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543 White Pine Way INSPECTI4N RECORD~ CITY OF EAGAN PERMIT TYPE: _ 3$a0 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 ~ SITE ADDRESS: i f, i: APPLICANT: ,!I1 i l I j' f NF l1RY . . 4 . . PERMIT SUBTYPE: TYPE OF WORK: INSPECTION • ~ ! I il•f ~~tltI~ir'~ i I~it< =1 , !•Y I ~1~~ 1 ,'ii ! N~, ~~I .Irl 114 1 F'I At,{ ~ N V I w. ~~~i~,i~ i rl I~ ' ~ ~~r',I I`1 f,4~~ ' I hJ111 ~ ~ ^ Permit No. PKmk Fblder Date Telephone 0 ~ ELECTRIC 6-19 ~ PLUMBING 7079 HvAC kapectlan Date Insp. • Comments FOOTINGS Q~2 JS- ~ (JJ FOUND 7 FRALfING s.- HOOFINO • / 9f' , ROUGH PLUMBING PLBCi , AIR TEST HROUGFI ~ , GAS SVC 7EST ~ ~ INSUL GYPBOARO FlREPLACE _ Q FlREPLACE I AIR TEST I i FINAL PLBG ~ r FlIV11L HTO TEST ORSAT ~ ~ ~ ( II 1 BLDCi FlNAL I " I BSMT R.I. I 1 BSQAT FINAL I I DECK FfG I I DECK FlNAL I f I I INSPE(:'i,IUN RE(:URD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: APPLICANT: V7Nf 41hY PERMIT SUBTYPE: TYPE OF WORK: , INSPECTION . ~ I I I I ~ I ,'1NA1f. PkkM1 f 11tllJlf41; FOR AW`l F'111MNIIVH 41ilfrk . + ~ ' ~ • ~ _ ~ ~ . . . ~ : ~ . . . : , . . . . , ~ ~ J - - - - - - - - - - - - - - - - PsrmR Holdsr Date Telsphone 11 SEVVEFU- wArEa PLUMBING HVAC Mspeaflon DeM ksp. ConMnNMs FOOTIN(3S FOUND FRAMINC ROOFING ROUGH PLUMBINd PLBG AIR TEST ROUGH HEATIN(3 CiAS SVC TEST INSUL GYPBOARD FlREPLACE FlREPLACE AIR TEST FINAL PIBG FltVAI Fff(3 ORSAT TEST BLDG FlNIIL DOMESTIC METER IRRIGATION METER FLUSH I MAINS oowoucMvm resr ?rrnaosTAnc rESr BStifT R.I. I II I BSMT FINAL I DECK FfG DECK FlNAI INSPECTION REC4RD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 551 22-1 897 Date Issued: (612) 681-4675 SITE ADDRESS: ° ' r•~ . 10 "APPLICANT: l : Eit +l~:r : • 1.111 I I t• V1 Nl tlr,Y rt~ 040rr;O 0 i ~ r~: I i~~~f 1~. 1 I.~ ~ ~I t.• i r.c~ I PERMIT SUBTYPE: TYPE OF WORK: ~ , ; r! ! I r INSPECTION D• • D• I I Ifj~ , i! I4 1il I ~ fl I ~ ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1 Pormit No. Permk Holds? Dab Tolephono Y I ELECTRIC I PLUMBINQ ~ HVAC M»p"Uon osa kap. ComrMnts FOdTINGS ' FOUNO FHAMING ROOFIMG ROUGH PLUMBING PlBO aIR Tesr Roucr+ HE?nrG rEGAs ~ INSUI (3YP BOARD FIREPL.ACE FlREPLACE AIR TEST FlNAL. PLBG FlNAL HTG ORSAT TEST ~ BLDG FlNAL esMr R.I. esMT FIruL I oECac Fra ~ DECc FIruu. ~ . ,r . . . . . r.~; , _ . ~ Ker#ificate of ccc"anc~ (M4 of cFagan ~c~rt~cKt o~ ~~iag ~x~.pcctioa Tltis Certifictue issued pursuuni ro tht requirements of the Unifarm Building Code certifying that at the teme of issuance this stnectun was in compliance with the various ordinances of rht City regutating building carrstruction or use. For the foltowireg: i t%ecsmAka6ew. S7.'' MC swg. anm;t rva. 26118 oo-P-Cr -rype R3/01 zokin8 uuia RI TyM cons:. VN ow«ore,,;b;,,s MMQKl+iTD OCNST INC ,,m. 7601 145 Ti ST W, APPIE VATJEY 543 MEIIE PIIE WAY L,.r;h L5: B5. PM HlM 1ST ~ OCDOffi2 6, 1995 ~ POST IN A OONSPICIJOUS PLACE ~ Address sas [aHzM eIM waY Zip 55123 I.ot 5 Blk 5 Sub rnNEs ErrF isr THESE ITEMS WCRE / WGRE NOT COMPLGTE AT THE TIME OF THE FINAL INSPECTION. Date: 10/06/95 Yes No Inspector: Final grade (6" from siding) ~ Permanent steps (garage) ~ Permanent steps (main entry) ? Permanent driveway ? Pertnanent gas Sod/Seeded grass TraiUcurb damage Porch I3asement finish Deck Please verify with the builder the removal of roof lest caps from ihe plumbing system and ihe shuhoff of water supply lo the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in righbof-way or installing underground sprinkler system. ~ White - City Copy Yellow • Resident Copy Pink - Contractor Copy RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681•4675 New Construction Reauirements RemodeVReoair Reouiremanh • 3 registered sde suneys showing sq. A. of lot, sq. ft. of house; and all mofed areas • 2 copies ol plan 1 1~ (20% maximum bt coverage allowed) . 1 set of Eneryy CalcWations for heated additions • 2 copies of plan showing beam 8 window sizes; poured found desgn, etc.) . 7 sde survey far extenor addihons 8 decks V~ • 1 set ol Energy Calcula6ons . Indicate d home served by sephc system lor addilions • 3 wpies of Tree Preservation Plan if lot platted after 7/1193 • Rim Joist Detail Options selec6on sheet (bldgs wdh 3 or less uni45) DATE I~- 4I - D ~ VALUATION ~ 7 5-6 SITE ADDRESS I.tI 121 11{ LU,6.4 MULTI-FAMILY BLDG _ Y N TYPE OF WORK S d_ 4 -_P-e ~ 'Pn -1 ~ FIREPLACE(S) )!L' 0_ 1_ 2 APPLICANT 0~ C oA C-1-crS~ STREET ADDRESS 1 07 -~y0 4,4 h G1 q /,v 4L44~ CITY ~ Co>h,STATE 1^- ZIP S~~z~ab i TELEPHONE #a-~b(~~O - S3 ~YJ CELL PHONE # G~b 2- I Zi r1 I FAX #01 S 5`6 (151 PROPERTYOWNER Y~~r50-~ TELEPHONE# Li a 3"G ~ 7~ COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MI\\'1•:SO"C:\ RU[.I:S 7670 C:\"CL•'GORI' I M[NNGSO"f:\ RULL•:S 7672 (J submission type) . Residential Ventilation Category i Worksheel Submitted • New Energy Code Worksheet Submittetl • Energy Envelope Calculations Submitted Plumbing Contractor: Plionc Plwnbingsyslcm includcs: Walcr Sol'tcucr _ Lawn Sprinkler•, P;J V 0 A tee:, $90.00 Watcr Hcatcr \o. oFR.I. f3 I trulis ~ IVo. ol13aUis S' Mechanical Contractor: Phone # lxicclcmic.il systcm inclu<lcs: Air CondiUOning Pcc: $70.00 I-Icat Rccovcr)' Systcm Sewer/Water Contractor: Phone # I hereby acknowledge that I have read ihis application, state that the information is correct, and agree to compty with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signafure of Applicanf ~ .42 OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ~ ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessary Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - MuIG ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-piex ? 10 08-plex ? 18 Deck x 23 Porch (screened) ? 36 Multi ? 05 03-plex O 11 10-plex O 19 Lower Level ? 24 Storm Damage ? 06 04-plex O 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding P( 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bidg)' O 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demalitfon (Entfre Bldg anly) - Give PCA handout to applicant Valuation 216~ I0,0 ov Occupancy 9-3 MC/ESSystem ~ Census Code Zoning 1 City Water " SAC Units - Stories ~ Booster Pump - Nbr. of Units - Sq. Ft. PRV - Nbr. of Bldgs Length ~ Fire Sprinklered ` Type of Const -y7/V Width REQUIRED INSPECTIONS Footings (new bldg) FinaVC.O. Footings (deck) FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _~L Ice & Warer ~ Final _ Pool _ Ftgs Air/Gas Tests Final Framing _ Siding Stucco Srone _ Fireplace _ R.I. _ Air Test _ Final _ Windoµ5 (new/replacement) _ Insulation _ Retaining Wall Approved By Building Inspector - - - Base Fee Surcharge Plan Review MGES SAC City SAC W ater Supply 8 Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total , . - - - • _ - -----_.__(d.llJ~1LCJ L~ - ; - - - - - - -~!_t7~t!C_-_., , * PIONEEp `v M~umf'o tHe ghts.DMNe 55120 ~ e e~9 neer ng Lµ0 5MW~5 • nNL ENdNEERS (61.2) 681-1914 FAX:681-8488 LAND PIANMFRS. LAHDSCAPE MCM7FCTS ~t * * * 625 Highway 70 N.E. . Blaine, MN 55434 ~ (812) 783-1880 FAX:783-1883 Certificate of survey for: MCDONALD CONSTRUCTION 543 WFil7E PINE WAY 958.5 NE-WAL - - - ,~O , R, <95 g) 4~ 8QO0 958.9 N 959.5 9.8 19` 89 41 52 E 959.1 o 61.0 BENCH MARK ~ 70P OF PIPE ,nm 10 ELEV.=958.83,, SE RVICE - - - - INV.=948.8 0 ~ tn IN VEWAY I S M ~~,62 ~I BENCH MARK - 15.6~ TOP OF PIPE 96 .2 (q( Z.o) 7. ''3: / ELEV.=960.73 95~7 36.00 0 t 4 056 0 19.33 0.11.00 ~ ^r~' / °o PROPOSED `V /N~ °o I oo ~ - N ~ to HOUSI GARAGE o I N O ~ N I N S- (V ' 25/80 36.00 0 1 36.00 I O --yis.-oo 9594 (9 ~ s s.-~,-,~ 7po Z 6 960.2 ~ ~ ~ =N / w sss.z~ ~x ry / 3 iaY •r rJ sss.sp 956.7\ 70 ;___DRAINAGE & UTILITY N f~' EASEMEN7 PER PLAT-,_, yo-pZ?~IS ~ / L_ 960.4 N _ - _ ---T-------- 'o N INGRESS & EGRESS EASEMENT PER N K ~ B. 256 64 OF DEEOS, PG.232 k @I(, _ OF MISC. REC., PG. .492-,-` 958.6 $89049'18~W \ - (ySe 6~ 131.92 ` 965,2 ~9G ~ 'TC: VROPOSED CRApES $MOWN PEp GpApINC PLAN BY: PIONEER ' 7E BVILDING DIMENgpNS grpWy ARE FOR MORIZpqTAL AND V[RTICAL LpCATION -PROPOCED HO J OF S7RUCTURES pNLY. 5[E ARCMiECNAI, PLANS FpR BUILDING AND rouNOAnoN oIMENypis. _ LOWEST FLOOR ELEVAiION: 955, ~ ~E: NO $PECIiiC SOILS IN~STICATON NAS BEEN C01/PLETED ON TniS LOT BY 7NQ SUF•J[Ypq, 7HE SUITABILITY pF SOILS TO SUPPppT THE SpECIFlC HWS[ T~P ~F BLOCK ELEVATION: _ 9e 3, 4 PROPOSED IS NOT TNE RESGpNyBWry pF 7NE SURYEYOR, GARAGE SLAB ELEVATION: 9G z 3 E. TNIS CER71flCATE DOES N0T PURPOqT TO SHOW EASEMENT$ OTHER T1/W THDSE SHOWN ON THE RECORDED PLAT. % 000,00 DENOlES E%ISTINC ELEVATON E: CON7RACTOR MUST VERIFY DRIVEWAY DESIGN, ~000-00 ) DENOTES PFOPOSED ELEVATION BEARINGS SHONN AFC BASCD ON AN ASSUTAEO DANA1 - DENOIES DRAINACE AND U71LI7Y EASEMENT OENOTES ORAINAGE ROW DIRECTION DENOTES MONUA/EN7 HEREBY CERTIFY 70 MCDONALD CONSTRUCTION THq7 THIS IS A TRUE AND C RO REC 'VEY OF THE BOUNOARIES OF: DENOTES T EPRESEN7A710N OF A IT 5, BLOCK 5, PINES EDGE 1 ST ADDITION OTA COUNTY, MINNES07A OES NOT PURPORT TO SHOW IMPROVEMEN7S OR ENCHROACHMENiS, EXCEPT AS SHOWN, qS SURVEIIED BY ME ORA ER MY DIRECT SUPERVISION THIS 27TH DAY OF JUNE, 1995. ~LE : 1 INCH = 30 FEET jlGlqE PIONEER GINEERING P.. 94330.07 SWI( ~ ' _ John C. Lorson, L.S. RP,, ni,. 'no~~ PERMIT u-411I ~ CITY QF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 026118 (612) 681-4675 Date Issued: 0 7/ 31 / 9 5 SITE ADDRESS: 543 WHITE PINE WAY LOT: 5 BLOCK: 5 PINES EDGE 1ST P.I.N.: 10-57690-050-05 DESCRIPTION: Buildinq Permit Type SF DWG Building Work Type NEW UBC Occupancy R-3 U-1 Construction Type V-N Zoning R-1 Building Length 72 Building Width ' 26 ~ Building stories 2 REMARKS: PRV S& W PLBR - FIVE STAR PLBG FEE SUMMARY: VALUATION $134,000 Base Fee $1,057.25 MISCELLANEOUS $1,892.50 Plan Review $370.04 Total Fee $4,236.79 Surcharge $67.00 SAC $850.00 SAC % 100 SAC Units 1 Subtotal $2,344.29 CONTRACTOR: - Flpplicant - sT. LIC. OWNER: MCDONALD CONST INC 14327601 0002376 MCDONALD CONST INC 7601 145TH 5T W 7601 145TH ST W HPPLE VRLLEY MN 55124 APPLE VALLEY MN 55124 (612) 432-7601 (612)432-7601 I hereby acknowledge that I have read this application and state that the infiormation is correct and agree to comply with all applicable State of Mn. 5tatutes and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE ISSU D BY] SIG U E CITY OF EAGAN q~I 3830 PILOT KNOB RD - 55122 /J 4•~~ 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Reauirements Semotlel/Raoair Reauirements ? 3 registered site surveys ? 2 copias of plan ? 2 copes ot plans (include beam 8 window sizes; poured fid design; etc.) ? 2 site swveys (exterior addRions 8 decks) ? 1 energy calculations ? 1 energy ealculatlons for heated additions ? 1 tree preservation plan if lot pla after 7l1193 required: _ Yes o DATE: 7//3 / 45 CONSTRUCTION COST: DESCRIPTION OF WORK: N&W S'k`~C_ 1 E' Va4 vl~j'A~jf STREET ADDRESS: `S -13 o F} Y LOT S BLOCK S SUBD./P.I.D. Yine s E6A rl_ I sT' PROPERTY Name: Phone OWNER , Street Address, City: State: Zip: CONTRACTOR Company: C nJ 44 s~ ~vk Phone Y S 7 Street Address: e License a 3 76p City: ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address• City: State: Zip: Sewer & water licensed plumber: r vE 5~R R u nt~~~~ 37~I~ Penally applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this appliqtion and state that the information is correct and agree to comply with ali applicable State of Minnesota Statutes and Cily of Eagan Ordinances. Signature of Applipnt: OFFICE USE ONLY 2 RECEPvED Certificates of Survey Received Yes _~+Go J~~~ 131995 Tree Preservation Plan Received _ Yes No OFFICE USE ONLY BUILDING PERMIT TYPE w ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish a 02 SF Dwelling ? 07 4-plex ? 12 Multi (Misc.) ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory o 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 Multi (additional) 0 15 Deck WORK TYPE 0 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Aduaq Basement sq. ft. ~ MCNVS System (Allowable) Main level sq. ft. City Water UBC Occupancy ' sq. ft. Fire Sprinklered Zoning r' sq. ft. PRV £ S , # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. ~ Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review - - License MC/WS SAC • ^ . . City SAC Water Conn. Water Meter - Acct. Deposit S/V1l Permit J S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. - Other _ Copies Total: % SAC SAC Units 2422 Enterprise Drive Mendoto Heights, MN 55120 'h (612) 681-1914 FAX:681-9488 * PIONlEA LO0 5URVE.OA: • CI%AL awMEER5 - uriosc.ve .nnnuhrrs 625 Hlghwoy 10 N.E. * eng naer ng Bioine, MN 55434 ~c * * (612) 783-1880 FAX:783-1883 Certificate of Survey for: MCDONALD CONSTRUCTION 543 WHITE PINE WAY PINE-WAY ~t ~ ~~~v ^p 958.5 ~ \ „80.00 958.9 S~ f~ • C956' . 9.84 191 N89 41 52rE 959 5 fi19o' o 0 0 lhs1,4) , BENCH MARK TOP OF PIPE C~F ELEV.=958.83-, N ~ ~ 5 PROPQ.,SED _--BENCH MARK . , ORIVt~nAY E~EV~960P7J 15 2~ v POR 96 _2(9GZ_°~ 7._ t ~ 0 O 00 N 19.33 ~,11.00 ~ ri o a o,~ °o PROP SED ~ GARAGE ° N o i 36.00 I O J ~ 2.80 36.00 ri 1 _ z 6 ~ ^ / 15.00 959.4 (96z 9 9.7 7.QO 960.2 EAGAIV CP 959.2 959.5 ~ O~ n R E V i W E D x 5 956.7 ; 10 ~ ~~~.pRAI ACE & UTILITY ' ~ I 8=f EASE T PER PLAT ;-r`~+,J~ - I5 960.4 ~ ZG ~r / L - - - - - - ,~''----J . ----c---------- . INGRESS & EGRESS EASEMENT PER ~ ~ ,o BK. 256 OF DEEOS. PG.232 & BK. 64 OF MISC. REC., PG. 492--_- ` 8 6 sa ~.'w 131.92 965.2 ~ ~ ~ ~ <Ra5• 2~ i. 1 IEAGAIV EIVdIIVE ERING DEPT. NOTE: PROPOSEO CRAOES SHOYM PER GRADINC PUN B7: PiONEER P OPO~ SFD NOtiG FI F~~!T~QN N01E: BUILOING DIMENSIONS SHOWN ARE Fpi HORIZONTAL AND VERTCAL IOCAT10N LO'JJEST fL00R ELEVATION: J1i ~ Oi S7RUCNRES O4LY. SEE ARCHITECNnL PLANS FOR BNLOING ANO vour+oAnorv on+ensIor+5. TOP OF BIOCK ELEVATION: gb3~-¢ NOTE: NO SFECIFlC SOilS WVESPGATION MAS 6EEN COMPLEhD ON TNIS LOT BY 7HE SURVEYOR. 1HE S1ITA81UTY OF SOILS TO SUPPORT TF1E ~Epi7G HW~ Ga.RAGE SLAB ELEVnT10N: Z• 3 PROPOSEO IS NOT THE RE3PONSIdILITY OF THE SUftYEYOR. NOTE: THIS CERTIFlCATE DOES NOT PUftPORT TO ST10W EASFUENTS OINER THAN x 000.00 DENOTES E%I371NC EICVATION ~ 7HOSE SMOWU ON THE RECOROEO PUT. ( 000.00 ) OCN0iE5 PROPOSED ELEVA710n OENOTES ORNNAGE PND UTILItt EASEUfNT NOTE: CON7RACTOR MUST VEAIFY DRIVEwAY OESIGN OENOtES ORAINAGE FLOw OIRECTION NOTE BEAFdNGS SHOYM ARE BASED ON AN ASSUMED DANM OENOTES MONUMENT • ~3-- DENOTES OFF3ET HUB WE HEREBY CER11fY TO MCOONAI,O CONSTRUCTION lNAT Tn15 IS a TRUE AND CORRECT REPRESENTA710N, OF n SURVEY OF TNE EOUNOARIES OF: LOT 5, BLOCK 5, PINES EDGE 1 ST ADDITION OAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCNROACHMENTS. EXCEPT AS SHOWN, aS SURVEYED 8Y\E OR UNOER MY DIREC7 SUPERVISION T1415 27TH OI+Y OF JUNE, 1995. , iGNED;• PIONECR ~IJGINEERING~ P.A. ( / SCALE - 1 INCN = 30 FEE7 • 9328 John C. larson, S. Reg. No. 1 975 94330.07 SWK LOT SURVEY CHECKLIST FOR RESIDENTIAL W o BUILDI G PERMIT APPUCATION _I ' U C PROPERTY LEGAL: 'S a a~.. DA E OF SURVEY: a 4 a m LATEST REVISION: 6 2 S / DOCUMENTSTANDARDS o 0 • Registered Land Surveyor signature and company o ~ • Building PermitApplicant ~ 0 • Legaldescription ~ • Address o E3 • North arraw and scale 13 • Housa type (rambler, walkout, split w/o, split entry, lookout, etc.) /E3 0 • Direc6onal drainage artows with slope/gradient % 2" ~ • Proposed/ebsting sewer and water services & invert elevation B' Q. 13 • . SVeet name W o ? • Driveway - ELEVATIONS E~n_ 'stina e/ 0 • Sewer service O ? • PrapeRy comers ~0 E3 • Top of curb at the dfireway 0 0~~O • Elevations of any eristlng adJacent homes Pro se Z--~o / 0 • Garage floor 13 ? • Firstfloor O'~~O 0 • Lawest exposed elevation (walkouUwindow) 0 • Property comers 0 • Front and rear af home at the foundatlon PONDING AREA fif aoolicablel ~ 0"'~C] • Easement line ? 0--'0 ! NWL . ? 0'~0- • HWL cl I - E3 • Pond # designatlon 0 • Emergency Overflow Elevation DIMENSIONS ~ 13 0 Lot IinesBeadngs & dimensions 0-~'O E3 • Right-of-way and sVeet width (to back of curb) e~ o • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (.e. all sVudures requiring permanent footings) e--'C3 ? • Show all easements of record and any City utilities within those easements • Setbacks of proposed structure and sid rd setback of adjacent epsting sUudures ~ • Retaining wall requirem ; if any Reviewed: Name ! Date Jury 1995 ~ . . , . v~~~v i ei ,.i~ ;~~i~:r~~',,?.~~ ~ ~y{`~tt~ra~' 2+Z4 ~ ' ~'____,1 INV= 947.9. CS= 957.8,` 1a s" yVH~TE PINE WAY''~~' ~ s_ 0+17, , - INV= 948 3 ' I 1 . ~ • ~ ~ _ ~ CS= 9 - 58. , b, 1+05 • S= 1+93 ~ ~ S= S= 0+14 1 1 S= INV= 951.3 ~ W % INV= 948.8 INV= 950.0 CS= 960.7 CS CS= 9588 cg= 959.6 L, MH Q STA. 1'~0+12 1 ~ I 1 % 10 4 R , ~ 1 ----------r-----. WAY...::~'~...:f . . . . . . . . . . . . . . . . . . . : . : . . ' . . . ~ . _ . . . ' •~~•~'iL.~n,.~~{~~~~f ~i~k~'`'~.~~ 00200 ; . : : : . . . : : . : . ACCUFiACY OF 1171E.6T:Y ' 1:OqC:~T : : . . . . . . . : . . . . . . . : . . . . : : : : ` :j*-.P!D.itl9. E.Lt-VATIOPlS: . . . . : : . . . . . . . . . . U51NG IT: 6HOULD;VGi,ti. . .l:~.: : . . . : . . . . . . . . . . . . A~{ON O~1 TH., $IT~. _ : : : , " . . . . : : : : . . . : . . . : . . . . . . . : : . : : . : . : . . . F2E=953.86 : : . . . . . . . . . . . . . . : : . : . . . . . MH ~ RE-.955.46 . . . . . . . . . . . . . . g : : BLD.=.9:.36 g.. BLD=10:06: : . : : : : : : : . : : : : . : . . . . . . . . . . . : ' : • . ~AH RE=954:75 . . :6~ : • BL. ° / iNG:GROUND.:.:: FINISHED: GRADE : : . : . : . . : . : : . . . . . • . . . . . . _ ~ ' . . . . • : . . . . . . ~ . : . ' ...f . : : : : . : . . . . . . . . . . . ~ . . . . . . . . . . . . . . . . . . . . . . 0 ~4Fi.88 . . . : : . . . .947.'~0 . 27..R.CP •~RCF?. , : ~ 1~ . • , . . . . : . . . ' 120'"PVC - SD . . .5 . . . . . . . . . . ; . . .361'-E n. ~ . . . . . . . . . . . p. . _ . . : . . . . . . . . G a . . . . . . - : . _ . : : : . : . : . . : : :s:..,; cors ~io e~~.n Ai~~~ : : . : : : . : : : : : : ' . MK REiz'968.05`., r..T . . . . . ' i il~.' 'f~4r,1 NUC~~~JY ~OGATIOeda: BLD=15.34 : f;: ~c,1~j.=t:. ;=LEVATIbiVS. ~HI~ DAT f~ : : : : : : : : : : : : ; : : . . . . . . . . . . . . .._,~:-~-;~j~~:fl`.~. . .Rl~R~0SE6 ~ LY. : :~,P~~: : : : . . : . . . . . . . . . . . . . . . . . . . . . . . . . ~~ENG IT SI-;OFJLD~ t!~~,."'•, : : : : : : . : : : • . . : : : . . : : . : . . ~ ~ • . . . . . . -:.~;.r:..i;~.~~:-. I~ . . ~ ' irl~i . . . . ~ • ' . . ...,..=.:.•~~:.~:~~J,JOPdT~.~:,:7E :::.::.MH. RE=958:32 : : : : : : . . . . . . : : : : . . : . . . . . . . . . . . . . . 10 . :BLD=11:00. . . . • . . 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'si.. ; SCALE: M d.. . . ~ ........I~ C~:....:: : . ..a . . , :N ~ . r .......d ~ . ~ . . . . ~ . ......T ~ . . . . . ,T'_~ ~ . . . . . . . . . . • 1'~SA~ . . , , 1 b 2 F~.-uIy Residential "Cookbook"Methoa SCTE ADDFFSS ~'ty C.~ lJL ~.1Rc h•~ gL4LDER Dale / 11~LDor.~At,p eoNe~n~ -r~n~J t ` ca~J ~n. l Minimum Criteria: Rim Joisc: R-19 insulation Fro•adaton wndows: Insulzid glsss, 1R' zer space, u-oai or viryl frane Entry doors: 1-Y4 inch solid wood stort or Ue::eS ST'EP 1NNindow & Door:'irea STEP 2 Calcvlate area as a percent of wall Totzl Window & Door Area in Sq. Feet Box A(window & door aea) cai-vidcd by Boz,B (totJ W~CNTDOWS.(:nclaung ftundazea •::indo::s): wzi zma) times ! 00 eqe~dls the window a*.d deor zrrz , Dimensions Qnry. . Arca as a perccnt of wa1 araa (Boz Q. 25u z 5s7~~ BozA 2(eS.33 z 100= ~ Ih' x 31" Boz B 2~yy ,S Sb.S~ C 32° z Z~?2 4 ~ g STEP 3 Design Feztures 2n' z o4'.2 ,4SSEMBLY OP!-ION 2u z „ X '-T ' I~ ~ , 03 FP-A-Nffi wAu..: S X 3"1 l I ~ U I STAN-Dd RD FR+',2.M:G ~ X z I .SDVAIN CED FrZA_'.ST'G x I cAVrrYL*:SVLarto*r R- I°I x ~ 18a, ( DOORS: S HFATI-iLti G ~ IE SS THAN R•5 b R-5 OR 1.!ORE 34 WLNDOWS (ezccpt foundztion a;ndows): z U-FaCTOR Tota1 Area of Window & Doors 2GS 3SA From tbe uble, detrrmine tbe mxximum pcrcent window Totzl Wa1] Area in Sq. FL & door uea for the design options selected z-nd cntet the a'all Tot21 Perimetcr Heieht Arca value in boz D bclow: 1'0~0 1~rFL. c`3~` ( IoBb 11 Z-o F~ Totai Arca I Boz C musf be ]ess than or equal to Box D of wa]1 LS 4.SB . 'y F. The building mu-ct not exceed the maximum window and door a:ea zs a percentage of overall exposed K•all area lis;ed be]ow for the combination of framing technique, R-value of insulation within the insulated cavitv, sheathing R-value, and N'll'IdON• U-fac:or. Other components must meet the requirements of this subpart. M,4XIML.TM WINDOW Ah'D DOOR AREA AS A PERCE2vT OF OVERAtL EXPOSED WALt Cavitv Window li-Factor Framine Insularion Sheathine 0.49 036 0.31 0.2: STANDARD R-13 ~tR-7 13.4 e 17.8°6 213 u 24.3 e STANDARD R-] i 2R-5 129°/. 17.1°.e 20.1 0 23.4 %e, -T_ ~M,Lpp . R-i$ <R-S 11.1 0 16.0% 18.8°D 2.0%'e STANDARD k-18 >tiZ-5 13..7:0 15.6°.0 21.5 e 253°.0 ADVANCED R-18 <R-5 11.1°0 17.1% 20.1°a 23.4 0 ADVANCED R-18 _>R-5 13.5%b 192°> 212 5°io 26.100 STfLNDAAD R-21 <R-5 11.8 0 17.0b' 19.9> 23.1 0 STA-NDARD R-21 2R-5 14.0°6 19.3°0 M .5%b 26.1°b ADVAIv~D R-21 <R-5 11.8°'.0 18.1% 21.200 24.6°0 ADVANCED R-21 2tR-5 14.000 19.900 23.206 26.9019 Subp. 3. Performance criteria. The combined thermal transmittznce (Uo) fac:ors for walls, roof/ceilina , and floors over unheated spaces must be less than or equal to: A. 0.110 Btu/h ft2 `F for v.•alls; B. 0.026 Btu/h ftz `F for roof/ceilings; and C 0.04 Btu/h ftz `F :or floors. STAT Ai1TH: MS § 216C.I9 HIST: 18 SR 3361 7670.0480 Rcpenfed, 18 SR 2361 PERMIT CITY OF EAGAN 3834 F:lot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 3 8 9 4 (651) 681-4675 Date Issued: 11 / 0 3 J 9 8 SITE ADDRESS: 543 WHITE PINE WAY LOT: 5 BLOCK: 5 PINES EDGE 1ST P.I.N.: 10-57690-050-05 DESCRIPTION: ~ Bu'ildinq Permit Type BASEMENT FINISH 136ildinq WoKk,Type ALTERATION / itensus Code 434 ALT. RESIDENTIAL \ ~ ~ \ l l REMARKS: PLAN REVIEWED BY BILL ADFlMS. SEPARATE PERM7T REQUIRED FOR ANY PLUMBIN6 WORK. CALL 445-2840 RFCARf17Nf Fi Fr-rRrrni pERMI'i FlNIJ TNsP€GT1'AN° FEE SUMMARY: Base Fee $50.00 Surcharge .50 Total Fee $50.50 CONTRACTOR: - Applicant - ST. LIC. OWNER: C B li REMODELING 13225423 0005777 BEN50N IAN 3975 BUNRATTY 5213 WHITE PINE WAY OSEMOUNT MN 55068 EAGAN MN 55122 4612) 643-7165 (651)423-6672 I hereby acknowledge that I have read this application and state that the ini'ormation is correct and agree to comply with all appli.cable State oY Mri. Statutes and City ot Eagan Ordinances. J ~ APPLICANT/PERMITEE SIGNATURE --',SSUED BY: SIGNAT RE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) . CI1'Y OF EAGAN " 3830 PII.OT KNOB RD - 55122 L oj 681-4675 ss-~) "SO New Construetion Rerements RemodeUReoair Requirements c-~~ ? 3 registered sRe surveys ? 2 copies of plan • 2 coDies of plans (inGude beam 8 window sizes; poured InE. tlesign; atc.) ? 2 site suneys (exlerior ad0ihons 8 tlecks) ? 1 energy wlculations ? 1 energy calculations for heated additions • 3 copies of vee preservation plan if lot plattad after 711f93 requirM: _ Yes _ No DATE: /0 - 36 -yR CONSTRUCTION COST; `a3 -Z DESCRIPTION OF WORK: STREET ADDRESS: S-L/ 3 LOT: ~ BLOCK: -S SUBD./P.I.D. 6E.vso Name: Phone PROPERTY Last First OWNER Street Address: 5- z/ 3 w i+=rG Ciry C- rac.~, " State: ri n/ Zip: Company: C•/~ N 2 Ei++v6 t c. Phone 3a;;L CONTRACTOR Street Address: s~~7 L.~-/ 4 87-,a ST. License it S7 7 7 City g A p 1-£ jlHL Le~- State: -)I Zip: S.S~/ ARCHIi'ECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (new construction ony): Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this appiiption and state that the infortnation is correct and agree to comply with all applicabl State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Applicant: -~~afd OFFICE USE ONLY Certificates of Survey Received _ Yes _ No 3 0 19% Tree Preservation Plan Received _ Yes _ No _ Not Req ired OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation ? 06 Dupiex ? 11 Apt./Lodging 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory O 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous O 05 SF Misc. ? 10 = plex 0 15 Deck WORK TYPE ? 31 New ~ 33 Alterations ? 36 Move O 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. ~ Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ ~ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/VN Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units , PERMIT ok0//8'o ?'4~1 CITY OF EAGAN 91C9019-1 3830 Pilot Knob Road PERMIT TYPE: B u z ~ o z N ~ Eagan, Minnesota 55122-1897 Permit Number: 026412 (612) 681-4675 Date Issued: S 9/19 /9 5 SITE ADDRESS: 543 WHITE PINE WAY LOT: 5 BLOCK: 5 PINES EDGE 1ST P.I.N.: 10-57690-050-05 DESCRIPTION: Building Permit Type DECK 6uilding Work Type NEW . ~ REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: - Applicant - sT. LzC. OWNER: MCDONALD CONST INC 14327691 0002376 MCDONALD CONST INC 7601 145TH ST W 7601 145TH ST W APPLE VALLEY MN 55124 APPLE VALIEY MN 55124 (612) 432-7601 (612)432-7601 I hereby acknowledge that T have read this application and state that the information is correct and agree to compl,y with all applicable State of Mn. L Statutes and City of Eagan Urdinances. J APPLICANT P MIER TEE SI ATUFE ISSU DH'. IG 7U E~ CITY OF EAGAN 3830 PILOT KNOB RD - 551122 ~ 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) / ~ 681-4675 New ConahuCion Reauliements RemodeUReoair Reauiremenfs ? 3 nybterod sde wrveys ? 2 copies o1 plan ? 2 mpiea of plans (indude beam 8 window saes; poured fid. design; etc.) ? 2 ake surveys (exterior atltlitions & dedcs) ? 1 snergy calalations ? 1 eMrgy calculetions for heated addkions ? 3 oDpies of tree preservation plan M IW platted eRer 711f93 required: _ Yes _ No DATE: 9 Z I6 I(~- 5 ONSTRUCTION COST: 0~ t DESCRIPTION OF WORK: C-G 'E' S,4 10- S STREET ADDRESS: 100e `C l\. c W A ~ L- LOT (~S BLOCK S SUBD./P.I.O. PROPERTY Name: Phone OWNER F°°• Street Address- City: State: Zip: CONTRACTOR Company: PVI ton A'd -L,._ c_ Phone --xo( Street Address: 760 License 6100a,376 City:A _ State: ~ Zip:^~ ARCHITECT! Company: Phone ENCa1NEER ~ 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 in "on is corre agree to comply with all applipble State of Minnesota Statutes and City of Eagan Ordinances. 0 t Signature of Applicant: /L~ , TLA,44t- sz-) OFFICE USE ONLY ~~~~~~~D Certifiptes of Survey Received _ Yes _ No SEP 1 5 1995 Tree Preservation Plan Received Yes No OFFICE USE ONLY r < ~ . .r a,f BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish 0 02 SF Dwelfing ? 07 4-plex ? 12 Multi RepairlRem. ? 17 Swim Pool 0 03 SF Addition ? OS 8-plex o 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? OS SF Misc. a 10 _-plex ~15 Deck WORK TYPE ,d--3"1 New o 33 Alterations ? 36 Move 0 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actuai) 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. 8ooster Pump length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg ~ Census Unit v APPROVALS Planning Building Engineering Variance ~ Pertnit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC Ciry SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Cnpies Total: °k SAC SAC Units , ~ . 2 Lnterprise Drive M `a Heights, MN 55120 1 ~ * PIONEEFI IAND SURYEYOflS • pNL ENCINEERS (612) 681-1814 FAX:681-8488 * ene ngeM ne UHD PIANNE1t5• UNDSCME MLHIiELiS 625 Highway 10 N.E. ,k * * * Blaine, MN 55434 (812) 783-1880 FAX:783-1883 ~ Certificate of survey for: MCDONALD CONSTRUCTION 543 WFiITE PINE WAY ry\~~~ PINE_V119Y---- o ssa.s • ~ R~Bp•OO 958.9 N C9s~• sss.s ' 9.8 19" N89 41 52 E 6, o' ~ 1 49.95 ° o (q59,4) BENCH MARK ~ TOP OF PIPE 10 rg~RVICE ~ ~ ELEV.=958.83-, p ~ INV.=948.8 5 ~ PROPOSED ~ ____BENCH MARK DRIVEWAY _ ~ TOP OF PIPE ~ ~ (~j'/oZ,'7~ ELEV.=960.73 15.6!1- a p 96 _2(9( Z_o) 7._ " 959.1 36.00 0 0 19.33 ~ 4 ~ O/ / /~rJ.6 N N ~0O I O Q. / o PROPOSED / ~ ° ~ N HOUSE i GA~ G~ I o N S 36.00 ~ 0 6 ~ ~ 80 36.00 M - 15.00 959.4 (46 ~ 9 9.7 7.p0 960.2 r I I =fV ~ 959.2 ~ 5 959.5 01 956.7 10 /~_;__DRAINAGE & UTILITY I ~ EASEMENT PER PLAT-,` IS 960.4 ~------------~-'~----J , --~~------------~-LO - U') N ~INGRESS & EGRE55 EASEMENT PER 16 BK. 256 OF DEEDS, PG.232 & BK. ~ 64 OF MISC. REC., PG. .492--.,, ~ - esa.s S89°49'18"W 131.92 ` 965.2 l9s6 G~ C9~s, z~ NOTE: PROPOSED GRADES SHONN PER GRADINC PLAN BY: PIONEER PROPOSEO HOUSE ELEVATION NOiE: BUILDING OIMENSIONS SF10YM ARE FOR HORIZONTAL AND VERTICAL IOCATION OF SIRUCTURES ONLY. SEE ARCHITECNAL PlANS FOR BUILDING AND LOWEST FLOOR ELEVATION: 9 55, 7 rouNOAnaN oiMeNSIoNS. ' TOP OF BLOCK ELEVATION: _9(03,4 NOTE: NO SPECIFlC SOILS INVESTCATION HAS BEEN COMPLETED ON THIS LOi BY THE qG Z SURVEYOR. THE SUITABIUTY OF SOILS TO SUPPORT THE SPECIFlC MWSE GARAGE SLAB ELEVATION: 3 PROPOSED IS NOT 7HE RESPONSIBILIN OF THE SURYEYOR. NOTE: TMIS CERTFICATE DOES NOT PURPORT TO SMOW EASEMENTS OTNER iHAN % 000.00 DENOTES E%IS71NG ELEVA710N TIOSE SHONN ON THE RECORDED PLAT. ( 000.00 ) DENOTES PROPOSEO ELEVA710N NOIE: CONTRACTOR MUST YERIFY ORIYEWAY DE4GN. DENOTES DRNNAGE AND UTILITY EASEMENT -T DENOTES ORAINACE FLOW DlRECiIOPI NOTE: BEARINGS SHOwN ARC BA>ED DN AN ASSUA/ED DAIUM DENOTES MONUMENT , $ DENOTES OFFSET HUB WE HEREBY CERTIFY TO MCDONALD CONSTRUCTION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 5, BLOCK 5, PINES EDGE 1 ST 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 27TH DAY OF JUNE, 1995. IGNE PIONEER GINEERING P.A. SCALE : 1 INCH = 30 FEET . B• / 975 94330.07 SWK John C. Larson, L.S. Reg. No. 19828 CITY USE ONLY ~~~~r~ L .J BL ~ RECEIPT ~1JLLL SUBD ~y,.e.a ~~k DATE: 1995 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 NO. TOTAL Shower 3.00 x Water Closet 3.00 x Bath Tub 3.00 x ta) Lavatory 3.00 x Kitchen Sink 3.00 x J_ 3 ~A7 Laundry Tray 3.00 x I_ Hot Tub/Spa 3.00 x ~ _ - Water Heater 3.00 x Floor Drain 3.00 x I_ vas Piping Uutlet ' minimum - 1 3.00 x Rough Openings 1.50 x Water Softener 5.00 x Private Disposal • oakota Cty. iicense 20.00 = U.G. Sprinkler ' home under const. 3.00 = Alterations ' to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL 4:7 e SITE ADDRESS: ,S-,q3 1^-~ °"b: -r{ '?1 K, t,!rl OWNER NAME: re", L-b ( 1 n ST INSTALLER NAME: ~ ~ ~ ~ 42 L G LIZ !~'l STREET ADDRESS: L2 0 l.1 I S? S7 CT CITY: STATE: ZIP: PHONE ~'~J PERMITTEE OFFICE USE ONLY . • L _ BL _ RECEIPT SUBD. DATE: 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681 -4675 Please complete for: ~ all commercial/industrial buildings. ~ mutti-family buildings when separete pertnits are = required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: _ fVEW CONSTRUCTION _ ADD ON _ REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETEkS 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. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 7% of contrect price, whichever is greater. State surcharge of $.50 per $1,000 of pgrmi 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 ~ BL r RECEIPT SUBD,(9jAj.ta DATE: 7 9S 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Piease 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: 0 ~ g FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU -6:60- ? Gas Outlets (minimum of 1 required @$3.00 each) q~ ? State Surcharge .50 TOTAL ..33 • SO SITE ADDRESS: OWNER NAME: i"// ~?ONA4/D ~~/~/ST PHONE y~z 760/ INSTALLER NAME: 6N7nuCD AR STREET ADDRESS: 3pe~ 2'1,6 ST arY: /_~_Gr* STATE: m~ Zlp; PHONE OZ~ ~ X~~ u CITY USE ONLY L _ BL _ RECEIPT SUBD. DATE: 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commerciaUindustrial buildings. ? mufti-family buildings when separate permits are nal required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: • $25.00 minimum fee Q[ 1% of contract price, whichever is greater. . Processed piping - $25.00 1 State surcharge of $.50 per $1,000 of pErmlt fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) tNSTALLER: ADDRESS: CITY: STATE: ZIP• PHONE SIGNATURE: I SIGNATURE OF PERMITTEE CITY INSPECTOR ~bo 50 2000 FIREPLACE PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD - 55122 651 681-4675 Date: Description of Work: ~ Construct new fireplace O~Gas _Masonry _ A!leraNons to existing Install Eas insert onlv Install pas line onlv Other Job eddres5: 'I'J,l4e /.)d v . Lot: '~5_ Block: ~ Subdivision/P.I.D. Applicant (cirole one only): Owner onhacto Permit Fee: $60.50 Name: Se "5U'^ Phone#: 6r/-3-667a PROPERT'Y Last First OWNER Street Address: City State: Zip: Company: /~1~~•.ypK'~•~~ 7~/J~j ' Phone#: 7-Yf~,-75/5~ (azea code) FIREPLACE INSTALLER Stree[ Address:/D 7 S~ 3 r~ S~ `?v,~ , Ciry State: Zip: Company: Phone (area code) GAS LINE INS'fALLER Street Address: City State: Zip: I hereby acknowledge that I have read this application and state at th information is correct and agree to comply with all applicable State of Minnesota Statutes and Ci f Ordinances. S' nahue , ~i OFFICE USE ONLY BUILDING PERMIT TYPE ? 16 Fireplace WORK TYPE 0 31 New ? 33 Alterations ? 39 Gas Line ? 41 Wood Stove ? 32 Addition ? 34 Repair ? 40 Gas Insert GENERAL INFORMATION Census Code 434 SAC Code 01 REMARKS Chimney/flue must be inspected before concealing. + RESIDENTIALPLUMBING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete for: Single Family Dwellings Townhomes and Condos when perntits are required for each umt Date ~ / / h?7- SiteAddress A Unit# n~ J 2 Property Owner Telephone Cantractor ~~;r ~ noitc ~ c, r„ ~-,E.nr Address 3670 DODD ROAD ~~GAN, MN 5$123 State (651) 365 1340 Z;P Telephone > The Applicant is _ Owner X Contracror _ Other Septic System New _ Refurhished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations to existing dwetling $ 50.00 _ Add fxtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water tumaround 5/8" meter if needed -$121.00) Other: _ RPZ _ new _ repair _ rebuild $ 30.00 _ Lawn irrigation system innln nr 4 , o n, 4 n LV J _ Water softener v 1 Water heater B $ 15.00 ~~replacement _ additional y - State Surcharge $ .50 u TotaJ g /.5'5 I hereby apply for a Residential Plumbing Permit and aclmowledge [hat the information is complete and accurate; that [he work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start wi[hout a permit; [hat the work will be in accordance with the approved plan in the cas of work which requires a review and approval of plans. 7 ~ l % o~~.~ App icant's printed N ~e Applican4~Sigriature V City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 543 White Pine Way Lot: 5 Block: 5 Addition: Pines Edge 1st PID:10- 57690- 050 -05 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: P Fee Summary: Valuation: 3,000.00 Contractor: Seta Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823 -8046 ctures are not acceptable in lieu of inspections. PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: Owner: Ian Roger Benson 543 White Pine Way Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 $90.00 Issued By: Signature Building EA079750 09/12/2007 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 ï þ ý ÿÿ þýüøüû ùþþÿÿðøìöì ññ ñêññ ÿõ ÿþýüûúöæùâùÿýüû úùýüûúöæù÷öæòû ó ùûíÿ âÿâðëðáÿû ü Ü àÿ ùé óûù óóùàÿùóù þùóî ø ùööû øùøù ó ÿ ûîâ øùø û øù î â ùþóãù ùùàÿùþü öø óüóî éäëÞäììîñìîðìñ ôù ÿù ù ß ÿ äëÞäîñêîêñ ß ÿ ë î óò õñ÷ ûû ùùùùÿóþùâóû ü òù êðëù î÷ñðëú ú ü ÿð õ÷ññë ùü ùõ÷ññðì èêñå ùþü ö ù ûû øùó ùù ùóûüö ûû þ øõ ÿ âüø áù î ûû æ ÿü ÿù Use BWE or BLACK Ink r——————— ---------� I For Office Use � � ��y�� . � Permit#: Clty of �a�� , I Permit Fee: ` � � I 3830 Pilot Knob Road � Date Received: � �r I Eagan MN 55122 � i Phone: (651) 675-5675 � � � Staff: � Fax: (651) 675-5694 �--------- ------- 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION � �� Site Address: � � �/��r�e ��,`�� y Date:�� Tenant: Suite#: � � � � _/ �J - ��8 - z S��' � ��'u Name: �✓��? ��-1�Vl f��I' Phone: ��SIC�E311#/�lA/1't�1' , �', ' Address/City/Zip: S`� �''� � � �� G �Sl�3 Name: 'f��i�►i T ��t►n" � /4"� License#: , ` Address: City: ��,c��0 t� �� C�ntra�tOr�� ' ' State:��Zip: Phone: ' Contact: �� Email: _New _Replacement _Repair _Rebuild �odify Space _Work in R.O.W. Type'of V1►�rk , Description of work: RESIDENTIAL Water Heater Water Softener Lawn Irrigation(_RPZ/_PVB) I��tl"11�T�F�� Add Plumbing Fixtures(,_Main/ Lower Level) Septic System � � � �� ' New Water Tumaround ' � ;� — � � ; "�� , _Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) $60.00 Lawn Irrigation (includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Seqtic Svstem Abandonment, Water Turnaround*(includes$5.00 State Surcharge) *Water Turnaround (add$200.00 if a 5/8"meter is required) $115.00 Se�tiC System New($10.00 per as built) (includes County fee and$5.00 State Surcharge) TOTAL FEES $ 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 qopherstateonecall.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 o� �_ � � f x �1 Wl0+'1 f Gl) x ApplicanYs ' ted Name Applicant's ature �QI��FFICE USE � y , ' R+�v��vrt+�d �y � � � � Date: � " :G�s`�est Fi��l � � � � ,� ' R�ut�h i � �_��t`'�es�� "' R+�quired Ins�ect�or�,�� 'nd��'�r�� u p ^�R �: i� �. I� =°"r 'IQr °i� � i . � ,.� .' � . �'. � u� � �t� IVIe#er��e1 ted�� °�.,�;' ��#��"�'�.S� � «�� m�� ,�"R��ead�� 1��ame�er�:� ,�a � : :�..t i� . . �, o �- ��".��- �,.k61i,: � �*-+�"�'^^�a-- .esa . r,^. �.��E �.�...m.� ry�,. .nt �. w. ... . . . ,� .. : ; w . x Use BLUE or BLACK Ink �----------------� � For Office Use � I • j Permit#: �� j �� O• �`�'�� RECEIVED i Permit Fee: � '3�� 3830 Pilot Knob Road o j � '� I Eagan MN 55122 AUG � U ZO��+ I Date Received: � Phone:(651)675-5675 I Staff: � Fax:(651)675-5694 � I ' �__�___�_________J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION ��`� Date: Site Address: Unit#: Name: �l� � �.l 4 Phone: �j ' ��`Z�`40 Residentl �-`1� ��.,.�� IC� (,,�c�t� �$-�-12,� .. Owner Address/City/Zip: �. � s., Applicant is: �Owner Contractor Type of Vllo�'k � Description of work: ��iS��J� ��! � �tT�1�'�J �"��''�r 5�1 � Construction Cost: �f aQ Q Multi-Family Building: (Yes /No� � :� Company: �1�.��(.�Lt,7�Pf Contact: �otltFaCt01' Address: C�tY� State: Zip: Phone: EmaiL ` License#: Lead Certi�cate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) �� r��l 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: NoTE �Ptans��al s�p'p"ttrt►n�dacumeitts tl'r�t�ouC st�bmiti�re�c�n�id"et'ec�F#a�e p�blrc�nforma�t��. Por�i�ris i�f the infor►nateor►�nay be cfassi�ed as°non publ�c��',you protride spe��fic reasvns�Ir�f�ucrcrlaf��inr"t#i►e�Cif�� ' c�rrt��`�de tha#,�►�e �re�rad�sec�e�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 Iocates of underground utilities. www.aoaherstateonecall.orp I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Bui ' g Code must be completed within 180 days of permit issuance. x �3 . ' �, x � ApplicanY inted Name ApplicanYs ' at Page 7 of 3 . . �-� 3 �� - � � �a��r� � � DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) � Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi Deck Porch(Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of_Plex � Lower Level _ Pool _ Accessory Building WORK TYPES New Interior Improvement _ Siding _ Demolish Building" Addition Move Building _ Reroof _ Demolish Interior � Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage Retaining Wall "Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation ��'� Occupancy '�_ MCES System Plan Review Code Edition `1.c�UZ /Vtt�s BC. SAC Units (25%_100%�) Zoning �`,Z City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction � � Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) � Final/No C.O. Required Foundation � HVAC_Gas Service Test Gas Line Air Test Roof: Ice&Water Final Pool:_Footings Air/Gas Tests _Final � Framing Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick � Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: �/"'1 , Building Inspector RESIDENTIAL FEES Base Fee 1 � � r C �/ Surcharge 1 l l � � ` � � �°�• � Plan Review MCES SAC 3�Z-C� f c�ty sac Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3