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565 77th St W Use BLUE or BLACK Ink fn~`~ For Office Use f Ea Permit#: i City of ~ I Permit Fee: 3830 Pilot Knob Road i I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff: - - - - - - - - - 2010 MECHANICAL PERMIT APPLICATION 7~ aS 7Y GV Date: Site Address: 54r Tenant: Suite M RESIDENT / OWNER Name: C410 4~,.~ Phone: Address / City / Zip: 1 3 ~yS! 7 2 ~14 .5 CONTRACTOR Name: A04, -;v l{;~ /~';~to f-° 6g'i fib License 1.512::: Address: 7'fo ~0~te koon or. City: State: Zip: .J57-4-0 Phone: 96 S'4- o =3~ 3 Contact: 14;1 Email: X.40''n J ':50'W' S ,..0./ TYPE OF WORK New L Replacement Additional Alteration Demolition Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL PERMIT TYPE _ Furnace _ New Construction _ Interior Improvement I Air Conditioner _ Install Piping _ Processed _ Air Exchanger _ Gas _ Exterior HVAC Unit Heat Pump _ Under / Above ground Tank Install / _ Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) _ $ _Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each Surcharge $1,000 Permit Fee (i.e. a $1,00142,000 Permit Fee requires a $1.00 surcharge). TOTAL FEE 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.ora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x 14 I J //V JM .in x Applicant's Printed Name Applicant's Sig ature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground _ Rough In _Air Test Gas Service Test -in-floor Heat __Final Exterior HVAC Screening Inspection Address: 565 77TH ST W Lot 8 Blk 2 Sec/Sub BUR OAK HILLS These items were/were not complete at the time of the final inspection. Dat : JULY 7 1992 Yes No Insperfore Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry ull~ Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. NEMED MEN White - City copy Yellow - Resident copy Pink.- Contractor copy t 4, SPECTIt RECORD NO. x 3 0 6 CITY OF EAGAN PERMIT TYPE: 3830. Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: 04/28/97 (612) 681-4675 SITE ADDRESS: L OT- f# t, t rA APPLICANT: BUR OAt dtti LS (fall ',.~~f g PER IT UBTYPE: TYPE OF WORK: I'. I,, a INSPECTION TYPE DATE INSPTR, INSPECHON TYPE DATE IN S P T R. t ..t N4 r t IF 1# F. t- t. A C I Permit No. Permit Holder Date Telephone # S/W PLUMBING HVAC /s o- ELECTRI . 3 0 ~i Q / S ELECTRIC Inspection Date Insp. Comments Footings I ` 7- Foundation r~ 7 V 11 t Framing sE Roofing .3 Rough Ptb9• ~3 / C~' 8 //f Rough Wig. Z [Sul. < Fireplace L D Final Htg. -4 --fJ- A( Orsat Test fF Final Pibg. 74Plbg. inspector - Notify Plumber Const. Meter Engr./Plan 1 r~Q Bldg. Final ! T2 Deck Ftg. sa Deck Final Well Pc Disp. 4/2/1 ~ a~ ~ _r4 5 3 Request Date Fire No. Rough-in Inspec ion Regyired? ❑ Ready Now ill N nspeL I IS/ licensed contractor D owner hereby request inspection of above electric I rk Job Address treet, 8 or R ute o.) City W i Section No. Township Name. or No. Range No. Cou Occupant(PRIN p Phon No.~ - Power Supplier Address Ele K*Cant,r (ComEany ame) r~rX§ License G nns Maili g Address (C ntractor Pwner Making Installati ) r AuAhd Signature (Con a tor/Owner Makin Installation) 1 P o ber MINNESOTA STATE BOARD OF ELECTRICITY (1-!IL THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REAJEST FOR ELECTRICAL INSPECTION EB-00001-0e 10. See instructions for completing this form on back of yellow copy. Q X" Below Work Covered by This Request el. Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Pryer Other (Specify) Comm:/Industrial Furnace Farm Air Conditioner F. Other (specify) Contractor's Remarks; Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps ove 100 Amps Signs Inspector's Use Only. TOTAL 'Irrigation Booms 111✓'J~ L' Special Inspection 'T c~Jr 0,J Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. 2 I, the Electrical Inspector, hereby Rough-In 3 Date,,, certifthat y above inspection has pinal ry , . e /Z OFFICE USE ONIY ~ • / f This request void 18 months from Request Date Fire No. Rough-in Inspection ; Required? 1/4eady Now 0 Will Notify Inspector "S Yes - No When Ready? licensed contractor Downer hereby request inspection of above electrical work at: Job Address (Street. Box or Route No. QTY ' Ci J . ~ QTY W, Section No. Township Name or No. Range No. Co t _ Oc nt (PRINT Phone No. Power Supplier Address Ele Rntractor ( ompany Na Contractors License No. Mai)mg Addre (Contractor or Ow Making Installation) _ G"" Z I ~ Auth r'mtd tgnature ( ontractodOwner Making Installation) Phone N be rkj _ ✓ 5r S~ MINNESOTA STATE B AR OF LECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bid R m -173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Pau , MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. .rte _ MEL of ~ REQUEST FOR ELECTRICAL INSPECTION E T~ EB-00001-08 91' ^ 10- See instructions for coWI~Sing4thf form on back of yellow copy. e}yr D s ~P X" Below Work Covered by This Request 1. ,1 New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other--(Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: _ TOTA~ ~D . Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final Date been made. 010 OFFICE USE ONLY This request void 18 months from i PERMIT T71 Control No. 0306 CITY OF EAGAN 3830 PERMIT, TYPE: BUILDING Pilot Knob Road Number: 00@375 Eagan, Minnesota 55123 Permit (612) 681-4675 Date Issued: 04/28/92 SITE ADDRESS: 565 77TH ST W COT: 8 BLOCK': 2 BUR OAK HILLS DESCRIPTION: Building Permit Type SF DWG Building Work Type NEW UBC Occupancy R-3 N-1 Construction Type VN' Zoning R--1 Building Length 68 Building Width 48 REMARKS: RECEIPT M TEE SUMMARY: VALUATION $1:56.,.00• i i' Base Fee $835.50 MISC FEES t1,61O,5O Plan Review $543.08 Total Fee $3,767.08 Surcharge $78.00 SAC $700.00 SAC 0 Ito SAC Units 1 Subtotal $2,156.58 CONTRACTOR: - Applicant - ST. LIC. OWNER: MCDONALD CONST INC 16887061 0002376 MCDONALD CONST INC 1212 BLUEBILL BAY RD 1212 BLUEBILL BAY RD BURNSVILLE MN 55337 BURNSVILLE MN 55337 (612) 688-7061 (612)688-7061 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. Statutes and City Qf Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE ISSUE Y: SIGNATURE PERMH CITY OF EAGAN Z 1992 BUILDING PERMIT APPLICATION 581-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy talcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, I copy of energy talcs. Penalty applies when typing of permit is requested,"but not picked up by last working day of month in which re guest is made or lot than a is re nested once ermit is issued. Date y Valuation of work 121# [Sf Site Address: _S(e5 ?7t St- is STREET STE Tenant Name: L01 BLOCK Z S'M. B~f, OPr i I (S P.I.D. Description of work: S;esk E 'f The applicant is: 0 Owner Contractor ❑ Other (oescribe) Name Phone Property LAST FIRST Owner Address STREET STE S City State Zip Company Mcw , ;a.i TvC Phone to • 70L 1 Contractor Address 1212, EfUteM ( B -M ed License # =237(2 Exp. •31- city _ yurwsulState AA J O ~ Zap X337 Company Phone. Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber M&MC Wal Processing time 'for sewer & water 'permits is two days once area has betn approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all a pli a State f innesota Statutes and City of Eagan Ordinances. Signature of Applicant: - VrrlVt Uat VNLT P-POLVDING PERMIT TYPE , ❑ 01 Foundation ❑ 05 Apt. Bldg ❑ 09 Basement Finish ❑ 13 Public Fac, ,K 02 SF Dwg, ❑ 06 Garage/Accessory ❑ 10 Swim Pool ❑ 14 Agricultural 03 Two family ❑ 07 Fireplace ❑ 11 Res. Add./Porch ❑ 15 Miscellaneous 04 Multi-fam. T.H. ❑ 08 Deck C] 12 Conn./Ind. WORK TYPE Rr 31 New 13 34 Repair ❑ 37 Demolish ❑ 32 Addition ❑ 35 Tenant finish ❑ 99 Undefined 33 Alterations ❑ 36 Move GENERAL 1NF+ 4TJON ' s~: Const. (Actual) V- N Basement sq. ft. I CC S t i (Allowable) 1st Fl. sq. ft. City Water YES UBC Occupancy k °I 2nd F1. sq. ft. PRY Required Zoning -1 Sq. Ft. total Booster Pumpp # of Stories Footprint Sq. ft. Fire Sprinkler Length o On-site well Censq Code Depth On-site sewage,,.: SAC Code of APPROVALS A 6 L Planning Building z~! LL Assessments' Engineering Variance - I REQUIRED INSPECTIONS Site ❑ Footing ❑ Framing ❑ Insulation 13 Wallboard F . ❑ final ❑ Drainti1e ❑ Fireplace Permit Fee-, , . , Sb vatustii M ~s .IS 600 Surcharge' ~8 ao 01~v..;.. ,...r•...~., ; Pljm eW r4RAGer^, 32. X y~Z'~ I G Lftbnfl 12. MWCC 4 12 , ~X % City ~ ~ t 2.... 4 t t i Water Conn. c.",._. Water Meter ,ao - ro XIS 12 5 7 r I3 r7 B ~ Acct.. Deposit 30.po S/W Permit 30"00 140 x3.61 lyy p S/W: Surcharge ,IV Treatment Pl. 3on,oo 5-7 7K 7 x7 (S&) Road Unit 30, c _ (35) Park Ded 12X / a (l 2® Trails Ded. Copies /,zq F.s'% l B, y 35 sT Fi.-r2,!'M}> . Other Total : 05M7 Z 'I zZ~ SAC l o o 2 X I Yzy 7 ~2„~.. G( 2 SAC Units W z;50 5ao j ZND is 9 11 1J.;r 114 5 FfiN_ NESO'tLI~S ' H ;~iG GU.~1 CuCU ''tONg BASED ON CHAPTER 5 OF THE HQVI LAMARMY Court M3 tmtc EL~ ~N Adoptlon Effective - owner Phone _ bate Site Address Lc >T S -F c k Z 041< 'Rua 1(.C. contractor ~..1~•. ' Phone: Building Classifications Type Al =(Single Family & vuplex) Type A2 (Residential, 3 stories or less)_(Over 3 stories) (other) NOTEt Gomus~l-e Datl~g 3 ana 4 f i rar GENERAL INi:oaM1►mtnu 1. Building Perimeter t. 2. Wall height (ground to save) ft. 3. 1. X 2. r (above) gross wall are sq.ft.• 4. Building dimensions (L) X W . log. f t. roof R f loci area S. Sq. foot area of rim joint F joint size ~ X i - X % L Ps motor) eg f t. 6. Doors - Area t:?' - i 12 Thickness in U. faetor//'~~ ~~`-t' • ~ Type of Construotion pelt meter ft. Manufacturer 7.. ' Total door r s perimeter f t. 8. Windows Man Vich State approved______ U f actor-!TV TYPE Size AREA (Sq.Ft.) NUMBER or >;AGiI UNITS 8p !'gBT . t ,acs- ~ ~-Vl~ - 9. Total sq. f t. G1aos r , ~ov lo. Fireplace areas Width X Height X tFq. f t. 11. Exposed foundations Height X Perimeter) xq.fti. COFIPLETION OF T1119 FORM 19 REQUIRE 1) FOR ALL NEW CONSTRUCTION, IMOCR RENODELIHO AND BVIL02"08 NNIN© NOVND Nllang smanay, OTltzf IRAN TNa MINIMAL CODS ALLOWANCE, 19 USED. i J . Gross wall area Niarea At.. K91 I zit?_~ sq-E t. U windows ► n UxA V ~ t HIM foist area A4 ilsq. f t. U rim Joint.1 UxA - tV t (a Door area A 1 t.~ "q-ft- U door area. UxA - ~ 1 tl/ other doors area A$t7?~oq* Et. U other doors- % 007 UxA ,r~~~, 1 Exposed fndn A p-olm-Et. U foundatlon_It UxA l framing area A , aq, f L. U framing area= r UxA t flat well area 1~ sq•ft. U wall- t UxA (138) 'TO'TAL . . . . . . : U A t 4. Gross wall area x U-11 (A-1 single family & du lex (13. above) Y p ) eilawa Codes x 0.23 (A-2 other residential) x .23 (Other buildings) j x • 28 (over 3 stories') A 7 ! # U code t~' 77,77 b'1o•UN mu"E;be larger than yr same r an 138 above 5. ceiling froming area (AE) equals lot of ceiling area 5A. Gross ceiling area 00--. WS06:P aq. f t. ,511. Joist area (A f) - lot ceiling' area AA&At ttf/ sq.Et. 5C. Net ceiling area (AC) (15A 15U} I, gq.#t. U ceiling x A c 2= , x! Q 1 U raining x A f ~ - ~ xJLI~~'_~~ J .50. TOTAL U x A r. t . .6. ceiling area (15A) x 0.026 (A-1 single 6 Y duplex) -.allowable UxA/Code x 0.033 (A-2 Other residential) x 0.0r~6~'' (other) A(15A)~~x U Code ~G BTUi1 must be- larger than or name Or. as ISO above 10TE1 Use U and A values obtained from pages It 3 and 4. EMi`MW.totlt I hereby certifyy that I have calculated the "U" factors end 'tt" values herein and that the bullding hers described tame or exceeds t e 'state of ttinnesota Energy conservation Act. h gate signature -2 U4 ,Olt ~6a~0 S49 E~ t) o7 _ Inside air Iiim ;68 WALL ♦45J Interior wall ` (Vail) tl M ~ a SECTION Insulation jq'd Sheathing. b Siding . tc+~ Outside air film .11 R TOTAL ZJ` . v Z7 Inslde.str film .69 SCUD 111ttriot wail SECTION ~p stud ~8 (pajp(Ernatng) tf w ~ Sheathing ot0 siding .toy oq~~, Outside air film R TOTAL d 5 3 01 Inside air film RA .68 2Nb HALL pr- Joist) Interior wall Insulation (Nail 11 Sheathins Exterior wail toverlns Exterior air film' R •.,lf ' R TOTAL Interior ail film Re .6a insulation 1q . 0 JOIST ` % inth soft wood (aim . if . sheathing 1, 0co , 04 Exterior wa~I toveting .(PI Exterior air film Its 1 R TOTAL Z4 4ta Interior air film R' .66 (Insulation)~1~E 19.00 9 ' Z(Fdn. ) u • Exterior air film R TOTAL 2.I • S~ - - xpostd etotk r a d e 3 a VALUL n VALUL FItA!-11t1d C~ILIIId `e i • Insulation 45. • ~ ~._._~~l~ir~iln~ o. ~i aZ lndow infiltration 0.g cfm/lineal foot of crack evidential door infiltration 0.3 ofm/syuars foot or door end re ulrement minimum csoda on-residential door Infiltration 11.v afm/lineal foot of crack b 12" concrete block no insulation e b 12" concrete block lnsulated votes k; '46 U 2.1 ' b 12" lightweight block 626 !t 3.8 b 12" lightweight block insulated cores 3.1 single glass 1.11 with storm window .54 double glass .53 triple glass - .41 11-exterior walls and ceilings must have a vapor barrier spur barrier must be oti•tha inside (heated aide) of wall.~a~iCt perm max. . spot barriers of. Elie polyethelene thin film have no it valuer Jf • 422 Enterprise Drive T(fe endota Heights, MN 55120 * PIONEER LAND SURVEYORS • CIVIL ENGINEERS 1 2) 681-1914•Fox 681-9488 * engineering LAND PLANNERS • LANDSCAPE ARC141TECTS 625 Highway 10 Northeast Elaine, MN 55434 * * * (612) 783-1880•Fox 783-1883 Certificate of Survey for: McDonald Construction Inc. House Address: 565 West 77th Street, Eagan, MN Model Name: 92-212 ,o 9 4% 4j A\ / ry0~4r \ J ~ ~ C A \ (AS i / / X06 Cn 70 55.29 tip''/ ✓ ~O ~plo® v . ,Q5 QQ S 777 6'22„ qp. I 77.16, E <v 22 E r I C~~ 1 a ~AQA1+t GiIN~RINC~ DEPT X 900.0 Denotes Existing Elevation _Pf7UPOSED` HOUSE 'E!~EVATION 0@B) Denotes Proposed Elevation Lowest Floor Elevation: 37,'7 - - - Denotes Drainage & Utility Easement Denotes Drainage Flow Direction Top of Block Elevation: 84°-.9, - --c- Denotes Monument Garage Slab Elevation: 814,e, -e- Denotes Offset Hub Bearings shown are assumed LOT 8 BLOCK 2 BUR OINK HILLS DAKOTA COUNTY. MINNESOTA hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that t am duly Registered Land Surveyor under the laws of the State of Minnesota. Dated thh; 2.2, day of d -A.D. 19 q 2 • inch _ ROBERT B. SIKICH L.S. REG..NO. 14891 V feet L Scale: ® 91081.14 L 0< B CITY OF EAGAN CITY USE ONLY / PLUMBING PERMIT SUBD. Goal ;y"t a . (612) 681-4675 RECEIPT # /OS g~ll DATE RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DES IPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST REPAIR/ADD ON 15.00 ADD ON SHOWER 3.00 REPAIR WATER CLOSET 3.00 0© BATH TUB 3.00 0 ~1I.. LAVATORY 3.00 a.db OWNER NAME: ~c"oohct(~ S+r^uG ► Idh KITCHEN SINK 3.00 ?.00 C ~J~J y~ c LAUNDRY TRAY 3.00 _Z110- SITE ADDRESS: / /✓l/U• y HOT TUB/SPA 3.00 x.00 WATER `HEATER 3.00 x.00 FLOOR DRAIN 3.00 x,00 _ GAS PIPING OUT, INSTALLER: e SY r fjuw~(-h G (MINIMUM - 1) 3.00 3 4 ROUGH OPENINGS 1.50 .5`ro ADDRESS : lab Tc,,,w re ~ ~e/ ~ d OTHER WATER SOFTENER 5.00 CITY:64dvG ► ~y~ ZIP: PRIVATE DISP. 15.00 I~U.G. SPRINKLER 3.00 ~.UB PHONE W. TURNAROUND 15.00 t STATE SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: S 3, bo COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: CONTRACT PRICE: . SITE ADDRESS. 1% OF CONTRACT FEE. STATE SURCHARGE _ $ 50 FOR TENANT NAME: EACH $1,000 OF PERMIT FEE. SUITE $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE FOR: (SIGNATURE) CITY OF EAGAN ` CITY OF EAGAN FOR CITY USE ONLY f 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE': (612) 454-$100 RECEIPT # D 3 '9 II' OaBAUA.'ET DATE PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 11 1 GAS OUTLETS - MINIMUM 3.00 OWNER NAME :bq` 5L OF 1 PER PERMIT _ ll I, SUBTOTAL: $D SITE ADDRESS: : ~~h S C STATE SURCHARGE : .50 LOT : ~ BLOCK SUBD . "~U.'C' ~ ` \S T TOTAL : $ c INSTALLER: \_Q~'t ADDRESS : J~ ] c c J~ SI NATURE OF PERMITTEE CITY: t zip: Z~ PHONE # fiU EROIAL~INDUSTR PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE =_$.50 FOR SITE ADDRESS; EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 LOT:.. BLOCK SUBD. $25.00 MINIMUM FEE.' INSTALLER: CONTRACT PRICE x~1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP; TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN UNDERGROUND SPRINT 1" SYSTEM PLUMBING PERMIT Date: Permit # Date 3 Z Receipt /D'I _ Commercial: $25.50 + water tap if required. (City installs all taps up. to V). If Zddin, new service, a water permit will be required, as well. xisting residential: $15.50 (Plumbing: permit not required if backflow preventor was previously installed). - Residential developments- Pee to be determined by building inspections department. May require payment of water permit, plumbing permit, WAC, and water treatment plant fees. 77 (Address to be sprinklered) k r Homeowner/Plumber: Phone Street Address: City, State, Zip: Owner Name: Street Address: 7 Phone i Irrigation Contractor: ~ Phone 7 O I hereby acknowledge that I have read this application and state that the information is correct and agree to comply wit all applicable City of Eagan Ordinances cc: Engineering Department' K 66045 Request Dat Fire No. Rough-in Inspection Re wired? ❑ Ready Now Will Notify Inspector Yes ❑ No When Ready? I ❑ licensed contractor A owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) City 5~5 -7) 9 Section No. Township Name or No. Range No. County Occ,~an/1(PRINT) Phone No. . a Gra f Power Supplie Address Electrical Contractor (Company Name) Contractor's License No. ryl eowne-r- Mailing Addr ss (Contractor or Owner Making Installation) -6oL)e- Authorize ture (Contr tor/Owner Maki nstallation) Phone Number YsC--s e7 MINNESOTA STATE B RD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. //y REQUEST FOR ELECTRICAL INSPECTION EB-00001-08 "Irt®4 III- See instructions for completing this form on back of yellow copy. K hi ; X" Below Work Covered by This Request `z New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # ' Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 1510 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: 5,o TOTAL up- Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDER D DISCONNECTED IF NOT Other Fee COMPLETED WIT 8 M I, the Electrical Inspector, hereby Rough-in , Date _ / !J certify that the above inspection has Final Date been made. OFFICE USE ONLY + This request void 18 months from "F~ INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: t > t (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. i t 0l 0 I I i : Permit No Permit Holder Date Telephone # ELECTRIC ~ly f ~j'f O-V PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG Q~ DECK FINAL i CITY OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: 8VI/ YX Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 3 7 8 (612) 681-4675 Date Issued: 04/11/95 SITE ADDRESS: 565 77TH ST W LOT: 8 BLOCK: 2 BUR OAK HILLS P . I . N 10--15500--080-02 DESCRIPTION: Building Permit Type DECK Building Work Type NEW REMARKS: FEE SUMMARY Base Fee $30.00 COPY .50 Surcharge .50 Total Fee $31.00 Subtotal $30.50 CONTRACTOR: Applicant - ST. L I C. OWNER: RENSLOW'S DECKS-N-GAZEBOS 17739707 0008209 GRATZ CLAYTON 1746 E COUNTY ROAD B 565 77TH ST W MAPLEWOOD MN 55109 EAGAN MN 55121 (612) 773-9707 (612)456-5417 I hereby aek%wle hat I have read this application and state that the info rmatio r and agree 1-.o coniply with aJl applicable State of Mn. Statutes acid agan Oi-dinanc_.es. f APPLICANT/PERMITEE SIGNATURE ' 1 9SUED l SIGNATURE/ ~s - CITY OF EAGAN 00 3830 PILOT KNOB RD - 55122 111996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Regu meats Etemodel/Reoair lteou; , arts 3 registered site surveys ♦ 2 copies of plan 4 2 copies of plans (kWude beam window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) 1 energy calculations ♦ 1 energy calculations for heated additions r 3 C*ies of tree preservation plan if lot platted after 711!93 required: _Yes _ No DATE: - G ~ CONSTRUCTION COST: DESCRIPTION OF WORK: ck , STREET ADDRESS: -7 -7 LOT BLOCK_ SUBD./P.I.D. #:.hltl~ ~f~,'~ PROPERTY Name: Phone Ll S y f7 OWNER LOST F Street Address' W t yt~ Zip'... City: 4 N&6y,~ State: CONTRACTOR Company: Phone -2-27S-277L] Street Address: License # 00 6 g a o 9 City: )1, bl)l ati j (3 6-v) State: W.c Zip' ; I D j ARCHITECT/ Company: C-~9 C o v S ~1 S (1 IcA76 6s Phone 77 _ C3 ENGINEER Name: Cav~ a c.. v,1SL(5LJ Registration Street Address' 12S& C-QJ 3 City: w LE, ~22Q State: i8 W, T Zip: LS-,l a Sewer & water licensed plumber: Penalty applies when address change and tot change are requested once permit is issued. I` hereby acknowledge that I have read this application and state that the informs correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY R E C E NE Certificates of Survey Received Yes No APR 0 6 1994 Tree Preservation Plan Received Yes No - 2422 Enterprise Drive "K Mendota Heights, MN 55120 *PIONEER LAND SURVEYMS • CIVIL ENGINEERS (612) 681-1914•Fox 681-9488 a * engineering LAND PLANNERS* LANDSCAPE ARCINTECTS 625 Highway 10 Northeast Blaine, MN 55434 1(612) 783-1880•Fox 783-1883 Certificate of Survey for: McDonald Construction Inc. House Address: 565 West 77th Street, Eagan, MN Model Name: 92-212 r o d, ro d v / t / \ w 0 to / / \p A.. cps Is VIA N' 0j to Ci .r~~~C / GrQT` / N Q- QQ V~ o ~~Pi \5 ~ try .`k• 1 ~ ~ /v°~ry / `TO 10 .op o~ S 77-1fj'z2n ti ~Z85 V ~~CO~• \ 16' 22y D q- r e x 900.0 Denotes Existing. Elevation GINEERING DEPT PROPOSED HOUSE ELEVATION 900.0 Denotes Proposed Elevation Lowest Floor Elevdtion:~'~7,`l Denotes Drainage & Utility :Easement Denotes Drainage Flow Direction Top. of Block Elevation: g 4 S - --N~- Denotes Monument Garage Slab Elevation: 811,e, -a- Denotes Offset Hub Bearings shown are assumed LOT -8 BLOCK 2 BUR OAK HILLS DAKOTA COUNTY, MINNESOTA I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that 1 am duly Registered Land Surveyor under the laws of the State of Minnesota. Dated this, day of r . A.D. 19 q Z- , 9 _ feet G~Zti S c a I e: int:~ h 0 ROBERT B. SIKICH L.S. REG. N0,14891 iaYfa:•:R:: r. .v »:aY ;}„sxg?'. %e: ..r ! . rxy.Y:{.:.: •+Yr 3'.r ?;pwr MAW'. . 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FLUSH HEAD0 B footing B A T I O 11728' a Oft 11 in anchor ~ bolt i I az tD A INSPETIN RECORD ~fTY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR. + r-F b Z ^s;; J - t Pi➢~ il`r is 4.. 1,A j. t Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL PERMIT CITY OF EAGAN 4830 Pitot Knob Road PERMIT TYPE: ` B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 8 5 2 (612) 681-4675 Date Issued: 08/10/98 SITE ADDRESS: 565 77TH ST W LOT: 8 BLOC-K: 2 BUR OAK HILLS P . I . N 10-15500-084-02 DESCRIPTION: REROOF,SDG,DK RAIL Building Permit Type STORM DAMAGE 6ui.ldiny Mork Type REPAIR Ce,n t_t-; Code 434 ALT. RESIDENTIAL w i JREMARKS: REROOF, SIDING, DECK RAIL DUE TO STORM DAMAGE. FEE SUMMARY: I CONTRACTOR: _ Applicant - ST LI`C. OWNER: JULIK & ADLER CONST INC 16887209 9399 GRATZ CLAYTON 1433 DEERWOOD PATH 565 77THST W EAGAN MN 55122 EAGAN MN 55121 (612) 688-7209 (651) S het-eby ackrtowledgp. that I have aj thi,,application and stare- that the intorritation is coat'pct and agree to c,Cwlpl ll.th ~~ll appliuable- Star'e' of Nn' Statutes and City of Eagan Or'dirtaac(,--- J APPLICANT/PERMITEE SIGNATURE SUED BY. SIGNATURE T 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF FAGAN $$30 PILOT' KNOB RD - 55122 681-4675 New Construction Requirements Remodel/Repair Requirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ _ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 7t1/93 required: _ Yes No DATE: ' 7 CONSTRUCTION COST; 4& it DESCRIPTION OF WORK: AV CA~+~- a, STREET ADDRESS: -77 ~f LOT: _ BLOCK: SUBD /P.I.D. V, O Name: v at Z C 4 tI, Phone PROPERTY Last F t OWNER Z S. ~J Street Address: City C 0, State: Zip: 1 A04jrlCC fflG - Zz3 Z Company: ~Lv~)~7e Clt / ~c Phone ~G" CONTRACTOR Street Address: trrv / License # City e, State: ` v Zip: ~ l Z- ARCHITECT! ENGINEER Company: Phone Name: ' Registration Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: G%v-l~ o OFFICE USE ONLY ' RECEIVED Certificates of Survey Received Yes No ( Tree Preservation Plan Received Yes No Not Require Y: INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: b- Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: g APPLICANT: 'F: 1 d r fz, PERMIT SUBTYPE: TYPE OF WORK: INSPECTION DATE INSPTR. INSPECTION Permit Holder Date Telephone # PLUMBING H VAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING <g lq~p~ ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL ,ZLI GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL J • PERMIT `CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 8 5 5 (612) 681-4675 Date Issued: 08/10/98 I SITE ADDRESS: 565 77TH ST W LOT: 8 BLOCK: 2 BUR OAK HILLS P.I.N.: 10-15500-080-02 f DESCRIPTION: LAUNDRY ROOM Fuildirip Permit Type SF ADDITION Buildi.nq Work Type NEW Cerisus Code, 434 ALT. RESIDENTIAL _I REMARKS: PLAN REVIEWED BY BILL ADAMS. FEE SUMMARY: VALUATION $3,000 Base Fee $74.75 Surcharge 1.50 Total Fee $76.25 CONTRACTOR: - Applicant - ST.. L I C . OWNER: JULIK & ADLER CONST INC 16887209 9399 GRATZ CLAYTON 143 DEERWOOD PATH 565 77TH ST W` EAGAN MN 55122 EAGAN MN 55123 (642) 688-7209 > het-ebr _ ck:nowle cila that- t hove read thi > rjppli.c at.ton and gate that: t-he infor^m~E1tion is corro~t and agree to comply :J ith all dpplicdhIe Std re of Mn. Ct:,atUtos and C::i.t:y of Eagan )r iirian ,e APPLICANT/PERMITE 1G URE ISSUED BY: SIGNATURE f T 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF'FAGAN 3830 PILOT' KNOB RD 55122 3~- 681-4675 New Construction Requirements Remodel/Repair Requirements ♦ 3 registered site surveys ♦ 2 copies of plan Q_ al"- ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted' after 7/1/93 required: _ Yes No DA: 7- CONSTRUCTION COST; ~3 DE; ION OF WORK: "Y - X r STREET ADDRESS: LOT. BLOCK: SUBD./P.I.D.` v Name: ;4`~ L'',+7 y lea Phone PROPERTY Last Mrst OWNER Street Address: > -77 City Cm. u, State: Zip: Company: T. W< - S . t r e ` - J Phone 6 - 7 2 CONTRACTOR Street Address: / V License # City State: Zip: ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address chang and lot change is requested once permit is issued. hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY RF.C' I' D Certificates of Surrey Received Yes No A' ~ G Tree Preservation Plan Received Yes No Not Required BY I OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish E 02 SF Dwelling ❑ 07 4-plea 0 12 Multi Repair/Rem. ❑ 17 Swim Pool 0 03 SF Addition 0 08 8-plex ❑ 13 Garage/Accessory 0 20 Public Facility 0 04 SF Porch 0 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous 0 05 SF Misc. ❑ 10 _ Plex ❑ 15 Deck WORK TYPE' A,,31 New ❑ 33: Alterations ❑ 36 Move 32 Addition 0, 34 Repair 0 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNVS 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 I Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ 2.2 r-D_-0 '3,() a Surcharge Plan Review License MCMS SAC ~I City SAC Water Conn. Water Meter Acct, Deposit S/W Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units RESIDENTIAL BUILDING PERMIT APPLICATION 5.8 7, 5f, ! `1 a 9 CITY OF EACAN 3830 PILOT KNOB RD - 55122 &ggd q_,j -0651-681-4675 New Construction Requirements RemodellReyair Reguiremenm • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks • 1 set of Energy Calculations . Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 7/1/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE Uu VALUATION JOB SITE ADDRESS 5 ? ? s G1''1 SSA 2 IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER o TYPE OF WORK - fr 4 fi- V FIREPLACE(S) j(0 _-1 _ 2 APPLICANT PHONE# 651-1156- S_f! 7 ADDRESS S 7 7 ~5-1 fN ef4 u % 61 M t4-1 ZIP CODE 55 PAGER # CELL PHONE # 64a® 9&1Y-.5_3'71 -FAX # 6 S l ?a S- -S NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMP Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 APR 0" ~ 2002 (check one) - Residential Ventilation Category 1 Worksheet Sub d - Energy Envelope Calculations Submitted By S~ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor. Phone Plumbing System Includes: Water Softener _ Lawn Sprinkler Fee $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical System Includes: Air Conditioning Fee: ` $70.00 Heat Recovery System Sewer/Water Contractor: Phone # All above information must be submitted prior to processing of application. I hereby acknowledge than have read this application, state that the information is c rect, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. r Signature of Applicant Certificates of Survey Received Tree Preservation Plan Received Not ReQuire Updated 2002 OFFICE USE ONLY , ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage X 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex, Plbg_Y or _ N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (interior) ❑ 44 Siding 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ _ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation 2 Occupancy - MC/ES System 44-2~ . Ir Census Code Zoning 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) _ Final/C.O. Footings (deck) Final/No C.O. Footings (addition) - Plumbing Foundation HVAC Dram Tile Other Roof _ Ice & Water Final Pool Ftgs _ Air/Gas Tests Final Framing Siding - Stucco Stone Fireplace R.I. -Air Test Final _ Windows (new/replacement) Insulation Retaining Wall Approved By , Building Inspector - - - - - - - - - - - - - - - - - - - - Base Fee Surcharge 17J° Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge` Treatment Plant Plumbing Permit 11-14 Mechanical Permit` License Search Copies Other Total 422 Enterprise Drive 4( Mendota Heights, MN 55120 * PIONEER LAND SURVEYMRS CIVIL ENGINEERS (612) 681-1914•Fox 681-9488 en ii n i4FD FL.i1Nef1s : uwoscnPE ArautECTS g _E 825 Highway 10 Northeast * Blaine, MN 55434 * * (612) 783-1880•Fax 783-1883 Certificate of Survey far: McDonald Construction Inc. House Address: 565 West 77th Street,_ Eagan, MN Model Name: 92-212 r • i f U, tp / 'Ivl eE'g6 ct' s L o / lox- ✓ 9 / All I 55.29 / - 'a 14) p 4ZIP i 7~ 1$'2 7776' E /7 22 f t7 4 f~- r I C~ - I 1 t +D x 900.o Denotes Existing Elevation ("X GiINEERINQ DEFT PROPOSED MOUSE ELEVATION x ~s ~j Denotes Proposed Elevation Lowest Floor Elevation: 37,7 Denotes Drainage & Utility Easement flop of Black Elevation:' 8q,5.& Denotes Drainage Flow Direction -o-- Denotes Monument Garage Slab Elevation: 811,e, -a Denotes Offset Hub Bearings shown are assumed LOT 8 BLOCK 2 BUR OAK HILLS DAKOTA COUNTY. MINNESOTA I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am duty Registered Land Surveyor under the laws of the State of Minnesota. Dated this10 day of -A.D. 19 'a 2. , A4j, Scale: 1 1 in h =y ~j`,F feet ROBERT B. SIKiCM L.S. REG. 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Date Issued: 08/27/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 565 77th St W Lot: 8 Block: 2 Addition: Bur Oak Hills PID 10-15500-080-02 Use Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: Pictures are not acceptable in lieu of inspections. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Sela Roofing Remodeling Clayton G Gratz 4100 Excelsior Blvd 565 77th St W St. Louis Park MN 55416 Eagan MN 55121 (612) 823-8046 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA121643 Date Issued:04/10/2014 Permit Category:ePermit Site Address: 565 77th St W Lot:8 Block: 2 Addition: Bur Oak Hills PID:10-15500-02-080 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Cristine A Gratz 565 77th St W Eagan MN 55121 Renewal Andersen 1920 County Road C West Roseville MN 55113 (130) 651-2644 X777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA164714 Date Issued:10/06/2020 Permit Category:ePermit Site Address: 565 77th St W Lot:8 Block: 2 Addition: Bur Oak Hills PID:10-15500-02-080 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 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 - Cristine A Beers 565 77th St W Eagan MN 55121 (612) 965-5390 New Life Contracting Inc. 814 Grand Avenue St. Paul MN 55105 (651) 336-9966 Applicant/Permitee: Signature Issued By: Signature