638 Woodland Way
4
i
SURNSyILLE
Heating & Air Conditioning, L.L.C.
12481 RhoAe Islnnd Are ti, Sm•ngr. M11N,5,5378 • 952-894-0005
Orstat Test Report far Job#
Address to3fi OLntn~ ~ Gcdz'l Clly ~/a,,^,•'
Occup2nt
Date of Install
Type of HT. F/A ? HW Space HT Unit HT
Olher
Make ~~,,•r~~,K
i Model Caq3a -~C~ - 050 - tX-
' Serial
Input ~~c~ r>TU F 1
Pilot Type HOT SURFACE /GNITOR
Pressure C02 (n 5
Input CFH 02
StackTemp CO i t ai?~r-~
Date Tested
Company BURNSVILLE HEATING & AIR COND/T10N/NG
7echnician ~ °
i q, i3 / 6 P6 ~Y~~3 / 8 -7
2005 RESIDENI'IAL BUII,DING PERNIIT APPLICATI9~,O(~,Ctfq6 70,5-0
City Of Eagan p ~7
3830 Pilot Knob Road, Eagan MN 55122 s
~/l~ (U l ! G d Telephoue # 651-675-5675 FAX # 651-675-5694 ~ • 1
New Consiruction Reouiremenls RemodellReoair Reamrements Ofice Use Onlv
3 registered site surveys showing sq. ft. oi lot, sq. R. of house; and all roofed areas 2 copies of plan Cert of Suney Reod ~ Y_ N
(20%maximum lot coverage allaxed) 1 se[ of Energy Calculations for heated add0ions Tree Pres Plan Recd Y
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for add@ions 8 decks Tree P2s Required _ Y 1
isetolEneigyCalculahons AddRion - indicateHon-sdesepficsysfem Oo-siteSeptlcSystem _Y _N
3 copies of Tree Preservation Plan if lot platted afler7Ml93
Rim Joist Defail Options seleclion sheet (buildings with 3 orless units)
~
Dat onstructioil, Co
Site Address lolg_& Y Unit/Ste #
l,,o T oe-rk O
Description of Work a Wm9
Multi-Family Bldg _ Y ? N Fireplace(s) V 1 _ 2
Property Owner A_ Telephone # ( )
Contractor
Address ,3k s j ST-~ City - !
State IAA h) Zip VG7 Telephone # ( 6Ql 922 - yI 'yQ
COMPLETE TH AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilat(on Category 1 Worksheet • New Energy Code Worksheet
(4 submissionlype) Submitted Submitted
• Energy Envelope Calcutations Submitted
Hpve you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies. /~n n
Licensed Plumber/' 1 f0 '37" i~I!!~ Telephone fly5j
Mechanical Contractor L~/LJNsI'rL~ T/N(T Telephone y'~~
Sewer/Water Contractor Telephone 9S~'a- g~d- y z y l
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 only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approve plan in the case of work which requires a review and
approval of pla .
Applicant's Prin ed Name App ' ant's Signature IIII .lUl
llu L
By ~g/~
OFFICE USE ONLY
Sub Types
r ,
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
'7, 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screenlgazebo) ? 36 Mufti Misc.
? OS 03-ptex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
'A 31 New ? 35 Inl Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ' ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy ' u9~- MCES System
Census Code f 0 1 _ Zoning City Water
SAC Units (91 Stories ~ Booster Pump
# of Units Sq. Ft. PRV ~
# of Bldgs ! Length n(~ ,Fire Sprinklered
Type af Const V 0)_ Width
REQUIRED INSPECTIONS
~ Footings (new bldg) ~C Final/C.O.
_ Footings (deck) _ FinalMo C.O.
Footings (addition) _ Plumbing
_LC Founda[ion _ HVAC
Drain Tile Other
Roof Ice&Water Final _ Pool _ Ftgs _ AirJGasTests Final
~C Framing _ Siding _ Stucco _ Stone _ Brick
Fireplace _K R.I. X AirTes[ )(Final _ Windows
~ Insulation -A Retaining Wall
Approved By: , Building Inspector
BaseFee hl~~ +~~bL0
Surcharge
Plan Review t~9 ~
MC/ES AC
ciy snc ~N~ ~~/~5~ X 5?l/ ; l.P `P~~o`I ~
Utiliry Connection Charge
S&W Permit & Surcharge
Treatment Plant `
License Search I~ L2p
Copies ~ J ' / y J
Other jg cap
Total
%'C'7 S`-ID
j~s
. 1 c6l
/
Permit Number
REScheck Compliance Certificate Checked By/Date
2000 Minnesota Energy Code
RES check Software Version 3.5 Release 1
Data filename: C:\Documents and SettingslLobbyUMy Documents\Clients New & Old\Old Cusromers\RES Check Compliance
Reports\Winslow, Walkout, 9' Basemeny 10' Main Level, Holm.rck
TITLE: Winslow, Walkout, 9' Basement, 10' Main Level, Holm
COIJNTY: Dakota
STATE: Minneso[a
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 07/ 11 /OS
DATE OF PLANS: July 11, 2005
COMPANY INFORMATION:
Mittelstaedt Brothers Construction, Inc.
2520 151 st Cour[ Wes[
Rosemount, MN 55068
Office: (651) 322-4140 FAX: (651) 322-7791
NOTES:
Contact: Don Mittelstaedt
E-Mail: don@mittelstaedtbros.com
Home Page URL: www.mittelstaedtbros.com
COMPLIANCE: Passes
Maximum UA = 622
Your Home UA = 452
273% Better Than Code (UA)
Gross Glazing
Area or Cavity Cont. or poor
Perimeter R-Value R-Value U-Factor UA
Ceiling 1: Raised or Energy Truss 1557 44.0 1.2 34
Wall l: Wood Frame, 16" o.c. 309 14.0 3.4 20
Wal12: Wood Frame, 16" o.c. 3412 19.0 3.4 141
Window l: Above-Grade:Vinyl Frame:Double Pane with Low-E 665 0.290 193
Door l: Solid 42 0.065 3
Basement Wall l: Solid Concrete or Masonry 998 11.0 1.2 54
Wall height 9.0'
Depth below grade: 8.5'
Insulation depth: 8.0'
Floor 1: All-Wood JoisUTruss:Over Outside Air 233 33.0 0.6 7
Furnace I: Forced Hot Air, 92 AFUE
Air Conditioner I: Elec[ric Central Air, 13.5 SEER
~ .
Proposed and Maximum U-Factor Averages
Proposed Maximum
Average U-Facror Allowed U-Factor
Above-Grade Windows and Glass Doors 0.290 0.370
Includes Foundation Windows> 5.6 ft2
COMPUANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications,
and other calculations submitted with the permit applica[ioa The proposed building has been designed to meet the 2000 Minnesota
Energy Code req Wmen'
ckVers ion 3.5 Release I(formerly MECchecl~ and to comply with the mandatory
requirements list spection Checklist.
Builder/Designe' Date d
Date: 7/11/2005 Revision Date: 7/11/2005 New Construction
Site Information
Address 1: 638 Woodland Way Project
Address 2: Lot: 9 Block: 1
City: Eagan, MN County: Dakota Subdivision: Woodland Place
Application Information
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: 4205 sq. ft. Avg. Ceiling Ht: 9 ft. Number of Bedrooms: 4
Ventilation : Balanced
Total Ventilation Capacity : 166 cfm.
Minimum Continuous Ventilation :75cfm.
Balanced Ventilation: 166 cfm Exhaust Ventilation: 0 cfm
Combustion Appliance
Water Heater: NA
Furnace/Boiler: Direct VenUSealed Combustion Input BTUs: 100,000 Independently Vented
Other Combustion Appliances
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 Equipment
Exhaust Ventilation Capacity (cfm): 0 Clothes Dryer (cfm): 135
Exhaust Fan Rating (cfm): 90
Make-Up Air
No Make-Up Air Required by Code
Combustion Air
Minimum Combustion Air Requirements Have Been Met.
Applicant Name (print): ~-TZdtJ Signature/Dat
Code Official (print): Signature/Date:
0 2004 CenterPoint Energy Minnegasco. 2004 Mechanical Code Guidelines. Page 1
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
• PROPERTYLEGAL: }~C~ I RI~C~ I Il~l~l~ ~IGLGQ
-T-T
DATE OF SURVEY:
LATEST REVISION: 7~8~OS
a
rn
c
R
r
U
O z ¢ DOCUMENT STANDARDS
. Registered Land Surveyor signature and company
0 ? • Building Permit Applicant
? ? . Legal description
? ? . Address
~ 0 ? • North arrow and scale
jd' • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
.0 ? O • Directional drainage anows with slopelgradient %
fd p? . Proposed/existing sewer and water services & invert elevation
,B' 0 ? • Street name
y3 • Driveway (grade 8 width - in R/W and back of curb, 22' max.)
'z ? ? . Lot Square Footage
~ ? ? • Lot Coverage
ELEVATIONS
Existinq
~ ? ~..i . Propertycomers-$E¢.,1,a}Sw 6c.ruc6.
. Top of curb at the driveway and property line extensions
? 0 • Elevations of any existing adjacent homes
. Adequate footing depth of structures due to adjacent utility trenches
g ? ? ' • Watenvays (pond, stream, etc.)
Prooosed
~ ? ? • Garage floor
? ? • Basement floor
? p • Lowest exposed elevation (walkouUwindow)
,e( ? 'z . Propertycorners-See- Sa~A,eleo,%ScNUt .6f &4f.'n5
• Front and rear of home at the foundation
PONDING AREA (if applicable)
J2' ? ? • Easement line
? ? • NWL
~ ? ? . HWL
? ~ ? • Pond # designation
? ~ ? • Emergency Overflow Elevation
? • Pond/Wetland buffer delineation
N . Shoreland Zoning Overlay Dislrict
Y ON • Conservation Easements
OIMENSIONS
? ? • Lot lines/Bearings & dimensions ? fd • Right-of-way and street width (to back of curb)-&" 5(oJd&s in4;rm eG~massai c„4~ranU-0* eF Saz 4o 8oc
• Proposed home dimensions including any proposed decks, overhangs greater than ~ porches, etc. t R/w 4-11f_ m,"
(i.e. all structures requiring permanent footings) OF a rad:us,
• Show all easements of record and any Cit ilitie .within those easements-5{wiJ ~slnry,,, P;pe.
• Setbacks of proposed structure and sideyard setback of adjacent existing structures
~ ? ? • Retaining wall requirements:
Reviewed By: Date ///`f~S
G:lFORMSlBuiitling Permit Application Rev. 11-26-04
r• = •
pROVIDEANDMAIIdTAIN ~ INVOICE NO.
i Cd:. ~q s.t~ , 71669
IAILET PROTECTIOAI UAITIL F. B. N O. 100 6-18
~ ~ru~ Is EsT~LasHED p~ -°t ~(O ~Sp ~~~[~D SCALE: 1 zo'
~po~ A v No.634 O Denotes Iron Monument
36.~ S9 No. 941.4 ~ ~~ornexcovaton only Set
~ 9; r~B x000.0 Denotes Existing Elevation
O. aM EQ~ Q~~\ q Light _ 936.1 941.4 MITTELSTAEDT BROTHERS CONSTRUCTION 000.0 Denotes Proposed Elevation
~ 2 O 0 (~tip Denotes Surfoce Drainage
/ m• ~N< k Property ]ocated in Section
cce 93.98 ~qDrh0 5cts 7e~4 36. Townshi 27, Ran e 23, NOTE: Proposed grodes ore subject
P B to results af soil tests.
t i 11 = Dakota County, Minnesota
935.9/ ~ ~ ~rj$ 2 - Proposed buildiny information
10, - ~ 2 must be checked with approved
building plan and development or
, ~ t~/ ~ 936.5.•'' _ h Property address 638 WoodlaMl Way grading plan before excovotion
A'Ssrv and construction.
i
c,' _ i 9z6~
4$_ 7 , ~•Z Proposed Top of Block
'y 8 926.7
~ti(0 Proposed Garoge Floor
~ 93 LS
rrissr Pioposed Lowest Floor
Type of Building
/ p~'y , p. Proposed o, dj ~ 919.3 i~ \1 FullbdsE~ Wall~v~'
~ ; ,~o Res~d~nce 930.0
ti~o ~~i~ yr~l'-- qtiS,o I~~ Established in 1962
936.6\ '\90 o O~, LOT SURVEYS COMPANY, INC.
934.3 •
LAND SURVEYORS
iop lron Q. 930
937.31 ~e. ~a RECISTERED UNDER THE LAWS OF STATE OF MINNESOTA
7801 73rd Avenue North 763) 580-3093
N O os y 931.3 Fnx No. 580-3522
I.y lSinneapolis, Ninnesota 55428 F o / I Q
3
HARnoovFx c~nTTa*~s 8. ~ 934.7 9265~.71Yb l~ PN IIl S ~Prt ifirMI P
x
S3' ~6 \'`v ~ ~ I ~ PandE/ev
House &'06ra-e area s.ft. 3s g \ ~ • ~ i 0 yg ii 914.8 ~i EMOFL 0
" ~
'O"' ~ .`~a0~ 977.64 a~ The only eosemenfs shown ore from plats of record or information '
StOO~ 3rea SG.ft.L ~a~,~~a provided by client.
We hereby certify thot this is a true and correct representation of
9305 N a survey of the boundaries of the above described land and the
~
locotion of all buildin9s and visible encroachments, if anY, from or on
PorcWarPa--_
,192sc~ _ ft~>-; - TT ~
Q\ 70PMN \0 INV14INRCP soid land.
IAt aTea 1$164 Sq.£t. ~ 93081 ~ 915.69 , Surveyed by us this 23rd doy of Moy 2005.
X of hardcwer 13,7 Z. ~AGAN
W
2
~
~ I Signed
IM~C~
C 0~3SPEC7lO~?;
By~ / ~ - - Charies F. An erson, Minn. Re9. No. 27753 or
Gregory R. Prasch, Minn. Reg. No. 24992
Date
aA~ ~~gqEMUNG Q)BM
Lot 9, Block 1, WOODLAND PLACE Rev I-oB-oS 4VE0 o" Drawn ey y. A~
G7 A ' En V.
1-15-05 CrrY RE4vEsr5 Fle Nome
wp-9-1fb100618inv71669 dwg
. _
.
~a~•
n
c,~
' • ~
ti
_REGEIVED ~
J
z,u3 asioz~uaJ.U.LuL1JP2005
EAGAN
ENGINEERING DEPARTMENT
i
Address: 638 Woodland Way Zip: 55123
Lot: 9 Block: 1 Subdivision: Woodland Place
l112245'
'lIIF. FOLLOWINQ ITEMS W'F.NE/WERE NOT COAIPLETE AT I7NAL f\SPECTIOIV O\
lYes No Comments
Final rade - 6" from sidin
Permanent ste s- ara e
Permanent ste s- main ent
Permanent drivewa
Permanent as
Retainin 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 tlia[ roof tes[ caps from Ihe plumbing system have bcen removed.
• Turn off water suppty to Qhe outside lawn faucets beforc freeze potenual exists.
• Call Uie City's Engineering Dcparlirient at 65I-675-5646 prior to workine in righ[-of-way or installing
irrigation system.
J 6UILllINGINSPECTOR: mllv_
CONTRACTOR:
Mittelstaedt Brothers Construction
2520 151°' Court W
Rosemaunt, MN 55068
~
Site address: v "61 Q, Lot i- Block -i Subd. 4~ ' 'A
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 sUucture: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
_ This struclure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MA UFACTURER MODEL BTU'S VENTINGTYPE
Water Heater ,
Fumace
Dryer r
VENTED
EXHAUST SYSTEM LOCATION TYPE MODEL CFM's vES No
Kitchen kilchen n f vGo~'
Bathroom 1 L ~ 5
Bathroom 2
Bathroom 3
Bathroom 4
other A.) G
VENTING
FIREPLACE S LOCATION GAS WOOD MANUFACTURER MOOEL BTU'S DIREC7 ATMOS
~
rf/~~If~ /C
.
MAKE•UP AIR MODEL TYPE CFM's
UR-IJ -z;- r 1g
I hereby acknowledge that the abo informa6on is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
~re / 6~_ / ~ yi Date
K~ ,~^,G./Ir G~ nf
Company Name
' This form is lhe responsibility o( the General ConUactor.
--tfi-ce-Us------------
O
or
~ F e I
i ' Pe--
Clty 0f Ea~~Il ~ rmn #
I Pertnit Fee. 9a, ~ I
3830 Pilot Knob Road I
Eagan MN 55122 ~ Date Received.
Phone: (651) 675-5675 i s~aff:
Fax: (651) 675~694 1 i
2 09 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: SiteAddress: C7J~ wdp" l'~`HCL V`~F~ L~fSrl,r~ 127N ~/J,3
Tenant: c N )9 Suite ry ~
RESIDENT I OWNER Name: T'F F T1u ~w~ Phone: iS I- 6F'ij' 93 Y
y
Address/City/Zip: /0-2,6 C"tciliv,401, la4 G~ S~/f3 G- 6ri-ddo-/69
Applicant is: ~ Owner _ ConVado~
~
Lt~ revC' 6S
TYPE OF WORK Descriplion ofwork: ILI-cv~c~ r
Construction Cost: y~GU Multi-Family Building: (Yes _ 1 No ~
CONTRACTOR Name: ~~f{rt {?S AL-VC License#:
Address:
City: State: Zip:
Phone: Contad Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Enef9Y COde . Residential Ventilatbn Category 1 worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechaniwl ContracWr. Phone:
Sewer & Water CoMractor: Phone:
NOTE Plans and supporting documents that you submit are considered to be public information. Portions of
the informaUon may be classified as non-public if you provide specific reasons thai would permit the City to
conclude that the are trade secrets.
I hereby adcnowledge that this information is complete and accurete; that the work will ba in confortnance wkh the o inan and codes of the Cdy of
Eagan; that I understand Nis is not a permR, bul only an application for a pertnR, and work t s R; that the woAc will be in
aaordance wkh the approved plan in the pse of vrork which requires a review and appro val M ans.
x E GP oviH-, x
ApplicaM's Printed Name Appli atu
Pape 1 of 3
For }tse
City of EaQall Permit 1
20,
P
ermit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received: Cam-
Phone: (651) 675-5675
Fax: (651) 675-5694 I staff., t
- - - - - - - - - - - - - - - -
2 09 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: A~ Site Address: (d lid tfS/"(V Tenant: r ~ # Suite YY01
RESIDENT I OWNER Name: ~1 f F 4o b,, Phone: lD9l . ` 13 S- Y
Address / City / Zip: 436 Wr l j s-r - a b d- r y q
Applicant is: Owner Contractor
TYPE OF WORK Description of work: tc, tr e' Lt "C i e rrrCC (us)
Construction Cost: Multi-Family Building: (Yes / No
CONTRACTOR Name: 0!5 A License
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code • Residential Ventilation Category I Worksheet • New Energy Code Worksheet
Category Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
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.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the inan and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work ' t pe d; that the work will be in
accordance with the approvedplan in the case of work which requires a review and approval of ans.
x F:, F OVIV1.1 x
Applicant's Printed Name Appli atu
Page 1 of 3
Use BLUE or BLACK Ink
I For Office Use
City of EQ Permit#: ~1 I J~/'~yI
I Permit Fee: I~-
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: 73
Phone: (651) 675-5675 Aic
1
Fax: (651) 675-5694 1 Staff: l
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: Phone: ~/2 ~~f -~-rLl
Resident/
Owner Address / City / Zip: / yz
Applicant is: Owner Contractor
Type of Work Description of work:
Construction Cost: law Multi-Family Building: (Yes / No X-)
Company: Contact: W'r")
nn ~~1 ~1
Contractor Address: y~ ~X -i/n/f City:
State: Zip: Phone: _i7- j - ~~7!!
License Lead Certificate r
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: j
1
Licensed Plumber: Phone:
l
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. v, nNw.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 permit isuance.
x Y I- x
Appli ant's Prin ed Name Ap icant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA151769
Date Issued:09/11/2018
Permit Category:ePermit
Site Address: 638 Woodland Way
Lot:009 Block: 001 Addition: Woodland Place
PID:10-84800-01-090
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Jeff A Holm
638 Woodland Way
Eagan MN 55123
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA178871
Date Issued:09/07/2022
Permit Category:ePermit
Site Address: 638 Woodland Way
Lot:009 Block: 001 Addition: Woodland Place
PID:10-84800-01-090
Use:
Description:
Sub Type:Furnace & Air Conditioner
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Jeffrey Tste Holm
638 Woodland Way
Eagan MN 55123
(612) 201-5446
Hero Plumbing Heating & Cooling Inc
10900 Hampshire Ave S
Minneapolis MN 55438
(612) 827-4674
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