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661 Woodland Way 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date--&_l Site Street Address ~ Unit # Property Owner Telephone # Contractor ~k-CA~ \A_E'~ V\('1J/\\ ({,_Q Telephone # (W$I B paLl Address ~c-_)h~ U~• Q2~ City a-r State M~l Zip `J'-jb - The Applicant is: _ Owner XContractor _Other At`teretions to existing dwelling $ 50.00 ) r; Add plumbing fixtures. This fee includes putting in a water softener and/or water heater at the same time. ff you are installinq onlv a wafer soffener and/or water .heater, do ;nsot; complete ;this,section,-.,Prlove,to the:neKt.section and,-check. the appliance(s)you { ~ ~y . irt~~ . ~ • e~.E. • i• X 'f~ A` ' _Septic System Abandonment Water Turnaround (add $125.00 if a 5/8" meter is required) .~KOther: ZoStx-'\~A- Water Softener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total $ ~J~J•~J~ I hereby apply for a Residential Piumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. Applicants Printed Name Applicant!s Signa ee IL ~ ~ _ _ Address: 661 Woodland Way Zip: 55123 Lot: 1 Block: 1 Subdivision: Woodland Place THE FOLLOWINC ITEMS WERFJWERE NOT COMPLETE AT FINAL [\SPECI'ION O\ -71 2p ~US Yes No Comments Final rade - 6" from sidin Permanent ste s - arage 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 p Lower level finish ~A Deck p Fire lace ; 1 F v • Verify with your builder that roof test caps from the plumbing system have been removed. • Tum off water supply [o the outside lawn faucets before freeze potenual exists • Call Ihe City's Engineering Departinent at 651-675-5646 prior to working in right-of-way er installing irrigation system. ~ BUILDINC INSPELTOR: CONTRACTOR: Mittlestaedt Brothers Construction 2520 151" Court West Rosemount, MN 55068 Siteaddress: Lot ~ BlockL Subd. Wa~&Qda A'lX. 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 Certifcate of Occupancy. his structure: is consWcted to meet minimum requirements of the Mn Energy Code, Chapter 7670 ~ OR _ This structure: will be constructed to meet more resYrictive requirements of Chapters 7672 or 7674 APPLIANCE GAS ELEC MANUFACTURER M DEL BTU'S VENTING TYPE Water Heater ,M~ ~ ~ r-.a Fumace vocb pkj C Dryer ~,t! , Z 606 r.l 1 .rlw k VENTED EXHAUST SYSTEM LOCATION TYPE MODEL CFM's res No Kitchen kitchen g J QS Z ~t„~ 7lJ Bathroom 1 ~n1 .~.I /nAj Sfx,J q 0 ~ Bathroom 2 Bathroom 3 Bathroom 4 Other VENTING FIREPLACE S LOCATION GAS WOOD MANUFACTURER MODEL 3TU'S DIRECT ATMOS 4 00 `~r G vvv .D~ MAKE-UP AIR MODEL TYPE CFM's I hereby acknowledge that the above information is correct and agree to comply with lhe Minnesota Energy Code and City oi Eagan ~ reqwrements. p 5`" Date ~.~54iA "n1MA. Company Name ' This form is the responsibility of the General Contractor. I ~ qob(('' 2005 RESIDENTIAL BUILDING PERNIIT APPLICATION O,0 v City Of Eagan . 3530 Pilot Knob Road, Eagan MN 55122 CU[J_e-~ Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtbn ReauiremenGS RemodeVReoair Requirements ORce Use Oniv 3 reg istered site surveys showing sq. ft. of lot, sq. R. of house; and all roofed areas 2 copies of plan CeR of Survey Recd _ Y_ N (20°h max'vnum lot coverage allowed) 1 set of EneTgy Calculations for heated addRions Tree Pres Plan Recd Y_ N. 2 copies o( plan showing beam & window saes; poured found design, etc. 1 site survey for additions 8 decks T2e P2s Required _ Y_ N lsetotEnergyCalculations AddNion - indkate'rfon-srtesepG'csysfem On-sHeSepUcSyslem _ Y_N 3 capies of Tree P2servalion Plan if lot platled afler 717/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) ?7 o'- Date / / Coostruction Cost 627~1 (ldlJ Si[e Address (p / /Al /y7)ll / !Im CI kICL f./ Unit/Ste # C Descrip[ian of Work Multi-Family Bldg _ Y~ N Fireplace(s) _ 0_~ _ 2 Praperty Owner S/p~Y,5`7774 ./%_t~~"//& Telephone # (~j,r~) Q - Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheel • New Energy Code Worksh (4 submissiontype) Submitted Submitted . Energy Envelope Calculations Submitted ~ \YI Have you previously constructed a building in Eagan with a similar plan2 _ Y _%N ' If soslan re iew fee applies. Licensed Plumber Telephone # Mechanical Contractor Telephone Sewer/water Contractor Telephone # ( J 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 approved plan in the case of work which requires a rev'ew and approval of plans. ~~t7~'i (/lj ~ ok, zcn ApplicanPs Printed Name plicant' ign re OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg O 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex 79 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PlbgZv 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 A 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolitlon (Entire Bidg) - Give PCA handout to applicant Valuation ~ Occupancy 22-3 MCES System - Census Code Zoning City Water ~ SAC Units - Stories ~ Booster Pump - # of Units Sq. Ft. PRV - # of Bldgs - Length ~ Fire Sprinklered - Type of Const ~ Width - REQUIRED INSPECTIONS Footings (new bldg) FinaVC.O. _ Footings (deck) ~ Final/No C.O. Footings (addition) Plumbing _ Foundation ~ HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final ~ Framing = Siding _ Stucco _ Stone _ Brick Fireplace ~ R.I. ~Air Test ~ Final Windows Insulation Retaining Wall Approved By: , Building Inspector - Base------Fee--------- - - - Surcharge Plan Review MCIES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ~ ~9CI q Gco 2005 RESIDENTIAL BUILDING PERMTI' APPLICATION .-1 2_ a,5 City Of Eagan J 3830 Pdot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 L"PU'' CC" -7 la~ ~ New Conshudion Reoui2menls Remodelrt2eoalr ReauiremenLS OPoce Use Onlv M 3 registered site surveys showirg sq. ft. of l04 sq, ft. of house; and all roofed areas 2 copies ol plan CeA of Survey Recd _ Y_ (20%maximum lot coverage allowed) 1 setol Energy Calalations for heated addiibns Tree Pres Plan Recd _Y _ N, 2 copies of plan showiig beam 8 windaw s¢es; poured found design, etc. 1 site survey for addNOns 8 decks Tree Pres Requlred _Y _ N lselofEnergyCalculations AddiM1On-indicefeilon-sfteseptlcsystem On-site Septic System _Y _N 3 apies of Tree P2servation Plan if lot pWtted after 711193 Rim Joist Detail Options selection sheel (buildings wBh 3 or less un'AS) Dateo~z_ Construction Cost ~l /q9U Site Address n N ~1i1 N UnidSte # Description of Work Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner d- ~-7-1g Sd C v lU Telephone # 401 Cantractor Address CitY State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDI Mincesota Rules 7670 Cateeorv I Minneso ul" 76 ~ Energy Code Category . Residential Ventilalion Category 1 Worksheet • aw.Enrgkode Worksne t (4 submissiontype) Submitted ~CSutimitted.LO v • Energy Envelope Calculations Su6mitted Have you previously constructed a bvilding in Eagan with a similar planZ _ Y f so, 25~- n review fee applies. ~ 0Y Licensed Plumber Telephone ) Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone ) 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 approved plan in the case of work which requires a re ' w and approval of plans. Applicant's Printed Name Appli Ys Signature OFFICE USE ONLY . , Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg O 02 SF Dwelling O 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Exl. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex P( 18 Deck O 23 Porch (screen/gazebo) O 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel O 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding x 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowsJDoors ? 34 Replacement 'DemoliUon (Entlre Bldg) • Give PCA handout to applicant Valuation ~a Occupancy MCES System Census Code 11311 Zoning Q~! City Water - SAC Units - Stories - Booster Pump # of Units - Sq. Ft. ~ PRV # of Bidgs T~ Length Fire Sprinklered Type of Const ~ Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. ~ Footings (deck) ~ Final/No C.O. _ Footings (addition) _ Plumbing Foundation H V AC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows Insulation _ Retaining Wall Approved By: , Building Inspector . - Base Fee Surcharge Plan Review MCIES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total Established in 1962 INVOICE N0. 70Y 15 LOT SURVEYS COMPANY, INC. F.B.NO. 9 95 -7 8 LAND SURVEYORS SCALE: 1~~ _ ~oREGISTERED UNDER THE LAWS OF STATE OF MINNESOTA o Denotes Iron Monument 7601 73rd Avenue North (763) 580-3093 ? Denotes Wood Hub Set Fax No. 560-3522 tor excavation only Minneapolis, Minnesota 55428 x000.0 Denotes Existing Elevation §LI r U P LJ D r S (EP r t t f i r MtP 00~- Denotes Proposed Elevation --slill Denotes Surface Drainage NOTE: Proposed grades are subject to results of soil tests. MITTGI.S''AEDT BRO'PI-IERS Proposed building information CONS7'KUC'I'ION, INC. must be checked with approved P~,^„~~~~~ building plan and development or ~~W~~ grading plan before excavation and construction. 948.5 proposed Tap of Block LoL 1, BloCk 1, 946.0 propased Garage Floor Property ]ocated in Section WOODLAND PLACG 9398 Proposed Lowest Floor 36, Township 27, Renge 23, Dakola Counly, Minnesota Nole : Garage dropped 2.0 feet. Type of 6uilding FULL BASEMGN'I' WALKOUT Address:661 Woodland Way CLIFF ROAll (C.S.A.II. ROAD No. 32) E A(3XGA 939.63 E ~ ~ ~ D 939.31 lmn Edye 8lluminou• I E i/VE D gy , rcOce tt Dete 935.56 LP. 939.11 ~ BAtiiW BN~iINBEWNG DEPT. o Hro. msees ~ P.P. 936.0 U.H.Wlres u B9 41 5o k/ ~ -w - - - - - - o w--- 936 I - 179.98 rc 9361.~ 1I 93634 .942.3. I 938.8 0 URAINAGG k U7'ILI'fY \ ~ • I EASEMEN'I' • ~ oc O~ 9J1?5~ S TT EN 7 N 5 93fi.2 pA (0 a . 54 a ~ . R \ • '7 ...-.11 vl"I., (!nNl. *1 ~ JP~ 339.3 13,0., 939.3 ~ PA'4~o. 930.6 93 1 o a vArto 93 938.6 15.00 1 2,6„ a 178.. I7.O.. 'f = 2'0" ,n ~a'?O O~~ R`~ ~ • ~ ~ F J c° N PROPOSED a I, c`OO z' ~ 939.2 ~ ~ RESIDENCE a. Q O c9 O) U 13'10" Z ~P a sSr~Q 7,8" N 7C 993.5 ] 2'2" m oo 939.09 SZBs \ id° . o I . y.C. Top on y 994.0 .939.25 942. 0~00 947.~) ~ 20'0" N l PB., ~ - '6I 7'op lron _ 945.8 9 4. 599 25 HARDCOVER CALCULATIONS: 994.5 s ,9(N.q~cev~c.c House Area - 2,051 sq. tL. ~ o,yo s~~ 6 N Ir.~v, F~_• HiL WatEr~ <r Stoop Area - 46 sq. fL. y>~ • Se~w.~ - ~ AA ~ ~~~~~~~~~~4tJ4) ~ Garage Area - 685 sq. (L. fl7'w 9429 - 1.46-589°Ai'So'~ sai.z L 4g'osy29' ----C a.. C.. o Lot Area - 22,359 sq, ft. r LPttO Qzz1 s9i~° ~ 3 % Of Hardcover - 12.4 °0 940.61 y4112 ~ N ec , INSTALL W A`l ' 6 I.l KET OR Sropp The only easements shawn are from plals o( record or informatian \ provided by client. We hereby certify that this is a true and correct representation of a survey of the boundaries o( the above described land ond lhe --location of all buildings and visible encroochments, if any, from or on Signed_ said land. Charles F. Anderson, Minn. Reg. No21753 or ~ Surveyed by us this 3rd- day of FebCua !'y 20 05 . Gregory R. Prasch, Minn Req No. 24992 Uiown OY 7.1 iyjikAiijniiE{~~ File Nnine wl1) 1 -II'b94)57(Sinv JOJI::itifW Rev 3-22-05 City reyuireinents ' C~) ct 2005 RESIDE~NTI BUILDING PERMIT APPLICAjTION~~ O SC City Of Eagan PC - c, 3830 Pilot Knob Road, Eagan MN 55122 Telephone t! 651-675-5675 FAX # 651-675-5694 NewConsWChonReouirements Remode1lReoairReamrements Lwc-Z-~-d' a`dKceUseOnl 3 registered site surveys showing sq ft of lot, sq. ft. of house; and all mofed areas 2 copies of plan Cert of Survey Recd N (20%mazimum bt coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd Y N 2 copies of plan shawing beam 8 wmdow sizes; pouretl found design, etc. t set of Energy Calculafions 1 site survey for addihons 8 decks Tree Pres Required Y N Adddion - indroate d on-sRe sep6c sysfem On-site Sephc System _ Y_ N 3 copies of Tree Preservation Plan rf lot platted atter 711193 f RimJoistDetailOptionsseledionsheet (huiidingswith3orlessunits) V2.~ S~ Sk~jk~-G n S1~ Cf\ ~~v~2.2 ?"~-S - ~ 2o'D~~, ~ e-o U Date / t a njs / ,,~,,,~}~~J~~(~~~J~Q/(~ Co~nstQructi n Site Address LVT~GQ~/~/T'~V' t 1 VT Unit/Ste # l.o ) ymv C-,< I w-A60 loeiir c& Description of Work S~/ r+(ftE j'~I tjq r1i Multi-Family Bldg _ Y IY Fireplace(s) _ 0 2 2~- ~a ~oi~l~?6L Praperty Owner Telephone # ( ) Contractor S S G-1 043 n'~~, Address City y~/~"'~ 7_ State nnn~ / S Zip ~ Telephone #((,PT' y/ vU COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Ca[eeorv 1 V Minnesota Rules 7672 Energy Code Category . Residential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet (Jsubmissionrype) Submitted Submitted • Energy Envelope Calculations Submilled Have you previously constructed a building in Eagan with a similar plan? _ Y 11' N If so, 25% plan review fee applies. Licensed Plumber em',b'a Telephone #6S) d ~ tor Mechanical Contractor K^^"'svl+-~ Telephone #fl ' ~Qa Sewer/Water Contractor S~l~~Z d1l V Teleph'one #(t y Ilil~ AdAR 0. ft IIII I hereby apply for a Residential Building Permit and acknowledge thatlthe info is com lete and accurate; uU U that the work will be in conformance with the ordinances and codes 4hhec-it. - 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 approv dplan i~ t asq~qf work which requires a review and roval of plan . ~ ApplicanYs Printed Name ApplicanYs Signature OFFICE USE ONLY Sub Types , ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Poo1 ? 30 AccessoryBldg x 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 oi _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) 0 33 Ext. Alt - SF ? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex O 12 72-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 Alteration ? 37 Demolish Building' ? 43 Reroof O 46 Windows/Doors ? 34 Repl3Cement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy R '3 MCES System - Census Code Zoning l?-r City Water SAC Units Stories ~ Booster Pump # of Units OJ Sq. FC 12 PRV yr,~ # of Bldgs n/ Length 511 Fire Sprinklered Type of Const -144-1- Width 64~ REQUIRED INSPECT[ONS ~ Footinas (new bldg) Fina1JC.0. _ Footings (deck) _ Final/No C.O. Footings (addition) _ Plumbing ~ Founda[ion _ FIVAC Drain Tile Other Roof -,,V- Ice & Wacer ~ Final Pool F[gs Air/Gas Tests Final y~ Framing _ Siding 51 S[ucco ~ Stone _ Brick ~ Fireplace ~cE R.I. _,tAirTest YFinal = Windows Insulation Re[aining Wall Approved By: Building Inspector - - o T Base Fee le2 rf~~y ~ Ulv /'i~ /~S.tiT ~3~ 3.J 'W Surcharge 05~)- Plan Review F(2 @ MC/ES SAG J ~ c,c Ciry SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Capies Other Total Part'B. DEPRESSURIZATION PROTECTION Check oprion used: ? Fuel biumng equipment (complcce schedutes bclow) ? No fuel buming equipn:ent WsrRUCiioNS EXIiAUST! MAKE-UY Alit SCHEDULE• Step 1. Compteu the Combusdon b'quipmenr Schedule below. Only eqtipmen[ Exhaust devices over 300 cfm Flow with a Y(Yes) may be seleaed under [he °Cacegory 1" alcemate. cfrn Step 2. Complete ExhausdMake-up Air Schedule on the righ[ if direct or power ' c frn ve¢ud or solid fuel emiospheric ven[ space heating equipment ia cfrn sekctcd COMBUSTION EQUll'MENT SCHEDULE check all types ro sed Space 6eadng - nonsolid fuel ? Sealed combusuon Y Hearth - oonsolid fucl ? Sealcd combuscion Y ? Direct or power ven[ed ? D'uecc or power vented Y y. A~nos hericall venced N Aanos hencalJ vented N Water heating - oonsoGd fuel ? Sealed combusuon Y Spar.e heacing - soGd fuet ? Atmospherically venred y* ? Direc[ or ower vented Y Wacer heacin - solid fuel ? Atnos hericallv vented Y .Atrnos hericallv vented N Heanh - solid fuel O Aunus hencal!v ver.ted ' lf amiospherieally ven[ed solid fuel or direct or puwer ven[ed nonsolid fuel sp;ue heacing is installeci, [hen malce•up air [o macch tlow is ce uired for each individual exhaust device which e.ecce(i, ~00 cubic feet per minu[e. Part Ci. VENTILATION VENTILA'I'lON QUAIVTlTY (Mechanical venulacion must be provided per ehe larger quanriry calculated below) ubic feet s 0.00583 /minute cfm ( z 15 cfm/bedroom) + 15 cfm 0 cfm volume of habitable rooms number of bedrooms VE1VTllr1T10~N /F.~pt SCIIEDULE Check me[twd(s) proposed C7 Exhaust only lS Bal•anc d(hea[ recovery vendlator, air exchanger, etc.) Fan descci tion or locauon 4 COafi MGYO . TOTALS VENTII.ATION lntake cfrn cfin cfm cfm cfm AS DESIGNED Exhsusc cfm c&n cfm c&n cfm ment~[ o pliance: The propose illin &si, lN pr~Se the~doc/~~ [s consis[ent with the wlding plfans, specifica¢o md o[her calcWa[ions sub 'ac i ,ap pticacion. 1'he proposed building has beey ~si~;ned co meet [hc _~'l~ S esota Co e. 00 ~O q~•~ / (O 1 y y ~ 222-U1yJ Applicaot (print name) Signature Dace Telephon~ e nuber Part C2. V.ENTiLATION (Submit Part Cz upon compleriou of system veriticuriunt) x Job Siu Addreas: Pe:mi[ Number Fan descci oon or locadoo TOTALS MEASURED lrtake cfm cfm cGn cfm cfin PERFORMANCEt Exhaust cfrn cfm L[m cfm cfm t Vendlazion tate musc be measured xnd verified when [he pertormaoce opcion is used in Iicu of [he prescripuve op[ion for the >ealin g ot join[s in the buildin condicioneJ envelo (from Purt A). Complfance Statement lnscalled vencilaoon sys[em is in complinnce wi[h MN Energy (;ocie aud is sized [o provieie [he dcaign air flow. Applicant (pcin[ name) Si eure ~ Dace Telephone number Job s;te waares9: ~?~~-~J9~.~~ ~ ~ f7~i~1~c~.? ~ - . . City of "CATEGORY 1" ALTERNATE FOR E-agan, MN ONE & TWO FAMILY DWELLINGS INSTRUCTIONS: This alternatlve may be used for onr aud two-tamlly dwellings built ro meet the Category 1 requ'vemcuts oi Mianesota RWes, Chapter 7670. Complere Pnrts A, B, and C. Clc;vly mark plaru wieh: insulaooo R•values; window ;und skylight U- values; size and rype of equipmenr, equipmene conerols; and locadon uf vapur retnrder and windwash barricrs. More deciiled infomiation can be found in the Minnesora F.nerGv Code summ:uy shcca ;rvailuble from the Minncsoca Department nf Commercc. Part A. BUILDING ENVELOPE Checlc proposed mvelope joiut sealmg optiou i ? Presaiprive (caulking, gaskera, tte.) ? /PerFo~n ce (usi per 7670.0470 subp. 7.C.) CheeJc thamal enelgy calculatian oprion used ~"Cookbook" (wmplete workshat below) ~MnCheck me[hod (anach repon) Pcriomi.mcc IaiLtch C-value cola4mionsi ? $vsicros:Vta lysis mcbhod (.111:101 anlh:siv) "Cookbook" Worksheet "'"~"M~QU"~"E.~S for °Cookbook" o tioo oWv 0 Ctiling Inad6nm- ,yjpmmum R-38 widl 7'f:" ent[gy heel: or It+srnucnoNS Minimum Raa with ]ow mus hal; or Smp l. Check item(s) thsi desipi meets un Mrnimum Requiremenu list Minimum RJS with R-5 sheaLhin when no attic. to the right, bluat meci all imms to use "Coukbook" optiun. O En Doors: M:ix. li-Nalue of OJO or P/." wlid wo~~ with smmi Skp 2. Indicate p'opoud wall rype on uble 6eluw. J Rim Joisi lnsWution: Minimum k•19 Step 3. Indicate Window U-vnlue und source. ? Fluo+s over wcondiiioned s ces: M'utimum R-24 S¢p 4. Vuify toul window (intluding;uen oI all foundauon windowti) ? Pnundiuon Inwladon: Minimum R-10 and door nrea is aqual or less thui nllowuble percenuge. O Foundauon windnws: in.aul;ncd kiass, wnod or vinvl liamc TAf3LE FOR UETGRNbY1NC>1;L\1,vII;M WINDAW :LYD DOOR ARHA Maximiun Allownble Toul Window and Door Area as ePerCCntsqeofEzpOSedWnll -0 12% 14% Ifi% IN% 2 0% 22%u 24°/ ?ti°/n 28%~ Wall Tv IStanaarc F::uninul: M.isimum:\vcn¢r 1\'imiu11 C ralur Icaccut liicrtc~uon wmdowsl: O 2x4, R-13 insuladon, R-7 shmi}wie 0.55 0.47 041 U..lo 0.33 0.700.17 0.?5 1) .23 O 2x4, R-15 insWerion, R-5 sheachin 0.52 O.aS 0.}1 1.35 013,1) 0.26 0.24 0.22 ? 2x6, R-19 insularion, < R-S sheathin U.JB OA 1 0.3~i 0.}2 0.?y 0.?6 0.24 0.22 0.11 0 2x6, R-19 insWuion. R-5 shea[hin g 0.55 OAS U.a? 0.!7 0.34 0.J1 0.2$ 0.26 0.24 O?x6,R-?linsularion,<R-Sshwthin ~SI 0.43 O..SY OJd 0.30 0,?A 0.25 0.23 0.2_ O?x6. R-?I insulmion. R-5 sheaihinc ~.SS 010 04-1 n.;o I n.,s 0 72 0.29 ~ 027 O.15 N'all T lAUVanttd 1'r.Vnunkl: Nlaxanwn Arcn¢c 0.'indmv G-ralna lesce n 1'o~m~vinn windnw.cl: ??xb, R-19 iasulaiion, < RS shcsthin 0.52 0.45 0.39 035 0.3 f D.?5 0.26 0.24 022 ? 2x6, R-19 insulation, R-5 sheathinK 0.53 450 qaa o,)v OJS OJ? 0.79 0.17 0?5 0 2z6,R-2 iintulation,<R-5 sheaLhine 0.55 0.47 0.-1 n76 0.]3 q.;0 p.'?7 0.25 0.2.t 0 2x6,R-21 insulaiion. R-4 chcathinc II.fiO fli? ~ q.Jfi II..II Otfi O:r3 030 1 0.28 q?f, Wiadow U-value: Sowcc: ? NFRC Q ASHRAE 1993 Handbook 100 x % < % window & door arw gross exposed well aree • DESIGN AL,LOWABLE (from table above) MINNESOTA ENERGY CODE - WHicN RutES Ma Y! UsE ? 'Pl'YE OF ftLSiDL•'A"1'L4L BUILUI\'C; I :\I'PL1C:\ULE RULC• S Deeached RJ occupnncy I• and 2-family dwellings Chapter 76 i?: or Exam les: sin le famil , nvin homzs, du lexes Cha [er 7670 °Caie orv I" with stameo de ressuriupon and venulation r uiremena Aneched R-3 occupancy dwellings Chapter 7674: or Ex.un les: tri lex wwnhouses and row housa Cha ter 7670 with ciLher "Caic +orv I" or "Catc orv 2" mvisinns R-1 occupxnry buJdings of 3 smriix or Icss Chapter 7674; nr Ewm les: wndominiums or a rmmn[s Chapter 7670 wiih cichcr ^Catc~orv I" or "Caie orv mvisions R-I occupeucy buildings over 3 storiex hlgh Chapter I676 Exnm la: hi rise condos or o rvnents , d - i Permi[ Number REScheck Compliance Certificate Checked By/Date 2000 Minnesota Energy Code REScheckSoftware Version 3.5 Release 1 Data filename: C:\Documents and Settings\LobbylMy Docwnents\Clients New .@ OId\OId CustomersUtES Check Compliance Reports\Ridgeview l, 2051 Sq- Ft, 9' Basement, Walkout - Someth Sceun & SopLakanya Nhul.rck TITLE: Ridgeview 1, 2051 Sq- Ft, 9' Basement, Walkout - Someth Soeun 8c Sophakanya Nhul COUNTY: Ardffn~,JQ/ko7i9 STATE: Minnesota ZONE: I CONSTRUCI70N 7'YPE: Single Family DA7'E: 03/I 1/OS DATE OF PLANS: March 4, 2005 PROJECT INFORMATTON: Someth Sceun & Sophakanya Nhul 661 Woodland Way, Eagan, MN 55123 Lot 1, Btcek 1, Woodland Place COMPANY INFORMATION: Mittelstaedt Brothers ConsWCtion, Inc. 2520 151s[ Court West Rosemount, MN 55068 Office: (651) 3224140 FAX: (651) 322-7791 COMPLIANCE: Passes Maximum UA = 602 Your Home UA = 432 282% Better Than Code (UA) Gross Glazing Area or Cavity Cont. or poor Perimeter R-Value R-Value U-Factor UA Ceiling 1: Raised or EnerRy Truss 2051 44.0 1.2 45 Wall 1: Wood Frame, 16" o.c. 216 14.0 3.4 14 Wall 2: Wood Frame, 16" o.c. 3282 19.0 3.4 135 Window 1: Above-Grade: Vinyl Frame:Double Pane with Low-E 641 0.290 186 Door 1: Solid 42 0.067 3 Basement Wall L Solid Concrete or Masonry 900 11.0 1.2 49 Wall height: 9.0' Depth below grade: 8.5' Insulation depih: 8.0' rTAR Fumace 1: Forced Hot Air, 92 AF'UE Air Conditioner 1: Electric CenVal Air, 14 SEER BY - Proposed and Maaimum U-Factor Averages Proposed Maximum Average U-Factor Allowed U-Fac[or Above-Grade Windows and Glass Doors 0290 0.370 Includes Foundation Windows > 5.6 ft2 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, speci£ications, and other calculalions submitted with the permi[ application. The pmposed building has been designed to meet Ihe 2000 Minnesota Energy C re e ~n ScheckVersion 3.5 Release I(formerly MECchec4 and to comply with the maudatory requiremen list e ckInspection Checklist. Builder/Desi er Date AJ - LL- ?'&V ~ City • Eile Edit View Ioo{s Applications Uelp ~QaRle u~~~~r ;4ke.ab.s Comments - - - - - ~ Eagan Bulding ~ Eagan Developmeht ~ Permits ~ Cotnection ~ Oa~,rner I Eagan assessl^sates I Eagan Property ~9an Zoning GIS Area (sq ft) GIS ,4cres 223N348 D.5133 Flaad Zone Commurity Panel # Panei Oate rC 2~0300Q28 IA;st 11,1 97$ o Zorung Designatian a ~ R•1 Residential5ingie o ~ Lartd Use Designation LD low Density (04 unds/acre) ~ o.....,I.+,~..,..A..$,,A )nnm 661 tN00DLAND WAY ~ , C7 i~ • C~ _ city af eagan FAX TRANSMITTAL 3830 PILOT KNOB RD EAGAN, MINNESOTA 55122 TO: FAX 651-322-7791 DATE: March 11, 2005 AT"TENTION: Don TIME 11:00 AM COMPANY: Mittelstaedt Brothers Const. # OF PAGES INCLUDING COVER: 8 FROM: JEFF WHEELER, BidQ inspector PHONE 651-675-5680 Comment: building code requirements for the braced wall line and the alternate engineering from the APA. These are being transmitted as checked below: For approval For your use Originals forwarded _ as requested ~ For review and comments_, Originals not forwarded _ For publication High priority X For Your Information FAX Administration/Finance/Parks (651) 675-5612 Communitv Develapment/Eneineerin2 (651) 675-5694 (buildine inspecfions) Central Maintenance (651) 675-5360 Note to Facsimile Ooerator: Please deliver this fax transmission to the above addressee. If you did not receive all of the pages in good condition, please contact us. Thank you. ' TAE LONE OAK TREE...THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMiJNITY Equal Opportunity/Affirmative Action Employer LOT SURVEY CHECKLIST FOR RESIDENTIAL • ' BUILDING PERMtT APPLlCATION PROPERTYLEGAL ~OT I ~ llkX-+- I ~f Jc10j Ia.vi~ "Ra- C.e- DATE OF SURVEY: LATEST REVISION: d a L tR L U 9 p z ¢ DOCUMENT STANDARDS • Registered Land Surveyor signature and company ? ? • Building PermitApplicant ? ? • Legal description ~ ? 0, • Address/nGJ (.jtC~&,J G6b- ,g ? ? • North arrow and scale ,g- • House type (rambler, walkout, split w/o, split entry, lookout, etc.) • Directional drainage arrows with slope/gradient % 41111 ?,,F7' • Proposed/existing sewer and water services & invert elevation ? ? • Street name ?'F • Driveway (grade & width - in RNV and back of curb, 22' max.)6-Z2 I ryaX~c 'e ? ? • Lot Square Footage ? ? • Lot Coverage ELEVATIONS Existin ,B' ? ? • Praperty corners ,H • Top of curb at the driveway and property line extensions ? Tz ? • Elevations of any existing adjacent homes g?? • Adequate footing deptfi of structures due to adjacent utility trenches ? H ? • Waterways (pond, stream, etc.) Prooosed ,0 ? ? • Garage floor ,S 0 ? • Basement floor ~j ? ? • Lowest exposed elevation (walkouUwindow) ? 'z • Property corners • Front and rear of home at the foundation PONDING AREA (if apqlicable) ? Jz' ? • Easement line ? 'z ? • NWL ? 2 ? • HWL ? 7 ? • Pond # designation ? ,H ? • Emergency Overflow Elevation a ? • Pond/Wetland buffer delineation N . Shoreland Zoning Overlay District Y (fP • Conservation Easements DIMENSIONS ? ,Pf • Lot line Bearin dimensions tlOKI ?,F1 • Right-of-way and street width (to back of curb) Fer l~.~la,.c~~~~y,"~ W • ?,d • Proposed home dimensions including any proposed decks, overhNngs greater than 2', porches, etc. (i.e. all structures requiring permanent footings)-SIwuJ~.~e..s:~s Fpr~rb,-} ${.~p z • Show all easements of record and any City utilities within those easements ,e' • Setbacks of proposed strudure and,sideyard setback of adjacent existing structures yJ' ? 0 • Retaining wall requirements: ~ Reviewed By: Date 3~2Z~S" G.lFORMS/Bwiding Permit Application Rev. 11-26-04 Established in 1962 INVOICE N0. 70915 LOT SURVEYS COMPANY, INC. F.B.NO. 995-78 . LAND SURVEYORS SCALE: 1" = 30' REGISTERED UNDER THE LAWS OF STATE OF MINNESOTA o Denotes Iron Monument 7601 73rd Avenue North (763) 560-3093 ? Denotes Wood Hub Set Fax No. 560-3522 for excavation anly Minneapolis, Minnesota 55428 x000.0 Denotes Existing Elevation '~!IlLI r U P LJ D r S (2 r r t i f i r tttr g Denotes Proposed Eleva tion --avof- Denotes Surface Droinage NOTE: Proposed grades are subject to results of soil tests. MI'CTEI.STAEDT BIROTHERS Proposed building information CONSTRUC`PION, INC. must be checked with approved Q ~n U n~~~D building plan and development or grading plan before excavation and construction. 948.5 Proposed Tap of Block Lol 1, BloCk 1, 946.0 Proposed Garage Floor Property localed in Seclion WOODLAND PLACE 939.8 Proposed Lowesl Floor 38, Township 27, Renge 23, Dakola Counly, Minnesola Type of Building Nole : Gar•age dr•opped 2.0 feel. FULL BASEMEN'I' WALKOU'I' Address:661 Woodland Way CLIFF ROAll (C.S.A.H. ROAD No. 32) EAGAN 34.31 98.63 RKEV~EWEED 9D any _ LEyc Blluminou~ ~ ~W D" - I".SPEL 1 I4..r`~~' ^....T ~Y y TC~CB tt 935.56 L,p .934.8 o xvo. nisexs ag2m ~ P P. 936.Q OH. wirrs w- ' -0~_ _'w-'_ 936.1 ~ - ua9o al' 5p~w 179.913 - J39.5 TC 936.34 9423, ti s, 93B.8 e L ~ '--,URAINAGE & UTILI'PY EASEMEN7' • ~ - _ - _ - _ _ _ _ ' ' _ ' - _ - ' _ ' ' ' _ ' ~ ~ • 938.9 ~ o~n ^d 0 \ 93~.5 15' 936.2 ~ \ e ~y 938.7 12~v1ti LeNU 939.3 939.3 ~ i 3'0•~ ~ 935.6 939.1 0 o aPT%%o 93 938 .6 939.6 0-15.00 12,4„ 0 17.6.. 0 Uc I T - 2•0" ~ `O N I'ROPOSED CD (a 9392 9 ~ ; N~tlP RESIDENCE a 3 u o s '9~ 35f)n~ a N13']0" Z~p a 7C 993.5 12'Z" m ?o ~ 939.09 2B s i>'0 - o sy,C cc • Top .on g 944.0 p . N O o I N 939.25 942. .00 947.8 " zo'o•• N~ t'd" e Top lron 949.5 945.8 914.j 599.25 I-IARDCOVEIZ CALCULAI'IONS: ~ 2,051 s f l. CO 4 ~ 3aw. o,cev_icz House Ar•ea - 4 CO ~ N Cu.9~2 Stoop Area - 46 SQ. PI.. w 'kIsEIIc4L,4> Garage Area - 685 sq. fl.. Ot..Ly ~e~~ - 1.46 So piFr 941.2 1, 9'1505$ 29 conc curo Lot Area - 22,359 sq. ft. LPno Tc `110.0 942.21 941140 iD 3 .6'I 941. t 2 ~ ~ \S\ % Of Hardcover - 12.4 % 9U NI tt The anly easements shown are from plats o( record or information \ provided by client. We hereby certify that this is a true and correct representation of o survey of the boundaries of the above described land and the location of all buildings and visible encroachments, if any, from or on Signed said land. Charles F. Anderson, Minn. Reg. No.21753 or . Surveyed by us this 3rd day af Febr_Ucti'y Zp 05 , Gregory R. Prasch, Minn Reg Nn. 24992 U,own Oy 11 Ni£AN:~IiEtf File Nnine W11)1 -I (1)JJJ7(5111\'7nO1 5.~. _S 1)O Rev 3_22_05 City reyuireinents Established in 1882 INVOICE N0. 70915 LOT SURVEYS COMPANY, INC. F.B.NO. 995-78 LAND 5URVEYORS SCALE: 1~~ = 30' REGISTERED UNDER THE LAWS OF STA"'~, aF MINNESOTA o Denotes Iron Monument 7601 73rd Avenue North (763) 560-3093 ? Denotes Wood Hub Set Fax No. 5fi0-3522 for excavation only Minneapolis, Minnesata 5fi428 x000.0 Denotes Existing Elevation '~17Lt r U P LJ D r 8 C2 P r t t f t r M f P 1190 Denotes Proposed Elevation -F Denotes Surface Drainage NOTE: Proposed grades are subject to results of soil tests. MITTELS7'AED'C BROTHLRS " Proposed building information CONSTRUC`I'ION, INC. must be checked with approved ~ V~~ ~building~ p~lan and development or o~~ ~ ~ radin lan before excavation and construction. 948.5 proposed Top of Black LoL 1, Block 1, ~ 946.0 proposed Garage Floor Properly localed in Seclion WOODLAND PLACE 939.8 proposed Lowest Floor 36, Township 27, Renge 23, Dakota CouuLy, Minnesota TypC Of Building Nol.e : Carage dropped 2.0 feeL. FULL BASGMENT' WALKOU'I' Address:661 Woodland Way CLfFF' ROAll (C.S.A.1-1. ROAll No. 32) EE 939.63 934.31 yG Blluminaum ee BVF MEE ~.'c~a~~ _ 7 i~ y-07 • v. 44~. ~~v ? 93~56 LP 939:8 O HYD. RIS¢RS ~ P.P. 93E.8 O.kl w~rev sss, u 69p 41sp"W 179.98 sss 5 rc 9361 936.34 !:.94-2- s . ~ . , ssQ e ~ URAINAGE & UTILPPY CASEMINT 938.5 ' 938.7 % O0:) ' 930.2 ~ 938.7 LuNt- \ 939.3 13.0„ 939.3 939.6 939.1 o a vAno .93 . 93lf.li 93y.6 0'15.00 11 17,6„ ~o Q0 12'6" 17.0,. (0.~3 T = 2,0„ ~ . ; N PROPOSED N c~o Z U ~ 939.2 ~r ~ y~op RESIDENCE u 3 ~ f s5f~a ~ a 7,~.. N 2'0" p ¢ v TC ]2'2°'r 13'10" > 939.09 ZB, 943.5 N N ~O ~~C To ran y 949.0 939.25 942. .00 947.t3 " 20,e° N~ re° I eI~ ~ 7'op R un 944.5 945.8 9 9. 949.25 HARDCOVER CALCULATIONS: ~ House Area - 2,051 sq. fl.. 6~ r I gA~,"r~!=v'~ a 6l. • `132 V,4i Stoop Area - 46 sq. ft. S6"""f "s % ~0\ RI3EN~~~ 1 4Z~ Garage Area - 685 sq. fl. 94213 1469 Se9°hi'So''~ ~ir1 ~?~1.2 49'o $ 29 conc. cu.o Lot Area -22,359 sq. ft. ~J L.P. TC ko,o 942.21 T. 991`40 M y ro \ % Of Hardcover- - 12.4 % io.sr 941.12 " OCD Q ~4 0 gQ~u~ p-. - The only easements shown ore from plats of record or information ~ provided by client. 1 /\l We hereby certify that this is o true and correct representalion oi r\ ~~/I I4,/ ~ a survey of the boundaries o( lhe above describcd land and the location o( all buildings and visible ericroachmenls, il any, (rorn or on Siyned_ said land. Chailes F. Anderson, Minn. Reg. No.21753 or Surveyed by us this 3t'd day of I'ebriiarV 20 05 . Gregory R. Prasch, Minn Reg No. 24992 Drown By 11 NiFAiQJK41 File Name WlIyl-frh9$)57(SIIIVT0$)J5,ti;)0 Rev 3-22-05 City requiremenls PERMIT City of Eagan Permit Type:Building Permit Number:EA112828 Date Issued:08/23/2013 Permit Category:ePermit Site Address: 661 Woodland Way Lot:001 Block: 001 Addition: Woodland Place PID:10-84800-01-010 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Vladislav Fogel 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 - Sophakanya Nhul 661 Woodland Way Eagan MN 55122 Estate Claim Services LLC 934 Cromwell Avenue, Suite 2 St Paul MN 55114 (651) 309-1114 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA116541 Date Issued:10/08/2013 Permit Category:ePermit Site Address: 661 Woodland Way Lot:001 Block: 001 Addition: Woodland Place PID:10-84800-01-010 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 - Sophakanya Nhul 661 Woodland Way Eagan MN 55122 Estate Claim Services Llc 934 Cromwell Avenue, Suite 2 St Paul MN 55114 (651) 309-1114 Applicant/Permitee: Signature Issued By: Signature r For Office Use EAGA,. EIVE 13 L(t3 1 ) Permit#: ' „ , , ----a- MAR 2 0 2018 Pennit Fee: Date Received: 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX:(651)675-5694 Staff: buildingjns_octionsacityofeagan.corn ,._ 2018 RESIDENTIAL BUILDING PERMIT APPLICATION 3,--z---0 (5)6,I tAiiood IA 4,1 44 ifrjoty- Date: Site Address: Unit#: Name: -- t.--11'.C7 4:(i't (--et 4,A. 5< Phone: q L7 Resident/ I il-Pki i { Owner ; Address/City/Zip: ''' 1 (A&4Lei-Lel .„.r ) , Applicant is: Owner A, Contractor i _ - r ,,., - 'AAC 1",24-V?1-C,S. ' <--rvof-i Description of work: re rvr 11,..,CC("" (.- v/A r e PI el C5 ) Type of Work ! I 4- ' construction cost: 12._j0 o Mufti-Family Building:(Yes_/No A ) Company: 44 e ttr I 00 Ail(i 1-6C Contact: t , illetv 11 , . ... /• I Contractor Address; I II il fOre:,5 1 14-iit koi City: ; I , , L-t 7 I e7 U-61-Z6?Email: C1A c f.%1 I..' Alettl e 911-74 , Ji State:411/V(Zip: •••"0 Yu 2'1' Phone: ' Email: / I i l i I L.* ff- 43 3 5 Lie) ICenSe,-: „------------,--LaadCertificate If the project is exempt from lead certification, please explain why: . , COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING .1 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: : 1 Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be Lclassified es nonzpiMfic if you provide specific masons that would pet:mit the City to conclude OW thetare trade secrets. ,,,,, . ___ i You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeacan.comisubscribe. 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, 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.goonerstateonecatteg 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 s 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 approv f plans. filtLinim . ,., x ..--*//1 -1--'1 ill I Applicant's Printed Name Applicant's Signature