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508 White Pine Way CITY..OF EAGAN . 454 81 DEPT. OF BUILDING INSPECTIDNS Correction Notice ~ Located at ~s , . I have this day inspected this structWre and these premises and have found the following violations of ci,ty codes governing same: L.: N When corrections have been made, please call 454=&tQO for inspection. ~ Date ~ Inspector City ot Eagan DO NOT REMOVE THIS TAG INSPECTION RECORD CIT1f OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road . Permit Number: , Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: - APPLICANT: ~ i ~ ~ , ; i ~ i• ~ r~~ ~s,~~r ~ , PERMIT SUBTYPE: TYPE OF WORK: . . •,i',Ii~ i~ i!~i(! i I 1 1 1 I fit ' ~.il: I!'1 , I ~itl~~l1 I PJ ii i~• I i. Yf~~. . i f? 1 l Itl; t~ ~ 1 1 ~ ~ ~ ~ Psrmk No. PermR Holder Date Tslephona s ~ ELECTRIC 014sy~ 7 5 9,5 a~j" - PLUMBING HVAC 2E Inspectlan MD@ftelnsp.~l ComF0071NGS FOUNO -itu o~ ~ •c s+• q,r .n FRAMING ~ Pr ~ ASsA?Q ~ ROOFINO ROUGH PIUMBING PLB(3 AIR TEST ROUGH HEATING 1 ~sr ~ 7 6 INSUL 7 2 /gr~~ ~cl og~ DYPBOARO FIREPLACE FlREPLACE AIR TEST FINAL PLBG /V FINAL HTG ORSAT TEST BLDG FINAL g-~U.1j I~ BSMT R.I. BSMT FlNAL DECK FTG DECK FlNAL L - - - - - F. A W"ertificate nf cccu4janc~ ~ 2*~WftcKr . f This Certijcate issrted pursuant to the rcquirrments of the Uniform Building Codt . ceitifying rhat at the time of rssuance this stractun was in compliance with the various ordinancts of tlu Ciry regalating 6uilding construction or use. For the following: use aauirxadon: Bldg. Prnnit No. 2~55 ~7 Oc-P-cY TyPe R3I-L+ Zm°E Diseia $.L Type Const- uAT O.roerotBuildm H249S SY 41A4? AdaiesslfifiR F. (ZjE'F bl'D~ L-- B:idmg Aea= 508 GHIM Pi[vp,v Locallr B ~ ST ~ j Disc. POST IN A CONSPKX)OUS PLACE Address 508 w[urE PuM wa5t Zip 5512 3 L.ot 5 Blk 4 Sub PIINES EDGE IST THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: Yes No Inspectot: Final grade (6" From siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass TraiUwrb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-0f-way or installing underground sprinkler sys[em. White - City Copy Yellow - Resident Copy Pink - Contracror Copy ~ ~16A'~) 2005 RESIDEN'TIAL BUILDING PERNIIT APPLICATION $City Of Eagan ~ 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction ReouiremenLS RemodebReoair Renuiremenis Office Use Onlv 3 2giste2d site surveys showing sq. ft. of IoL sq. ft. ol house; and all roofed areas 2 copies of plan CeM1 of Survey Recd _ Y_ N (20%maximum lot coverage allowed) 1 setof Energy Calculations for heated additions Tree Pres Plan Recd _ Y_ N, 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addNOns 8 decks Tree Pres Required _Y _ N 1 set of Energy Calculations Addifion - indicafe if on-sde sepNc sysfem On-sAe Septic System _ Y_ N 3 copies of Tree P2serva[ion Ptan if lot platted after 717193 Rim Joist Dekd Options selection sheel (buldings wtth 3 or less units) Date ~ 115 Construction Cost Site Address ~ZAR/ UniUSte ti Description of Work e ~ ~ Multi-Family Bldg _ Y VN Fireplace(s) ?0 _ 1 _ 2 Property Owner /NiJ U / Telephone # ( ! r" ~ :faT ~ Contractor Address City ~/pO~ State Zip SS~~I Telephone # (T(9~ 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 Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review 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 the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a ermit, and work is not to start without a permit; that the work will be ' accordance with the approved plan i case of ork which requires a review a approval pl s. n I~ D I ~~l ~c u u ~ 3 2005 Applicant's Prin ed Name Ap icanYs Signa ure By------ OFFICE USE ONLY Sub Types ? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 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 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex Ix 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous ~,{,,~i si"~. n, WorkTypes ~/ftlfl~& plq-,,i 1 U 1' ? 31 New ? 35 Int Improvement ? 36 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 1~ 33 Alteration 0 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entlre Bldg) - Give PCA handout to appllcant Valuation (9 -212 Occupancy 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 31Width REQi3IRED INSPECTIONS _ Footings (new bldg) FinaVC.O. _ Footings (deck) ~ Final/No C.O. _ Footings (addition) _ Plumbing Foundation _ HVAC Drain Tile Other Roof Ice & Wa[er _ Final _ Pool _ Ftgs _ Air/Gas Tests Final ~ Framing _ Siding _ Smcco f Stone _ Brick Fireplace _ R.I. _ AirTest _ Final _ Windows _4C Insulation _ Retaining Wall Approved By: Building Inspector - Base Fee r Surcharge Plan Review MClES SAC ~ City SAC Utility Connection Charge ~ 5&W Permit & Surcharge Treatment Plant License Search . Copies Other Total S 3 43 H RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construttion Reouiremenb RemadellRepair Requirements • 3 regatered site surveys showing sq. k. of lot, sq. ft. of house; and all roofed areas • 2 copies ot plan (20% maximum lol coverege alloweC) . 1 set of Energy Calculations for heated additions • 2 copies ot plan showing beam 8 windax s¢es: poured found desgn, etc.) • 7 sde survey for extenor adAitions 8 decks • 7 sel of Energy Calculalions • Indiwte it home served by septic system for addi6ons . 3 wpies of Tree Preservatian Plan d bt platted after 717/93 . Rim Joisl Detail Opfions selection sheet (bldgs with 3 or less units) DATE Z~-d Z- VALUATION t kZ / . SITE ADDRESS ~d o 0 A; (J' i~ lL) a-~ MULTI-FAMILY BLDG _ Y _ N TYPE OF WORK ow Tt:2 + [,e a cJa._ ciL ~ dv-, FIREPIACE(S) _ 0_ 1_ 2 C~W4GQ, ^ APPLICANT SELA ROOFING & REMODELING. U o , y 41e8 ExeELS+eR-a . ~ STREET ADDRESS ST. LOUIS PARK, MN 55416 CITY STATE_ZIP ID #0001050 TELEPHONE #(212~6Z3-~v~.((o CELL PHONE # FAX # PROPERTYOWNER h(hcb[, ~~-~-OT 7 TELEPHONE# COMPLETE THIS SECTION FOR "NEW^ RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESO"fA RULES 7670 CA"I'EGORY l NII\NESO"I':1 RULES 7672 (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Confractor. _ Phonc # Plumbing system includes: _ Water Softcner L.aim Sprinkler Pee: $90.00 Watcr Heatcr No. of R.I. Baths No. oF Baths Mechanical Conhactor: Phone # Mcc6anic:il systcm includcs: Air Condiuoning Pcr. $70.00 _ Hcat Rccovcry Sys[cm Sewer/Wafer Coniractor: Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ord'nances. Signafure of Applicanf OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ - Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 37 Ext. Alt - Mufti ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Parch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ' ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new b(dg) _ FinaVC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & lVa[er _ Final _ Pool _ F[gs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Tes[ _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC Ciry SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total CITY OF EAGAN PERMIT ~W11 ~ 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 025512 (612) 681-4675 Date Issued: 0 5/ 0 9/ 9 5 t SITE ADDRESS: 508 WHITE PZNE WAY LOT: 5 BLOCK: 4 PINES EDGE 1ST P.I.N.: 10-57690-050-04 DESCRIPTION: Building'Permit Type SF DWG Building Work Type NEW 'UBC OccupancyR-3 U-1 Construction Type V-N Zoning ` R-2 fiuilding Length 60 Building Width 52 Building stories ~ 2 Squaxe Feet 2,053 ~ REMARKS: PRV S& W PLBR - VALLEY PLBG FEE SUMMARY: VACUA7ION $143,000 Base Fee $790.00 MTSCELLANEOUS $1,892.50 Plan Review $513.50 7ota1 Fee $4,117.50 Surcharge $71.50 SAC $850.00 SAC 8 180 SAC Units 1 Subtotal $2,225.00 CONTRACTOR: - ppplicant - ST. LIC. OWNER: HOMES BY CHqSE 18955337 0001619 HOMES BY CHASE 1668 E CLIFF RD 1668 E CLIFF R? BURNSVILLE MN 55337 BURNSVILLE MN 55337 (612) 895-5337 (612)895-5337 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 Mn. L Statutes and City oF Eagan Ordinances. ~ i 4AP?PZLfcANPF3MfTEE SiGNATURE ISSU : SIG URE CITY OF EAGAN ,4 IN110 ~ 3830 PILOT KNOB RD - 55122 / ~ 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~~Q~~, 681-4675 ~ 3 New Construction Reeuiroments Remodel/Reoair Reauiremants ? 3 registerod site surveys ? 2 copies M plan ? 2 eopies of plans (inGude beam 8 window aizes; poured fitl. design; ete.) ? 2 site surveys (exterior addttiona & decks) ? 1 energy calwlations ? 1 energy wlalationa for heated addrtions ? 3 copiea of iree preservatioWn 'rf IM platted after 711f93 roquired: _ Yes Y_NNo DATE: 7-~S~ 9S CONSTRUCTION COST: ~ . DESCRIPTION OF WORK: STREET ADDRESS: ' LOT BLOCK t-I SUBD./P.I.D. tn-_Vr„ go- 10 -10 4 PROpERTY Name: /F?'Gl~roc ~N e_-~xy_nf= Phone OWNER ' ' iN6T Street Address City: 2~i//~ State:'~;~-2 Zip: 115"3:3,27' CoNTrtaC7oR Company: Phone Street Address: License Ciry: State: Zip: ARCHI7ECT/ Company: Phone ENGINEER Name: Registration Street Address* City: State: Zip: Sewer & water licensed plumber. r, Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that { fiave read this application and state that the infortnatio ' corcect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY ~~ECEEVED Certificates of Survey Received (/Yes _ No APR 2 5 1995 Tree Preservation Plan Received _ Yes ~ No OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 6iz(, 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 B-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous a 05 SF Misc. 0 10 = plex ? 15 Deck WORK TYPE (:6- 31 New ? 33 Alterations ? 36 Move 0 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) t / Basement sq. ft. 1/0 MC/WS System ~ (Allowable) Main level sq. ft. ?~3 City Water oc UBC Occupancy u zsq. ft. -vG Fire Sprinklered Zoning R-~ sq. ft. PRV ~ # of Stories Z w s~ sq. ft. Booster Pump Length &0_ sq. ft. Census Code. Depth Sz Footprint sq. ft. Z, 05-3 SAC Code ~i 4,/ s„ y, Census Bldg yo 46 Census Unit ~ APPROVALS Planning Building Engineering Variance ~ Permit Fee Vaiuation: $ ~ y3 ° °O Surcharge Plan Review License MCNVS SAC ZSx 16 3/3 City SAC 7•S = /S ~s Water Conn. ~2 x ~.s) = G Water Meter 6 X~Z ~ y 2 x!o Acct. Deposit s s/W Permft sx iz - 3/p X• = SMI Surcharge Treatment PI. 7/1 r sy= ~D ~oZ (0 5~ Road Unit Park Ded. "er't R. Trails Ded. Other 31X 2 y =-7yy Copies z 2 2 y 3 Z~ /,i x(, > Total: 75-6 % SAC 705 "l(° " SAC Units 25~f 7 , - - -7` I - 2422 Enterprise prlve Mendota Heights, MN 88720 I p18N88p o=~~Y~ . Crva ENGMEERS (612) 881-1914 FAX:881-9488 * enp neer nA LAND PLANNERS~ UNDSCME ARCHIlECT$ 625 Hlghway 1Q N.E. * Blalne, MN 55434 (612) 783-1880 F'AX: 783-1883 Certificate' of Survey for: H4MES BY CHASE 508 NM1iITE PINE WAY ~ 1 ~ ~ T (UNDER CONSTRUCTION) 3n~ WHI7E PINE WAY o a M t7 ~ PROPOSED CURB--`J 958.5 ~ S89°41''rJ2pW 100.00 959.3 BENCH MARK ~ ~ TOp OF PIPE q`'4'~) o ,~-SERVICE ol95$.6~ 30 I ELEV =957.86-~ ~ INV_-947.4 o r! Q ORWEwAY 1 10 a ~ 0100 958.7(91,06) 958-6 ! 30.0~ W 3z.oo ----Tis.oo R~ I coo i BENCH MAftK cJ AR GE/ ~ 7p P OF pIPE e) G N Cqbf,z~ ; I ~ ELEV.=960.9t 14.00 0 ~ i z ~ M~ ao ~ N 958.0 ~6.330 I I U / 4 Z ~ tn 1 i ~~67 , a oo 958.8 i N f f PROP05 D/ ""~j HOUSE . I ~ 10 ; ~ I N /N I .3 O I v 1 959.2 O1Oa 46.00 30.Oa ~ a ~ x_I...i.--- 960.4 960, 5 7 5. 09 ~oi ~ a ,A v ~ I I ~ ( • V,~ ~ 960.3 ~ 960,7 ~ ~ x x ~ ~ 5 ~ ~ , `rDRAINA;E dc UTILITY I ~ 5EASEMENT PER PLAT-QzZ__ 10 L ---w_..^-- ^1 957.5 ° \N ° *964,3 41 N89°41'52"E 100.00 By ~ ~o~o~o i UoR E ~ 6 Datv_ y~ E!~.:__. u.~v ..._.'"7G DEP1: NOiE: PROPOSED GRADES SflOWN PER GRAOINC PLAN BY: PIONEER pRQP04Eb HOUSE FI EvAT10N NOTE: BUILDINC OIMfNS10N5 SHOWN ARE FOR HORIZONTAL ANO VER11CAL LOCATION OF S7RUCNRES ONLY. SEE ARCHITEC'NAL PLANS FOR BWLOING AND IOWEST FLOOR ELEVATION: 9r7 3. ~ ' FOUNOATION DIMENSIONS. ~FiL t`~_ I NO7E: NO SPECIFlC SOIL$ INYE5?6ATION MA$ BEEN CAIAPlETEO ON THIS LOT BY THE TOP OF' 9LOCK ELEVATION: SUP.VEYOiE. THE SUIYABILITV OF SOILS TO SUPPORT THE SPECIFIC HOUSE GARAGE SI,A9 ELEVATION: bo•Q~ PROPOSED IS NOT THE RESPONSIBILI7Y OF THE SURVEYOR NOTE: THIS CERTIRCATL DOES IJOT PURPORT TO SHOW EASEMENTS OTHER THAN If 000.00 OENOTES EIfISTINO ELEVATION 'MOSE 5HDWN ON THE RECOROED PLAT. ( ppp,00 ) OENOTES PROPOSfO ELEVAiiON NOTE: CONTFtACTOR MUS7 4ERIFY DRI4EWAY OESICN. - DENOTE9 DRAINACE AND Unlltt fASEMENT DENOTES DRAINACE fLOW DIREC710N NOTE; BEARINGS SHOWN ARE BASED ON AN ASSU4E0 DANN ---9- OBN01[5 MONUMEN7 ~ B DENOTES OFFSEY HU8 WE HER58Y CERTIFY TO HUMES BY CHASE THAT 7HIS IS A TRUE AND CORRECT REPRESENTATION OF A ~ SURVEY OF THE BDUNDARIES OF: ~ I~ LOT 5, BLOCK 4, PINES EDGE 1ST ADDITION OAICO7A COUN7Y, MINNESOTA ii 17 DOES NOT PURPORT i0 SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEP7 AS SHOWN, AS SURVEYED BY ME OR I UNDER MY DIREC7 SUPERVI510N THIS 18TH DAY OF APRIL, 1995. CD, i PIONEER ENCINEF~ING: P,IA. , / i SCALt : 1 INCH - 30 FEET John c, Larson, L.S. Req. No. 19828 Tea.,..., • I.OT BQRVEY CHECRLIBT FOR REBIDENTIAL ~ BDILDING FERMIT ]1PPLICATION ~ PROPERTY LSGA.= t ~ Dat• of survep: 9~- ~ pOCIIMENT BT tanAeno " -r ID"' 0 0 • Regietered Lnnd Surveyor signature and company ID-`a 0 • Buiidiaq permit 1?pplicant G?0 0 • Leqal deacription M-~0 13 • Address R-13 D • North arrow aad -Bar scale DY D 0 • House type (rambler, wnikout, split v/o, aplit entry, lookout, etc.) • Directional drainaqe arrows with clope/qradient t. B'~D D Proposed/exicting aever and water aervices G1~ 0 • street nnma ~ 13 • Drivevay ZLLVATIOliB Existina ~ ~ • Sewet serviee 0 • Lot corners 0 • Top of curb at the driveway D aK"[) • Elevations of any existing adjacent homes proDOSaQ D' 13 13 • Garage lloor B'? 0 • First floor ~~1 0 • Lowest axpocad elevation (valkout/window) ? 13 • Property cornerc ~D D • Front and rear of home at the foundation PONDSNG 11REA8 li iDDl{~abl*1 n 8" 13 • Easement 2ine 0 ~ D • Nwi, o D~ n • xwL D • Pond 1{ desiqnation D L • Emerqancy overllow Elevation pI?SENBIOlfB ~ 0 • Lot lines ~ 0 • Riqht-of-way and street width (to bnck of curb) D"' 0 0 • Pzopoaed home dimensions including any proposed decks, overhanqs qreater than 20, porches, eLc. (i.e. all structures zequiring permanent footingr) D~ 0 D • Show nll easementc of record and any City utilities vithin those easements • setbacks ot proposed structure and setback of adjacent ~ _ / existing homes 13 - Retaining yaj 1 ra irementa, if any Reviewed: ZS-7 Na e / • ate October 1992 W<<<< x fi TEE MH STA. 1+72.°9_ 8"c.v. OUTLflT -L E~--- GN . - - 8"x8"CROSS WHITE PINE WAY o +o v « r - r_____' , ~ N m ~ 8°GV S= 0+04 S= 0+86 5= 1+71 S= 2+63 I - ~ j ; INV= 945.6 INV= 946.2 I: INV= 946.8 ~ i INV= 947.4 j j CS= 954.0 ; I CS= 954.9 I ~ CS= 956.0 ; I CS= 957.2 ' rn m ~ +2 2 4Q3 4 5 ' 4h. m - , ' I I 1 I I I I I 1 I 1 1 I ~ MH q~. STA. 5+34 6 ~ 1 1 1 I 1 I 1 _ 1 1 1 1 ~ I I 1 ~ `j/ 1 I I 1 ~ • I• I 1 I I I 1 I ~ 1 I I " i I ' I I ~ I I 1 1 I I 1 . I ~ 1 , ~---------------=7 a~ c~~v o~ ~~G~~ D ES f~0i`CUARAN7EE L ~ . r 77iE_ ~CCURACY_ OF UTIIITY__LOCATION. I - ~ ~ i` iiDlO~ ELEVATION:i. ;Th11S D,aTr1 IS FC~r I ;f Ef(JRMATiON POFOSES CLY Ai: G; i'=;~i50vS U~IiVG IT~ i10ULD U-;.:~=Y TH; I ~ 1 MH q STA. 13k 5 - dNT if lI1~ORi1AATI0+V ON TH~ flITE. , ; _ x 6' TEE "bIP, CL 52 J ~L. 958.7 9 8 ~ 6 S= 3+59 j S= 1+20 S= 2+05 7 1; fNV= 958.8 ~ INV= 950.3 I i INV= 951.5 j~ S- 2+90 CS= 968.8 ~ I 3 ; CS= 961.0 ; ; INV= 954.3 ; ~ 8"x8"TE~ ~ CS= 959.8 CS= 964.3 lu 8 G. V. - - - ' ' ~ - - , -----I L--- _ - ' i ~ I m ~ I I 1 I I----?h I m ~ , F WHITE PiNE WAY 3 - 14*00-t---I-- +97.2 =9 4 O . . . . . . . . . MH RE~ 953.86 : . . - - . . . . ~ g BLD=9:36 . . . •MH RE 958:2 . . . . . . . . . .12 . 'E= 954:75: . : : : : : . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3L0 9.6- 7~ . . .T- . . . . . : : . : . . : . . . . ; . . . . . . . . . . . . . . . . . . . ~ ._..4.. . . . . . . . . ~ . . . . . . . . . . ~ . . . . ~I•_~ . . I _ . . .I~ ~ . . . . . . . . ~ . . . . . . 1~2nRC,f'i 954.95: : : . . ~ . . . . ' . . . . . . . : . . . . . . . . . . . . . . . . . 7:5' . ~r~. . : . : . : . . ~-E@VER. . . ._:r_ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . , . . . . ........._;_l_...~Y. ! ~,~..2~ RCF _ . : . : . . . . . . . . . . . : . : . . R @ . . . . . SD . . . : . a~QVC . . ~~SDR 35 . . . : : : . . . . . . . . . . . . . .3fi1'-8".PVC, SDR : 35. 0.7Q. ~ : . . . . . : : : . : : ' . . . . . . . . o:.. . . . . . . . . . . . . . . . MAIN 1.6 •MIN :.::.:.:.j:..._.. . k7 kING . . . . . . . . . .fHC. . . : : : . . . . . . t:Fi~O~~UAGRUDp'`€rtioiGUf.lA;ViZI- . . . . . . .~CCURA•CY . . . . . . . . . :OF UTI-'ITY, LOCAT.IUiUS . . . . . • : : . . . . : . r . . . : : . . : : : : . . Apl~ ~LE4:A710.VS. TH:~ D;r",1 l;; : FOR . . . f~ zw :f0 • URPOS~S C,.. ,.~Y: . . . . . :[:~U~IVCPIT. S-.~..CU . :AP:D: . . . . . - ~ ' - • : : . . . . . . . . . . ~ ~ . . . . . . . . . . . . . . . . . . . . t3~?,:1A~ 10f~ dP1 TH~. . . . . , . I a~ : r'~ i„~ . . . . . : . . . . . . . . . : . . . . . . . . . . . : . . . . . . . . ~ ~ SIT'c c,4 . . . . • • . . . . ~ . . : : . . . . . . . . . . ~ . . . . . : a) . . . . . . . . . . . . . . . . oD a> . . . . : . : > > . . . . . . . _ . : z . . : . . . . . .z z . CITY PROJECT # 94700 . ' ' 1 & 2 Family Kesidential "Cookbook" Methoa /d 51'fEADDRE55 ::Tay BUILDER te Minimum Crtteria: Rim loisc R-19 insuladon Foundaton Wiodows: Insulated glass, lR" air space. wood or vinyl frame Entry doors: I'Y+ inch solid wood with storm or better STEP 1 Wlndow & Door Area STEP 2 Calculate area ss s percent of wall Total Window & Door Area in Sq. Feet ' Boa A(window. 8c door area) divided by Box B(toca! WINDOWS (including foundadon windows): wall area) times 100 equals the window and door area Dimensions Qnty. Area ' as a percent of wall area (Boz C). x / soxa? x ioo= x u 0 3 sox s 2452*0 I z - ~ STEP 3 Design Features p x Z S a 3 0 ASSEMBLY OPTI0N ~ x ~ 7, FRAMEWALL: x o p STANDARD FRATI`IG ~ - x x ADVANCED FRAIviING X : CpVITY INSULA'IlON X DOOKS: SHEATHWC'' LESS TFIAN R-5 ~ x 2 R-S OR ASORE Q.. v x 7 WIIdDOWS (except foundation windows): z / ' 3 S Total Area of U-FACTOR U. / Window & Doors z~S A From the table, determine the maximum percent window Total Wall Area in Sq. Ft . & door area for the design options selected and enter the ~ Wall Total Perimcter Height Area,_ value in box D below: S~ Box C must be Iess than or 771 to Box D Total Area of wall B F. The building must not exceed the maximum window and door area as a percentage of overall exposed wall area listed below for the combination - of framing technique, R-value of insulation within the insulated cavity, sheathing R-value, and window U-factor. Other components must meet ' the requirements of this subpart. MAXIhtUM WINDOW AND DOOR AREA ' AS A PEItCEtVT OF OVERALL EXPOSED WALL Cavity Window U-Factor Fremin¢ Insulation Sheathine 0.49 0.36 0.31 13'': 17$% . 21.39'o 24.3% STANDARD -R_15' . 2R_$ 12.9% 17.1% . 20.1% 23.4% - - •STANDARD,-';;:;','.~-::"-_:..;R_18',^~n;.'~:~~<R-5:,''~;;>:j;:•:.;11.1~~~".'.ji16:0Yo;,".;' 18.896 ' 22.0°k , ST.4NDARD R _ -18 2R-5 13.5Ye 18.6qa 21.89'v 25.310 , ADVANCED' R=18.;~: ll_19'e_,•,}r '.20.1'%. 23.4%' , . . . _ .t..e..~ . ADYANCEQ R-18 2R-5 13.5% 19.29'022.5% 26.1°.e STANDARD. ...':•,R-R_g::•',':°., _?`-37.D°~-;;:_--.19.99'0•.. 23.1% STANDARD ' R-21 21Z-5 14.0% 19.396 '22.5% 26.1% . - - - . . -ADVANCED`. R-21.;:..~..;•,:..- <R5; ::-~'•'•'°11.89'o;y.E 1819'0;,._ .'.21.20/o 24.69'e ..4............. . . i. ' ADVANCED k-21. 2R-5 14.0% 19.9% 23.2qe 26.9% Subp. 3. Performance criteria. The combined thermal transmittance (Ua) ~ factors for walls, roof/ceilings, and floors over unheated spaces must be less than or equal to: ~ A. 0.110 Btu/h ftZ°F for walls; ; B. 0.026 Btu/h ft2 °F for roof/ceilings; and ~ . r C 0.04 Btu/h RZ °F for floors. ' i STAT A[lTH: MS § 216G19 ' , f HIST: 18 SR 2361 . , . 7670.0480 Repealed, 28 SR 2361 r~ 1v11nn. Rules Chapter 7670 26 ' ]une 1994 CITY USE ONLY L ~ BL RECEIPT 9D ~ SUBD(~/..„~, DATE: 7 S 5 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681 -4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on fumace Add-on air conditioning Fireplace conversion (to existing fireplace) Date: rO -29 - ~S_ FEES ? Minimum Fee: Add-on/f2emodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 TOTAL 3 D ' ~ SITE ADDRESS: OWNER NAME: PHONE 5-5337 INSTALLER NAME: e0Nrk6GG'(6 1&R STREET ADDRESS: ST. cin.: STATE: ZIP: SS~2y PHONE ( blZ ~ CITY USE ONLY L BL RECEIPT SUBD. DATE: 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commercial/industrial buildings. ? multi-family buildings when separate permits are p~ required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: w $25.00 minimum fee gl 1% of contract price, whichever is greater. w Processed piping - $25.00 State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR CITY USE ONLY L ~ BL ~ RECEIPT * 1119G ~ SUBD.(2A,js (JJ~G~pL I ~ DATE: 95 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681 -4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH NO. TOTAL Shower 3.00 x -3 - Water Closet 3.00 x Bath Tub 3.00 x a = L- Lavatory 3.00 x 3 = 4- Kitchen Sink 3.00 x 1 = 3- Laundry Tray 3.00 x i = 3- Hot Tub/Spa 3.00 x = Water Heater 3.00 x i = 3- Fioor Drain 3.00 x 1 _ -3- Gas Piping Outlet ' minimum - 1 3.00 x 3- Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal " Dakota Cty. license 20.00 = U.G. Sprinkler ' home under const. 3.00 = Alterations ` to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: OWNER NAME:_-_ c INSTALLER NAME: P«I STREETADDRESS: n"k" CITY: :3-0 rd A~ STATE: F^^ ~ ZIP: r' S} j PHONE L(IQ-~ - OFFICE USE ONLY L BL RECEIPT SUBD. DATE' 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3630 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ~ all commercial/indusVial buildings. ~ multi-family buildings when separate pertnits are = required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION _ ADD ON _ REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED7 _ YES _ NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of permit fee due on all pertnits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: APPLICANT OFFICE USE ONLY METER SIZE: " DATE: INSPECTOR: Cities Di it~ualit,y Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. ~~i~~ ` . ~ ~n~~?o.~a . - . : _.:.1T I3: 20 04 RESIDEN'T7.9 T. B1JL&G PE22MCT APPLICA'TION ~~-l FSS~ C~ty Of agazt 3830 PiTot Knob Road, Eagan 1VIl`I55122 -=-T-eiepkoiieg~651=67S~-5675---FAX',,f 65Y 675 5694---= Mew Consfrucfion Reauirements 3re9ateredsitesurveysshowin9 s .ftoflot,s . Remodel~rReoairReouirements ' ~~.s (20 %~ma)imum lotcoverage aIIa9e~ q ft oE fiouse; and all roofed areas 2 copips of ptan 2 copies.ofpfan showing beam &windowsizes; poured found desgn, efc. 1 set of Epsigy Calculations for heated add'tuons ' - 1sefofEnetgyCafculaSons lsitesurveyfoiaddi5ons& decks I 3copiesofTreepresetvafionPlan'rflotplatted'after7/1/93 Addrfion_ uMicateifon-sResepScsys[em ' RimJoistDelailOpSonsselecGonsfieet(bldgswitlt3orlessuniis , Date Consituc8on Cost SifeAddress 56 ~ IInit/Sfe # Description of Work ~ C C p JA c . cJ I Muiti-Family Bldg - Fireplace(s) _ 0 _ 1 _ 2 Property Owner . Telephone # (~'/S ~ Conh-actor - " Address . sta~ ~ N . ciri~n~~nllz, Zip Cj~ 117) Telephone # ((~l ) 2 C9 ~A - ~-l -1 --1 "-j GOMPLE7'E THIS AREA 94L1G1KCONSTRUCTING q NEW BUILDNG EneFJy Code Cafegory Mi°nesoh Rnles 7670 Cate, o' 1 Minnesota Rulbs.7672 ' (-/submission type) Ftesidential Ventilation Category_1 Worksheet . SubmiHed . . • New Eriergy Code Worksheet ~ SubmiKed • Energy Enveiope Calwlations Submitted lave you previously construcfed a buiiding in Eagqn with a similar plan? Y_ . :e applies N ff so, 25% plan review :~ensed Plumber Tefephone ) echanical Confiractor Telephone ) ' wer/VJafer Confractor Telephone -reby apply, for a Resideniial Building pem:Lif and aclnowledge tfiat the infomiation i~ Ot claYnplee and ac~ourate;~ E the work will be in confoimance with the ordinances and codes of the Cify of Eag and the State of MN [utes; I imderstand this is not a permit, but only an apPlication for a permit, aud work' is t -~ot_fo-start-witfiout-a nit; that the work wiII be in accordance with the approved plan in the case ofwork which requires a review and -ova1 plans. . 1 ?Ii t's Pruzted Name App cant's Signature . OYFSCL+' 7JSE ONT.Y Sub Types . a . ' . - " 0- Oi Foundafion-0-07-OS'pte~~~:-13-16=plex' Pool --p- 30--Accessory Bldg ? 02 SF Owelling ? 08 06-plex ? 16 Fireplace. ? 21 Porch (3-sea.) El. . 31. 6ct. Alf - MuITi 01.of'•`plez:_`;:;0 09 07-pfex Q 17 Garage - ?"22 Porcfi/Addn.(4-sea.)' 0` $3,Ezt;A1t=SF ;r~_9,~-i.:'' •:'t. . . . . v . . 04= 02=plex-? .10 OS-plex El 16 .Deck 0. 23 Porch (screen/gazelio) 'El 36 Multi Misc: 11~ 05'03=pfez,' b 11. 10-61lex 11 19 Lower Level • ? 24 Stortn Damage . ? 06 04-pleX Q 12 12-pleX' Plbg_Yor_N ? 25 Misce(laneous Work Types - ? 31. New ? 35 Int fmpravement ? 38 Demolish Interior ? 44 Siding 0 32_Addition ? 36 ' Move Building ? 42 Demolish Foundation ? 45 . Fire Repair ? 33.Alteration ? 37 DemolishBuilding` ? 43 Reroof ? 46 Wndows/Doors O 34 Replacement ' •Demolition (EnBro Bldg) =Give PCA handout fo applicant , • ...:i't" . Valuation Occupancy MCES System Census Code Zoning City Water SAC Uhits Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const • Width ' . REQUII2ED INSPECTTONS _ Footings (new bldg) FinaUC.O. _ Footings (duk) FinallNo C.O. _ Footings /`addition) Pliimbin'g"- ' . .:r..-..-• ci•?'+'- ? '''.?N^`'' ' 4 .>::IIVA'°~}`'ti{'° _ Drain Tile Other Roof Icb,& WatCSt r::r_.. Final _ : Eool S~-.~_; Ftgs._• Air/Gas Tesfs Final ui . _ F~-anlu~g. 'Siding:,•.::~.::-rSlucco' ' Stone Bricl~~r:. . _ Fireplace _ R.I.' _`AirTest Final winaows InsulaYion _ R'efainingVfall" 'A'pproved By: . ' , Building In'specfor Base Fee Surcharge Plan Review MC/ES SAC Cify SAC ' Utifity eonnection Charge , S&W Permif & Surcharge Treafinent Piant License 9ea'rcfi Copies . Other - T'otal Cities Di ital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. .•...v~.iv•.i iuv tL.JV Cti6 !Od DI1'4480 1(tSC11~ITkL 151~8!'!lllSKillf(Y , _ . ~ . ~QIUU re al ,.,r,~. 7une 7, 2007 • - Cityof Eagan . 3836 RiIot Knob Road • Ea8an, MN 55122 . To WHom 7t May Gotcern: IIder 7ones is suthorized to F1der Jones to proyide puIl buiIciinB Pernlts for Renewal by Aadcisan_ please alIow this date bcyond 616101: scrvicc forus in Hagan. ITtiA lmthpiqyOOn ig valid fnr ar untii a y ~o~ by - to theCIty ~~n ~ ~Y revokas it tn wsicing I rcquest this auttiorization be accePt~-expedidons) not our baildxqS P-aniU aaY fi,,thcr. Plcasc caII mc lf thcac at~ an ~aY in the p~"g ~ ~ contactcd at 763-502-4746_ . Y 9ncsclone., I can Uo Your immqdiatc aitcation to fhis m~ttcr iy a BtEd. SincarolY. . : . ~ f . ndR &-Rau j.Ztion Manager Rcnowa( bY AndcJSCn CotPoration . C:c: Karn-F.lrler Jnnea . Received Tine Jun. 7. 1:07Pld I City of Eagan Date: Tenant: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 875 -5694 2009 RESIDENTIAL BUILDING PERMIT APPLICATION a Site Address: RESIDENT /OWNER TYPE OF WORK CONTRACTOR Sewer Water Contractor: Name: On I 12. Address l City Zip: W %t Applicant is: Owner X Contractor Description of work: 64 ez.vd -4 v-F Construction Cost: i=or Office Use 1 Permit f f Permit Fee: Date Received: Start; Suite Phone: 65f- 4a3 ti Multi Family Building: (Yes 1 No X Name: S k OVA CoAs4 tux 1 License Address: 1')o( l ot Etc u-kti Ct rl City: t l state kl zip: 533 Phone: CO Q- 2(01 -/e00 X Contact Person: '}'L J Urrissi 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: Use BLUE or BLACK Ink Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public Information. Portions of the Information may be classified as non-pub/104f 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. Cali 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 Eagan; that I understand this is not a permit, but only an application for a permit, and is not to acco rice with the approved plan in the case of work which requires a review and appro x t k' l 3 5x,1,1 Applicant's Pr ted Name pplica s ig tore the ordinances and codes of the City of thout a permit; that the work will be In Page 1 of 3 . t Use BLUE or BLACK Ink 1-----------------, For Office Usee~ City of Eapn RECEIVED i Permit#: CJ1 Permit Fee: 3830 Pilot Knob Road MAY Q 1 20U I I Eagan MN 55122 1 Date Received: I I Phone: (651) 675-5675 1 r) 1 1 Fax: (651).675-5694 Staff: I I - - - - - - - - - - - - - - - - J 2014 RESIDENT AL PL BING PER(M~IT APP (CATION Date: Site Address: Tenant: _ Suite Fme_ r , Resident/Owner Phone: -4. ' Address + City / Zip: y~ v I Milbert Company Inc dba Cullign Wate Name: License 0643176 th Address: 180150 Street East City: Inver Grove Hgts. Contractor State: MN. zip: 55077 Phone: 651-451-2241 Contact: William ;R.'M i l b e rt. Email: Type of Work , - New eplacement _Repair -Rebuild - Modify Space -Work in R.O.W. Description work: RESIDENTIAL Water Heater Lawn Irrigation RPZ PVB) Water Softener Per Type Add Plumbing Fixtures Septic System 9 Main / -Lower Level) New Water Turnaround Abandonment RESIDENTIAL. FEES: " $60X0 Water Heater; Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn` Irrigation (includes $5.00 minimum State Surcharge) $60:00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) "Water Turnaround (add $200.00 if a 5/8" meter is required) $115 00: Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) 110 TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive' locates of underground utilities. www.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 c se of work which requires a review and approval of plans. 4/1 Iq x r2~ x Applicant's' Printed Name Applicant's Sig ature a G FOR OFFICE USE Rev Ievved By, Date: Required Inspections::, Under Ground' Rough-ln Air Test:, Gas Test-': Final Meter Related Items. Meter Size Radio Read' ' , Staff: "h PERMIT City of Eagan Permit Type:Building Permit Number:EA143405 Date Issued:06/14/2017 Permit Category:ePermit Site Address: 508 White Pine Way Lot:5 Block: 4 Addition: Pines Edge 1st PID:10-57690-04-050 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 - Ronald L Klotz 508 White Pine Way Eagan MN 55123 Polar Builders Inc 1103 West Burnsville Parkway Suite 110 Burnsville MN 55337 (612) 432-1597 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA146345 Date Issued:10/20/2017 Permit Category:ePermit Site Address: 508 White Pine Way Lot:5 Block: 4 Addition: Pines Edge 1st PID:10-57690-04-050 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 - Ronald L Klotz 508 White Pine Way Eagan MN 55123 Polar Builders Inc 1103 West Burnsville Parkway Suite 110 Burnsville MN 55337 (612) 432-1597 Applicant/Permitee: Signature Issued By: Signature