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542 White Pine WayCity of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: -75'g6 a- 0 2010 RESIDENTIAL BUILDING PERMIT APPLICATION(67Date: �1 ( Site Address: 5" 4 Z J/ ) 7 ? ri'%2,e U/ce, Tenant: P%a✓',/; (7'//1 f > / Suite #: RESIDENT / OWNER Name: aeti/ Id GY1 f f l fA 3 2- - (/ ,/� lPhone: Address / City / Zip: S---/(7 7- u) V- e /�% 12 / 6 l /a-17 Applicant is: Owner A Contractor ' TYPE OF WORK Description of work: { -C. (0.) CO -7/477V, c (7)/04 AK Construction Cost: Multi -Family Building: (Yes / No X) CONTRACTOR Name: -4 ie- --/-j2-lGgl'e ---t/� G , License #: 'lie, 33..> 93 Address: 3? &6 ,'L4-' 7 %1' City: r --e -1-! State: Pili%, Zip: 557 7 2- Phone: (a c7 " 30 ` 60/ U✓ Contact: ' 'f 6 y/77 (ez' Email: At/f >4-4-4►�-f? / t4C 43 1 . c--07-''�_ COMPLETE In the last 12 months, has Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? 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 nonpublic if you provide specific reasons that would permit the City to 'conclude that they are trade secrets.:'' ..,.s . ' 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.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. x �/ � o /4 S J 4.60 / Applicant's Printed Name x /1471.47 Applicant's Signature Page 1 of 2 , • ~ INSPECTI4N RECORD CITYOOF EAGAN PERMIT TYPE: ? t.i) t Nc: 3830 Pilot Knob Road Permit Number. 0% 697'? Eagan, Minnesota 55122-1897 Date Issued: e t4 /y t, (612) 681-4675 APPLICANT: SITE ADDRESS: ' Lo~r` ' 1~? ^HLOc.~; : 11 4 14_ iv?iITP, PINE WAY ?~~iiH;:~ W1' PERMIT SUBTYPE: TYPE OF WORK: ~ t' i . ~1kW 1 INSPECTION • DA IN r;:= F't.iU Nl) fi'1' 1 t?N M'f: Atli N{~ Ht1flF' I NC \ fN., Ui,ATI ON F i kt;PLAC'E; 3t0i16H [ N PLRC, ki~UGH ! H IiTG i' t NFiI, ! I.H(; P[ NA(t FcF:flARKS : EIRV fli & W PI,BR - ~ L - . ~ ~II Permit No. PartnH NoldK Dete Talephone k - ELECTRIC 9 ~ 1 PLUMBING HVAC kap~cdon Dste Insp. Comme~ts r-oonr+Gs FOUND .2' ~ I FRAMING !sf{ ROOFING • dffi ROUGH ` 'S J I PLUMBING ~ ? PLBG I AIR TEST ` ROE H/1L~ - , I I Ci11S SVC TEST INSUL y GYP BOARD I FlREPLACE ~ I FIREPLACE AIR TEST FINAL PLBG FINAL HTG R' /t TERSTIT I BLDG FINAL BSAtT R.I. ~ BSAAT FIPIAL I I DECK FfG DECK FlNAL I I ^ - ^ INSPECTION'RECURD CITY OF EAGAN PERMIT TYPE: ' I r'' , 3830 Pilot Knob Road Permit Number. <s F. Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 ~ ~ SITE ADDRESS: ' APPLICANT: j ! If I: 1 4f i.:l lif f <011TV rrMF waY , i ri ( . t • , i , t • ~ ; , . 1 i.~ I ' PERMIT SUBTYPE: TYPE OF WORK: . . 1 eJ ?'t i I ~ ~ - - - - - -J~ ~ Pwnk No. PomM Molder Deta Telsphont I ELECTRIC PLUMBIN(i HVAC i Inspoctlon Wb Insp. Comments FOOTINGS FOUND FRAMING ROOFINC3 ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS 5VC TEST INSUL GYP BOARD FIREPLACE I FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST i BLDG FINAL I BSMf R.I. BSMT FINAL ~ DECK fTG g15 Q' I I DECK FINAL E - 1 - T ^ INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. `l'"if' 3 Ea an, Minnesota 55122-1897 9 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ~ . , . ~ i~~ t. ~ ~ i iFf f ~ ~ ! 1 a~~ . : . i r•i;ci~; i i E;~, rlr , I ~i(}~ t,? ( r. c ~ I r.~. PERMIT SUBTYPE: TYPE OF WORK: INSPECTION D • DA I I'lil9 I ;:1111~;!! I 11 1'I f';I> 1?t~,': ~ sA M11I: h•. 1,11 1•/11+A I t 1? t, lzl i i •;~i; ~ I; r 101 t r, f fi t 01~ 1 1 tcI~ . f t fI 1 v I~ 1~1 I41 I+ I ~ i i ~ - - - ` , . , ~ i - Pwnh No. ParmR HoldK Date Telephons i ELECTRIC PLUMBINC3 3 ajrj !~a ~3~ HVAC tnsp~ctlan Dw Irap. ComrMnb FoonnGs FOUND FRAMING I ROOFINCi I ROUGH I PLUMBING I PLBG AIR TEST .I ROUGH I HEATING GAS SVC I TEST I INSUL I GYPBOARD FlREPI.ACE FIREPLACE I AIR TEST I FINAL PlBG I I FINAL HT(i I ORSAT TEST I BLDG FINAL I BSWT R.I. 3 X !F7 II BSMT FINAL DECK FfG I OECK FINAL I I I I ~ , ~i ~ ~ I ~l C~~er#~~cate of cccupanc~ ~M Of ""IM mtoarrmant of ISNOWg 3abocetioa This Certeficate issutd pursaant to thc ieqairrnunts of the Uniform Building Codr ~ f certifying tJuit tv tht tinu oJissuantt this structrtre wos in compliance witft th4 various ~ orrfinances of the Ciry zgulating buildi?ig constnrction or use. For the following: . tse a.urmitoa: SF QdG Bwa. temit r?o. 26977 o-EP-.Y T~W R3191 Zmft am~ R 1 r,M cO". VN " o,nw of awidm MM SY QMSB Aaeem 1668 E aIFF BD, B' VIIIE e~; ~ Ae~ 542 i~I7E PII' WAY t~, L10. B4. P'II~.S ~ let ' Dw. PosT IN A CONSPaXous PU?CE Addres5 542 wEttTE M~E waY Zip 5512 3 I.ot in Blk a Sub vTNF.s m7, tsr THESE TI'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECfION. Date: Yes No Inspector: '~l Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Pecmanent gas Sod/Seeded grass TraiUcurb damage Porch ~ Basement finish r~y Deck Please verify with the builder the removal of roof test caps from [he plumbing system and the shuboff of water supply to [he outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in righPOf-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy ~ RESIDENTIAL ~~?~I I 6 BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 I ac, 651-681-4675 ~ NewConsWCtlon Reouiremenb RemodellReoairReauirements • 3 reg¢tered site surveys showing sq. ft. of bL sq. ft. of house; and all roofed areas • 2 copies of Olan (20°h maximum lat coverage allowed) . t set of Energy Calculations (or heated additions • 2 copies of plan showing beam B window sizes; poured found design, etc.) . 7 site survey Por extenoradditions 8 decks • 7 set of Energy Calculations . Indiwte it hane served by sep6c system for additions • 3 wpies of Tree Preservabon Plan if lot platted after 711193 . Rim Joist Detail Optlons seleclion sheet (61dgs with 3 or less um4s) DATE - 25 - o z VALUATION SITE ADDRESS 5e(2- L`-) J+~~Pr~.rc MULTI-FAMILY BLDG ~KY _ N TYPE OF WORK a-c- ~ 2pO FIREPLACE(S) _ 0_ 1_ 2 APPLICANT r~7P ( C,C~7~~ Cax7~ • STREETADDRESS S~80 Qo A,-, A.)e . CITY QZ64-7>v5 STATE A"'ZIP TELEPHONE #-ib 3-425' 5131 CELL PHONE # C f2 f90- o S3'-7 FAX # PROPERTY OWNER TELEPHONE # hs ( - 32Z -¢$39 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ ytINNESO"GA RULFS 7670 CA'CLGORY I MIN\ESOTe\ 12ULlS 7674 (4 submission type) • Residential VentilaUon Calegory 1 Worksheet Submitted • New Energy Code Workshee[ Submitted • Energy Envelope Calculations Submitted Plumbing Contraetor: _ Phone # _ Plumbing system includes: _ Water Softener Lawn Sprinkler Pee: $90.00 Watcr Hcatcr No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # .N[cch:uiical systcm includes: _ Air Condiuoning _ HcaL Recovcry Sys[cin ~ Sewer/Water Contractor: Phone # JUN 2 5 2002 - I hereby acknowledge ihat I have read this application, state th rmation is e rrYec ;-an agree-t ly with all applicable State of Minnesota Statutes and City of Ea an rdi nc~3~ Signature of Applicanf OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updaled 4102 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 0 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mulli ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Damolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning Ciry Water SAC Units Stories Booster Pump Nbr, of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings(new bldg) _ FinaUC.O. _ Footings (deck) _ FinaWi o C.O. _ Foo[ings (addition) _ Plumbing Founda[ion HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding SNCCO Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total PERMIT 64ev512qa l = CpTY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: guiLDiNG Eagan, Mi nnesota 55122-1897 Permit Number: 0 2 6 9 7 7 (612) 681-4675 Date Issued: 01 / 2 4/ 9 6 SITE ADDRESS: ' 542 WHITE PINE WAY LOT: 10 BLOCK: 4 PINES EDGE 15T P.I.N.: 10-57690-100-04 DESCRIPTION: Building Permit Type SF DWG Building Work Type NEW UBC Occupancy R-3 U-1 Construction Type V-N ~ Zoning , R-1 Building Length 60 Building Width ~ 50 , Building stories 2 Square Feet 1,949 Census Cod'e 101 1- FAM. DETACH REMARKS: - ,PRV S & W PLBR - FEE SUMMARY: VALUATION $138.000 Base Fee $1,077.25 MISCELLANEOUS $1,923.50 Plan Review $538.63 Total Fee $4,458.38 Surcharge $69.00 SAC $850.00 SAC 8 100 SAC Units 1 Subtotal $2,534.88 CONTRACTOR: - Applicant - ST. LIC OWNER: HOMES BY CHASE 18955337 0001619 HOMES BY CHASE 1668 E CLIFF RD 1668 E CLIFF 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 wlth all applicable State of Mn. Statutes and City of Eagan Ordinances. APPLICANT PERMITEE SIGNATURE --rIS~IIED BY.ISIG~7~URE IT-t- IL41q CITY OF EAGAN ~f~ 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 1_2 2 681•4675 New Construetion Reauiromants RemodeVReoair Reauiremenfs ? 3 registered sRe curveys ? 2 copies ofplan ? 2 copies of Dlana (inGude beam 8 window sizes; poured fid. design; etc.) ? 2 sRe surveys (exterior add@ions 8 decka) ? 1 energy calculations ? 1 energy ealwlations tor heated ndditions ? 3 copies of tree proeervation plan H lot platted after 711/93 roquired: _ Yes _ No DATE: -Q'4~_ _ CONSTRUCTION COST: /01:~' 3~ 10 DESCRIPTION OF WORK: STREET ADDRESS: ' -ZL /'//7,°- `4 LOT Id BLOCK ~ SUBD./P.I.D. / - -e-- 10 _O(o40-IDO-D PROPERTY Name: ~ A4W~ c 4~,05 e- Phone ~yS-5~3,7 OWNER Street Address- / City: U/~ State: ~ Zip: CONTRACTOR Company: Phone Street Address: License City: State: Zip• ARCHITECTI Company, ~JZ,, ~ Phone ENGINEER Name: Registration #Street Address- City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. 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. Signature of Applicant: OFFICE USE ONLY / RCECCNCDD Certificates of Survey Received ~ Yes -~O J A N 10 1996 Tree Preservation Plan Received Yes ~ No OFFICE USE ONLY BUILDING PERMIT TYPE ~ ? 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish ,,d- 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. 0 10 = plex ? 15 Deck WORK TYPE ,,o°31 New ? 33 Alterations ? 36 Move ? 32 Addition o 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Aduaq ~ Basement sq. ft. MC/WS System (Allowable) fi:~-r-~ Mainevel sq. ft. 27i City Water G UBC Occupancy i2Z- sq. ft. Fire Sprinklered Zoning 2-i sq. ft. PRV f_ # of Stories z fnr.r sq. ft. Booster Pump Length /~o sq. ft. Census Code. /0/' Depth .5-0 Footprint sq. ft. Syk' SAC Code Census Bldg ~ Census Unit ~ APPROVALS Planning Building Engineering Variance Pertnft Fee Valuation: $ Surcharge Pian Review License MC/WS SAC Z" ~ r ~ 17 - City SAC 2fx y6 =/,isp z -7 i Water Conn. aw-- ix a= a Water Meter z 1.r~ z y y Acct. Deposit ~x , Z - i z <l x s) SNV l S/W Su harge / z 7/ z Treatment PI. Road Unit Park Ded. Trails Ded. L~- aner a5•rx zv = .ssx~y~ s' Copies z z 7z = 7oy Total: 7ao zx 1 % SAC ~ -7(6 ' SAC Units ~ - YSZ ~ P.02 2422 Enterprise Drfva * * * Mendoto Heights, MN 06120 * P~FI Lm „om-,.ORS . ,m Dom„s (812) 881-014 FAM881-94ee 625 Hlghwoy 10 N.E. ,k * * * Blaine, MN 55434 (612) 783-1880 FAX:783-1883 Certificate of Survey for: HOMES BY CHASE F. UJ ~ p ~~/p/ n~~~~ ~~r° ~ \ ~a o are ( I 1 E~AAGAN ,iVG ~jERING DEgT. N89°41'52"E 2 ~ yL 95616 957.3 x 9803.7 103.95 ^ 954.3 i ~ I ~S.o ~a.o o ` o /!q . , to a~ to I ~`>.DRNryAGE & UTILITY -I y ~ EASEMENT PER PLAT"`~,k\ ~ I ~ ~ ` M'EaEw~1L Lji ~B1.o 959.6 ~ O s5s.s i ~~a ~ORoPE.RT`~ ZI3 I x x x tlNat'-- 7.7 ~ 957.0 I 956.9 r 30.00 l 7 U 1b.95 -^~---y-- + 48. 0 Tl~r+ G 9 .1 ~ 881.6 ~ ~ 1n. ' RO"P St O5ED ~ 9 I I ~ /FtW 187 959.di I OR cn I ~i f 960 9 i 960.3 .33 r- 114.09 ~ ~ !r ~ u& Z 74), o GARAGE~~ i I i----- 981.2 0 2.0 N I BENCH MARK BENCN MARK ~'57.6 TOP OF PIPE p 30.00 ~ PR POSE ta 96 70P OF PIPE ELEV.=958.24 DRIV£WAY g"71 10 EIEV.=981.44 0 \~,p~ ~~64;~ l 4~QZ °cG ~~.h~ - y EAGAN ' $y959.T^ wt,,,- R E V WED958.7 ~ 959.2 S89'41~52"W WHITE PINE WAY wore, aaaPasco crtwes sHOVeN roR u+eou+c wM er. vIa+EEx PrtaPOSEO HAUSF -ELEvAMoN N01L MLdN6 OMENSIONS SHOWN ME FOR HOFIZGNTAL ANp yFAi1CAL IACA710N OF SIRUCTUflES ONLY. SES ARCH7ECIU4 PLAN6 FWi 61/1LDIN0 AND LOWES7 fLOOR ELEVATION: q 54' FaNbA1WN DdagCNS TOP OF BLqCK ELEVATION: 19~6 Z ~ NOIE: NO ~ECiF1C SOILS WVE511CA710N HAS 6EEN COMPICIEG OH 7HI5 IAT BY THE GARAGE SLAB ELEVqTON; ,.ISe~ SURVEYOR. 7NE SUITABILITY OF $OL3 TO SUPPORT 711E SPEaRC HWSE PROPOSED IS NOT THE F7ESPOM51&l1TY OF 1HE $URyEYOR, NOTE: THIS CERiF1CATE 00E5 N0T PUiPORT TD 910W EASEIIENIS OTHER TIAN K 000.00 DfNOTEE ENISTNG QEYA710N THOSE 910YM 01! 7NE HECORDED MAT. ( W0.00 ) DENOtE9 PROP09E0 ElEVAlION oE1107E5 PRAINACB AND UrU1Y EASEMENi Nptr%! CqJTFeAC10R MUST VEfEFY OPo%EMAV DE9(?l, -4- OEHOIES ORAINAG£ fLOW OR7EC710N NOIE BEMNNGS SHOWN ARE BASED ON AN A591Mm DANY 9- Dpt0165 40NUVARlT -a- OENO1E9 OFFSET H!!8 N£ HEREeY CERTIFY TO HOMES BY CHASE 1HAT 7HIS IS A iRVE AND CORRECT REPRESENTAiION OF A SURVfY OF 7HE 60UNDARIE5 OF: LOT 10, BL.OCK 4. PINES EDGE 1ST ADDITION DAKOTA COUN7Y, MINNESDTA It D0E5 NOT PURPORT TO SHOW IAIPROVENENTS OR ENCHROACHMENTS, EXCEPT AS SHONN, AS SURVEYED 6Y NE OR UNDER MY OIRECT SUPERVISION THIS 8TH DAY OF JANUARY, 1996. r^'" _ GNE PIONEER E NEERING P.A. SCALE : 1 INCH = 30 FEE7 e . ' 975 94400.07 PJH hn C. l,orson, LS. Reg. No. 19828 R=95% 01-11-96 04:29PM P002 }i21 . LOT SURVEY CHECiCL1ST FOR RESIDENTIAL W o BUILDING PERMIT APPUCATION W PROPERTY LEGAL: y~.~ ; < ~ m DATE OF Rv~r: i f~ 96 d LATEST RE1/ISION: o ~ DOCUMENT STANDARDS ~ D • Ragistered Land Surveyor slgnature and company o 0 • Building PertnitApplicant 0 • Lagal dascdptlon - ~O 13 • Address 2--'13 0 • North arrow and scale ~ ~ • House lype (rambler, walkout, aplit w/o, spift entry, tookout, atc.) ~ o • DlrecCanal drainape artowa with slppe/pradlent 9L W'o 13 • Proposedlepstlnp sewer and water seMces S Invert etevatlon Q~~6 C • . Street name q,-'11-3 0 • ' Driveway ELEVATIONS . Existlna 2`13 o • Sawer service plo o • PropeAy comers 410 ? • Top of curb at ihe dfireway I;V"~o ? • Elevatlons of any ebstlng adJacent homes Proposed 0 • Garage floor U" o C • Frst eoor W'? o • Lowest exposed elevatlon (walkouVNrindow) 8"'~O 0 • Property comers v~o a • Front and rear of home atthe foundatlon PONDING AREA Ifl aoolicahlel 0 4+" 0 • Easement Iina • • O e NWL • ? m/ O • HWL o • Pond ik desipnatlon , ~ 0 • Emergency Overflow EJevatlon pIMENSIONS 0 • lot IineslBearlnps 3 dimenslons ~ 0 • Righ6ot-way and sVeet width (to baCk ot curb) • * 0 • Proposed home dimensions Includinp any praposed decks, ovefiany9 praater thao 7, ~ porchas, etc, p.e. all strucwres requiriny pertnanent faoanas) o • Show all easemanls of record and any Ciry u0litles within those easements ? O o • Setbacks of proposed structure and sida setback of adJacent "sBng structures ~ • Retaining wall requlreme any ' Reviewed: z N ma ~ a~ JuM 1995 __j_ ~ • . . ; - r - S= 0+45 INV= 945.7 j ! S= ~ CS= 954.4 INV- cs_ c S='.• 0+42 ; INV= 946.8 MH STA + 2 ; , ' CS= 956.0 ' 7 4 R' ~ I I 1 I ~ MH ~ STA. 8 ~ ~ /F\ ~ . I ~ ~ I 1 I ^ 1 / , ~ ' L ' I 1 ' ~ S= 1+3~ ; INV= 947.4 ~ CS= 956.~ ' H, dNT ~ 8- L "x 6", TEE J ; ~IP, CL F ~ ~ 9?- °I ' ~ GN i ~ S= 0+41 EL. 95837 jINV= 949.2 S= 1+ 3 I ;CS=n959.0 INV= 95 ~ S° 2+24 BEND i ~ CS= 9r, INV= 947.9 - ~ CS= 957.8" ~ S~ .9+64 MH J 1> 3 R,, 9 , ' S= 0+1-7 WH~T'E , . - INV= 948.3'. , CS= 958. • , P,-- ~ ' S= 0+14 ; j INV= 948.8 WV= 950.0 CS= 958.8 cs= sss.s ~ MH (L STA: 1~0+12 6 , 0 4 R TE . PN ~ . . . . . . . . . . . . . WA . . ~ • • • . . . . . . . . . ~ . ' . . . . • . . . . . . . . : . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . • ! - ' : : : ; : : : : : : : : : : : : : C"•:~';~=~;~ :G~:~JDp : . . , . . : . : : : . . . . . . . . . . . . . . . . . . . . ~.~I . . F. .UII(_I I y . ~.I J!AS- .p1.I:CJt~1 . . . . . . . . . . . . . . . . . . y~ n/ . . . Q,•.TIl:~l JPi:~~..'n . . . . • . . . . . . . . . . . . . . . ~ '\:•~~~1~ ~ ~ ' • . 1. . . . . . • . . . . . . : . . . . . . . SrS "t!"._,.. . . . . . . . . . . . . . . . . • J~I~~. _ . , , . . . . . : : 11BI:D=15.30 . . . . . . . . . : : . . . . . - . : . . : : . . . ! : .MH RE=958.32 • ; . . : BLD_11.00 . . . . . . . . . . . . . . . . Mli . . . . RE=957.2: . . : : . 9 BLD=11. . . . . . : : : ~ : : . , . . . . . . . . 95531 . . . , ` . , . . . . . . . . . . . . . . . . . . . . . . 12' RCP O : : : : . . . . : . . . . . . . . . . . . . . . a . . . . . . . . . . . . . . . . . . . . . . ~ . . M.'.':. . . . . . . . . . . . "r'; ' . . . . . . . . . . . . . .•::i . . . . . . . . . . . . . . . . . . . . „ . . • . . . . . . . . . . . . . . . . . . JV~~~ ar . . . . . . . . . . . . . . , ~ 7 . . 8.pVC.. . . . ' ' . . . . . . . . . . . . . . . . . . . . . . t~ . . . . . . , . . . SDR 35 . . : ~ : . . . @.} 46 . . . ls.~ '•:.i . ' : r~f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . .::.::::::.:::::::::~...p V :...:...::..258'- a."P1 t , . : . ~ . i . . 49 -8 PVC: SDR . 35 . . . . . . . . . 19b i;:,~: `^ti:'F~lt~~Y :pF. UTIC.iTY: .I:GGr~TIvf~S . . . . . . . . . . . . . . . . . ~9y:. :ftif•:':`;~::~: F!ONS. :TFi':S :GAT,~ .I~ rOFl : : : . : rr~'; b.l!FF'nSE7.:.ni~~=d::'AiVD . . . . . •THE '~~.t?:~G IT aH01:ICD.~J~~"lr.r-Y. . . . . . . . . ^i. ' ~ _ . .1 ' . . . . a;.•.~:: r ~ ` ~JTp?r_ S!T'E. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . r,e.:y 2'-•r~~-'It.~ :..n.i:~ ~ . - ' . _ a.:_;• : . . . . . :N . . . . .....................................................N '':.•":7~ 1~......tD~ ~ : ~.:::..a~ : . . . . . ~ . . ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . O) .O) . . . Of ~ . . . : : . . . _ . . . . '.':`Z ~ . : . . . . . . . . : . . . . . . . : . . : : : : . . ; ' Z Z : . ~ Z . . . . . . . . . . . . . . : : : : : : . : : . ; . CBM . RE=: :954.00 . . : . : : . CBM . RE= 9,' itH RE= .953:20 : . . : : : : : : . . . . . . . . . . . . . . : : 113 BLD- 3.2 . . . . . :114 BLD:= 3. g. : BLD=.5.87r: . . . . . . . . . . . . . C MH RE- •953.33 . . . . . . . . . . . . . . . 1A2 . BLD= 6.18 . . . . » .7~° , . ' ~ . . : : : . . . . : . . . .12~ RCP. G . . . . : : . . . : : . . . . . . . . . . . . ~ . . . . . . . . . . . . . . . . . . . n XING . ~ 2.02~ . S°SAN.XINC 1; CP.C~;•5:.. . . . 15g . . . . . MS. CfFY QF EAG;aN DOES. fVOT:GIIF dAfl7c c . 0 0.31 % . . T;-;E. :A.CGURACY • Of. UTILITY LMAT1M) . ELEVATIOMS.. THIS. f:?~7t1 I:+ : F0~ 1: . . : : ~ ~ ~X{ G:........ . . . . . . . . . . . . . ll~-Cr:il~ai'EON PURPOSES : : Qi1.L, : AN~ I. : . : . . . . . . . . . . . . . . . . . . . . . . . . . • P ,~•'itG• UCif~G ; FT •SfiOJLJ: V~:',=;: i~"I "r~ . . : : . . . . . . : : : . IIvFC~ Z~~;TIOfV OP~d;THE $ITE. : : . . . . : . :.3 : : . : . . . ..z (nw . ...............p .o LO.LO. . . . . . . . . . . 0... . (O N . . . OD . . . . . . . . .(l: t< l~:. . . . . . . . . . . . . . O . . . . . . . . . . . . . . . . In ' . . . . . . . . .Ch Q~.Q~ . . . . . O~ . . . . . . a) . . . . . . • . . . j . . ~ . . . . . ' ~ > > , . _ . . . . . . • . . . : Z Z Z:: : Z Z s s ea SHEET TIP_E OWNER ~ CU Ak AD nt~V- TK'. C! iY QF EhGF.N DOcS NO'i CU!', ?"A['!'i =L ~ ~E ArGURACY OF UTILI7Y LQCA710N'S ui.EVATIOfV.S. Th11S DA7A IS FOR PURPOSES OWl AND FF ' l: !ivG IT CXCIiL'; C.:'': ~ G.`I'(~;~ ~^.i"i;. • . , ' i . : • ~ CB ~ STA.7+74 CBMH LOT CORNER 172 16 L 113 R-4342 CASTING ST@@L GRATE ~ - i O ' y g i i i I ~ CBM ~ STA.114 -71 114 14 L +00 +3 3 I ~ ~ i CB ~ STA.' ~ i ' 115 14 R .___1 _ • • W s 5 _ - - - ~ - SILT FENCE i ` STA. 5+58 i ~ INSTALLED ~ w - - - ~ - - - 102 16 L AFTER CONSTRUCTION i CBM ~ 5TA.7+94 - 109 16 R 1& 2 Fauuly Kesidential "Goukbouk" Metliou SfiEADDRE55 ' Gty / - ~ dr? BU1tDER Date /J Mintmum Criteria: lLim ]oisc R-I9 insulation Foundaton Windows: insulated glass. 1R" air spaca. Kvod or vinyl frune ' Entry doors: t'/a 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 Box B(total WINDOWS (including foundation windows): wall area) times 100 equals the window and door area Dimcnsions Qnty. Area as a pencent of wall area (Boz C). X~- Boz A z 100 Boz B z O 7T z 'elu y ~ STEP3 DesignFeatures y x 3' x s-° .3 p ASSEMBLY OPTI0N ~ x FRAME WALL: , x p o STANDARD FRAMIN G ~ . x ~ x ADVANCED FRADII'7G x CpViTY IIdSULAIION DOORS: X SHEATFING: LESS TFIAN R-5 I x~~ J` ~ ~ R-5 OR DfORE x ~ WINDOWS (escept foundation wiodows): d / U- ~ 5 U Total Area of -FACTOR R'indow & Doors From ehe table, determine the maximum percent window Total Wall Area in Sq. Ft & door azea for the design options selected and enter the Wall Total Perimeter Height Area._ value in boz D below: lo z v ~ 6. Box C must be less than or equal lo Box D Total Area of wall 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 insulation within the insulated cavity, sheathing R-value, and window U-factor. Other components must meet the requirements of this subpart. MAXDfUM WINDOW AND DOOR AREA AS A PERCENP OF OVERALL EXPOSED WALC Cavity Window U-Factor Fraaun¢ Uuulation Sheathin¢ 0.49 0.36 0.31 027 STANDARD 13.49'0. : .17.89'0 - " 21-39'o 24.3% STANDARD R-15 2R-5 129%~ 17.1% 20.1% 23.4°e SI'ANUARD::', R-S 18.8qo " 22.0% STANDARD R-18 2R-5 13.59'e 18.600 21.8% 25.3°b ADVANCED R=18;: : - ..-<R-511.1%::.~ -.20.1Ye. 23.49'0' • . ADVANCED R-18 211-5 13.5% 19.2% 22.5% 26.1°e _ STANDARD, ~R_5:.:%:,'• 4 _':-;11.8qq,. 17.09'g:-- 19.99'0 23.19'e STANDARD R-21. _kt-5 ^ 14.6% 19.3% ' 22.5% 26.1% -ADVANCED'. ' R-21y'i'~:::::_ <R-5__. f.~:•.;:;_•11.8%.'a:;:;_-181%;' ~'.21.21/6 24.6% ADVANCED R-Zl 2R-5 14.0°/, 19.9°%, 23.2% 26.9% , . Subp. 3. Performance criteria. The combined thermal transmittance (Uo) _ factors for walls, roof/ceilings, and floors over unheated spaces must be less than or equal to: A. 0.110 Btu/h ftz °F for walls; B. 0.026 Btu/h ft2 °F for roof/ceilings; and C 0.04 Btu/h ftz °F for floors. . StAT AUTN: MS § 216C.19 HIST: 18 SR 2361 7670.0480 Rcpealed, 18 SR 2361 ' Minn. Rules Chapter 7670 26 June 1994 ~ PERMIT ~ CITY OF EAGAN 3830 Pilot Knob Road PERMITTYPE: euzLozNe Eagan, Minnesota 55122-1897 Permit Number: 029619 (612) 681-4675 Date Issued: 0 3/ 2 4/ 9 7 SITE ADDRESS: 542 WHITE PINE WF1Y LOT: 10 BLOCK: 4 PINES EDfiE 1ST P.I.N.: 10-57690-100-04 DESCRIPTION: ' Building-Permit Type BASEMENT PINISH ,6uilding Wor,k Type ALTERATION ' Census Code ~ 434 ALT. RESIDENTIAL i . i REMARKS: SEPARATE PERMITS ARE REQUIRED FOR PLBG & ELECTRZCAL WORK FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Lic. Search Fee $5.00 Total Fee $55.50 CONTRACTOR: - Applicant - sT. LIC OWNER: C B H REMODELING 13225423 0005777 GRIFFITH DAVE 13975 BUNRATTY 542 WHITE PINE WAY ROSEMOUNT MN 55068 EAGAN MN 55123 (612) 643-7165 (612)322-4839 I hereby acknowledge that I have read this applicatinn and state that the information is correct and agree to comply with all applicable State of Mn. L Statutes and City ofi Eagan Ordinances. ~ ~ ,J'~1 hI1' yy~}~ APPLICANT/PERMITEES ' 1Q{BY~SIG ATURf 1~I.CY 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)/#~~ 5D cin oF eacaN 3830 PILOT KNOB RD - 55122 681-4675 New Construdion Reauirements RemodeURaoair Reauiromenb ? 3 registered ske surveys ? 2 copies of plan ? 2 mpies of Dlans (inGUde beam 8 window saes; poured tnd. design; etc.) ? 2 ske surveys (e#erior addkions 8 tlecks) ? t energy calculations ? 1 energy calculations Mr heated addkions ? 3 copies ot tree preeervation plan H lot ptattetl after 711193 repuired: _ Yes _ No ' DATE: 3-19- CONSTRUCTION COST: /Df aao DESCRIPTION OF WORK: sN STREETADDRESS: W TE 'Ov''4y LOT BLOCK ~ SUBDJP.I.D. 61 1-1 PROPERTY Name: '60'Ve Phone#: 322 -4'83y OWNER u.* Street Address: -rya ~T e- )0'^'ie City: State: /wn' Zip: a coNrw?CTOR Company: C- 6N 2ei'mooga11?6 Phone Street Address: / 3y 75' So.vaaTry License City: 9o36.,Aoo.v7-State: /WZip: SSoGg ARCHiTECT/ Company: Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer 8 water licensed plumber (new construction only): . Penalty applies when address change and lot change are requested once pertnit is issued. I hereby acknowledge that I have read this application and state that the infortnation is coRect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY RECEIVED MAR 19 1997 Certificates of Survey Received _ Yes _ No Bl'?~ Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY \ BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex o 11 Apt./Lodging 0'~16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 _-plex ? 15 Deck WORK TYPE ? 31 New ,e' 33 Alterations ? 36 Move 0 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) 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. .~13 U Depth Footprint sq. ft. SAC Code n 1 Census Bldg ~ Census Unit o APPROVALS Planning Building ~1116 Engineering Variance Pertnit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/VN Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units -1 ITY OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 0 5 7 6 (612) 681-4675 Date Issued: 0 8/ 13 / 9 7 SITE ADDRESS: 542 WHITE PINE WAY LOT: 10 BLOCK: 4 PINES EDGE 1ST P.I.N.: 10-57690-100-04 DESCRIPTION: Building Permit Type DECK Building Work Type NEW Census Code 434 A'LT. RESIDENTIAL ~ ~ ~ ~r- r, ~ REMARKS: FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: - Applicant - sT. Lrc OWNER: C B H REMODELING 13225423 0005777 GRZFFITH DAVE ]`1 3975 BUNRATTY 542 WHITE PINE WAY f.SOSEMOUNT MN 55068 EAGAN MN 6612) 643-7165 (612)322-4839 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. L Statutes and City of Eagan Ordinances. J APPLICANT/PERMITEE SIGNATURE ISSUED Y: SIGN E 997 BUILDING PERMITAPPLICATION (RESIDENTIAL) ~JjO•J ~ CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681 -4675 New Construction Reouirements SemoCeVReneir Reouiroments . ? 3 repietered srte aurveys • 2 copies of plan ? 2 copies of plans (indutle beam 8 window sizes; poured fid. tleaign; etc.) • 2 site aurveys (eMerior add'Aiona 8 dedcs) • 1 enerpy calculations ? 1 enefgy calwlationa tor heated addkions ? 3 wpiea of trce preeervetion plan H IM platted aEer 771193 requirad: _Yes _ No " DATE: CONSTRUCTION COST: y 0 76 DESCRIPTION OF WORK: t~Ec~ STREET ADDRESS: sy ~ W+1 ~ T E p ~ n E vj A/ LOT BLOCK ~ SUBD./P.I.D.#: ~~nDU Pl~(1~ Ia~ PttOPER7'Y Name: Phone#: 3~~-~y839 OWNER ~ .w.* Street Address: -5-4'-2 N'-r E A' ^'f A Clh/: State: Zip: CONrRACTOR Company: 14 12 E,^'\ u 0 E c, niG phone 3 Street Address: >3975 Q ilNea,-r y Avf License -s»~ City: RCLIE 0 U^,T State: /,j Zip; ARCHRECT/ Company: Phone ENGINEER Name: • Registration Street Address: City: State: Zip: Sewer 8 water licer.aed plumber (new construction only): . Penalty applies when address change and lot change arc tequested once pertnit is issued. I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with ail appticable State of Minnesota Statutes and Cily of Eagan Ordinances. Signature of Appiicant: OFFICE USE ONLY CeRificates af Survey Received _ Yes _ No R CEIVED Tree Preservation Plan Received _ Yes _ No _ Not Required AUu O i 1997 sY. OFFICE USE ONLY ~ BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaiNRem. 0 17 Swim Pool 0 03 SF Addition ? 08 8-plex n 13 Garage/Accessory ? 20 Pubiic Faciiity 0 04 SF Porch ? 09 12-plex ? 14 Fireplace a 21 Miscellaneous ? 05 SF Misc. ? 10 _-plex ~ 15 Deck WORK TYPE ~ 31 New o 33 Alterations a 36 Move 0 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) 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 DI Census Bldg i Census Unit 0 APPROVALS Planning Building '~?Y1 Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit • S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units - ~ 2422 Enterprisa Driva * * ~ ~ee~doto Ho~glite. MN 65120 k PIOIII~~T~1 i~wo sur+ycrans • cNa o+c~+mks (812) 681-1914 FAXt68/-9488 * en~ neew n~ v'"° "uw+w• W+uxMt /nautccn 625 Hlghwoy iQ N.E. Blafne. MN 55434 * * * (m) 783-1880 FAX: 793-1883 ertificate of Survey for: HOMES BY CHASF 5-~~, r~~,~ Vl L-- ) L c V o _ . ~ ~:LB 1 E A rAN GII -'EEtING DEPT. ~ N8903.95 pE 2 G 957.3 x 9803.7 G 954.3 { 956.6 ~l q yJ ~ o o I ~f.o ° idr \ I 10 } 10 I N_+- DRNNACE & UTILIIY ~/I EASEMENT PER PLAT"'-.k\ - I 10 956.8 1 aN ~pRot~.R-T`1 zi~ 461.oX 9x9~~ a~9~r X ~ 957.0 I 956.96W W' lb.95 a 7.7 ~ 30.OD~ ---f---x Q~ 48.00 1981.5 ~ i I 9 ~I Z ~ m PRDPO5ED I ~ (/j ~ ro I 187 959.~ I 2 m I I °n ~ 960x9 j 960.3 s .33 r- /14.09 I S i Ii'(rZ 6ARAGE~N i 0 ~ 98~'2 Z'00 BfNCH MARK BENCH MARK ~"57'6 y~ 1T3•96 TOP OF PIPE _ 30.00 PR POSE y I ~ EIEV.=961.44 TOP OF PIPE DRI~EWAY ~I 1~ o ELEV.=958.24 I o S~ ~vi c.~ o d .`7 ° 95909 EAGAN~~l,95931 SM.~ R E V W E D~`?)~ sss.~ a, 959.2 V S89°41~52"W 9Y ~ 2 WHITE PINE WAY PRtlP05ED HQ{~SF_F~ X.AnON NOTE: PROPOSEO GRAUES SXONN PER CR+u71NG PUN BY: PIONEER 54~ N07F~ BUILdNC OMFNSIONS SHONiI ARE FOR HORIZONT'LL ~MnCAL LOCA710N LOWEST Fl-OOR ELEVATION: r fpUt&AM1N DIMEN9aNS~ ARCMTECNAL PI.AN6 FOh O11lDINC AND TOP OF BLQCK ELEVAl10N: NO7E: No SPEqFlC SOILS WYE5i1GAlION HAS BEEN CONPLEIED aN 7NI5 LOT BY 7Hf GqRAGE SLAB ELEVATION: G~' PROPOSED IS NOT ~1HuR6PON^+~BNNTOF THPEOSIlRVEYOR. -(7FlG HWSE ~ X 000.00 DENOIES ENIS7ING ElEVATON HOTE: 7XIS CER/?lG7E DOE5 HOT PUtPOHT 7D 9i0W EASEYENiS OTHER 7HAN ( 000.00 1 DFNOIE3 PROP09E0 EIEYAl10N ~ irloSE suavm ou 7Nf aECCRD[D GU7. i,mOiES PFAfNacS ANC L'rUIY EASENEUt - MOtE• CONiRACTOR A/UST WtaFY OPoVEWAY 13E9Rl. DENOgS ORAINAGE FLOW DIREClION -f-_ OENOY64 4DWU6N7 NOIE: BEAPoNGS 5HO" ARE 8ASE0 ON AN ASSLIMED DAll1M DENpTES OFFSET HUB ' WE HEREBY CERTIFY TO HOMES BY CHASE 111AT 7H15 iS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF 7HE BOUNDARIES OF: LOT 10, BL.QCK 4, PINES EDGE 1ST ADDITION pAKOTA COUNTl, MINNESOTA I? DDE5 NDi PURPORT TO SHOW INPROVEMENTS OR ENCHROACHMENTS, fXCEPT AS SHOWN, AS SURVEYE0.9Y NE OR UNDER MY DIRECT SUPERViSION THIS 8TH DAY OF JANUARY, 1996• BCNE PIONEER ENp(NEERINq P.A. k~"S' AIE: 7 INCH = 30 F'EE7 ohn C. Larsoo, LS. Reg. No. 19828 94400.07 PJH 01-11-96 04:29PM P002 #21 R=95% 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) lw. bb • CITY OF EAGAN I fecl b~2bj oc 3830 PILOT KNOB RD • 55122 651-881-4875 G ~ . New Conshuctlon Reaulremenh 9 , me ss ~ > 3 reflisfered flfe wneya ahowlnp aq. fl. of lot, aq. B. ot house 6.a 7 -o 0 2 copies of plan and gn roofed areas f2016 mmcim m lot covera9e allowed) 1 aet o( energy calcWaHOns for heated addlMOns > 2 coples of plana (show beam 8 wlnWw slzes; pouretl 1ntl. tlesiqn; elc.) 1 alle wrvey tor exfedor adtllNOna & decka > 1 set of enerpy catculationa > J coples of hee preservallon plan If lot plWled afler 7/1/93 C70 pqTE; - S'- ob CONSTRUCTION C05f: DESCRIPTION OF WORK: I b!yiis' 1uot r-N-clk/~ :b) STREET ADDRESS: S42 L/,j ~LX--V e.~~ t4j e w\A- ~ 1V BLOCK: p n I S~ LOT: 4 SUBD./P.I.D. i: Name: C~ e :r~ A-vs 6 - ~ e b hse Pt,one C &5 / 322. - 'Zfi'3 °I PROPERTY ~st First OWNER V-"C~v V~- Sfreet Address: city 1E ,A---,,,A,1 srate: (AA/,.) i va: Company: A1 ~ J \t7uL° Phone M: J Z '9'J~3 -O J'/ 3 (area code) corirRncroR Sheet Adtlress: ~/kjo. ucanse a 29 3 q Exp. 3-l ~ 6) CNy V-x^-iS State: ~AVv 2ip: ARCHITECT/ ENGINEER Company: Name: Telephone C ( ) Sfreef Address: ReglshaNon Ciy Sfate: zjP: Sewer/water licensed plumber (if Installina sewer/waterPhone I hereby acknowledye ihat I have read Ihis appUcaHon, state Miat 1he Infortnation is cortect, and agree o com wHh a0 applicable Stat( of Minnesota Statutea and Cify of Eapan Ordlrwnces. ~ Signature of Applicant: L-:~ OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required ~ OFFICE USE ONLY BUILDING PERMIT SUBTYPES • ? 01 Foundation ? 07 OSplex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 ExL Ait - MuRi ? 02 SF Dwelling ? 08 06-plex ? 17 Garage 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 03 01 of _ piex ? 09 07-plex ? 18 Deck ? 23 Poroh (screened) ? 36 Mutti ? 04 02-plex ? 70 08-plex ? 19 Lower Level ? 24 Storm Damage ? OS 03-plex ? 11 10-plex Pibg _Y or_ N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bkig. WORK TYPE ~ 31 New 0 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding 0 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors • Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code ~L # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings ~ Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code N?a,l (Allowable) Main level sq. ft. MC/ES System UBC Occupancy I•i,2 sq. ft. e),City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS 5taeeefSteFte /'GYLiLr°u~~ APPROVALS Planning Building n4 Engineering Variance Permit Fee Valuation: Surcharge Plan Review License MC/ES SAC citysAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. • Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC 6129338598 JUN-26-00 08:09 qM PLUMBLINE BLDRS 6129338598 P.01 7 • PLUMBLINE BUILDERS, INC. 7 NlN77i AVflYUf NORThI HOAKINS, M/MNESpTA 55343 6121933-8493 FAX COVER SHEE7 Date: lp -60 To: From• ~\iNl ~A,( Number of pages (including this cover shest): -2- M there are any problsms roeeiving thi4 fax, pleass call Plumbline Buliders at (812) 933-7756. Measage:rj"'(~~Y 0~2 A'~'T~( 1(n rehn) -Y _-LA~~/ md r ~ 4-0 7S" D f S J G N F R 5 • R E M 0 0 E L f R S • R F N 0 V A T 0 R S Y N 0 AlNchecc CORSPLIANCE REPORT Minnes_ta Energy Code I Permit N I MIIichec--c Software Version 3.0 I I I Checked by/Date I I I m COUNTY: Dakota STATE: Hinnesota ~ ~ ZONE: ' m CONSTR7CTION TYPE: Sinqle Fami:_r N DATE: 6-23-2000 DATE C' PLANS: 6-23-00 TITI,E: GRI£FZTFI RESIDENCE PROJEC' INFORMATIOPF: PORCH Ai1DITION FOR DES AND DAV_ GRIFFITFI OD 542 WE:TE PIP1E WAY 0) EAGAN, MN 55123 N N m ~ N Q COMPAt,-' INFORMATION: PLUMBi=NE SUILDERS, INC ~ w 7-NIN'_3 AVE N. Z HOPKII:S, MN 55343 J M s NOTES: D J 161-0 161-0 PORCH ADDITION R: REAR OF HOUSE ON POSTS d CQhIPL-aIJCE: PASSES E a Requi=ed UA = 69 m Your ~jme = 61 o~ 4.~% E-etter Than Code m Area or Cavity Cont. Glazing/DOOr m Perimeter R-Value R-Value U-Value UA m i N • CEILZNGS 0 0.0 2.0 0 7 CEILIS;GS 0 0.0 0.0 0 D CEILINGS: Raised Truss 288 44.0 0.0 6 CEILLNGS: tiaised Truss 0 38.0 0.0 0 ~ n n n n p , HOPKINS, MN 55343 M m NOTES: a 16'-0 X 16'-0 PORCH ADDI=ION AT REHR OF HOUSE ON ?OSTS 0W4PLIANCE: PASSES Required OA = 69 Your Hpme = bl 4.0$ Better Than Cade 0) Area or Ca-:=ty Cont. Glazing/Doc= m Perimeter R-7ilue R-Value U-Value UA in ro CEILINGS 0 =.0 2.0 0 M CEILINGS 0 :.0 0.0 0 N CEILINGS: Rdised Truss 288 9=.0 0.0 6 ° CEZLINGS: Razsed Truss U 3=.0 0.0 0 CEILINGS: Raised Truss 0 :.0 0.0 0 WALLS: Wood Frame, 16" C.C. 284 2=.0 2.0 15 WALLS: Wood Frame, 16' C.C. 0 12_0 2.0 0 WALLS: Wood Frame, 161 C.C. 0 1~.0 2.0 0 WALLS: Wood Frame, 16" C.C. 0 1:.0 2.0 0 ~ BSMT: Conc. 8.0' ht/6.0' bq/8.0' insvl 0 :.0 10.0 0 GLAZING: Windows or Ibo=s, Above G=ade 92 0.350 32 ~ A GLAZING: Windows o= Doo:s, Above Grade 0 0.350 0 J GLAZI2iG: Windows oL Doo_rs, Above Grade 0 0.350 0 i°W GLRZING: Windows, Found=tion, 5.6 ft2 6 4.350 0 z DppgS 0 0.350 0 J pppAg p 0.350 0 FLOORS: Over Outside Ai= 256 3?.0 0.0 B D CRAwL: Concrete 66" ht.' 420 bg/ 66^ insul. 0 0.0 0 a HVAC EQUIPMENT: FUrndCe. 92.0 AE'[TE HVAC EQUTPMENT: Air Con4-itioner, 13.5 SEER ~ a CCHPLIANCE STATEMENT: 'he proposed buildinq des_gn described here is m consistent with the bui:ding plans, specificaticns, and other calculatio:s - ~ submitted with the perm_t app2ication. The progased building has been m . designed to meet the requizements of the Minnesc=a Energy Code. m m Builder/Desiqner Date ~ N - I Z7 , . , - . . _ . _ _ _ , _ _ . - . . . . _ . „ _ . . . - , . . . ~ . . . . - . ' , ' ' . ~ : ~ ~ M2422 sndotatHo1g16te~MN 65120 ~ ~K~ . ~ a~~ (812) B81-1914 FAM881-D488 ~np nsew n~ ' uro vuwiw. w~oxMC uMauxMn 625 Hlghway 10 N.E. * Blalne. AIN 55434 * * (612) 783-1880 FAX:783-1883 ificate of Survey for: HOMES BY CHASE- - L.. }3. o - He 1 F,AGAIQ GII EgrNG DEPT. ~ l I 9~ N89°41'S2"E ^ 2 28 ti~ 1 b3.95 ~ 954.3 I 956.6 957.3 x ~1 q-' ~ ~ o ~ 9803.7 IT~k - 10 ~DRNNAGE & U7ILIEASEMENT PER PL///~~~ i Z1 3 9s~.oX 9S ~6 10 956.x LIt.9G ~ 7 U 00~ 7.7 ~ 30.00 957 .0 tb.B"v 986.964i1 - 46.00 ~ T+ a ~ ~ I Z / ~OP SMD 9 i w 959. dA NI I OR co I °n ~ 960 9 i 960.3 ~.33 r- /14.Oq i ~ ~ ~~1 ~ ' i ;~1GZ 2~ o G RAGE~a I 4 nl I 981.2 ~ 2.~ . 957.6 _l_ r BfNCH MARK 3ENCH MARK 16•96 Tpp OF PIPE TOp OF PiPE PR POSE y ~A ELEV.m981.44 ELEV.=958.24 DRIVEWAY ~I 10 ~ • p~ s,p ~ v l s-> o ^ 1 \`6 7+ 4 9Z ^ _ ^ J j -r _ _ _ E A G E o959.t i 4 ~f Sxv. ° 95909 ~ - R E V W \ v 958.7 a, 959.2 V f N t ~ 73.~5 S89041 52"W ~ z WHITE PINE WAY TE: PROPOSfO GRADES SHOMN PER CRADWG PIAN BY: PIONkFR PROPOSEO HOlSF FI FYATION " 7F: Bl11LpN0 DMENSIONS SHOWN ARE FOFI NMIZONTAL AND YFRPCAL IACA110N LQWEST FLOOR ELEVATION: WN~ADON DMET79LCNS~ ARCMtfC1UA4 P1.AN6 FIXi 9UIlDINC ANU TOP OF 6LOCK £LEVATION: f i1C; NO SPEGFlC 50IL5 WVESfIGA110N HAS BCEN CONPLETED ON 7HI5 LOT BY 7HE ~ a~o~ Is Nor usaa+~ uir or rx ~OwrtvTMtvo~a~C HWSE GARAGE SLAB ELEvArON; ~ )re: rnis centIMcATe ooES Nar vLr+ra+r To smw cwsewe+rs orHen TMu+ x 000.00 DENOIl9 E%ISTNG EIEVAl10N tHOSE SMOMN OH 7HE RECdRPFA PLAT. I 000.00 ) L1FN0169 PROP0M ElEYAl10N OE!lOlE3 PRAINAG£ AND UVl1tY EASEIIF!!i .I 71E! CONiRACTOR MNST YEPofY OPoIEWAY W9GN. pENOlEB DRAINAGE FLOM 0MCnO!! )7E BENtlNGt SNOWN RRE BASED ON AN ASSUMED DA`!IY DIDI0X$ 4ONUYe4T -EF- DENOlE9 OFFgT NU9 rE NEREBY CERTIFY TO HOMES 9Y CHASE lHn7 1N15 f5 A iRUE AND CORRECt REPRESENTATION OF A URVEY OF 7HE BOUNOARIE5 OF: _OT 10, BL.OCK 4. PINES EDGE 1ST ADDITION )AKOTA COUNiY, MINNESO7A i DOE5 ND7 PURPORT 70 SHOW IMPROVENENTS OR ENCHROACHMENTS, f%CEPT AS SHOV4, AS SURVEYEO 9Y NE OR 1NDER MY OIRECT SUPERVISION TNIS 8TH DAY OF JANUARY, 1996. CN PIONEEit E EERING P.A. SCALE : 1 INCH = 30 F'EE7 8,., r ""y ohn C. Laraon, L.S. Re9. No. 19829 5194400.07 PJM 01-II-96 04:29PM P002 021 =95% CITY USE ONLY L BL RECEIPT s5907 SUBD. ~ DATE: a~ 9 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 furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: ?-,2~o- FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $20.09- ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU ---6:99- ? Gas Outlets (minimum of 1 required @$3.00 each) 6.00 ? State Surcharge .50 TOTAL le 30, SD SITE ADDRESS: 5V2 l,/~/F 61e I.lav OWNER NAME: yom,~s ~~i G~itise PHONE S-5?37 INSTALLER NAME: STREET ADDRESS: ~1-210 CITY: 4 STATE: /vlif/ ZIP: PHONE ( 6/z ) y6o -66a2 cirr 1.153E ar+tY 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 pg~ required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ~ $25.00 minimum fee gl 1% of contract price, whichever is greater. . Processed piping - $25.00 • State surcharge of $.50 per $1,000 of pgnn$ fee due on all permits. CONTRACT PRICE x 1 % PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (innPROVenneNrs oNLv) INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR CITY USE ONLY L I ~ BL RECEIPT 5'3135 SUBD. DATE:~ 1996 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 FIXTURES EACH C , TOTAL Shower 3.00 x a = Water Closet 3.00 x 3 = 3ath Tub 3.00 x I - 3- Lavatory 3.00 x 3 = Kitchen Sink 3.00 x Laundry Tray 3.00 x 1 = 3 Hot Tub/Spa 3.00 x = Water Heater 3.00 x 1 = 3- Floor Drain 3.00 x 1 = 3- Gas Piping Outlet * minimum - 1 3.00 x ' 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 ' co exiscin9 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL y ~ - SITEADDRESS: ~_j~-~ OWNER NAME: 1~o F~ C~A INSTALLER NAME: V A r n 7-- < STREET ADDRESS: CITY: STATE: Zip; S s 3,-a PHONE ( ) y~2-aia i ~ I I I F-E 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: P all commercial/industrial buildings. p multi-family buildings when separate permits are pp( required for each dwelling unit. DATE: CONTRACT PRICE: vVORK TiPE: tvcvti COivSTRUC i i0N AuD vti REFFiR 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 $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: APPLICANT OFFICE USE ONLY METER SIZE: ' DATE: INSPECTOR: CITY USE ONLY L -/0 BL ~ RECEIPT#:_ 71,5 76? SUBD.~~rn~ RECEIPT DATE: 3 a5 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681 r1675 Please complete for: . single family dwellings • townhomes and condos when permRs are required for each unit • backflow preventer for underground sprinkler system FIXTURES EACH TOTAL Shower 3.00 x Water Closet 3.00 x Bath Tub 3.00 x = Lavatory 3.00 x Kitchen Sink 3.00 x = Laundry Tray 3.00 x = HotTublSpa k• { 3.00 x = Water Heater M , F3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum - t ~ • 3.00 x = Rough Openings 1.50 x = Water Softener ' for dwellings under construc[ion 5.00 x = Water Softener ' Tor existing dwelling 20.00 x = U.G. Sprinkl@r 'fordwellingunderconst 3.00 = U.G. SprinklEr ' for existing dwelling 20.00 = Alteration5 ' to existing residence 20.00 = Water Turn Around ' 20.00 = Private Disposaf System ' Dak Cry lic. 75.00 = (new and refurbished systems) Private Disposal Systems'Abandonment 20.00 = STATE SURCHARGE .50 So TOTAL aa I herebylacknowledge that I have read this applintion, state that the Infoimation is correct, and agree to comply with ali epplicable Ciy of Eagan ordinances. It is the epplipnPs responsibiliry to notify the property owner that the Ciry oF Eagan assumes no liability for any damages eaused by ttie City during ils normel oparaGonal and maintenance ad'nlties to the fadlkies consWded urWerthis pertnit within Ciry property/right-of-wayleasement. SITE ADDRESS: ~ /'O//o~ v OWNER NAME: 61LL 6,62f 7~ INSTALLER NAME: ~iP~?Y/r/r~TzE f/r'/%z~TELEPHONE STREET ADDRESS: `i'3c$/7i1SV;&V cirr: STATE: ZIP: SIGNATU OF PERM EE City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 542 White Pine Way Lot: 10 Block: 4 Addition: Pines Edge 1st PID:10- 57690- 100 -04 Use: Description: Sub Type: e - Air Conditioner Work Type: New Description: Air Conditioner Comments: Questions regarding electrical perm 952- 445 -2840. Fee Summary: Contractor: Air Mechanical 16411 Aberdeen St Ham Lake MN 55304 (763) 434 -7747 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Owner: David Griffith 542 White Pine Way Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: equirements should be directed to Mark Anderson, State Electrical Inspector, $50.00 0801.4088 $0.50 9001.2195 $50.50 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 Issued By: Signature Mechanical EA084069 07/07/2008 ePermit City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 542 White Pine Way Lot: 10 Block: 4 Addition: Pines Edge 1st PID:10- 57690- 100 -04 Use: Description: Sub Type: e - Gas Line Work Type: New Description: Stove Comments: Permit closed without required inspection(s). Letter sent to applicant on 4 -7 -09. (pf) Fee Summary: Contractor: Practical Systems 4342B Shady Oak Rd Hopkins MN 55343 (952) 933 -1868 JOANN KRUEGER ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Owner: David Griffith 542 White Pine Way Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 $50.50 Mechanical EA085601 08/27/2008 ePermit 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 Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA121004 Date Issued:03/10/2014 Permit Category:ePermit Site Address: 542 White Pine Way Lot:10 Block: 4 Addition: Pines Edge 1st PID:10-57690-04-100 Use: Description: Sub Type:Reroof & Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Fee Summary:BL - Base Fee $12K $221.25 0801.4085 Surcharge - Based on Valuation $12K $6.00 9001.2195 $227.25 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 - David Griffith 542 White Pine Way Eagan MN 55123 (651) 470-3595 Justkyle 3966 Riverton Ave Eagan MN 55122 (651) 230-6016 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA131877 Date Issued:07/13/2015 Permit Category:ePermit Site Address: 542 White Pine Way Lot:10 Block: 4 Addition: Pines Edge 1st PID:10-57690-04-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - David Griffith 542 White Pine Way Eagan MN 55123 Bartylla Plumbing & Heating 8675 126th St N Hugo MN 55038 (651) 429-3877 Applicant/Permitee: Signature Issued By: Signature �z_�� ___ Use BLUE_or BLACK Ink ✓ � --, � For Office Use I Ci of�a �Il � ��y �� ' � � � Permit#: �- I � 3830 Pilot Knob Road RECElVED ' Pe�m�t Fee: ��• �'L� i Eagan MN 55122 I Phone:(651)675-5675 � Date Received: � Fax:(651)675-5694 NOV � O ZO��3 � Staff• � �----------------� 2015 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: � � �� Site Address: "'" �� Y v � ��)n � V� � Tenant: Suite#: �, 1 I �i � t J�� l"i�n� ��) Phone:�71'`�L�' `t'��' 1 = Resident��wner � Name: Y�+.V , � .G.,.�„ - Address/City/Zip:� � �1 t� ��i�^Cl,� i �,(;..� �` � -� Name: ti License#:��(�� COttt aC�OC Address: (�A'.�I I ��t'X��i�i�°� .��" �� city: 1-1 G�.YYA �--�.�' �`� a � �� 1 �:f State: �� Zip: �� Phone: (Y `'1 �* � Contact:t��J1�� 1.�� Email: � � ��' � �' �' � ��°� �� New �Replacement Additional � � Alteration Demolition � �� Type ofi Work Description of work � � � � NOT�oof mounted and gruu�d mo e - � �anica�quipm�ent is required to be��,creened�i-�ty � , }�� ode��eass,��ntact,#I�e Mech �caa n�e� o��ir #'�rma#�on o��"i'r�Iftedscre��un,Ic �neth rt� � �� '� RESIDENTIAL COMMERCIAL � �°� �urnace _New Construction �Interior Improvement '��P@t'C111�Ty}��'� z —Air Conditioner _Install Piping �Processed ��`��" �� Air Exchanger Gas Exterior HVAC Unit � ��a,��; — — — ��, , � _Heat Pump Under/Above ground Tank �Install/_Remove) m�.w — Other RES/DENT/AL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge =$ ' ��'" � TOTAL FEE , COMMERCIAL FEES Contract Value$ x.01 ' $60.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit F�e I _$ Surcharge ' Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conform e with e 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 sta 'thout a p '�that the wor ll be in accordance with the approved pian in the case of work which requires a review and approval of plar�. X�,��` � �9,��,�y i"�'1�� 1��.■��1'1/C«�] � X I Applicant's Printed Name Applicant's Signa I �— �, �,,€'�r �- � = y � �t �r � #�RsE��EIG�LiSE��' � ; ��'� � -� G�i�,�� i € ;� ,�1 �Ult'QE��[1S�8C�10�)S` � �'�� a a��wu��a � a,�� YI�YVE��j( _ �� i � _ �,r �� ii r�»t:. : � " � �� i�i! �� ; '�� Underc�rQun�, R�ugh Iri = Atr Test �x �as Service'Test ; ln-�l��t ��tn��; �A��n�r� . PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA159705 Date Issued:01/10/2020 Permit Category:ePermit Site Address: 542 White Pine Way Lot:10 Block: 4 Addition: Pines Edge 1st PID:10-57690-04-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - David Griffith 542 White Pine Way Eagan MN 55123 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature