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
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i Building Qfrcial I.ssued Date
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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
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874x5 • x
~ ~•o_05.1~•.878x6 861x9
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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
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O o3 4.00. x n. `a O~L
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am ,s
~ : ,0.56 TO
3 , 2.27 s asroa oo^ w~s.ou wa ry CjRCLE NE
42.17 e he881K8
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(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