509 White Pine Way
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: 0-18 1 '`.?I
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: i ~ , f31 Ei? F ~ APPLICANT:
• ~ ~t; ~ i ; ~ l P!I WA.y
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
; i~E? ~ i r~~~ , i,~~~r~i~r~ ~ 1 ~~r~
1 I~AMINU 1NI,
IhJ`=1I1,/t1 I4N I Iitt F'I At !
, irllt,tf 11'~! 1'l l~t, i 1~1!!'iH 1 N ti 1 tr
~ ~Ni,l !'liill t lPiAl
riAitk.•::: t'It4 L-. W 1'!_f3it VAt t t , 1'I 1{,.
F
~
L
Permit No. Pe?mk Holdx Date Telsphorw #
ELECTRIC
° PLUMBIN G 9~•~/~~
HVAC a3 G ~Ga
Inapsedon Date Insp. CommenU
FOOTINGS 7lpfQ~
FOUNO
06
FRAMING
(O
ROOFING
ROUGH
PLUMBING -Z X S .
PLBG ~ AIR TEST
ROUGH
HEATING
GAS SVS;
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
F1NAL PLBG O^?~ ~
F1NAL HTG l( ~
ORSAT
TEST
BLDG FINAL
~
BSMT R.I.
BSMT FINAL I I
DECK F7G I I
DECK FlNAL
~
r.:.
~ ; f ' •
>
WAtrdficate nf Ccc"anc4
C"M Of O"tm
~~t ~ ~
This Ccrtificate issacd pursuant to tht rcquirenerets of the Uniforne Buil,#ng Code
certifying that at tlu tinw of issrrartee this stnrctuyr was in cornpliance with the various
o?rlinances oJt/u City nrgulating brrilding constrnction or ase. For the followirtg:
U!W cbsgdkodow SF DWG/GAR eid& P"nek No 28168
. O-W-yTyM x-3 U-1 yonies n-~ R-1 Twe Co" V-N
0WM0(BWMiF4 HO!!ES BY CHASE Add~ 1668 B CL1FF RD., BURNSVILLE, MN
8WMingAd&= 509 iiH1M;P1NE WAY tAcamy L9, Bi. P1NES SDGE 1ST
o„w.
P06'T MI A CONSPIpJOUS PLACE
.
Address 509 wttixe eiNe war Zip 5512 3
Lot 9 Blk 1 $ub PINES EDGE 1ST
THESE ITEMS WERE / WERE NOT COMPLLTE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector: ~
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway •
Permanent gas J~
Sod/Seeded grass
TraiUcurb damage ~
Porch ?
Basement finish ?
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy ~
I ~ PERMIT
~ CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE:
• Eagan, Minnesota 55122-1897 Permit Number: BUILDING
0 2 B 16 8
(612) 681-4675 Date Issued: 0 7/ 0 9/•9 6
SITE ADDRESS:
509 WHITE PINE WAY
LOT: 9 BLOCK: 1 '
PINES EDGE iST
DESCRIPTION: '
Building,.Permit Type SF DWG
Building W'ork Type NEW
UBC Occupancy~ R-3 U-i
Construction Type V-N
/ Zoning R-1
/ euilding Length ' 66
~ Building Width , 46
` Building stories 2
'Squa.re Feet,~ ' 2,330
Ce~nsu's ,Code 101 1- FAm. DETACH
V~
/ ~ ~ . . . • ~ . . , .
REMARKS:
PRV 5& W PLBR - VALLEY PLBG
FEE SUMMARY:
VALUATION $194,000
Base Fee $1,357.25 MISCELLANEOUS $1.923.50
Plan Review $678.63 Total Fee $4,956.38
Surcharge $97.00
SAC $900.00
SAC % 100
SAC Units 1
Subtotal $3,032.88
~
CONTRACTOR: - qpplicant - sT. Lzc.OWNER:
HOMES BY CHASE 18955337 0001619 HOMES BY CHASE
1668 E CLIFF RD 1668 . E CLIFF RO
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.
~ Statu and City of Eagan Ordinances. J
~(l (1 rn~-
APPLICANT/PERMITEE SIGNATURE ISSUED BV: IGN RE
CITY OF EAGAN 4j ~~j4,~ ~
3830 PILOT KNOB RD - 55122 `
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~(,/eD 7
681-4675
~
New Gonstmciion Renuiremente RemodelRtenair Reauirements
? 3 regislered site eurveys ? 2 copies of plan
? 2 copies of plans (include beam 8 wlndow sizes; poured fnd. design; elc ) ? 2 sile surveys (exterior additions 8 decks)
? 1 energy caiculationa ? 1 energy ealeulations for heated additions
? 3 copies ot tree preservetion plan H lol plaped after 717193
required: Yes _ No '
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK:
§OQ ,
STREET ADDRESS:
LOT ~ BLOCK SUBD./P.I.D.#:~
PROPERTY Name: Phone
OWNER `I'.
Street Address:~~
City: 7~ IIO_ State: Zip: S`r-:~' 32
coN7RncroR Company: 42 ' Phone 337
Street Address; License 41Z-49
City: State: Zip:
ARCHI7ECT/ Company: Phone
ENGINEER AL- Name: Registration
Street Address-
City: State: Zip:
Sewer & water licensed plumber. Z!- Penalty appiies when address change and lot
change are requested once permit is issued.
t hereby acknowledge that 1 have read this application and state that the information'is correct and agree to comply with all
applicable State oi Minnesota Statutes and City of Eagan Ordinances. GLti~C
Signalure of Applicant:
OFFICE USE ONLY RLCGpMEDD
Certificates of Survey Received _ Yes No J U2 ~y 9996
Tree Preservation Plan Received _ Yes No. : ___e_m_mo_
~
OFFICE USE ONLY fi~ "?'a
pa v .
. > „
.
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
-~02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. 0 17 Swim Pool
0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
~1 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) 0-~/ Basement sq. ft. (/3 YZ MC/WS System oL
(Allowable) ~ Main level sq. ft. i. ~94) City Water a~
UBC Occupancy sq. ft. 3y Fire Sprinklered
Zoning sq. ft. PRV Yrs
# of Stories sq. ft. Booster Pump
Length GCo sq. ft. Census Code.
Depth e/(a Footprint sq. ft. 01330 SAC Code o/
~ Census Bldg /
P ' ~p Census Unit ~
APPROVALS W~ ~~x •
Planning Building Engineering Variance
Permit Fee Valuation: $ ~ Z DOO
Surcharge
Plan Review
~f
License 7,25-
MCNVS SAC c'4~ l. zrX 17 2 X7,
City SAC 2 z n(n~ yS z Z 5'e/
WaterConn. y~z2•S"' 90 ZyX 3~.zs= 1z5
Water Meter 11-
Acct. Deposit sf o
snnr Pem,ic
S/W Surcharge g6a
TreatmentPl. ~S 7~75~
Road Unit
Park Ded.
TrailsDed. zZ~~6 '~soL ZZx 3/r- 7yf'x1~=
Other y~. za S~ ~G b
Copies ~ syy x /S~- i
Total:
% SAC
SAC Units
2422 Enterprise Drive
Mendola Heiqhte, MN 55120 1
*
JL/~~~J r~ (612) 681-1914 FAX:881-9 488
* PIONEEq LAko wnKraa+ • ovw aoacua
* EffO ~fECP ff~ wro auhrane. wmsuvc waeacrs 825 Highwoy 70 N.E. ; r
Blaine, MN 554J4 + i
f* (812) 793-1880 FAX: 783-i8d3 ~
Certificate of Survey for: HOMES BY CHASE
509 WHITE PINE WAY
~If
957.5 . , I
959.1 x ~
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f957,G)
958.1 S89•49'18"W 134.71 989.3 ~k
938.9 - - - - ¦ 959.2~ NQ
~DRIUNACE dc UTIL ^ \ ~ p • r'
It.
956.3 19'r EASEMENT PER
~B/595~ ( 9~oa4) 860.2 32.7* tr. ~ a
~ a9.a~
w^---
- 15.0 o' 8 Q0 i19.00 `4 i`, j...~~ `
7.J RO OSED 9~ :lSI ix
F, 8~^ i g HOUSE\ W 25 W= PQy$ I g 32. o '961.0
~ a N~
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g'-~ ~ CARAGE H ~y~•D~ ~ I ~~J' ~
Z ~ \r i
49.5 34.16 I
958.9 J4. 0 ---i---- I ~
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4 15.00 (92~01 / 957.3 ' I 10 0 45 ~
967.t 82.64 15.00
10 R~p~
~ D VE~AY n ~ i
~i L---i--"` -----_"aq$?.9~ i ~1 {
f95~~1) ^ % ^ ~ ~ ~ ' ~
- n 956.5 9°41'52"W 129.78 958.2 956.6 957.4
Ln 855.8 i N
-;4-
WHITE PINE WAY '
BENCH MARK
TOP OF PIPE BENCH MARK
ELEV.-957.05 T +TOFRPI
V."88a "
~U HEV~ wEO
Da } Y ~ • O~.
EAGAN EN IId~ERING DEPT. a ~s
)ATE ~ t f
NOTE: PROPOSEO CRADES 3Ha1YN GER ONAOINC PIAN BM PIONfEp _PROPOSEO HOUSE_FI FVATQRL
aG1C lusWnc OnEt+5ioH3 9i0rm ARE FOn MOfi20N7AL ANO VENMAI LOCATQN LpyyEST fL00R ELEVATION: 9.5~-5
0F SIRUCNNES ONLY. SEf Mpn7ECTUAI PLAN! FWi OURDING AND
routmAnon on&'NSIa+s TOP OF BIOCK ELEVATiON: ql~
NOTE: NO 5'ECInC SORS INVESTIGAiIOH HA4 BEEN C04PLETED ON iH14 lAT BY TME
wnveron. THc swtABnrtr ov so25 io suaroaT me srcnrrc MaSE GARAGE SLAB ELEVATION:
PpOPOSEO IS NOT iHE RESPONS10R11Y Of 1NE S11RVfV00.
~
NOIE! THIS CERTfiCATE OOCS NOT PURPOAT i0 SHON EASEYENTS OTnCR 1HAN 7f 000.00 OENOTL3 ERISTNC ELEvATipN •
Tf05£ SHONN ON THE RECOpDED vLAT. ( 00400 ) DfNOTES PROPOSED ELEVAliON
NOtE: CONTilAC70R uUST V[qiFv DRWEI7AY OESICN, DENOTES URAJNAQE At10 U1ri1TY EASE+GNt
- OCN0IES OHAINnGC rLOw OIRECTON
NOTE: BEANMGS SHOWH AAE BASED ON AN ASSLri1E0 DANM -r- OfNOTES uONUNENT ,
-a OfrlOTES OFFSET MUB
WE HEREBY CERTIFY TO HOMES BY CHASE THAT THiS IS A TRUE AND CORRECT REPRESENTAnON OF A
SURVEY Of THE BOUNOARiES OF: y~~ ~ , ~ • LOT 9 BLOCK 1, PIMES EOGE 1 ST Al9D~ l~~~°~'
DAKUTA C~NTY, IAINNESOTA f,
iT DOES NOT PuRPOR7 70 SHOW IFAPROVEMENTS OR ENCHROACHMENTS. E%CEP7 AS SHOWN. AS SuRVEYEb BY ME OR I
UNDER MY DIRECT SUPERVISION THIS 41H DAY Of JUNE, 1998.
IPI
ONEER ENGINEE P.ASCALE : 1 INCH 30 FEET ~ f
975 94400.10 SNM John C. ~orson, ~.5. Rey. No. 19928 ~
.
, i
' LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PE IT APCATION ~
PROPERTY LEGAL: ~ e A^~7~,P~
DATE OF SURVEY:
IATEST REVISION:
S ~ DOCUMENT STANDARDS
B? ? • Registered Land Surveyor signature and company
e'o ? • Building Permit Applicant
M""O ? • Legal description
~o ? • Address
m~ ? • North arrow and scale
~o ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
H~~ ? • Directional drainage arrows with slope/gradient %
ff""o ? • Proposed/exassting sewer and water services & invert elevation
0--~o ? • Street name
B -1~ ? • Driveway
ELEVATIONS
Eastina
0~~C] ? • Sewer service (or Proposed)
5"~O ? • Properly comers
~0 ? • Top of curb at the driveway
m~'o ? • Elevations of any ebsGng adjacent homes
Prooosed
2--'0 ? • Garage floor
ci-~ ? ? • First floor
J3' ? ? • Lowest exposed elevation (walkouVwindow)
p~p ~ • Property camers
? • Front and rear of home at the foundation
PONDING AREA (f aoolicablel
? • Easement line
? Zf'/ ? • NWL
? 00 • HWL
? C~ ? • Pond # designation
? C3 ? • Emergency Overtiow Elevation
DIMENSIONS
O~'13 ? • Lot IinesBearings & dimensions
~r ? ? • Right-of-way and street width (to back of curb)
o-'? ? • Proposed hame dimensions including any proposed decks, overhangs greater than 2',
porches, etc. Q.e. all structures requiring permanent footings)
? • Show all easemenLg of record and any City utilities within those easements
m ? ? • Setbacks of proposed structure and sideyard setback of adjacent ebsdng structures
? 4-~0 • Retaining wall requirements, if any
Reviewed:
}Vame / Date
Januery 1996 (CRAIGI GG EGlD6Pf iMf. FM
SDR 26
)M MANHOLE.
ON IS AT END
SEE SHEET 3
IALL BE
=R
' TEM P. H YD. W/G V
GND. EL. 959.4 v MH ~ STA.
PE OUTLOT D 12 -
rvE. s= 0+7/7
INV= 948.9 ;
TY LINE. CS= 958.8 I+ , S= 0+68
" - ~ 8"x8°CROSS jINV= 950.2 ~
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8"x6"REDUCER ;CS= 959.4 ~
PARCEL I
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SEE SHEET 3
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. 1& Z FamiIy Residential "Cookbook" Methon
SCfE ADDRET55
BUILDER Date
07 f~~~ • j
r ~I
Minlmum Criteria:
Rim Joist: R-19 iasulation Foundaton Wiodows: Insulatcd glass. 1/2" air space, a'ood or vinyl frame ~
Enay doors: li'i inch solid wood with storm or beNer
STEP 1 Window & Door Area STEP 2 Calculate area as a percent o[ wall ~
Total Window 8c Door Area in Sq. Feet Box A(window 8c door azea) divided by Box B(total ;
WINDOWS (including foundatioa windows): wall area) times 100 equals the window and door azea ~
Dimensions Qnty. Area as a percent of wall area (Boz G). r i
~
;;2 ° x BozA 1277 z100= C ~
9. x sox s 30
s~o
~z 2,
x"~ STEP 3 Design Features i
1 u x 3 a i ~ G ASSEMBLY OPTION . E
c
X FRAMEWALL: '
x .
S'tANDARD FRAMIIdG L/ ` - - ~
z • f
x ADVANCEDFRAbMG I . i
x ~
CAVITYINSUTAT[ON
x DOORS: SFEwTEING: f FSS'rHnN R-s
, ~ „ y I
7[ ~ L ~ E
R-S OR ASORE ~
WINDOWS (exccpt foundauon windows): 7 U-FACI'OR
Total Area of f
Window & Doors -2- -7-) A f
From the table, deternune the maximum perceat window
Total Wall Area in Sq. Ft & door area for tbe design opuons selected and enter the ~
Wall Total Perimeter Height Area value in box D below:
" ~9 7 Z
sZ ~ -
Total Area Box C must be less than or equal to Boz D ~
of wail B ,
f ~
. ~
. t,
. ~
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. ,
i
MAXIMUM WINDOW AND DOOR AREA
AS A PE[tCENT OF OVERALL EXPOSED WALL ~
, .
Cavity Window U-Factor a
Framin¢ Insulation Sheathintt 0.49 0.36 0.31 027
1
~
SI'AIJDARD.,1..: R=.13' :;tR-7.:;, . 13.4%: 17.8% 2L39'o 24.3% ;
STANDARD R-152R-5 129g'e~ 17.19'e 20.1% 23.4:b ~
- . -r•-, . _ .
<R-S_.:%7':[';;1L1%t: ' t g 16:09'0 18.8% " 22.0%
STANDARD ~ R-18 2R-5 13.5%0 ~J 18.6% " 21.8% 25.3°0
ADVANCED. ' R48 :;s:-• _ . <R
. . ,"~"`'~'-'`r" 17.1.20_19'. ?3.49'e' ' y
.
.:i..._..._ ...,o..._ .
ADVANCED R-18 2R-5 13.5% 19.29'0 22.5% 26.1°0
.
STANDARD_. 11_8'19.99'0•.. 23.1qo
STANDARD R-21 2R-5 14.0% 19.3% ' 22.5% 26.1% ~
-ADVANCED', R-21~.:~' R S_':11.8%;~.: 18: .21.2% 24.6`Yo ~
ADVANCED R-21 2R-5 14.0% 19.9% 23.2% 26.9%''
r
Subp. 3. Performance criteria. The combined thermal transmittance (Uo) ,
factors for walls, roof/ceilings, and floors over unheated spaces must be less than or
equal to: '
~I
A. 0.110 Btu/h ft2 °F for walls;
B. 0.026 Btu/h ftz °F for roof/ceilings; and ~
. . i
G 0.04 Btu/h ftz °F for floors. .
I~.
STAT A UTH: MS § 116C.19
' HIST: 18 SR 2361 ,
7670.0480 Repealed, i8 SR 2361
c
~
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. . ~
. ~
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. f
Mfnn Rules Chapter 7670 26 June 1994
~
i
1,
CITY USE ONLY
L ~ BL RECEIPT
SUBD. DATE:
1995 PLUMBING PERMIT (RESIDENTIAL)
CtTY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES " EACH NO. TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet * minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water S'oftener 4.00 x
Private Disposal ' oakota cry. iicense 20.00 =
U.G. Sprinkler ' home under const. 3.00 =
Alterations " to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE :5U
TOTAL Z. SD
SITE ADDRESS:
OWNER NAME:
lNSTALLER NAME•
STREET ADDRESS:
CITY: COO"~ STATE: ZIP:
PHONE (
. f ~-i ~'J'7
SIGNATURE
XV
OfPICE USE ONLY
L BL RECEtPT
SUBD. DATE:
1995 PIUMBING PERMIT (COMMERCIAL)
C1TY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: o all commercial/industrial buildings.
p muiti-family buildings when separate pertnits are = required for each dwelling
unit.
- CONTRACT PRICE: ~D • ~
DATE: V 6 / ( 7
r•c`nnD
YVIJKK"3Y f't: _ WCVV i.VNbl t<Ul.liVn _ nu^
?vn .
DESCRIPTION OF WORK: /?JS7~7_.GI ~N~V SD /LTC~LPl~'
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 conVact price, whichever is greater. State surcharge of $.50 per
$1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADORESS: 5o ~ INh1 Ao- L?le llilQ_,G/
TENANT NAME: ( ~ STE. #
OWNER NAME: Sa_ekl"P
INSTALLER: lx~GLllc
ADDRESS: Nh?7'1') A'IYd'
ciTr: 00n )ea I-d5 STATE: 441V ZiP:
PHONE 7 aa0 SIGNATURE:
APPLICANT
OFFICE USE ONLY
METER SIZE: " DATE: INSPECTOR:
CITY USE ONLY ~~G S3
L BL RECEIPT
SUBD. 0. DATE:
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAM
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 ~ TOTAL
Shower 3.00 x 3 -
XnVa+or Clospr 3.nn „ 3 _ CA -
Bath Tub 3.00 x 1 =
Lavatory 3.00 X 3
Kitchen Sink 3.00 x
Laundry Tray 3.00 x 3-
Hot Tub/Spa _ 3.00 ;c =
Water Heater 3.00 i = 5-
Floor Orain 3.00 x 1 = 3-
Gas Piping Outlet ' minimum - 1 3.00 I_ = S"
Rough Openings 1.50 x
Water Softener 5.00 x =
Private Disposal ' Dakota Cty. license 65.00 =
(new and refurbished systems)
U.G. Spflnkler' hame under const. 3.00 =
Alterations ' to existing 20.00 =
Water Tum Around 20.00
STATE SURCHARGE .50
TOTAL
SITE ADDRESS:
OWNER NAME: • ~ v c 1. a'
INSTALLER NAME: s_,
STREET ADDRESS:
CITY: STATE: ZIP: Ss 3 S a~
PHONE P-----
OFFICE USE ONLY
L _ BL _ RECEIPT
SUBD. DATE:
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: & all commerciallindustrial buildings.
& muiti-family buildings when separate permits are rL42 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 FLUSHOMETER:i TO BE INSTALLED? _ YES _ NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULI' IN A DELAY OF METER ISSUANCE.
WILI YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINi:LER PERMIT.
FEE: $25.00 minimum fee or 1% oi contract price, whichever is greater. State surcharge of $.50 per
$1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL SITE ADDRESS:
TENANT NAME: _ STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE SIGNATURF:
APPLICANT
OFFICE USE ONLY
METER SIZE: " DATE: INSPECTOR:
G CITY ClSc OFiLY CU~ ~F' ~.L 3~'
L / BL RECEIPT
7-l ~i
SUBD. DATE: ~
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612) 681 -4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
X- New construction Add-on fumace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date:
FFFC
? Minimum Fee: Add-oNRemodel (existing residence only) $-2&80
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas OuUets (minimum of 1 required @$3.00 each) o0
? State Surcharge .50
TOTAL y?Sb
SITE ADDRESS:
OWNER NAME: /~dme-s PHONE
INSTALLER NAME•
STREET ADDRESS: 2« 16 CITY: 2Ek4' STATE: ZIP: Ssv2~
PHONE L42,Z
b`T~ Tr
. CITti U$EUNLY
, L _ BL _ RECEIPT
SUBD. DATE:
1996 MECHANICAL PERMIT (COMMERCIAL)
• CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commerciaUndustrial buildings.
• multi-family buildings when separate permits are n,ps required
for each dwelling unit. -
DATE: CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: . $25.00 minimum fee QI 1% of conVad price, whichever is greater.
. Processed piping - $25.00
w State surcharge of $.50 per $1,000 of p=jl fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLI)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP~
^PHONE
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA107602
Date Issued:10/18/2012
Permit Category:ePermit
Site Address: 509 White Pine Way
Lot:9 Block: 1 Addition: Pines Edge 1st
PID:10-57690-01-090
Use:
Description:
Sub Type:e-Reroof
Work Type:Reroof
Description:House
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 .
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 -
Tinh Le
509 White Pine Way
Eagan MN 55123
Erickson Building
2667 Cottage Grove Place
Woodbury MN 55125
(651) 248-9339
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA131430
Date Issued:06/18/2015
Permit Category:ePermit
Site Address: 509 White Pine Way
Lot:9 Block: 1 Addition: Pines Edge 1st
PID:10-57690-01-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Tinh Le
509 White Pine Way
Eagan MN 55123
(651) 428-7766
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature