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637 Woodland Way f~Jo 3 P ~qg5y `~'.s9-7-'.53 2005 RESIDENTIAL BUILDING PERNIIT APPLICATIONr1'1 ~ p Ci Of Ea an D6 Op Qo -.C'n.UJ 3830 Pilot Kno Road, Eagan MN 55122 4~~G~ ~ <p~ Telephone # 651-675-5675 FAX # 651-675-5694 ,G qlq6 I -roIuf" / NewConstructionReouirements RemodeVReoairReuuirements OlficeUseOnN 3 registered site surveys showirg sq. ft. of IoL sq. R. of house; and all roofed areas 2 copies of plan CeAof Survey Recd _~Y_ N (20%mazimum bt coverage allowed) 1 sel of Eneryy Calculalions for heated additions Tree P2s Plan Recd _ Y~N, x ~ 2 copies of plan showing beam 8 window sizes; poured found desgn, etc. 1 site survey for additions 8 decks Tree P2s Required _ Y XN 1 set of Energy Calculations Add'Rion -mdicate i7on-sde sepfic sysfem On-sRe SepAc ystemY_N 3 copies of Tree Preservation Plan if bt platted after 717193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date ~ l~ l WV ~ ~ Construction Cost ~ 1"- o Site Address f''OPF/TJD "A Unit/Ste # Description of Work Multi-Family Bldg _ Y N Fireplace(s) _ 0 ~ 1 _ 2 Property Owner Telephone # ( ) Contractor Address ' i / ~~~p City State Zip ~~GTOI/ Felephone ) 2 2' ~ yv COMPLETE TF~iS AREA ONLY IF CONSTRUCTING A NEW BUILDING ~Minnesota Rules 7670 Cate _ Minnesota Rules 7672 Energy Code Category Residential Ventilation Ca egory 1 Worksheet ~ 1l • New Energy Code Worksheet (Jsubmissiontype) Submitted II . II Submiried • Energy Envelope Calculalions Submitted j ~,y 1 4 2005 u Have you previously constructed a building in Eagan with a~r plan? Y_ N If so, 25% plan review fee applies. L~- Licensed Plumber +J 7elephone #6s!) • 11!r ~ q~ Mechanical Contractor S Telephone #9~j~U/ yi&1J~ Sewer/WaterContractor 5m9GXe& g~~,nwd Telephone #95 019-yZL4I T 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 only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the appr ed lan in th case of work which requires a review and proval of pl ~ • ~ ~~(17Tc~~S~F° % Applicant's Printed Name icanPs Signature OFFICE USE ONLY Sub Types 1 r ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg 'tlZ 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Mutti ? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 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-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 Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alleralion ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'DemollUon (Entire Bldg) • Give PCA handout to applicant pancy MCES System Valuation / l v r7 v ooou ' Census Code /1) t Zoning _ i2d City Water SAC Units C21 Stories Booster Pump # of Units I Sq. Ft. PRV ,0~5 # of Bldgs I Length Fire Sprinklered Type of Const 1( (S Width REQDIRED INSPECTIONS ~C Footings (new bldg) ~ Final/C.O. _ Footings (deck) _ FinalMo C.O. Footings (addition) _ Plumbing x Foundation _ HVAC ~ Drain Tile Other Roof Ice & Water Final _ Pool _ Ftgs _ Air/Gas Tests Final ~ Framing _ Siding _ Stucco _ Stone _ Brick ~ Fireplace R.I. Air Tes[ yFinal _ Windows ~C Insulation ~c ~ ~ Retaining Wall Approved By: Tz°' , Building Inspector -------------------------~~~---------------I--S'-~ ~-----~--/5 ----~Z/~-~ Base Fee Surcharge ' Plan Review q(,/(/ / Y MC/ES SAC I/ ary sac n b o Utility Connection Charge v S&W Permit & Surcharge s0 A l~ ^ ~ D y~ U TreatmentPlant ~C~~ I I ~ ~ _ syb License Search S 2v o Copies 0 0~/ Other Total 10 I y(~(L Es[abllshed.in 1982 INVOICE NO. 71727 LOT SURVEYS COMPANY, INC. F.B.NO._ 1006-17 . LAND SURVEYORS , SCALE: 1so' REG[9TERED UNDER Tf[E I,A11S OF 9TATE OF liINNESOTA O Denotes Iron Monument 7801 73rd.Aven t ue North (793) 660-9083 p penotea Woad Hub Set . W , ° nneepolL, Ylnnnota 56428 P" No. 660-3622 lor axcawtion only x000.0 Denotee Exiating Elevotlon . v~e~~rrs :.~.C~PrtifirtttP ~o.o ~no?ee Proposed Elevation .~L7T~LSTAEDT BROTH RS CONSTRUCTION Denotes 5urtace oroinage NOiE: Proposed gradea am subject "to re0ults of soil teeta. Proposed building in(ortnation ' Properly'located in Section must be ehecked with approved 36, ToFrnship; 27, Range 23, , building plan and development or Dakota'County. Mlnnesota grading pian before eacovation ' Clld COD9tNCti00. ' 9~ Z Proposed To of Bloek . .,t REi~ D ' 4iR.7 Proposed Go age Flaor Property Addreas: 637 ibcjdlaid ilay ' 931,5 . o~o~/]o ~~~n rt~~~~ ' Proposed Lowest Floor PV Type of euiieiny F . f'vll6asewteN f- ~'l al k~~~ go HABDOOVFR CAI1QIiATTQ9S y,~ r14 e~s.n ~~.9. A. ~ {I.GW 17 ee P16lt+li•AreH:140.sq..fC±q.;".: GLIP e:,.~~ 'sq.ft. `__4 37~. 1oc area 23.4~3 eq. ~fc.: a ce ~ : . . _ . , , . , • e:s..a .'Y~ X of heidcover.'IQ `-.z;:, ~ t. •qo"O u,.s , , . w 918~ O ' . EWED': IRI . i ~ . B 'Y ~ 10 Date EAGAN ENGIIYEERING DEPT. , . -M , . . ; ~ - ~ Drviiug~ ? aii.T i ~ Uti!i!y Eme~.t r 0 . •m' o,i: i S 0 flf.s i 1 VICY I PR VIDE AND MAIAITAIN' • euwo ` ~a~y siiw J~ j IAI ET PROTECTIOAI UNTfI: FI 4L TURF IS ESTABLIS~°i,~tT • "`"o d° Q' e~ `~•y~ i i o. ~ J i , ryd • _ _ °e, ' ~ , a . ` 7(• . . s:a e . a~i e. Ph'o~DOeed ~ 3 ~ ' a. aovkaa RR0500 zu, Wa. - ~ e• ~ - ' , a . UMC3G4 OO L°3 so , , •s,~ wao p', T2~ , _ • ~SS ~b ~ t ?wr s Q + ais i~ ~ 53~ _ ' L2~ ~u4 941.4 WOGV i.An( V ° " ; uw u , _ . Lot 7, Block 1. WOODLAND PLACE The onlY eoeemanta thown are from plate ot reeord or informotion provided by dient. We hereby eMify Not thia ia. ptrueond, correct • representotion of a eurvey of the boundaries of the aDOVe -described,land and the-_a, IocaHon of oll buildings onA visibk encioochments, if ony, Irom or~on eaid land. Surveyed by us thfs 23rd,4 a, f ; , ~::t''-: . • . Y ,of Moy 2005. ' ' ` • Rev 7' O- Orown B Siqned ~ , Y 9. , .II...,..:;~., File Name + w~~ Charles F. dereon, Minn. Reg. No. 21753 or , 0-7-7l610067;in0172'.dwq Gregory R. Prnech, Minn, Req. No. 24992 . ~ , •1 Fvt1i. , , ' . ` . a'F : . Part B. DEPi2F.S5U121ZATlON YROTECTIUN Check oprion used: ? Fuel buming eyuipmen[ (complere schedules below) ? No fuel buming equipmen[ 1NSTRUCTIONS EXHAUST / MAKF-UP Alit SCHEDULE* S[ep 1. Comp(ete the CombusHon Equipmenr Schedule below. Only equipment ExLaust devices over 300 cfm Flow with a Y(Yes) may be selected under the "Cacegory 1" alcemate. cfm Sup 2. Compieu ExhausdMake-up Air Schedule on the right if direct or powv c fin vented or solid fuel aunospheric vent space heating equipmen[ is cfm sekcttd COMBUSTION EQUlYN1ENT SCHEDULE check all types ro sed Space heacing - nonsoGd fuel ? Sealed combustion Y HexR6 - nonsolid fuel ? Sealcd combuscion Y 0 Direct or powu venced ? Direct or power vented Y y. Aanos hericall vented N Atrnos hericall vented N Wacer heating - nonsolid fuel ? Sealed combusrion Y Spue heacing - solid fuel ? Acmospherically vented Y' ? Direct or ower vented Y Warer heacin - solid fuel O Atnos hencall venced Y Aanos hericall venced :V He:vch - solid fual ? Atmw hericxll venced Y ' lf armosphencally ven[ed solid fuel or direct or power vented nunsolid fuel spuce hca[ing is inetxlled, [hem mal:e•up air [o match flow is re uired for each individual eshaust device which c.ecreds 300 cubic feet •r minute. Part Ci. VENTILATION VENTILA'P10N QUAIVTITY (Mechanical ven[ilation must be provided per ehe larger quaouty calculaced below) Y/.-A 7t4 cubic feet z 0.00583 /minute = a~ cfm ( x 15 cfm/bedroom) + 15 cfm cfm volume of habitable rooms number of bedrooms • VENTll.AT10N F SCIIEDULE /~yQ Qp Check method(s to sed Exhausc only Bal1 ced (heat recovee~ nblacor, air ~ hanger, e ) P Po ) Fan descri tion or locaaon' 7fl Z. / OT.4LS VENTll,ATION intake cfm cfrn c&n cfin cfm 65 S1GNE Exhaust cfm cfin cfm S cfm cfm Mi,)) SI temeOF of omplisoce: e proposed building desi represented in these documents is co is ent with the building plans, specifica' ns, d o[her calculations sub n• ' i ermic apphcetion. "1'he proposed building has beqn~e~igned co mee[ chc f e' esonergy C e. ~ ~ t (print name) ~3~Z ' ~/~D , 1 i anue Date Tclcphone numbcr Part C2. V.ENTILATION (Submi[ Part C2 upon compleriou ol'system verificatlont) x Job Siu Addieac: Pecmit Number Fan descri aon or locadoo TOTALS MEASURED lntake cfm cfm cfrn cfin cfm PERFORMANCEt Exhaust c5n cfm cfin t Veadlazion rnce mus[ be measured and verified when the performmce option is used in lieu of [he prescriptive opcion for the seslin of'omts in che buildin concli[ioned envelo (from Parz A). Complirnce Stetement: insralled ven[ilanon sysLem is in compliance with MN finecgy Coc1e and is sized w proviik: the design ur IIow. Applicans(princname) Signanue Duce Telephone number Job Sice Addcess: W Jq `A leV, Jv*1J0~ rT '_lC~~~~ I , City of "CATEGORY 1" ALTERNATE FOR E-agan, MN ONE & TWO FAMILY DWELLINGS INSTRUC"f[ONS: This alteroative may bc used for one- aud rvo-famlly dwetlings built ro meet the Ca[egory 1 requ'vements of Miunesota RWes, Chapter 7670. Complece Pans A, B, and C. Cle;vly mark plans wich: insuluooo R-values; window ;uid skylighi U- values; size and rype of equipmenr, eqtipmene con¢vls; :uid locadon uf vapur recuder and windwash barricrs. More derailed infortnaoon can be found in ehe Minnesrom f.ne~gv Gxle summmy sheca availuble frum the Minncsom Departmcnt oi Commerce. Part A. BUILDING ENVELOPE GLecJc propoced eavelopejoint sealing opdon i ? Prescripuve (caWking, gexlmta, ere.) ? P ce (tes[ per 7670.0470 subp. 7.C.) ChecJc thama] energy calnilation opuon used O"Cookboole' (complae workshxt below) MnCheck method (attach cepor[) ? Pertbmtance (it~~ch li-value calculmionsl ? Sv.iem.:\iulvsis meLhud (auach amlv:i.) "Cookbook" Worksheet """n""h'a~Q~,a~"~."~S !or °Cookbook" optiou o¢!y) ? Ceiling lnsulatoa bfiniinum R-38 with 7'h" energy heel; or LvsraucnoNS Minimum R-44 wi[h low mus hal; or Sup l. Check itan(s) that desigt meeis on Minimum Requiremenu lisc Minimum R-38 with R-5 sheathin when no atric. to the riyht. Must mai all iicros m uce "Coukbonk" option. ? Hn Doors: Max. li-wlue af OJO or P/." wlid wo~~d with stonn Smp 2. Indicate propwed wall type on ~a61e below. O (tim Jois~ Insuludun: Minimum R-19 Step 3. lndicaee Window U-valuc and sourco. ? Fluon over wcunlitioned s ces: Minimum R-?a Step 4. Verify total window (inclu6ing area of all Founaauon windows) ? poundivon lnsularion: Minimum R-10 and door urea is equnl or lea} ttwi allowu6le purccnuge. O Pnundauon window•s: 'h" inaulated IaSS, wnod or vinVl I}:unt TAl7LL POIt UE'ffi1L~11\'INC>L~XIVII:M WINDAW :VVD DOOR :\RE,\ Maximum Allowable T'oul Window und Door.4rea as a Percenta¢e of Hxpoud W'af] i: % ia % I!,°, lA % 20 % % 24°/ 26%, 289% Wnll T ISmndarc Fr:miinul: \Iaeimum :\VVr:iu: \1'im:011 l: v::lu: Ic&.a n lin:nc~uwi ~cimtu.~•sc 0 2x4, R-13 insWofion, R-7 shcaJune 0.55 0.47 0.41 U.76 1 0.33 0.3U 0.?7 U.?5 4?:; ? 2x4, R-15 insulecion, R-5 sheathin 0.52 0.45 OJY 0.35 0.31 0.23 0.26 0.24 0.23 O 2x6, R-19 insularion, < R-5 sheatltin 0.48 0 41 0}ti 0.32 p?y 726 0.24 0.22 0.21 ? 2x6, R-19 insuladon, R-5 sheathin 0.55 0.48 042 0J7 0.34 0.31 0.28 0.26 0.24 ? 2x6, R-?l insularion, < R-5 sheathin 0.51 O.a3 0..1!~ 0,74 ~ 0.30 0,28 0.25 0.23 012 0 2x6. R-21 in5ulntion. R-5 ihcalhinu Q.Sti 0 50 O.Ja II.]9 I1.35 p 12 0.29 ~ 0.27 p.`.: R'al! Ty (Advanced framui : Maximum A,era~,c U'indnw U..vahrc Itxee ei 1'oundaiinn ~vincmvse ? 2x6, R-19 LtisWation, < R-5 shcathin 0.52 0.45 0.37 0.35 0.31 0.2S 0.?6 0.14 0'2 O 2x6, R-19 insulaiion, R-5 eheaihinK 0.53 0.50 qa: 0.3u 0.35 0.37 0.?y 0.?7 0.?5 ? 2x6,R-2Iittsula[ion,<R-5sheathin 0.55 0147 OAI O,:fi 0.}} 0,1 0 p.~7 0?5 0.?3 ??z6, R-?I insWation. R-; ahcmhm¢ 060 I) i? O.ary 0.4 1 036 0:} 030 0]3 q.?n Wiadow U-value: Sousc: ? NFRC O ASHRnE 1993 Hnndbook 100 X .r _ % < % window & door aren goss exposed wafl area DESIGN P.LIOWAALE (from table above) MINNESOTA ENERGY CODE - WNicH RutES Ma Y I UsF ? '1'1'PE OF ItLS1llL•':\'1'L\L HUILUINC; I :\I'PI.IC:IBLE ItU1.L5 Detached R3 occupaucy 1- und 2-Cautily dwellings Chapzer 7672; ur Exan lu: sin le £amil , nvin homo, du Icxes Cha ier 7670 "Cme on I" wiih sw[uto de ressurizltion nnd ventilaiion re uircmenes Attached R•3 occupancy d..eWngs Chapter 7674: or Esam les: ai Icz iownnouses and roxv houscs Cha ter 7670 wfth ciLher "Cmqo I" or "Catc orv rovisinns R•I occupancy buJdings of 3 storiis or Icss Chapcer 7674; nr Exam les: condortunium; or n arvnents Cha ier 7670 wnh either'Caie¢orv I" nr "Csxe orv rovisior.s R-1 occupancy buildiugs over 3 stories high Chapter 7076 Exnm les: hi rim condos or a rvnems , . w Permit Number REScheck Compliance Certificate Checked By/Date 2000 Minnesota Energy Code REScheckSoftware Version 3.5 Release 1 Data filename: C:1Dcenmems and SettingsU.obbyVvly DacumertslClients New & O1d101d CustomerslRES Check Compliance Repor[s\Ridgewood II, Walkou[, 9' Lower Level, 10' Maiq 1526 Sq-F[ Main, Lundberg.rck TITLE: Ridgewood II, Walkout, 9' I,ower Level, 10' Main, 1526 Sq-Ft Main, Lundberg COUNTY: Scott STATE: Minnesota ZONE. 2 CONSTRUC'I'fON TYPE: Single Fantily DA7'E: 06/13/05 DA1'E OF PLANS: June 13, 2005 PROJECT INFORMATION: Carol & Larry Lundberg 637 Woodland Way, Eagan, MN 55123 Lot 7, Blcek 1, Woodiand Place COMPANY INFORMATION: Mittelsiaedt Brothers ConsWction, Inc. 2520 151s[ Court West Rosemount, MN 55068 Office: (651) 3224140 FAX: (651) 322-7791 NOTES: Contact: Don Mittelstaedt E-Mail: don@mittelstaedtbros.com Home Page URL: www.mittelstaedtbros.com COMPLIANCE: Passes Maximum UA = 683 Your Home UA = 469 313% Better Than Code (UA) Gross Glazing Area or Cavity Cont. or poor Perimeter R-Value R-Value U-Fac[or UA Ceiling 1: Raised or Energy Truss 1567 44.0 1.2 34 Wall I: Wood Frame, 16" o.c. 358 14.0 3.4 24 Wa112: WoodFrame, 16" o.c. 4010 19.0 3.4 172 Window 1: Above-G[ade: Vinyl Frame:Double Pane with Low-E 689 0.290 200 Door 1: Solid 20 0.067 1 Basement Wall 1: Solid Concrete or Masonry 691 11.0 1.2 37 Wall height 9.0' Depth below grade: 8. S` Insulation dep[h: 8.0' 'Fioor 1: All-Wood JoisUTmss:Over Outside Air 27 33.0 0.6 1 Furnace 1: Forced Hot Air, 92 AFUE Air Condirioner I: Electric CenUal Air, 14.5 SEER Proposed and Maaimum U-Factor Averages Proposed Manimum Average U-Factor Allowed U-Factor Above-Grade Windows and Glass Doors 0.290 0.370 Includes Foundatlon Windows > 5.6 112 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifiqtions, and other calculapions submitted with the pemiit appfiption. The proposed building has been designed to meet the 2000 Minnesota Energy Code men ' ScheckVersion 3.5 Release 1(formerly MECchec/q and to comply with the mandatory requiremeuts } ed eckInspection Checklist. . ) Builder/Design 1 Aatea/(P / ~ , Date: 6/13/2005 Revision Date: 6/13/2005 New Construction Site Information Address 1: 637 Woodland Way Project Address 2: Lot: 7 Block: 1 City: Eagan, MN County: Dakota Subdivision: Woodland Place Application Irvfortnation Business Name: Mittelstaedt Brothers MN Contractor License #:003443 Construction, Inc. Contact Person: Don Mittelstaedt Office Ph: 651-322-4140 Fax: 651-322-7791 Cell Ph: Address 1: 2520 151st Court West City: Rosemount State: MN Zip Code: 55068 House Details Square Feet: 4619 sq. ft. Avg. Ceiling Ht: 9.25 Number of Bedrooms: 4 ft. Verrtilation : Balanced Total Ventilation Capacity : 187 cFm. Minimum Continuous Ventilation :75cFm. Balanced Verrtilation: -163 cfm Exhaust Ventilation: 350 cfm Combustion Aoaliance Water Heater. NA FumaceBoiler: Direct VenUSealed Combustion Input BTUs: 105,000 Independently Vented Other Combustion Aapliances Gas Fired Direct Vent Fireplace(s): Yes Gas Fired Power Vent Fireplace(s): No Gas Fired Natural Draft Fireplace(s): No Solid Fuel Appliance(s): No Exhaust Eauioment Exhaust Ventilation Capacity (cFm): 350 Clothes Dryer (cfm): 135 Exhaust Fan Rating (cfm): 600 Make-Ua Air Total Make-Up Air Required (cfm): 272 Passive Make-Up, Round Rigid: 8 inches or Insulated Flex: 9 inches Combustion Air Minimum Combustion Air Requirements Have Been Met. ~ Applicant Name (prin Signature/Date: ' -40-so 017*Cs~o i a ~O-l3 -Zdo S~ (D 2004 CenterPoint Energy Minnegasco. 2004 Mechanical Code Guidelines. Page 1 . Code Official (print): Signature/Date: (D 2004 CenterPoint Energy Minnegasco. 2004 Mechanical Code Guidelines. Page 2 a ~ Site address: L3 Lot Block ~ Subd. (~)pdlce On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be submitted prior to issuance of a Certificate of Occupancy. _ This structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670 OR _ This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674 APPLIANCE GAS ELEC A UFACTURER M EL BTU'S VENTING TYPE Water Heater Furnace / C .J 9< 0yU -C6 !9a Dryer 5~~0 77// - VENTED EXHAUST SYSTEM LOCATION TY MODEL CFM's YES NO Kitchen kitchen Bathroom 1 Bathroom 2 Bathroom 3 j ~ r 'T Bathroom 4 Other VENTING FIREPLACE S LOCATION GAS WOOD MANUFACTURER MODEL BTU'S DIREC7 ATMOS 30 MAKE•UP AIR MODEL TYPE CFM's I hereby acknowledge that the above iniormation is correct and agree to comply with the Minnesota Energy Code and City of Eagan requirements. - --~c~--'"~ A< ( -US Sigp~~yre Date ° CompanyName ' This form is the responsibility of the General Contractor ~ ~S T7 . Address: 637 Woodland Way Zip: 55123 Lot: 7 Block: 1 Subdivision: Woodland Place TIIE POLLOWING ITEMS WERE/WERE NOT COMPLETE AT FINAL INSPECTION ON / Yes No Comments Final grade - 6" from sidin Permanent ste s- gara e Permanent ste s- main ent Permanent drivewa Permanent as Retaining Wall or 3:1 Max Slo e Sod/Seeded lawn Trail/curb dama e Porch Lower level finish Deck Fire lace • Verify with your builder that roof test caps from the plum6ing sys[em have been removed. • Turn off water supply m the outside lawn fauce[s before freeze po[ential exists. • Call the City's Engineerinv Depar[ment at 651-675-5646 prior to working in right-oSway or ins[alling irrigation system. J BUILDING INSPGCTOR: I CNBIdg Insp/Fomss/2004/Checkhsls/Master Checklisl For C.O. CONTRACTOR: Mittelstaedt Brothers Construction 2520 151" Court WeSt Rosemount, MN 55068 City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: / ��'-{ _ j 3 r Use BLUE or BLACK Ink For Office Use /� Q /� Permit #: I V SCSTtS Permit Fee: Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Resident/ Owner Site Address: ‘3 kki p 6 vJ 0- Name: Lo..rI` y LU,,.'96jt-c- Address / City / Zip: 3 7 N/ o \2 . 4V Applicant is: Owner Contractor Phone: Unit #: Mk\,1 Type of Work Contractor Description of work: �ti. s% 1 v Construction Cost: �t' [ 4000 t' ✓`o©,ate Multi -Family Building: (Yes / No t/) Company: Pr a — C h u,1G+ r d'IL,-...1___- Address: ,/ SI 2 ?. 5 F",- ). A 3.,. 1,- State: /11 NIZip: S3 3 7 2 Phone: ct: e-' k City: 'P r J p,r La 412 ‘V5 - `-Ho License #:66. C 3 7 iLead Certificate #: A If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) R-\ m 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may classified as non-public if you provide specific reasons that would permit the City to conclude that the 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.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 issuagce. x L., 42) 5 0 IN_ Applicant's Printed Name Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%) Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair 14) REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water Final �C Framing / Fireplace: Rough In Insulation Sheathing Sheetrock Reviewed By: Air Test Le 3 -7 L-)dd Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Final Siding Reroof Windows Egress Window /Os �Oc."1,0( ty Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Other: Pool: _Footings Air/Gas Tests Siding: _Stucco Lath Stone Lath - Windows Retaining Wall: _ Footings _ Backfill Radon Control Erosion Control Gas Line Air Test , Building Inspector Final Brick Final RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL LErfo4 6)6 r) /19/ “01 Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA117778 Date Issued:10/23/2013 Permit Category:ePermit Site Address: 637 Woodland Way Lot:007 Block: 001 Addition: Woodland Place PID:10-84800-01-070 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Lisa Nyberg Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Lawrence R Lundberg 637 Woodland Way Eagan MN 55123 Property Claim Solutions LLC 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA118758 Date Issued:11/07/2013 Permit Category:ePermit Site Address: 637 Woodland Way Lot:007 Block: 001 Addition: Woodland Place PID:10-84800-01-070 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Lawrence R Lundberg 637 Woodland Way Eagan MN 55123 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature