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535 White Pine Way ~ INSPECTI4N RECORD `CIT1(OF EAGAN PERMIT TYPE: I t t t? 1:! 710 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: i u i: : ot ? 5 APPLiCANT: If~F'TNt- WAY ~ t~} : ~ 1~~,) t•, 1 I.• 1 ~t 1 PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . D. S iit~ 1 1 N, . ~ n:l~•~~~r'l l~ nld FV A Ml({J+; IiVi, I fd'.11I A! f;M I 11rE I'i Ai I ' 1 N !i I(i i I14A1 f 1. k~~~ 1 i t7A i F Il___ - - - - - - - - - - - - - - - - - - - - - - - - - - PertnM No. Psrmk Holdx Dats Teleplqne / ' ELECTRIC 5G.7'~~ 3/~ 9G ~ PLUMBING HVAC Inspect(oo Data Insp. Comments FOOTINGS FOUND /1~ ~f/ .J fti. ACC~ ~l 7 FRAMING CII~,- ~ hGe "fo D aC aFHt / so ;,del -~o Fouv~ ROOFING e ca e y4 ~.~BNG PLBG AIR TEST ROUGH HEATING GAS SVC //gG TEST INSUL r~`/!` GYP BOARD FIREPLACE FIREPLACE f AIR TEST Tf? FINAL PLBG N FINAL HTG ORSAT Nt e s ~ CLCQ' ~'~s?GG ,8 TEST I BLDG FINAL 4uCJ ~ 35MT R.I. BSMT FlNAL DECK FfO ~ DECK FlNAL I f ~ ~t~j o~ ~agaa This Certifecate issued pwsuant to tht raquinmcnts oj rhe Uniform Building Code certijying rhat at du tinw of issuance lhis structrea was in compliance wrth the various orWnanccs of the City regrelating building constructian or use. For the follawing: use cbwrkAkxL SF Orz ewS. eemit No. 27108 O-W-Cr IYW R3lU L - zods a•ia B-J -r,w cong. VN. o- ar sWuina MMntn nW ~ Ad&- sud" Adamo 535 LHM FM LtAV L"Wicy L'~., BS., P~S 8-X-$-ISr Doe_ POST IN A CONSPICUOUS PLACE RESIDENTIAL • BUILDING PERMI7 APPLICATION ' CITY OF EAGAN ~~5~6~ 3830 PIL 51 680 6R5 -55122 t 70, 00 ! Now Comtmction Roauirumnb RsmodeYRewir Reauiramenb • 3 registered sile surveys shmwig sa. M. of lot, sq. ft. of house; and aA roofed areas . 2 copies of plan C Q lI-f (i b';~rp ~ (20°k maxinum lot caverage allaxetl) . t sat of Energy Calciiatim for heated add'A'ans • 2 copies of plan shawig 6eam & w'vMovr saes; poured found design, etc.J • 1 sde survey for eztenor addXians & decks I L__ . lsetofEneigyCalculadars • Indicaleiflwrneservedbyseptbsystemfaadditiom • 3 coqes of Tree Preservation Plan if bt platted aRer 711/93 • RM Jast Detail Opilons seledian sheet (bld9s wNh 3 or kss um6) DATE G- 7-1- VALUATION JOB SITE ADDRESS S~ 5 Ga/f i2 f'/ N/4~ W la IF MULTI-FAMILY BUILDING, HOW MANY UNITS? ~ PROPERTY OWNER 9 Q ",4~-02 Iz,112-12.e il TYPE OF WORK D,eCr1 FIREPLACE(S) _ 0_ 1_ 2 APPLICANT'ffirt~ 17iz ca o- i,oan ~.ec PHONE# i~/L-d-4-v- Zv %G_ ADDRESS «632 ZIPCODE y'v o77 PAGER # CELL PHONE # 6 ~Z -Z~/? FAX # G/ W341 -.~ZdI'~ NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNFSOTA RULFS 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calcuiations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submiked Plumbing Contractor: Phone Plumbing System Includes: Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanlcal Conhactor: Phone * Mechanical System Includes: Air Conditioning Fee: $70.00 Heat Recovery System iG « Sewer/Wate? Contractor: Phone # i All above informatan must be submitted prior to processing of application. gY I hereby acknowledge that I have read this application, state ihat the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or 'aa ces. Signature of Appllcant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Require _ Updated 1101 OFFICE USE ONLY ? Ot Foundatfon O 07 05-plex 13 13 16-plex O 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex O 16 Fireplace 0 21 Porch (3-sea.) ? 31 Ext. Alt - Multi O 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 PorcNAddn. (4-sea.) ? 33 EM. Alt - SF O 04 02-plex ? 10 08-plex p 18 Deck ? 23 Parch(screened) ? 36 Multi ? 05 03-plex O 11 10-plex O 19 Lower Lavel ? 24 Storm Damage ? 06 04-plex O 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous 31 New O 35 Int Improvement ? 38 Demofish (Interbr) ? 44 Siding 32 AddiUon 13 36 Move Bldg. ? 42 Demolish (FoundaGon) O 45 Fire Repair ? 33 Alleration ? 37 Demolish (Bldg)• ? 43 Raroof ? 46 WindowslDoors ? 34 Replacement •Demolitlon (EnUro Bldy only) - Glvo PCA handout to appllcant Valuation ~20D0 ~ Occupancy R_3 MC/ES System Census Code Zoning R-/ City Water SAC Units ~ Stories Booster Pump Nbr. of Units / Sq. Ft. PRV Nbr. of Bldgs ~ Length Fire Sprinklered Type of Const S__N Width REQUIRED INSPECTIONS Footings (new bldg) FinaVC.O. ~ Footiugs (deck) ~ FinallNo C.O. _ Footings (addition) _ Plwnbing Foundation HVAC Drain Tile Rovf Ice & Water Final Other _ Framing _ Pool _ Ftgs _ Air/Gas Tesis _ Final _ Fireplace _ R.I. _ Air Test _ Finel _ Siding Stucw Swne _ Insulation _ Windows (new/replacement) Approved By LG47 , Building Inspector Base Fee Surcharge Plan Review MC/ES SAG ciry SAc Water Supply & 5torage S8W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Address 535 wKrrE rzrE wnY Zip 5512 3 Lqf ••3- Blk 5 Sub PmSIDGE 1ST THESE ITEMS WERE / WERE NOT COMPLLTE AT THE TIME OF THE FINAL INSPEGTION. Date: `j Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas I/ Sod/Seeded grass ~ TraiUcurb damage Porch ~ Basement finish Deck ~ Please verify with the builder ihe removal of roof test caps from the plumbing sys[em and the shuboff of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division a[ 681-4645 before working in right-of-way or installing underground sprinkler sysrem. White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy ~ ~ , ~PERMIT ~D53 CITI~ OF EAGAN 8aj 3830PilotYnobRoad PERMITTYPE: , aurLorNc Eagan, Minnesota 55122-1897 Permit Number: 027106 (612) 681-4675 Date Issued: 0 3/ 0 6 J 9 6 SITE ADDFtESS: 535 WHITE PINE WAY LOT: 3 BLOCK: 5 PINES EDGE 1ST P.I.N.: 10-57690-030-05 DESCRIPTION: r-~-_ Building Permit Type SF DWG Buil~ding Work Type NEW L1BC Occupancy R-3 U-1 Gonstruction Type V-N 2oning R-1 Building length 72 Building Width 45 ~ Building stories` 2 5quare Feet1,928 ~C,ensus-Code 101 1 - FAM. DETACH .~~`,5.. REMARKS: PRV S& W PLBR - FIVE STAR PLBG FEE SUMMARY: VALUATION $160,000 Base Fee $1,167.25 MISCELLANEOUS $1,923.50 Plan Review $593.63 7ota1 Fee $4,684.38 Surcharge $80.00 SAC $900.00 SAC ~ 100 SAC Units 1 Subtotal $2,760.88 e CONTRACTOR: - Applicant - sr. EjWNER: MCDONALD CONST INC 14327601 000 376 MCpONALD CONST INC 7601 1457H ST W 7601 145TH ST W APPLE VALLEY MN 55129 APPLE VALLEY MN 55124 (612) 432-7601 (612)432-7601 I hereby acknpwledge that I have read this application and state that the infarmation is correct and agree to comply with all appl3cable State of Mn Statutes and City of Eagan Ordinances. L C J C, APPLICANT/PER IT IGNATUR ISSUEDB SIG TURE. CITY OF EAGAN 0 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Conslruction Reauirements RemodelfReoair Reauirementa ? 3 ragislered aRe aurveys ? 2 cropies of plan ? 2 eopies of plans (inGude beam 8 window sizee; poured fnd. design; etc ) ? 2 site surveys (exterior addNions & tlecks) ? 7 energy ealculations ? 1 energy calculatione for heated additions ? 3 coDies of tree preservetion plan H IW platted efter 7/1193 raquired: _ Yes VNo DATE: ~311 I[(e CONSTRUCTION COST: ~ 3 "11 DESCRIPTION OF WORK: NP W Siv.q \e ~~4 w.~I~~,o~+~-e STREET ADDRESS: S 3 5 W~ e P~ n e ~ A Y LOT 3 BLOCK S SUBD./P.I.D. PROPERTY Name: hI A R RR o ti Phone OWNER w, rwn Street Address* City: State: Zip: cON7RACTOtt Company: AlCboi%)a U CoKs~ Phone StreetAddress: 7401 145'T" st License#: d~oa3~~ City:ffOpl uw v State: ~ l1 Zip: ai ARCHITECTI Company: Phone ENGINEER Name: Registration Street Address- City: State: Zip: Sewer & water licensed plumber: F've Si AR 1'1 mLhG 32 V M-1. Penalty appiies when address change and lot change are requested once permit is issued. 1 hereby acknowledge that 1 have read this application and state that the informaHon is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applieant: !e e ~``~'C-°J OFFICE USE ONLY RECENE~ Certificates of Survey Received _ Yes - r~i MAR O 9 9995 Tree Preservation Ptan Received Yes V No w •!s~ _ OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation o 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish ~ 02 SF Dweiling o 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition o OS 8-plex ? 13 Garage/Accessory o 20 Public Facility ? 04 SF Porch ? 09 12-plex o 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. ? 10 _-plex ? 15 Deck WORK TYPE x 31 New ? 33 Alterations o 36 Move 0 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION • Const. (Actuaq U-22a~f Basem ent sq. ft. ~ MC/WS System (Allowable) Main level sq. ft. zyo City Water ~UBC Occupancy -l 7 '!v sq. ft. ~}B Fire Sprinklered Zoning Q-/ sq. ft. PRV tS • # of Stories Z 95ra>. sq. ft. Booster Pump Length 72- sq. ft. Census Code. !o / Depth vf!s Footprint sq. ft. Sztl SAC Code a/ ' Q Census Bldg / Census Unit ~ APPROVALS Planning Building Engineeririg Variance ~ Permit Fee Valuation: $ l(laO,bvo Surcharge Plan Review License /Jr T. G,fx 16.r ` /0 7 MCNVSSAC ZX z~s = ts' : /,a°/G .~ZS=3~/sa City SAC ~Zf sZ > (ozs/ ~F,..,,NC~ Water Conn. Water Meter g,5'x 3 N Acct. Deposit ZL - f9 y.rX S/W Pertnit xsY= - S/W Surcharge Treatment PL ~ S~ Road Unit Park Ded. Z~ Zy'` z ZSZ~ Trails Ded. Other 2x 36 - 72- Z72 Copies iox yy =7iZ 112,7 x Total: Ax z z ° / 7v ~i ~3 ie.,~ 7 i ~ - - - % SAC J~'38 ~OsZ OT~I' SAC Units ' 2422 Enterpr7se Drive Mendoto Heights, MN 55120 mONE~'ila UHD SVXKfONS • CIML ENGINEEfii (812) 881--1914 FAX; 881-9488 * Elf~neer ng inno PLAN'tas. IANDSME AflCHITCCT5 625 Highwoy 10 N.E. Bloinc. MN 55434 (812) 783-1890 FAX: 783--1883 Certificote of Survey for: MCDONALD CONSTRUCTION 535 WHITE PINE waY %"80P COF MPIPE ELEV,=958.93 i , 2 ~ ~ 1 11 25 i ~ yo•''l S89°41'52W 135.00 1' c4s7 A a (951.6 955.4 44.50 30.00 9~.7 957.4 ~ 10.00 `n r----"nL - -l'°- ~ t i 954.5 0~ 955.3 958.3 lo , fp W ~ \`~i x ^ 0/30.00 0----i~ ~ 10 ~p ~z IQ nq 6.5 ~ o/~ SERVICE-('- ~ ~ny y INV.=947.1 Z ~ 1 N ~"c) ~ ~ ~0~~SO ~ i~ \ v ar^ i - 2.00•0 ao s -O9e i cc. ^ p m rR r I a CNI i ~ co ~ 10c 11*1~ 1c^ y~ ~ 0 10.00 p r ` O t M ' w 3 957.8 ° ; 1 o N ~ 958.0 x L-- 36.00.~ N ~ ~ o \ 10 ` ~h 954.9 °oi 955.5 958.5iM -0-.~ ~ ~ 110 to ( F 955.4 1tn q N 1 IQ 00 ~ ~1 ~ ~ ~ ~ q9 s1 ,59 5 \ ao . E ACaA IV \\~~BENCH MARK R~~p 56,5d~j~1 52R E V 1 E D ELEV~ 959 98 953. 3Y 2 q- 3 6 cl ~ )ATE " µ GA1V GINFERIIVCr' I~EFT. lT'o W FED) o V o!f ll - Q luJ J h~l ~~J NOTE: PROPOSEO GRAOES SHOwN PER CRAOWG PUN BY: %ONEER PROPOS D HOUSF FLFVATION NOiE: BUiLDINC DIMENSION$ SHONT! ARE FOR HOR120nTAL AND VER¶CAL LOCA710N Z OF STRUCTURES ONLY. SEE ARCMITECNAL PlANS GOR BUILDING AND IOWEST FLOOR ELEVATION: 15 j• FOVNDATION OIMENSIONS. TOP OF BIOCK EIEVAT10N: NOTE: NO SPECIfIC SOIlS INVESTIGATON NA5 BEEN CONPI.ETEO ON THIS LOi BY THE SURVEYOR. TME SUITA0ILITY OF S01L5 TO SUPPORT THE SPECIf1C HOUSE GARACE SLAB ELEvqTIQN; PFOPOSEO IS NOT ME RESPONSIBILITY OF iHE AIRVEYOR. N0M THiS CEqTIFlCAtE DOES NOT PURPORT TD 910W EASEMENTS O7NER TMAN )t 000.00 DENOTES E%ISTNG EIEVATION ' T+OS£ SHOwr+ CN THE RECOp0f0 7LxT. ( 000,00 j OENOTES PROPOSED ELEVATION NOTE: CONiRAC70R MVSY VEfiIFY DRIVEWAY OESIGN. OENOTES ORAINACE AND UTILiTY EASEMENT DENOTES ORAINAGE FLOW OIRECTION NOTE; BEARINGS SHOwa aRE BASED ON AN ASSUMEO OANM 0- DENOTES MONUMEnT ^--8- OENOTES OFFSET HUB WE HEREBY CERIIFY TO MCDONALO CONSTRUCTION THAT THIS IS A TRUE ANO CORRECT REPRESENTqT10N OF A SURVEY OF ThiE 60UNDARIES OF: LOT 3, BLOCK 5, PINES EDGE 1ST ADDITION OAKOTA COUNTY. MINNESOTA IT OOES NOT PURPOR7 TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT SI10wta, AS SURVEYED BY ME OR UNOER MV DiRECT SUPERViSiON n-ns isna OnY OF FEB., 1996. ICNE . PIONEER EN EER C, P.A. SCALE : t INCH = 30 FEET C 975 94350.13 SWK John C. ~arson, L.S. Reg. No. 19828 _1 INV= 946.2 ~ C5= 955.2 r.co ~ --1- ~ _ - - ' II - - -11 - , ~ r--------- ' S- 0+45 ~ C_ INV= 945.7 ` A - CS= 954.4 IN'. S= 0+42 ' I ' Cc- INV= 946.8 ' MH ~ STA. +62 CS= 956.0 ~ 7 4 R , ' . MH ~ STA. 7+ 6 R ~ - ~ ~ ~ ~ I - k ~ , - _ _ _ S= 1+37 INV= 947.4 I H'f AN T ' CS= 956.9 ~ 87x 6" T-_- L____________________'_ ` ' . h,~ ~ ~ 0 ~ - J ~ s,_ °DIP, - ' GIV EL. ' S= 0+41 ~ ' ;INV= 949.2 ~ ; S= ;CS= 959.0 S= 2+2Q ~ 8"-45' BEND CS= INV= 947.9. . - ' CS= 957 - .8` . fr ~ STA. 9+64 MH 3 Rg , s= e+T 7 - ~ ~ yy~- ~ INV= 948.3 .,~•,°,id DAW~ CS= 958.3 ~ f— ; f- , i - 77 •',CY OF UTIL3,i 1 i-- ,,~3 ~ . f'110' 1_Fk„".TIONS. TMIS~''•]r:i,'. ` ~ INV= 948.8 S_ i.. iU : PUR{'OSES C`~~`~~ ICS= 958.8 INV= : ' MNG IT SHOUL9 CS= 9_~.: :_1 WI?J ON TK: 51TC. 6 , MH q STA.~ 10+12 i ' , 1v^ 4 R ; ~ : . .P. N E. . . .VVA 1~ . : . , LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION ~ PROPERTYLEGAL: S S ~ Q DATE OF SURVEY. ~ J, ze~ 9 LATEST REVISION: ~ DOCUMENTSTANOARDS 0--~'13 0 • Registered l.end Surveyor signeture and company 0.-,E) o • Building Permit Applicant m/13 O • Legal descriptlon 0--C3 Cl • Address 0"'0 ? • North arrow and scale [YO ? • House type (rambier, walkout, splitw/o, split entry, lookout, etc.) GP~- 0 ? • Directional drainage arrows with slope/gredfent % ? • Proposed/exiSting sewer and water'services & invert elevatlon ~ ? • Street name M--'Cl ? • Driveway EJ.EVATIONS E»asstina ? • Sewer service (or Proposed) 9 ? ' • Property comers ? • Top of curb at the driveway 0~ ? ? • ElevaUons of any eristing adjacent homes ProposW 0 • Garage floor C~' ? 0 • Flrst flaor ;;P0 ? • Lowest exposed elevation (walkout/window) O • Property comers • Front and rear of home at the foundation PONDING AREA (d aoolicabie) ? ~0 • Easement line 0 B~ ? • N4VL ? EYl7 • HWL ? f . • Pond # designation ? ~ • Emergency Overtlow Elevadon DIMENSIONS - e'~] ? • LoYlines/Bearinps 3 dimensions ~_J E3 ? • Right-of-way and street wfdth (to back of curb) L7 ? O • Proposed home cfimensions including arry proposed decks, overhangs greater than 2', porches, etc. Q.e. all struchires repuirinp permanent footlnps) • Show all easements of record and erry City utllitles within tFwae easementa • Setbacka of proposed structure and sfdeyard setbadc of adJecent ebstlnp atructures ? ? • Retaining wall requiremen eny RavleWed: 14 ame Date iw,.ry ~9oe cnAq12u&2tnovn?a.A+ Cities Di ital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. ,Ci. . . . . . . . . . ~ _ I:MH REr 968.05 '11 BLD=15.30 . . . . . . , . . . . . . . ~ . . . . . . . . . . . . . . . -MH RE_ -958.32 . , . . . ~ . . . : .10 BLD=:11.00 . . . . . . . . . . . . . . . . . . . . . . . . . ~ MH RE=957.85 ; . . . . . . . . . : 8 ~ 9 LD-- 11.32 ~ EXI! ~ti_ ~ : : • . . : . . . : . ~ : . 955.31 • ; . . : . 12"RCP ` . . . . ~ . . . . . . . . . . ~ Y. . . . . . . . . . . . . . . . . . 64'_ : : : . : . . i. ~8-PVC SDR . . . . . . . . . . . . . . . . . . . . . . . .8~,.0:I.F...~L.. 52. . . . . 35 @ . . . • . . . . . . ~ . 8 $'~PVC .SDR~ ~ 9VC: SDR . 35 . . . . . . . . P. . 3 0'r d;,:~G~;fV DOES I~JCJ i GUl',~ . . . . . . . . . , 6.,CU~dACY ~ , ~A OF UTILITY LOCATIn, i. . . 0 1. 1 q . : ~ '-=LEVF,TIOiVS. THIS DA7'A IS FOR . . . : . ~ . , _"fdi10N : . : : : . . . . :.PURPOSES Af~D.. . . _ , . . . . . ? ~ . . . - ti..r., Uc ~tfUG OiVLY. . I.T. SNOU~.D. i : . . . . . . . . . . . . . . . . . J~~Ii~~.THE •:..i.TIORI GRI THE SIl'E.: . . . . . . . . . . . : : . . . . :J- . . . . . . . . . ~ . . . . . . . . . . . ~ ~ ~ ~ . . . . . ~ . . . ~ . . . . . . ~ • . ~ ~ ' ~ _ ~ . ~ . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . ~ to . . . : . ~ . . ~ . ~ . . : . . . i--4 .N. . . : ' . . . . . . . . . . . . . . . . . . . . ti A . . , ir~ • . . . . . . . , • ENERGY CODE WORKSEiEET FOR 1& 2 PADiILY DWELLINGS SITB AODRESS ~ ~ CI7'Y COMPL6TED BY; ~ ____PIIONB d pA1'E BOILDIt7G CLAS9IFICATIOH: ? cateflory 1(atandard) or ? category 7(muoL include vantilatlon) tlINIHUM CRIT6RIA Foundation Ineulation-R10 Plalla E Wiadown Roo£ Attla Itiaulatioa; e reveree e e Slab on Grade Insulation-R10 forallowable ercentaes P 9 1 R49-49ith Att1c No Ileel Flooi over unheated spaceo-R24 R30-14ith Attic Raioed Ileel Foundation {Jindowe 1/2" R38 4 RS-Solid RafCe're ineula[ed Glaeo, -41ood or Viny] Frame 8T6p 1 Wladotia 4 Door Area STSp 1 Calculate aroa ae a percent oE wall A. Total Window 6 Door Aiea in Sq. Feet WINDOWS (Including roundation Windowa): • HIt7DOW MA2NFACTURB NAM6: C. From Step 1 divide Uox A(Y7indow & poor WINDOH HAtNFACTtTRE TYpH: Area) bY b°x [3 (CO[al wall area) Lime? 100 equalu [ha window and door area ae a WIt7DOW HNSOPACTUR6 U FACTOR: percent oE taall area (box C) , , R. O. Quanl'iCy uq.fC.Area OX A qZ , Dimensions ~oX ~ ~ a 100 = F z=~" X sree 3 ' ( m ' ~ ~ ~)J Denign FeaCUCeu Z~~ x ~-!7 / ~ A.SSGtqBL,Y 2~ X 5-e; 1 ~ PRAISII7G TYPE: X 11,:CY ./-4-44 / ~ STAtIDARD FRAIdING ?CUdo 16" o.c. Z L(~~~ x 11-(!~n ff~' It 7ADVRtJCEO FRNIING X~J~~~ ~ 7 ':CUde 29" o.c. CP.VITY INSULATION R_~_ z3 9}I6ATHIIIG TYPB: X I.ESS 1'l1AIJ c R-5 X R-5 > OR FIORL•' X U-FACTOR p ' DOO S; From the Gable, (roverce cide) determine the maxlmurn percen[ wlndow 6 door aroa for the ~ J X~~ dcotgn optionu so7ecCed and enLer Che 4 valuc ."1 ln Box D below bnced on the window mEg. U- fac[or: D 7'utal Area of - A_~7aq,ft. Hlndowo 4 Doore - ! D. Total Yla]1 Area in Sq. Ft. The i va]ue from Che Lnble iu ?ox D o6a11 b,: cyual to or greaCCr Chan Cilc t j? Oox C Wall Total Ileight Area ~ Perimeter 6051 r so ~os 175- /Z,), 6 144 _ ~ IZ~2 _'I'otal Area of_Wa]]e ~~_?)I ~"J.ft F. The building imist nol excecd Ihe maximum tivindow and door area as a percentage oF overall exposed wall area listecl below for lhe combination of framing lechnique, R-value of insulalion wilhin the insulaled cavitc, ' shealhing R-value, and tvindorv ll-factor. Other components must mee[ lhe requirements of lhis subpart. AtnxiMuM Wtwnow nrm Doon Aiir:.a AS A PIEIICGIJI' OF OVLItAI.I. rXPOSCf] IVAI.I. Caaity~ . IVindow U-faclor _framing Insuliilinn_ShcatLin:G---_0,49_ 036 0.31- -p. , - - _ - Si'ANDARI) R-13 2R-7 13.46/. 17.8% 21.301 2•1.3°b 57'ANDARI) R-15 21(-5 12.99. ]7.(% 201;0 23.9°. . S7'ANDAIiD It-18 . "<It-5 11.1% ; 1G.0°o . 18 8% 22.0 STANDAItQ I1-10 2R•5 ~ 13.50% ` 18.6°0 31.8°'. 25.3';6 ALIVANCIiI) 12=10 <It-5 11.1°0 `17.10/6 20.1",6 23.7.L . ADVANCL'D It-18 2K-5 13.51'. 19.20% 22.5% 26.11;1. S"CAhJDARD K-21 <R-5 11.84 ' L r 17.01L 19.91L 23.19L STANDAIID It-21 2ft-5 14.0°1. 19.391. 22.5 1b 26.196 ~ ADVANCGD R-21 <It-5 11.84L 18.1% 21.20,' 2•I.60' ADVAIdCGD It-21 21<-5 . 14.0016 19.900 2310,L 26.90;'. Subp. 3. Perfoimance ci9leria. "fhe combined Ihermal lransmillance (Uo) factors for walls, roof/ceilings, antl Iloors over unhealed spaces musl be less than or . equallo: A. 0.110 13til/h flz °P for walls; . lf. 0.026 131n/h flz °P fnr roof/ceilings; ancl C. 0.04 13tiz/h flz °P for (loors. srarninn: Msgnec.19 ffIST: 18SIZ 23G1 7670.0980 Iicllenled, 18 SR 2361 ~ Vfinn.l2idcsChal>Icr7G%Q 26 ~un~:lTtI L BL CITY USE ONLY RECEIPT #67~~1n/l~'~ ,6 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 P.dd-on air cor.ditioning Add-en 2irexchanger, i.e. Vanep system, etc. Date: 3-.7.~- FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $-20-.M ? HVAC: 0-100 M BTU 24700 Additional 50 M BTU -6:09 ? Gas Outlets (minimum of 1 required @$3.00 each) 6.00 ? State Surcharge .50 TOTAL 30,SD SITE ADDRESS: S3S /„/,(,'lP tal~e (,cl4v OWNER NAME: /?1GA04 .i4 /d C'an c/ PHONE INSTALLER NAME: ~~eal STREET ADDRESS: ~~~~o Ec r~v-~ ~ve. CITY: ~-47~~ • STATE: MN. ZIP: PHONE 602.2 ~ 1~ STG F 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: w all commercial/industrial buildings. ? multi-family buildings when separate permits are ~ required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: $25.00 minimum fee a[ 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 J BL T - • RECEIPT ~ d;7 SUBD. DATE: ~ 2;21*9 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dweilings ? townhomes and condos when permits are required for each unit FIXTURES EACH Shower 3.00 x = ~ ~ Water Closet 3.00 x - _ ~ Bath Tub 3.00 x Lavatory 3.00 x = Kitchen Sink 3.00 x = q0 Laundry Tray 3.00 x Hot Tub/Spa 3.00 x Water Heater 3.00 x = Floor Drain 3.00 x = 7' 06 Gas Piping Outlet ' minimum - 1 3.00 x J. 00 Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal ' Dakota Cty. 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 TOTAL SITE ADDRESS: a y OWNER NAME: I C~b ~'uC Dh ~C_ INSTALLER NAME: /V S a f ~r c n C• STREET ADDRESS: ~ ~Alue d, CITY: a o lTY'O* STATE: lb ZIP: PHONE ( ~ OFFICE USE ONLY L BL RECEIPT SUBD. DATE: 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ~ all commerciaUindustrial buildings. ~ multi-family buildings when separate permits are pg1 required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED7 _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FIUSHOMETERS 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 SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: APPLICANT OFFICE USE ONLY METER SIZE: ' DATE: INSPECTOR: L ~ BL ~ CITY USE ONLY RECEIPT#: SUBD'~_ C~CG~t RECEIPTDATE: 7~10/97 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)681-4675 Please complete for: . single famiiy dwellings p townhomes and condos when permits are required for each unit ~ backflow preventer for underground sprinkler system FIXTURES EACH NO, TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot TublSpa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum - 7 3.00 x = Rough Openings 1.50 x = Water Softener ` for dwellings under eonstruction 5.00 x = Water Softener ' for existing dwellin9 20.00 x = Z o a U.G. Sprinkler ' for dwelling under wnst 3.00 = U.G. Sprinkler ` for existing dwelling 20.00 = AlteratiOns ' to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ' oak cry iic. 75.00 = (new and refurbished systems) Private Disposal Systems ' ntandonmant 20.00 = STATE SURCHARGE .50 TOTAL I hereby acknowledge that I hava read this applicatlon, state that the infortnation is cortect, and agree to comply with all aDPlicable City of Eagan ortlinances. It is the applipnYS responsibiliry to notify the property owner that Ne City of Eagan assumes no liabiliry for any damages caused by Ne City dunng ip nortnal operational and maintenance activities to the fadlities constructed under this pertnit within Ciry property/rightof•way/easemant. SITE ADDRESS: c OWNER NAME ~d l,, INSTALLER NAME: ~~C ~Q/ ° fie d ~I,,yv~y-J r 4 TELEPHIONE STREET ADDRESS: 0 IA i! P u CITY: cG{ a vr~le STATE: UV 1?L ZIP: . ~ SIGNATURE OF P RMITTEE 'GIl'Y USE ONLY L c~- BL 6- RECEIPT SUBD. LA 5-- DATE: 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please compiete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH NLQ. TOTAL Shower 3.00 x = V1later Cioset 3.30 A - Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 :c = Laundry Tray 3.00 :c = Hot Tub/Spa 3.00 _ Water Heater 3.00 _ Floor Drain 3.00 x = Gas Piping Outlet ' minimum - 1 3.00 :c = Rough Openings 1.50 Water Softener 5.00 x Private Disposal ' Dakota Cty. license 65.00 = (new and refurbished systems) U.G. Sprinkler ' home under wnst. 3.00 = Alterations ' to exfsang 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL ~ •S~ SITE ADDRESS: OWNER NAME• INSTALLER NAME: ~ STREET ADDRESS: ~~~%Y%~~~ J • E CITY: 11-~N STATE`' ZIP: /O HONFr ( I: o3o~b ~ - ' 'GIUV I URE OF PF-RMITTEEe OFFICE USE 0?t! Y• • • L _ BL _ RECEIPT f1: SUBD. DATE' 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6614675 Please complete for. w all commercialfindustrial buildings. . multi-family buitdings when separate permits are pg1 required for each dwelling unit. DATE: CONTRACT PRICE: iNORK iYPE: _ NElN CUNSTRUCTION _ ADD ON _ REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED9 _ 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. SPRINY(LER PERMIT. FEE: $25.00 minimum fee or 1°,6 of conhact price, whichever is greater. State surcharge of $.50 per E1,000 of permit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: _ STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: APPLICANT OFFICE USE ONLY METER SIZE: DATE: INSPECTOR: 2422 Enterprise Orive ~ * .lf Mendola Ha9hla, MN 55120 * pi~N~~R w+o w~~t~a - nw a.cwcena (812) 681-1914 FAX:881-9488 * aAg A88~. A~ uno nwwspa. u.osw[ Ancw+ccts 625 Highwoy 70 N.E. Bloine, MN 56434 * ~ *i4 (812) 783-1880 F/U(:783-1883 Certificote of Survey for: MCDONALD CONSTRUCTION 535 WHITE PINE WAY i 'TOPCOF PIPE . EIEV.=958.93 i 2 ~ „ 25 ~ ~ 93 36 589041'52 W 135.00 i, 7 ) 955.4 4450 30.00 9 .7 I3 95714 lO.OO --°w1 i.n _ 'n e ~ 1 954.5 0, 955.3 958.34a 1 1O ~8 Iz p i I N \ 0 % ~ a 30.00 - Ir i ~ 1~~ la 1 r~o yA r\ ~ SERVICE-[[-- - \ ~y 8.5b o ~ N i INV.=947.y 45 0 W .00.°d `ap s bs~ a= ry~- i I \ ~ ^ 1958.1 CD \p" ~ ~ rG o 1 O.O ~ ~ q2 3 V~M 957.8 0 \ ~ O 958.0 3 . 00 . 15 \0~ 954.9 °0938.9iM r3.~, 9 -0 ~ / A15,~~ ~'8.y'\ ~~~%9. F ,\CP 905.a i n i' ~ 0. O 2V~. i No rti (a f~ f~"• E V 1 8i0PCOFMPIPE A3p0 ~ ELEV.=959.96 953.2 4 3 6 IATE B p g GAN GINEEIi INQ DEPT. P¦ R•V• REO~dN'~'1~ E-.1-0 NDiE! PROGOSEO WIAOES SnOVm PER GnAOiNG PLAN BY: PIONEER PHOPOSFO NO 1 F FI FVATION NOTE: BUtlOING OOMENSIONS SNOVrt+ ME roa woni20nrti ww0 KaMwL LOCwllOn ~OWEST FLOOR ELEVATION: OC STRVCTURES ONIY. SEE ARCNITECTVAL PLANS FIXt BVILOING IJlp GDVNOATON OuaEN5iON5. TOP OF BIOCK EIEVATION: G~• tlOIE: NO S7LGFIC SOIt9 INV£STpAMON MAS BEEN COMPLETEC ON TUS LOT BY ME y 5~i & SUAVEYOq. iXE S1iTABILITT OF saLs 10 SuvvOfli ME spEdFIc r+wsE CARAGE SLAB EIEVqTION: vRpPOSFD IS NOT ME RESYONSIBIIJTT Or 7ME RINVEVOR. N01C: 1Mi4 CERTIACATE OOfS NOT vyRPORT l0 SHOW EASEMFNT$ 07MER M1W % 000.00 OEnOtES Ew5Tn6 EL6wnor+ T+OSE SMOY/N On ME ACCp+0E0 PNT. ( 000,00 ) OQ+OTES PROPOSEO ELEVwnON N01Et CONiRACIOR MUST VERICY ORhLWAY OEAGN. - OFJVOTCS ORMMwCE .VaO UTILfIY EASEMENt OfNOlES ORNHwGG FLOW OIREC110N NOTE; BEARINGS SHOWN wRC Bn5E0 ON AN ASSUNED OANN • OCNOTES yONUMEnT ~--8- OENOTES OPfSET MVB WE HERE9Y CERIIFY TO MCDONALO CONSTRUCTION THAT THIS IS A TRUf ANO CORRECT REPRESENTATION OF A SURVEY OF THE BOUNOARIES OF: LOT 3. 6LOCK 5. PINES EDGE 1ST ADDITION DAKOTA COUNTY, MINNESOTA IT OOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACMMENTS, EXCEPT SNOWN, AS SURVEYED B1' ME OR VNOER MY DIRECT SVPERVISION THIS 15TH DAY OG FEB., 1998. IC2E. PIONEER EN EER C, P.A. SCALE : 1 INCH = 30 FEET N ~ r• e~5 84730.73 SWK John C. loraon, L.S. Reg, No. 19928 For Office Use City O1 p T m (j a Permit#: all Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION -(3 9 Date: Site Address: Tenant: ~I)-e L' L4ilr't S Suite RESIDENT/ OWNER Name: Tez/ ! I?r~ rJ Phone: Address / City / Zip: S3,5- Applicant is: Owner 4 Contractor TYPE OF WORK Description of work: 1_7V Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: 7' License Address: (/Q 15't L y r City: I w r~'Ll State: Zip: 53 V 6 Phone: ~ (a- Contact Person: 1 1c b fr,~ - o 3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Submitted Submitted Category submission type) • 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 plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water 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 that they are trade secrets. 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 agco,rdaqce with roved plan in the case of work which requires a review and approv o plans. x x Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA108160 Date Issued:11/20/2012 Permit Category:ePermit Site Address: 535 White Pine Way Lot:3 Block: 5 Addition: Pines Edge 1st PID:10-57690-05-030 Use: Description: Sub Type:e-Windows/Doors Work Type:Windows/Doors Description:House 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, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Ronald J Harris 535 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 Jeffrey Wheeler From: Terry O'Connor [TOConnor@PCSRenew.com] Sent: Friday, March 01, 2013 10:27 AM To: Jeffrey Wheeler Cc: dkorbel@pcsrenew.com Subject: RE: 535 White Pine Way -Harris PRi2M17— p /0VG0 Jeff, there were no alterations of any kind made to the rough openings on this dwelling. PCS discovered approximately 10" of damaged rim joist to the lower right (from exterior) where the deck flashing was not sufficient and the deck slopes back toward the house. PCS removed and replaced that 10" of rim joist and flashed the rough opening. All other framing at that location was sound. We did not make any repairs to the deck flashing but did ask the customer if they would like us to do so under a different contract at a later date as this was outside of our scope of work for this project. There are also signs of decay under the deck beneath the patio door from the original deck installation which was not part of the area we were working. Those potential repairs were also offered to the homeowner at an additional cost but to date we have not heard if they want to repair or not. If we do proceed it will be with an inspection by the city prior to the repairs and with a framing permit as well. Going forward, I will let my crews know that repairs may not commence without an Eagan city inspector called to the site for observations and remarks. Thank you! Te rryO Terry O'Connor I Installation Manager 1 PCS Residential 1 651-276-2805i toconnor(a�pcsrenew.com "If we should have to fight, we should prepare to do so from the neck up instead of from the neck down" - General Jimmy Doolittle 1 PERMIT City of Eagan Permit Type:Building Permit Number:EA142349 Date Issued:04/27/2017 Permit Category:ePermit Site Address: 535 White Pine Way Lot:3 Block: 5 Addition: Pines Edge 1st PID:10-57690-05-030 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Ronald J Harris 535 White Pine Way Eagan MN 55123 (612) 850-9235 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA151472 Date Issued:08/27/2018 Permit Category:ePermit Site Address: 535 White Pine Way Lot:3 Block: 5 Addition: Pines Edge 1st PID:10-57690-05-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, 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 - Deutsche Bank National Trust Co 101 Hudson St 25th Floor Jersey City NJ 07302 Silver Tree Plumbing & Heating Llc 3185 Terminal Drive - Suite 200 Eagan MN 55121 (651) 319-4200 Applicant/Permitee: Signature Issued By: Signature