The URL can be used to link to this page

3584 Woodland Tr w,'ertificate of cccoancv Wit4 of ~agan Wpatment of 131flaag ?yi This Certificate issued pursuant to the reqairements of the Uniform Building Cede ccrtifyirtg that at tlre tinw of issuance lhis structurr-was in compliance with the various ortfinareres of the City regulating betildaig construction or use. Far the following: use a,sBificafioo: SF DWG/GAR ewg. Penn;t No. 27458 p-Apa-y ryw R-3 11-1 ya~g pi,,i, R-I Type Consi. YI! ~~e~~~ I~fARK JdHNSdN CONST P 0 BOX 21327, EAGAN, MN g,.ikhngqd&. 3584 WQODLAND TR Locaiq, L11. B1. THE WOODLANDS_ 4TH ~ ' - i' ~ Due: tuuldin6 0fficial POST IN A CONSPICUOUS PLACE 4 ~ INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: „fio1)1 r3FJU TF ~ , i i.r: ~ ~;r, ~ i~, • ~ f'tf . 1 i PERMIT SUBTYPE: TYPE OF WORK: INSPECTION DA ~ r.t, ~ 11 1'I i ~~,r., ~ J PermR No. Permit Holdw Date Telephone s ELECTRIC 5 (o / (P j') +1°° PLUMBIN a-9Lw., 3-3 ZWV HVAC Inspection Date Insp. Comments FOOTiNGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS 5VC TEST INSUL GYP BOARD FIREPLACE ~,7,//R/ ~J Sr FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMTR.I. BSMT FiNAL OECK FfG DECK FINAL INSPECTION RECORD CIlrY' iO EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: 0.1 7 A~ H Eagan, Minnesota 55122-1897 Date Issued: o (612) 681-4675 SITE ADDRESS: APPLICANT: ~~~I. .1t i lll~i : I inf)nl ANfj 7R MRkY -NI; , •s PERMIT SUBTYPE: TYPE OF WORK: riF il INSPECTION . 1 /~PJ t ~i•~ . ~ ! ~~~~I I il~~ !Fl .tl~ r1I I~~~+ i 1l:i ('I A' ! . i i~ili,I) !'rJ i r+,~, I• r111~~11 1 Pt t! f 1 1 I~rll { t i:~: i 1 t~l11 i'ti MARK S t S& 4J !pl RR MA 1 i!Iir I.? ortirt 1 r ~ ;f I ~ ~ J Permit No. Permft Halder Date Telephane N ~ ELECTRIC I Q CAP PLUMB ~ HVAC nZiA ~~r ~ - InspetUon Date Insp. Comments FOOTINGS FOUND FRAMING C (.K~ RdOFING ROUGH PLUMBING AIR TEST C~ K J ROUGH HEATING GASSVC 17~e rc 4 Gain u f~1' TEST Q INSUL 'Z GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG 25' FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL Address • 3584 WOODLAND zx Zip 5512_ Lot 11 $]k 1 Sub THE WDODLANDS 4TH THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: Q 5 s(P Yes No Inspector: Final grade (6" from siding) r Permanent steps (garage) Permanent steps (main entry) Permanentdriveway Peimanent gas Sod/Seeded grass X ~ TraiUcurb daznage ~ Porch x Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply [o the outside lawn faucet before freeze potential exists. Contact engineering division at 6814645 before working in rightof-way or installing underground sprinkler system. ~ White - City Copy Yellow - Resident Copy Pink - ContraMOr Copy 3 3 7~ aJ J U ~ OFFI EUS ONLV This request void 18 monlhs from volidafion dane prinkd i~ boY, Y~ O ~~~y~ 7 o i ~y PLEASE PRINT OR TYPE Reqvevl Oa Ro~gh-In InspMlon rcqoired2 ~es , No Impxlion DlharThan Rough-In: Q Ready Now JI Coll /z 41 ~1'0o m~s~ mll ~he inspecror whm ready) Oa~e Ready: I, A licensed confracfor ? owner hereby reques} inspedion of fhe obove elechical work af: lob Mldmsz (Sheet, Box, or 2ovle No.) Ciry Zip Cade wama'wo ~R. -~G/f dl Sedian No. Townehip Name or No. Range No. Fim No. C-P k0~ Occu 1 PMx No. arr,~so •r.rzk~r~e N Pov.er uqpplier Md~« /Ttt d/~ ~.Ne~/C Elann Contmclor (Compa~Name~ Conkacror 6renze No. Mmkr Lic No. (Plant Elect Oniy) 4.t,& c~c~-R ic Z..~ ~ 644/Y.3Z Moiling Address (Confrador or Owner Pe rming Inelallafion) QS~D/ T' .es A,%a L . #/,50 <asrr~.,~~ mnJ /fliV 55 t76% A=nka~ Imlollafian) Pho yioo EB-OOOOIA-10 6/95 5fATEBOAqDCOPV-SEEINSTflUCT10N50N8ACKOFYELLOWCOPY REQUEST FOR ELECTRICAL INSPECTION ' IIII II II II I IAI I I III I I I I IIII Minnesota essry Avear Rmi Electric 827 Un St. Paul, MN 55104 tt 0 3 3 7 5 9 6 L s Phone (812) 842-0800 Home Duple: Apt. Bldg. Othe,c _ New Addn . Commercial Indusfrial Farm Remod Re air Air Cond. Hfg. Equip. Water Hh. Load Mgmt. Other: D er Ran e Elec. Heat Tem . Service "X" above the work covered by this requesi. Enter remarks in this space ond on the back of the white mpy only. FiMlSL4 Calculote Inspecfion Fee - This Inspecfion Requesf will not 6e accepted wilhoW the mmecf fee: Other Fee ;0` Serrice Enkance $ize Fee # CircuiWFeeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps $trea} L}g./TraHic $ig. Above 200 Amps 100 Amps Transformer/Generafor INSPECTOR'S USE ONLY TOT ~ 5O Sign/Outline Ltg. Xfmr. Alarm/Remote Control $wimming Pool i nercb cem thot i m: Med on desoibed he.ln on ihv dahs s ied Irrigatian Boom 2oughln Dore Special lnspedion Pinal Investigafive Fee THIS INSTALLATION MAY BE ORDERED DIS ECTED IF NOT' lffdMPdtED WITHIN 18 MONTHS. ~ I I II j REQUEST FOR ELECTRICAL INSPECTION Minnesota State Board of Electricity V., ; 821 Universiry Ave., Rm. Paul, MN 5510a 0 7 0 0 3 8` * Phone (612) 642-0800 (p ~ Home Dupe: Apt.Bldg. Olhe;r• New Addn Commercial Indushial Form Remod Re air Air Cond. Hig. Equip. Water Hh. Load Mgmf. Other: D er Ran e Elec. Heat Tem . Service "X"- above fhe work covered by this request Enter remarks in this spoce and on the back of the white copy only. Calculote Inspection Fee - This Inspeciion Requesi will not be accepted without the correct fee: Olher Fee # $ervice Enhnnce Sae Fee # Cirails/Feeders Fee Mobile Home Pork Stall 0 to 200 Amps ~ 0 to 700 Amps .Q Street Ltg./TmHic Sig. Above 200 Amps Above 100 Amps TransformedGenerotor INSaEC7on'SUSEONLY TOTAI~/D Sv Sign/Ou}line Lfg. Xfmr. d . l Alarm/Remote Control ~ $wimming Pool I hercb ceni fha~ I Im ed ~he el Ilan k. em~ed Imiga}ion Baom Rough.ln $peciol Inspedion Investigo}ive Fee Final THIS INSTALLATION MAY BE ORDEREU DISCONNECTEU IF NOT COMPLETEU WITHIN 18 MONTHS. 270- 0 31 ~ OFF1C SE ON Y This requat wid IB moMhn from rolidnfian date pnnted in Miz boz. . ~ PLEASE PRINT OR TYPE Rqoest Dah Roogh-in impeclion required2 ~Yes ? No InspMton 01her Than Roo9h-In: 0 Reody Naw ill Cvil Y6 IYou masl mII Yne inspeclur when mody) Dafe Readp licensed conhador ? owner hereby request inspedion of fhe above elechical work at: Jo6 AAdrna (Slreel, 8ox, or Rouk No,) Ciry G Zip Code y ODO[Riv O ~iZ G /)-6 fJN Sedion No. Township Name arNa. Range No. Fire No. Co~n Occupont Phane Na. avivsoN 1us1;P-.uc7-,(o~ -lbTh Power upplier Pddre AK0771 L~C7~T'iG fI'R/niirG 7D~ Ele I Confrocror (Compa^Y Name) Conkudor Oama Na. Master Lic Nw (Planf EIM. Only) ~n c L'-I-E-92 77e 10- Mailing Pddrcec (CanM1VCmr or Owner Performi Inslall°~t ~ S r ~o, '~/~D Ld ~"N6TON /wlfion $i9nalure ( tract o,Owner Pedormin9lnsmllaHOnl Plwria EB-00001M10 6/95 STATEBOARUCOPY-SEEINSTNUCTIONSONBACKOFYELLOWCOPY PERMIT C"5F6,27 ~ CITY OF EAGAN 511-0(e 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 4 5 8 (612) 681-4675 Date Issued: 0 5/ 0 3/ 9 6 SITE ADDRESS: 3564 WOOOLAND TR LOT: 11 BLOCK: 1 THE WOODLANOS 4TH P.I.N.: 10-75879-110-91 DESCRIPTION: Buildin~j~PermiC Type SF DWG ; Building LJ`o,.rk Type NEW ' UBG Occupaflc~y, R-3 U-1 Canstructian Tj7pe V=M Zoning R-1 ; Bua,»~dirig Length ~ 73 r Building W~.dth 41 . Building stories2 5"~'(t#are F`€e t 2.422 s- Cdtl"e 101 1- F A M. D E 7 A C H M l~ f~, r i\ . REMARKS:• S& W PLBR ~ MATTHEW DANIELS PLBG ~EE SUMMARY: VALUATION $201,000 Base Fee $1,392.25 MISCELLANEOU3 $1,923.50 Plan Review $696.13 7ota1 Fee $5,017.38 Surcharge $100.50 SHC $900.80 SAC % 100 SAC Units 1 lic. Search Fee $5.00 3ubtotal $3,093.88 CONTRACTOR: - Applicent - sT. LIC.OWNER: JOHNSON CONST, MflRK 14511676 0003288 MARK JOHNSON CONST P 0 BOX 21327 P 0 BOX 21327 EAGAN MN 55121-0327 EAGAN MN 55121 (612) 451-1676 (612)451-1676 I hereby acknowledge that I have read this applkcation and state that the infarmetion is correet and agree.to eomply with a11 applicabLe State of Mn. Statutes :and City of Eagan Ordinances. L _ _ . ~ N% APPLIC)PI /PERMITEE SIGNATURE ISSUED B: SIG ATUR 144 41996 CITY OF EAGAN ~3830 PILOT KNOB RD - 55122 i BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-46T5 New ConstruGion Reauirements R modelReoair Reavirements ? 3 registered eRe surveys ? 2 eopfes of plan ? 2 eopies of plans (indude beam 6 window sizes; poured Ind. design; etc.) ? 2 site surveys (exterior addRions 6 dedcs) ? 7 energy calwlatlons ? 1 energy ealculaUons for heated additions ? 3 coples of tree preservalion plan H lot plaped after 711l93 requ'ved: _ Yes y[ No . DATE: y/o73 /`3~ CONSTRUCTION COST: a3~, o 00 DESCRIPTION OF WORK: AO''"iQ- STREET ADDRESS: 358q W 0od la~d. Y,.M: ~ lOT 11 BLOCK f SUBD./P.I.D.# <lF, 1196~QcQ.441a,.. PROPERTY Name: :Aokrise,n. M-~K Phone y61-16Ol!~ OWNER `I"'T StreetAddress: P6. Qox al3aq - City• State: MOJ zip: 5 sia f -Q CONTRACTOR COmpany: Ma~K ~oi~..sor.Go~sFruc~la,. Phone 5treet Address: License City: State: Zip: ARCHITECT! Company: to-,\ M~s4-eW D~M Phone 1131- 164( ENGINEER Name: tsa.,.. Mow.sr,-~ Registration StreetAddress- /y'265 C,~%,raao /qce :t"7 Ciry: -.state: MIU zip: 553o(a Sewer & water licensed plumber: /r)0.Aew a~o~;2J5 Penalty applies when address change and lot change are requested once permit is issue8: " I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all appiicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY RECEIIMEr-C~R Certificates of Survey Received 4es _ Na E-~PR 2 i8g~ Tree Preservation Plan Received _ Yes No . OFFICE USE ONLY k% y BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 3il'-02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ,0~1 New ? 33 Alterations ? 36. Move 0 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actuat) ~ Basement sq. ft. ~5Z MCNVS System (Allowable) ~ Main level sq. R. 79 City Water UBC Occupancy ~-3 Z F"- sq. ft. Z, 3sa Fire Sprinklered Zoning a2-/ sq. ft. PRV # of Stories z66sq. ft. Booster Pump Length -73 sq. ft. Census Code. Depth yi Footprint sq. ft. Z~ Yzz ~SAC Code 0/_ oPS & Census Bldg ~ APPROVALS d ~ 5-11 4 Census Unit d I ra'~+b q Planning Building Engineering Variance ~ Permit Fee Valuation: $ 7i0~ 80o ~Tf/"G ~ Z 7 O o Z Surcharge Plan Review 8n»T License zr MC/WS SAC 7(o (m 7 cfty sac Water Conn. s`~~ y 6'`g WaterMeter C9N~. /x - < /,(e} Acct. Deposit p~c +z = l09 S/W Permit SIW Surcharge ~ ?go Treatment PI. 7 9'` Road Unit 12- ~ . Park Ded. Trails Ded. SKis = 7s Other Z X~ y° ~ f3 /9~c 1/ s° r%9 Copies Total: 510 Z.rx 6P9 7l~ SAC Units (o•rx rZ ' lZ~ ~ ~GK- ~~ys6 z~o~ ~ ~Z~ 900 r~PIVR-67-1996 14: 15 JAMES R HILL, INC. 612 890 6^c44 P.02i05 ,t CERTiFICATE OF SURVEY For: MARK JOHNSON CONSTRUCTION PROPERTY DESCRIPTION: Lo# 11, Biock 1, THE WOODLANDS FOURTH ADDlTION, Dakota County, Minnesota. We hereby certify that this is a true and correct survey of the above desrc'jed property and that it was performed by me or under my direct supervision and that I am a duly Licensed Surveyor under the laws of the 5tate of Minnesota. That this survey ~dqg %not purport to show oll improvements, easements or encroachments, to the property elVP,tkXriqdin thereon. Signed this day of ,1996. 837tn R IhC., RE By , ~ BY Daniel R. McGbbon, Minnesota LS. No. 18883 ~:AGAN EN ~ RING DEFT Notes: 1. Bulding dimensions shawn are for o Denotes set iron monument horizontal & verticai of structure onl . • Denotes found iron monument Y x927.68 penotes existing elevation See architectura{ plans far building & (930.00) Denotes proposed elevation ~ foundotion dimensions. Denotes propased drainage 2. Ido specific soiis investigatian has 6een completed an this lot by James R. Hill, Inc. Bench Mark: 912•76 _TNH-LOTS 6 k 7. BLK. 3 The suitability af soils to support the specific ypg.~ Proposed Garage Floor= house proposed is not the responsibility of Proposed House 7op Block= 9D8.7 James R. Hill, InC. Or the SUrveyor. Proposed Garage Top Block= 908•7 3. Proposed grades shown were taken from Proposed Lowest Floor= 899.9 the grading &/or develapment plan prepored by B.R.W. iNC. BearrVs ere on aaeumad datum Scail1r. Pape 1 d 2 ~0 Z0 ; James R. Hill, inc. °w y ~ ~m m PLANNERS / ENGINEERS / SURVEYORS ~ Z 0 -so~ 2500 w. crr. Ro. 42 • auRNswuE. Mk. 55337 • 612-890 ..w MWR-0^-1996 14:16 7aME5 R HILL, INC. 612 890 6244 F.03i05 CERTIFICATE OF SURVEY For MARK JOHNS4N CONSTRUCTION I nT s ~ ~ (892.4) ~ r N~ • / / \ S ~x sn5 ~o 4v 4- A, 0 o ( S v~ )5 ~ 98g` r 3 (894.4 j LOT 11 5( co 0 II 'V ~ nl 8 L ~ cv (900.3) C~' J r - L7 ~ 14.0 ~ 44.0 ~ m ° cn ~ j PRpPOS~D F 15.0 ' r' 6ENCFi MARK 7 / CAajqGE TOP OF SPIKE O~~ I &J3 ELEV.=909,83 C~ ~ n~ 11 I ~ 20.~ 97 , ~ ! (908.0) ~9'08.Oj' BENCH MARK Q m PROPpy^Ep ti/ I TOP OF SPIKE ~ Dal1~MAY ELEV.=906.27 a (906.6) s estv - sos.az ~~p $7. 71 )~L...V `V 906.3 9914 ~ 1 9n907.2 7.6 f R~40 .27 INY.'tLEV. = 887.60 Date D~ • D EAGAttiTERGLAEE;3INGDEFT. rrv H rRA-/-L Scale: 1"=80' Page 2 of 2 James R. H111, TIIC. , LOT SURVEY CHECKLIST FOR RESIDENTIAL ' B ING PER IT APPLIC TION ~ PROPERTY LEGAL: ~ DATE OF SURVEY: LATEST REVISION: DOCUMENTSTANDARDS a ? ? • Registered Land Surveyor signature and company W"~O ? • Buiiding Pertnit Applicant ffl-'0 ? • Lepal description Gfv'6 ? • Address 6'0 0 • NoAh artow and scale e--13 ? • House type (ram6ler, walkout, spl'd w/o, split entry, lookou[, etc.) e-'O ? • Directional dreinage arrows with slope/gradlent % 0-' ? ? • Proposed/e»asstlng sewer and water services 8 invert elevation 0-' ? ? • Streetname 9~1O ? • Dfireway ELEVATIONS Edstlna 0`0 ? • Sewer service (or Proposed) Gr-~ ? ? • Propertycomers 3'13 ? • Top of curb at ihe driveway ? e' ? • Elevatlons of arry exissUng adjacent homes Prooosed ~o ? • Garage floor ~ ? ? • Flrst floor 7-'0 ? • Lowest exposed elevatlon (walkout/window) f~o ? • Property comers -Cr-~ ? ? • Front and rear of home at the foundation PONDING AREA (if aoolicablel ? 0"~ ? • Easement line ? e-' ? • NWL O ra' ? • HWL ? 0~' ? • Pond # designafion O q/ ? • Emergency Overfiow Elevatlon DIMENSIONS ~a ? • Lot IinesBearings & dimensions ? ? ? • Right-of-way and street widtlh (to badc of curb) Q'-'E3 ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (.e. all structures requiring pertnaneM footings) E:r- ? ? • Show all easements of record and any Cily utilities within those easements C3,- ? ? • Seibacks of proposed sUucture and sideyard setback of adjacent exdsting structures ? [3~ 0 • Retainingwallrequiremerrts,'rfany ~ Reviewed: z ame / Date Januery 1 9ss uuroi uun%ocrnnrt. cM . i~ . . ~ ~ WOODLAND TRAiL ~ " N~~ SEwER SERNCES TO SE 4- PVC SDR 46. W 6' - 7.2 1/2' BEND y, WpTER SERVICES TO BE 1' TYPE K COipER. 2 USEE SHT. Jr 'j4J9 U CURB BO%ES TO BE PIACEL ON PkOfERTY llrvE. F~ p 2 ~ s i 4. EXTEND SERVICES 15' INTO 7ROVEftTY. 4 S 6 7 10 e7.7 11 s,p 5. NYDRAN75 TO 9E INSTALLED 1 GT. BEIIIND I no j ' . \ 4 gACK OF CURB. v 51.~ ~ 60' ROw T! 0 ~ Q ~ _q 31.0 l. ~ 2 B 0~ TYP. 11 Q j$ if \ 11 67. 6. SEYBA SERNCE INOERTS ARE AS STANED POR a \ '~y~ ' ~I n ' 3 yO~ID T~ TEE 1 J~' e-B Cd15Ti'JCnON - NOT VERIFIED A$-BUILT ELEVATON ~ ' 1/4• B END l t R' 7 7 P M l ~J I / ? O f Q S / ! I / ~3 s 1~2' PEND 7Jµ^ NY!YG ~ l~' 0 i l s/VYA.MA? AYYF7R 7' ~J0.s y ~ es.s~ ,rvvT ~v\ aio 7 ~ i r~l ~ ~ - n.o,~. vio~_~ Iy OkF~jd ~ 14 2r 10' TYP. ~o 0 °C`-4~t6»~ ~ ? / _vto ~ . ~ ~ ~ ~ \ { / i Iot9JZO ? ! \ \ _ IHVYB91I0 , 15 g' _ 45' BEND oa0 \ \ n ' `\1 t~.0 _ ' ~ ? \ ? ? \ ~ i' \ ~i ` ~ 1 _ I ~ m i ~ r 'N».o ~ 5zw 4s ~,y a.ar \ y OfJ9 I i A2S NYSYL5I0 ,OVY.fG4(60~~ aa.~ \ 1'~R7tl ~ d?YB9710 Nv 7J0 ~ i ~ ~~O/PT 265 8y o~ \ Sa' B-B \ 50.0 / I6YYC911~j m n u r s^ . 6" ~ SHi' ,yyo x Naf 6' 7EE 5~5 6' - 11 1 4• BEND u.d S.M. mr+ - 3 8'-6" DIP CLS AVYBA9V0 ELEV. 903.91 a < i 6' RSV 4 5 6 7 S° 3 4cET 47.0 - ~ , TeW 'HYDRANT g,y, Tq 6" RSV 6' a 6~ TEE ~ ELEV. Y127E 8'-6" DIP CL52 6' REDUCER § o ~ .5\\svYA7P.M HYDRANT V \ ^ / L n ~ I s . 1~A ~19 \ 2 6' x 6' TEE ~ g b vr 12'-6' DIP L52 6' - 44-i-f2 END a JI2 :~Ifr ~ -6' x 6" TEE HYDRANT 11 1/4' 12 61.3 -4.~ ~ a~aa W y 17.< ;p i • °I iLl~OI/~N,ri~ ! ~ G: ~ ?~qo`',o\r wasa^_ ~ --940' d; o ''IL, 1 LS" :0 tU `REMOVE EXIST. 6" PWC ~ c ~ N !IW AND SALVAGE, CONNECT q WARNING ~ rrn` ^ .`t{ppp~~1' 6' - a5 BEND ~ o Q TO E%IST. 6' WAlEFMA1N. MATEIOCA TI cCp Ul9f7N APPRO%ION OF e 8§~ - N7LLIAMS BROS }3 , ~ v2s'~-•~-'-~ ~TG3~ ~I~ ~r GL~•""' PIPELME SALVAGE E%IST. PLUG (7 V~ EXIST WATEfiYAIN AND SANIIP~ry r~' CONTRACTOR SHnLI VERIFY • ~ . r . AND CONNECT TO SERVICE LINES TO Lar t. ely~.kr pf~G`4In~ ~P„ 19 FOR LOCATION AND DEPTH. • b ! C p~:v ~ E%IST. 8" WATERMAIN ~ L) ? ~~e: l• I ~ r' ' . y.:H CLEV 918' I DIP CL52 .~:r . u - :1 ~9i a l 11.ye j~ LL9V7•4.IC7LW3'AS(I/E' RR7MN = • r Ja ! e , : ~ oc~s 925 ~ .~..=(f~G7_+, ` f I~ . SY.J ~ - 6Y/nT 6 ui~!J - J ~_I Tf9 .f.~ J ~ U) 0 30'-8-PVC O~- G) ~ SDR 35 O 0 405: ..920 . CiJ ~ C7 ~ !'J : : . ZdI. . . R'~ ~ ' ..:Yi. ~ _ _ Br . . N ~ . . r : °e .75:- B" PVC SDR 35 O 0.40% 915 ~ c . . _ ~ I W ~ ~.85 . . , . . . . . . . . . T PIP ~ ~ ~R ap . . . . . . i ~ . . TANGENT - ~ X _ . . . . . . . OP OF E i. a 910 N S ~ : ~ ~ y : ' : . : I ~ ~ l ~t4 al :..GO r . . , _ . -i . : , , , . . . . ~ : r: . . . . . . . : . . . . . . . . . . . . . . . . . . . : . . . . . . q75y,- . ~ L?j : . ~ . . 's - ~ . . , n. n . . . 74r . . . ; oX . ' 154% -A ~ .,N, s T5'-Z' PVC 0/p soR s o 0.40% a sy ~ Y 905 ~ s. 5j _ O z Ni~.. i iJ..., Mn ?r : . . 290'- 8" PVC SDR 26 O 0.10% COVER 1 iz" RCP i .i' i _ - _ . . ' \ l-- ir ecc 900 Q ~ a a ' i . . . . ~ MH 4 - ~ .,1_.. . ~ . . ~ . . . . ~R 500~407L \ 12' RLP . ~Qry N l~ ~ ~ _ ~ CAST R-1642B ' "t 209'- 8' PVC ' ~ . O STRUCT ~ROP ~~:s.v°"r. 9! .yp : FE-9i2-Bf 9! RI R SECTION ~^--JO'nr SDR SS O 0.4DR : 150'- 8 PVC Q' r Z < iE901.53 E%. B_: ~ ~ ,9o.,sa q SDR 35 O D.~OS =`._=a.... ' 895 o i z ' . . : . w ~ ! .MH 3...~.........:...._. . ~ . "'__'7 . . . LLW ~ 3 MH t J W CAST R-1612-8 :MM 0 E%. e': S/w O Z N ; ' :CAST R-1'642-B ~ MH 7 MH 6 (n ~ CAST R-1642-8 ,,.rz...~.. ~3:oT. . 97Z0!: . . . : : ~ ~.--s-vv 917.7? RE~B9:P6 909.11. CA57 R-1642-B CASi R-1642-8 MH 5~ 890 Z Q 0 Q r =_~r _ . ~ a _-m-._,-_: /.J2 69563 ~:'c,--`v,*. 907.. 3........:. AE-9B8:71:.. ..~P.ST R-1,6,4 -9:.... . .w x ~ ~ S K ~y C .:E~IE 895.87 B9l. 5 lE~BB~~~ B9I 6 _...--0.~4 .907.AS w . Q l~J F Jm - 0~ : + + . ~ ? 885 g~ N ' ~ : . . . . . . . . . . : . Q . - A.. . A i0 m O~ J~ +~I . A~ O .b ~N .O .h P P ~ Ybl .(V~ ~ O~ .n .n• N . p•:.'. ! ..:a0^,. ra.- 438. ' 880 P .2._ : . R. . . . . . . . 0 1 2 3 4 5 8 7 8 9 10 i~ 12 I ' ~ V Form for use with Minnesota Rules part 7670.0475, Subp.2 7 8 2 Family Residential "Cookbook" Method SITE ADD CITY MODEL # 940974 BUILDER DATE MARK JOHNSON CONSTRUCTION 3/6/96 Minimum Criteria: Rim Joist: R-19 insulation Foundation Wlndows: Insulated glass, 12" air space, wood or Nnyl freme Ent doors: 1-314 inch sdid wood wkh stam or 6etter STEP 1 Window & Door Area STEP 2 Calculate area as a ercent of wall Total Window 8 Door Area Sq. Feet Box A(window & door area)divided by Box B(total WINDOWS (including foundation wirWows): wall area) times 100 equals the window and Dimensions Qty Area door area as a percent of wall area (BoxC) 2.000 4.330 2.000 17.320 Box A 730.434 x100= 17.894 5.000 4.330 2.000 43.300 Box B 4082.000 F Box C 6.000 4.330 1.000 25.980 8.000 6.670 1.000 40.020 STEP 3 Desi n Features 8.000 5.330 2.000 85.280 ASSEMBLY OPTION 6.000 6.660 2.000 79.920 2.000 6.330 2.000 25.320 FRAME WALL: 5.000 8.670 1.000 33.350 STANDARD FRAMING ~ 5.000 1.000 1.000 5.000 ADVANCED FRAMING 2.330 4.330 2.400 20.178 1.000 282.530 1.000 282.530 CAVITY INSULATION R- 19.000 Total WindowArea 658.198 SHEATHING: DOORS: LESS THAN R-5 ~ 2.500 6.670 1.000 16.675 R-5 OR MORE 3.000 8.870 1.000 20.070 5.330 6.670 1.000 35.551 WINDOWS(EXCEPT FOUNDATION WINDOWS): Total Doors Area 72236 U-FACTOR U- 0.320 Total Area of Windows 8 Doors 730.434 From the table, detertnine the maximum percent BOX A window & door area for the design options selected Total Wall Area in Sq. Ft. and enter the value in box D below: Wall Total Perimeter Hei ht Area 12.000 1.000 5.000 60.000 18.800 62.000 1.000 9.000 558.040 BOX D 204.000 1.000 10.000 2040.000 178.000 1.000 8.000 7424.000 4082.000 BOX B Box C must be less than or equal to Box D Exterior Envelope Thermal Transmittance Worksheet SITE ADDRESS CfTY MODEL # 940914 NAME OF PERSON COMPELETING FQRM DATE DAd 3/6196 ASSEMBLY IFLOOR AREA U-Factor U-Factor AREA . Ft. x Area Insulffied Area 1652 1486.800 .022 32.742 o Framin Area 165.200 .025 4.206 o Sk li ht .000 ~ Other .a00 .000 .aoo c .ooo .D00 .000 _ Totals A 7852A00 B 38.947 m Avera e U-Factor B 36.9473895 /A 1652 C .022 v Re uired U-Factor from Energy Code : D .026 Insulated Area 2 2943.368 .043 127.033 Framin Area 2 408200 .091 36.975 Windows ' 658.198 .320 210.623 _ Doors 72.236 .ooo _ Rim Joist 317.000 .041 12.881 Fire lace Wall .000 3 Above Grade Foundation Wall 82.410 .057 4.715 Foundation Windows 000 ~ Patio Doors .000 Other .000 N .O0U o .000 Q .000 x .000 W .000 Tota{s E 4481.410 F 392.22~ Avera e U-Factor F 392.2269032 /E 4481.47 G .088 R uired U-Factor from Energy Code): H .110 If C is greater than D, or G is greater than H, revise the design as necessary to meet the envelope criteria of the Energy Gode. 1) U-fador far skyligM aM window must be determined by the National Fenectretion Rating Council Standard 700.91 or ASHRAE 1993 Handbodc of FurWameMals, Chapter 27, table S. 2) Thermel Transmittance of opaque componeMS (including Integrelly Insulated masonry and rtietal stud framing)- use part 7670.0450, suhpart 4. I . • . ' Assembly R and U-Factor Forms ASSEMBLY ROOF AT FRAMING ASSEMBLY ROOF AT INSULATION Material Describe Thickness R-Value Material Describe Thickness R-Value Interiar Film Coefficient .610 Interior Film Coefficient .680 Sheet Rock .560 Sheet Rock .580 Ceitin Member 4.350 Insulation 44.000 Insulation 33.150 Exterior Film Coefficierit .610 Exterior Film Coefficient .770 Total Assembl Thermal Resistance 39.280 Total Assembl Thermal Resistance 45.410 Assembl U-Factor 7/Total R .025 Assembl U-Factor 1lTotal R .022 ASSEMBLY WALL AT FRAMING ASSEMBLY WALL AT INSULATION Material Describe Thickness R-Value Material Describe Thickness R-Value Interior Film Coefficient .680 Interior Film Coefficient .680 Sheet Rock .450 Sheet Rock .450 Stud 8.870 Insulation 19.000 Sheathin 2.060 Sheathing 2.080 Sidin .810 Sidin .810 Ecterior Film Coefficient .170 Exterior Film Coefficient .170 Total Assembl Thermal Resistance 11.040 Total Assembl Thermal Resistance 23.170 Assembl U-Factor 1lfotal R .091 Assembl U-Factor 1/Total R .043 ASSEMBLY RIM ASSEMBLY BLOCK Materiai (Describe Thickness R-Value Material Describe) Thickness R-Value Irrterior Film Coefficient .680 Interior Film Coefficient .680 Insulation 19.000 Concreie Block 1.280 Rim 1.890 O ionallnsulation 11.000 Sheathin 2.060 Stud 4.350 Sidin .810 Exterior Film Coefficient .170 Exterior Film Coefficient .170 Total Assembl Thermal Resistance 24.610 Total Assembl Thermal Resistance 17.480 Assembl U-Factor 1/Total R .041 Assembl U-Fador 1/Total R .057 ~ . ~ PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 3 5 3 (612) 681-4675 Date Issued: 1 Z/ 18 i 9 6 SITE ADDRESS: 3584 WOODLAND TR LOT: 11 BLOCK: 1 THE WOODLANDS 4TH P.I.N.: 10-75679-110-01 DESCRIPTION: (ONE BEDROOM) Building-Permit Type BASEMENT FINISH Puislding Wo,rk Type ALTERATION rGensus Code434 ALT. RESIDENTIAL f. t . . . / _ ~i.. ,A REMARKS: FEE SUMMARY: Baae Fes $50.00 Surcharge $.50 Total Fee $50.50 ~ CONTRACTOR: - Applicant - ST. LIC OWNER: JOHNSON CONST, MflRK 14511676 0003288 MARK JOHNSON CONST P 0 BOX 21327 P 0 BtlX 21327 EAGAN MN 55121-0327 EAGAN MN 55121 (612) 451-1676 (612)451-1676 I hereby ac:knowledge tM'at I have read th3.s Application and state that the inPormation is correct and agree ta comply with all applicable State ofi Mn. Statutes end CS,ty af Ea;gan Ordinenees, L ~ APPLICAI /PERMI7EE SIGNATURE TSUED Y151G ~TUC- - ` iq CITY OF EAGAN 3 3830 PILOT KNOB RD - 55722 0 1996 BUILDING PERMIT APPI_ICATION (RESIDENTIAL) ~ t k 681-4675 New Construction ReaWrements RemodeVReoair Reauiremeets ? 3 regiatered aite surveys ? 2 copies of plan ? 2 copies oi plans (Include beam & window sizes; poured fM. design; etc.) ? 2 site surveys (exterior add8ions R decks) ? 7 energy cakuletlons ? 7 energy calculations Tor heated addkions ? 3 eopies of tree preservaNon plan N bt platted aRer 717l93 . required: _ Ves _ No ' Ac DATE: 1'a2-/.51- P4 CONSTRUCTION COST: SQdO. Da DESCRIPTION OF WORK: iMsa 40wrne. Fi+rnje.Y `Rabs+v, STREET ADDRESS: aloUD c-Ati0 ?P. A/~- - SLk a. md~s~ LOT BLOCK SUBD./P.I.D. PROPERTY Name: MA2A_-- ;1oHIJSDIJ dO it7S.t' Phone OWNER Street Address: P a' 13 a- -7 City: State: MA-) Zip: * 5"/~- l ° CONTRAC70R Company:J'~10,~~ k~6~ ~~Vt Phone ~S / /b7 Street Address: PL9 ~nG ;Z/3a'9 License City: '6-'•aGfwzJ State: 177,00 Zip: SS/a/ - ARCHITECTI Company: Swrn tir- Phone ENGINEER Name: Registration Street Address• City: State: Zip: Sewer 8 water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. 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. Signature of Applicant: OFFICE USE ONLY REi G' I Certificates of Survey Received _ Yes _ No gs Tree Preservation Plan Received - Yes _ No $ OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex ? 11 Apt./Lodging o" 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool ? 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch o 09 12-plex p 14 Fireplace ? 21 Miscelianeous ? 05 SF Misc., ? 10 _=plex a 15 Deck WORK TYPE 0 31 New E3~ 33 Alterations , ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCIWS System ~ (Ailowable) Main level sq. ft. City Water ~ UBC Occupancy sq. ft. Fire Sprinkiered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length ~ sq. ft. Census Code. I-1 Depth Footprint sq. ft. SAC Code Census Bldg I Census Unit APPROVALS Planning Building b~t3 Engineering Variance Permit Fee Valuatian: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit ' SIVN Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other ; Copies Total: % SAC SAC Units ~ L~ ` JgL ~ CITY USE ONLY RECEIPT SUBD. DATE: 02I9& 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES F•ACJj NSL TOTAL Shower 3.00 x 19.40 Water Closet 3.00 x 3 ='9. x Bath Tub 3.00 x .2- _ 6'•00 Lavatory 3.00 x 5 = /S: o0 Kitchen Sink 3.00 :c 3.00 Laundry Tray 3.00 :s 3.00 Hot Tub/Spa 3.00 :c = Water Heater 3.00 ;c ~4.1009 Floor Drain 3.00 :c ! = 3.00 Gas Piping Outlet * minimum -1 3.00 ;c "3. 00 Rough Openings 1.50 x = 6-o6 Water Softener 5.00 x = Private Disposal ' Dakofa Cty. license 65.00 = (new and refurbished systems) U.G. Spflnkler ' home under const. 3.00 = ARerations ' to exisung 20.00 = Water Turn Ar.ound 20.00 STATE SURCHARGE .50 TQTAL SITE ADDRESS: 3584 woodland Trail OWNER NAME: Mark Jot,nson construction INSTALLER NAME: Matthcw naniels, Inc. STREET ADDRESS: 15230 Caixnusel way CITY: Rosemoumt STATE: MN ZIP: 55068 PHONE ( 612 ) 423-3730 t~~~~ T~ - OFFICE USE ONLY ~ . L BL RECEIPT SUBD. DATE: 1996 PLUMBING PERMIT (CAMMERCIAL) CITY OF EAGAN 3830 P1LOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please compiete for. , all commercialrindustrial buildings. ~ multi-family buildings when separate pertnits are p2t required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETER:i TO BE INSTALLED? YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A OELAY OF METER ISSUANCE. WILL YOU 8E INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. 5PRINt:LER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of pgCm.i3 fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: APPLICANT OFFiCE USE ONLY METER SIZE: DATE: INSPECTOR: OIL ~ cirr usE oNLv BL RECEIPT SUBD. r~~ U(//06&/V f}'~ DATE: 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? New construction Add-on furnace ~ Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc. Date: FEES ? Minimum Fee: Add-oNRemodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 TOTAL SITE ADDRESS:-35 Piq rvnbcr llX-od (,C.C_~ OWNER NAME: PHONE INSTALLER NAME: Vi `l ~ STREET ADDRESS:~Ny e~l Imdp, CITY: OF~'5nSTATE:~ ZIP: 7 PHONE (~y 102 ) (Q ' ~ ' n ~ ' , b~/(J S "K~Of _ J • CITY USE ONLY L _ BL _ RECEIPT SUBD. DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) • CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Piease complete for: ? all commerciaVindustrial buildings. ? multi-family buildings when separate permits are ngi required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ~$25.00 minimum fee 4C 1% of contract price, whichever is greater. ~ Processed piping - $25.00 0 State surcharge of $.50 per $1,000 of ermit fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR CITY USE ONLY L ~L gL RECEIPT SUBD. ~ 1J/04AVA14cA& DATE: / ///9 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos whcsn permits are required for each unit FIXTURES EAScH tl2 TOTAL cl.nwnr '~},!1(1 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 :c = Laundry Tray 3.00 x _ Hot Tub/Spa 3.00 :c = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ` minimum -1 3.00 :t = Rough Openings 1.50 x = Water SoRener 5.00 x = Private Disposal ' Dakota Cty. Ifcense 65.00 = (new and refurbished systems) U.G. Sprinkler ' home under const. 3.00 = Alterations ' to edsting 20.00 = a70"010 Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL o?a..~ o SITE ADDRESS: 3584 wooaland Trail OWNER NAME: mark Jotuison construction INSTALLER NAME: Matthew Daniels, mc. STREET ADDRESS: 15230 carrousel way CITY: Rosemount STATE: MN ZIP: 55068 PHONE ( 612 ) 423-3730 ~ • OFFICE USE ONLY l BL RECEIPT it: SUBD. DATE- 7996 PLUMBING PERMIT (CQMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 ' Piease complete for: ~all commercialfindustrial buildings. 0 mum-famity buildings when separate pertnits are IlQt required for each dwelling unit. DATE: CONTRACT PRICE: WORK'PYF'E: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETER:'> TO BE INSTALLED7 YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALIING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINi:LER PERMIT. FEE: $25.00 minimum fee or 1% of conhact price, whichever is greater. State surcharge of $.50 per $1,000 of geol:t fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: ' STATE: ZIP: PHONE SIGNATURE: APPLICANT OFFICE USE ONLY METER SIZE: " DATE: INSPECTOR: City of Eagan PERMIT IP1' City of Eaan Permit Type: Building Permit Number: EA136324 Date Issued: 05/06/2016 Permit Category: ePermit Site Address: 3584 Woodland Tr Lot: 11 Block: 1 Addition: The Woodlands 4th PID: 10-75879-01-110 Use: Description: Sub Type: Windows/Doors Work Type: Replace Description: Two or More Windows/Doors Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary: Valuation: 4,000.00 BL - Base Fee $4K $103.25 Surcharge - Based on Valuation $4K $2.00 0801.4085 9001.2195 Total: $105.25 Contractor: Scherer Brothers Lumber Company 9401 73rd Ave. N Suite 400 Brooklyn Park MN 55428 (952) 277-1600 - Applicant - Owner: Thomas W Seely 3584 Woodland Tr Eagan MN 55123 (651) 688-8543 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. Applicant/Permitee: Signature Issued By: Signature 44!!! City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 APR Z 2 2016 Use BLUE or BLACK Ink r 1 For Office Use Permit #: Permit Fee: Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Li -22 —1 h7 Site Address: C1 W 000L MkiO T K. Unit #: ( I i CJ t •vent/ Ow Name: 'TOM 9- CH t it Yl... SEE t-' Phone: G ' Address / City / Zip: �SU VJotD Lf\vw�v T k. 62--- J Applicant is: Owner .%A Contractor 'ype oaf Wori Description of work: D6Lk: fErLA(t D>:Ckly KALA )(, wcMks 9-L.AMiN r7k Construction Cost: 0'6, 0 G Multi -Family Building: (Yes / No l( ) s C Ur Company:-rQLim11J C Contact: IOW g rE NA/ )icielk Address: 111.2kErt 'viLLL ► K. ii City: LPkt1iLLC ,�rteA State: 1' 'i\J Zip: 2044 Phone: 9C2-38"' `'-Email: On akt. ri,dk ')y %a,I, (C.w License #: ►xcc)Z-k 541 Lead Certificate #: If the project is exempt from lead certification, please explain why: 0.tc111i)C. FtP,Aw In the last 12 months, Yes No 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? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: ;t, TE Plans an su portin r docu at n It ltleretl to bei b • tt o the information may • e class d a no ubl c if' you provide - f s ® Q ermait' con u 'that th ion '• to 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.qopherstateonecall.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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. IV/101 IV/1014,L 11/4/04 Applicant's Printed Name x /04 Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of Plex Fireplace Garage posf Deck Lower Level (c,,c/ �r Porch (3 -Season) Exterior Alteration (Single Family) Porch (4 -Season) Exterior Alteration (Multi) Porch (Screen/Gazebo/Pergola) Miscellaneous Pool Accessory Building WORK TYPES New Interior Improvement - Addition Move Building Alteration Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% V ) Census Code # of Units # of Buildings Type of Construction 0Z o4v 311 Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: Ice & Water _Final Framing 30 Minutes 1 Hour Fireplace: Rough In Air Test Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: Siding Reroof Windows Egress Window Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System 6,2,0/5" SAC Units R--1 (4 10 City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required 'e' Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: _Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath Brick Windows Retaining Wall: Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In Final Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL ?3 Page 2of3 AR -0T-1996 14:16 .AMES R HILL, INC. BY: 612 890 6244 P.03/05 CERTIFICATE OF SURVEY 1-34090/ For MARK JOHNSON CONSTRUCTION EAGAN r\ -1- REVAILEIJ �-�Pp AT E. 3h/ BUILDING BENCH MARK TOP OF SPIKE E. EV.=906.21 i rs A, (890.0) B 894.4 W CO 0 z 0) tri 0 1 (906.6) ti 4,o aD (4 r BENCH MARK TOP OF SPIKE EI1V.=909.83 1- -- 0 906.4x 9066.3 E INV. ELEV. = 899.60 Date WOOD I., AND EAGAN Ei Scale: 1"=30' Page 2 of 2 James R. Hill, Inc. GU EER]NG DEPT. PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA169835 Date Issued:06/10/2021 Permit Category:ePermit Site Address: 3584 Woodland Tr Lot:11 Block: 1 Addition: The Woodlands 4th PID:10-75879-01-110 Use: Description: Sub Type:Residential Work Type:Replace Description:Tankless Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Thomas W & Cheryl L Seely 3584 Woodland Trl Eagan MN 55123--244 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature