558 White Pine Way
• INSPECTION RECORD
I:iTYOF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: 7191
Eagan, Minnesota 55122-1897 Date Issued: 04 I p 1/f+f.
(612) 681-4675 '
SITE ADDRESS: ` r`~ i e.~. ~ t' c' ~ s' APPLICANT•
`
ttl11 !f i'INF L1AY rt~ ~~r~>~:;r tt I nhl") IMO
~ ilt ~ i
PERMIT SUBTYPE: TYPE OF WORK:
Nl.l i
INSPECTION DA • D•
! 'II~ (fVli I r 1+-1!
~;<1M i Hi, 7 r(,llii Ir4f.,
~ N',111. AI , nrs I rl+t ?II nt : .
1,4011('11 t N il?i,
1) Mitl !'I itti 1 I i•li~.l
~
F
~
Pertnft No. Pertnft Hdder Dab Telephone 0
~ - ELECTRIC
= PLUMBING
HVAC
Inspsctlon Date Insp. Commenb
FOOTINGS
Zfk
FOUND S~/fl/7`
FRAMING
ROOFING
ROUGH
PIUMBING
PLBG
AIR TEST
ROl1CH
HEATING
GAS SVC
TEST - Q
INSUL
C3YP 80ARD
[?oe6 g.w
FlREPLACE
FIREPLACE
AIFi TEST
FINl1l PLBG
L ~
FINAL HTG
ORSAT
TEST L[C!
BLDG FlNAL
BSIufT R.I.
BSMT FINAL
DECK FT(i
DECK FlNAL
, - -
I- -
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road
Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: , 7 APPLICANT:
. a ill l T1 I N, t.1riY i ; t. IiI I1.lAl?1"I
~„i I!i~,, I + i. 1.' ) 1.' ~ t~ ~t~.
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .A •
I
, j
I
~
~
,
I
~ ~
Pwmk No. Pwmk NoWer Date Telephone #
ELECTRIC
PLUMBING HVAC
Nspeetion W% Nip. CommwHs
FOOTINGS
FOUND
FRAMINCi
ROOFING I
ROU('H I
PLUMBING I
P`BG I
AIR TEST
ROl1GH I
HEATING
GAS SVC I
TEST I
INSUL I
I
GYP BOARD I
FlREPLACE I
I
FIREPLACE I
AIR TEST
FINAL PLBC3 I
I
FlNAL HTG I
ORSAT I
TEST I
BLDG FINAI I
BSMT R.I.
~
I
BSAAT FINAL I
DECK FTG ' I
~
DECK FlNAL i
I
~
. . _ _ .
~ •
• ~r v
Wertifrcate vf Cccupanc~
CAM of fteem
Wkontmar sf lan[iws ~x~rat~ox
This Ceriiftcatc issued pursuant to du nquirrments of the Uniform Building Code
certifytng that at 1ht tintt of tssuance this structwre was in contpliance witk the variores
ordinanccs of tlu City mgulating 6uildireg constnrction or use. For the following:
use chuir,t;od SE' IXC swE. Pemit No. 27191
owww,y tm R3/D 1 z~injt p;,a;u R) Tym Const. DN
o,..ads,,;wftMMQKATD CCM ING' Ad&Q, 7601 145'IIi Sf W. APPII: VALIEY
s„ww Add,=558 MM P'M WAY Lw;h, Ib, H4, PDES F.DGE IST
G~ 4,[.e~.e _ - /
POST IN A CX)NSPlCUOUS PU1CE
Address 558 wtlrrE prrE wnY Zip 5512 3
L.ot' • 6 Blk 4 Sub Prrees mcE Isr
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: 6/6'I(0(p Yes No Inspector.
Final grade (6" from siding) ?
Permanent steps (garage) ?
Permanent steps (main entry) ~
Permanent driveway
Permanent gas
Socl/Seeded grass
TraiUcurb damage ~
Porch v
IIasement finish v
Deck
Please verify with the builder the removal of roof rest caps from the plumbing system and the shut-off of water supply to
Ihe outside lawn faucet before freeze potential exists.
Contact engineering division at 6814645 before working in rightrobway or installing underground sprinkler system. ~
White - Ciry Copy Yellow - Resident Copy Pink • Contractor Copy
CITY OF EAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 027191
(612) 681-4675 Date Issued: 0 4/ 01 / 9 6
SITE ADDRESS:
558 WHITE PINE WAY
LOT: 6 BLOCK: 4
PINES EDGE 1ST
P.I.N.: 10-57690-060-04
DESCRIPTION:
Building~Permit Type 9F DWO
Building Work Type NEW _
r UBC Occupancy-, R-3 U-1
~ Construction Type V-N
% Zoning R-1
Building length 60
~ Building Width ; 33
Building stories ~.`2
-~`S~qua,re Feet1,598
C~ensus_Code~ 101 1- FAM. DETACH
\
- .
• ~ _ ~ ,
REMARKS:
S& W PLBR - FIVE STAR PLBG
FEE SUMMARY:
VALUA7ION $136,000
Base Fee $1,067.25 MISCELLANtOUS $1,923.50
Plan Review $533.63 Total Fee $4,492.38
Surcharge $68.00
SAC $900.00
SAC % 100
SAC Units 1
Subtotal $2>568.88 ,
CONTRACTOR: - Applicant - ST. LIC.OWNER:
MCDONALD CONST INC 19327601 0002376 MCDONALp CONST INC
7601 145TH ST W 7601 145TH 3T W
APPLE VALLEY MN 55124 APPLE VALLEY MN 55124
(612) 432-7691 (612)432-7601
S hereby acknowledge that S have read this application and etate that the
information is correct and agree to comply with all applicable State of Mn.
5tatutes and City ofi Eagan Ordinances.
APPLICANT/PERMIT SIGNATURE ISSU r 51 ATU E
CITY OF EAGAN
olq iq ' 3830 PILOT KNOB RD - 55122 '1 J
1996 BUILDING PEaMl6 1-467'5 ATION (RESIDENTIAL)
GGt.
New Canstrudion Reauirements RemodellReoair Reavirements
? 3 registered eNe surveys ? 2 copies of plan
? 2 eopies ot plans (indude beam & window sfzes; poured (nd, dasign; ete.) ? 2 sita surveys (ezterior addRions 8 decks)
? 7 energy calculatione ? 1 energy wlculations tor healed addRions
? 3 wpiea of tree preservation plan H lot plaNed afler 7/7193
requked: _ Ves _L-No '
DATE: 3~~I ~l Co . CONSTRUCTION COST:
DESCRIPTION OF WORK: V lo"^ e
STREET ADDRESS: s~ b A e P, v%,EU)1 Av
Lor _6 BLOCK N SUBD.IP.I.D. Cij Qe Js{ AJL
Io-hfIc.GO- A D-o~
PROPERTY Name: IV o R RkkS dowa Rd, Phone
OWNER
Street Address,
City: State: Zip:
coNTRncTOg Company: /4eIJonl,a I Co K s~ I"c _ Phone 43a - 7(~o I
Street Address: -7 GO (!~/S Tk sA t,lJ- License 2-3 2C-
City: 41A 1 r- UA I (6v State: A~t Zip: Ss0
ARCHI7ECTl Company: Phone
ENGINEER
Name: Registration
Street Address-
City: State: Zip:
Sewer 8 water licensed plumber: 3 74oZ Rj eJ4R AvmLR2. Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that 1 have read this application and state that the information is correct and agree to comply with all
applicable State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY / U-0 ECL~'MFD
Certificates of Survey Received Yes o MAR 2 0 4996
Tree PreservaGon Plan Received _ Yes ]ZNo
fv
OFFICE USE ONLY
sh ~ 1~
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish
~ 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. 0 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Firepiace o 21 Miscellaneous
? 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
ia/ 31 New ? 33 Alterations o 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) ~/v Basement sq. ft. / G72~ MC/WS System ~
(Allowable) Main level sq. R. 1060 City Water
UBC Occupancy 2-3/u'/ z"3 sq. ft. _~5_ Fire Sprinklered
Zoning 2-/ sq. ft. PRV
# of Stories ~Xf,~r. sq. ft. Booster Pump
Length (o69 sq. ft. Census Code.
Depth ~51 Footprint sq. ft. SyB SAC Code 0/
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
PermitFee Valuation: $ Ooo ~
Surcharge
Plan Review License
MC/WS SAC 26 K
City SAC 7z
Water Conn. &x 2-
Water Meter l Dlo O x s~° ~S-,
Acct. Deposit
S/W Permit s;7 2 yC7
S/W Surcharge
Treatment PI.
Road Unit
Park Ded. Trails Ded. Z~X~~ _ ~c~~Xsy, ~o
Other
Copies = yy~
~,3 35z 2~x zz
TOtaL• .33x7 ° Z
% SAC
SAC Units
n ~
' • ~ o R~~ g ~
2422 Enterprise Drive
* ~h Mendota Heights, MN 55120
* PIONEER ,A„o 5IL"VE,,RS • a„L ENc„EM (612) 681-1914 FAX:681-9488
~ eng neer ng IRID PLANNER9• lANDSCAPE ARCNITCCTS 625 Highwoy 10 N.E.
Bloine, MN 55434
(612) 783-1880 FAX: 783-1883
Certifiicate of Survey for: MCDONALD CONSTRUCTION
I 558 WHITEP INE WAY I I
J
30 i
N89°41'S2"E rqb4Z) ,o
958.0 100.00 964.3 963.9
- - o o ~
~
~
5r DRAINACE & UTiLITY
EASEMENT PER PLAi I ~
~ 6 ca
LLJ
W >
I
i d~m I
~ I 963.3 964. I 0
0 ~ Q
CO.
OD 0 I X ~ I Na- IW I
°
7 u? I I ~ o
o ,
00 ~ X
pq- 0~ 965.9 C9( f.9' 067-1- o--^r'- 3! ~ (!1 I Q
0965.1 38.00 o i 15.00
Z ~ Q / -o- S.0 ~ 969.0 ~
PROPOSED/ 11 .00 ~ BENCH MARK
°o Q ~ ~/HOUSE/ o I °n U TOP OF PIPE
GARAGE EIEV.=972.35
n f 37.67 n ~ i(/)
~ 1970.2
i:22.33 15.00
72-1 O E 972.030.0 C1 0 30
BENCN MARN 0~00 `~4~2.7~970.9 P OP
TOP OF PIPE o S I ~ DRivEW/+Y } ~
ELEV.=969.51 0 ~ SERVICE I
Lov._ese.a ~q~o746K) +
967.9 970.71 ~ry
. lS ~ i~ ~ I: 967.a `~'0.00 S89941,52wft 4j, • (1Q~0
4 ~O
Rf V I W E IN 9e9.7 In 0 '
WHITE PINE WyA ~
,ATr
Da ERIIVG DEFT.
GAN ~ G]IV~
NOTE: PROPOSEO GRADES SNOWN OER CRAOiNG PLAN BY: PIONEEF PROPOSED HOUSE FLFVA ION
NOIE: BVILOINC OIMENSIONS SNON'N nRE FOR HORIZONTAL AND VERTCAI. IOCATON LOWEST FLOOR ELEVATION: 9(.5, 7
OF STRUCTURES ONLY. SEE aFiCHITECTURAL 7LqN5 FOR BUIl01NG ANO d
roVr+OnTiw+ DIuENSiOn5. TOP OF BIOCK EIEVATION:
NOTE; NO SPECWIC $OILS INVESiIGATON HAS BEEN COMPI,ETED ON TH6 l0T BY THE 9 7 Z3
SURVEYOR. THE SU1TABtuTY OF SOILS TO SUPPORT THE SPECInC NOUSE CARACE SlA6 ELEVATION:
PROVOSED i5 N0T THE RESPONSIBiUtt pF ME SUrtVEVDR.
N01E: THIS CE6rGiCATE OOES NOT PURPORT TO SHOW EASEMET+TS DTMER TMAN x 000.00 DEN07E5 EXISnNG EIEVaTiOra
THOSE SHOwrv ON THE RECOROEO PLAT. ( 000.00 ) DENO7£S PROPOSEO ELEVAl10N
NOTE: CONTRAC70R MVST vEFIFV ORIVEWAY DEAGN. OENOTES ORlUNAGE ANO UiRITY EASEMENi
~ OENOTES DRMNACE FLOW OIRECnON
N07E: BEARINCS SHOWN AFE 9ASE0 ON AN ASSUMEO OANM ~ OENOTES MONUMENT
---8- DENO7E5 OFfSET HUB
wE HEREBY CERTIfY TO MCDONALO CONS7RUCT10N THnT THIS IS A TRUE AND CORRECT REPRESENTATION Of a
SURVEY OF THE BOUNDARIES OF:
LOT 6, BLOCK 4, PINES EDGE 1 ST ADOITION
OAKOTA COUNTY, MINNESOTA
17 OOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, ExCfPT AS SHOWN. AS SURVEYEO BY ME OR
UNOER MY OIRECT SUPERVISION THIS BTH OAY Of MARCH, 1996.
SI NE L PIONEE ENGI RiNC, P.A.
SCALE : 1 INCH - 30 fEE7
er: r
975 94330.15 PJM John C, Lorson, L.S. Reg. No. 19828
' LOT SURVEY CHECKLIST FOR RESIDENTIAL
B DING PERMIT APPLICATION • /
~ ` '
~ PROPERTYLEGAL:
~ DA E OF SURVEY: _~Tcf
LATEST REVISION:
~ m DOCUMENT STANDARDS
<j ~ •
? • Registered Land Surveyor signature and company
ffl"~O ? • BuildingPermitApplicant
~p ? • Legal descriptlon
e~ O? • Address
' We" ? ? • North arrow and scale
M--'? O • House type (rambler, walkout, spiit w/o, split entry, lookout, etc.)
er'~? ? • OirecUonal drainage artows with slope/gradieat %
C9'-~13 ? • Proposed/existing sewer and water services & irnert elevatlon
M-'? O • Street name
Er' ? ? • Driveway
ELEVATIONS
ExasdnS
o0 0 • Sewer service (or Proposed) 3~~O ? • Property comers
• Top of curb at the driveway
~ ~ • Elevatlons of any exostlng adjacent homes
o s
L9~-10 O • Garege floor
M'-'? ? • First floor
C4'13 ? • Lowest exposed elevation (walkouWvindow)
3"~o ? • Property comers
cr'o ? • Front and rear of home at the faundadon
PONDING AREA Cf aooflcablel
? Cd" o • Easement line ? Er'o • NVyL
? O'o • HWL
? Cl • Pond # designatlon
? ? • Emergency Overflow Elevation
DIMENSIONS
0"'13 ? • Lot IinesBearings & dfinensions
p- C3 ? • Right-of-way and street width (to back of curb)
al ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
/ porches, etc. (i.e. all structures requiring pertnanent footlnps)
D • Show all easements ot record and any Cfly Wlities wfthin those easements
Ir'C3 ? • Setbecks of proposed structure end sideyard setbeck ot adJacent exhsting structures
? P---13 • Retaining wall requiremenis any
Reviewed:
me / Date
dmwry t 9D8
cnWtauWeLooviwr.FM
_ :L I ~ ' ~ ~ _ ^ '•c 9n~h
II~ `C • ~LSI~
I
-Z~ ! t I . I~ • .
~ i1 ~ ~ - ' .
~ ;
; : ~ - f -
t
45 , : S= 0+04 S= 0+86 S- 1 +71 r - - ~
i.7 - ~ ^i
INV= 945.6 ; INV= 946.2 ' INV= 946.8 S- 2+63 i m
F.4 INV= 947.4 '
' CS= 954.0 ~ CS= 954.9 ; CS= 956.0 j 2
CS= 957.2 ; m
sT,a: +52
2 ; 4 3 4
R 5 ~
I 1 i ~
A. 7+ 8 ~ MH STA. 5+34
I
'
_J ~
- - ______r ~
i I - ,
' I
-N•Y ANT
, MH ~ S
8 TA. 13,~- 5
9'-x 6:' TEE °PIP, CL 52
GN EL. 958.7
S= 3+59 ;
S= 1+20 S= 2+05 INV= 958.8
INV= 950.3 I~ INV= 951,5 ' S= 2+90 CS= 968.8 ~
; CS= 959.8 CS= gg~,p j; INV= 954.3 ~ 8°x8"TEE ~
CS= 964.3
• L _ ; I . i i ~ _ I •
. _ yG.v ;
. ~
~ ' ~
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~
I~v ~ i ~ I zYT-sc! ~~~3 I 0 ( a I--?~
i WHITE PfNEiIWAY
~
- -
- S~, .
- -t -
, I f - ~ -
S= 1+05 ~ S= 1+93 . , , -
INV= 950.0 INV= 951.3 - 2+86 ; I S= 3+55 ~
CS= 959.8 CS= 960.7 , INV= 954.0 iNV= 958.6 P
f+ 6 7 cs= s64.0 cs= ssa.s -
(10 i' .r': f•:: . . : _ 1
~ -
. . . . . . ~ 'ii,~ J,ClY 01= Uifi_f~Y
. .r."<i~• 7': i~ l•iA7'10T H M .!?:/:1ii~.
~ . ...~1. . • 1~/~l r-.Y-U~11~~yIr'J~ . i~. .~1.1~ . . . . . . . . . . . . . . . . . . . . . . .
' . ~ ~ ~.,~~~4i• ~i i~ii II ' " .1'
' (
. . LIU~~:71 J.
MH REr 968.05_.
B
. . . . ~
LD_15.30
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i~ E"t4"-,TIGf'S. THIS DA.Ir1: i° `OR .
rt . •
: : : : : . . : :i~i10U , . PtJRPO$ES . Q~aCY : APvD :
. .
. . : . . , . : . . ~ . ?L2-30;d5 US, IN G IT ;SHOULD VEPl~:f THE
.
. . . . : : i~ iFOrl;dATlOiI ON THE SITE..
i~s vt
{ ' . . : . t~ . . . . . .
. . . . •N . . . . . .
~.s. , . . . . . ..ih . . . . . .
, 1& 2 i iIy Residential "Cookbook" hie"na
G ry
;tTE ADDRFSS cJ S ~ ~ ~~L° 1"V've ~ la IE~ A ~ rJ
- ~ Da << 3 ~0 9C~
SLqLDER C >
Minimum Criteria:
Rim Joisc: R-19 insulation Froi:ndaton wndows: Irsu]zid glzss. 1R" ait sracc. uood or vir,yl frzmc
Encry doors: IV4 inch solid wwd µ:th stor-n or be"tes
STEP 1NYindow & Door Area STEP 2 Calculate asra as a percent of wall
Total Window & Door Arca in Sq. Fcet Box A(window & door asza) diNidcd by Boz B(cot~l
Vl'u\'DGWS (::.cIuung fcund:Lica -::in3o::s;: ~a!1 izz) ti:.es 100 eqL-~-Is the .:•in3ow z^.d dc~or wrl--
DimenSioas Qnry. . Area as a perccnt of wa11 xrea (Boz E7.
/
6 x ~".3 I a~.~2 Bozs 3xioo= I(~.~ o
< X
z STEP 3 Design FeaturPs
x OPTIO~I
o s a„ I _ ASSE2.~LY
z
° x FR.AME WAIS.:
o X 02 I S. ^ .
z~( sv 5TA.-D,,xn FRA-'.~M:G ~
z I kDVf+NCED FR.4'.'fi':G
x I CAViTi'L'qSUIJ.Tto'q
x I
DOORS: SHE4Tf'Sti'G LESS THA.*1 R-5 ~
o Y
R-5 OR MoRE
6
3 WLKDOWS (ezcept foundauon Rindo.vs):
z ~ U-FACTOR U ; ,3
Total Area of
FTindow & Doois
From the table, deurmine tbe m2ximum perccnt uZndow
Tou1 W2ll Area in Sq. Ft & door 2rca for the design options sclected znd entcr tbe
WaLI Total Perimeter Heigbt Area vz]ue in boz D b=1ow:
I Boz C must be less than or equal to Box D
Total ama s
or Wo
F. The building must not exceed the maximum window and door a:ea as a
percentage oE overall exposed wall area lis:ed below for the combination
of framing technique, R-value of insulation w'ithin the insulated cavi,v,
sheathing R-va1Le, and H•indow U-fac:or. Other components must meet
the requiremen:s of this subpart.
j`LAXINiUNi SVINDOW ?.ND DOOA AREA
A5 p PEgCEN-rpF OVERALL EXPOSED WALL
Cavit}• titiindow• C+-iactor
Framine Insularion Sheathine 0•49 036 031 0.2+
Sj'pNpAR() R-13 2R-7 13.4% 17$°0 21.3 0 24.3 0
STANDARD R-li ?12-5 129°/. d 17.10e 20.106 33.4°0
5i: '~i'~,-LnL~ st_ig <R-5 Il.l,o 1 18.8°e Z.Q°'o
ST.4-NrDARD k-18 >K_5 13~ ie 15.600 21.8o 25.3°o
ADVt1NCED R-18 <R-5 11.1 a ' .1 ro 20.10"0 23.4 0
ADVAIvCED R-IS ?R-5 13.5°b 19_2010 2Z5016 26.1 •b
STANDA..RD R-Zl <R-5 11_8 0 17.0% 19.9 0 3.1 e
ST.4..tiDARD R-31 ?R-5 14.0°6 19.3010 Z.S%b 26.1°b
ADVANC:ED R-21 <R-5 11.8 0 18.1% 21.200 2-1.6°e
ADV.ANCED R-21 ?R-5 14.00,6 19.900 23.200 26.9°6
Subp. 3. Performance criferia. The combined thermal transnittance (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 wa1Ls;
B. 0.026 Btu/h ftZ -F for roof/ceilings; and
C 0.04 Btu/h ftZ `F :or floors.
STAT AUTH: MS § 216C.19
H15Z: 18 SR 3361
7670.0480 Repea(ed, 18 SR 7361
PERIVIIT
' GITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 3 0 3 2 9
(612) 681-4675 Date Issued: 0 6/ 2 6/ 9 7
SITE ADDRESS:
558 WHITE PINE WAY
LOT: 6 BLOCK: 4
PINES EDGE 1ST
P.I.N.: 10-57690-060-04
DESCRIPTION:
Building`Permit Type DECI<
(4u:ldirty 00`rk Type NEW
/C~ncuu Coda ~434 ALT. RESIDENTIAL
i
'
REMARKS:
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: OWNER: - Applicant -
NORRIS HOWFlRD
558 WHITE PINE WAY
EAGAN MN
? (612)423-3585
, T hF; cby ~cl,~rowl:dqc t_hat 7 h,avc rc,~d i.his jpp7icr_tio,i nnd ~L~tt thr~l tl,r
information ie, corroct and ugrev to c.umply with ~11 appliLJb): S~Otc o'i eln.
Statute~ and CStiy af [og:.n Ordinai:ct.c.
L J
APPLICANT/PERMITEE SIGNATURE ISSUED BY. GN TURE
, 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 4S0. S-U
CITY OF EAGAN
/ 3630 PILOT KNOB RD - 55122
6e14675 -tt~k
New Construetion Reouirements RemodeVReoair Reauiromenb .
? 3 registered afte surveys ? 2 copies of plan
? 2 copies of plans (indude beam 8 window saes; poured Ind. design; etc.) ? 2 site surveys (exterior add'Rions 8 tledcs)
? 7 enargy calwlations ? t energy calwlations kr heated add'Rions
? 3 copias of tree preservatian plan H lot platted eRer 7/1193
requlred: _Yes _ No '
DATE: ~ '1 -7 CONSTRUCTION COST:
DESCRIPTION OF WORK: ~ 'L~~ t L, x I Le Tru.c.--f, p Pi
STREET ADDRESS: S~ 8 UI h'i 4-!_ 7-t
LOT kx BLOCK y SUBD./P.I.D.
PROPERTY Name: 's 40 wA 2-tl phone 8S
OWNER •
Street Address: _ SS g h~ ~y~/'~ ~
City: State: M~ Zip; S S!~.~
CONTRACTOR Company: b-PN¢ Phone
Street Address: License
City: State: Zip:
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
Sewer & water licer.ned plumber (new construction only): . Penalty applies when address change
and lot change arc ~equested once permit is issued.
I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: -44~
OFFICE USE ONLY RECEIVED
Certificates of Survey Received _ Yes _ No JUN 2 4 1997
Tree Preservation Plan Received - Yes _ No _ Not Required $Y;
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex o 12 Multi RepaidRem. ? 17 Swim Pool
0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch ? 09 12-piex o 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. 0 10 = plex ~~15 Deck
J
WORK TYPE
~81 New o 33 Alterations ? 36 Move
_0 \32 Addition o 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 D
Census Bldg /
Census Unit
APPROVALS
Pianning Building ~ Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS 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 UnRs
57 (THU) !a- 0a ~ TEL 6S8 9' P OC?
-7'
2422 EnterDrise D~N 5St20
Mentlota hoiqnts.
(812) 681-1914- FAX:651-9
* PIONEER ~~.o e~+~c~w~z - o~i wewco~s
~ eRe rf00P f1g ~.w ~v+~~w~• w~5c.r~ .~cwR.cn 625 Hjgn..cy 10 N.E.
B~o'~ne. Mh 55434
(672) 783-1860 FAX:783-1683 ~
* *
; Certificote of Sur..ey for: MCDONALD CONSTRUCTION
~ SSg wHITE PINE WAY I I
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' ' OROPOSED HOUSF ELEYATIOtd I
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Ho*E BuiL01wC OiuEw5iaw5 Swo~ ~4C ld+ worsiIOwT.t --D KT+nCAI lounON LOWEX FLOOR ELEVATION; 9N s' 7 I
Or STNVCI,ACS ONLY. $EE ARCNiTEG1'LA/.L OlANS rOA BV4.DINC IVID 7
roUnOATp+ D~..CvSIONS. - TOP BIOCK EIEVATIOI'+: ~ I
w0*E: wo soEW,,C 50IL5 wvESrG~nOa Hn5 BECw CO~PLCTED ON THLs LOT 8r TNE qRACE SLAB ELEVA7iOr+: t 7 Z
iUitVETplt ~C $VIS^B,Ul, O, 504$ ~ SUPPORT 1HC SPE6f1C HOUSE G I
paooqSCO ~5 voi LME 0.CSPONS-BIIITM or e.~E svwvErJR. ~
~T~ON
nOIL Tw~S ~ES^°,CA*C DOCS ~+OT PUHPOFT TO S~+Ow VSE~+P+iS D1rCS T~+~"~ X 000 00 OENOrS EsISTNG ClC" (
MOSC SNO, ON TINE AECMOEO PUT. OOO.OG ) O~OTES PAOPOSEO flfV.TIOM1 .
~ OFNOiCS onAIMACE µO uT4ITY [ASEU nf
NOTE GONiAACTOR uUST "CF'FY OAIVEwI.Y OESCJ,. OEHOIES OF/JNwCE «OW OIRECTION
_fi- OC~OiES wd~U~EN~
NOIE: BCAAIHCS SHOwn `,PC BAFiCO ON wI+ ASSVkEO OANM 0,,0I,$ OFSET MUB
wE nERE9Y CERTiFY 70 MCDONALD CONSTRVCiIOn TMAT THIS 15 A TRUE PND CORREC7 REPRESEN7ATON OF n
SURVEY OF iHE BOVNp<RIES OF:
L.OT 6. BLOCKso A PINES EDGE 1 ST ADD1T10N
pAK0T4 COUNtt,
IT DOES NOT PVRPORT TO SHOW IAIPROVENGhTS OR ENCROACHI.IENTS, EXCEPT AS SHOWN, AS SVRVEYED BY ~E OR
UNDER N.Y DIRECT SVPEA`/ISION THiS 9TM OAY OF MARCN, 1996. { piONEE ENCI Rw0. P.A.
SI N~ .
SCALE . 7 INCH - 30 FEET BY: r
Jenn G. Loroon. L.S. R.S. M1o. 19828
o.. ~n 15 odi+ .
L LP BL ~ CITY USE ONLY RECEIPT
SUBD. ~ DATE: 166T 9~
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 ~ TOTAL
Shower 3.00 x =
Water Closet 3.00 x = as
Bath Tub 3.00 x
Lavatory 3.00 x
Kitchen Sink 3.00 :c = ~4t~
Laundry Tray 3.00 :c = Z• o 0
Hot Tub/Spa 3.00 :c =
Water Heater 3.00 x = On_
Floor Drain 3.00 :c = 3.00
Gas Piping Outlet ' minimum -1 3.00 x = 3, do
Rough Openings 1.50 Y, so
Water Softener 5.00 x =
Private Disposal ' Dakote Cty. ficense 65.00 =
(new and refurbished systems)
U.G. Sprinkler ' home under const. 3.00 =
AlteretionS ' to extsting 20.00 =
Water Tum Around 20.00
STATE SURCHARGE .50
TOTAL t f y, ~o
SITE ADDRESS: r YV a
OWNER NAME: C 1 d ),O C ~
INSTALLER NAME: ~ U P7 h
STREET ADDRESS: 93 (`1 ~WC'I
CITY: a~ V STATE: G ZIP:
PHONE ( ~ Ia ) Y~ ~ `c~ I ~ Xvii
PERMITTEE
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 commerciaUindustrial buildings.
~ multi-family buildings when separate permits are pQt required for each dwelling
unit.
DATE: CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION _ ADD ON _ REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED7 _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERa TO BE INSTALLED7 _ VES _ NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILI YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINtCLER PERMIT.
FEE: $25.00 minimum fee or 1% of conhact price, whichever is greater. State surcharge of $.50 per
$1,000 oi pgrmit fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME: _ STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE SIGNATURE:
APPLICANT
OFFICE USE ONLY
METER SIZE: DATE: INSPECTOR:
• - .
CITY USE ONLY
L BL RECEIPT 51194
SUBDI~~-DATE:
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3630 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
~ townhomes and condos when permits are required for each unit
~ New construction Add-on furnace
Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc.
Date:
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) •$Mn9-66
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU -6:90
? Gas Outlets (minimum of 1 required @$3.00 each) 9-00
? State Surcharge .50
,e
TOTAL ~3, -S-o
SITE ADDRESS: S.S~ I,J~i • ~e- ~.~e (.,lG-v
OWNER NAME: AG&i4/a~ Co'AS~ PHONE
INSTALLER NAME: ~0 41e~ 14;'
STREET ADDRESS: 2/2/0 .6LIL 141f-
CITY: E / . STATE: /LIN, ZIP:
PHONE ( ~~L ) y~0 - 4~02e2_
s
CITY USE ONLY
L BL RECEIPT
SUBD. DATE:
1996 MECHANICAL PERMIT (COMMERCIAL)
• CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675
Please complete for: * all commercial/industriai buildings.
? multi-family buiidings when separate permits are fLQI required
for each dwelling unit.
DA.?E: CONTPqr7 oaiCG:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: , $25.00 minimum fee 4[ 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
SITc AGGRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITy; STATE: ZIP:
PHONE
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
LOT ~O BLOCK ~ SUBD.
RECEIPT # ~ DATE
1996 CITY OF EAGAN
{RRIGATION PERMiT (FOR BACKFLOW PREVENTER)
COMMERCIAL ~STAL ~TIONS: FORM MUST BE COMPLETED BY LICENSED PLUMBER
Date: Commercial GPM
A_ Residentiai (boulevards) GPM
Existing residential
S-Sg w~,te P-~~ way
Area/address to be irrigated:
Instalfer: VorQkt(~ Owner ? Plumber ~
Street address: _T&) VA9 u
City, state & zip code: C`~ lCQ V; I IP ~j~'1 q Phone L,1-12) 0 r~~~~/ U
Owner Name•
Street address:
Ciry, state & zip code: Phone
Irrigationcontractor, if different than installer: ~•Lfy Z~?'~a~~~~
Telephone
I hereby acknowledge that I have read this application, state that the information is correct, and agree to
comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property
owner that the City of Eagan assumes no liability for any damages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit within City
property/right-of-way/easement.
1~~ a -
ApplicanYs signature Title
Approved by: Date:
PRV ? Yes ? No New service ? Yes ~la
Meter Size 4A-- & Cost NI
S°
Fees due: a~ Calculated by:
10- 7- qbl
goo ~
PROCEDURE FOR IRRIGATION SYSTEMS - 1996
An irrigation permit j-I required - please contact Protective Inspections at 681-4675.
Fees
Commercial project: $25.50 irrigation permit to cover installation of backflow preventer.
$50.50 water permit fee only if new service is installed
$300.00 per tap if installed by City.
Residential project: $20.50 irrigation permit to cover installation of backflow preventer.
$50.50 water permit fee if new service is installed.
$760.00 per connection - WAC.
$396.00 per connection - water treatment facility.
Existing residence: $20.50 irrigation permit to cover installation of backflow preventer -(not
required if backflow preventer previously installed).
Meter charge: If gallons per minute are less than 25, a 1" meter will be required at a cost of
$182.00. If gallons per minute are more than 25, a 2" turbo with strainer wifl
be required at a cost of $822.00. This information is to be supplied by the
designer of the system.
No meter will be sold before all sewer and water inspections are complete on a new service. If new
service lines are not required, one check may be written for meter and permit costs. Receipt will be coded
to 20-3716 (meter portion only) with pink copy forvvarded to Utility Billing Clerk.
The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and
backflow preventer. The Public Works Department may be reached at 681-4300 for water turn-on and set
and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for
A.M. inspections should be made on the preceding work day. Requests for PM inspections will be accepted
until 12:0b'hDOn.
ck .N~.. sy3,
p
2004 RESIDENTIAL BUILDING PERMIT APPLICATION ~ v
City Of Eagan -~b -7
.~j ~ 5-7 b/, 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conslmdion Reauiremenls RemodeVReoair Reawrements OKxe lke Onlv
3 regislered sile surveys showing sq N. o( lot, sq fl. of house; and all mofed areas 2 copies of plan bert ot Survey Recd; Y_ N
(20% maeimum bl coverage allowed) 1 set of Energy Calalations for healed adddions Tree Pres Plaq Recd Y. _ N.
2 copies of pian showing beam 8 window srzes, poured found design, elc 7 site survey (or addtions & decks Tree Pres Required' YN
lsetofEnergyCalculations AddRion - mdicateifon-sResepficsystem On-siteSepticSystem _ Y _N
3 copies of Tree Preserva6on Plan d lot platled after 711193
Rim Joisl Detail Oplions setection sheet (61dgs wdh 3 or less units
Date I / 0a l 0 7 Construction Cost
Site Address WG.7 p f;n G?G v UnidSte #
Ea o. V''I Y\J S l
Description of Work r'-i1 s~~ a ~~.5'P
Multi-Family Bldg _ YY__N Fireplace(s) _ D I 1 _ 2
n 1 V o+ 5 -EF - D~3
PropertyOwner K'c ~ d- ka4+~v ~~.vr~tOSo/1 Telephone#( y3 3-a3 y~
Contractar p~9 p6~_ - o ~ n• tJn 'IC M/ S c.l`F
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Catcgorv 1 Minnesota Rules 7672
Enefgy Code Category , Residential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculalions Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 257o plan review
fee applies.
Licensed Plumber Telephone ~
Mechanical Contractor Telephone,,
,,n1[~ L~ L ` ' ~11~1
Sewer/WaterContractor Telephone#.( )
~ N DEC ~ 2 2004 11111
I~~ , v~
I hereby apply for a Residential Building Permit and acknowledge that the infor~mation is'c6mplete and accurate;
that the work will be in conformance with the ordinances and codes of the CityYof-"Eagam-and=the-SAte of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
R~C~Grj J. "rko,«PSun ?tG(/ ~
Applicant's Printed Name Applicant's ignature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling O 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt-Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorcFJAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
[3 OS 03-plex ? 11 10-plex ~ 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition O 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
)9'- 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement •Demolition (Entire Bldg) - Give PCA Aandout to applicant
Valuation ~ Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const ~L) Width
REQUTRED INSPECTIONS
_ Foolings (new bldg) FinaVC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) Plumbing
_ Foundation )C HVAC
Drain Tilc OUier
RooC _ Ice & Water _ Final _ Pool _ Ftgs AidGas Tests Final
Framing Siding SWCCO Stone Brick
~ Fireplace Y R.I. _,,XAirTesl 7( Final Windows
[nsWation _ Retaining Wall
Approved By: Building Inspector
Base Fee
Surcharge
Y
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Pertnit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Ck ti,_. sR3i
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date I cl I Ua I Oy
Site Street Address 5 Sg e "4. t a a n /~Y1) 5"S/,~ 3 Unit #
GP-2 -aoa3
Property Owner Telephone bsl )~/a 3-a 3'//
Contrector na,n4 w'o?'t OHrsc',I?PS Telephone# ( )
Address City State Zip
The Applicant is: -~/-wner _ Contrector _Other
Alterations to existing dwelling $ 50.00
*XAdd plumbing fixtures.
If you are only installing a water softener and/or water heater, the fee is $15.00 plus the
state surcharge - see neM section
_Septic System Abandonment
Water Turnaround (add $121.00 if a 5/8" meter is re^quir d)
_Other ~CZ~ ~ ~1t ~C Vl ~ ~.J` `
Water Softener _ Water Heater $ 15.00
_ replacement _ additional
Lawn Irrigation System _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge _ - $ 50
, r. i ~ nn f ~I
Total ~ D E C 2004 U $112=
I hereby apply for a Residential Plumbing Permit andU acknowledge_that-the information is complete
and accurate; that the work will be in conformance`witfi the .ordi---nances and codes of the City of
Eagan and the pfumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approve .
k;CLrd J. Tkar,pSan
ApplicanYs Printed Na e ApplicanY ignature
2005 RESIDENTIAL BUILDING PERMIT APPLICATION ~10.
~
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
I'Pi ocT ~ ~en,
New Consirudan Reaui2menis RemodellReoair Reovirements ~ I O(fce Use Onlv I
3 registered site surveys showing sq, ft. af IoL sq. ft. of house; and all roofed areas 2 wpies of plan CeR of Survey Recd Y N
(20°h mazunum bt coverage allaxed) 1 sel o( Ener9y Calculatlons for healed additbns I Tree Pres PWn Recd _ Y I N,
2 capies of plan showing beam & window sizes; pou2d found design, etc. 1 site survey lor addi0ons 8 decks ByTree Pres Requiied=- =Y=1 N
1 sel of Energy Calculalions Addifion - indicate il on-sife septic sysfem 1`On-sfteSeplic Sys[em _ Y_ N
3 copies ot Tree P2senatlon Plan if lot pWtted aRer 7/1193
Rim Joist Detail Options selection sheet (buildirgs with 3 or less unils)
Date /0 / d q / Gt5~, Construction Cost
Site Address ~5je whi+P Unit/Ste #
JJ IdJ
Description of Work /1 . M 11211(;( Gk l 'f"16G-l •
Multi-Family Bldg _ Y~ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner ~ a~ft tVICJ nTelephane # 051 ) 4lo?.'> - OR:3 411
Contractor 1k0 S
Address 7`2f-5( 6,WK)uuil Y71),P N' /3p CitY e
State Zip Telephone #(9lO,j ) 7h'O 'dopry
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilalion Calegory 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a buiiding in Eagan with a similar plan8 _ Y _ N If so, 25% pian review
fee applies.
Licensed Plumber Telephone ~
Mechanical Contractor Telephone )
Sewer/WaterContractor Telephone#~ ~
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
4ed'.1a l'
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex O 13 16-plex O 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex 0 16 Fireplace ? 21 Porch (3-sea.) ? 31 Exl. Alt - Mulli
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex O 10 OS-plex ? 18 Deck ? 23 Porch(screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building O 42 Demolish Foundation ? 45 Fire Repair
? 33 Alleration 0 37 Demolish Building' ? 43 Reroof ? 46 Windows/DOOrs
? 34 Replacement •Oemolition (EnUre Bldg) - Give PCA handout to appliwnt
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Foo[ings (new bldg) _ FinaUC.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addi[ion) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ W indows
Insulation _ Retaining Wall
Approved By: , Building Inspector
-
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit 8 Surcharge
Treatment Plant
License Search
Copies
Other
Total
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R ”11Use BLUE or BLACK Ink
JUN For Office Use /�f
JUN )6 2016 Permit#: 1 g.)1 /
City of Ekon
3830 Pilot Knob Road Permit Fee: (pc)
Eagan MN 55122
Phone:(651)675-5675 Date Received: fo- 1
Fax:(651)675-5694
Staff:
2017 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: (0 15 117 Site Address: 5 5 8 Y 44 IT
G 'PINE Y/�V4 y
Tenant:1ILN Ti-IOM7SON' Suite#:
V � : Y_ Thct4 T oM?SOnt Phone:
65i . 423.2341
aName:
� to ;
'' Address/City/Zip: ♦ d
`,�� �� Name: KA-n4 1 VA License#: N�>�
r 3�glo '1Zt SI T City: // C
R Address.
• i.� � fVAU A
i,,04 State: /�h( Zip:T55 (5 Phone: 1 i'• ' 7 3
^ r Contact: SUE t U g'/�/ Email: S ve t•ma rt @ Kest.COW,
f3 ., B
' �� �� New y•.
Re•lacement Additional Alteration Demolition
µ#"' a r "
,* Description of work: L 1 /._ -
,
`
e —_c e W..'
4f
'_,xm . ana . e` + ' Mi rpw,tl ' '� 3 P . ,, - vs `
•
n,y ,d n k ' g:',' b ' : .: a tm�1 n;1:...r a' « . oW ,...,:',,*,,,-7477,1s..., ,Av7w � ;ri ' at M' a;- .,',4,11'.4'
,rr e, ,. ' ,µ : c'ie 44,AVPVic ai. 44 a +., «. ..,R ,R' ," M, ' ' .i , a - COMMERCIALg '; , ?4 RESIDENTIAL rSi New Construction Interior Improvementc t ., Furnace
gr % , Processed w Install Piping& x Air Conditioner a
.V1•;', _Air Exchanger Gas —Exterior HVAC Unit
eii
�
_ _Heat Pump _Under/Above ground Tank Install/____Remove)
Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge / DD
$100.00 Residential New,includes State Surcharge =$ (� TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$60.00 Permit Fee Minimum
=$ Permit Fee
$75.00 Underground tank installation/removal,includes State Surcharge
=$ 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 B 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 wo 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 plan
Tui
SuES -4k.
Applicants Printed Name Applicant's Signature
I..,, r +:dGs ' iy
�
v45,-.
, , d � 4t -T s4 i� a " R ere q � di "; - ara #bgze r �
T`� ,11, ° d n B a ._, ,� s ' . d ;0' kIr ^ f ;+„ a* k ^T” at t a s ,Ib , `'..e ` v:4,
' - nivBa.�` kk " 3as " y. ,,4-,,,,,,-- , ; ,4='•,-,""1-1...<.- t47J �Finl rJuaPa +u_ ret " 0� . N�sytt1Qe-' .2,,,„:;',1**,','
^ '1V rv.kk ✓ a,.,. , aka' x„h4414, t ± , hnnr 'ft tl^ r,Q,, 4 _ !M; 6t '''t'..;•vu !..,V,,,,,, ,.• en, 1,s, ,: +E.F•
7
' For Office Use I
, % , , Permit#: /ON 13?
-v_'EIVED Permit Fee: 39 7 + D la
9- too -/V r
S E P 2 0 2018 Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspectionscityofeagan.com L 7 J
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date /( Site Address: e.) 1.-e-Zg--e.. Unit#•
i
IName: A,,..ti I t 0.7,30—, Phone:
Resident!
t
Owner I Address/City/Zip: 5 --5' £-i 2 p ti-e___ 1---j ey
i
XI Applicant is: Owner Contractor
Type of Work Description of work: Oc ' �- "' 7 e__. (�
YP1
Construction Cost: s.-- .2-1(it. Multi-Family Building: (Yes /No X )
i
1 Company: 6-LN Cvi s 1'r 4/0°^ Contact: e:..A1-,r 5
t
el
Contractor I Address: / 5c 36 3 3 5t-. 5 City:
State:/")/VZip: 53-Val Phone: Cf)- .6U')7)-Email: cJ 4 c 5`fry `G'► ? c fe cpm
License#: 46c-6`I 7.2-cl`' Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTINC....A NEW BUILDING
1 In the last 12 months, has the City of Eagan issued a permit for a simi an based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: 4Phone:
i k
Mechanical Contractor: -.4• Phone:
Sewer&Water Contrac ( " 4 Phone:
Fire Suppressio Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non-public if ou rovide�s ecific reasons that wouldpermit the Cif to conclude that the are trade secrets
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 w. will be in
accordance with the approved plan in the case of work which requires a review and approval of plans /'
/1„.
x CAA^ l tot.n 6-1(61,-.2 X
Applicant's Printed Name
Ap• ica Sig-- •re
DO NOT WRITE BELOW THIS LINE 5çg &)kl, .fie 1 -e -37
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 1296C. — Occupancy 'y' MCES System
Plan Review Code Edition ..() Zia' SAC Units
(25% 100% ) Zoning - . City Water
Census Code Stories Booster Pump
#of Units Square Feet q ✓ PRV
#of Buildings Length Fire Suppression Required
Type of Construction V.13 Width d 25
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test Hood
Roof: O Ice &Water ` ' Final Pool: Footings Air/Gas Tests Final
Framing ,d 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFIS
Insulation Windows
Sheathing Retaining Wall: Footings Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In Final
Braced Walls Erosion Control
Shower Pante Other:
Reviewed By: ,d t - , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies S c,2. 0 0
TOTAL
Page 2 of 3
. . _ , C)--/-361)Q
2422 Enterprise Drive
4* * Mendota Heights, MN 55120
* PIONEER LAND suR4ETORS • amt.ENGINEERS (612) 681-1914 FAX:681-9488
* engineering LAND PLANNERS- LANDSCAPE ARCHUtCrS 625 Highwo 10 N.E.
* *, Blaine, MN 55434
*- (812) 783-1880 FAX:783-1883
Certificate of Survey for: MCDONALD CONSTRUCTION
1 558 WHITE PINE WAY
5 l
30
Q w �,�Z7 1 10Iiici,o)iN 89 41 52 E t�
958.0 100.00 964.3 x963.9
Property lines to be v .
)RAINAGE & UTILITY
by contractors Iii 1wr. , ,2 �. :ASEMENT PER PLAT 10
"„ �
1 /elr% ' '
mamisamirmw
5 �.t.....
cli-
-
W
ell)111 a
5rfc�'� 03 Ce
<' 963.3 964. 'OP Q
B e Reowva 8 0 --, /2 x . rn
igi gyp
.- 0
tr--
1,1)34 0 CE
r 'b' 10.'4 96W-.1,_r' 967.1 30.0 i�l 0
0965.1 / .00/ v o 115.00 9 $.
Z o PROPOSED/� --/r0 k969.0 BENCH MARK
0 _. 0
o ( �;/HOUSE „ 0 TOP OF PIPE
r i GARAGE E t-i '.,.. ELEV. 972.35
/3747 i/0 ��
I !970.2 0 22 33 15.00�
1000 �'r7Z•77970.9 �`�t Z-#, 972.030.0t�__ g 30
BENCH MARK ` I PROPOSED a
TOP OF PIPE o 5 DRIVEWAY i - 1
ELEV.=969.51 0 , SERVICE
1
�� r'1 LINV.=95e.8 — — ^ 0
{ aie.
967.2.1.....: 970,71 �1K� �,
80.00 S89°41'52"W 9900
E A G A " 967.4 x -4*�'p'r'
St E V I W E fN 969.7 0 ,� /11
I 1110 r 400P ..-,' d-c-,_
eV 3/x7 - ..__ ... WHITE PINE WA . �.- '-=
AV 0 ,
Da 1111. ING Dom.
•G ' ' •G1NEER
NOTE PROPOSED GRADES SHOWN PER GRADING PLAN 8Y: PIONEERPROPOSED HOU imighL
NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION LOWEST FLOOR ELEVATION: ��3';of STRUCTURES ONLY. SEE ARCHITECTURAL PLANS FOR BUILDING AND
FOUNDATION DIMENSIONS.
TOP OF BLOCK ELEVATION: 9 7 j-±.
NOTE. NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT 9Y THE ']
SURVEYOR. THE SUITABIUTY OF SOILS TO SUPPORT THE SPECIfC HOUSE GARAGE SLAB ELEVATION: ` L 3
PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR.
NOTE THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN X 000.00 DENOTES EXISTING ELEVATION
THOSE SHO ON THE RECORDED PLAT. ( 000.00 ) DENOTES PROPOSED ELEVATION
NOTE CONTRACTOR MUST vERIFY DRIVEWAY DESIGN. — — — DENOTES DRAINAGE AND UTILITY EASEMENT
a- DENOTES DRAINAGE FLOW DIRECTION
NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM —S— DENOTES MONUMENT
---e— DENOTES OFFSET HUB
wE HEREBY CERTIFY TO MCDONALO CONSTRUC110N THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURREY OF THE BOUNDARIES OF:
LOT 6, BLOCK 4, PINES EDGE 1ST ADDITION
DAKOTA COUNTY. MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 8TH DAY OF MARCH, 1996.
SI r, PIONEE ENGI RING, P.A.
SCALE : 1 INCH — 30 FEET
BY: r
-6-51.1 94330.15 P.M John C. Larson, L.S. Rog. No. 19828
4. .----- ..rte.-
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA154531
Date Issued:03/28/2019
Permit Category:ePermit
Site Address: 558 White Pine Way
Lot:6 Block: 4 Addition: Pines Edge 1st
PID:10-57690-04-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Richard J Thompson
558 White Pine Way
Eagan MN 55123
New Windows For America
2123 Old Hwy 8 NW
St. Paul MN 55112
(651) 203-0149
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167381
Date Issued:03/11/2021
Permit Category:ePermit
Site Address: 558 White Pine Way
Lot:6 Block: 4 Addition: Pines Edge 1st
PID:10-57690-04-060
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Richard J Thompson
558 White Pine Way
Eagan MN 55123--490
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(651) 633-2561
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171841
Date Issued:09/02/2021
Permit Category:ePermit
Site Address: 558 White Pine Way
Lot:6 Block: 4 Addition: Pines Edge 1st
PID:10-57690-04-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Richard J Thompson
558 White Pine Way
Eagan MN 55123--490
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 745-1400
Applicant/Permitee: Signature Issued By: Signature