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641 Woodland WayDate: City of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 AUG —4 2011 to5Copj Use BLUE or BLACK Ink For Office Use Permit* 1/(1-01 Permit Fee: 2c�' • �� Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: % `(j W -aa Lek >-15) t.04 i Unit #: Name 5-C-7717- M S�4412a _ � � C�-- Phone C, 51 "" t � y""'�' b' e67 0. -?2-11 Address / City / Zip: 5;4m Applicant is: Owner Contractor Description of work: /`l CW e --r--, Construction Cost i 3 .5tft) Building: (Yes / No /) Company: Svtt-amN CIFS Anso 5,f(../ r.:,..,417 Contact: .J14 -50N Address: '3 `t' c 907--/ Lk: City: +/t-4-2 State: ,m'1 Zip: s 5.3 3 Phone: - `f fl License #: J 631 Cf 3 C( Lead Certificate #: NAZ` - 9-773D ^ 1 } If the project is exempt from lead certification, pease explain why: (see Page 3 for additional information) .105"1 I 97 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 pian based on a master plan? _Yes _No If yes, date and address of master plan: I. Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NO TE: Plans and it formation m of .f .,,. ' �,..� ss .f.,B,P.., f,;: ,: CALL BEFORE YOU DIG, Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecalf.om I hereby acknowledge that this information s complete and ac ctiate; 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, bit only an application for a permit, and work is not to start without a"per• that the work will be in accordance with the approved plan in the case of work which requires a review and approval of r _,•._ l. CA x VMts. N L.) (Loc._ Applicant's Printed Name Page 1 of 3 / 11%alhd L) DO NOT WRITE BELOW THIS LINE /006,6,k" SUB TYPES 'Foundation _ Fireplace _ Single Family _ Garage Multi ..,At Deck 01 of _ Plex _ Lower Level _ Accessory Building WORK TYPES _ New _ Interior Improvement Addition _ Move Building Alteration Fire Repair — Replace ` Repair Retaining Wall DESCRIPTION Valuation 7,rxt'%' Plan Review (25% 100% Census Code 11341 #of Units -- # of Buildings Type of Construction Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) jt Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final Framing Fireplace: Rough In _Air Test _Final Insulation Sheathing Sheetrock Reviewed By:. RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 3� Siding Reroof Windows Egress Window _ 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 ri/2-G-1 MCES System e200 `) SAC Units J2 --/ City Water Booster Pump 3:3 PRV e21 3 Fire Sprinklers Meter Size: Final / C.O. Required 14 Final 1 No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings Air/Gas Tests _Final Siding: _Stucco Lath Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Erosion Control Budding Inspector 38'3 @/5' 5 -2115 - Page 2 of 3 71'3 Page2of3 %Ng 2 R • tax •(0q( / C /6c66, C Established Mn 1962 LOT SURVEYS COMPANY, INC. LAND SURVEYORS REGISTERED UNDER THE LAWS OF STATE OF MINNESOTA 7601 73rd Avenue Nmth (763) 560-3093 Minoeapo1 , Minnewta 55428 FIs Na (763)560.3522 11rtu urs T erlif i rtttt MITTEISTAEDT BROTHERS CONSTRUCTION Property located in Section 36, Township 27, Range 23, Dakota County, Minnesota Property Address: 641• Woodland Way Hardcover Calculations Porch Arca = 63 sq R+ Bldg Area = 1,057 3q It+ Lot Area = 1 6, 564 sq ft+ % of Hardcover 11.59 'X bol edg 93006 2235 • mh 929.69 9356 ate__ 53.50 roor!/yj $ na usr 440t- i4) 01 iv- /3fiak O>� fio c a1/Nrr. +a ©t/At s:i 13A04 /20.uu/ (9? ftwri spite, 7,km) c4 936 2 y O 931 931.7 Ott 1831 Qo O N 19350 939.0 5 3:1 Maximum Slopes or Retaining Wall Will Be Required Cliff Roa d (C,S.A.N No. 32) 929 94 925 4 _W r ) 12 504 80°23'40' 2 _---W 0'19 20 W bbl -+r 3,00' t z 932.3 1.9 5 89°4I'S0' E _!p 31.4 929 6 INVOICE NO 77336 F.B.NO. 1024-31 SCALE: 1" = 30' • Denotes Found Iron Monument O Denotes Iron Monument O Denotes Wood Hub Set for excavation only x000.0 Denotes Existing Elevation (Doo. o) Denotes Proposed Elevation .,...01111r--- Denotes Surface Drainage . NOTE: Proposed grades are subject to results of soli tests. Proposed building information must be checked with approved buildkig plan end development or grading plan before excavatkxn and construction.Proposed grades shown on this survey are interpolations of proposed contours from the drainage. grading andlor development plans. NOTE: The relationship between proposed floor elevations to be verified by builder. 940.8 Proposed Top of Block 940.3 Proposed Garage Floor 932.0 Proposed Lowest Floor Type of Building Fullbasement Walkout 9905 Drwys 4 Utthty Casement 929.7 d,gel 13, I 81 1500 ./ 032 2 0 933 9 / n 933.5 I O.r ////j. / / / / 10.5 940.6 ,. 64 ory Mo. N 645 tab 942.76 Proposed 1 esrdence 9409,{ 120' t 30' 1.0 937.2 940 q/ 9374 2.9- Fr Wi*,.g Na 637 Cob 94022 553363c CISOIS 9367 (961C- 77(gKn,, iz-- _ �1 937. 4 937.6 � e50' f tc ec 936 99P: O WiMr Ut44y sat. yut,uy 61,41, 935.74 i0p The only easements shown are from plats of record or Information provided by client. We hereby certify that this Is a true and correct representation of a survey of the boundaries of the above described land and the Location of fill buildings and vislole encroachments, if any, from or on said land. Surveyed by us this 3rd day of June 2008. EAGAN REVIE ED. BY: g. DATE: �' —1/ BUILDING IN`� 4�TIONS DI1lI`�# /IIEWE ) ..1 By/%.� y�.. -'/ o:..� 7/9/0 8 • EAGAN ENGINEERING DEFE;. Lot 6, Block 1, WOODLAND PLACE Rev Drawn By 7. Fife Name wp-6-11b 102431 inv77336.dwg Signed Jrt ' Charles F. ,y1'son. Inn. Reg. No. 21753 or Gregory R. Prasch, Mlnm. Reg. No. 24992 , I>L -yyP G ~ v~ O~~ ~ For OHice Use ~ ~ I ~,C 1 City of Ea~aIl y(~-~ Permit a: _ V~ j Fea: o a 5 ' ~ 3830 Pilot Knob Road P Eagan MN 55122 ~ Date Received: l!~ c~10 i Phone: (651) 675-5675 ~ C ~ i Fax: (651) 675-5694 5y ~~y407 j _J 2008 RESIDENTIAL BUILDING PERMIT APPUCATION ~ I ~d -7-A'D~ Date: O " 2l7 -e5l Slte Address: Tenant: ODd -C Sulte a: RESIDENTlOWNER Name: Phone: Address / City / Zip: Applicant is: _ Owner ?ConVactor TYPE OF WORK Description ot work: 6/l.~'/LC 11;q1))11_ Y~TAL/lFO Construction Cost~ 3 1.17,29 ~ Multi-Family Building: (Yes No _k6 AtilGT.~.c/ .vG CONTRACTOR Name:~J/1'j'CLSTi¢L,(1'T~1'/f62sL(~t.Yj Ucensep: Address: 44J/29-u / City: ~„t 6!„OZy' State: I1/l Zp: 3'yl92 ~ Phone: '71!~ 79Z-'~ls/v(o ContactPerson: n!/t'A.c) /~/T1tt~iJ'AEQ~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rulas 7672 Energy Code . Residential Vendlation Catepory 1 Waksheet • New Energy Cade Worksheet Category Submitted Submitted (J submission type) • Enerpy Envelope Calculatlons Submitted In the last 12 morrths, has the Clty of Eagan Issued a pertnR for a elmilar plan based on a master plan? _Yes v rvo If yes, date and address of m/a~ster ptan: Licensed Plumber: /i//h 77J19-~ f.•4Tl.t.EaPhone: Mechanical Contrector: ie2?Sjl,1_zi_ 1:~E~,~~ Phone: ~'!-42' f19, y-GYbS Sewer & Water Contraetor: GiraGi~Ilz Pnone: 952 -m- ~e2y/ NOTE: Plans and supporting documents that you submit are considered to be publlc ln/ormatlon. Portlans o1 the lnformation may be classlf7ed as non-pu6Nc l! you provlde specl/ic reasons that would permlt the City to conclude that the are trade secrets. 1 hereby acknowledpa ihat this irrfwmation is complate and accu2ta; that the wak will be in conformance wtth the orNnancas and cotles of the City ot Eagan; that I understand this is not a permit, bul only an application for a parmk, end wmk i not to start without a permit; that the vroAc will be in acxordance with the approved pian in the case of worlc which requires a review aM approval X EA.J Z21i ~'1'E~ r5 AE.Or x AppllcanYs Printed Name pllcanYs Signature ~ E IdE 1 Page 1 oi 3 u JUN 2 0 2008 U ~ DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foumlatlon ? 06-plex ? 16-plex ? Aqcessory Bullding ? Pool ,Xj Single Pamily ? O6-plex ? Flreplace ? Porch (9-season) ? Ert. Alt - Nultl ? 01 of _ Plex ? 07plex ? Garege ? Porch (4season) ? Ext. NL - SF ? 02-Plex ? 08-plex ? Deck ? Porch (screeNgazebWpergde) ? Multl Mlsa ? 03-Plex ? ldplex ? Lower Level ? Storm Damage ? 04-Plex ? 12-plex 0 Mlscellarreous WOR New ? Interlor Improvement ? Siding O Demollsh Bullding' ? Addltlon ? Move Bullding ? Reroot ? Demollsh Inlerlor ? Alteretlon ? Flre Repair ? Windows ? Demollsh Foundation ? Replacement ? Egress Window ? Water Damage ' Demolition (entlre buildirg) -give PCA handout to applicarrt D SCRiPTION: ValuaUon b Occupancy OLMCES System Plan Revlew Code Editlon SAC Unlts 191_ (25% t 00 /a ~ Zoning ~ qty Water Census Code Stories Booster Pump p of Unlts Square Feet PRV \/Y~ H li of Bulidings ~ Length FlreSprlnklers TT r Type ot Const. Width Nll~'l RE UIRED INSPECTIONS FooUngs (new bldg) Sheetrock _ Footings (dedc) ~K FlnallC.O. Footing3 (etitlltlOh) FlnelMo C.O. ~ FoundaLon HVAC Drain 771e Other. Root: _Ice 8 Water Final Pool: _Footings _AidGas Tests Flnal Freming Siding: _Stucco Lath Stone Lath Brick ~ Flreplace:-,R.l. _(Air Test _)LFinal _ Windows Insulation _ Retaining Wall -7„ Revlewed By: 1 L/ . Bullding Inspector ~ ~ - - ~r~~A ~ RESIDENTIALFEES: IIINfLY~~~ 17 Sy IS~S~?,;i/2,3` BaseFee 79 1 /~j%/ /~V;~~ 9A Surcha?ge Plan Revfew , ^,~,y~.~ I I ~ ~ 7 ~,i C~f, MC/ES SAC V~ ~6~~?" Ciri SAC I Z 7/ X 79, ?K =Jof yoo, ~r Utllity Connectlon Charge S&W Permit & Surcharge / Treatment Plant ~ ~ 9 f 1 ~1).+ Copies p Total U1, I X~-Page z~ 3ool 3'~ ' Permit # Pertnit Date REScheck Software Version 3.7.3 Compliance Certificate Project Title: Schroepfer project Report Date: 06120ro8 Data filename: UntiUed.rdc Energy Code: 2000 Minnesota Energy Code Locetion: Dakota County, Minnesofa Construction Type: Single Family Glazing Area PerceMage: 14% Construction SRe: OwnerlAgent: DesignedContraclor: 641 WoodlarW Way Dean Mittelstaedt Eagan. MN Mittelstaedt BroMers Construction Inc. W10887 435ih Ave. Orescott, WI 54021 Ceiling 1: Raised w Energy Truss: 1394 44.0 0.0 31 Wall 1: Wood Freme, 16' o.c.: 359 74.0 2.0 26 Waf12: Wood Frame. 16' o.c.: 2652 19.0 2.0 123 Window t: Above-Grade:Vinyl Freme:DouWe Pane witli Low-E: 342 0290 99 Door 1: Solid: 41 0.067 3 Door 2: Glass: 79 0290 23 Basement Wall 1: Solid Concrete or Masonry: 879 11.0 0.0 50 Floor 1: fVFWood JoisUTruss:Over UncaMifioned Space: 98 44.0 0.0 2 Floor 2: All-WooE JasVTruss:Over Outside Air: 58 28.0 2.0 2 Fumace i: Forced Hot Air. 92 AFUE Air Conditioner 1: Electric CenVal Air: 13 SEER Compliance Sfatement: The proposed building design desaibed here is consistent with the buildirg plans, spedfications, aM oMer ~ calculations submitted with the partnit application. The proposed building has been designed to meet the 2000 Minnesofa Energy Code ' meMS in RESGreck Version 3.7.3 and to compy with the manda[ory requlremeMs listed in Me REScheck Inspection dfsl uilderlDesigner Company Name ~hT Date Schroepfer project Page 1 of 1 LOT SURVEY CHECKLIST FOR RESIDENTIAL • BUILDING PERMIT APPLICATION PROPERIY LEGAL: W-I t)OOd 6v10 rP1GCCR. I DATE OF SURVEY: LATEST REVISION: d ~ c m r U ~ p Z a DOCUMENT STANDARDS X ? 0 • Registered Land Surveyor signature and company ,g ? ? • Building Permit Applicant '0 ? ? • Legal description '2 ? ? • Address ,X ? 0 • North arrow and scale 'W • House type (rambler, walkout, split w/o, split entry, lookout, etc.) .2 • Directional dreinage arrows with slope/gredient % fd' 00 • Proposed/existing sewer and water services 8 invert elevation ,B ? ? • Street name • Driveway (grade & width - in R/W and back of curb, 22' max.) ~ ? ? • Lot Square Footage ? ? • Lot Coverage ELEVATIONS Existina ~ ? ? . Property comers ,H ? 0 • Top of curb at the driveway and property line extensions 'V • Elevations of any existing adjacent homes 'z . Adequate footing depth of structures due to adjacent utiliry trenches 0,0 O • Waterways (pond, stream, etc.) Prooosed . fr~ ? 0 • Garage floor ? ? • Basemeni floor ~g ? ? • Lowest exposed elevation (walkouUwindow) ,ff ? ? • Property corners ,B • Front and rear of home af the foundation PONDING AREA (if applicable) ? 'z ? • Easement line 0 Z ? • NWL ? ,Cf ? • HWL ? .2 ? • Pond # designation ? ~ ? • Emergency Overflow Elevation ? • Pond/Wetland buffer delineation ~ N • Shoreland Zoning Overlay Distrid Y Q • Conservation Easements DIMENSIONS ,pJ ? ? • Lot lines/Bearings & dimensions ~r . Right-of-way and street width (lo back of curb) 00 • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) ' ? 0 • Show all easements of record and any City utilities within those easements • Setbacks of proposed structure and sideyard setback of adjacent existing structures ,B- ? ? • Retaining wall requirements: Reviewed By: Date O8 G:/FORMS/Building Permit Application Rev. 71-26-04 ' ' EstabGshedtn19G2 INVOICENO. 77336 23RE~~ LOT SURVEYS COMPANY, INC. F.B.rvo. 102¢31 LAND SURVEYORS SCALE: 1" = 30' 1tE6IST'ERED UNDER TI-IL. LAWS OP STATr OP MINNESOTA , 760t Thd n~ucNoM (763) 560 3093 • Denotes Foufld Iron Monument MinMapolia, ~nota 55428 F. N. (763)560.3522 O De1rotes Iron Monumanl 3uru~jux~ C~Pr~ifir~l~P O,DenotesWOOdHubSet(or exravalbn ony • . xppp, p Denotes Exlstimg Elavatlon MITTELSTAEDT BROTHERS CONSTRUCTTON 3;1 pqaximum Slopas ooo.o Denates Proposed Elevalbn or Retaining Wall Will ~ Denotes5urfaceDfalnage Ptoperty located in Section B8 R6QUIr8d ~ . NOTE Pmposed Bredes era subject lo fesulls of soll tesls. 36, Township 27, Range 23, Pioposed bu0ding infortnation mus1 ba checked . DalcOta County, Minnesot2 ' wllh eOProved building plen and devebpment or grad'cig plan before ezcavatlon and mnsWdlon. ' Pm Addtess: 641~ Woodland Wa ' Pmposed gradas shown on ihis survey ere pe1Y}' y inlerpolalbns oF proposed contours fmm ihe ~ . drelnage, gradinp endlor developmenl plans. ~ NOTE: Tha reletionshlp 6elween proposed Iloor Nardcover Calculabons eievauons to ne vedned ny nuiider. ~ 940.8 prDpowd Top of Bloclc ' Porch Arca = 63 sq kt 940.3 Proposed Garage Floor ~ Bldg Mv = 1,657 sq /t± Lot Ama = I 6, 564 sq R± 932.0 Pmposed Lowest Floor ~ % of YlarCcover l 1.59 % TYPB of BuOding Pullbasement Wa/kouE C I i f f R o a d (C•S•A•~ No. 32) b~ro, 929 91 M Mq 930.EL .14 929.$ • s2e. W W W } N ~ - 9305 o 320 W~W IW 'W 5 N 8~23'40' % s . ~12' o -IN 990.0 2 / \N 030.3 935.6 i-5.3.rJ0 fJ 89*4 ~'50*E9596 Lo/ / / 991.4 ~ 996 2 / . ~ Dn~mya J / Utdity Easement ~ 8 ~ `o '929.J ~ ~ i V1 ~932.] ~ a s9ni ~N ~ 93z z I i I 993/ 93/. ~ \ 3 9l~J 9329 . ....A ............................9334 ~p p % 4J ~~1~3i p 3•' iev ISW 9393 j ~ I o p I . 6v j N 1995d ~ 939.0 Proposed V j ~,ye ~ ~ 1]V ResiGencc ~ 9314 n ~ ~ r I '193]2 I ~ Q b lD i 51 939.a 10.7 ~ 9109 I~T b 940 / 23M1 WffiaR i b •b 13v ~ '?s rbsj7 , ioa b - ~ 1.0 sp azz ro (jailzaa ;..I ~ 996 T... y.......... sao.194 0. j 9.3C.i3 10.5 7.~271 940.c i 4L ? , I I ~ A 9 935.T0 BY ~L9A B ~1 I 3 ' ~ 9M.25 a~ - s3~.537.1 ~o a~ I d1a~~EAGPeJd EMGIME~dNG DEP'L: y~22 ~~e ~po tc 996 ~ Lot 6, Block 1, WOODI.AND PLACE _ ~ w.eer uny The only easemenis shown are (rom plals of remrd or Intormation provNed 6y Glanl. We hemby certiy ihat Ihis Is a We and correct representatbn of e survey of iha boundaries ol ihe above descnbed land and lhe bcation of AO bu0dings and vlsible encroachments, if eny, hom or on seid land. Surveyed by us lhis 3rd day of June 2008. Signed Rev Drewn By ' Cherles F. son, Nn. Rag. No. 21753 or File Name Gregory R. Presch, Minn. Reg. No.24992 ' - wp-E1fb102431inv77336.dwg , Address: 641 Woodland Way Zip: 55123 Permit: 84484 THE FOLLOWING ITEMS WERFJWERE NOT COMPLETE AT FINAL INSPECTION ON " Yes No Comments Final rade - 6" from sidin Permanent ste s- ara e Permanent ste s- main entr 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 that roof test caps from the plumbing system have been removed. • Turn off water supply to the outside lawn faucets before freeze potential exists • Call the City's Engineering Department at 651-675-5646 prior to working in right-of-way or installing irrigation system. V BUILDING INSPECTOR: GlBldg Insp/Porms/2007lChecklists Date: 6/20l2008 Revision Date: 6/20/2008 New Construction Site Information Address 1: 641 Woodland Way Project Address 2: Lot: 6 Block: 1 City: Eagan County: Dakato Subdivision: Woodland Place Aaalication Information Business Name: Mittelstaedt Brothers MN Contractor License #:003443 Construction, Inc. Contact Person: Dean Mittelstaedt Office Ph: 1-715-792-2566 Fax: 1-715-792-2577 Cell Ph: 612-701-8482 Address 1: W10881 435th Ave. City: Prescott State: Wi. Zip Code: 54021 House Details Square Feet: 3567 sq. ft. Avg. Ceiling Ht: 8.73 Number of Bedrooms: 4 ft. Ventilation : Exhaust Total Ventilation Capacity : 136 cfrn. Minimum Conbnuous Ventilation :75cfm. Continuous Ventilation Provided: Exhaust: 75 cfm Intermittent ventilation satisfied by OTHER exhuast appliance. Combustion Appliance Water Heater: Power Vent input BTUs: 50,000 Independently Vented FurnacelBoiler. Direct Vent/Sealed Combustion Input BTUs: 75,000 Independently Vented Other Combustion Apaliances 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): One Exhaust Eauiament Exhaust Ventilation Capacity (cfrn): 75 Clothes Dryer (cfm): 135 Exhaust Fan Rating (cfm): 80 Next Exhaust Fan Rating(cfm): 80 Make-Ua Air Total Make-Up Air Required (cfm): 124 Passive Make-Up, Round Rigid: S inches or Insulated Flex: 9 inches Combustion Air Round Rigid Required: 4 inches or insulated Flex: 5 inches Applicant Name (print): T34~/h'Signature/Date: ` Code Official (print): Signature/Date: !ty el! Eaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink 1 Permit*: 934/ !/�%�� Permit Fee: 90 Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 171-74$2 / d Site Address: to V/ w• Tenant Shite #: RESIDENT 1 OWNER Name: .1! v1r 5G , -prA Phone: 46%' l 9 68'6 7 Address / City / Zip: 67 I G✓UOOL 4 -✓'D AAell Applicant is: Owner r�ontractor TYPE OF WORK Description of work d/36 geetioL Construction Cost: Multi -Family Building: (Yes / No ✓ } CONTRACTOR Name: 4As Firs License ft: Address: ,�-6„,„4 % Stale: ^' • Zip: / 0? Phone: City: 57f - 3603 Contact `Q'i'‘'s1 PLS.27J c &/ Email: /144`5#C-g-9/43J7f es iA l i. , COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan Issued a pemtit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Ucensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: CALL BEFORE YOU DIG. Cali Gopher State One Call at (651) 45444002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecald,Qg I hereby acknowledge that this information is complete and accurate; that the work will be in conformance vdIth 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 Pernik; that the work will be in accordance with the approved plan in the case of work which requires a review and app lane. 2)AJ RRxiC% c 11 Applicant's Printed Name Appllrsants Signature Page 1 of 2 Use BLUE or BLACK Ink I For Office Use I Permit#: i City of Ea I I I Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 I Staff: I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 10- (S - t 3 Site Address: 154-11 L/\-)Cr._~J 16 Unit Name: sco-- _GCAA~Cbe( Phone: Resident/ I Owner Address/ City/ Zip: b y n~dp ~L2nc~ ~c Applicant is: Owner 'K Contractor Type of Work Description ofwork- ~~c D~~,p~l/ ~v~- boa &wsv~s i~u'~ ~Iiny~ sib` Construction Cost: C>~ Multi-Family Building: (Yes / No DZ ) Company: M p il~ Contact: Contractor Address: 1 ~13~ 6 ey-. e t/a cw City: V . State:_ Zip: S ovy Phone: l,Z/I 63 -fib License ' C->93 W -7 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 fora 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.ora 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 [off permit issuance. X. ~ I(A V\S x Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA144135 Date Issued:07/14/2017 Permit Category:ePermit Site Address: 641 Woodland Way Lot:006 Block: 001 Addition: Woodland Place PID:10-84800-01-060 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) 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 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 - Scott M Schroepfer 641 Woodland Way Eagan MN 55123 Maus Construction 1020 E 146th St, Suite 262 Burnsville MN 55337 (612) 703-5025 Applicant/Permitee: Signature Issued By: Signature