559 White Pine Way
~ ? ~ INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number. '?~t i
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675 ~
SITE ADDRESS: APPLICANT:
• 1.1t111 F F" I NI WAY iRPft
Nf t-1rtl[= t~;T'
PERMIT SUBTYPE: TYPE OF WORK:
, . ~ . r k { ! I
INSPECTION D. • DA
. I
I
~ ~
Permk No. Pwmlt Holder Date Telephone M
ELECTRIC
PLUMBING
HVAC
Inspsctlon Dab Insp. Commwts
FOO7INGS
FOUND
FRAMIMG
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST I
ROUGH I
HEATING
TEST VC I
~
~
INSUL I
GYPSOARD i
' FIREPLACE I
~
FIREPLACE I
AIR TEST I
FINAL PLBG I
I
FINAL MTa I
ORSAT I
TEST I
BIDG FINAL I
~
BSMT R.I.
~
~
BSMT FINAL I
I
DECK FTG _ 24 na I
DECK FlNAI II
I
I
I
I
C~Ce~tc~cate af Cccupanc~
~t .f o.ain, 380"cdm
T6is Certifrcatt issutd pursieaat to t!u rrqWinneents of the Uniforrn Building Codt
certifying tlwt at thr time of issuance this structure was in compliance with the various
ordinances of tlre City i+cgulating building consrnrction or use. For the follawing:
. u: aamrKatm: SF llWG ewg. Pe. -it rb. 2[,617
o-w-ry Typ, R3/U I zmios oisuwx R I Tya conn. MN-
o..QatewimMMQdAiD CIONSMEMMOM Mem 7601 1451H ST W, APAE VAT-TF-Y
swming Ae*= 559 WHM FM WAY LacalnyLq, B5. PIlNS Erm lsr
BOMM Offidd
POST IN A CONSPICUOUS PLACE
. INSPECTION REC4RD
GiTlf OF EAGAN PERMIT TYPE:
3830 Pilot Knab Road Permit Number: .
Ea an, Minnesota 55122-1897
9 Date Issued:
(612) 681-4675
SITE ADDRESS: 10~1 ~ i~~~ r • APPLICANT:
!•iNk I.JAY ; ~ ~~ra•. i i i~~
PERMIT ~UBTYPE: ~ TYPE OF WORK:
. DA
i:: r<rq f t•s~~ ~i;,,; ~ j-~~,
1 i~ ,tll r' I I~~++ 1 I 1:! !'I rir i
1. 111ti'll 11I 1' I i..~ 11 1 I 7J j I f t,
! t il;'.I t I 10. J I Idl11
RM MAt~ l tI lyl Fc~. ~ 1`•'i . I I. I 1 fo,
e
~ J
Permft No. Permit Holder Date Telephone M
ELECTRIC
r
• PLUMBING
HVAC
InspwUon Dete Inap. Com anb
FOOTINGS 4
FOUND I
FRAMING V' 13, ~ 'r A*t~ `so I
I
Fi00FtNG I
ROUGH
PLUMBING - _c r
PLB(3
AIR TEST
ROUGH
HEATING
GAS SVC
TEST G
INSUL
i+
(3YP BOARD
FIREPLACE
FIHEPLACE
AIR TES7
FINAL PLBG Q'/
a
FINAL HTG
ORSAT
TEST I
BLDG FINAL
BSMT R.I.
BSMT FINAL
I
DECK FTG I
DECK FINAL I
I
I
J
Address 559 wHIrE PuNE WnY Zip 5512 3
Lot - q' Blk 5 Sub PIIVES ID(E 1ST
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector: j/t ,
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage ?
Parch ?
Basement finish ~
Deck
Please verify with the buildei the removal of roof tesl caps from the plumbing system and [he shuhoff of water supply to
the outside lawn faucet before freeze potential exisis.
Contact engineering division at 681-4645 before working in righhof-way or installing underground sprinkler system.
While - City Copy Yellow - Resident Copy Pink - Contractor Copy ~
1
~p~~~ RESIDENTIAL BUII.DING
~ ° Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New Construdion Reauiremenis RemodellReoair Reouirements OKce Use Onlv
3 registered site surveys showing sq, ft. of lot sq. ft. of house; and all roofed areas 2 copies of plan CeA of Survey Recd
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; poured (ound design, etc. 1 site survey for addiUons & decks Tree Pres Not Reqd
1 set of Energy Calculations Adddion - indicafe ifon-sife septic system _ On-stte Septic System
3 copies of Tree Preservation PWn if lot plafled after 7/1193
Rim Joist Detail Options selection sheet (bldgs with 3 or less uniLs
Date ()_3 / 0 3 / pJIL~/ Construction Cost ~~s s v v- ud,~ no, oO
Site Address , q ~//l! /e 13n e WG ~ L Q c~ Q/1 57S/1 3 UniUSte Sam e_
Description of Work Ccj25~,~ p~en ~Bed/'DO/77 on c/ %y 6,29,
Multi-Family Bldg _ Y r/ N Fireplace(s) 0 _ 1 _ 2
Property Owner CJAm e.S R. fiU,y) Telephone # 9O -r/7
- O - ,2
Contractor /v0/ut'
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Ca[egorv I Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submiried
. Energy Envelope Calculalions Submitted
Licensed Plumber Telephone J
Mechanical Contractor Telephone ~
p 1V w•
SewedWaterConiractor 11 _ Telephone#( J
V~ '
By
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 pertnit, 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 p n in the case of work which requires a review and
approval of plans.
A /"Z,
Von~es R ye_~/~'1
ApplicanYs Printed Name pplicanPs Signature
OFFICE USE ONLY i .
Sub Types
? 01 Foundation ? 07 05-piex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex O 70 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ~ 19 Lower Level 0 24 Storm Damage
? 06 04-plex O 12 12-plex PIbgaY or _ N ? 25 Miscellaneous
Work Types
? 31 New ~ 35 Int Improvement ? 38 Demolish (Interiar) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/DOOrs
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
_
p7
Valuation eVJOD ~ Occupancy _R -3 MCIES System -
Census Code Zoning R -I City Water -
SAC Units ^ Stories - Booster Pump _
Nbr. of Units ~ Sq. Ft. ~ PRV -
Nbr. of Bldgs ~ Length - Fire Sprinklered "
Type of Const ~ Width ~
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings(deck) ~ Final/No C.O.
_ Footings (addition) Plumbing
_ Foundation ~ HVAC
Drain Tile Other
Roof Ice & Water Final _ Pool _ Ftgs _ Air/Gas Tests Final
~ Frartung _ Siding Stucco S[one
Fireplace _ R.I. _ AirTes[ _ Final _ Windows (new/replacement)
~ Insulation _ Retaining Wall
Approved By , Building Inspectar
-------------°-------------------------------------------a
'
Base Fee 22
Surcharge
Plan Review
MClES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
PERMIT# ~ 31 RECEIPTDATE:
EOOE RUIDEPTIAL PLUM$IRfi PEitM1T APPWCATION
crrY og EAsM
3830 PnoT Kxoa itn
HABAP, bfA 851 EE
651-6$7-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventerforirtigation system
SITE ADDRESS: ~ S9 l.f/~7i /P n e
OWNERNAME::(/&,* eS /Z lY~L~Y/ TELEPHONE#:6~5 / `~i2c3 9Dy'~'
(AREA CODE)
INSTALLER NAME: C411117PJ TELEPHONE GJ I ~.Zc? 909''
(AREA CODE)
STREET ADDRESS:
s
ciTV: STATE: A4,/!/ ziP: SS'/oz
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
ZAdding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
Water tumaround - existing dwelling unit 5!8" meter if needed -$118)
_ OtheK---P-~YV\,A .--k- V:~ v\,
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: _ water softener _ water heater $ 15.00
F T U1'Jm
State Surcharge APR 0 9 2002 A $ 50
TOtal BY $ ^
I hereby acknowledge that I have read ihis applica6on, state that the information is correct, and • ree to complywith all app bl ity of Eagan ordinances. Il
is the applicanYS responsibility to notify the property owner that the City o( Eaga sumes iabiliry for any damag us y the Ciry during its normal
operationai and maintenance activities to the facilities consWCted under this rmi wi ' iry property/r'}gl~t-of-~ ~ se nt.
SIGNATURE OF PERMITTEE 1102
. PERMIT c~,~9~1~~
~ CIT'Y OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L O I N G
Eagan, Minnesota 55122-1897 Permit Number: 026617
(612) 681-4675 Date Issued: 10 / 2 6/ 9 5
SITE ADDRESS:
559 WHITE PINE WAY
LOT: 9 BLOCK: 5
PINES EDGE 1ST
DESCRIPTION:
Building Permit Type SF DWG
Building 6JOrl< Type NEW
UBC Occupancy R-3 U-1
Conctruction Type V-N
ZonZng , R-1
Building l.ength 65
Build.ing Width ~ 59
Buildiny stories 1
Syuara Feet . 2,718
.
~ ~ . .
REMARKS:
5& W PLBR - FZVE STAR PL6G
FEE SUMMARY:
VALUATION $145,000
Base Fee $1,112.25 MISCELLANEOUS $1,892.50
Plan Review $389.29 Total Fee $4,316.54
Surcharge $72.50
SAC $850.00
SAC ~ 100
5AC Units 1
Subtotal $2,424.04
CONTRACTOR: - Appl.icant - sT. I.IC. OWNER:
MCDONALD CONST INC 14327601 0002376 MCDONALD CONST INC
7601 145TN ST W 7601 1457H ST W
APPLE VALLEY MN 55124 APPLE VALLEY MN 55124
(612) 432-7601 (612)432-7601
I hereby ~cknnuledge that Y have read this application and state that the
informatl.on is correct and aqrea tn compl.y with a.ll applicable StoCe of Yin.
Statutes and CiLy ot Eagan Ordinances.
~ J
100..-, A'NNw
APPLICA T/PERMITEE SIGNATURE ISSUED B: IG TURE
' CITY OF EAGAN '
' 3830 PILOT KNOB RD - 55122 4i~, 1995 BUILDING PERMIT APPUCATION (RESIDENTIAL) ~~Q
681-4675 "u-r~
New ConatruCion Reauiniments Remodel/Reneir Renuiroments
? 3 iepiaMrod ske wrveys ? 2 copies of plan
? 2 copiea of plana (indude beam 8 window s¢es; pourod fi0. design; ete.) ? 2 aha surveys (erterlor add'Rions 8 dxks)
? 7 eneryy calalations ? t errorgy plwlationa for heateO eddttions
? 3 copbs of tree piessrvation plan M lot Dlatted eRer 711/93
requBed: _ Yes
.2& No
DATE: I o I(g I G,S CONSTRUCTION COST:
DESCRIPTION OF WORK: Sc !2,4` e~ia w.I~ I1 e w, e
STREET ADDRESS:
LOT 9 BLOCK S SUBD./P.I.D. Pr n c s r~q SL ...~s I A~d ~
PROPERTY Name: f I e Phone
OWNER "s'
Street Address-
City: State: Zip:
CONTRACTOR Company: [A ~bbr\~a l.. c~ Phone 3a 7 lD
Street Address: 7~ o f License 06 o d 3? ~
City: e A~ State: Zip- ss "
ARCHITECTI Company: Phone M
ENGINEER
Name: . Registration
Street Address-
City: State: Zip:
Sewer & water licensed plumber: RuE Jq RVLnL(~ 5 32 22 "'-'penalry applies when address change and lot
change are requested once pertnit is issued.
I hereby adcnowledge that I have read this application and state that the infortnation is correct and agree to comply with all
appliqble State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes i ! Q CT 18
1995
Tree Preservation Plan Received _ Yes _ No i ~
t - . . _
OFFICE USE ONLY
r ~ ~ ? .A^ !
ti
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex o 11 Apt./Lodging o 16 Basement Finish
,~~O 2 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. 0 17 Swim Pooi
0 03 SF Addkion o 08 8-plex o 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. 0 10 = piex o 15 Deck
WORK TYPE
,,)3'31 New o 33 Akerations o 36 Move
0 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) ~ H Basement sq. ft. ~ MC/WS System
(Allowable) ~ Main level sq. ft. ~ City Water -c
UBC Occupancy R-3 u,-/ sq. ft. Fire Sprinklered
Zoning e-/ sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length (as sq. ft. Census Code. /o/
Depth Sk•617 Footprint sq. ft. Z, 716 SAC Code 0L
P Census Bldg /
w~ J N,lw Census Unit I
APPROVALS 6 37,
Planning Building Engineering Variance
Perrnit Fee Valuation: $
Surcharge
Plan Review ry~
/
License
3 o fsr 6 s-a
MCNVS SAC
CitySAC 6.G~nlG.t' il° /
Water Conn. 9 y ~
Water Meter
Acct. Deposk ~ y y y y,/=
S/W Permit
SNU Surcharge
Treatment PI. ~
Road Unit
Park Ded.
Trails Ded.
Other - 3
Copies ,13 X ~o -
= - S3
L.1,''`
TOt21: Z°•33r30.67 Js
% sAC
SAC Units
/2, / ~2
• 0CT 2422 Enterprise Orive
~c * * Mendoto Nei9hts, MN 55720
. * Fr. ONI~EFa (612) 881-1914 FAX:681-9488
w~o srxvEraas • aw a+cwcces
~ 625 Hlghwoy 10 N.E.
* g near np LhNO PLAMiEflS• I.AMOSCME ~~TE~S 8loine, MN 55434
(812) 783-1880 FAX:783-1883
Certificate of Survey for: MCDONALD CONST.
559 WNI7E PINE WAY
V?MITE PINE WAY~
N _ N rj I
967.2 968.4 970.3 ~~O I
~ 967.8 S89°41'52°W 80.00 971.5
i
51 0 -SERVICE olb I
~ INV.=959.6
o ~ ARK BOPCOFMP PE ~ 5I PROPOSED l _ 973'1
ELEV.=968.96--,1` I DRivEwAY ~ I 1p ~ 30 '
969.6~~ 6. (k1 L.-I ) SO.OCL _ a>
--T-
o~ 9.67.'^ 21.67 973.4 i
z \ ~ j ~ I I -'BENCH MARK
~ I ~ 6ARA/nQi (y7~~1) ~ ^ W ^ ~ 70P Of PIPE
~
T K ~ ' 10.67 i I pp ELEV.=974.51
J= / 1\ N/~ -t .33 Qwn I LF.
~ I OO r 00 M~/O I J7~.O ~ O W O
~ 969.6 ~ / 3~ 5.33 ~ N O W
~n 8.8
~ M PROPOSED r I O im
HOUSE n ~ VI I O
oM N / I Q
~M 55.00 3 0.OOI C)
0 l L6.5) 970.6 t5.00 ~ Lq
4968.0 968.6 N
~ ~ p I
~
966.7` ~ 67.7 ~ x970.5 ~
5AINAGE & UnLITY I 13
E MENT PER PLnT- 10 976.4
f~ q!~ ~N
. 30 ~lf d`P la
° ~Si..T~~ E` Vf ,EC
974.1 S89° .9~ ~W 100.00 979.9
(G1Q•o) $Y
u
I]pTF _
' ly .
No(G PROi'OSLU GRAOE$ g4OWN PER GRADING PLAN..~~HPION
E1VG E G DEPT. ~~~~uq~
NOIE BUILDINC DIMENSIONS SHOWN NtE FOR HORIZONTAL ANO VERTICAL LOGATION LOwEST FLOOR ELFvqTION: 9Gro,o-
FWNOATION O~EN5I~NS E ARCHITECNAL PLANS FOR BVILDING AND
TOP OF BLOCtc ELEVn7tON:
NOTY: NO SF'GCYFIC SOILS INYESTIGATON MA$ BFEN COMPIEIED ON iM15 LOT BY n1C
SURVEYOR. 1NE SVITA81111Y OF SOIIS TO $UPPORT 1ME ~pflC MWSC GARAGE SLAB EIEVATION:
VROPOSED IS NOi PtE R,-5?ONSIB!LIIY OF 7HE SVRIYEVOft.
% 000.00 DENOIES E%15TNG ELEVAnON
NOTE: TF1I5 CEFTIFlCAtE DOES NOT PURPORT TO SnOw EASENENTS OTMER THAN 000,00 ) OEN07ES PROPOSED ELEVAPON
T}105E SHOwN ON 7HE RECORDFO OUT. pENpTES ORAINACE AP10 U11LIlY EPSEMLl1T
NOTE: CONIRRCYOR 4UST VERIFY ORI`.EWAY DESICN• - DEN07ES DRAINAGE FLOM DIREC110N
DENOTE$ MOP~UMENT
NOTE: BEARINGS SNOVM ARE BASED ON aN ASAIMEO DnNM S_ DENOlES OF'FSET MUB
WE HEREBY CERTtFY TO MCDONALD CONST. TMA7 THIS IS A TRUE AND CORRECT REPRESENTA710N OF A
SURVEY Of THE OOUNOARlES OF;
LOT 9, BLOCK 5, PINES EDGE 1ST ADDITION
OAKOTA COUNI'Y, MINNESOTA
IT OOES NOT PURPORT TO SHOW IMPROVEMF,NTS OR ENCHROACHMENTS. EXCEPT AS SI10WN. AS SURVEYED OY ME OR
UNDER Mv DiRECT SUPERViSiON T1+iS 3RD DAY Of OCT., 1995. 1
SIGNE PIONEER ENG EERIN P.A.
SCALE : 1 INCH = 30 FEET ~
~onn C. I~rson, LS. Reg. No. 19828
575 94JJ0.11 SNh(
W-. . LOT SURVEY CHECXLJS7 FaR RESIDENTIP,L
~ o . BUI ING PERMITAPPLICATION
VI W
y
PROPEFtTY LEGAL; ~
¢
< > W rE oF uRVer: ~/G
~ - ~ LATEST RE1/ISION:
~ qOCUMENTSTANDARDS
~ 0 • Registered Land Surveyor signaWre and company
~ • Building PartnitApplicant
~ ~ • Leqal descriptlon .
~ • Address
~ ~ • North amow and scale
~ o • House type (ram6ler, walkout, splitw/o, splR entry, laokout, etc.)
~ o • Oirectfonal draineQe artowa witlf slupe/yrad(ent %
~ 0 • Proposed/ekstlng sewer and water services 31nvaR elevatlon
a • . Street name
0 ? • ' Driveway -
ELEVATIONS
~
Exisdn(i
~ 0 • Sewer servica
9 0 • Properry comers
0 • Tap of curb at the driveway
0 • Elevadons of any existlnp adjacant homes
Pro os
• Garage flaor
Q~Q C3 • ' Frst floor
0"'~Cl 0 • Lowest exposed elevatlon (xralkoutMrindow)
V__1 0 • Properiy comers
• Front and rear of home atthe foundatlan
PONDING AR o fif aoolicablel ,
• Easement Iine .
? @' p e NWL '
] m-~ O • HyyL '
3 ~ 0 _ • Pond # desipnaflon 7 q/O • Emergenry Overtlow Elevatlon
pIMENSIONS
V' 13 13 • Lot 1lnes/Bearinps 3 dimensions
3-~ 0 a • Right-of-way and sVeet width (to back af curb)
• Proposed home dimensions lndudlap any proposed dacks, overfianps preater then Z.
parches, ete. Q.e. alt strucriures requiriny pertnanent foatlnps)
~0 (3 • Show all easements of record and any City utllitles withln those easemenb
~-'o 0 • Setbacks of proposed structure and sideyard setpaek of adJacent eidsstlng sLVCturey
I a~ • Retaining wall requireme , i an
RavieWed: ~ p
ma /O e
iry t996
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INV= 958.8 a
CS= 968.8
~7-
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~ S= 2+86 i 1 S= 3+55
% INV= 954.0 ' i INV= 958.6
i ~ CS= 968.6 j
; CS= 964.0 OUTLOT A
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. . . _ ~ ~,~~I~'~ IT: ~':G`:';:... : : . . . . . . . . . . . . . . .
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: :.........:.........:.........:.........:.........:..N :N...:..~
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- .rn . . rn
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1& 2 Family Residendal "Cookbook" A4ethoa
5rrE ADDKE55 cih
SS vc~ 1,' A - K)
EUILDER . Date
Minimum Criteria:
Rim Joist R-19 insulation Foundaton Windows: Insulaced glass, 1R' air space, 4ood or vinyl frame
Enay doors: lN inch solid wood µzth storm or better
STEP 1 Window & Door Area STEP 2 Calculaie area as a perceat of wall
Total Window & Door Area in Sq. Fcet Box A(window & doot area) dividcd by Boz B(total
WINDOVlS (i,.cIuang fcuada;:ca win3o:+s): --'aJl z'z2) "-mes 100 equ!s che win3ow zd door z*ez
Dimcnsions Qnry. Area az a perccnt of wall area (Boz
z 3~ sozA 5 03 zioo=
S° x 3 ` f 7 5 Boz BQQ3 EE C
z 6e "+I[ OS ~
STEP 3 Design Features
e z ASSEMBLY OPTION
7°X 60 11 a Fx.AME wAu.:
0 X Sa ii I p '
I STANDARD FRAN'fIIdG ~
z
z pDVANCED FRA2.II.*IG
x CAvn-Y Irrsuunox R- I 9
x
SI-IF1+II3II`7cr. ~
DOORS: LESS THAN R-5 , - ,
~ o x 0
R-5 OR DSORE
z 5. WLNDOWS (ezccpt foundaGon aindoWS):
~3 ~ z ls I ~ U-FACTOR U- 3 1
Total Area of
Wi 2
Window & Doors 0JA
From the table, dctermine the maximum pcrccnt window
Total Wall Arca ia Sq. Ft & door area for the design ogdons selected znd enter the
Wall Total Perimctcr Height Arca value in box D bclow:
25FK 55 q
ESd
I ti(~- Q nQ3B
~ Boz C must be less thaa or equal to Box D
or ToW ~ wal]
, 1~~ •
M~ F. The building must not exceed the maximum window and door area as a
percentage of overall exposed w•all area listed belov.• for the combination
of framing technique, R-value of insulation within the insulated cavitv,
sheathing R-value, and window U-fac:or. Other components must meet
the requirements of this subpart.
jVjpXIMUM WITiDOW M'D DOOR AREA
AS A PERCENT OF OVERALL EXPOSED WALL
Cacitc ltiindox• li-Factor
Framine Insulation Sheathine 0.49 0.36 0.31 0.27
yZ'pNDARD R-13 ~:R-7 13.4 e 17.$ 0 21.3 e 24.3 e
STANDARD R-li ?~i-5 1290/-. 17.1°0 20.1 e 23.4°.0
SI'r..NJDAF.D R-13 <R-5 11.1 e 16.0% , 18. ° 7 2? 0°'o
STA.NDARD k-18 LK-5 1j.~;o 18.6 e' ' " I 2-5.3%^
ADVANCED R-18 <R-5 ll.la.e 17.1% ~ 20:1°0 23.4%
ADVAIvCED R-18 >_R-5 13.50e 192°.'0 72.5°io 26.1°.b
STANDARD R-Zi <R-5 11.8 0 17.Odo' 19.9% 23.1%
ST.4:VDARD R-21 ?R-5 14.00b 19.3°'e 22.5%b 26.1°6
pDV,yNCEp R-21 <R-i 11.8 0 18.1 0 21_2°0 24.6%
ADVAIvCED R-21 >_R-S 14.0°0 19.9°6 23.2°e 26.9°b
Subp. 3. Performance criteria. Ihe combined thermal tiansmittance (Uo)
factors for walls, roof/ceilings, and floors over unheated spaces must be less than or
equal to:
A. 0.110 Btu/h ftZ `F for walLs;
B. 0.026 Btu/h RZ `F for roof/ceilings; and
C 0.04 Btu/h ft2 `F for floors.
STAT AUTH: MS § 216C.19
HIST: 18 SR 2361
7670.0480 Rcpeafed, 18 SR 2361
PERMIT = CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: e u i Lo z N c
Eagan, Minnesota 55122-1897 Permit Num6er: 030714
(612) 681-4675 Date Issued: 0 B/ 2 9/ 9 7
SITE ADDRESS:
559 WHITE PINE WRY
LOT: 9 BLOCK: 5
PINES ED6E 1ST
P.I.N.: 10-57690-090-05
DESCRIPTION:
Building Permit Type DECK
6uilding Work~Type NEW
~ Census Code ~ 434 ALT. RESIDENTIAL
\1
/
~
lr•{I~~'C~iV -_7I~:~~f%,-~~!'
REMARKS:
FEE SUMMARY:
Base Fee $50.00 COPIES $.50
Surcharge $.50 Total Fee $51.00
Subtotal $50.50
CONTRACTOR: OWNER: _ qpplicant -
HELM JAMES
559 WHITE PINE WAY
EAGAN MN 55123
(612)423-9097
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
~ Statut s and City of agan Ordinances. ~
APPLICANT/PERMIT SIGNATURE ISS ED B. IGNA E aL4WQ J~
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) r~. OO
~ CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681 -4675
Naw Construction Reauirements RemodeURenair Revuirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (inGude beam 8 window sizes; poured fnd, design; etc.) ? 2 sRe surveys (erzterior additions 8 decks)
? 1 energy calculations • 1 energy wlwlations for heated additions
? 3 copies of tree preservation plan if lot platted after 7!1l93
required: _ Yes _ No ~ DATE: ~G ~ltiq ~pr 97 CONSTRUCTION COST: 3y.d°d
/
DESCRIPTION OF WORK: /a /Xsc) Cec/2°' p e~~C
STREET ADDRESS: Wi' ~ P e Wau
~ r
LOT ~ BLOCK ~ SUBD./P.I.D.
PROPERTY Name: PhOf18#: -~f~3- ~'0?7
OWNER
Street Address: e
City: State: Zip:
coNTRaCrort Company: Phone
Street Address: License
City: State: Zip:
ARCHITECT! Company: Phone
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
Sewer & water licer.~ted plumber (new construction onty): . 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 information is c ect and agree t co ply ith all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY D
Certifcates of Survey Received _ Yes _ No ~26~
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY ~
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex o 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex x 15 Deck
WORK TYPE
~ 31 New ? 33 Alterations ? 36 Move
a~ 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 D/
Census Bldg ~
Census Unit
APPROVALS
Planning Building IML Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNUS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies .50
Total:
% SAC SAC Units
~
OCT
2422 Enterprise Orive
` j~~~ Mendoto Heights, MN 55120
,p10NlER lANO SuRVFYORS • tlYL ENdNCEFS (612) 881--1914 FAX:681-9488
61I neer n lANO PLAINERS• UNOSCME ARClU1ECIS 625 Hlghwoy 10 N.E.
7f e* g Bloine, MN 55434
(812) 783-1880 FAX:783-1883
Certificate of Survey for: MCDONALD CONST.
559 1NiITE PINE WAY
WHI7E PINE WAY~
N^ 967.2 968.4 970.3 ~\~O 1
96~.8 s 89°41'52°w 8 0 971.5 b, I
{A~ ~•41 0 - _ INVR=958.6---o_'(Cf70bj ~ I
o
BENCH MaRK o 5~
TOP OF PiPE pROPOSED ~ 973•1 i
DRivEwAY ~
1 ~ I
ELEV.=968.96-„~ 10 30
__T1_
969.6c~ 6. .i0.0~1
LW ~ 9.a7,~? 21.67 ^ 9 ~ 3. a 00
/~`0 I I -'BENCM MARK
GnRnGE (H740 i l^ L+1 ~ i0P Of PIPE
yx 10.67 i I O ELEV.=974.51
11
.33
~ 969.6 0 7 00 Cd ^ n 971.4 ~ 0 00 C)
-a.s //7i.33 5.33 ~ a0 b- I
W
~ PROPOSED n I O i O
OM HOUSE /n ~ U1 I
N I ~
aO° 55.00 so.od U
Z 68.0 5. 0 968. ~ L8.5 970.6 15.00
9 O I(n
~ r
966.7 ~ 67.7 970.5
(cibl"1 x 13
> AINAGE & UTILITY
E MENT PER PLnT--: 10 976.4 ~ f+
L - - - - 30 P
~ o ~
V i
ita Si..-r F6 c`
~
979.9
~ s~A., S07~ ~ 1 OO.OO N..
MW
" -
r~7Q•~l ~ ~lY----
~
$Y
.
Ti ~ ~ - -
NafE: PROPQSEO GRAOE$ 94OWN PER GRADING PLAN Y~~F ji'NG YTiL ING D~P'1: F HO 1 E~~ FVAI,IQ[~
NOIE: BUILDING DIAIFNSIONS $HONN ARE FOR HOF2RONTAL AND VERIICAL LOCATON ~pWEST FLOOR ELEVnl10N:
%WNOATION DWENSONSEE ARCMTECNAL PLANS FOR BUILDING AND
TOP OF BLOCK ELEVn7i0N:
NOTY: NO SAECiFIC SOIIS INVESTIGATON MAS BEEN CONPl.E1ED ON TNIS LOT BY 711E o_ '
SURVEYaR. 'ME SVITn81L17Y OF S01LS TO SVPPORT TNE SPECtFIC HWSC GARAGE SLAB ELEVATION:
VROP0.5ED IS N0T 711E FESPONSIBtUtt OF 1HE SVRVEYOR.
NOTE: TFIIS CERTIFICATE DOES NOT PVRPMT TO SMOW EAS£MENTS OTHER iHAN % 000.00 DENOlES E%ISnNG EIEYAl10N
7HOSE SHOwN ON TiE RECOFtOFO DUT. ( 000.00 ) OEN0IES PROPOSFD ElEVA110N
DENOIES ORAINACE AN0 UTILIIY EASENENT
NOTE: CONTRAC70R AIUST VER1FY ORIVEN'AY OESIGN. OENOTES ORAINACE FI,OW DIREC110H
NOTC: BEARINGS SHOwN nRE BASED ON AN aSAIMEO Onri14 oEN0TE5 MONtIMENT
~ DENOlES OFFSET MUB
V!E HEREBY CERTIFY TO MCOONALO CONST. THA7 TNIS IS A TRUE nN0 CORRECT REPRESEnITAPON OF n
SURVEY Of TtiE OOUNOARIES OF:
LOT 9, BLOCK 5, PINES EQGE 1 S7 ADDITION
DAK01'A COUNTY, MINNESOTA
IT DOES N07 PURPORT TO SHOW IMPROVEMF,NTS OR ENCHROACHMENTS. EXCEPT AS $I10WN. A$ SURVEYED OY ME OR
UNDER h+`r DiREC7 SUPERVi5i0N T1+15 3RD DAY OF OCT., 1995. ~
SIGNE PIONEER ENG EERIN P.n.
SCALE : 1 INCH = 30 F'EET ~ -
John C. Lorson, LS. Reg. No. 19828
975 94330.1 1 SWK
. ~
CITY USE ONLY
L BL ~ RECEIPT J00~41
SUBD. ~ DATE:
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 fumace
Add-on air conditioning Add-on air exchanqer, i.e. Vanee system, etc.
Date: P" 27 - qs
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
Gas Outlets (minimum of 1 required @$3.00 each) _9-
.
State Surcharge .50
TOTAL
SITE ADDRESS:
OWNER NAME: ~'G~~~~'IES A~?~ /~i~.PEE/? PHONE ~
INSTALLER NAME: ~~LG~D ~IR
STREET ADDRESS: At-
CITY: onsw STATE: ~N ZIP:
PHONE ((e(Z ) `419
& C
SMNA/
CITY USE ONLY
L _ BL _ RECEIPT tt:
SUBD. DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681 -d675
Piease complete for: ? all commerciaffindustrial buildings.
? multi-family buildings when separate permits are ~ required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: - $25.00 minfmum fee QL 7% of contract price, whichever is greater.
• Processed piping - $25.00
• State surcharge of $.50 per $1,000 of pmi2~ fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE .
TOTAL
ciTC enneeee:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP•
PHONE
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
cirr use oNLr
L ~ BL ~ RECEIPT -50
f ~
SUBD. ~ - / - DATE:
1995 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 NO. TOTAL
Shower 3.00 x 3,040
Water Closet 3.00 x 4- = Io,OB
Bath Tub 3.00 x C9- _ 1 04
Lavatory 3.00 x /,T C})
Kitchen Sink 3.00 x = 91DO
Laundry Tray 3.00 x = 3. 60
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x 370
Floor Drain 3.00 x
Gas Piping Outlet ' minimum - 1 3.00 x =
Rough Openings 1.50 x
Water Softener 5.00 x =
Private Disposal ' Dakota Cry. license 20.00 =
U.G. Sprinkler ' home under const. 3.00 =
Aiterations ` co existiny 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL
SITE ADDRESS:
OWNER NAME: ~Z2, A~~y~
INSTALLER NAME:
STREET ADDRESS:
CIN: STATE: /,V 41 ZIP: •'~s~a
PHONE ((p/a ) y5a -/vr~,~
SNA I URL U ~ • ~~:Ge?.00'l2~
. 31'i3FVEKIOf}1T
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 commerciaVindustrial buiidings.
~ multi-family buildings when separate permits are aM required Tor each dwelling
unit.
DATE: CONTRACT PRICE:
WOnri i i'rc: ivtJV CVNSiRUC I IvN ADU UN REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED7 _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of 2ga]2 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 of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 559 White Pine Way
Lot: 9 Block: 5 Addition: Pines Edge 1st
PID:10- 57690- 090 -05
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Seta Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823 -8046
If there is no ice protection inspec
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:
12/19/2008 - homeowner called to say he wants final roof inspec
$90.00
Owner:
James R Helm
559 White Pine Way
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA086031
09/15/2008
ePermit
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
on performed in spring & will have contractor call to
$88.50 0801.4085
$1.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA132467
Date Issued:08/17/2015
Permit Category:ePermit
Site Address: 559 White Pine Way
Lot:9 Block: 5 Addition: Pines Edge 1st
PID:10-57690-05-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
James R Helm
559 White Pine Way
Eagan MN 55123
(651) 423-9097
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
tJ�e��.t3�or BLA�K In� ,
l�For6�ic�UsE �.W_______�
:.::._:. �. _____��. .._.. . .,:
:. t._. �.: <:
.. „ __. _:��__i.
���� VA �Ei��ll ' p8(fA4��:
} �.y�� �
383{F Pilot Knob�oad � �'�`"'�k���.�Q • �-/ �
������������ � �o_ -� ���;
Phone:(651)675-5675 C t�ate Receiued; �
Fax:(851�675-569d � `— i
k Siaf�jC, �
.....__.....�.:�___-----____.a
2�15 ' ECHA idC L �E�M'tT PPIL�CAT1O�h1
❑ Please submit#wa(2j ssts of pians wi#h�Il cc�mmer�iat appiica#icrns.
Date:�5 ?.0�5 Sife Address: ��� ���Y� AJ� �- ��'''6
Terta»t: Suite#:
� , �� ResidentlOwner �ame: r<�eM, �hone:,�(2 3�0'(`'�(��'
���r�ss� ty i z��; �.�51., `�;►� �.►S 55 t 2 3
Name: MINNEAPOLIS-ST.PAUL PLUMBING,HEATING&AIR L1e��sg�; MB003372
Address: �0 GRAND AVE. ��t ST.PAUL
� Gt111#Tc'1GtAY �'
� ' State: MN Zip: 55105-3402 Phone: 651-228-9200 '
COnt�Ct: Daf11EI K. VOpaVa Email: PERMITS@MSPPLUMBINGHEATINGAIR.COM �
_New �Repiacement _„Additional _Alteration Demo€itian
Type of Wctrk Description of�nrcrrk:;
N4"fE:Roof mounted and graund mc�unteci m�chanicat equipmen�is�requir�d ta be screen�ecl b�+Gtty
§ Cocte, Please carttacf tt�e Mect�an"scaE inspec#or f�sr informa�ion on p�rmitted s�reenirtg'mefitts�ds.
RESlf3EN7'!AL COli11ME,RClAL
�' fumace ^New Constfcrctior� �tnterior improvernen# ;
����',��y�g , �Air Condikioner ____Install Piping _Processed
Air Exchanger Gas Exferirar FiVAC tlnit
_Heat Pump UndertAbove ground Tank (_instaii!�Remove}
�ther
RESIflENT1AL F€ES
1
$60,40 Minimum Add ar alteration tn an existing unit�inc(udes�8a0 S#afe Surcharge) e.�
$100.Ud Residentiai New(inciudes$5:Q0 State Surcharge) =$ '� "� 1"QTAL F�E
COMMERCiAL FEES Contract vale�e$ x.(11
$55,00 Permit Fee Minimum
$70.t10 Underground tank ins#atiationlrem�val =$ Permif�ee
*If cantra�t value is LESS than$9t�,010,Surcharge=�5,04 �$ Surcharge*
'*(f corrtract v�l�e is GR�ATER#h�n$1 Q,490,Surcharge-�antract��Vaiue x$E�,0005
� *�"Cf the project ualuation is over$�f miifion,please eafi for Surcharge _� TC7TA�F�E
! hereby acknowtedge that this infarmatian ia camplete and accurate;thaf fhe w�rk wiA 6e in conforrnanc�with the acdinances and cc�es of the G�tp oi
Eagan;that i understand this is not a permit,bui aniy an appticatinn tar a perr»if,and wwk is noi to start without a permiir thaf the wcsrk wili be in accordance
with he approved pian in the ca of wor ich rc�uires a review and approvai of plans.
X � "' x Vls.�t�X. V e PGwa.
ptic Ys Printed ame �'—� Applicant's Signafure
FOFt OFFCCE USE
Requ�red lnspections: Reviei+ved L3y: a�te:
Underground Rough In Air Tsst Gas Serviee Test In-flc�ar H�at - �inaC NVA�Screening
07/25/2017 08:19 FAX 6513069709 DILLON DENTAL CARE 4 002/002
Use BLUE or BLACK.Ink
For Office Use
'tyEagu Perm .341� of Permit Fee: 0 b�
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone:(651)675-5675 Staff:
Fax:(651)675-5694
2017 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date:',riSite Address: 5:59 yj,�'2 1&e k)!fir -53-7 -3
Tenant: Suite#:
Resident/Owner
entlOwiner Name: 6-0 2 EF A.) 1-14-i m Phone: 61A-3140-11/(o?
Address/City/Zip: ,53.9 f1 r'C T P A)-e Lt)Ai S1 -5 00 )A-11) SSs/
Name:fr AsF�e r 7r'a l�'!U ()Y b,r) , I License#: 06 5 RO
Address: j v1�J a CX IAD c�Gd/ //• O u City: 9r I t)l�+A�£
Carttractor �,,
State: Jr 1 Zip: 72— Phone: 4,j a'ea 90 -1/esf
Contact: .54'Q✓'P Email: rb I a 11 ) rnea1- Ld rr
j
Type of Work —New ZReplacement Repair —Rebuild —Modify Space —Work in R.O.W.
• Description of work: % lc+ t�S � + IA) ti
RESIDENTIAL
✓Water Heater
Water Softener
Lawn Irrigation( RPZ/—PVB)
Permit=Type Add Plumbing Fixtures L_Main/—Lower Level)
Septic System
—New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,Water Softener,or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 Add Plumbing Fixtures,Septic System Abandonment,Water Turnaround*(includes State Surcharge)
"Water Turnaround(add$280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and State Surcharge)
TOTAL FEES$
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.00pherstateonecall.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 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� �off�plans. 1e/J
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed`By Date
Required Inspections: Under Ground Rough-In Air Test Gas Test .Ftnal
Mater Related Items: Meter Size Ratio Read .._ Manometer Staff:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA147864
Date Issued:02/12/2018
Permit Category:ePermit
Site Address: 559 White Pine Way
Lot:9 Block: 5 Addition: Pines Edge 1st
PID:10-57690-05-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Maureen Tste A Helm
559 White Pine Way
Eagan MN 55123
Polar Builders Inc
1103 West Burnsville Parkway
Suite 110
Burnsville MN 55337
(612) 432-1597
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA171469
Date Issued:08/17/2021
Permit Category:ePermit
Site Address: 559 White Pine Way
Lot:9 Block: 5 Addition: Pines Edge 1st
PID:10-57690-05-090
Use:
Description:
Sub Type:Residential
Work Type:Underground Sprinkler System
Description:PVB
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - RPZ/PVB/Lawn Irrigation $59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Maureen Ann Tste Helm
559 White Pine Way
Eagan MN 55123
(612) 310-1467
Drain Pro Plumbing
8815 - 209th Street W
Lakeville MN 55044
(952) 469-6999
Applicant/Permitee: Signature Issued By: Signature