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520 White Pine Way ~ - - IN5PECTION REC4RD ~:rtl t i?~N,~, I - CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: W-' 0 ~ • Eagan, Minnesvta 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: 6i11 f i i: 1' t Ni lJri i IWM! P;'r i H!1'~:F PERMIT SUBTYPE: TYPE OF WORK: ~ ;lj i~ INSPECTION . rf~, • i a~;, .sii h 1 i~tra i i r), + ~ rd ~•i ~ r, ,i i~, ~ ~ ~ ~ ~ i i,r, ~ ~ r:.~ ~ ~ - - - - ~ • Pormk No. Mrmk Holder Dab TtNphona N , ELECTRIC , PLUMBING 7,r~ ~7 y'a!_ Hvnc VGa -Gos Y Impwdon Date Insp. Camments ~vsr, FoonNGS 677 FOUND q,7-l0 7- I'Hf~ ° ~ -"t7 /D o w ,I FRAMING ROOFING ROU(3H PLUMBING PLBG A1R TEST ROUGH HEATING GAS SVC TEST . INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FlNAL HTG ORSAT TEST BLDG FINAL v L FS W -~~j~ eStitr R.I. Ta "'/,v ~ 2~° F/3j•wr • R. - t.v ! ~ ~ BSMT FINAL A2 TilRr A,-"e A/cr e. RjrFt&f DECK FfG OF ~~+a,~cas L. c t~rss IoR I'qik ~ a o - DECK FINAL i'~/j y~ • ~ v ~s A L (b~cy Alp as ~ INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: 612) 681-4675 { i ~ 41 i4 +i SITE ADDRESS: APPLICANT: ~ i . ~ LN{: LJ11Y ~ TYPE OF WORK: ~ INSPECTION . D, ~ PI f l1' ; ! f! i~t ~ ~ I ~ I { 1 I RN 11 {'\/Il.tji li Fi i fi l i f F'f16:F1it- 14 1tl411 kt-0 UtP [11 ;'"llf: r;NY !'lF1Mf3Flvlf} {-.1lik. I r!I~. f, f(I.-~ V fi 1 141 ~ : 1 t C Sr- li Ri I'+ ttt+il f f1N11 IF1•,I'f( / I"nr; . ~ L J I PLUMBING PermR Holder Date Telephone # ~ 7 II H VAC lnspection Date insp. Comments FOOTINGS FOUND FRAMING /-!0 ROOFING ROUGH PLUMBING . d- PLBG AIR TEST ROUGH HEATING - 0 GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATtON METER FLUSH MAINS coNOUCnwrv TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL . , , . M • i ~ ` . 1 Wertrjicate af ccc"anc~ . (Fitv of Cfagan mcpartnact of Asitbing 'InIOatiax This Cerrificate issued pursuant to the rrqairtments ojthe Uniform Building Code certifying that at tlu tinre of issuartct this structure was in compliaace with the various ordinances of the City ngulating bailding construction or use. For rhe jollowing: DWG B~ ~l No 30201 oc„p-,, Type R-3 U-1 Zm,;,,s aacia r,pe const. Vn Owna of 8udding HOMES BY CHASE Addma 1668 E CL1FF RD., BURNSYILLE 55337 BuiidingAddrm 520 WHITE P1NE WAY tAKWity L2. B4, P1NES EDGE " Dage' l / BIObIOe OMCW ~POST IN A CONSPICUOl1S PLACE AdC110S5 520 WHITE PINE WAY Zip 5512 3 LAt 2 Blk 4 SUb PINES EDGE ~ THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION. Date: cj Yes No Inspector. Final giade (6" from siding) Permanent steps (gatage) ? Permanent steps (main entry) Permanent driveway . Permanent gas Sod/Seeded grass TraiUcurb damage Porch $asement finish ? Deck v/ Please verify with the builder the removal of roof test caps from the plumbin system and the shut-off of water supply lo the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in righbof-way or installing underground sprinkler system. ~ White - City Copy Yellow - Resident Copy Pink - Coniractor Copy 2006 RESIDENTIAL PLUMBING PERMITAPPLICe4TlON ' CITY OF EAGAN ` . 3830 PILOT KNQB ROAD, EAGAN MN 55122 651-675-5675 , Please'complete for modifications to sxisting residential dwellings. • Date (1 ~ 1 2z. ' 1 Ut • Site Street Address Sav 6,11,; unit # Property Owner Telephone #(6S) ) 3 z-2-'W( ~ ~ Contractor • Telephone # ( ) Address City State Zip I The Applicant is: _ Owner _ Contractor ' _Other Septic System _ New _ Refurbished Submi[ 2 sets of plans and MPC license Includes County fee, $ 100.00 Per as-built $ 10.00 ~ Alterations to existing dwelling $ 50.00 ~ Add plumbingfixtures. This fee includes installation of a-water softener andlor water heater at the same time. If you are installing on/v'a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. , ' ~ . . Septic System Abandonment. . . _Water Turnaround (add $130.00 if a 5/8" meter is required) . Other. _ Water Softener , Water Heater, $ 15.00 I new. , _ replacement V Lawn Irrigation _RPZ k/PVB _new. _repair _rebuild $ 30.00 State Surcharge . , $ .50 j.rorai I hereby apply for a Residential Plumbing 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 permtt, but only, an application for a permi[, work is not to staA wdhout a permit and work will be in accordance with the.approved plan in the event a plan is required to be reviewed and approved. ApplicanYs Printed Name ' Appli nat(~ulp ' 2005 RESIDENTIAL BUILDWG PERMIT APPLICATION ~-70` OD City Of Eagan •(40 S 1-- 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Consiruction Reauirements RemodellReoair Reauirements Offce Use Onlv 3 registered site surveys showirg sq. N. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N (20%maximum lot coverege allowed) 1 set of Energy Calculations for heated addi6ons T2e Pres Plan Reoi Y N 2 crop'res of plan slwwing beam & window saes; poured found desgn, etc. 1 sHe survey for addflions 8 decks T2e P2s Required _ Y_ N lselofEnergyCalculations Addifron - indicetedon-sdesepticsysfem On-sReSeplicSystem _Y_N 3 copies of Tree P2servation Plan if lot platted afler 711193 Rim Joist Detail Oplions selection sheet (builCirgs with 3 or less units) Date ~0 01-~ Constructian Cost 4l,~~ ~ Site Address 57,D Lli 1'- ~Vj'. l.t'k) UniUSte k DescriptionofWork 1+~J51`ftc~ GK~ ~-N 4~_ Muiti-Family Bldg _ Y D~ N Fireplace(s) _ 0'V 1 _ 2 Property Owner Telephone Cootractor ~1 ~ Address Y/1~ V~J~ Iis~'J /"1"~- City ,S/N' UC,S State M•~ r Zip L Telep6one 4 (e2~~/~-~~ ~ .I~ ~ i ~ I U„I COMPLETE THI REA ONLY IF CONSTRUCTING A NEW BUILDING ~ - - - Minnesota Rules 7670 Cateeorv ] Minneso[a Rules 7672 Energy Code Category . Residential Venlilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submilled • 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 plan8 _ Y _ N If yes, date and address of master plan: 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 ermit, and work is not to start without a permit; that the work will be in accordance with the approved an in th ase of wo hich requires a review and approval of pl~ ~ Applicant's Printed Name Appli Ys Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-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 O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. All - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or_ N ? 25 Miscellaneous Work Types ? 37 New ? 35 Int Improvement O 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 'Demolitlon (Entlre Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Plan Review 100% or 25% 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) _ FinaUC.O. _ Footings (deck) _ FinallNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ AirTest _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total OjoO'-~ 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Raad, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Constmction Reqmremenis RemodellReoair Reqwremenls Office Use Onlv 3 registered site surveys showing sq fl, of lot, sq. ft. of house; and all roofed areas 2 copies of plan CedoFSurvey Recd _X. _N (20% muimum lot coverage allowed) 1 set of Energy CalculaM1Ons for heated additions Tree Pres Plan Recd ._Y _N 2 copies of plan showmg beam & wmdow srzes; poured found design, etc 1 site survey for additions & decks Tree Pres Required.s: :Y 'N 1 set of Energy Calculahons AddRiort - indicate i(on-sifa sepfic system Do-stle 5eptic5yslem'.- L.Y. _N 3 copies of Tree Preservation Plan itlot plalted after 71153 Rim Jaisf Detad Oabons selection sheet (bmldings with 3 or less units) 'r Date ~/3 Construction Cost Z~v o Site Address -5_dC> &-1117'71Zr ~i?~- ~j/~//y..> UnitlSte # DescriptionofWork d,~/~~~H~c^?!-- ~~5..~ B~?C'C_ Multi-Family Bldg _ Y C-N Fireplace(s) _ 0 _ 1 _ 2 Property Owner 11~e G"G LS''l Telephane # ) TZZ-- ~ ( Contractar Address `TGa-s /Q /o Y. City L-19~^j State Zip Telephone # (7/~~ F761 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet (Jsubmissiontype) 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 plan8 _ Y - N If yes, date and address of master plan: Licensed Plumber Telephone J Mechanical Contractor Telephone J 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 code of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application foi a permit, and work is not to start without a permit; that the work will be 'n accordance with the approved planrin the case o work which requires a review and appro f plans. ~ Applicant's Printed Name Applica6t's- ignature OFFICE USE ONLY . 11,111b Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - MUlti ? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-ptex ~ 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_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 Buiiding' ? 43 Reroof ? 46 Windows/Doors ~ 34 ReplaCement 'Demolition (Entire Bldg) -Give PCA handout to applicant Valuation , Q6clo Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const 6(12~ Width REQUIRED INSPECTIONS _ Footings (new bldg) FinallC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) Plumbing Founda[ion HVAC Drain Tilc Otlicr Roof Icc & Water Final Pool Ftgs AidGas Tcsts 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 MC/ES SAC S Ci,y SAC Utility Connection Charge c~ D S&W Permit & Surcharge Treatment Plant Y~ License Search Copies Other Total Lindstrom Cleaning & Construction, Inc. 9621 TENTH AVENUE NORTH, PLYMOUTH, MN 55441-5098 Phone (763) 544-8761 Fax (763) 544-8766 MN WC # 0001087 Client: Jeff Becker Home: (651) 322-6465 Property: 520 White Pine Way Eagan, MN 55123 Operator Info: Operator: DENNIS Estimator: Werner, Dennis Business: (763) 544-8761 Business: 9621 10[h Avenue North Plymouth, MN 55441 Business: (612) 766-3734 Business: P.0.583479 Minneapolis, MN 55458 Price List: MNMN2S5B Restoration/Service/Remodel with Service Charges Factored In Estimate: BECKER-JEFF Lindstrom Cleaning & Construction, Inc. 9621 TENTH AVENUE NORTH, PLYMOUTH, MN 55441-5098 Phone (763) 544-8761 Fan(763)544-8766 MN LIC # 0001087 BECKERJEFF Room: Recreation Room LxWaH 26'0" x 11'6" x 8'0" Subroom 1: ottset LxWxH 6'0" x 2'0" x 8'0" Subroom 2: closet LxWzH 3'0" x 2'6" a 8'0" Subroom 3: hall LxWxH 12'5" x 3'8" x 8'0" DESCRIPTION QNTY UNIT TOTAL Remove & Replace drywall 1' up wall 7.00 HR 52.25 365.75 Material for drywall repairs. 1.00 EA 35.00 35.00 T& G paneling - cedar paneling (unfmished) 170.00 SF 4.80 816.00 Stain & finish paneling 170.00 SF 1.07 181.90 Mask and prep for paint 134.17 LF 0.88 118.07 Seal/prime the surface area - one coat 323.00 SF 0.36 116.28 Paint the surface area - one coat 323.00 SF 038 122.74 Remove & Replace Interior door - oak veneer - oak veneer jamb & 2.00 EA 244.41 488.82 casing Stain & finish doodwindow trim & jamb (per side) 4.00 EA 2727 109.08 Stain & finish door slab only (per side) 4.00 EA 39.00 156.00 Detach & Reset Door lockset - interior 2.00 EA 22.13 44.26 Electrical repair - Minimum charge for outlets 1.00 EA 200.00 200.00 Countertop - Flat laid plastic laminate 6.00 LF 37.90 227.40 Detach & Reset Chair rail - oversized - 3 1/4" 134.17 LF 1.85 248.21 Stain & finish chair reil 76.00 LF 1.05 79.80 Remove & Replace Paneling-closet 88.00 SF 232 204.16 Remove & Replace Suspended ceiling grid - closet 8.00 SF 131 10.48 Carpet pad 364.03 SF 0.55 200.22 Carpet 418.63 SF 2.65 1,109.37 Tile Floor covering - Minimum charge for comer area 1.00 EA 460.00 460.00 Room: Right Furnace Room LxWxH 10'0" a 4'0" x 8'0" !eff Becker 08/02/2005 Page: 2 Lindstrom Cleaning & Coastruction, Inc. 9621 TENTH AVENUE NORTH, PLYMOUTH, MN 55441-5098 Phone (763) 544-8761 Fan (763) 544-8766 MN LIC # 0001087 Subroom 1: offset LaWxH 3'6" a 2'0" x 8'0" DESCRIPTION QNTY UNIT TOTAL Remove & Replace Interior door - oak veneer - oak veneer jamb & 1.00 EA 244AI 244.41 casing Stain & Finish door/window trim & jamb (per sida) 2.00 EA 2727 54.54 Stain & fmish door slab onty (per side) 2.00 EA 39.00 78.00 Detach & Reset Door lockset - interior 1.00 EA 22.13 22.13 Remove & Replace Paneling 264.00 SF 2.32 612.48 Insulation 1.00 EA 55.00 55.00 Roam: I.eft Furoace Room LxWxH 6'6" x 6'0" x 8'0" DESCRIPTION QNTY UNIT TOTAL Remove & Replace Paneling 52.00 SF 2.32 120.64 Remove & Replace Batt insulation - 6" - R19 1.00 EA 55.00 55.00 Remove & Replace Interior door - oak veneer - oak veneer jamb & 1.00 EA 244.41 244.41 casiug Stain & finish door/window trim & jamb (per side) 2.00 EA 27.27 54.54 Stain & finish door slab only (per side) 2.00 EA 39.00 78.00 Detach & Reset Door lockset - interior 1.00 EA 22.13 22.13 Room: Bedraom LxWxH 13'0" x 11'3" z 8'0" Subroom 1: closet 1 LxWxH 4'8" x 2'6" x 8'0" Subroom 2: closet 2 LzWaH 4'8" x 2'6" x 8'0" DESCRIP'fION QNTY UN[T TOTAL JeffBecker 08/02/2005 Page: 3 Lindstrom Cleaning & Construction, Inc. 9621 TENTH AVENUE NORTH, PLYMOUTH, MN 55441-5098 Phone (763) 544-8761 Fau(763)544-8766 MN LIC # 0001087 1/2" drywall - hung, taped, floated, ready for paint 5.00 HR 52.25 261.25 Material for drywall repairs 1.00 EA 25.00 25.00 Remove & Replace Batt insulation - 6" - R19-1' up long wall & 1.00 EA 75.00 75.00 short wall Mask and prep for paint 77.17 LF 0.88 67.91 Seal/prime the walls - one coat 61733 SF 0.36 22224 Paint the walls - one coat 61733 SF 038 234.59 Remove & Replace Paneling in closets 160.00 SF 2.32 37120 Remove 8c Replace Suspended ceiling grid - closets 26.00 SF 1.31 34.06 Remove & Replace Interior door - oak veneer - oak veneer jamb & 1.00 EA 244.41 244.41 casing Stain & fwish doodwindow trim & jamb (per side) 2.00 EA 27.27 54.54 Stain & finish door slab only (per side) 2.00 EA 39.00 78.00 Remove & Replace Bifold door set - Colonist - Double 2.00 EA 185.73 371.46 Stain & finish bifold door set - slab only -(per side) 4.00 EA 53.23 212.92 Stain & finish door/window trim & jamb (per side) 4.00 EA 2727 109.08 Carpe[ pad 169.58 SF 0.55 9327 Carpet 195.02 SF 2.65 516.81 Baseboard - 2 1/4" hardwood 77.17 LF 3.00 231.50 Stain & finish baseboazd 77.17 LF 1.05 81.02 Room: Bathroom LaWxH 7'0" x 5'0" a 8'0" Subroom 1: offset LxWxH 2'6" x 2'6" x 8'0" Subroom 2: closet LxWxH 3'0" i 2'6" x 8'0" DESCRIPTION QNTY UNIT TOTAL Remove & Replace Interior door - oak veneer - oak veneer jamb & 2.00 EA 244.41 488.82 casing Detach & Reset Door lockset - interior 2.00 EA 22.13 44.26 S[ain & fmish door/window hun & jamb (per side) 4.00 EA 2727 109.08 Stain & fmish door slab only (per side) 4.00 EA 39.00 156.00 Remove & Replace 1/2" drywall - hung, taped, floated, ready for 1.00 EA 195.00 195.00 paint-1' up walls Jeff Becker 08/02/2005 Page: 4 Lindstrom Cleaning & Construction, Inc. 9621 TENTH AVENUE NORTH, PLYMOUTH, MN 55441-5098 Phone (763) 544-8761 Fax (763) 544-8766 MN LIC # 0001087 CONTINUED - Bathroom DESCRIPTION QNTY UNIT TOTAL Mask and prep for paint 45.00 LF 0.88 39.60 SeaVprime the walls - one coat 360.00 SF 036 129.60 Paint the walls - one coat 360.00 SF 038 136.80 Detach & Reset Shelving - 12" - in place 9.00 LF 6.59 5931 Remove & Replace Paneling 9.00 SF 232 20.88 Detach & Reset Toilet 1.00 EA 145.19 145.19 Detach & Reset Pedestal sink 1.00 EA 169.67 169.67 Paint border stencil 32.00 LF 2.75 88.00 Vinyl floor covering (sheet goods) 60.00 SF 395 237.00 Floor prepazation for sheet goods 48J5 SF 0.61 29J4 Room: Storage Closet LxWiH 9'8" a 8'10^ x 8'0" Subroom 1: offset LxWxH 7'6" x 4'0" x 8'0" DESCRIPTION QNTY UNTT TOTAL Drywall Repair-No tape 1.00 EA 65.00 65.00 Remove & Replace Pegboard 240.00 SF 2.03 487.20 Remove & Replace Shelving - 16" - in place 60.00 LF 5.53 331.80 Remove & Replace Interior door - oak veneer - oak veneer jamb & 1.00 EA 244.41 244.41 casing Stain & fmish doodwindow trim & jamb (per side) 2.00 EA 27.27 54.54 Stain & finish door slab only (per side) 2.00 EA 39.00 78.00 Detach & Rese[ Door lockset - interior 1.00 EA 22.13 22.13 Content Manipulation charge - per hour 8.00 HR 34.45 275.60 Supervisor 3.00 FIIt 55.00 165.00 Jeff Becker 08/02/2005 Page: 5 Lindstrom Cleaning & Constructioq, Inc. 9621 TENTH AVENUE NORTH, PLYMOUTH, MN 55441-5098 Phone (763) 544-8761 FaY (763) 544-8766 ' IvIN LIC H 0001087 Room: Landing LxWsH 3'7" z 3'0" x 8'0" DESCRIPTION QNTY UNIT TOTAL Mask and prep for pain[ 13.17 LF 0.88 11.59 SeaUprime the walls - one coat 10533 SF 036 37.92 Paint the walls - one coat 105.33 SF 038 40.03 Remove & Replace Carpet pad 1236 SF 0.64 7.91 Remove & Replace Carpet 1236 SF 2.87 35.48 Room: Stairwey LxWxH 13'0^ z 3'2^ z 8'0" DESCRIPTION QNTY UNIT TOTAL Mask and prep for paint • 3233 LF 0.88 28.45 SeaUprime the walls - one coat 258.67 SF 036 93.12 Paint the walls - one coat 258.67 SF 038 9829 Remove & Replace Carpet pad 108.00 SF 0.64 69.12 Remove & Replace Carpet 108.00 SF 2.87 309.96 Step charge for "waterfall" carpet installation 12.00 EA 8.30 99.60 Room: Under Stairs Storage LxWxH 10'0" a 3'2" x 6'0" DESCRIPTION QNTY UIYIT TOTAL Drywall Repa'v-1' up-no tape 1.00 EA 65.00 65.00 JeffBecker 08/02/2005 Page: 6 Lindstrom Cleaning & Canstruction, Inc. 9621 TENTH AVENUE NORTH, PLYMOUTH, MN 55441-5098 Phone (763) 544-8761 Fax (763) 544-8766 MN LIC # 0001087 Room: General Conditions DESCRIPTION QNTY UNIT TOTAL Hauldebris 1.00 EA 235.00 235.00 Permit 1.00 EA 375.00 375.00 Post construction clean up 5.00 HR 34.45 I7225 Supervisor 5.00 HR 55.00 440.00 JeffBecker 08/02/2005 Page: 7 Lindstrom Cleaning & Construction, Inc. 9621 TENTH AVENUE NORTH, PLYMOUTH, MN 55441-5098 Phone (763) 544-8761 Fax(763) 544-8766 MN LIC # 0001087 Summary Line Item Total 16,110.43 Matl Sales Tax Reimb @ 6.500% x 5,173.09 336.25 Subtotal 16,446.68 Overhead Q 10.0% x 16,446.68 1,644.67 Ptnfit @ 10.0% x 16,446.68 1,644.67 Grend Total 19,736.02 Werner, Dennis Sales/Estimator Jeff Becker 08/02/2005 Page: 8 PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 030201 (612) 681-4675 Date Issued: 0 6/ 2 6/ 9 7 SITE ADDRESS: 520 WHITE PINE WAY LOT: 2 BLOCK: 4 PINES EDGE P.I.N.: 10-57690-020-04 DESCRIPTION: 13 .6ilrf3nylPermit Type SF DWG ~wilding W"i,rk Type NEW YJ6C Qccupancy_~ R-3 U-1 Cqns4j°uct,Cpn Tyy"'~e V-N / CiuildSng EQnyth 58 Bufldiiig WidCh ( 41 Building stnries ~ 2 Square fesr_ J- 1,700 101 1- FAM. DETACH , ~r` , REMARKS: PRV S& W PLBR - VALLEY PLBG FEE SUMMARY: VALUATION $136,000 Base Fee $1.067.25 MISCELLANEOUS R1F539.50 Plan Review $693.71 7ota1 Fee $4,323.46 Surcharge $65.00 SAC $950.00 SAC 01, 100 SAC Units 1 Lic. 5earch Fee $5.00 Subtotal $2,783.96 CONTRACTOR: - Applicant - ST. Lsc. OWNER: HCrMES BY CHASE 18955337 0001619 HOMES BY CHASE 1665 E CLIFF RD 1668 E CLIFF RD BU4NSVILLE MN 55337 BURNSVILLE MN 55337 (612) 895-5337 (612)895-5337 I hereby acknowledge Chat I have read this apqlication zAncf state that the informatipn xs corrcot and agree to nompty t,ith rx11 applicah.le 5tat¢ of Mn. 8tatute6 and Cit,y of Eaqart Ordinanee5. _A2~4 _J) 24 f rn~- APPLICANT/P ITEE SIGNATUR ISSUE eY. $IGNAF uAE ~ ~997 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD 55122 681 -4675 New Construetion Reavirementa BetnodeURenair ReauiremenM ? 3 registered sita surveys ? 2 copias of plan • 2 copies of plans (Indude beam 8 window atzea; poured fiG. tlesign; etc.) ? 2 sita suneys (exterior a0tlttiona 8 dedcs) ? 1 energy ealwlations ? 1 energy calculations Mr heated add'rtions ? 3 coplea of tree pmervetion plan H lol platted after 7/7/93 required: _ Yea _ No DATE: CONSTRUCTION COST: zz`,- ar)4 DESCRIPTION OF WORK: STREET ADDRESS: ~ LOT BLOCK SUBD./P.I.D. PROPERTY Name~~~~~ P h o n e 'S'--R =31 7 OWNER Street Address• City: State: Zip: , CONTRACTOR Company: Phone Street Address: License , City: State: Zip: , ARCHRECTf Company: Phone ENGINEER . Name: Registration ' Street Address: City: State: Zip: Sewer 8 water licensed plumber (new construction only): Penalty applies when address change and lot change are requested once permit is issued. X--~T I hereby acknowledge that I have read this appliption and state that the infortnation is corr~ and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY - CertificatesofSurveyReceived _ Yes _ No JUN O'.i '~9V Tree Preservation Plan Received _ Yes _ No Not Require Bv~?"" OFFICE USE ONLY ~ BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish X 02 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. 0 17 Swim Pool 0 03 SF Addition o 08 8-plex n 13 Garage/Aocessory o 20 Public Facility ? 04 SF Porch o 09 12-plex ? 14 Fireplace o 21 Miscellaneous ? 05 SF Misc. 0 10 _-plex o 15 Deck WORK TYPE ~ 31 New ? 33 Alterations o 36 Move 0 32 Addition o 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) _.tJ Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy 23 Ut sq. ft. Fire Sprinklered Zoning sq. ft. PRV e5 - # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. 1 00 SAC Code d/ Census Bidg T Census Unit ~ APPROVALS Planning Building ~ Engineering Variance Permft Fee Valuation: $ l3l0, v00. tap Surcharge Plan Review License MCNVS SAC CitySAC ~jsX / ~ Water Conn. i i Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. S o7'7 ,6 0 Road Unit Park Ded. Trails Ded. -70V? 2~~,~ Other Copies TotaL• wx 30 oo % sa,c SAC Units ~7'9G x s`~ s3~ 7 S~l. 00 2422 Enterprisa Drive ~ ~t * * Mendota Meighta, MN 55120 * PIONLieR (812) 881-1914 FAX:881--9488 lANO SuRKYORS • ON~ MfJNRWS * ane naar np uNo wa.rCns• ~u~osc~vc +nairtcis 625 HighwOy 10 N.E. BloinC. MN 55434 « * ~r * 1(812) 783-11880 FnX: 7er1ee3 Certificate of Survey for: HOMES BY CHASE 520 WHITE PINE WAY WHIIE PINE WAY M C.B. 954.8 955.1 M 954.5 n 955.4 S89°41'520" W 85.00 956.2 ^ (ciS4.,~.) ° o l~I55~4) BENCN MARK ; ^ - - °o TOP OF PIPE ~ 10 ~SERVICE 5 p _•6ENCH MARK gE~ ELEV.=956.75 WV.=945.6 ~ ~ P n ROPO ~ TOP Of PIPE ORIVEWA~7 ' 9 7.91 ELEV.=957.09 4576~~ 1 957.4 7 a . ~ - ' T--~^ - 32.67 ~ i yS > G ~ GARn E z= 0 9518 1.6~C T Om ~ ~ I w IA „"~j ~ 25.33 i~ ~ 16.00 ~I x~ 957.0 , j< 3 1 4f1S ~ ~ U/PROPOSED I W HO~~E~ I I 956.1 _17.00 42.00 y 955.6 Z i x 56.0 t/S7 L 955.3 1O~D Jw ~ / I r I M ~ 0 1 1 x X ~ ? o 00 1956.2 957.0 I OD ~o Z , 1 2 R~`' ~ r~ ED ~ pRAINACE k UTILITY4,., ~ ~ - 10 ~ EASEMENT PER PLAT'' - - 5 L o --------~I ,TG DEPT. . 954.8 SBg041'5ZrW 85.00 9cy55.z} (~?S~•S O i,~-1" ~ , 10 I MIo ~.~~.I:, - ~ 8' NOtE PROGOSEO GRnDES SHONN PEfi WiAOiNG PLAN 8C PIONEER PROPOSEO HOUSF f I FVAjLQPL_ NOIEt BUilOINC DIYCNSiON$ SHOWN ARE FOR HORIZp+TAL ANO VFATCAL LOGATON LOWEST fL00R ELEVnTiON: 1.~.z OF STRUCNqES ONtY. SEE AqCHITECTuAL PUNS FOR BUILDINC eND c fWNDA1i0N 6MEN90NS TpP OF BLOCK EIEVAnON: 7~. NOTE: NO SPECiPIC 5045 WVESiiGA71OH HAS BEEN COMPLEiEO ON THIS LOi BY 1HE SURVEYOR, THE SUiTA91LITY OF SOILS TO 5UPPONi lNE sPEC1fIC HpUSE GARAGE SlAO ELEVA7ION. vqOPOSED 15 NOf THE aESPON518n1iY 0f THE SUHKYOR. NOTE: 1N15 CCRTIFICATE OOES NOT 7URPORT TO SHOW CASEYENTS OTHEA 7MAtd %000.00 OENOTES EXISLNC EIEVATfON 1H05E SNO'MN ON THE RECOPOEO VLR1. ( 000.00 ) OENOTES PROPOSEO EIEVAlION _.r nENO7E5 ORAfNACE ANO UiILITr EASLuEHi NOTfi: CONTNACIOR MUSi VERIFV DRNEWAY DESICN. ~r p[NOTES DpAINACE ROw OIRECTION NOIE: BEAkInCS SHOwN AFE BASEO ON AN ASSWEO DANU - DEN07fS MONUMfNT ~ OENOTES OFFSET NUB WE FtEREBY CER71fY TO HOMES BY CHASE THAT THIS IS A TRUE AND CORRECT REPRESENTAYiON OF A SURVEV OF THE BOUNDARiES Of: LO7 2, BLOCK 4, PINES EDGE 1ST ADDITION OAKOTA COUNTY, MINNESOTA IT DOES NOT PuRPORT TO SHOW IMPROVEuENTS OR ENCHROACHMENTS. EXCEPT AS SHOWN, AS SURVEYED BY ME OR UNOER MY DiRECT SuP5RVi51QN THIS 27TH DAY OF MAY, 1997. 51 ED: PiONE[R EN :E iNC, P.A. SCALE : 1 INCH - 30 FEE7 6Y; ~ John C. ~orson. I.S. Req. No. 13828 475 94400.15 SWK IG'd coll"commm LOT SURVEY CHECKLIST FOR RESIDENTUIL , . B LDING PERMIT APPLICATION PROPERTY LEGAL: ~ DA OF SURVEY: -5-le- 7 LATEST REVISION: QOCUMENTSTANDARDS 0"C3 0 • Registered Land Surveyor signature and compamr o--'C 13 • Build(ng Permit Applicant B "13 0 • Legal descriptlon 2--_~0 13 • Address Er'0 0 • North arrow and scale ff-'o o • House type (rambler, walkout, spli[ w/o, split entry, lookout, etc.) 2-'0 13 • Directional drainage arrows with slope/gradient % ~-'O ? • Proposed/existlng sewer and water services & irneR elevatlon IT, o o • Streetname ff--~C ? • Driveway ELEVATIONS Eostlna Er'a ? • Sewer service (or Proposed) e' 13 C3 • PropeAy comers U~ 13 ? • Top oi curb at the drHeway do C3 • Elevatlons of any exasting adjacent homes ro ed Er' o 13 • Garage floor IT' Ci 13 • Flrst floof ~ 0 13 • Lowest exposed elevation (walkouUwindow) I3-'0 O • Property comers 0-~ o o • Frant and rear of home at the foundatlon PONDING AREA ('d aoolicable) 13 EK O • Easement line ? [r, ? • NWL o p' 13 • HWL o E3~ o • Pond # designation ' 11 • Emergency Overflow Eievation DIMENSIONS Er 13 0 • Lot IineslBearings & dimensions 2-'0 ? • Right-of-way and street width (to back of curb) Cr' 0 ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (.e, all structures requiring permanent footings) • d~ ? • Shaw all easemerrts of record and any Cily utilfies within those easemenLa EJ' 0 ? • Setbacks of proposed structure and sideyard setback of adjacent exassting structures cl Er- ? • Retaining wall requiremen ' any - Reviewed: ame Date January 1998 cnAKti 99e43LocvRntr. FM ' • R.P. 62 $TON HILLS DRIVE E.P. 2 U . . . 52.1' B"G.V HIDRANT 1. 5347' O 6'X 8"RE VH Z t 5TA 1+7?.52 , 8'-~S' BEN~ ~.5 9'GY. ~ 3z.s$~81'~ 6'DIP, ECL SY 9 8'C.V~.Y ' •2 YN STh }+61 , ~ OUTLOT D . e'c.v. , 5a a'.a'cR ss e'ttuc ~ INV- 946 i 56.2' ~ ~ 25.1 20.8' 91.0 C5- 9552~ 1 I 1 r- I ~ 95.5 8"4556:ND' < ~~K --TI ! , ~ < yd'PLUC ]1.2' _ ~ - • 71. ' 20.0•.. ~ - - a z' iF 0 S= 0+45 J2.5 66.! : 95.0' 24.2 , S= 1471 ' 98.8' y"GV INV= 945.7 S~ 0+04 0i86 INV= 946.8 5_ Z+E3 m n u'4 . 53.6L C5= 95<4 . INV= 9<5.6 INV~ 546.7 CS= 956.0 INV- 9474 ~ ~ 93.6' ' +49C5= 954 0 CS~ 954.5 CS- 957 2 a ~ !41 ~ 0+42 MH rl $TA. Z O .3 _ : +...r rrv u 5 ~ v l.0' ' 4 m I P7 INV- 994~65.,g8 7 4 R MH STA. 1+"~7 4 ~ C5y g56 g 7. MN ~Q 5'A. 5+34 : m 0 NOTES' 659'. MH e. STA. 6 1AH TA. 0+00 c I SANITARY SEkER SER14CES SHAIL B: 4" PVC, SOR 26 8 ! N MM 0. 1+72 AND SHALL BE STA710NED UPSTFtEA4 FR04 NANHOLE. - ~ , SANITARY SEWER SERVICE INVERT ELEVA?ON IS AT END ~28.4'~ OF SNB 2 = SANITAftY SEWER SERViCE VATH R15ER5 SHALL BE 5= 1t37 n ~ 8 s CONSTRUCTED WITH 4' CIEAN WTS AS PER INV+9474 H AN* 2+05 MH r! SiA. 13+ z 13 pTY OF EACAN STAHDARD PLA7E N0. 3I0. C5_ 95b:9 - I ~ d'a 6" TFF iN•:= 951 5 I 11 MN STA. 8+ 2 857 T ~O % 9'- 'DiP, q 52 cS' l'F/ 7 6 + WATER SERVICES SHALL BE 1' COPPER, TYPE 'K'. GN EL. 958 7 a O s= s.i w m 's= aai 9 `I s= x.yo zas' - TM~, eL 961.18 9sa.a CURB STOP ARE LOCATED AT PROPERtt UNE. INV= 949 2 5= 1+20 ~ INV- 954.3 INV= 3 O ~ 3 CS- 953.0 ' INV- 950.7 CS= 9643 C5= ~B' 969 4 E%TEND ALL SERNCES 15' BEYOND PROoERTY UNE. 5= 2+24 ~-45' BEND CS- ?59 8 59.0' 8'.8'TEE o ~ w :m • 2. 0 70.0' 38.8'S6.0' 70.0' 29.3' 65.1' u" ~ INV= 947.4 I G5.6'. il B'G.V, ~ o 9+5BCS- 957.8 n F I.vAYHP' AF. iv rIn 3 SRA.9+6+ M9H ; i ~ MH STA. 4+27.. = ""56 0' I ~~F ~•~JO _ , _ O BENMHwESRON HIus oei~ as.s'~. WHITE PINE"WAY A 4 ~ N7O m O N. UNE OF pINES EDGE 5- 0+77 , ~ 43 8' ~ 1f 42J' 100.6, ~ I A 13 IdN STA. J r10 ELEV. ~ 965.54 INV= 948 J ' ~ C5, 9583 S= 0N4 98.b5= H95 5= 1+93 707 396' _ ~ q. INV.• 948.8 ~ iNV- 9500 INV= 951.3 21.2~ 83.4' 30.1' ~ ~ 35.0 CS 595 2 C5= 969 6 CS= 95D~7 5= 2+86 38.5' - 4 ~ 960.0 96L5 INV= 954.0 ~ j~° ? OUTLOT A Q" /MM Q STA. 2 6 5= 96o S : 10 4 5 . 8 IN'/ 958 6 R 1I TA. 4+)9 7 C 0 9693968.6 69 3 _ WHITE. P NE WAY ~ 9~ uH RE 967. : : : : ~ . ~ ' . . . . . . . . . . . . . . . . . . . , . . ~ . . . ~ 370 eLo=+sae- _ . . . . . ~ i5.o3'..:... ' : . . . . ' . . ' ~ . . . : : . . . . . . . ' . : 970 : . . . . . . . . . . _ . . . : . ' 9saa . . 954.33 . . ~ , ~ 95A53 . . 365 ~ . : - ' • . . . '4H RE-958 32 MH R - . . : . . : . 10 BLD 8 ~ ~ ~4H REz95829 . . . . . . . . . 6d-BG . 4 . _ ; ~ ; . ~ . . . . . _ . LD .-4df . . . . ' . : 457.95 : t ~ 9 1,36 6 e z e~o-+r.ev- '-965 ~ N . . ~ H RE_~96795 uH R;_ 9 BLD-Ff3¢ ~ : . 7 BL~ i_ . - Ex~TING GRIXIND 360 . . . . . _ . . _ . . . . . . . . ~ . , ~ FlNISMED CRAOE . i ~ . . . . ' . . . . . . _ . _ . . ~ . . . . . ~ . , ' ~ j/ 960 _ - - - . . . _ 355 . i . ~ _ . - ~ . : . . . 95766~ .;95Ca5 55 _:L. . ..~r f. ~e-a P . . PLUG E , I ~ i ? ~ 350 I~ i: _:-co~e ' N' - .a.F~'.C 8' 0.1.e. ..e.xa - " - . . . . 36. SD ' . CL~52 . : . . I..~-KrP..3 i'~. . . . ' . : 9SOpD~ 3 R ,75 0 I. . 4 .01. _ . ND B~PVC ' g"P . . . . .P. JS , . . B' V0 ' -e'PVCSD 35 . C.SDR.yg .~'~ygX-......... . M1._8 'P 52 .44x VCSOR - 3S.0~.79N ' O . _ 94~J . . . . . . . : : . . . S' . 0. . ' : 1.2x : 55'-5"PVC:SDR 35 : ~ . . . 340 - . ' . ooa-~ea- : ~ . . . . . . . . . . ~ . LOMA w~lLrtuMN . . . . ~ . . . _ . i . . . . . . . . ~ 940 iNN. ~.i' AL nH uiM~. . . . ~ . . ~ . ~ ~ . . N . . . . : : . H.nav I BECUILT B6P.LA ~ ~q h Y. . . . . . . ' ~ . . . . ~ . ~Y.~ . . . . {N. . . . . . . . . . ~'EDIMA CONST. CO ~ • ~ . . . . ~ ~ . . . W . . : . • 1& 2 Family Residential "Cookbook" Methoa SCfE ADDRE55 G~Y '-i/ BLILDER , ~i Date 'Sl C ~ J!~ ~~7 ~ Min[mum Criteria: Rim JoisC R-19 insulation Foundaton wodows: Insulated glass, lR" air space, wood or vinyl frame Enay doocs: 13'i inch solid wood with storm or bettez STEP 1Window & Door Area STEP 2 Calculate area ss a percent o[ wall Total Window & Door Area in Sq. Feet Box A(window. & door azea) divided by Boz B(total WINDOWS (including foundatioa windows): K'a11 area) times 100 equals the window and door area Dimensions Qnty. Area as a percent of wall area (Boz C). IrIv° x BozA ~-27 z100= ~ x~~ sox s 3o s~O ~ z ~ y 2 x'~ S'TEP 3 Design Features 7 ~ x 3 L i ~ G ASSEMBLY OPTIOV x FRAME WALL: x STANDARD FRAMNG L/ . z x ADVANCED FRAMING x CAVIIY INSUL.AIION R- E X DOORS: SHEATENr'' LESS THnN R-5 ~ " x y R-S OR AfORE ~ U x 2 U W INDOWS (except foundation windows): 7c 7° / ~ Wi U-FACiOR jJ-,3 ~ Total Area of ndow 8t Doocs 2~~7 A From the table, determine the mazimum percent window Tota! Wall Area in Sq. FL & door azea for the design options selected and enter Ihe ~ Wall Total Perimeter Height Area . value in box D below: 77~ ' Total Area ~ Box C must be less than or equal to Box D of wa11 ~'OS~ B . . • ' F. The building must not exceed the maxunum 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. MAXIMUM WINDOW AND DOOR AREA AS A PERCEN'I' OF OVERAIL 6XPOSED WALL Cavity Window U-Factor Framin¢ lnsulation Sheathin¢ 0.49 0.36 0.31 027 STANDARD.~.:: 13.49'. ; .•17$% . ' 21-39'o 24.3% STAfiDARD R-15 2R-5 129°/, 17.1%' . 20.1°b 79.4°b o 18.89'0 ' 22.0% STANDARD _ R-18 T1Z-5 13.59'0 18.6%0 21.89'e 253°.'e . _ _ _ _ ADVANCED.. ; 5 R7 5 11.19'0 .;:.«`l17.19'0 . .20.1%. 23.49'0 ' ADVANCED R-18 2R-5 13.5% 19.29'0 22.5`Yo 26.1°b STANDARD.. R-21 _'.%<R-S:,<~.; ;'.:~11.8%~•; 17.0%`-..'. 19.9%'. 23.19'0 - _ , STANDARD R-21 2R-5 14.0% 19.3% ' 22.5% 26.1% -ADVANCED`. R-21...=-5_._ 24.6% ADVANCED R-21 2R-5 14.0% 19.9% 23.2% 26.9% 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: A. 0.110 Btu/h ft2 °F for walls; B. 0.026 Btu/h ft2 °F for roof/ceilings; and C 0.04 Btu/h ftz °F for floors. . STAT AUTH: MS § 116C19 NISt: 18 SR 2361 7670.0480 Repealed, 18 SR 2361 ' Minn. Rules Chapter 7670 26 June 1994 ' PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 033341 (612) 681-4675 Date Issued: 0 g I Z Q/ 9 8 SITEADDRESS: 520 WHITE PINE WAY LOT: 2 BLOCK: 4 PINES EDGE 1ST P.I.N.: 10-57690-020-04 DESCRIPTION: Building.Permit Type BASEMENT FINISH Building Work Type ALTERATION Census Code ~ 434 AL7. RESIDENTIAL , , . , - " REM"P:REVIEWED BY BILL ADAMS. SEPARATE PERMIT REQUIRED FOR ANY PLUMBING WORK. CALL 445-2840 REGARDING ELECTRICflL PERMIT AND INSPECTIONS. FEE SUMMARY: Base fee $50.00 Surcharge 1.50 Total 1=ee $50.50 CONTRACTOR: 90VI(NER: - Applicant ' 520 WHITE pINE WAY ~ EAGAN MN 55123 ~ (651)423-9051 I hereby acknowledge that I have read this application and state that the infiormation is correct and agree to comply with a11 applicable State of Mn. Statutes and City.of Eagan Ordinances. ~ J _--V fPP AI /P MITEE SIGNATURE ~9 SSl1ED BV. $IGNATUqE"F 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3~~~ I ? 3830 PII.OT KNOB RD - 55122 681-4675 -1,~ n(~ New Construction Requirements RemodeVRepav Requirements C CfJ'.k p ~AiTJ ? J registere0 site surveys • 2 copies of plan • 2 copies of plans (inGude Eeam 8 window sizes; poureC tnC. Eesign; etc.) • 2 site surveys (exterior adddions 3 decks) ? t energy calculations • 1 energy calculatons for heated aCdRions ? 3 co0ies of tree preservation plan i11ot platted after 7/1193 required: _ Yes _ No DATE: CONSTRUCTION COST; t 6, ooD Est DESCRIPTION OF WORK: STREETADDRESS: LOT: ~ BLOCK: _'A SUBD./P.I.D. Name: Phone 651 - +23 - 6330 PROPERTY Lasc Firsc ' W G51 - ZJ -°(o5I O WNER ~ StreetAddress: ;Z City C-ci 5q'1 State: Mnl Zip: SS 1 Z3 Company: Phone n: CONTRACTOR Street Address: License 4 City State: Zip: ARCHITECT/ ENG[NEER Company: Phone#: Name: Registration Street Address: City State: Zip: Sewer 8 water licensed piumber (new construcUon ony): . Penalry applies when address cham and lot change is requested once pertnit is issued. I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all applica; State of Minnesota Statutes and City of Eagan Ordinances. ~ Signature of Applicant: OFFICE USE ONLY RECEIVFD Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required BY:-- OFFICE USE ONLY - . BUILDING PERMIT TYPE O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ~ 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. 17 Swim Pool 0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory O 20 Public Facility ? 04 SF Porch ? 09 12-plex 0 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New Pk 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Ailowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. ~ Depth Footprint sq. ft. SAC Code Census Bldg Census Unit _el~) APPROVALS Planning Building ~ Engineering Variance Permit Fee Valuation: $ 4,?e5o Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Tofal: % SAC SAC Units ~ CITY USE ONLY L BL ~ RECEIPT#: SUBD. ' RECEIPT DATE: ~D 7 9 1998 PLUI+ffiING PERMIT (RESIDENTIAL) CITY OE EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when pertnits are required for each unit ? backflow preventer Tor underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x -rr-~-- Water Closet 3.00 x Bath Tub 3.00 x = Lavatory 3.00 x I = =3;~ Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot TublSpa 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 = Watef Softener ' for dwellings under construction 5.00 X = Water Softener ' for existing dwelling 20.00 x = U.G. Sprinkier ' for dwelling under const. 3.00 = U.G.Spfinkler `forexistingdwelling 20.00 = Alteratlons ' to existing residence 20.00 Water Turn Around 20.00 = Private Disposal System ' MPC iic. 75.00 = (new and refurbished systems) Private Disposal Systems `nbandonment 20.00 = RPZ (new installation only) 20.00 = STATE SURCHARGE 50 ab. TOTAL I I hereby adcnowledge that I have read this application, state that the infortnation is cortect, and agree to comply wRh all applicable Ciry of Eagan ordinances It is the applicant's responsibiliry to notify the property owner that the City of Ea9an assumes no liabiliry for any damages wused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City propertylright-of-way/easement. SITE ADDRESS: Y,`~ OWNER NAME: J~ DC) u INSTALLER NAME: TELEPHONE L}7-3 33 '0 STREET ADDRESS: Szo Cj t^' 9~-7 CITY: STATE: A'1AJ ZiP: 59 ( 7-3 SIGNATURE O P M EE CDlPERMIT FORMS/RPLBG PERMIT (RES) - 1998 L ~ gL ~ CITYUSEONLY RECEIPT#: 70 S~a / ~ G , SUBD.62%~~ dAC. RECEIPT DATE: 7/a0 / l 1997 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 ~ backflow preventer for underground sprinkler system FIXTURES EACH WQL TOTAL Shower 3.00 x Water Closet 3.00 x Bath Tub 3.00 x Lavatory 3.00 x 3 = q- Kitchen Sink 3.00 x Laundry Tray 3.00 x Hot TublSpa 3.00 x = Water Heater 3.00 x ~ = 3 Floor Drain 3.00 x 1 Gas Piping Outlet ' minimum - t 3.00 x 1- Rough Openings 1.50 x = Watef Softenef ' for dwellings under construction 5.00 X = Water Softener ' for existing dwelling 20.00 x = U.G.Sprinkler `fordwellingunderconsL 3.00 = U.G. Sprinkler 'torexistingdwelling 20.00 = AItEretiOnS ' to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ' Dak Cty lic. 75.00 = (new and refurbished systems) Private Disposal Systems ' Anandonment 20.00 = STATE SURCHARGE .50 TOTAL 3CI S J I hereby acknowledge Mal I have read this appliption, state that tha infortnation is correct, and agree to comply wkh all applicable City of Eagan ordinances. It is Me applipnYe responsibiliry to notify the property owner that the Ciry of Eegan assumes no liabiliry for any damages caused by the CAy during its nortnal operational and maiMenance actlvdies to the fadlities ConsWdetl under this pertnk wi[hin Ciry propertylrightof-wayleasement. SITE ADDRESS: W ~ OWNERNAME: INSTALLERNAME: TELEPHONE#: 'Y 1~~" ~ STREET ADDRESS: CITY: STATE: ZIP: SIGNATURE OF PERMITTEE 1 CTCY USE ONLY , LOT pL BL ~ RECEIPT SUBD. Lµ~ RECEIPT DATE: / 1997 MECHANICAL PERMIT (RESIDENTIAL> CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 Date: 7- (612) 681-4675 Complete this section only if you are installine HVAC in sinEle familv, townhome, 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 outlets ( minimum of one required @$3.00 ea.) v o0 • State Surcharge: .50 -O • TOTAL: 2C • S?J . Complete this section onlv if vou are remodeling, addine to, or reaairine eaistinE sinele familv dwellings, townhomes, or condos. _ Add-on furnace _ Add on air conditioning _ Add-on air exchanger, i.e. Vanee system, etc. _ Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surchazge .50 Total: $ 20.50 SITE ADDRESS: OWNERNAME: PHONE#: INSTALLER NAME: 7-1al/GZ PHONE YGU -(p(J ,?,z STREET ADDRESS: Z1.210 CITY: STATE: /`t 41 ZIP: _53-D2y 11V SIGNATURE PERMITTEE ~ . . ciTr use oNLv L BL RECEIPT SUBD. RECEIPT DATE: 1997 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 pertnits are not required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ?$25.00 mfnimum fee or 1% of contrect price, whichever is greater. ? Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of permlt fee due on all permits. CONTRACT PRICE x 1 % PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE#: TENANT NAME: (IMaROVennerns oNLv) INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR PERMIT City of Eagan Permit Type:Building Permit Number:EA111509 Date Issued:06/27/2013 Permit Category:ePermit Site Address: 520 White Pine Way Lot:2 Block: 4 Addition: Pines Edge 1st PID:10-57690-04-020 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 . Lisa Nyberg 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 - Jeffrey G Becker 520 White Pine Way Eagan MN 55123 Property Claim Solutions LLC 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA132567 Date Issued:08/21/2015 Permit Category:ePermit Site Address: 520 White Pine Way Lot:2 Block: 4 Addition: Pines Edge 1st PID:10-57690-04-020 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 - Jeffrey G Becker 520 White Pine Way Eagan MN 55123 Exterior Enhancements Inc 9100 West Bloomington Fwy Room 110 Bloomington MN 55431 (952) 881-1503 Applicant/Permitee: Signature Issued By: Signature Date: City of Eapil 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r• CC_ BLUE or BLACK Ink For Office /377?/ Use �[�erL�1 y Permit e: / : /J 7 ? / �,7 Permit Foo: �r Date Received: Staff: 4{1 2016 RESIDENTIAL BUILDING PERMIT APPLICATION 7115110 Slte Address: 5'1) 're. j,f/a.•e Unit #: 1 4s \ l' ,.\ y 'R 1 la ,, Golden OWne , , , l+, �� ! ;',,�' Name: �QY1 r1�° ¢f 4 J�C�-k fReG�2(� Phone: to Si-- � 'Co S/lo� - Address / City / Zip: Sao �h i 1 ► r1? IA .Ft.op, 5�1 3 Applicant is: Owner X Contractor Ty O� �,,,,r:� WCf n � r� �.,,0 `b� ' De&Cri tion of work: p - . Pie, of J4)a See 5/'' ./Gh -4or et -64.a Construction Cost: / .7 0 Multi -Family Building: (Yes / No X....) ` 1n . i ,0,v, �`�� , ,, 1y1Z �) U; � , , "' Y, � �' traGtor,� �N `�`\ � ; � ,, �` ��'�,�� . �h� i, \ , Company: Aral L.�1. 9 t.J)rtiaw " �/ /11'1,• Contact: :!° le... Address: � / Ut090 67u/w,/.4 4 City:k i4 (ey JJJ ! State: /f Zip: Sr a.ti Phono: /CD"'19-19/e 4.51146-000,140,1,tow' License #: aQ (QOW).7 Lead Certificate #: AtA **' • 9 7 - If the project is exempt from lead certification, please explain why: 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: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public If you provide specific reasons that would permit the City to ;... :.. .. conclude thatthey aretrade secrets. •...:..,... ..:..,...• .:.:....•:.:.....::.:.::.:, ......:,:..:.::..,:., CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call d9 hours before you intend to dig to receive locates of underground utilities. www.aooherstateonecall.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 case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued In accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. x Applicant's Printed Name / Applicant's Si a urs Page 1 of 3 b/1'd t769SSL91S9:01 0S2171682S6 00SM19:W0dA S2:21 9102-ST-iflt SUB TYPES Foundation /Single Family ` Multi 01 of _ Flex DO NOT WRITE BELOW THIS LINE / -7 -7 Fireplace — Porch (3 -Season) _ Exterior Alteration (Single Family) Garage — Porch (4 -Season) _ Exterior Alteration (Multi) ___ Deck _ Porch (Screen/Gazebo/Pergola) Miscellaneous Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ interior Improvement _ Siding — Demolish Building* _ Addition _ Move Building _ Reroof Demolish interior $ Alteration ` Fire Repair _ Windows _ Demolish Foundation Replace _ Repair Egress Window _ Water Damage Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) Final I No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Roof: _Ice & Water Final Pool: _Footings _Air/Gas Tests __Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: .Rough In Air Test Final Siding: __-Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall: — Footings _ Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In _Final Braced Walls Erosion Control �[ Shower Pan Other: Reviewed By; Occupancy Code Edition Zoning Stories Square Feet Length Width *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connoction Chargo S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 t7•2'd 1769SSL91S9:01 0S2t71682S6 OOSM19:Wald 92:21 9102 -S1 -111f 4 For Office Use (7 E 6:1( (7 14 Permit*, /0: `6Pv - ' v,i‘P..: ;'- Jib , ,,,,,i 0. . tit.) ' ' 2"3 Permit Fee: /fic2ir; ' ,........-.0-"?444--,......„, ate Date Received; , 3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810 (651)675-56751 TDD: (651)454-8535 I FAX: (651)675-5694 Stat. 1 buildincinspectionspcitycleagan cop L _., 2018 RESIDENTIAL BUILDING PERMIT APPLICATION 07/2512018 520 White Pine Way Date: Site Address: Unit#: l'irittintiOr-;.,I,J.,1 Jeff -11.11:Sffili -k--; -,:.1'-v-4t & Jennifer Becker 651-322-6465 ,,,,,.. ,,,,,,,tt...,..t4 Name: Phone: a.vivi.„..',aa 1f0 .10 0 ififiN':' 0:44A O',.1- 520 White Pine Way, Eagan, MN 55123 .-1,r.,„.$!,1,.-: Address/City/Zip: .11,1001444'1441 "Ig!' X . #VVINtailit-7-5 Applicant is Owner Contractor .,.ino,„Aktivo, '‘, . ialltltdri Talli-31,1 Description of work: Bathroom Remodel See Drawing For More Details ,, ;:, -.,41atak?,,iivt„,,r44 5000 wtititf,Iiiii-',v'L Alltim Construction Cost: Multi-Family Building;(Yes /No X ) bie-'.,,kiaato.fteittipi4":414.4 ia a ro.,,ota„tiliviNA'''„'t'!'Ai,lavI Company; Great Lakes Window & Siding Contact: Derek '.'vrcirl Ittra, ;,,,,,, v-Viiiiip,..00' '''.." - Apple Valley tif',!', ‘,.ktiltl: Address: 14690 Galaxie Ave City: State: MN Zip: 55124 Phone: 952- Email:891-3400 derek.glwsco@gmail.com License ffBC060427 Lead Certificate ff: NAT-23297-2 : q '46f•'.:;Miniala.,kk.: '.,-"'.4 If the project is exempt from lead certification, please explain why: COMPLETE THIS 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: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: FrriTilp°,7frrir:f.r.:,7pt":".11 .17:!!"?;","11,73r171,1!!'?!'ttlf.lgrt- 1.:M.,,..,, !!rir7rnrr!7•Al.r:7,7,:"..,171Ctr,:::Mr7„77,27:717.rtir:;"::1: 7't11:41111:4111 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 wwwcitvofeaqan.cornrsubscribe„ 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 Cali 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.gooherstateonecaltord I hereby acknowledge that this informatiOn is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit:that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. .,' Derek Brouillet i x Applicant's Printed Name Applicants$ig$tuti 6o uJi1kPnEW /3//0C W DIVOT WRITE BELOW HIS LINE SUB TYPES _ Foundation _ ireplace — Porch(3-Season) _ Exterior Alteration(Single Family) 1,, Single Family _ 1 arage — Porch(4-Season) _ Exterior Alteration(Multi) _ Multi _ peck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex ower Level Pool Accessory Building WORK TYPES _ New — Interior Improvement _ Siding _ Demolish Building* Addition ove Building Reroof _ Demolish Interior Alteration _ ire Repair _ Windows _ Demolish Foundation Replace — "epair Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation 4)i\ii 0/ Occupancy YI`L` MCES System Plan Review Code Edition SAC Units (25%_100%1 ) Zoning ill, City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Y 6 Width REQUIRED INSPECTIONS Footings(New Building Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) N( Final/No C.O. Required Foundation Found-tion Before Backfill I'� HVAC_Gas Service Test Gas Line Air Test Hood Roof:_Ice&Water Final Pool:_Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: \--t , Building Inspector RESIDENTIAL FEES Base Fee Surcharge yuk-J Plan Review (1)0,(\i ico„*1 MCES SAC City SAC Utility Connection Char!e S&W Permit&Surchar•a r (,, Treatment Plant -,3 Copies \pi\,t,' L TITAL (5 (3ell'e Page 2 of 3 9 ( a` 1 For Office Use =__• .i _ E. _ ,� _ .. Permit 0: /j/(�7 1 t _—c = .-7--- _C l/}�. /� if -- _ _ _ _ _ = b Permit Fee: O 1 Date Received: C . 3830 PILOT KNOB ROAD I EAGAN,MN 55122.1810 (651)675-5675)TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinainspectionsf[acitvofeagan.com L a 20180RESIDENTIAL PLUMBING PERMIT APPLICATION • Date:q n12131 6 Site Address: 52.0 Wh tk€ Pt nc WQNI 1. Tenant: C, � Suite#: ii =�rte im _i i 'ij 1!`� i}+k;1,,, •1,4�'- Name:' C .Y Phone: h8! ,Il , i,,!' fl l r� E � �� Address/City/Zip: �^ `l i�Q. 1'lsl"1C waq � ,+ cJ7.AW it I I , ,r {7 Y t ti"} '�I4. I „'t 4 •' f�,,,• z '111 Name'M Pith "Ib k3 AP i enc ., License#:IF tl1 . ec 69/p�I / ' ,,11 L rl V,' , ria,7 . f:�1, � 1L tO5 'l u �C t 1� C�: 1grior' take. ppr'ti :r ,, ��r-,4011�. = Address: 1 A!�''+� (/�� '7�j.i� lli ,fit ,, rut" %,,i.,' . 1V�� V (J 4t 'r •'' i Visa State:CM_Zip:V 5532,4_ Phone: 4 ^i a'tit ,'1� ; l`, 1. W' ��lil Contact:) (ry' r eck. Email: infae n3anticv i enCe^ I + t,} ��a t,l �1 i C0� + M� �/ f; F I,,,I:,1 ' r,f.'I�'M _,__New R Replacement _Repair _Rebuild _Modify Space _Work in R,O.W. 'y, dt i 'sea ;�i 9a I' f ' � .., �,i, r, 1.':11'';-' Description of work: ui,?"F 1i 1. �All�k ) " -.. 'q il' RESIDENTIAL '714,lp iv -tub: IlfiStQl t tr1Gw 1p 1 drain/ �1. " .. Ove r4 o� trisi-o.0 rte W vale 4 -far-ub/ lz i{,il 7' i',t . Water Heater I i ' Ft ` (1 k"7`'°�, Water Softener Sh Ot„�.�Cr.VAr1 i"f drarlb ,j aiAils i4! ;;{ , =f+l Lawn Irrigation(_RPZ/_PVB) �t X G S -r 2VAn tile-5 5 I , n ,,, . ,4,,,/..., ,,IN.s x Add Plumbing Fixtures(Main/_Lower Level) k l< , 1, �, F,,4 , yy,,, —Septic System I ` .r 1 { , ,i s: —New Water Turnaround 'i lel,.r, ;' i'11;` ',112^ _Abandonment RESIDENTIAL FEES: • $60.00 Water Heater,Water Softener,or Water Heater Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) ^Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ (00.00 Kr Ci+J CALL BEFORE YOU DIG, Call Gopher State One Call at(651)454.0002 for protection against ur derground'utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. www.goaherstateonecall,orq 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•citvofeacian.eom/subscrlbe. 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�or^ with the approved plan in the case of work which requires a review and appro I of plans. xt_"1(2 Maori-in x Applicants Printed Name Applicant's atur " �S;�a , q i Pi ' .„,',4r), _.�.' z 7 � 'e,i FnrIPMA4S,�+r�3�.�... l "m , f !a2vuam!.1 4} .'� 41..�z ` ,..t'� s l r l au �v7 � . 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