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527 White Pine Way ` ~ - INSPECTION RECORD ` etl`Y OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 ~ Date Issued: • (612) 681-4675 SITE ADDRESS: APPLICANT: ; i-;iil 11 1 i~1~ 4315'r 'r1~lEll is r ~ li(t ,i PERMIT SUBTYPE: TYPE OF WQRK: INSPECTION . D. 1 r:i, f'i rtl 1 ; ~~lic,}I t}d I I F;, i'(IIIC.II l t'i t~ i I. f 1 h~q! t t t~i, i 1?dA ! F MAi1r i~ry I t'At 1 0 1; 1{;'.f ~ I ~ L ~ I PermR No. Pwmk HoldK DIU 7elephone M • - ELECTRIC PLUMBING - /O rivnc D .S/7f7 Inspectlon D~ Map. Commenb FOOTINGS F«,NO 1*/YT ue FRAMING ROOFIN(i ROUGH PLUMBING PLBG 1! AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIHEPLACE FlFiEPLACE AIR TEST FlNAI PLBG ~ FINAL HTG _ ~ ORSAT TEST BLDG FINAL ~ BSMT R.I. BSAAT FINAL DECK FT(3 DECK FlNAL I 1' - - ' r • ' ~ Wei.~tificate vf Cccupanc~ (W4 o f Cfagan #oartmcat of ZKOixg 3a40ecHun This Certificate issued pursuant to the nquirements of 1he Unifor?n Buildirtg Code certifying that at t!u tinre ojissuartce this structurr was irt compliance with the various ordi?wnces of du City rcgulating building constnrctron or use. For the foflowing: uW cI"rX3b= SF DWG ew& eerimt rio. 30911 0-W-r 7~W R-3 U-1 7x,;,g n:,m,;a R-1 r,w com. Vn OWNWaf8,,;,mng ROMES BY CHASE 1668 E CL1FF RD., BURNSVILI.E MN BuddmsAd&= 527 WH1TE P1NE WAYLocality L1, $S, P1NES EDGE 1ST o.k: ' emiding oerww POST iN A CXW4SPK:l)0US PIACE •L-I- I RESIDENTIAL BUILDING PERMIT APPLICATION t CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ~oU 651-681-4675 New Construction Renuirements RemadeUReoair Reauirements . 3 registered site surveys showirg sq. R. of bt, sq, fl of house; and ali roofed areas . 2 copies of plan (20°/, maximum lot coverage allowed) • 1 set of Energy Caicula6ons fa heated additiau . 2 copies of plan showirg beam & window sizes; poured fountl desgn, Ha) . 1 site survey tor exterbr atlditions & decks . 1 set of Energy CalculaGons * 3 copies ol Tree Preservatim Plan it lot qatted afler 711193 . Rim Joist Delail Options seledion sheet(bkigs with 3 or less units) DATE '/'-!~~Z VALUATION (EXCLUDING LAND) JOB SITE ADDRESS SZ 7 W~~ fe /1?"n (2 ~ y v IF MULTI-FAMILY BUILDING, HOW MANY UNITS? - ~ PROPERTY OWNER L-kf t!~i'`yun TYPE OF WORK =574i'I/ G95 r/ re~~RC FIREPLACE(S) ?ES _ NO APPLICANT PHONE # (q2 ~ ~94/-74z 72- PAGER # CELL PHONE # G~ - 232 4~9,? FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RUI.ES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations 5ubmitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing System Includes: Water SoRener Lawn Sprinkler Pee: $90.00 Water Heater No. oF R.I. Baths No. of Baths Mechanical Conlraetor: Phone * Mechanical Systenr Includes: Air Conditioning Pee: $70.00 Heat Recovery System SewerJWater Contractor: Phone ;Y All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is corr c~ HhpgegtTc ml with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ~ ~S II n U Signature of Applicant By Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required ~ Updated 1/Qt OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex plbgyo ur _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Dertrolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (BIdg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Repiacement 'Demolition (Entire Btdg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Sldgs Lengfh Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bidg) FinaUC.O. _ Footings (deck) FinallNo C.O. _ Footings (addirion) _ Plumbing _ Foundation HVAC Drain Tile Roof Ice & Water Final flther _ Framing _ Pool _ Ftgs _ A'u/Gas Tests _ Final _ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone _ Insulation _ Windows (new/replacement) Approved By , Building Inspector Base Fee Surcharge Plan Review MC1ES SAC City SAC Water Supply & Storage S&W permit & Surcharge Treatmenf Plant Plumbing Pettnit Mechanical Permit License Search Copies Other Tokal Address 527 wtti're P1NE wnY Zip 5512 :T- Lot 1 Blk 5 SUb PINES EDGE 1ST THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector: bee Final grade (6" from siding) Pectnanent steps (gazage) ~ Permanent steps (main entry) f~ Pennanent driveway Permanent gas ? Sod/Seeded gtass v TraiVcurb damage Porch ? Basement £nish ? Deck Please verify with the 6uilder the removal of roof rest caps from the plumbing system and Ihe shut-off of water supply to the outside lawn faucet before freeze potential exists. Contaa engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ~ White - City Copy Yellow - Resident Copy Pink - Contractor Capy PERMIT OF EAGAN • • PERMITTYPE: suzLoiNe .bt Kno b Road , Minnesota a 55122-1897 Permit Number: 030911 (612) 681-4675 Date Issued: 10 / 0 7/ 9 7 SITE ADDRESS: 527 WHITE PINE WAY . LOT: 1 BLOCK: 5 PINES EDGE 1ST P.I.N.: 10-57690-010-05 DESCRIPTION: Building Permit Type SF OWG Building Work Type NEW UBC Occupancy R-3 U-1 Construction Type VN Zoning R-1 ' Building Length f 60 , Building Width ~ 44 ° Building stories ~ 2 Suar.e Feet~ 1,866 Census.C,ode 101 1- FAM. DETACH REMARKS: S&W CONTRACTOR - PRV FEE SUMMARY: VALUATION $153,000 Base Fee $1,152.25 MISC FEES $1,539.50 Plan Review $748.96 Total Fee . $4,467.21 Surcharge $76.50 SAC $950.00 SAC % 100 SAC Units 1 Subtotal $2,927.71 CONTRACTOR: - qpplicant - ST. LIC OWNER: HGMES BY CHASE ' 18955337 0001619 HOMES BY CHASE 1668 E CLIFF RD 1668 E CLIFF RD BURNSVILLE MN 55337 BURNSVILLE MN 55337 (6012) 695-5337 (612)895-5337 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. - ~ LMA41 !PE SIG A URE ISSUED BV: SIGNATURE 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)41x~( 'C1TY OF EAGAN 5830 PILOT KNOB RD - 65122 " 681-4675 JD New Construction Reauirements BemodeVReoair Reauirements ? 3 registered site =iurveys ? 2 copias of plan ? 2 copies of pWns (InUUde W.am 8 window sius; poured fid. design; etc.) ? 2 sRe surveys (exterior add'Rions & dedcs) ? 1 energy calcu!ations • ? 1 energy calwlations for heateC addRions ? 3 eopies of tree prexnation plan M lot platted after 7/7J93 required: _Yes _ No DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: i STREETADDRESS: L7 ?e !~/i9r G('~/.1-y LOT y~ BLOCK ~ SUBD./P.I.D. ~?~~h~`-' s ~~Y~' ~ - PROPERTY Name:~>'d~~c. Phone#: (F~~3>> OWNER Street Address: 1~~ ~ ~ G~ City: I/~ State: ~<`22 2 ~ Zip: CONTRACTOR Company: Phone Street Address: License City: State: Zip: ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer & water licensed plumber (new construction onty):'~ _ Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this appliption and sTate that the informaGon is corre and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY D Certificates of Survey Received _ Yes _ No ~m Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY / • , BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish d 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. 0 17 .Swim Pool 0 03 SF Addition ? 08 8-pfex n 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 _-plex ? 15 Deck WORK TYPE d 31 New ? 33 Alterations ? 36 Move ? 32 Addition o 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) V N Basement sq. ft. ii z8 MC/WS System ~ (Allowable) y/ AL Main level sq. ft. ~ i vA City Water ~ UBC Occupancy -R 3• 0-~ a") sq. ft. z Fire Sprinklered Zoning 2-1 c.„a, sq.ft. U PRV # of Stories z `sq. ft. Booster Pump Length ~o' sq. ft. Census Code. i Depth 4 3.s' Footprint SQ. ft. f 2'LL SAC Code or Census Bldg ~ Census Unit ~ APPROVALS Pianning Building AAS Engineering Variance Permit Fee Valuation: $ Surcharge gu Plan Review License z ax c. MGUNS SAC zo K~+ v q r,o City SAC , i 2 g cb 11~ S - i y, q zd. -Water Conn. S ~ Water Meter Acct. Deposit 5an° °l°_ SIW Pertnit -7 yI . 5 S/W Surcharge y. S„ i y, s Treatment PI. Road Unit Z~, ~ ~ y g ~ ~ Sy - qq z.- Park Ded. Trails Ded. Other v r z 8 , b` COp18S ~ 3• s xI } zo. 2r ro.-7 s u 1.s Total: , i~cz. y rb~sv= ~z, ~~v. % SAC ga~.Ne SAC Uni1s 3 e ~ Z 1-h 4 . . i sz~ Cry6. ' 2422 Enterpriye Drive ~ Mendoto Heighls, MN 55120 * PION6EF1 (012) 881-1914 fN(:681-9~488 wa mnncrm~ . a.n cnurarns * l011e A!!Of' ne i""o R""W.M• L""ok"K "^°"hcn 625 Nighwoy 70 N.E. 6loine, MN 55434 (812) 783-1880 fAX: 7a3-1eea Certiticote of 5urvey for: HQMES BY CHASE 527 WHiiE PINE WAY .BENCH MARK i' TOP OF PIPE ; ELEV.=955.76 i i i > >0 I CAya,,l S89°41'52"W pco' 135.00 C 955.9 5 952.6 954.3 4j 4.33 30.00 955.5 25.90 Ln B--^---- -1 ~ ~ i: o ~ 10 O a ~t ti 953.71 956.5_ 957.3. 2.3\ I Sm I Q I c~ Q~f " ~ ~ a 1 w~ p\ 16.00 3 ~ W ar I O u o fD 956.0 2 p. co Q J• K 19.66 n v, a0 I w F 453.3 54.4 i _ ~ L a ~ d_ I r 2.s ssa.z I z ~ z° ! ~----956.7 8 ~ 1 10 949.8 0.0 ~-n ~ -----i~ m 957.0 N, 42.33 30.00 956.4 955.0 S89°41'S2"W r) 135.Ob io ~ I 5 I~ 9597 XISTINC HOUSE - ~ - BENCH rMARK~ 9 ~ p f TOP Of' PfPE cEl£V.=858!82~~ NOT[; PROPOSfD GRADES SHOWN PER GqIWiNC P1AN 8Y: PIONEEN PROPOSEO HOL+SF FI LVpT10N N07E: BURDINC DIMEN90N5 910WN AR6 FOR NONiZONtti ANO VERTICAL LpC/~TON OF SiRUCNRES WJIY. SEE MCMTECNAL PLMIS FOR BURUINC AND LOWEST FLOOR ELEVATIOk: 251. O FOUNDAAON OINENSIONS. worc: Ha svecvW satLs wWsncAnar HAs aecu tOuLcrcn pN tms wT er TME TOP OF BLOCK ELEVATION: 959, o 3URVEYOR. ME SL11TA91LIT'/ OF SpLS TO SUP70RT T11E SPEQlIC Hplg CARACE SlAB ELEVAnON: PROPOSEO IS NOT 1HE RESPONABIt1TY OF iHE SURYEYdt, NOTE: MIS [ERTKICATE OOES NOT PURPORl TO SNOW EASEMFNIS OTHER MAH Y 000.00 DENOT[5 EwSTNG EIEVnTiOh iHOSE SHOHN ON THE RECOROED PUT. ( Opp,pp ) pENOTES PROPOSEO ELEVATION NOTE; CONTqACTOR MUSi VERIFY OPoYEWAI DESICN, OENOiES ORNMACE ANO UTILI7Y EASEMEHT NOIE: BEARRlGS 410riN AflE BASEO ON AN ASSWEO OANN OMhS ORAINAGE f40W Oil1[CiWH ~ OCN01L5 MONUYENT pENOT(S Oi'!5[T Myg WE HEREBY CERTiFY TO HOMES BY CHASE 7hipT THIS IS A TRUE ANO CORRECT REPRESENTATION OF A SURVEY Of THE 90UNpARIES DF; I.OT 1o BIOCK 5, PINES EOGE 1ST ADDITION OAKOTA COUNiY, MINNESOTA IT OOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACNMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR UNDER MY OIRECT SUPERVISION THIS 19iN OAY OF ~~y{Q71f1 rt~i111 / ~ : PiONEER dEERIN , P.A. SCALE : 1 INCH = 30 FEET NEO ENG 9Z5 99400.17 SWK BY .lohn C. Larson, L.S. Reg. No. 18828 1AIE • I0'd 1, ' BUILDIIVG IfVSPEC 10 NS ~EPT. . LOT SURVEY CHECKLIST FOR RESIDENTIAL „ . ' 'BUILDfNG PERMIT APPLICATION ~ PROPERTYLEGAL: ~ DATE OF SURVE : LATEST REVISION: DOCUMENT STANDARDS a z ? ? • Registered Land Surveyor signature and company ~.A ? • Building PermitApplicant m~? ? • Legal descriptian ~ ? • Address ? ? • North arrow and scale U--'~o ? • House type (rambler, walkout, split w/o, split entry, loakout, etc.) ? • Directional drainage arrows with slope/gradient °.6 o1-1~13 ? • Proposed/exdsting sewer and water services & invert elevation 2 ? • SUeet name o • Driveway , ELEVATIONS Existina ~ ? • Sewer service (or Praposed) ? • Property comers M~'~[] ? • Tap of curb at the driveway ? • Elevations af any ebsting adjacent homes Prooosed ? • Garage floor 0-'0 ? • First ftoor U-~ ? ? • Lowest exposed elevation (walkouUwindow) ? • Propertycorners a~? ? • Front and rear of home at the foundation PONDING AREA fif applicable) 0 Q~'/? • Easementline 11 NS ? • NWL ? e-, ? • HWL 13 a-' ? • Pond # designation ~ 0,-,[] • Emergency Overtlow Elevation DIMENSIONS 0---0 ? • Lot IinesBearings & dimensions Er'o ? • Right-of-way and street width (to back of curb) o ? ? • Proposed home dimensions including any proposed decks, ovefiangs greater than 2', / porches, etc. (.e. all structures requiring permanent footings) ? ? • Show all easements of record and any Ciry utilites within those easements ? • Setbacks of proposed structure and sideyard setback of adjacent existing structures 0 E1 13 • Retaining wall requirements, if any Reviewed: z me / te January 1996 LRAIGYBBBIBLDGPRhfT fM ,;6 p INV ~ 946.2 9.~"p-ya5' BEND 3B. a c.v. \ k+ •8`iEE _ 5 11 ~ • 5°Ai-6S 56.2' ~ ' ~}y`, ~ ~ ~ • I r- I I ' , ~ •,p'p~UL~ u ~ ' . • . . CSe9 956 2 A 5'c45' BEND ~ o-..-.__ r~ 4~ <~-0 31.7• . -71 - - 77.1' 20.0' ~ • ' 1 . . (A. - . . " . _ e Y ~0 5- 0+45 ' 32.51 66.4 95.0' 24.2 ' SI 7i77 98.8' ' INV= 945.7 : 5_ 0+04 S= 0*B6 INV- 946.8 S~ 2+63 m y ~~6 . i _ INV- 946.4 CS- 956.0 INV- 94Za SS.6' CS 95~ a i ~ = . INV= 9a5.5 CS~ 954.9 CS- 957.2 p ~ 1 1 C5: 951.0 S~ 0i42 MM Qc STA. ~ 2 O 3 5 r.~ I m INV- 946.8 7 { R YM STA 1i17 44.0' 4~ I Gi- 956.9 i MH r MH IZ~ STA. 5+ }d ' rn C),~_ NOTES. ~ B58B 8 a' HA A. 7~72 6 NH TA. 0s00 C ~ ei9' SANITMY $EN£R SERNCES SHALL BE 4- PVC. SDR 28 AND SHALL BE $TATIONED UPS7REAM iRpA VANMOLE lJ ae.s• ~ j $ANITMY SEWER SERNCE INV£RT FLEVATION IS AT END 0F SNB. Z 51.3'- _ a_SS 5. 1t37 A a 13+ 2 SANITARY $EWER SERNCE N17M Ri5ER5 SHNL BE M ANT 2.05 NH Q STA. i IN'/ - ~ ~ CONSIRUCTED M17H 4' QEAN W75 AS PER ~ 9~7.? iN'J= 951.5 N 4H STA B+ 2 pTY OF EACAN STANDARD PU~7E NO. 310. ~ 8'. 6' 7FF 7 6}i5g W ~ 10 ~ 9 'DiP. p. SZ CS' 961.0 961.5 4 WATER SERVICES•91P11 8E 1' COPPER. TYFE 'K'. GN EL 958.7 S~ T~90 5~ d«64 4J.5~ Sa Or41 TM a, y6i.ie 9 INV.. 95a.3 INV- 958.8 3 ~ INV- 949.2 5= 1+20 f. , C5= %B.6 9694 ~ Z i WRB STOP ARE IOCATED AT PROPERT' UNE. 3 = -A CS- 959.0 INV- 950.3 C5. 364.7 39. ' '-45' BEAD . C5- 959.9 59.0' B'~8'lEE _ a v , .0 7Q0' 3&B'~.0' _ 70.0' 29.3' 85.1'8'G V. , o ExiEND ALL SERNCES 15' BErOND PROPER7V LINE. • 2~2~ y 8 '('c- 957.8 ` 5.' D . . ~ ~ . ' 9r58~ ~ Q STA 9+64 uN ~'~r 1 1 - I 1 la.. ~ 3 9 ' 4 ~ 4a70 ~-,-r y ~-n r.~r-' r;•• uH stti 3s.o' .17 m uN rf srA. a.caas 9 N H eA@5~ i : . : . . . ..._ru. {J~;e:.' ' . . . ~ 39s' ,a uH sTw }.so i.N.M. wFSTOH NillS DRI~ f 1.~/ ~ S_ Of17 I~ O N. LINE 0F PiNCS EDGE. ' 1, L1F UTI ' . . . INV~ 9aB.} ' {J.8' 12.7 705Q~6 1 93 ;o . 39.6' < tlEv. . 9e5.54 ' r ~ . CS~ 958.3 S~ ONa 98.95~ 1.05 21.2' 8~.1' 30.1' m I`," . 4 . INV- 948.8 . INV- 950.0 INV= 951 J 5- 2+86 ,}&S' - as. cs 595912 cs- yy~ cs= s~s ~ INV- 951.0 S_ i3:~ OUTLOT A + t~0 ~ SR Y TA 4+679 C5- 96*.0 :q.~~ 9586 I I ? 8 c c . . _ ( I 9' ~ WHITE P NE 1NAY 9 71 uH RE:°3~7. ap- " 970 - 970 . . 954.33 asasa 4 se.a - - MM RE~96`.a+~ ~ ~4H RE-96b66 . . ~ ~ ~uH rt~-5~5e,a? ~ 96 . : ; .'10 BLD . yyzn_:. . . ee . _ 95s.76 965 . :tf . . ~ ~ . : uH RE-667~8b t uH R~ - W6]L . . . . . : : - . . ' ~ ~ . ~ . ~ . . ' 9 BLD~ . . : . . ; . 11.50' E%ISTING GRWND : 7 B ~ ~ 960 . . . ' f1N15HED GRADE ~ ~ . . . . . . . 960 . . - . . . ~ . . . . . . ' i 955 _ , . _ s. RD :......i':~ 1;95 .Pl . "R P~:" ~ : . . . . . 955 : . ' - _ yr?eP;~:~.F ~a c, uct ` , . . . . . . . . . : ~ ' i~ + 7.s u co . : vErt 950 I . uc . . ~~>a<<Pn u B' o.~a. a si . . . . . a-a ~ ~ ox~. 950 u e e . ~ ~ . 1' p945 ' 'v ND : 94$ ~ . . . . . P :...~r_87vC SOA~SS .0.0.70F....... . ' . . ' . . . . 4~56'- . e~uc .SDR ,w•-e' vc 3s . : ns• asax : ' ss' a o . s' : t. osoa 35 940 940 ~ . . -e-v m %'u~~iin 0.4 . . 8 : . : . /CORD6 FLAN . . . sm"""' XW. RE . a . . ~ . . . . ......o O'•.g ..~_s:.u. ~ . : : ~ . . . . . . . 3 . . . . . . . O. ~O . : . ~ . ~P P P~ 7 ' . . ~ . . . _ . . ~ . ' . . ~ 1 . ; . . . . . . • ~ . 1 . ~ . . 7 . 7 . ~ . .1 . . ~ . . z . ~ 3... 3. : . - : . . . . . . : n « n ~ ^ p . +Ot ? 5 S+~ . *y/JIIQ[ $TATIdO1G) m`~wo i~owr 3. u~..vn~~~vr.r 7 ~ a 1 7 tITY PROJECT # ~4-00 ~t ~ ~ P~OIVSSSa a. s[[t n~[ ~c ~a Foa[cr L p 72 y _ _ . ....-rn.....~ uevur.r. n,cv~ln:>vCNT . , EDCE •1& 2 Family Residential "Copkbook" Methoa • _ ~ , , • ' SIfE ADDRE55 ~ • ~tP 4/ /7/ c= ~•LL „ , °L7 BUILDER Date • .i i Mintmum Ctiteria: ~ Rim Joise R-!9 insulation Foundawn Wiodows: [nsulated glau, 1!1" air space, woad or vinyl frame ' Enay doots: 1~?a inch solid wood with storm ar better 1 i STEP 1 Window & Door.Area STEP 2 Calculate ares at a pereeat of wall Total Window & Door Area in Sq. Feet . Box A(window. & door area) divided by Boz B, (cota! WINDOWS (including foundation windows): wa11 area) times 100 equals the window and door area Dimonsions Qnry. ' `Area as a percent of wall area (Boz C). , 1-~2 ° x Jr- BozA ~~77 z100= oy k; x. L sox s ,3o s~o ~ c ~ ~ Z x ~ 2 ~ STEP 3 Design Features z x ASSEMBLY OPTIOV . , x ' . . . . ta; -FRAMEWAI3.: X _ , •g ' , • . ' . x STnNDARD FRAMIIVG x ADVANCED FRAMIIdG ~ x CAV11Y INSULATI011 x DOORS: S~TMNC" LESS THAN R-5 B ~ x ~ y y 17 R-5 OR D'lORE ~ x 7 ~ WII~IDOWS (except foundauon windows): . 19, ~ x ~ .e / U_FACIOR Total Area of Window 8t Doors 2-77 p From the table, deternune the maximum percent wiudow Total Wall Area in Sq. FL & door area for the design options selected and enter the ~ • Wall Total Perimeter Height Area.__ value in boz D below: L 2 ~G~- o D sv Total Area . Box C must be less Wan or equal to Box D ar Wali 3os~ B , . . . ' . _ F. The building must not exceed the maximum window and door area as a ; percentage of overall exposed wall•area listed below for the combination of haming techuuque, R-value of insulaHon within the insulated cavity, i. sheathing R-value, and window U-factor. Other components-must meet ~ the requirements of this subpart. ' MAXIMUM WINDOW AND DOOR AREA AS A PERCEN!' OF OVERALL EXPOSED WALL Cavity , . Window U-Factor Framin¢ Insulation Sheathine 0.49 0.36 0.31 027 ~ SI'ANDARD.:.:: R'13•-.~ >-R-7,....:' n '17$% . 21_3% 24.3% STANDARD y R_35_ . " 120116 • 17.1%-. , +20.1°'a 23.4°o ' . STANDARD: • . , ; R4810'-''.' '.18.83'0 ' 22.0%a • i ST/~VDARD R-18 TR-5 13.5% . 18.6% 21.8% 75.3°0 . ':'A'DV~ANCED.' ; - R-IB,;:,'' ` ~.~<R-5:,; =`~'r'~:?:•'11.19'e'':"`:'17.1%'.-;_`- -.20.123.49'0' ADVANCED R-18 2R-5 19.29'0 22.5% 26.19e : STANDARD_ ~R-2I~-:t:'-: ::•<R-5::,::••°~.•~-;,;11:8%~:,7::;17.0%-- ~ 19.90/i" 23.19'0 ' STANDARD' R-21 2R-5 ^ ' - 14.091e 19.3qo ' 22.5% 26.1% ~ y' -ADVANCED R-211',.r..>'_::_.<R-5-__ .21.2% 24.6% ' -ADVANCED • R-21 .2R-5 14.0% 19.9% 2342% 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 ' A. 0.110 Btu/h ft2 °F for walls; ; B. 0.026 Btu/h RZ °F for roof/ceilings; and , C 0.04 Btu/h RZ °F for floors. STAT AUTH: MS § 216C.19 HIST: 18 SR 2361 • , . . , ~ 7670.0480 Reptaled, 18 SR 2361 . blicm. Rules Chapter 7670 26 ' june 1994 ? - CITY USE ONLY LOT ~ BL S RECEIPT RECEIPT DATE: SUBD. (2 ~v~2o / Z 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 Date: M ' KMES -q:~ (612) 681-4675 Complete this section only if vou are installinp HVAC in single family, townhome, or condos that are under construction aud are not owner /occupied. • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 5.00 • Gas outlets (minimum of one required @$3.00 ea.) ~Q cc • State Surchazge: .50 • TOTAL: Complete this section only if vou are remodeling addinp to, or repairine eaistine sinele familv dwellings, townhomes, or condos. Add-on fumace _ 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: Wv1 O WNER NAME: 14c5y~'e~~' &G S~ PHONE INSTALLER NAME: ~A,,'C PHONE /C) ~ STREETADDRESS: 'F_~.GJ~C3r1 '2- CIT'Y: STATE: ZIP: C)~ SI NATURE OF PERMITTEE arv use oNLv L BL RECEIPT SUBD. RECEIPT DATE: 1997 MECHANICAL PERMIT (COMMERCtQL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commerciaVindustrial buildings. ? muRi-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.D0 minimum fee or 1°10 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: (mnPROVeMeNTS oNLv) INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR ~ L I gL 5 CITY USE ONLY RECEIPT#: 9 19// SUBD. (oG&C RECEIPTDATE: /0/9/9I 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 TOTAL Shower 3.00 x 3- Water Closet 3.00 x ~ Rath 7uh 3.00 x a = Lavatory 3.00 x a, Kitchen Sink 3.00 x Laundry Tray 3.00 x 3_ Hot TublSpa 3.00 x = Water Heater 3.00 x 3- Floor Drain 3.00 x 3- Gas Piping Outlet `minimum-1 3.00 x Rough Openings 1.50 x = Water SOftener ' for dwellings under construction 5.00 X = Water Softener ' Tor exisfing dwelling 20.00 x = U.G. Sprinkler ' for dwellmg under const. 3.00 = U.G. Sprinkler ' forexisting dwalling 20.00 = AlterationS ' to existing residence 20.00 = Water Tum Around 20.00 = Private Disposal System • Dak Cry lic. 75.00 = (new and returbished systems) Private Disposal Systems `anandonment 20.00 = STATE SURCHARGE .50 TOTAL 5 u I hereby acknowledge that I have read this application, sfste that the infortnation is correct, and agree to compty with all applicable City of Eagan ordinances. It is the applicant's responsibility to notiy the property owner that the City of Eagan assumes no liability for any damages wused by the City during its normal operational and maintenance aclivkies to the facildies construGed unAer this pertnk wdhin City propertylrightof-wayleasement. SITE ADDRESS: 4-J OWNER NAME' i c ti, INSTALLER NAME 1~ n I l. _ p 1~~ C u TELEPHONE , STREET ADDRESS: ~ L+ v CITY: ~ u -ci,_ - STATE: Zlp: CA • SIGNATURE OF PERMITTEE ïý ÿ ÿþþý ü÷ü ûýýþþøùö ö ì ÿþ þýüûúù ö ýûúù õ ûúù ù ù ö ýö áäýùú Ú þðý ø ûñþï þ Ü ý ñþ æ êïþ ÿþ èâ ñÿîô ø éèêèê õû þý ï éèìèì Ùýè ôúóø òñ ùù õó÷ ûý úþ öý ý áïæ õï õú úñýïîô îôá íáë ï üúó ï ïæ ïùù ïï å ñ ñùúóïùùü þ åî þý öúå ä è ùùà ñ þý ý úþý r City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5685 Email: planninu acityofeagan.com For Office Use Permit #: /6/ -76 Date Received: 2011 ZONING PERMIT APPLICATION ✓ Please submit a set of scaled drawings with the application. PROPERTY Site Address: ^ Z� 1YF PI F Name: CilaT grail -UN Phone: (5I-4Z3`4,3z) 5 2.-1 t l F_ A NE - Address: PLANNING Approved: Notes: Applicant Signature: ❑ Retaining Wall <4 feet 0 Driveway ❑ Patio 0 Sport Court ❑ Sidewalk 0 Fence Description of work: SWF-0 City/State/Zip: F ✓i 60.1' , IV Im 551 Date: TO -2.1-11 3 `Other: 16 Kg Setbacks, hard surface coverage, shoreland zoning, bluff zone/setbacks; etc. Date of Approval: Staff: cry Revised Plans Approved: Yes / No Date of Approval: Staff: ENGINEERING Grading, drainage, utility easements, wetlands, erosion control, improvements in the Right -of -Way, Approved: Yes / No Date of Approval: Notes: Staff: Revised Plans Approved: Yes / No Date of Approval: Staff: COMMENTS G:\Building Inspections\PERMIT APPLICATIONS \201112011 Permit Applications *PIONEER * rine nrtser ng *** Certificate of Survey for: (Ay,‘1 952.6 LAND sumvlr0a$ • am vtooURS LAND rI.ANNERS• LANDSCAPE A/KNTECTS 2422 Enterprise Drive Mendota Heights. MN 55120 (012) 881-1914 FAX:881-9488 625 Highway 10 N.E. Blaine, MN 55434 (812) 783-1880 FAX:783. 1883 CHASE 527 WHITE PINE WA .BENCH MARK ELEV. 955 76 f,1 `1q c4P. ) 589°41'52"W foil 35.40 954.3 25. 4./ 4 .33 30 o ( 10 I trtII I I 955.9 11 tGO- 956.5 1 953.3 io.oq .n "o — • 42.33 (q4�'��;�. S89°41'52"Wss.o 135.Ob F.E.S =INV. 949i8� 9A T'�1 ! - \ �: Date: City of Ea�all 3830 Pilot_Knob_Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use //�' Permit #: /O d/i 3 Permit Fee: / e SCJ Date Received: Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Unit #: RESIDENT 1 OWNER Address / City / Zip: S Z��Ii v 4 1+1 TE PSM € W A'j Applicant is: X Owner Contractor vans 61Z4-uN Phone: 10 51- 4 23 -('31.j TYPEOF WORK: CONTRACTOR. Description of work: 1J E C Construction Cost: C)(316 Company: Address: Multi -Family Building: (Yes / No )( ) 0E4. + Qoda_ `:; a Contact: En State: M Zip: 5 SI 231 - icense #: CeOc5 5'(S-1 at 5Z- z- (88 Lead Certificate #: If the sect is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: Phone: Phone: Mechanical Contractor: Sewer & Water Contractor: 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 that they are trade secrets. 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.000herstateonecall.orq 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 Sta Buildin de must be completed within 180 days of permit issuance. IA -u4 Applicant's Printed Name Applica'fit's Signature Page 1 of 3 5a "7 lid SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building tOr4C/ DO NOT WRITE BELOW THIS LINE Fireplace Garage '$ Deck Lower Level WORK TYPES New_ Interior Improvement S, Addition_ Move Building Alteration Fire Repair Replace _ Repair Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% 7) Census Code # of Units # of Buildings Type of Construction yI REQUIRED INSPECTIONS Footings (New Building) Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width 1, Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water _Final Framing Fireplace: Rough In _Air Test Final Insulation Sheathing Sheetrock Reviewed By: Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant Meter Size: MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Final / C.O. Required )C Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings _Air/Gas Tests Final Siding: _Stucco Lath _Stone Lath Brick Windows Retaining Wall: Footings _ Backfill Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 3)( zy, 7670 Page 2 of 3 *PIONEER * +eenginser n • NMI LAND SuRVETOAS • civil. morcOUIS 2422 Enterprise Drive Mendota Heights, MN 55120 (012) 681-1914 FAX:681-91488 LAND t L MEAS. LANDSCAPE •ROn1ECTS 625 Highway 10 N.E. Moine, MN 55434 (612) 783-1880 FAX:783-1883 Certificate of Survey for: HOMES BY CHASE (45a,11 952.6 25.0 r S89°41'5 9 S 1:7,— f 89° 21r o x 1 �� Y it,O co 95 . I nf5,1Q f Er • 1 wt_ o r -4i I : ' 1 1 1 Lis 1 t) r.% P 1„/ ,,,/ 953.3 _,1 11 •10.0C - .n 949.8 if 444t \1 W 0 Z 527 WRITE PINE WAY (P/ u .BENCH MART{frIt(* kl/ ' TOP OF PIP ELEV.-955.76 6 {SSg1 W a l - 135.00 955.9 4.3 Y E/ 42.33 . 30,1:1.1 I^ 53.71" 1 16.00) 19.68 X 1\4 lc 958.2it% 1 — •0 957.0 N 955A 42.33 30.000 , S89°41 52 W 135.0b 0.00 I F:E.S =INV. 949:8 1 - \ / 117-% '` 959 7 JXISTING . 54.4 10 956.7 10 v,7 HOUSE `. Ar .vrsc NOTE: PROPOSED GRADES SHOWN PER GRADING PLAN at PIONEER NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION OF STRUCTURES ONLY. SEE ARCHTTECTUAL PLANS FOR BUILDING AND FOUNDATION DIMENSIONS. NOTE: NO SPECIFIC 50I1.3 PIVEST1OATIDN HAS BEEN COUPLETE0 ON THS LOT BY THE SURVEYOR. THE SUITAetUTY OF SOILS TO SUPPORT THE SPEOr1C HOUSE PROPOSED IS NOT DE RESPONSIBIUTY OF THE SURVEYOR. NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN THOSE SHOWN ON THE RECORDED PLAT. NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM /10 0 O Z 10 5 955.5 956.0 -4 la 956.4 - BENCH rMARK2 ,, Jn r 0 95t3PII 2R .i t1 -Li L;; -J PROPOSED HOUSE ELEVATION LOWEST FLOOR ELEVATION. en i 0 TOP OF' BLOCK ELEVATION- 4759.0 GARAGE SLAB ELEVATION: QS -0Z 000.00 DENOTES EXISTING ELEVATION ( 000.00) DENOTES PROPOSED ELEVATION -- — — DENOTES DRAINAGE ANO UTILITY EASEMENT ---1- DENOTES ORAINAOE FLOW DIRECTION • DENOTES MONUMENT —0-- DENOTES OFFSET NW wE HEREBY CERTIFY TO HOMES BY CHASE THAT THIS ISA TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 1, BLOCK 5, PINES EDGE 1ST ADDITION DAKOTA COUNTY. MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 19TH DAY OF mem EUTE SCALE : 1 INCH a 30 FEET 975 94400.17 SWK T0'd BY �1rw1 BUILDING INSPECTIONS r)FPT )NE0,/PIQS.JEER ENG . EERIN . MMINIIMO P.A. John C. Larson, L.S. Reg. No. 19828 1 1 City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (851) 875-5875 Fax: (651) 675=5694 Use BLUE or BLACK In Permit Fee: Date Received: LStafi 2011 RESIDENTIAL PLUMBING PERMIT APPLIC Date: laSr•' Site Address: Tenant: D /-I3 ION -a IYNALffla-3 RESIDENT/OWNER Narne: 1' it. .> , , . A ,, ,ib/ , . Phone: ilii hrfii r Y t S IV.,10 ^ i b�,, rttiutfr "';cwr . i7rMl� d= } ?D (n� !Y's•4 ^+rF• Addrose I Clty /Zip: ' 11., l .�`e 'A, i ._4 lid: ti A coNTRACTOR Name:,,MILBERT COMPANY INC.dba CULLIGAN w j.k *• • , aY N 'i•, " •. �. •• Address: 1801 SOT" ST EAST City .: INV'ER CRO II= State: • MN Zip: 55077' Phone: ' 65,1 •;.45L:-2241 Contact: B -•MiLB P.T j . Email: TYPE OF WORK _Nevi► Replacement Rebuild Modify Space • In:R.O.W. _Repair — Description of ..r1:.• PERMIT PERMIT TYPE • ' • . RESIDENTIAL ' Water Softener Lower Level) • Water Heater Add Plumbing Fixtures (_ Maln / Lawn lnlgatlgn (_ RPZ / PVB) • • Water Turnaround _,a, Septic Syste n • •New • : Abandonment RESIDENTIAL FEES:' $35.00 Mln'mu mWater Hrlater, Water Softener, or Water Heater jnsi Softener (includes $5.00 State Surchar�e) (Inch)des $5.00 State Surcharge) Flxtutes• Septic System Abandonment Water Turnaround* (Includes 55.00 StateSurcharge) (add 5168.00 Kr5/6' meter is required) • • t 1t' (510.00 per as bum) (includes County tae rind 53.00 Stats Surcharge) loomed out appliances, ductwork, eta) (Includes 55.00 State Surcharge) I TOTAL FEE3 $ • • , ' $35.00•Lawn Irrigation 555.00 Add Plumbing 'Water Turnaround 5105.00 Septic em P System ' 595.00 Flre Repair (replace • CR1.1 BEFORE YOU Did. Call Gopher State One Call at (851) 454-0002 for protection against underground Call 48 hours beton, you intend to dig b receive locates of underground utilities: www,000herstateonecall.org 1 hereby acknowledge Mat thh Inf'f nnatlon Is complete and accurate: that the work will be In cordonnanoa with the ordinances and Eagan; that I understand thls Is not a permit, but only an appllcition for a permit, and worts le nut to start without a p!nn10 accordance vii the op °''� pian In the case ct work which requires anew and a • • r • I of • a • • Appl can a Prin ed Name "cant's SIla nature Ity damage. of the Cltyel the wort wiM be In y 8 w gipp,, . !c. ,.� . !!49';Y,y �`h" S � u �j [�(�rt�.1n (@ S 8 ru�F+w�'Fi.�•wT:• • .-:taPtii;+?Mswl.,rii tri, f:� $ '''t.IC' ah'v r Y t S IV.,10 ^ i b�,, rttiutfr "';cwr . i7rMl� d= } ?D (n� !Y's•4 ^+rF• r� K $N.j !t }jt r - w r r tit y.Qa� t �,kt • 1, � T N. �� 1 , aY N 'i•, " •. �. ! At M 0 { 1A v�'l >y Y t T' , KY C; ,{t t 4' •4• A.`' ' tl 1 „,,,,,‘,1404..,...0„,....;.„,,,,...14,,,° ',t,.r. ! a> vpk !(�w'°i°r , !' Vit` 1 v v �gm ��•r nrerrir�tY r ./, f''''.,.-l� , , 6 R to 9 =A�•�d6iA .. +IW.� � . •�' .. e, lh r. ;. t, y,, 7ra�.-r.17/1),,r ., ' Qt E t t in '..J t. ��, ii./Vii•:' i:'1 ��., ' � '. 1 PERMIT City of Eagan Permit Type:Building Permit Number:EA117360 Date Issued:10/17/2013 Permit Category:ePermit Site Address: 527 White Pine Way Lot:1 Block: 5 Addition: Pines Edge 1st PID:10-57690-05-010 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Shane Pavel 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 - Curtis A Braun 527 White Pine Way Eagan MN 55123 (651) 423-6321 Pavel Enterprises Llc 3935 71st Ct E Inver Grove Heights MN 55076 (651) 353-4783 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink � r________________� I For Office Use � I �7 I C16O1 L� �11 j Permit#: � ��1�r l ' j Y � � / �� i Permit Fee: �UJ'CO' � � 3830 Pilot Knob Road Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 i Staff: i 2015 RESIDENTIAL BUILDING PERMIT APPLICATION r �",. 4" .� 1 Date: �� Site Address: � � � ' Unit#: � .: �o � � f'' � (�' 4 �.� _ �. Name: �..i�r�� `�r �`-`Fl�,t�.. K��+��.� Phone: �., Address/City/Zip: �W11�_ Applicant is: Owner �Contractor Description of work: c�1 � �� `1 _ � .� !� �� 'S r � , �'; �;� ��- `�-� ,b,� � ��-�c; �?� �� Construction Cost: C Multi-Family Building: (Yes /No � �a � Company: ,.� Contact: �ik'�,[h NL�°�' � � �-- � � C��, � _ Address � �., ''� City: � �` �' p:�� - ��.�`�J�a� �� State:�� Zi > Pho ail: � � � License#:��,��5�•,��L1t�N Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: _ _� _ . � __ - � .�_ ,_._ . . � -.: � 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.aopherstateonecall.ora I hereby acknowledge that this information is complete and accurate;that the work will be in confortnance 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 b a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of pe u . .�� I X X ��w �N�,I ` pplicanYs Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA137117 Date Issued:06/16/2016 Permit Category:ePermit Site Address: 527 White Pine Way Lot:1 Block: 5 Addition: Pines Edge 1st PID:10-57690-05-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Curtis A Braun 527 White Pine Way Eagan MN 55123 Ductworks Heating & Air Conditioning Llc 6108 Olson Memorial Hwy Golden Valley MN 55422 (763) 521-0070 Applicant/Permitee: Signature Issued By: Signature EAGA J 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 ( TDD: (651) 454-85351 FAX: (651) 678,04 buildinohisaectionsecity feaaan.com CEIVE For Office Pemit Permit Fee: Date Received Stair L ---PRESIDENTIAL BUILDING /U� �I /LDI��N, G'tilt- /%PERMIT IQ,P�LPLLICATION Date: 7-"IP t �/ Site Address: , a4-� Wf1 ' J t £J fJ - Unit S: Resident/ - --owner- - Name: & -'L Q1%, t, &% u-w) Phone: (/°t ./O/ ii°12'I Address t pity / Zip: 7t71 11 , Pil..>'iQ IA . - rn FS Applicant is:- Owner I Contractor Type of Work _ "ream-/��, �p Description of work: tI t /rea _ C^t0 .�/ ii. Construction Cost U Multi -Family Budding:n(Yes _ / Nor ) Contractor Company 2 /;244/. 1 # .114e. 1tA6Coir a t 1i U iratii �%(�., Address: /0633S GAS /I1.01� /fA City: /.7�..l�K.GJ l/.v.iV ) statef) 2 ZIP: 555355 Phone:: zs� S/WEnt icy gp> r a License #: gcv9Yovecy Lead Certificate fit N.4 1.66eP 52-.g If the project is exempt from lead certification, please explain why: In the last 11 Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BU s the City of Eagan Issued a permit for a similar plan ba rn i"nastar plan? if yes, date and a S of er plan: Licensed Plumber, Mechanical Contractor. Sewer & Water Co Fire Contractor. Phone: Phone: r. Phone: Phone: NO77:: Plans and supporting documents that you submit are considered to be phobic infonnatien. Portions of the information nay'. clan ikettas non-public if you provide specific reasons that would permit the C' fy to conclude that fiss5S are trade secrets. You may subscribeto receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's wobsito at www.aiiyofeaaan.comlaubacribo. Exterior woriautltonzed 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 Dire- Cell Gopher State One Call at (651) 4540002 for protection against underground utility damage. Call 48 hours before yOU Intend to dig to receive locates of underground uWties. wm+aonheralateonacali.orq I hereby acknowledge that Il8&khformadon Is complete and accurate; that the work writ be in conformance with the ordinances and codas at the City of Pagan, that I understand this Is riot a permit, but ordy an application for a permit. end wok 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. x (rishr),e Sm1 x C,: ,Ga ►-,1• Applicant's Printed Name Applicant's Signature DO N PT WRITE BELOW THIS LINE SUB TYPES Foundation -X Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%j Census Code # of Units # of Buildings Type of Construction _ Fireplace _ Garage Deck Lower Level 5a� WlN,-k 046 day %1a6-i4-7 _ Porch (3-Season) _ Porch (4-Season) _ Porch (Screen/Gazebo/Pergola) _ Interior Improvement Move Building _ Fire Repair _ Repair V6 Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) _ Footings (Deck) Footings (Addition) _ Foundation Foundation Before Backfill Roof: _Ice & Water _Final Framing 30 Minutes 1 Hour Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: T Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Service Test Gas Line Air Test _ Hood Pool: _Footings Air/Gas Tests _Final Drain Tile Siding: Stucco Lath _Stone Lath _Brick _ EFIS Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: 11/ , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Radio Meter Read Copies TOTAL PafroN) Tr2-6- 910" Page 2 of 3