516 White Pine Way
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~ . . • _ _ _ . _ ~ ~,r,,
~ INSPECTI4N RECURD
CITY OF EAGAN PERMIT TYPE:
' 3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
t ~ ~ t , t+ ~ t. .
~ I'l T 1 ! 1 NF 1.IAY ~ . ~ ~
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION . .
1 IA' . . II~I~~l~1:V ~ i•.~E~
!{l
ij~ i~ t it. f! i•t? f! f•'i f''f /tt ~
.~ii• . ' i• ; . ~ ~i~,~lt : ;
~
F • ~
L ~
~ Permit No. PertnR Hvlder Dete Talephone t
.
ELECTRIC
~ • PLUMBIN /O ~ y~-aj62
HVAC
fnspoctlon Dab Insp. Commenb
FOOTINGS cry.
r~ I
?L6 'u
l
FOUND I
FRAMING
rz. .
ROOFING
ROUGH
PLUMBING , d p-_ 9-~t7
PLBG / i jt I
AIR TEST
ROUGH
HEATING 2
GAS SVC ~t K
TEST
~
INSUL 1
I
GYP BOARD
FlREPLACE
7'`r I
!
FIREPLACE
AIR TEST 1
I
FINAL PLBG
FINAL HTG
I
ORSAT
TEST
BLDG FlNAL
BSMT R.I.
~
'BSM7 FINAL
I
, I
OECIC FfCi i
DECK FINAL
II
I
- I
I
I
wtmficate of cccupanc~
COM of Wagan
moartmcat of ftmixg axgoectiaa
.
IF . ,
Thes Certrficate issued pursuant to the rtquirements oj the Uniform Building Code
cerrifying thal at the ti,ne ojissuance this structuir wes in complrance with the various
ordirtnnces of tht Ciry regulating buifding construction or usc_ For the following:
use cw.;rKa,;aw SF DWG ew& een,,;, Na. 31131
O-VP-*y 1ynx R- 3 ll-1 Zo,,;,g Dania R-1 Tya ca,,,. V n
~~e~~ HOMES BY CHASE 1668 E ~L1FF RD., EAGAN, !!N
SuiWing Addma Slb WN1TE P1NE WAY LoWiry L3, B4, PIHES EDGE 1ST
oam
eaddiag otrw;r ,
POST IN A CXNVSPICUOUS PLACE
Address 516 WHITE riNE wn7 Zip 5512 ~
IAt 3 Blk 4 Sub pINES EDGE 1ST
THESE ITEMS WERE ! WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: J 9 Yes Inspec[or:
Final grade (6" from siding)
Permanent steps (gazage)
Permanent steps (main entry)
Peananent driveway ~j
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck lj
Please ver with the builder the removal of roof tes[ caps from the plumbing system and the shutoff of water supply to
the outside awn faucet before freeze porential exists.
Contad engineering division at 681-4645 before working in rightof-way or installing underground sprinkler sys[em. ~
White - City Copy Yellow - Resident Copy Pink - Conuactor Copy
~
2005 RESIDENTIAL BUILDING PERMIT APPLICATION 70,
City OfEagan
OO~ 3830 Pilot Knob Road, Eagan MN 55122 '
Telephone # 651-675-5675 FAX # 651-675-5694
New Conslmclwn Reouiremenls RemodellReoair Reauirements Office Use'OnH
3 registered site surveys shovnng sq fl of lot, sq. ft. of house; and all roofed areas 2 copies of plan Ced dSwyey Recd:;.'_Y
(20% maximum lot coverage allaved) 1 set of Energy Cakulatwns for heated additions Ftee P.res_Plan Rectl": [ :Y :'_N_
2 copies of plan shrnving beam & window sizes; poured found design, etc 1 site survey for additions 8 decks Fre@ Pres_Reqoired YiN
1 setofEnergyCalcula6ons Addifion-indicatedon-sifesepficsystem OrtsiteSeplicSystem.:_Y
3 copies of Tree Preserva6on Plan d lot platled afler 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
.
Date 7 Construction Cost I~IeOJy Z-i 6f~~
~~1i we- W A~= Unit/Ste #
Site Address -J )6
Description of Work IZJR~~ /_dy 13eq ~ 4`- /N S~A1J &j7` /?UN ~
Multi-Family Bldg _ Y X N Fireplace(s) _ 0 _ 1 _ 2
Property Owner U9I1w jOe / nv ~ ~ Telephone # ( 6S ~ ) ~ 3~02 t0d' I
Contractor L N 54ealx auviV4 4 .U 1_~l
00 City ooy k
Address 96a 1 /ofrAG~ ,11
State A Zip SSl/ y/ Telephone #
763
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateaoiv 1 _ I~'finnesota Rules 7672
Energy Code Category , Residential VeMilation Category 7 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• - Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master planZ
_ Y _ N If yes, date and address of master plan:
Licensed Plvmber Tefephone ~
Mechanical Contractor Telephone ~
Sewer/WaterConhactor 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 review and
approval of plans.
l? 57CJNk lCheY`_ ~
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
0 06 04-plex ? 12 12-plex Plbg_Yor_N ~ 25 Miscellaneous
WorkTypes fjDD 1 WlF?-)1
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
O 32 Add'Rion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demotition (Entire Bldg) -Give PCA handoul to applicant
Valuation 2J 99=30• Occupancy p--3 MCESSystem
Plan Review 100% or 25% J~
Census Code 3Zoning - ~ City Water
SAC Unds Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUII2ED INSPECTIONS
_ Footings(new bldg) FinallC.O.
_ Foolings (deck) ~Q FinallNo C.O.
_ Footings (addition) Plumbing
_ Foundation ~ HVAC n
Drain Tile Other K='
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests inal
~ Frazning _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ AirTest _ Final _ Windows
lnsulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S8W Pertnit & Suroharge
Treatment Plant .
License Search
Copies
Other
Total
2005 RESIDENTIAL BUILDING PERNIIT APPLICATION $-7-D
~ ,Q~~~ City Of Eagan
~y 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements RemodeVReoair Reuulrements Offica Use Onlv
3 2giste2d site surveys showing sq. tl. of lot, sq. ft. of house; and all roofed areas 2 copies of plan CeA of Survey Recd _ Y_ N
(20%maximum lol coverege allaxed) 1 sel of Energy Calculations lor heated additions Tree Pres Plan Recd _ Y_ N,
2 copies of plan showing beam 8 window s¢es; poured found design, etc. 1 site survey for additions 8 decks Tree Pres Requlred _Y _ N
lselofEneqyCalculations Addih'on-1rMicateNansifeseptlcsystem Oo-siteSeplicSystem _Y _N
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options seledion sheet (buildings with 3 or less units)
Date Construction Cost ~~Ob
Site Address UniUSte ik
Description of Wark
Multi-Family Bldg _ YVI~N Fireplace(s) 0 _ 1 _ 2
Property Owner Telephone # ( 6Sq
i~-
Contractor
Address City /L~
State ~i~ Zip 5'~~~e Telephone 7(%~i 5^z{q- (p /
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Contractor 7elephone )
Sewer/WaterContractor 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 e City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a p rmit, and work is not to start without a
permit; th ~he work wi 1 be i accordance with the approved pl in t e ase of ork which requires a review and
appn f pl ans. T @ m 0 M ~ ~
a~ iln u
i 3 Z005
Applicant's Printed Name Apg icanPs Signature l
By_ _
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Oi of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screenJgazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 70-plex ~ 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Yor_N O 25 Miscellaneous
Work Types ~A,~~?~ ~,kv-,(yL- ,/lrw~~
/TI K/
? 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 ? 46 Windows/Doors
? 34 Replacement 'Demolition (EnUre Bldg) - Give PCA handout to applicant
Valuation l7 L7 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 V6 Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaVC.O.
_ Footings (deck) ~C 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 _ Srone _ Brick
Fireplace _ R.I. _ Air Test _ Final _ Windows
~ Insulation _ Retaining Wall
~
Approved By: - , Building Inspector
Base Fee
Surcharge
v
Plan Review
MC/ES SAC r17~
City SAC
Utility Connection Charge
S&W Permit 8 Surcharge
Treatment Plant
License Search
Copies
Other
Total
PERMIT
~ CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road B U I L D I N G
Eagan, MinneSOta 55122-1897 Permit Number: 031131
(612) 681-4675 Date Issued: 11 / 17 / 9 7
SITE ADDRESS:
516 WHITE PINE WAY
LOT: 3 BLOCK: 4
PINES EDGE 1ST
P.I.N.: 10-57690-030-04
DESCRIPTION:
Building'Permit Type SF DWG
Building Wark Type NEW
UBC Occupancy`,, R-3 U-1
Construction Type V-N
2oning R-1
Building Length 56
Building Width ; 42
Building stories 2
. Sq.uare Fest ~ 1,733
Census.Gode 101 1- FAM. DETACH
• ,i
REMARKS:
PRV S S W PLBR - VALLEY PLBG
FEE SUMMARY:
VALUATION $137,000
Base Fee $1,072.25 MISCELLANEOUS $1,539.50
Plan Review $696.96 Total Fee . $4,327.21
Surcharge $68.50
SAC $950.00
SAC % 100
SAC Units 1 '
Subtotal $2.787.71
CONTRACTOR: _ qpplicant - sT. Lzc OWNER:
HOMES BY CHASE 18955337 0001619 HOMES BY CHASE
1668 E CLIFF RD 1668 E CLIFF RD
BURNSVILLE MN 55337 EAGAN 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 w3th all applicable 5tate of Mn.
L Statutes and City ofi Eagan Ordinances. J
~~APPLICANT/PERMITEESIGNATURE (ISSUED~~:SI~AT ~E ~
3 ' 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 65122
' ' 681-4675
New Construdion Reouirements BemodeUReneir Reauiromenb
? 3 registered sRe surveya ? 2 copies of plan
? 2 copfes of plans (InduOe Deam 8 window sizea; poured fid. desyn; etc.) ? 2 ske aurveys (exlerior adCitione 8 dedca)
• 1 energy calculations • t energy ealaletions for Aeatetl additions
? 3 eopies of trea preaerv0tion plan if lot platted aRer 711/93
required: _ Yes _ No "
3 G-0
DATE: CONSTRUCTION COST: ~~2,
DESCRIPTION OF WnRK: , Z-C
STREET ADDRESS:
LOT BLOCK ~ SUBD./P.I.D. r
PROPERTY Name: .m.o r4,. Phone
OWNER u.*
Street Address:l~af 0 ~ ~l~
City: iState: Zip: 5'r3,4 7 ^
CONTRACTOR Company: Phone
o
Street Addre . License
Ciry: State: Zip:
ARCHITECT/ Company: Phone
ENGINEER ~
Name: Registration
Street Address:
City: State: Zip:
Sewer & water licensed piumber (new constructlon onty): Penalty applies when address change
and lot change are requested once pertnit is issued. l
I hereby acknowiedge that I have read this appliption and sfate that the infortnation is ct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
D ~ d
OFFICE USE ONLY
a17 10
Certificates of Survey Received _ Yes _ No ~
Tree Preservation Plan Received _ Yes - No _ Not Required
OFFICE USE ONLY ~ ,g~ ~
i~M~.
BUILDING PERMIT TYPE
? 01 Foundation o 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
Z02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. 0 17 Swim Pool
? 03 SF Addition ? 08 8-plex n 13 Garage/Accessory o 20 Public Facility
n 04 SF Porch o 09 12-plex ? 14 Fireplace n 21 Miscellaneous
0 05 SF Misc. ? 10 _-plex o 15 Deck
WORK TYPE
ID~31 New o 33 Akerations o 36 Move
? 32 Addition o 34 Repair a 37 Demolition
GENERAL INFORMATION
Const. (Actual) ti Basement sq. ft. aq (r MC/WS System ~
(Allowable) _yd Main level sq. ft. 106f City Water i
UBC Occupancy 3, ~-1 2OkO sq. ft. id2q Fire Sprinklered
Zoning R-I 4&wp- sq. ft. 70PRV yeS
# of Stories 2 sq. ft. Booster Pump
Length 58 ' sq. ft. Census Code. 10I
Depth v z' Footprint sq. ft. r 7 33 SAC Code ~
Census Bldg _L
Census Unit f
APPROVALS
Planning Building Nln3 Engineering Variance
Pertnit Fee Valuation: $ i 37. ouO. ~
Surcharge
Plan Review ,o u„ Z a Hd
License
MCNVS SAC
City SAC 9 q G S c ~y, c7vv. !
Water Conn. ~ S t
Water Meter
Acct. Deposit
S/W Permit J 5
S/W Surcharge y
Treatment PI.
Road Unit r oor 41>5,t _
Park Ded. o.--
Trails Ded.
Other ~I~ s
Copies
i•S x,v is'
_ToEalr').5 x il
%6S C•
SUnits
~
az 37- ~ -7 vy (Q
.
IJ~CL'~I9t2s'LLlI.:1xXP.^.IIa.T'ITlfi.'SIm.~,1Y:f[».T;i-"_"IRCi{YL1"i3':IISYIC:~~}.::,T:J:av;~T^a'::::.hl:I:S.:].er.t•:.A:;•-~•.,::.:..':.~ :.ttry_.~..r
2422 Entorprise DH;ve ~
'a a} Mendola Heights, MN 5512tl
~
*'~ION6~69 ,MoUpVEVoN:.,WL [„O,Na,,3 (012) 001-191'4 FN(:601-9488
* CRQ I10CP flg 1.00'0 n.Nwns. wrosux nncrurzcrc 625 Hiqhwny 10 N.E.
Dlainc, MN 55414
1(612) 783-1080 FAX:703-1883
Certificote of SLirvey tor: IIOPAES BY CHASE
516 WFiiIE PiNE wnY
WiITE PINE WAY
0 955,1 955.6 955.9 ~
055.7 589°41'52"W 85.00 957.+ r Md.
~~i`i5,k) o ~ o c~.L)
~
BENCIi MARK o - ^ - - - - - - o
TOp OF PIPE 0 S rSERmCE ' q p E , o ~-f3ENCH MARK
iNV.-946.21 OR~Vk~YAY 1 ~ S E~Ev~ 95flP19
957.9 1~,50 ~950.1 ( g. 13_~0 ~
a ~ -r-^--"`-- 3.33 93715 r-
o\ \
Xo 9I 7.7' q\\N ~ M 9c60.J
N
w ~ 25.6 I z~
16.0 N ~ N n
2 957.7 ° I r'3 PROpOS D 958.3 i I 71.@
~ H uSE
W 960.3
2.0 ~ I
~0 1~.50 J 11J.'.~0
r 00 ~ 956.9, "95958.7
} 9'58.0 I
W
rQ I ` I *00
o I. ` x I Q
~957.2 957.9 1 OD
lr~1 6i=dUV
3 i °
C~~ , ~ v?
~>DRAINACE de uTIUT1'
Y I I' EASCMCNT PER PLAT.~ ~
ATE /l' /7 -g7 _ 5\`.` I'-~ 4 17~ a'
BUILDING INSPECTION. ' ~ o - - - - o ~ ~
~ F-!e.
9r5.J ~
~ _
S nJ89°4~~rJ7~W 8 ~J.0~'.te 956.4
EAGAN LNQi'_'~i.::,aliVi:.
~oRo~/t p~? ~ ,
1101Ef PROVO5E0 CRe0E5 S,IOVM PCA GftA01NC PUN OC rioNC[n PROPOSED NOUSE [i,NLLQjj_
N01Ct BVILOiNO OIIJENSIONS S110vM A0.E FOA NCqItONTAL ANO KRIICAl IOGTlO(J
Of STNUCNRES ONIY. $EE M6111fCiUAI PlAl15 FON BVItOiNC AND LOWEST FLOOR ELEVATION:
ld1N0AT10N DIIAEII:IONS o!u
rlOtE: NO SPECtiRC 5025 MVESUGATMN NAS flEEN CONPLf1ED WI TOP OF BLOCK ELEVnnON:
MIS LOi BY ME
SUq4FYpR. TIIC SUtTA0111IY W SOILS TO SUPPORi tnE SPECiFIC HOUSE GARACE SLAfl ELEvATiON:
PROi'O5C0 IS HUf IN£ flESPON901LITY d' 1HE SURVEYOfl.
lt
S~ 1:07C. 11115 CCNTiFICMC COFS NOT FuAPORT tp SIIOW [ASENFAIS VTHER THAN % 000 pp DFNOT[5 FkISI1NC ELEVATION
~ MUSE SPIOwI4 Oh LiE FCCOODtD PUi. ' ( 000.00 J OENOiES PRUPOSEO ELEVATION
b91E: CONipAC10R u115t V(RifY OpN[WAY DESIGH. OENOTES ORAINAGC ANO U11111r [ti$CAI(NI
7 - ' OENOTES ORNNAGC FLOW DIRCCLON
a r.otE eURi!iG5 SNO'xN pNE HASEO ON AH ASSUUCO OANM -0--- OCNOTES MONUMENT
~k
~ -v- OENOYES OffSEr nu0
v+E HEREpY CERLFY i0 HOrAES OY CFIA;C TnnT TIIIS IS A TRVE ANO CORRECT REPRESENTnnON OF A
k SuRYEY OF TtlE 00liNOARff.S OF:
LOT 31 BLOCK 4, PINES EpcE 1ST ADDITION
DAKOTA CUUNiY, MINNESOTA
ii DoES Nar ruRPOaT io SnOw iMPROVEMErvlS OR ENCHROACHMENiS, EXCEPT a5 SHOWIJ, AS SURVEYEQ ElY A7E OR
UPJDER MY DIRECT SUPERViSiON TrtiS 4Tli DAV OF NOV., 1997,
~ iONEER ENGi CER~ P.A.
SCALE : 1 INCII = 30 FEE7 5 D.
, •
9?s qIann in s~,vu
Jnhn C. Lor,on, L.S. Reg. No. 19ii28
- l0T SURVEY CHECKLIS7 FOR RES{DENTIAL
BUILDING PERMIT APPLlCATION
' PROPERTY LEGAL•
DATE OF SURVEY:
LATEST REViSION:
~ a m
m DOCUMENTSTANDARDS
4 z 9
m~ 0 • Registered Land Surveyor signature and company
~ 0 • Building Permit Applicant
0/9 ? • Legal description
? 0 • Address
C~ ? ? • North arrow and scale
~S ? • Hause type (rambler, walkout, splR w/o, split entry, lookout, etc.)
f ? • Directional drainage arrows wilh slopelgradient °k
0 ? 0 Proposed/exdsting sewer and water services & invert elevation
17"~o ? • Street name
2-, ? ? • Driveway
ELEVATIONS
/ Existina
? • Sewer service (or Praposed)
U--'o ? • Property corners
2"'~o ? • Top of curb at the driveway
1?" 11 ? • Elevations of any ebsting adjacent homes
Prooosed C~ ~ ? • Garage floor
e' 0 ? • First floor
-Ef~ 13 ? • Lowest exposed eleva6on (walkouUwindow)
0/'~/~ 0 • Property corners
0" 0 ? • Front and rear of home at the foundation
PONDING AREA fif aoplicable)
? Ef ? • Easement line
? ff-~' ? • NWL
? or' ? • HWL
? er ? • Pond # designa6on
? ff~/ ? • Emergency Overflow Elevation
DIMENSIONS
3~'o o • Lot IinesBearings & dimensions
EV' o 11 • Right-of-way and street width (to back of curb)
~o ? • Proposed fiome dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e. all structures requiring permanent footings)
60 ? • Show all easemenis of record and any City utilities within those easements
PT- cl --.0 • Setbacks of proposed structure and sideyard setback of adjacent existing structures
o ? • Retaining wall require ents ' a
Reviewed: 1
re / ate
January 1996
CMIG1 ~LDGPRMf. FM
1& 2 Family Kesidential "Copkbook" Methoa
SIlE'ADDRESS • ci4'c? ~
~~o,
,
BUILDER Date
. , i
Mlntmum Criteria: ~
Rim Joise R-19 irtsulation Foundaton wndows: lnsulated glass. 112" air spaee. M'ood or vinyl frame '
Enay doocs: I~Ja inch solid wood with stocm or better '
i
STEP_1 -.Window & Door Atea STEP 2 Calculate area as a percent of wall
Total Window & Door,Area in Sq. Foet . Box A(window. & door azea) divided by Boz B(total
WINDOWS (including foundation windows): wa11 area) times 100 equals the window and door area
Dimensions Qnty. "Area as a pencent of wall area (Boz.Q.
x Boz A ~ 7 7 x 100 =
°9 c
. X sox s 3o s~o . ,
,
STEP3 DesignFeatures . ~
y ~ x~ a, i ~ G ASSEMBLY OPTIO-N .
x . • FRAME V?AI.L: •
x. . i ' svumnizn FxnIAING
a
x ADVANCED FRAAING
X CAVITY 1NSUL.AIION
x
DOORS: SHFATEING: LESS TFiAN R-5 ~
~X .z y y
R-5 OR D10RE
v x 7~ ~ WIIdDOWS (ezcept foundation windows):
~ x ~ ~ / U-FAGTOR U
Total Area of
. Window 8t Doocs 2-77 p
From the table, deurmine the maximum percent window
Total Wall Area in Sq. Ft & door area for the daign opaons selected and entor the ~
Wall Total Perimeter Height Area.,_ value in boz D below:
' ..~9 7 L
Sv
Total Area Box C must be less than or equal to Box D
of wall 305~' g
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 insulaHon within the insulated cavity, .
sheathing R-value, and window U-factor. Other components must meet
the requirements of this subpart.
MA)QMUM WINDOW AND DOOR AREA
AS A PERCENT OF OVERALL EXPOSED WALL
Cavity , . Window U-Factor
~ Framintt Insulaflon Sheathinz 0.49 0.36 0.31 027
• ~ STANDARD.~.:::i-_,;.:~R'13":,•._;. , ~:'2R-7::•-.'.._" : 13.4%'.! ..17.8%_;.. 2L3% 24.3% •
, STANDARD R-15~' 2.R-5 • 129%~ ' 17.1% 20.1°.0 73.450
, STANDARD _18.89'0 " 22.0% ~
STANDARD R-18 2R-5 ~ 13.59'e 18.6% 21.8% . 25.3°e ~ i
ADVANCED.: R11.13'e'~,'::r' 19'o:s=,'.".20.1%. ~ 23.4%' '
; ADVANCED ~ R-18 2R-5 13.5% 19.2% 22.5% 26.1°.e . I
~.,a-:-: ~ . u•- •
STANDARD •
. . R-21=:; s.~ ~ ; .•''<R-5; ~.;,-:..11.8%~. 17.0°!0'-.':, _ 19.99' ' - 23.19'0
~ STANDARD - - R-21 2R-5 14.09'0 19.3% ' 22.5% 26.1% ~
• :ADVANCED,", i R-21.:.,= _ <R-5_'-~•:~,:,:,'.:.'..11_8%;y.:; .21216 24.6Ye
~ -ADVANCED R-21 2R-5 14.0% 19.9%0 23.2% 26.9% • ~
. , . . i
<K_
Subp. 3. Performance criteria. The combined thermal trancraittance (Uo)
factors for walls, roof/ceilings, and floors over unheated spaces must be less than or
' - equal to: . i
~ I
' A. 0.110 Btu/h ft2 °F for walls;
' B. 0.026 Btu/h hz °F for roof/ceilings; and ~
j : C 0.04 Btu/h hz °F for floors.
STAT AUTH: MS § 216G19 . ~
? HIST: 18 SR 2361 • , . . ~
7670.0480 Repealed, 18 SR 2361
~ . . .
. ~
1 '
, . . „ ' ' ~
_y Minn. Rules Chapter 7670 26 . ' )urie 1994
CITY USE ONLY
V p l/ p//
LOT d- BL 7 RECEIPT
SUBD. RECEIPT DATE:
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
Date: (612) 681-4675
Complete this section only if vou are installine HVAC in sinele familyLtownhome, or condos that are
under construction and are not owner /occupied.
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outiets ( minimum of one required @$3.00 ea.) e1 G-00
• State Surchazge: .50
• TOTAL: 3~o1S(7
Complete this section onlv if you are remodeline, adding to, or repairinQ existine single familv
dwellinas, townhomes, or condos.
_ Add-on furnace _ Add on air conditioning
_ Add-on air exchanger, i.e. Vanee system, etc. _ Other
Minimum fee agplies to ali remodel or add-ons of existing residences $ 20.00
State Surchazge .50
Total: $ 20.50
SITE ADDRESS:
OWNER NAME: ~Ka P ONE
INSTALLER NAME: P 1 C- PHONE Y (()O `
STREET ADDRESS: .6,
CI7'Y: 4{\ qt~ 0'~ STATE: i f r)U ZIP: ,njc:~n
- i
~T.. \ Ju~----
SIG ATURE OF PERMITTEE
CITY USE ONLY
L BL RECEIPT#:
SUBO. RECEIPT DATE:
1997 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612) 681-4675
Please complete for: ? all commerciaVindustrial buildings.
? mutti-tamily buildings when separate permits are not required for each dwelling
unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: D$25.00 minimum fee or 1% of contract price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $9,000 of ermit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED P(PING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT MAME: (iMaROVeMeNTS oNLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
/
~ CITY USE ONLY
V L ~ BL 'Y' RECEIPT#: dSUBD~.rt~e ~~xCX~ RECEIPT DATE:
~
1997 PLUMBING 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
• backflow preventer for underground sprinkler system
FIXTURES EACH NgL TOTAL
Shower 3.00 x
Water Closet 3.00 x c-
Bath Tub 3.00 x a = 6-
Lavatory 3.00 x 3 = a' -
Kitchen Sink 3.00 x
Laundry Trey 3.00 x i = 3-
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x
Floor Drain 3.00 x t = 3"
Gas Piping Outlet • minimum - 1 3.00 x
Rough Openings 1.50 x =
Water Softener ' for dwellings under construction 5.00 X =
WaterSoftener "Porexistingdwelling 20.00 x =
U.G.Spfinklef 'fordwellingunderwnst. 3.00 =
U.G. Sprinkler "forexistingdwelling 20.00 =
AIt2ratiofl5 ' to existing residanca 20.00 =
Water Turn Around 20.00 =
Private Disposal System ` oak cry iic. 75.00 =
(naw and refurbished systems)
Private Disposal Systems'a,bandonment 20.00 =
STA7E SURCHARGE .50
s,~
TOTAL
I hereby acknowiedge that I have read this application, state that the infortnation is corteG, and agree to wmply with all eppliceble City
of Eagan ordinances. It is the applicanPs responsibility to natify the property owner that the City of Eagan assumes no liability for any
damages caused by the City dunng ils normal operetianal and maintenance aGivities to Me facildies construUad undar this pertnk wkhin
Ciry property/rightof-way/easement.
SITEADDRESS:
OWNER NAME INSTALLER NAME: FTELEPHONE STREETADDRESS:
CITY: 1 v' C I STATE: p" - ZIP: 55 3~-
C~ Jl I~ -
SIGNATURE OF PERMITTEE
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA107948
Date Issued:11/06/2012
Permit Category:ePermit
Site Address: 516 White Pine Way
Lot:3 Block: 4 Addition: Pines Edge 1st
PID:10-57690-04-030
Use:
Description:
Sub Type:e - Furnace
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector,
952-445-2840
Lisa Skogen
5660 Memorial Avenue North
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 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 -
Gregory R Smith
516 White Pine Way
Eagan MN 55123--490
Hoffman Refrigeration & Heating
5660 Memorial Ave. N
Stillwater MN 55082
(651) 439-5770
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152555
Date Issued:10/22/2018
Permit Category:ePermit
Site Address: 516 White Pine Way
Lot:3 Block: 4 Addition: Pines Edge 1st
PID:10-57690-04-030
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 -
Gregory R Smith
516 White Pine Way
Eagan MN 55123--490
Roof Time, Inc.
18928 Katrine Ct
Lakeville MN 55044
(952) 447-7663
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA172173
Date Issued:09/17/2021
Permit Category:ePermit
Site Address: 516 White Pine Way
Lot:3 Block: 4 Addition: Pines Edge 1st
PID:10-57690-04-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Gregory R & Beth A Smith
516 White Pine Way
Eagan MN 55123--490
(651) 587-4650
Apple Lake Heating & Air Conditioning
207 150th Street West
Apple Valley MN 55124
(952) 431-4328
Applicant/Permitee: Signature Issued By: Signature