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524 White Pine Way .-~------INSPECTIDN RECQRD^^ XI7X OF EAGAN PERMlT TYPE: 3830 Pilot Knob Road Permit Number: 0 1 0 110 Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 . ~ , • ~ yn SITE ADDRESS: , APPLICANT: ~ I ft?r rr: - PrHf- wA Y ~ 1141 :010 3" . i i•, PERMIT SUBTYPE: TYPE OF WORK: INSPECTIO14 DA . r,t~E 1. F31; l l~~ l I td~; Itl n t iN , r i f;t 1-1 At t i ! i'Irsl !'t I;~t ( f (~,~I l~ _ J . ~ Pertnit No. Permit H Date Telephone M ' ELECTRIC 02619 S G ~j I • PLUMBING 9G y9~ ~3 HVAC Inepectfon Dete Insp. Comments FOOTINGS : r ~-e `~,S ' I~p ~v a~.. rJ'~ I FOUND 914 ~ ~ ~I , ~ ~ot! Ce l~Id ~c. rC 4• I, FRAMING l/4 S ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE L f~ FIREPUICE AlR TEST ~ FINALPLBG G f. FINAL NTG aRSAT TEST . BLDG FINAL ~ BSMT R.I. BSMT FINAL I ~ II DECK FTG ~ f ~ DECK FINAL i I - - - L INSPECTION RECORD CITY OF EAGAN PERMITTYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 . SITE ADDRESS: I i i, APPLICANT: ' .f ~ ~t; t ! r f• I Mt ~ rr1'~ Il~it~~~ , + ~i;t~.r ! i 1~1 , i,i.l 1'. ~ i, j ~ • PERMIT SUBTYPE: TYPE OF WORK: INSPECTION D• • .A 0 ! It1i • 1.6 I I+~YI ,tt f'crrnli II,~~t~i,~l~ ,~~t tllt ti:t+/11 flft I'IIIM(1tMl~ ti~~7:1 ~ Permit No. Permk HoldK Oab TNephae N ELECTRIC PLUMBIN(3 HVAC Inspwtlon Date IRSp. Commwnb FOOTINGS FOUND FRAAAIfV(3 ROOFING HOUGH PLUMBIN(i PLBG AIR TEST ROUGN HEATING C3AS SVC TEST INSUL GYP BOARD FlREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAI BSMT R_I. BSMT FlNAL I DECK FTG I DECK FINAL I I I I I I I ~ _ _ . _ 1 ~ • • ~ ? i"~ w ` ~ C~;e~t~~icate df Cccupancv of ftegm ~cp~rtwc~t ~ vai[~* ana~CCtim This Certificate issued pursuant to the rrquinments of the Unifornr Building Code ctrtifying thot at tht tirnt ojissuance this strucntre was in compfiance wirh the various ordiaances oJ't/rc City rrgulatiRg building const?uction or use. For the following: Uae Qassifxaioti SF M BWg. Ptmrit No. 'Z]Q4Q OcavamY TYPe g.3.4a I Zooin6 Disaia R.1 Typc Consi. ~ Owoer d&,il&ft HrMS RY OtARR Aebeas 1668 R rr,-Iyp F R n ver±ev BuIdiqv Ad*ea I.owliry T.1 _ A4_ PT1atC taY3t Daoe- Bald~~ POST IN A CANSPICUOUS PLACf ~ ~ Address 524 wttirE PniE waY Zip 55123_ LAt, I Blk 4 SUb PINF:S EIX'F 1ST THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: /(J ~j(P Yes No Inspector: Final grade (6" from siding) j~ Permanent steps (garage) Permanent steps (main entry) . Perntanent driveway Permanent gas ~ Sod/Seeded grass ~ TraiUcurb damage ~ Porch • ~ Basement finish Deck Plcase verify with Ihe builder the removal o£ roof tesf caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exisis. ' 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 ~ S %U `r~J 2005 RE5IDENTIAL BUILDING PERNIlT APPLICATION ~ ' City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 New Construction Reovirements RemodellReoair Reauirements ORce Use Onlv 3 registe2d site surveys showing sq. ft. ol lot, sq ft. of house; and all roofed areas 2 copies of plan CeA otSurvey Recd _Y _ N (20%maxBnum lot coverage allowed) 1 sel of Eneqy Calculations for heated additions Trea Pres Plan Recd _Y _N. 2 copies of plan showing beam 8 window sizes; poured found design, elc. 1 site survey for addttions 8 decks Tree Pres Required Y_ N 1 set of Eneyy Calculations Addifion - nMicate il on-sife sep6c system On-sile Septic System _Y _ N 3 copies of Tree Preservation Plan if lot platted aRer 711193 Rim Joist Defail Options seledion sheet (buildings with 3 or less units) ~ 2~0 Da[e / 20 LJN I'~E Construction Cost Site Address S Z UnitlSte # Descrip[ionofWork Multi-Family Bldg _ Y~ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner /<~~i? Telephone _ 7 1 Contractor /~!.?,OS%~~~^'~ ~ J~ ~ Address City State Zip y'~~f( Telephone#763)l COMPLETE TNIS 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) Submiried 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 Telephone ) Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a/permit, and work is not to start without a permit; that the work wil be in accordance with the approved plan in the case o£ work whi quiresa,te_ ' approval-o-f plans. ~ ~ ~ ~i?c_`"~ ~JUL-2 0 2005 ~ pplicant's Printed Name Applicant's Signature u 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.) O 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ~Ld~ 19 Lower Level ? 24 Storm Damage 0 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous Work Types G/~, ,F`, tirK-(L G1/~, ? ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition O 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 33 Alteration ? 37 Demolish 8uilding' ? 43 Reroof ? 46 WindowsfDoors ? 34 Replacement 'DemollUon (Entire Bldg) - Gfve PCA handout to applieant Valuation Occupancy MCES System Census Code 2/ 3~1 Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaVC.O. _ Footings (deck) X. FinalMo C.O. _ Footings (addi[ion) _ Plumbing Founda[ion HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tes[s Final V Framing _ Siding _ Stucco _ Stone _ Brick Fireplace _ R.I. _ AirTes[ _ Final _ Windows k Insulation _ Retaining Wall r Approved By: I~ , Building Inspector Base Fee Surcharge ~O Plan Review ~ MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ' Lindstrom Cleaning & Construction, Inc. 9621 TENTH AVENUE NORTFI, PLYMOUTH, MN 55441-5098 Phone (763) 544-876] Fax (763) 544-8766 MN LIC I! 0001087 Client Ken Hanley llome: (651) 423-1094 Property: 524 White Vine Way Eagan, MN 55123 Operator Info: Operator: DENNIS Estimator: Wemer, Dennis Business: (763) 544-8761 Business: 9621 1 0th Avenuc North Plymouth, MN 55441 Business: (612) 766-3734 Business: P.0.583479 Minneapolis, MN 55458 Price Lisi: MNMN2S56 Restoration/Service/Remodel with Service Charges Factored 1? Estima[e: HANLEY-KEN Lindstrom Cleaning & Construction, Inc. 9621 TENTH AVENUE NORT}i, PLYMOUTH, MN 55441-5098 Phone (763) 544-8761 Fax (763) 544-8766 MN L1C # 0001087 HANLEY-KEN Room: Recreatiou Room LxWiH 20'0" x 16'3" x 8'0" Subroom 1: o(fset L:WiH 9'2" x 6'6°:8'0" DESCRIPTION QNTY UNIT TOTAL Drywall repair I' up walis 7.00 HR 52.25 365.75 Material for drywall repairs 1.00 EA 35.00 35.00 Apply anti-microbia] agent in wall caviry 107.99 SF 0.19 20.52 Batt insulation - 6" - R19-1' up wall 1.00 EA 135.00 135.00 Visqueen vapor barrier 1.00 EA Included Interior door - oak veneer - oak veneer jamb & casing 2.00 EA 229.49 458.98 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 Baseboard-21/4"hardwood 103.83LF 3.00 311.50 Stain & finish baseboazd 103.83 LF 1.05 109.02 Carpetpad 384.58 SF 0.55 211.52 Carpet 44227 SF 2 65 1,172.02 Stain & finish door/window trim & jamb (per side) 4.00 EA 27.27 109.08 Mask and prep for paint 103.83 LF 0.88 91.37 Seal/prime the walls - one coat 830.67 SF 036 299.04 Paint the walls - one coat 830.67 SF 0.38 315.65 Room: Closet LiWzH 6'0^ i 2'0" z 8'0" DESCRIPTION QNTY iTrTIT TOTAL 1/2" drywall - hung taped, floated, ready for paint 1' up wall _ 3.00 HR 5225 156.75 Ma[erial for drywall repairs 1.00 EA 15.00 15.00 Apply anti-microbial agent 16.64 SF 0.19 3.16 Bifold door set - Colonist - Double 2.00 EA 173.80 347.60 Stain & finish bifold door set - slab only -(per side) 4.00 EA 53.23 212.92 Stain & finish door/window [rim & jamb (per side) 4.00 EA 2727 109.08 Detach & Reset Shelving - 12" - in place 24.00 LF 6.59 158.16 Ken Hanley 07/14/2005 Page: 2 ' Lindstrom Cleaning & Construction, Inc. 9621 TENTH AVENUE NORTH, PLYMOUTH, MN 55441-5098 Phone(763) 544-8761 Fax (763) 544-8766 MN LfC # 0001087 CONTINUED - Closet DESCRIP'I'ION QNTY UNIT TOTAL Mask and prep for paint 16.00 LF 0.88 14.08 SeaUprime the walls - one coat 123.00 SF 036 46.08 Paint the walls - one coat 128.00 SF 038 48.64 Carpet pad 12.00 SF 0.55 6.60 Carpet 13.80 SF 2.65 36.57 Room: Furnace Room LzWzH 8'0" z 5'0" i 8'0" DESCRIPTION QNTY UNTI' TOTAL Batt insulation - 6" - R19-I' up wall 1.00 EA 45.00 45.00 Visqueen vapor barrier 1.00 EA Included Appty anti-microbial agent on wall 1.00 EA 12.00 12.00 Room: Landing LxWzH 3'4" z 3'0" a 8'0" DESCRIPI'ION QNTY UNTT TOTAL Mask and prep for paint 12.67 LF 0.88 11.15 SeaUprune the walls - one coat 10133 SF 036 36.48 Paint the walls - one coat 10133 SF 038 38.51 R&R Carpet pad 10.00 SF 0.64 6.40 R&R Carpet 11.50 SF 2.87 33.01 Ken Hanley 07/14/2005 Page: 3 Lindstrom Cleaning & ConstrucHon, Inc. 9621 TENTH AVENUE NORTH, PLYMOUTH, MN 55441-5098 Phone (763) 544-8761 Fax (763) 544-8766 MN LIC # 0001087 Room: Stairway LaWiH 13'0" a3'4":8'0" DESCRIPTION QNTY UNIT TOTAL Mask and prep for paint 32.67 LF 0.88 28.75 Seal/prime the walls - one coat 26133 SF 036 94.08 Paint the walls - one coat 26133 SF 0.38 9931 R&R Carpet pad 108.00 SF 0.64 69.12 R&R Carpet 108.00 SF 2.87 309.96 Step charge for "wa[erfall" carpet installation 12.00 EA 830 99.60 R&R Trim board - 1" x 12" - installed (pine)-Skirt board 26.00 LF 7.67 199.42 Stain & finish trim 26.00 LF 1.45 37.70 Room: UPPER ROOM LzWiH 21'0" i 13'0" z 8'0" DESCRII'"PION QNTY UNIT TOTAL R&R Carpet pad 273.00 SF 0.64 174.72 R&R Carpet 313.95 SF 2.87 901.04 Room: Geoeral Cooditlons DESCRIPTION QNTY UNIT TOTAL Carpenter -To remove doors, jams, insulation& drywall 1' up walis 3.00 HR 52.25 156.75 Haul debris - per pickup avck load - including dump fees 1.00 EA 125.62 125.62 Post construction clean up 3.00 HR 34.45 10335 Ken Hanley 07/14/2005 Page: 4 • Lindstrom Cleaning & ConshvcHon, Inc. 9621 TENTH AVENUE NORTH, PLYMOUTH, MN 55441-5098 Phone(763)544-8761 Pax (763) 544-8766 MN LIC lt 0001087 CONTINUED - General Conditions DESCRIPTION QNTY UNIT TOTAL Permit 1.00 EA 165.00 165.00 Supervisor 4.00 Nk 55.00 220.00 Ken Hanley 07/14/2005 Page: 5 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 Tota] 7,95632 Matl Sales Tax Reimb @ 6.500% x 3,024.59 196.60 Subtotal 8,152.92 Overhead @ 10.0% x 8,15292 81529 Profit @ 10.0°/n x 8,152.92 815.29 C;eaning Sales Tax @ 6.500% x 42.81 2.78 Grand Total 9,786.28 Werner, Dennis Sales/Estimator Ken Hanley 07/14/2005 Page: 6 PERMIT cle°5411-19 CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 027090 (612) 681-4675 Date Issued: 0,8 / 11 / 9 6 SITE ADDRESS: 524 WHITE AINE WAY LOT: 1 BLOCK: 4 PINES EDGE 1ST P.I.N.: 10-57690-010-04 DESCRIPTION: ,1'~` Building,,Permit Type SF DWG /Building l7ork Type NEW j'UBC Qccupancy~, R-3 U-1 ~f Construction 7`ype V-N Zoning R-1 ~ Building Length ~ . 60 Building Width 53 ~ Build'zng stories - 2 ".,'--.,S'qw a r e F e e t, 2. 071 C~e `s~u~uGAdel102 1- FAM. OETACH r:~ ~-'t •=__.,ti,w;;;, C.-' REMARKS: PRV S& W PLBR - VALLEY PLBG FEE SUMMARY: VALUATION $133,000 Base Fee $1,052.25 MISCELLflNEOUS $1,923.50 Plan Review $526,.13 Total Fee $4,468.38 Surcharge $66.50 SAC $900.00 SAC % 100 SAC Units 1 Subtotal $2,544.8$ CONTRAC70R: - Applicant - sT. Lzc.OWNER: HOMES BY CHASE 18955337 0001619 HOMES BY CHA9E 1668 E CIIFF RD 1668 E CLYFF RD 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 ofi Mn. Statutes and City ot Eagan Ordinances. L t A APP MIT~E SIGNATURE ISSUED BY: SI NALJRE- CITY OF EAGAN 2 3830 PILOT KNOB RD - 55122 ~6~ • J~ ~ 01996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 CG.~?~/( z-,z`6 New Gonshuelion Reauiremenls RemodellReoair Reauiremenls ? 3 regislered site suneys ? 2 eopies ol plan ? 2 copies of plans (indude beam 8 window sizes; pourad fnd. design; etc.) ? 2 site surveys (exterior additions 8 decks) ? i energy calculations ? 7 energy ealculations tor heated additions ? 3 eopba o1 tree preservation lon R lot platled etler 7/7f93 required: _ Yes No DATE CONSTRUCTION COST: e~~. VU ° DESCRIPTION OF WORK: STREET ADDRESS: LOT ~ BLOCK SUBD./P.I.D. 10-~i~lc~q(1-Df0-~~l PROPERTY Name;~~.._PS Phone OwNER ' un nrzn Street Address:_~1~~ City: State: Zip: CON7RACTOR Company: Phone Street Address: License City: State: Zip: - ARCHITECTI Company: Phone ENGINEER Name: Registration Street Address• City: State: Zip: Sewer & water licensed plumber. i~A,~ . Penalty applies when address change and lot change are requested once permit is issue T i hereby acknowledge that I have read this application and state that the informatiorrect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ~ OFFICE USE ONLY E Certificates of Survey Received _ Yes _ No ~ L~~~96 Tree Preservation Plan Received _ Yes _ No OFFICE USE ONLY = „ , . . BUILDING PERMIT TYPE ~ 0 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish 6~ 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex o 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ~31 New ? 33 Alterations ? 36 Move ? 32 Addition o 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) ::pe5-1V Basement sq. ft. -00 MC/WS System o~ (Allowable) -d=N Main level sq. ft. % 2T/ City Water UBC Occupancy sq. ft. '7 s& Fire Sprinklered Zoning 2- / sq. ft. PRV ~ # of Stories y 4/Ss~r. sq. ft. Booster Pump Length /v0 sq. ft. Census Code. /O/ Depth Footprint sq. ft. 2, 071 SAC Code O/ PP, Na~' Census Bldg i Census Unit APPROVALS WI / ~jX Planning Building Engineering Variance ' Permit Fee Valuation: $ 133, pc~ o Surcharge Plan Review License MCNVS SAC ySXyv `/~/Sa L~~' ZZ'S; City SAC r~ Water Conn. z L , ~ y ~~x ~s _ Water Meter 1`3 Acct. Deposit f X z~/ 7~ S/W Perrrit Xsy- SNV Surcharge Tteatment PI. Road Unit Park Ded. Z Trails Ded. Other _ 7 Copies 3 ix Z, y 7otal: / x 1 Z 5 % SAC ' SAC Units ~~~i ~yy T~G = ~3z, ~yz ` 2422 Enterpriee Drivg Mendota Flei4hts. MN 55120 * PIONEEA LAhD SuRKTq13 • pMt En4MLLR3 (812) 081-1914 FAX:881-9488 neer ng vno run~ns. µuoscwc r.~a•~cv~s 625 Highwoy 10 N.E. Bloing. MN 55434 (612) 783,10eo Fnx: ra3-teea Certificate of 5urvey for: HOMES 8Y CHASE I/~. ` 524 WHITE PINE WA`( \g t ~I ?J V tLy yyq~. Z ~ 91; r- - - - - EAGAN E1~GIIdEERING DEPT. 954.4- Q j~ 954.6 954.6 54.2 v OQ On 955.5 CJ89*41052"W 73.95 954.9 ~ 4~~~oQ0oQs4.83 ! SNV VI9a5.7- o C954,'$ J PROPOSED ~ BENCH MARK ' I TOP OF PIPE DRIVEWAY ELEV.m955,67 (qsg~~ ~30.50956.1 456.0 lr1S6' 8) 1L3_45 --t 1----#'-------- 4J p 15.00 ~ 32.00 1 ~ go r N GARACE `O a -go 9ENCH MARK ~A(a~j ~ o d'9 ~A TOP OF PIPE 0 ELEV.=956.28 ' 955.3 - 07.67 3 ~55.1 ~ Q E D OD ~i 14.0 i I 0~\\~~ P HO 5E ~ 3V 1 / ~ 0 ~3o.5Q ' \46.00 ~113.45 954.8 958.1 z 15.00 95 . 959.3ryJ p - I ~957.4 f039.~ ~~l57U) ~ u7 I I ~ ILJ x{ 957.3 955.3 ~ --STORM SEWER LINE ON PROP. LINE ~ I -DRAINAGE & UTIIITY tp EASEMENT PER PLAT~..~r"y 10 ~ ~---t-~'- (-GS~•O) o : ° asa.o 960.7~ 111 - 956.7 13 957.1 S89o41r52eW 103. C.9. 95 poG°3aVo ro)~ 30 1 I 10 NOTE: PROPOSEO CRAOES SHOWN PER cRPOINC PUN BY: VIONEKR PROPQ,SED HOUSE ELEVpATLIO,N, ~ r+OrE~ BuaO~+c OiMENS0~+5 a+0**+ ~E Fon HortaoNtAL u+o v[r+ncµ toc~+noN . L04VE5T FLOOR ELEVATION~ Of STRUCiUAES ONl7. SEE MCM~IECNAI PlAN3 FOif BUhAINC aN0 FWNDAnON DIMENaonS. 7Qp OF 916CK EIEVALION; ¢ NOTE: NO SPEOFiG SOIl4 WVESTiGIITiON MAS BEEN GOMW.CTCD ON lNlg LOT BY rwe SVRVEYON. TNE SVI7ABIUT7 pC SOIIS 10 $UPpORT THE SPEt]fIC HOUSE GARAGE SLAq ELEVA710N: 95(-• - PROPOSEO 15 NOT lHE RESPpv9BIU" OF TME suavErop. NOiE 7NI5 CEN11fICATE DOES NOi PUNPORt 10 SHOYI EpSEMENTS 01HER 7MAN x 000.00 OENOtES E%IS1INC ELEVATiOf1 THOS[ SHOYM ON IHE ftECON0E0 PI,AT ( b0O.00 ) OCNOTES PROPOSEO CLSVATON DENOTES D(1AMACE ANU UTILITV EASEAIENT NOIE: CONTR0.CTpq MUSY yERifY OAIYEWAV DE9CN. -a OENOTES ORAINAGE FLON OIRECIIOIV N07E• BEMiNGS SNpWN ARE BASED ON AN ASSVIAEO OATUM - OENOTES MONUwENi -E3 UENOTES OFiSET HUB WE HEREBY CERTIFY 70 hIOMES 8Y CHASE THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOVNDARJES OF: LOT 1, BLOCK 41 PINES EDGE 1ST ADDITiON pAKOiA COUNTY, MINNESOTA IT DOES NOT PURPORT TO 5NOW iMPROVEMENTS OR ENCHROACHMENTS, E%CEPT AS SHOWN, AS SURVEYED DY ME OR UNDER MY DIRECT SVPERVISION 7H15 16TH DAY OF FEB., 1996. S1GN 0~ PiONEER iNEERi , P.A. SCALE : 1 INCH = 30 FEE7 " REVISEO 2-22-96 FIIP HOtlSE X' ( 975 94400A19 BIVK John C. Lnrsan, L.S. Rr.q No. 19UZ8 Ra`.D: , . . , LOT SURVEY CHECKLIST FOR RESIDENTIAL LDING PE IT APPLICATION ~ PROPERTY LEGAL: ~ ATE OF SURVEY: 7 / F LATEST REVISION: DOCUMENT STANDARDS O/ O ? • Registered Lsnd Surveyor sipnature and company P'- 0 0 • Building Permft Applicant Me~ 13 13 • Legal descriptlon o-'? o . Address V ? ? • North ar?ow and scale m-'o ? • House lype (rambler, walkout, split w/o, split entry, lookout, etc.) o • Directional dreinage anows with slope/gradient % '43 ? • Proposedlexsting sewer and water'services & invert elevatlon ~ 0 • Street name 0~--o ? • Driveway ELEVATIONS Ebstlna ~9 ~ • Sewer service (or Proposed) 0 0 • Property comers 12-'0 0 • Top of curb at the driveway Er"~O O • ElevaUons of any eristlng adjacent homes Proposed El"~ o 0 • Garage floor C9' ? O • Frst floof • Lowest exposed elevation (walkouHwindow) 0~4 O • Propertycomers o% 0 • Front and rear of home at the foundadon PONDING AREA Crfaoolicablel 13 0-'o • Easement line ? W'13 • NWL ? O~'O • HWL o G-~ O • Pond # designa8on 13 13--'o • Emergency Overtlow Elevation DIMENSIONS Q-10 ? • Lot IinesBeadngs 3 dfinensions • 12"~O ? • R1ght-of-way and streetwldth (to back of curb) 9' ? o • Proposed home dimensbns including any proposed decks, overhangs greater than 2', porches, etc. Q.e. ell strudures requiring permanent footlnpa) ~D C3 Show ail easemeMs of record end any Cily utllitlea within thase easements • Setbacks of propoaed structure and side setbeck of edJacerd existlnp etructurea 0 m' ? • Retaining wall requirementsffW Reviewed: z Zl ~O ame / ate J~ruwry tOGe cnM199111e1.00vn?rcw ;WESTON f , - - - 5 s„c.v I- ~ 8"-45' BEND 8"G.V. 8 /'e ~ , ; . 8" t ~ S= 0+05 INV= 946.2 sY CS= 955.2 ~ 1, &"_-45.' _BEND ' Y « C< , ' . . - . i i r------------- ' S= 0+45 - INV= 945.7 i ; ~Ny= 945.6 5= INV= CS= 954.4 CS= 954.0 'CS= S= 0+42 ~ ' INV= 946.8 ~ i MH q STA' + 2 2 , CS= 956.0 7 4 R ; MH q STA. ' ~ ~ ~ 8 1 R r I I ~ ~ 1.• ~ . r'_'_'____'___'__'_' / - i'r ' - - - - - - - - ' _ ' - - I ~ _J I 1 1 . . . . ~i - 1• ' . 1 I ~ ~ . . ~ 1 . ~ I L I I r I S= 1+3~, ~ INV= 947.4 H, ANT ' ~ CS= 956.§ ; 8"x 6' TEE 9~ ' CL 52 I ; 10 GN tL. 958.7 S= 0+41 jINV= 949.2 j j S= 1+20 j~ S= 8 24 iCS= 959.0 I i INV= 950.3 ~ I INV= 9 5 S= 2+24 ~ 8"-45' BEND j j ES= 959.8 I I CS= 96 ~ INV= 947.4 , ' - ' ~ ~ ~ CS= 957.8; , ~ S~ .9+64 MN n 3 R,, g.-- :1- , , ' s= o~+~pi~[, WHITE PINE WAY , n. , ~ . INV~ JTO.J ` a~ CS= 958. ' , ~ , ~ ~ - 4 S= 0+14 S= `1+05.. S= J±93 INV= 948.8 INV= 951.3 CS=. 958.8 I I INV= 950.0 5 CS=, 959.6 CS= 960.7 . , . . , . f~ MH 4, - STA. 1~0+12 7,,. . ~ , W? ?11'~ ° 1A1 A 10 4 R: I ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . ~ . . , : . . . . . i . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ' . . . . . . . ..MH RE=955.46. 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Z ' v f,.'• . . . ; " : : : . . . . . . . . . . . . . . , . . . . . ,~ir''n;{.~.~;•: i' . ~ ~ Z Z.Z: . . . . . . . . . . . . . . : : : . . . : ~ . : : : . . . . . . . . . . . . . . . . . . . . . . . . . . . ~~~~~5~ ~ • • e' ° ~ 4S . . . . . . . o ; t~/,;• 1& 2 Family Residential "Cookbook" Methoa ~ SCfE ADDRE55 ' GtY ~ BUILDER . Date Minimum Criteria: Rim Joist R-19 insulation Foundaton wndows: Insulated glau. 1R" air space, µ'ood or vinyl frame Entry doors: i~/i inch solid wood with storm or better STEP 1 Window & Door Area STEP 2 Calculate area as a percent of wall Total Window & Door Area in Sq. Feet Box A(window & door area) divided by Boz B(total WINDOWS (including foundation windows): wa11 area) times 100 equals the window and door area Dimensions Qnry. Area as a percent of wall area (Box C). x .y' / ; o, Boz A Z ~ z soz B z 100= C z X 0 STEP 3 Design Features w x e- ASSEMBLY OPTTOY x 3 4y "L', o FRAME wALL: l s Tnrmnxn fxn~rc x anvnric~ Fe.n~rc x mi x Cnv[TY II~tsu[.w'noN x DOORS: SHEAjFIINC'' LESS THAN R-5 ~v / R-5 OR MORE 7 WINDOWS (ezcept foundauon windows): Total Area of U-FAGTOR Rrindow 8z Doors ~ io?• ~7A From the table, determine the maximum percent window Total Wall Area in Sq. Ft & door area for the design opaons selected and enter the Wall Total Perimeter Height Area value in boz D below: e'~r Y .SG~:~f /~0 D ~ CJ Total Area Box C must be less than or equal to Box D g of wa11 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. ' • MAXIMUM W[NDOW AND DOOR AREA AS A PERCENT OF OVERALL EXPOSED WALL Cavity Window U-Factor pramin¢ Insulation Sheathin¢ 0.49 0.36 0.31 0?7 , STANDARD.,j..: ;;,_R=13''`.':-: r ' i;' 2R-7,::.-.'.',:' 13.4°Yo:. ; •17.89'0 " 21.39'o . 24.39'0 STANDARD R-15' . 2R-5 • 129%~ 17.1% . 20.1% 73.4°.o e. -S1 :~:_.',%Y~: L1°~'::JWt16:09'018_69'0 ' 22.0% , - ' SI'ANDARD _ R-18 2R-5 _ 1359'0 18.6°0 21:8% 25.3°0 R=18 <R-5 _11.1e1%:.-`- -.20.19'. ' 13.4% • ' ADVANCED.. ' _ . . ADVANCED R-18 2R-5 13S% 19.29'0 22.5`Yo 26.1°.e ' STANDARD_ '<R"5;:`~,``,~'~' 17.09019.99'0 23.10/4 STANDARD R-21 2R-5 y 14.0% 19.3% ' 22.5% 26.1% -ADV/1NCED`~ 't-c:.~~::11.8%::a:~~_;~~18.1%;;_ .21.21/9 24.6% ADVANCED R-21 14.0% 19.9% 23.2% 26.9% ^ i ' , 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 hz'F for walls; • B. 0.026 Btu/h ftz °F for roof/ceilings; and C 0.04 Btu/h ftZ °F for floors. • STATAUTH: MS § 216G19 . HlST: 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 EBgan, Minnesota 55122-1897 Permit Number: 0 3 0 2 2 9 (612) 681-4675 Date Issued: 0 7/ 0 8/ 9 7 SITE ADDRESS: 524 WHITE PINE WAY LOT: 1 BLOCK: 4 PINES EDGE 1ST P.I.N.: 10-57690-010-04 DESCRIPTION: Building.Permit Type BASEMENT FINISH Building Work Type ALTERATION ~Census Code 434 ALT. RESIDENTIAL . ~ ~ ` ~ REMARKS: SEPARATE PERMITS REQUIRED FOR ELECTRICAL OR PLUMBING WORK FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CO,NTRACTOR: - Applicant - ST. LIC. OWNER: HOMES BY CHASE 18955337 0001619 HOMES BY CHASE 1668 E CLIFF RD 1668 E CLIFF RD BURNSVZLLE MN 55337 BURNSVIILE MN (612) 895-5337 (612) 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. Statutes and City of Eagan Ordinances. APPLICANTIPERMITEE SIGNATURE ISSUED BY: SfGNATURE - • 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) *SO - .Sz `3 CITY OF EAGAN 3830 PILOT ICNOB RD • 55122 Cttt, yu, 681-4675 ~T 4 New Construetion Reauiremants RemodeVReoeir Reauirements I~Z ? 3 registered ske surveys ? 2 copies W plan ? 2 coDies of plans (inGutle beam & window aizes; poured fnd. design; etc.) ? 2 sHe surveys (exterior add@lona 8 dadca) ? 1 energy calculations ? 1 eneigy calalabons for heated atlEitions ? 3 eopiea of tree preaervation plan M lot platted efter 7/1/93 requfrad: _ Yes _ No DATE: CONSTRUCTION COST; DESCRIPTION OF WORK STREETADDRESS: ? ~ LOT ~ BLOCK SUBD./P.I.D. PROPERTY Name: ~~Yl~ f P h o n e S S~ 3 7 OWNER Street Address: City: / ~ State:~ Zip: CON7RACTOR Company: Phone Street Address• License City: State: Zip: ARCHRECT! Company: Phone ENGINEER Name: gistration Street Address: City: State: Zip: Sewer 8 water licensed plumber (new consWction only): . Penalty applies when address change and lot change are requested once pertnit is issued. I hereby acknowledge that I have read this application and state that the infortnation is c and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ~ OFFICE USE ONLY ~G. , ~V~,a D Certificates of Survey Received _ Yes _ No ~ ~ 0 199' I Tree Preservation Plan Received - Yes _ No _ Not Required B: OFFICE USE ONLY BUILDING PERMIT TYPE . 0 01 Foundation ? 06 Duplex - ? 11 Apt./Lodging ~ 16 Basement Finish n 02 SF Dwelling o 07 4-plex, , ? 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition ? 08 8-plex-' . ? 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch o 09 12-plex 0 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. ? 10 = ple~ j o 15 Deck ~ WORK TYPE ~ 0 31 New ~ 33 Alterations^ 0 36 Move 0 32 Addition o 34 Repair. .0 37 Demolition GENERAL INFORMATION • ' Const. (Adual) Basement sq. ft. MC/WS System , (Allowable) 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 0/_ C.ensus Bldg / Census Unit ~ APPROVALS Planning Building ' 11 Engineering Variance . Permit Fee Valuation: $ Surcharge Plan Review License . MCNVS SAC City SAC Water Conn. Water Meter Acct. DeposR S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units CITY USE ONLY L BL ~ RECEIPT SUBD. DATE: 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on fumace Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc. Date: FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $-28-99- ? HVAC: 0-100 M BTU _2 Q4~_L Additional 50 M BTU S:AO ? Gas Outlets (minimum of 1 required @$3.00 each) 9-A'J ? State Surcharge .50 "fuTAL ~33. so SITE ADDRESS: OWNER NAME: /SDr,nPS Bi~ C~irse PHONE &-S31T INSTALLER NAME: STREET ADDRESS: ~?1210 F~. 7~n CITY: ~G ~n • STATE: 14AI, ZIP: s~~y PHONE b`fU"RATQFF CITY USE ONLY 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 commercial/industrial buildings. ? multi-family buildings when separate permits are IIfl1 required for each dwellina unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: $25.00 minimum fee gr 1% of contract price, whichever is greater. • Processed piping - $25.00 State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR CITY USE ONLY L ~ BL Itl RECEIPT J~l3 5 '4P /~9~0 SUBD. DATE: 7996 PLUMBING PERMIT (REStDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH NIQ, TOTAL Shower 3.00 x Water Closet 3.00 x _ 9 - onui iiib • ' 3.C^v X ~ - ~Lavatory 3.00 x Kitchen Sink 3.00 x = 3- Laundry Tray 3.00 x I = 3 Hot Tub/Spa 3.00 x fi- Water Heater 3.00 x Floor Drain 3.00 x t = 3- Gas Piping Outlet ' minimum - 1 3.00 x k _ Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal ' Dakota Cry. license 50.00 = (new and refurbished systems) U.G. Sprinkler' home under const. 3.00 = Alterations • to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 v TOTAL ~ ~ - SITEADDRESS: ~a~~ ~r ~-~~-OWNER NAME: C~i , INSTALLERNAME: 91( STREET ADDRESS: Y~u cl, CITY: J o~d ~ STATE: Y~- Zlp: SS3 r~ PHONE bT'u n 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 Piease complete for. - all commerciaVindustriai buildings. . multi-family buildings when separate permits are = required for each dwelling unit. DATE: CONTRACT PRICE: 1e!/1DV l'YDC: ^^WCTI?IvTiQ~: Aan.~i CN AIiz DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1°/, of contract price, whichever is greater. State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SI i E ADURESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CI7y: STATE: ZIP: PHONE SIGNATURE: APPLICANT OFFICE USE ONLY METER SIZE: ' DATE: INSPECTOR: 111b""'IcitV oF eclgan THOMASEGAN Mayoi PATRICIA AWADA SHAWN HUNTER March 22, 1995 SANDRA A. MASIN . THEODORE WACHTER Councll Members THOMAS HEDGES Ciry Atlmimsfrotor James Stanton, President E. J. VAN OVERBEKE Shamrock Developmerrt, Inc. ciN aark 3200 Main Street, NW #300 Coon Rapids, MN 55448 - Dear Mr. Stanton: EnGosed is a Waiver of Assessments regarding Lot 1, Block 4, Pines Edge Addition in the City of Eagan. This Waiver, when executed, allows the City to assign the proposed assessment for Outlot B, Pines Edge Addition, to Lot 1, Block 4 of Pines Edge Addition. I understand that you and Tom Colbert, Director of Public Works, agreed that you would accept the proposed assessment and the City could pick the lot. I contacted Mike Kroling in your office to get a lot that was considered unsold by your company. Please sign the waiver and return to the City as soon as possible. Sincerely, !V erald R. Wobschall, Fnancial Consultant GRW/cb cc: Mr. Thomas A. Colbert, Director of Public Works Enclosure: Waiver MUNICIPAL CENTER THE LONE OAK iREE MAINTENANCE FACILITY 3830 PiLOI KNOB ROAO THE SVMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY 3`~1 COACHMAN POINi EAGAN, MINNESOiA 55122-1897 EAGAN, MINNESOiA 55122 PHONE: (6)2) 68I -4600 PHONE: (612) 681-4300 FA%: (612) 681-4612 Equal Oppoitunity/Attirmative Adlon Employer FA%: (612) 681-4360 iDD:(612) 454-8535 IDD:(612)454-8535 WAIVER OF HEARING N0. 498 CITY PROJECT N0.673R Special Assessment Authorization I/We hereby request and authorize the City of Eagan, MN (Dakota County) to assass the following described property owned by me/us: Lot 1, Block 4, Pines Edge Addition for the benefit received from the following improvements: ITEM IIQ ANTITY RATE AMOIINT PROJECT Estimated Cost for Project 673B $812.00 Lot 1, Block 4, Pines Edge Addition $5,679.00 Outlot B, Pines Edge Addition TOTAL $6,491.00 to be spread over 15 years at an estimated annual interest rate of 6_58 against any remaining unpaid balances. You may pay any portion of these special assessments within thirty (30) days of signing the Waiver without interest at the Eagan Municipal Center. If you pay after the thirty (30) day period, but prior to October 15th of the current year, interest will be charged from the signing date to December 31st of the current year. After October 15th, the first year's installments cannot be prepaid and it includes interest from the date of signature to December 31st of the next year. The undersigned, for themselves, their heirs, executors, administrators, successors and assigns, hereby consent to the levy of these assessments, and further, hereby waive notice of any and all hearings necessary, and waive objections to any technical defects in any proceedings related to these assessments, and further waive the right to object to or appeal from these assessments made pursuant to this agreement. Dated: Shamrock Development, Inc. A Minnesota Carporation . By: Sames Stanton Its: President . STATE OF ) )SS COUNTY OF ) On this day of , 19_, before me, a Notary Public within and for said County personally appeared and to me personally lmow, who being each by me duly sworn to be partners of the Partnership named in the foregoing instrument, and that the seal affixed to said instrument is the seal of said partnership, and that said instrument was signed and sealed on behalf of said Partnership by said and and they acknowledged said instrument to be the free act and deed of the Corporation. Notary Public County REOZEWED: My commission expires: Eagan Public Works Department wvrcorp.fm City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 524 White Pine Way Lot: 1 Block: 4 Addition: Pines Edge 1st PID:10- 57690- 010 -04 Use: Description: Sub Type: e - Underground Sprinklers Work Type: Backflow Preventer Description: New Meter Size Meter Type Manufacturer Comments: Fee Summary: Contractor: Kenneth Hanley 524 White Pine Way Eagan, MN 55123 PERMIT City of Eaan PL - Permit Fee (Res Modifications) Surcharge -Fixed Total: Applicant/Permitee: Signature Permit Type: Permit Number: Date Issued: Permit Category: Serial Number Remote Number $30.50 Owner: Kenneth J Hanley 524 White Pine Way Eagan MN 55123 $30.00 0801.4087 $0.50 9001.2195 Issued By: Signature Plumbing EA077753 05/15/2007 ePermit Line Size - Applicant - I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State PERMIT Permit Type: Building City of Eagan Permit Number: EA105416 Date Issued: 07/13/2012 Permit Category: ePermit Site Address: 524 White Pine Way Lot: 1 Block: 4 Addition: Pines Edge 1st PID: 10-57690-04-010 Use: Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Comments: Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. BL - Base Fee $4K $103.25 0801.4085 Fee Summary: Surcharge - Based on Valuation $4K $2.00 9001.2195 Valuation: 4,000.00 Total: $105.25 Contractor: Owner: - Applicant - Property Claim Solutions LLC Theodore R Peters 2005 Pin Oak Dr 524 White Pine Way Eagan MN 55122 Eagan MN 55123--490 (651) 994-2028 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. Applicant/Permitee: Signature Issued By: Signature PERMIT Permit Type: Building City of Eagan Permit Number: EA105629 Date Issued: 07/23/2012 Permit Category: ePermit Site Address: 524 White Pine Way Lot: 1 Block: 4 Addition: Pines Edge 1st PID: 10-57690-04-010 Use: Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434 - Occupancy: Zoning: Square Feet: 0 If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are Comments: not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes. BL - Base Fee $4K $103.25 0801.4085 Fee Summary: Surcharge - Based on Valuation $4K $2.00 9001.2195 Valuation: 12,131.00 Total: $105.25 Contractor: Owner: - Applicant - Property Claim Solutions LLC Theodore R Peters 2005 Pin Oak Dr 524 White Pine Way Eagan MN 55122 Eagan MN 55123--490 (651) 994-2028 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA119029 Date Issued:11/14/2013 Permit Category:ePermit Site Address: 524 White Pine Way Lot:1 Block: 4 Addition: Pines Edge 1st PID:10-57690-04-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Brian Nerison 430 E. County Road D 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 - Theodore R Peters 524 White Pine Way Eagan MN 55123--490 Kb Service Company 430 E. County Rd. D Little Canada MN 55117 (651) 748-4933 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA123608 Date Issued:06/12/2014 Permit Category:ePermit Site Address: 524 White Pine Way Lot:1 Block: 4 Addition: Pines Edge 1st PID:10-57690-04-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Brian Nerison 430 E. County Road D 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 - Theodore R Peters 524 White Pine Way Eagan MN 55123--490 Kb Service Company 430 E. County Rd. D Little Canada MN 55117 (651) 748-4933 Applicant/Permitee: Signature Issued By: Signature its Use BLUE or BLACK Ink For Office Use City of laianPermit#: �a .1` Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 AUG 3 2017 Date Received: Phone:(651)675-5675 buildinginspectionsOcitvofeagan.com Staff: L J 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Z 9 1 Site Address: TZ--(1 "4-1-1 1-P- /) 11,01 £464V., `W 5T124Unit#: Name: Theodore Peters Phone: 952.236.7767 524 White Pine Way chimer y'' Address/City/Zip: Applicant is: Owner X Contractor Z<,'< Remove and Replace Shingles, Roof Vents, Gutters,Overhead Garage Door Description of work: ' of Work Construction Cost: $21,959.52 Multi-Family Building:(Yes /No X ) 4. ' Company: Superior Construction Services Inc. Contact: Henry Ohnstad Contractor Address: 3205 Mike Collins Drive City: Eagan State: MN Zip: 55121 Phone: 612.290.9426 Email: hohnstad@superior-const.com Lead Certificate#: NAT-41412-2 License#: MN #7231 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 yr`submit are considered# be Public information. Portions of the information may be classified as non-public if you provide specific reasons that wrxdd permit theOit,to conclude That they are trade secrets. _ rz 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.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is n to start without a permit; that the work will be in accordance with the approved plan in the case of workST—#4:0which requires a review and approval pl s. x-�-�c. la (DrA N Applicant's Printed lame App ica is igna ure Page 1 of 3