Ftgs _ AidGas Tests Fina] ~ pmniing - Siding _ Smcco _ Stone _ Bnck Fireplace ~ R.I. -Air Test Y Final Windows x. Insulafion ~ _ Retaimng Wall T P.pproved By: Building Inspector - Base Fee ~ -J • - Surcharge 3 S ~ S Plan Review MGES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies ~ (320 Other Total I~a' ~ ~ CERTIfICA TE OF SUR VE'Y E&- M. W. JOHNSON CONSTR UCTION 5-86,00' 00" W 75.00 ~----------N~ he876x9 rv:he8g2*4 ~ eB~ 3xo 874x5 • x ~ ~•o_05.1~•.878x6 861x9 078x9 0 0 'P (/1 3744: 'i ca DRAINACE k UTILITY . 29.50 q.OD O EASEMENT OVER ALL 2 r DDRlyEWAY OF LOL 35 ~ P~~ / i GARACE m 6.7; xq a 25 0 C)m 3 0 14.00 0 b 35 / O n w 4 867x7: O 0 l 00 ln ~J' O o3 4.00. x n. `a O~L m a am ,s ~ : ,0.56 TO 3 , 2.27 s asroa oo^ w~s.ou wa ry CjRCLE NE 42.17 e he881K8 I • ~q ~ m 873x9 w tO' " (V . m . O m~ i 400~ R' 396p"..,.,_.. ~25.0. B.O.C.~ 3 2s o 88,.2. o 0 ,a.oo ~ o m o ~ 0 03 GARAGE Q "m Z 12.17 aLL 2A 9~}~ O DECK m ; DryIV WAY f 72.17 29.50 ma m ~ ~OB ~~o874x0 876x0 N 20.67 3~ CABL?E yb, ~fo~~~.,.N 5.1BBOnO ?ELEC 870x7 heae ~ -----s~a:a , "en"o$ 86°00' 00" W 75.00 I ~ 27 i,. - 30' NOTE: ALL HOUSE DIMENSIONS ARE TO LOT 25 AREA = 3750 SQ. FT. OUTSIDE FOUNDATION HSE AREA = 2003 SQ. FT. LOT 26 AREA = 3750 SQ. FT. BENCHMARK - TNH WEST END STONEWOOD LANE = 888.36 HSE AREA = 2003 SQ. FT. SEWER SVC LOT 25 = 872.0 (PER PLAN ~ SEWER SVC LOT 26 = 870.7 (PER PLAN LOT 25 1498 WOOOSTONE CIRCLE PROPOSED GARAGE FLOOR ELEV =883.7 PROPOSED TOP OF BIOCK ELEV: 884.0 pROPERTY DESCRIPTION: PROPOSED BASEMENT FLOOR ELEV =876.0 LOTS 25 k 26, BLOCK 1, WOODSTONE TOWNHOMES, LOT 26 1496 WOODSTONE CIRCLE CITY OF EAGAN, DAKOTA COUNTY, hANNESOTA. PROPOSED GARAGE FLOOR ELEV: 8823 PROPOSED TOP OF BLOCK ELEV.=882.6 OENOTES PROPOSED ORPJNAGE DIRECTION PROPOSED BASEP.ENT FLOOR ELEV =874.6 OOOX DENOTES PROPOSED ELEVATION OOOXO DENOTES EXISTMG ELEVATION ? DENOTES (SPIKE/NAIL) • DENOTES FOUND IRON PIPE MONUMENT 4 DENOTES SERVICE LOCATION I HEREBY CERTIFY THAT THIS SURVEY WAS PREPARED BY ME OR UNDEft MY DIRECT SUPERVISION AND THAT I AM A DULY REGISITERED LAND Bohlen SURVEYOR UNDER THE LAWS OF THE STATE OF MINNESOTA. Surveying & Engineering 31462 Faliage Avenue 4735 123rd Street W. 9-26-03 NorUfiNd, ABJ 55057 suite 200 DATE• B E 5avoge, Aw 55378 REVISEO 10-16-03 LEROY H. HLEN, LAND SURVEYOR pnone: (507) 645-775e Prwne: (ssz) 895-9212 MINNESOTA LICENSE N0. 10795 Fox: (507) 645-7799 Fax: (952) 895-9259 M9-7088-03s FILENAME: O S tl C2f . WL a',):-9 y- g.p- Vao 9 1 -4 4N 173-1 RESIDENTIALBUILDING n &Z~gZ LO~ ZS ~CjC,IC. I PermitApplication r City Of Eagan p ~ p t~ 3830 Pilot Knob Road, Eagan Mn 55122 ~r 1~a go -SZ Telephone # 651-675-5675 FAX # 651-675-5694 I 5~a New ConsWCtion Reauiremen4s RemodebRepair Reauiremenk Office Use OnN 3 registe2d site surveys shaxing sq. fl. of lot, sq. R. of house; and all roofed areas 2 copies of plan JXCeA of Survey Recd (20Yo maximum bt coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd 2 copies of plan showing beam 8 window sizes; poured found desgn, elc 1 srte survey for addNOns & decks 731~Tree Pres Not Rend 1 set of Energy CalaWlions Addrtion - indicete Hon-sde septic system _ On-site Septic System 3 copies of Tree P2servation Plan'rf bt platled aNer 7/1193 Rim Joist Dehail Op6ons selection sheet (bldgs wM 3 or leu units Date 10 n/ O~ Construction Cost ~'Jo o 0 O SiteAddress li)oodS-lo ne ! r 1f_i UniUSte # Description of Work S ~ n a? e~i rn ~ I~ 1 L'''~ ` Mul[i-Family Bldg ~ Y_ N Firepiace(s) _ 0 Vl _ 2 Property Owner til uJJ 0 n nt>0 n Telephone #(`'I5a) O9.'> ~7 -7aO Contractor ,U wo-6) ns o n Address V_D :3 City Q (_Cl( iV State Zip ,-rja)4 4 Telephone # MEa _7-7~D Q COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cate¢orv 1 ~pp Minnesota Rules 7672 ~ III~~II Energy Code Category Residential Ventilation Category 1 Wohe t, - •I ~New Energy Code Worksheet (Jsubmissiontype) ~ Submitted n ~O 32093 '§ubmitted • Energy Envelope Calculations Submitt~U lJ I Licensed Plumber_~ _ Y.M----lelephone-# Mechanical Contractor X! ~ Telephone # ~ QoO oOa C~ n~ I ( ~j a Sewer/WaterContractor (.UPXIZP~( -YY1-QGh4n i('d I Telephone #{oG I) "15 I5(O7 I hereby apply for a Residential Building 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 State of MN Statutes; I understand this is not a permit, but oniy 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. ~ ~arnmv vto v ~ Applicant's Printed ame ~ 4pplicanYs Signature OFFICE USE ONLY Sub Types ~ ? 01 Foundation ? 07 OS-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 11!~ 03 01 of t-aplex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. O 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof 0 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to appliwnt Valuation oUu Occupancy 9-t MC/ES System Census Code U Z.. Zoning to 4 City Water SAC Units 121_ Stories / Booster Pump Nbr. of Units / Sq. Ft. 2,L7 PRV Nbr. of Bldgs 2 Length .S ZI Fire Sprinklered Type of Const V N Width !f Q/ REQUIRED INSPECTIONS ~ Footings (new bldg) X Final/C.O. Footings(deck) T FinaW, o C.O. Footings (addition) Plumbing Founda[ion _ HVqC _ Drain Tile Other Roof _ Ice & Water Final Pool Ftgs Air/Gas Tests Final ~ Framing Siding Stucco Stone ~ Fireplace ~ R.I. ~ Air Test ~ Final Windows (new/replacement) Insulation i(K Re[aining Wall Approved By. "2 , Building Inspector Base Fee Surcharge Plan Review ~7~ MciES s,ac 04 #k,v City SAC Utiliry Connection Charge 7j~-N X /(9 S8W Permit & Surcharge Treatment Plant e7 License Search Copies f) Other ~ly Total ! LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDINGPERMITAPPUCATiON PROPERTY LEGAL: L0* ZSr&4V' ~IOG~~ GL~OOQSTONP~ IOLJ'f/H~Mfc 9~ZGlo3 SURVEY: LATEST REVISION: m ~ c A t U v O z Q DOCUMENT STANDARDS X • Registered Land Surveyor signature and company .33; 0 0 • Building Pertnit Applicant X ? 0 • Legal descripdon '~k 0 ? • Address ,q ? ? • North artow and scale X • House type (rambler, walkout, split wlo, splk entry, Iookout, etc.) ? • Directional drainage arrows with slope/gradient °k ? 0 • Proposedlexisting sewer and water senices 8 invert elevadon J~ ? D • Street name g, ? ? • Driveway ~ ? ? . Lot Square Footage ? ? • Lot Coverage ELEVATIONS Existin )E~ ? ? • Sewer service (or Proposed) ~ O ? • Property comers • Top of curb at the driveway and property line extensions 0 • Elevations of any existing adjacent homes ? ? • Adequate footlng depth of strucNres due to adjacent utllity trenches O ~ ? • Watenvays (pond, stream, etc.) Prooosed ~ ? ? • Garage Floor )r0 0 • Basement floor ? ? • Lowest exposed elevation (walkouUwindow) ~ ? ? . Property comers ,Q • Front and rear of home at the foundation PONDING AREA (if apolicable) O ? • Easement line ? ~ ? • NWL ? J$ ? • HWL ? ~ ? • Pond # designation ? ? • Emergency Overflow Elevation ? ~ ? • Pond/Wetland buffer delineation DIMENSIONS ~ ? ? • Lot lines/Bearings & dimensions o • Right-of-way and street width (to back of curb) (2ad~us) X ?4Am • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.(oOmmor~ rint (i.e. all sWctures- reqOrnng permanent footlngs) atf4~h koaCS, • Show all easements of record and any City utilities within those easements ~ C? • Setbacks of proposed structure and sideyard setback of adjacent existing structures • Retaining wall requirements, if any Reviewed: < /65' O'3 Name Date G:/FORMS/Building Permit Ap0lication ~CERTIFICA TE OF SUR VEY Fo?. M. W. JOHNSON CONSTR UCTIDN S 86°00' 00" W 75.00 N~ x4 he876x9 c°1:he882 ~ g83x0 874.5 x x x ,o n m o N ~ m Y 07 9874x9:~ 578.9 DRAWAGE k UTILIT 1. 29J50 2.00 ~ DRIyEµ, EASEMENT OVER A DECK ~ r o AY OF LOT 35 129 ~ 25 GARAGE 6.7% 9 O «a p ! $ p 6 35 O g ? 3 o 14.00 ~ r 0 o satx7: p N 0 N ~ O ~W 0 03 4.00~ OOD ~ •00'00" w 75.00 = :1056 Hyo ~ pm x fm p ~IRCLET ~NE 7! 1227 5 86 4217 ~ he881v8 `P0 0 k ~ m 873x9 R z s O ~ 4. 0 4 00 - 39.60 x • o SBlx2: B.O.C25.~." 3 ZF) . O 7400 O m o ~ S I~. c o$ n 00 m m GARAGE 93% 0 Z o12.17 a. 2.0 ~ ' ' - ' - DECK m ; f ORIV WAY 29 50 m o . I~ 'TOl ~ 'T"1 n"*" 1z4n !o874x0 1876x0 N 20.67 C ~ +6 L~/ ° ? ELEC B80x0 cJ L~ he88 K='~ ~gl , kI 874z4 ~Y _.,eBZzlo S 86000' 00" W 75.00 I 1vT.^- 1~ :+.JV G DEFT~ ~ 27 ~ „ = 30' r NOTE: i;E~ ~ ALL HOUSE DIMENSIONS ARE TO LOT 25 AREA = 3750 SQ. FT. OUTSIDE FOUNDATION HSE AREA = 2003 SQ. FT. LOT 26 AREA = 3750 SQ. FT. BENCHMARK - TNH WEST END STONEWOOD LANE = 888.36 , HSE AREA = 2003 S0. FT. -SEWER SVC LOT 25 = 872.0 (PER PLAN) -'SEWER SVC LOT 26 = 870.7 (PER PLAN) LOT 25 1498 WOODSTONE CIRCLE PROPOSED GARAGE FLOOR ELEV =883.7 . Z PROPOSED TOP OF BLOCK ELEV =884.0 - PROPERTY DESCRIPTION: PROPOSED BASEMENT FLOOR ELEV: 876.0 0 ~26_.BLOCK 1, WOODSTONE TOWNHOMES, LOT 26 1496 WOODSTONE CIRCLE Ap~~,,~AG~pNSDAKOTA' COUNTY, MINNESOTA. PROPOSED GARAGE FLOOR ELEV: 882.3 PROPOSED TOP OF BLOCK ELEV.=882.6 DENOTES PROPOSED DRAINAGE DIRECTION PROPOSED BASEMENT FLOOR ELEV =874.6 OOOXO DENOTES PROPOSED ELEVATION 3:9 M6llfIPP1U7T1 SIOpBS OOOXO DENOTES EXISTING ELEVATION ar Ro4dning VNaII Wil! • DENOTES FOUI ) ND RON PIPE MONUMENT Be R6iaUlfed ~ 4 DENOTES SERVICE LOCATION HEREBY E AM A S DULY REGISITERED ~ND NDER MY DRECT ERVSON AND THAT T 2 !VEC'O SURVEYOR UNDER THE LAWS OF THE STATE OF MINNESOTA. Bohleri Surveying & Engineering 31462 Folioge Avenue 4735 123rd Slreet W. 9-26-03 ~Narlhfieltl, MN 55057 suite 200 DATE• H E Savage, MN 55778 REVISED 10-16-03 LEROY H. HLEN, LAND SURVEYOR phane: (507) 645-7768 Phone: (952) 895-9212 MINNESOTA LICENSE N0. 10795 Fa. (507) 645-7799 Fax: (952) 895-9259 M9-1088-03s FILENAME: o s n cer t.S9U Address: 1498 Woodstone Cir Zip: 55123 Lot: 25 Block: 01 Subdivision: Woodstone Townhomes THE FOLLOWING ITF.MS WERE/WERE NOT COMPLETE AT FINAL INSPECTION ON Yes No Comments Final ade - 6" from sidin Permanent ste s - arage Permanent ste s- main entrPermanent drivewa Permanent gas Sod/Seeded lawn TraiUcurb dama e Porch Lower level finish Deck Fireplace • V erify wi[h your builder tha[ roof test caps from Ihe plumbing system have been removed. • T um otT wa[er supply to the outside lawn faucets before freeze poten[ial exists. • Call the City's Engineering Department at 651-675-5646 prior to working in right-of-way or mstalling iiti„atinn system. V BUILDINGINSPECTOR: CONTRACTOR: MW Johnson Constrnction 17645 Juniper Path, #100 Lakeville MN 55044 i i MNCheck COMPLIANCE REPORT I I Minnesota Energy Code ~ Permit MNCheck Software Version 3.0 ~ Checked by/Date ~ COUNTY: Dakota STATE; Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 10-15-2003 DATE OF PLANS: 10/014/03 (Eag ROJECT INFORMATION: ot 25 oodsto e , MN COMPANY INFORMATION: MW Johnson Construction Inc. 17645 Juniper Path #100 Lakeville, MN 55044 COMPLIANCE: PASSES Required UA = 445 Your Home = 432 2.9% Better Than Code Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA CEILINGS 1463 44.0 0.0 40 WALLS: Wood Frame, 16" O.C. 2040 19.0 2.0 114 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 992 10.0 0.0 158 GLAZING: Windows or poors, Above Grade 197 0.480 95 DOORS 38 0.350 13 FLOORS: Over Unconditioned Space 16 30.0 0.0 1 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 req 'irements of the Minnesota Energy Code. Builder/Designer Date j7 n , Use BLUE or BLACK Ink r For Office Use Permit#: I I 5a15 lion City of EaR d I ; Permit Fee: 3830 Pilot Knob Road 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 M Name: JA (I ~L Phone: Resident/ s~/~ Owner Address/ City/ Zip: / F Applicant is: Owner r Contractor Type of Work Description of work: &h:e i I j Construction Cost: Multi-Family Building: (Yes / No ) ~ Company: ontact: ~ / ~Iffff Contractor Address:" y ~9C Svw/ L/7 City: State:/d_ Zip: Phone: 1~-5 0- 00B 7 s P License Lead Certificate M o 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 n~~ x S6 V Appl' ant's Printed Name Ica s ure Page 1 of 3 Use BLUE or BLACK Ink r For Office Use I I 7 I e~/~"! City of Ea Q Permit R I Permit Fee: 3830 Pilot Knob Road I / I Eagan MN 55122 Date Received: tT Phone: (651) 675-5675 ► I Fax: (651) 675-5694 I Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION ~ Date: Site Address: Unit a -one: scar tPs~ - 7j -ill Name: 1 " Resident/ Owner Address I City / Zip: C' Applicant is: Owner Contractor Type of Work Description of work: Construction Cost' / 6) Multi-Family Buildi : (Yes / No ____rMk_ne, K P Company: S ee z^c l A- ntact C~ p Address: t C k5 YJtJ,rt, City. Contractor 1 State: /L Zip: ;j Phone: License :~*j 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: i 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 Appli ant's Printed Name a ure P Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA140970 Date Issued:02/03/2017 Permit Category:ePermit Site Address: 1498 Woodstone Cir Lot:25 Block: 1 Addition: Woodstone Townhomes PID:10-84900-01-250 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 - Raymond T Gaffney 1498 Woodstone Cir Eagan MN 55122 (612) 991-0546 Appliance Connections Inc 12850 Chestnut Blvd Shakopee MN 55379 (952) 445-4803 Applicant/Permitee: Signature Issued By: Signature