534 77th St W
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
i 1 tN 1 t~~(3 .1
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR.
Permit No. Permit Holder Date Telephone #
SAIV
t PLUMBING
HVAC p♦
ELECTRIC ~..~r3 Z
ELECTRIC
Inspection Date Insp. Comments
Footings 1 7 (Q~'
Foundation
Framing ~0 3
Roofing
Rough Plbg.
Rough Htg. ,Gyl~
Isul. ~,//I_ 7f S
Fireplace
Final Htg.
Orsat Test
Final Plbg. OM Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
I
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: I N6
3830 Pilot Knob Road Permit Number: ci./ 9.4
Eagan, Minnesota 55122-1897 Date Issued: " 1 t
(612) 681-4675
SITE ADDRESS: APPLICANT:
•
iti1J', • i I A t if I 1 1 ( f 1 ? ) R91 --4:184
j
i
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION TYPE DATE INSPTR INSPECTION TYPE DATE INSPTR.
Permit No. Permit Holder Date Telephone B
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING - 1 ~-Ct-7 Gj QtCIG ►-jq, l'~x„ec : v~ UK
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
I
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL ,
Address 534 77111 ST W Zip 5512 3
Lot 20 Blk 2 Sub BUR OAR HILLS 1ST
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway y/
Permanent gas
Sod/Seeded grass
Trail/curb damage tl
Porch
Basement finish i`
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.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
Req st Date Fire No Rougtl-m Inspection
ff Raqurzetl7 ❑ Ready Now ill Notify Inspector
'des No When Ready?
I,licensed contractor p owner hereby request inspection of above electrical work at
Job Admess (Street, Sox or ute No Ci
a3 - 77 -14 , 64) - .¢i✓
Section No Townsmp Name or No Range No County
Occupant (P 1 Phone No
-/-tvc~ocC a~
Power Suppler Address Jf IV6 Electrical Cmil actor Company Name) r Comrador5 dense No
McJm ddr s (Contractor or Owner Making Insta0ellon)
Autnonze S. atme ICOntraaouOwner axing n nations Phone
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Mldwey Bldg, - Room 5-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642.0800 ENCLOSED
V/Y.- REQUEST FOR ELECTRICAL INSPECTION !7!tga Ee-00001-08 see instructions for completing this form on beck of yellow copy. z
4 i
7n R.,; a X" Below Work Covered by This Request Ll
e Ai7tl Repr^ Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other-(Specify)
CommAndustrial Furnace
Farm Air Conditioner
Other Ispeafyl Contractor's Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Srce Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0- V 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps
Signs Inspector's Use Only TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MON
h the Electrical Inspector, hereby Roughdn Date
certify that the above inspection has Finai r Date U
been made.
OFFICE USE ONLY i
This request void 18 months from V
PERMIT aec'o 7Y75-~
CITY OF EAGAN
PERMIT TYPE: BuIL~rldG
3830 Pilot Knob Road
Eagan, Minnesota 55123 Permit Number: 021066
(612) 681-4675 Date Issued: 05/28/93
SITE ADDRESS:
534 77TH ST W
LOT: 20 BLOCK: 2
BUR OAK HILLS 1ST
P.I.N.: 10-15500-200-02
DESCRIPTION:
81uiIdincy~Permit Type SF DWG
Building Work Type NEW
, UBC Occupancy R-3 M-1
Construction Type VN
j' Zoning R-1
Building Length j 58
Building Width 52
GLI~ls~ L~ rj
REMARKS:
S&W CONTRACTOR - VALLEY PLBG.
FEE SUMMARY:
VALUATION $186,000
Base Fee $947.50 MISC FEES $1,744.50
Plan Review $615.88 Total Fee $4,151.88
Surcharge $94.00
SAC $750.00
SAC 8 100
SAC Units 1
Subtotal $2,407.38
CONTRACTOR: - Applicant - ST. LIC. OWNER:
BRENTWOOD HOMES 17301000 0001519 BRENTWOOD HOMES
1322 HELMO AVE N 1322 HELMO AVE N
OAKDALE MN 55128 OAKDALE MN 55128
(612) 730-1000 (612)730-1000
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
APPLICANT/PERMITEE SI RE ISSUED : SIGNATURE
W N65 UNKTIFICAT9 FUR*
SIGMA K
SURVEYING r
SERVICES INC. MREl
122 E
1971 Sc Wn No% 'Sw'i
OOD
Manor M61~) {~S2.3077 HOME S, • I N C.
r
D"•"I.O9 AND VVILM [ASIMENTt A09
N NVH
f
t--{--- mob
wo4yf~te`i11oN1o1 .H W011.6 iMtT~A1,~1oft I
10 [T NI MgT•N NM fjyb8 IN~ [[T ~y ,
L W[$,Af fNptI10 OM N(~T. 30 T I tJr CJ 1
0 NI°03'241`e
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00 .t~~ 301 ,',j '
ow/
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r ` rx
L 10 $^b•p A .~OXwKk-YY.p~ 19
~ 1° ~ ~ ~ 41✓1 j ~C~ ~ 918b ~ Lx31tD~ 'y0 ~ 7•
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4
(t0ner ~bl'3' -a
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04k
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Scale : 1 30' <
-LEGEND- I1;At AN SNG EFRING SEV
o Denotes Iron Monument PROPOSED GARAGE FLOOR ELEVATION= a7 11`
a Denotes Wood Hub Set PROPOSED TOP OF BLOCK ELEVATION= 0
evib.8 Denotes Existing Spot Elevation PROPOSED BASEMENT FLOOR ELEVATION=
(78473) Denotes Proposed Spot Elevation prop&se4 Slab ov. Grade w/o _ y i$1 I
f---- Denotes Drainage Direction *NOTE: Verify all Bldg. Dimensions and
Floor Heights with Final House Plans.
-PROPERTY DESCRIPTION-
- - - -SURVEYORS CERTIFICATION:.
I hereby certify that this survey, plan or
Lot 20, Block 21 BUR OAK report was prepared by me or under my
HILLS, according to the direct supervision and that I am a duly
recorded plat thereof, Registered Land Surveyor under the laws of
the State of Minn ota,
Dakota County, Minnesota,
7
1.193
.,Date:
Wayne D. Cordes, Minn. Reg. No. 1euiSed : Inyy 2~1 1443 Aeloca6 House ~lett`s,
o
L) LOT SURVEY CHECKLIST FOR RESIDENTIAL
.
Q.
m rw BUILDING PERMIT APPL CATION
S
M J ¢ PROPERTY LEGAL*
W a m Date of Survey:
Z 2 DOCUMENT STANDARDS
0 Registered Land Surveyor signature and company
B~❑ ❑ Building Permit Applicant
B' ❑ ❑ Legal description
Q B~ ❑ Address
O~~C] ❑ North arrow and bar scale
p~ ❑ ❑ House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
0~ 0 ❑ Directional drainage arrows with slope/gradient
B~ ❑ ❑ Proposed/existing sewer and water services
0' ❑ ❑ Street name
0--0 ❑ Driveway
ELEVATIONS
Existing
❑ Sewer service
$ ❑ ❑ Lot corners
0 0 ❑ Top of curb at the driveway
❑ ❑ Elevations of any existing adjacent homes
Proposed
0'❑ 0 Garage floor
a- 0 0 First floor
07 ❑ ❑ Lowest exposed elevation (walkout/window)
0-~'❑ 0 Property corners
0' ❑ 0 Front and rear of home at the foundation
PONDING AREAS (if applicable)
0 B' 0 Easement line
❑ $ ❑ NWL
0 a- ❑ HWL
❑ EF 0 Pond # designation
❑ B' 0 Emergency overflow Elevation
DIMENSIONS
p~0 ❑ Lot lines
0 ❑ Right-of-way and street width (to back of curb)
B ❑ ❑ Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
L~/❑ ❑ Show all easements of record and any City utilities within
those easements
0 ❑ Setbacks of proposed structure and setback of adjacent
existing hom
❑ Retainin qu. ements, if any 5
Reviewed: J
ame / Date
October 1992
REACTIVATE _ CITY OF EAGAN
PERMIT, # 1993 BUILDING PERMIT APPLICATION
/ 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
talcs.
COMMERCIAL 2 sets of architectural & structural plans, I set of
specifications, 1 copy of energy talcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work ~S 00c::>
Site Address: 53.4 77 th Si
STREET SUITE N
Tenant Name: (commercial only)
LOT ZC) BLOCK Z SUBD. WqA c>A I+ll-LS P.I.D. k
/A
Description of work: SIK64-E 114-MI4Y "rei-L~A/6
The applicant is: aOwner IN Contractor ❑ Other (Describe)
Name 13x'6.,+w-" d /4 ome,C Phone 730`10CF0
Property LAST FIRST
Owner Address )32-2 Nt /rn D Aje N
STREET STE X
City J< DALE State _,M /1/ Zip :<_q 1zR
Company .5 AM(- Phone
Contractor Address License #0001519 Exp.
City State Zip 7
Architect/ Company Phone
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber VALLA- fZ~Gu^-18/IUG, Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPEP
0 O1 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish
2 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool
03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind.
4 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc.
❑ 05 SF Misc. ❑ 10 Multi. Add'l. ❑ 15 Deck ❑ 20 Public Facility
❑ 21 Miscellaneous
WORK TYPE
,CD 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish
ddition ❑ 34 Repair ❑ 36 Move
GENERAL INFORMATION
Const. (Actual) Yf , Basement sq. ft. MWCC System
(Allowable) 1st Fl. sq. ft. City Water
UBC Occupancy l 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth S~ On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
❑ Site ❑ Footing ❑ Framing ❑ Insulation
❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace
Permit Fee vatuasion: g ZEL)o Z7
Surcharge
Plan Review C 2
License 3U X61
MWCC SAC
City SAC U
Water Conn. ! X/
Water Meter
Acct. Deposit
S/W Permit .3
S/W Surcharge
Treatment P1.
X - [7~ c7 D
Road Unit
Park Ded. 2 x
Trails Ded. 3ZX 3~~ =
Copi
Others Is 7~ 3 ; 2- z)
&
~
Total:
SAC % L /00 _2, Arp
~ S 0
SAC Units 0-{
1~77'i6
EXTERIOR ENVELOPE AVERAGE "U"'COMPUTATION '
OWNER y ' e L( /L`~r9
SITE ADDRESS ~7
S 1} T 7/~~ JS~ l~
CONTRACTOR /yUn'er~°S~ATE~PHONE
Determine working square footage of each.
1. Total exposed wall area 3323 sq. ft. X~ - 365, 5
2. Total roof/ceiling area 18 6D sa. ft. X A. Total wall window area 3 ~0 3.Z
B. Total door area $ 8
C. Total sliding glass door area (.0
D. Total fireplace wall area n//A
E. Total wall framing area (average 108)........... 2 ~1 0.9
F. Total Rim joist area 21-6 -
G'. Total Net wall area above floor----------------- Z 7. q
Total exposed foundation area - 1-77
H. Total foundation window area
I. Total net foundation area above grade...........
Determine "U" value of each wall segment.
2 I 8 ,
a i) (3 2 x ..U.. .38 = 3 q
b - X ••U•• a e 7
C. x ..D.. o Sp = 34 -
e. 210.3 x „U„. 1Z = Z813
f. 248 x -U„ .off = 9.9
9- z I to 7,1 X "U..
h x I.W. i ~)27 - X ,.U., Z3, 3 ...................................Togtal 32365, S :Ofd
=
If item N3 is the same as, or less than item Hl, you have -net the intent of
SBC 6006(c)2.
t .zi.. N:ti"w~''..S ~;~NA~:~i .•f.' 1. 'i.. t'. 'f ~i',•+•
• -~4 tYrJ :t ,1~ .'+j~ {`w' !s P(T[[[[[[~:l..l`~.:.~IY~').' iI _
% 1 ~i~:daf •.•'j^•:e+.Y ).f.i, :4"~AS.~rf ;aWy.
Total exposed roof/ceiling area = ~1 0 .
j. Total skylight area
k. Total roof/ceiling framing area (average 10%)...... ) Q q
1. Total net insulated roof/ceiling area 1-701
Determine "U" value for each roof/ceiling segment.
j. X I.U. k. 1 S 4 X "U" x p3 = S, 7
1- 17bl X U. ~ 02-
4 .....................................Total = 3 `T, I C: i
If total of #4 is the same as, or less than #2, you have met the intent of
SBC 6006(c)l.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by.the
sum of items 43 and 44 shall not be greater than the 'sum of items #1 and #2.
1. + 2. _
3. + 4. _
E,~'~3M.)c:".t"1'..:~pyi8:.~~;s 'x r...::.,
i' :rra;:.....
jp s.tt_. >
~y' ....>....e':''a.:::kii:":t,"'Se':Yj4A' ~tiN.>.✓...:,:.c5.: c. ,av
:1.:::. ....:.t .r>)>.., i.:.„:>::.. .9}:..::?,.... SS { . w 3>...1..! .3 •kA , .fro- ~ 3. .i ~ , .fir:'..:: ..r).:.:
,:.iy.::>s;;:,~• -•Y:... si;..... b:. $.>.•),.,~ESi~ :p.:,. YS'C ,:E?y3,iowxf'i'p?~: '°'fi~ as.;,[. ?~3.>
K.f
~l'{~~T >)i:f...>:..>S:. n: it ..t ^ ' ~,•Q.E..v gF: FrCii ',')V~„:::.''...:
7 V.DL(e. sr:... ::.a•~+. .SS:.~ ,iii: h~idd C[ ^f YS .:}:a i.OiFti'.:i:. ..>.yi!!".\
MECHANICAL PERMIT (RESIDIIVTTAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE Y/ jf?-q
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
_AS OUTLETS (MINIMUM i @ 53.00 EACH) ,3.190
ADD-ON/REMODEL (EXISTING CONSTRUCITON) $ 15.00
STATE SURCHARGE .50
TOTAL , ~(J
SITE ADDRESS: 5W - 77M, 2zna- G(k 5~
OWNER NAME: bnn&0Od r10ne5 TELEPHONE
INSTALLER: GENZ-RYAN PLLMING & HEATING CO.
ADD; %ESS: 14745 South Robert Trail
CTTY: Rosemount STATE: MN ZIP CODE: 55068
TELEPHONE (612) 423-1144
NA RE OF PERMITTEE
tr;
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trtr 3,;:.
..::<_:..,,x::gaa~a~=ap::tr,.,.a:..::°'<Sj;£.€ '".~i'~s,,;.. ~::~.•.y,F'<i:;%`eb~.x"i:h¢< .C?f'-4101
71,
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:
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D
.'...::~r~*~"`<i tr~~,~~...c4' :'3'v'~iaG~~~~~~' • ' :"a,<>$ n , .W'~•w~~u: ~
1993 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NO. FIXTURES EACH TOTAL
SHOWER 3.00 3"
' WATER CLOSET 3.00
BATH TUB 3.00 (o -
LAVATORY 3.00 6-
KITCHEN SINK 3.00 a-
LAUNDRY TRAY 3.00 s
HOT TUB/SPA 3.00
I WATER HEATER 3.00 Z-
i FLOOR DRAIN 3.00
s GAS PIPING OUTLET • minimum • 1 3.00 -
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • Dak.Cty. tic. 15.00
U.G. SPRINKLER • home under cont. 3.00
ALTERATIONS • to existing 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL: y j
SITE ADDRESS: SJA
OWNER NAME: Qewiwoij
INSTALLER: V~ Co T r '
ADDRESS: Ls v c c"LL -
CITY: STATE: fM- ZIP CODE: i
PHONE ( ) I b` i d i
SIGNATURE F PERMITTEE
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: BUILDING
Eagan, Minnesota 55122-1897 Permit Number: 0 3 0 7 9 3
(612) 681-4675 Date Issued: 09/17/97
SITE ADDRESS:
534 77TH ST W
LOT: 20 BLOCK: 2
BUR OAK HILLS
P.I.N.: 10-15500-200-02
DESCRIPTION:
g ptn,
E %t,l,d t fRermit Type DECK
8ti3;dihf9;=ebkt,k Type NEW
434 ALT. RESIDENTIAL
J~
u ✓ilar t
J
L Z L L: R 63"f`.
E t _ t t rc
J £ y
3 Sy k t5
-U r
IP m =~w
t at
REMARKS:
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: - Applicant - ST. LIC OWNER:
FRONTIER CONST 18914359 20060310, SOOHI MANDEEP
141,01 FRONTIER LN 534 77TH ST W
BUVNSVILLE MN 55337 EAGAN MN
(612) 891-4359 (612)452-4890
kw "XV, I` 3' 81 'M f IfiI Y+Bi t & •rP J" L 4w 8' ^Ilffi T £ I2' @ IP 9NLAw''V ef~
1r 5 I4 £
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T"~ £m~ RBI IG+J. Y£. ~&~li
~N~ ~.3'1 e4Jk~Q ~iRrIQ~.F ~ir R.~g_R b41'1~Y~~ri~ 'FW~~ Ie~"G NC"~ip'~~1 I IFt ~~~~~i~W~f~HIbiP N$IP~F~ fi~^1,d~4Sg~~.~ll~~.~~Sip *yI§!fiLxt
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t f ="'e i"~ %rvv-e»wxm /~a/~"'.i.. f ,#•e'4 :1: kva.....».........9W+v7
1rA- CYlA
PLICANTfPERMITEE SIGNATURE ISSUED BT. SIGITATURE~
997 BUILDING PERMIT APPLICATION (RESIDENTIAL)d'Jf
CITY OF EAGAN
60495 p
3830 PILOT KNOB B RD RD -
65122
681-4675
New Construction Reouirements Remodel/Repair Reouirements
♦ 3 registered site surveys ♦ 2 copies of plan
# 2 copies of plans (include beam & window saes; poured fid. 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 7H193
required: _ Yes _ No
DATE: 0.11 ( I (q1 CONSTRUCTION COST: C_ Y3
DESCRIPTION OF WORK: S r" 33 ~I l~ c~
STREET ADDRESS: S
LOT 10 BLOCK L SUBD./P.I.D. 4 ) nI,
Y~+'
PROPERTY Name: ~ 11n t Phone tiS z- ~5 b
OWNER
C~ -
Street Address: "1 -7 AA,
City: t"Cti- State: y Zip:
CONTRACTOR Company: _Exi;ll,e.t- ~nrnSt~u Phone '621 - `AII)q
Street Address: Nib1 License '766 .6'SLb
City: Stater Zip: SS-ST
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration M
Street Address:
City: State: Zip:
Sewer & water likened plumber (new construction only): Penalty applies when address change
and lot change are equested once permit is issued.
I hereby acknowledge that 1 have read this application and state that the information is come agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY D
Certificates of Survey Received Yes No i
Tree Preservation Plan Received Yes No Not Require
OFFICE USE ONLY kak,"r'
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish
❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool
❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility
❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace a 21 Miscellaneous
❑ 05 SF Misc. ❑ 10 _-plex X 15 Deck
WORK TYPE
31 New ❑ 33 Alterations ❑ 36 Move
❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCMS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit
APPROVALS
Planning Building 6p- Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SAN Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
x
'f
% SAC
SAC l)nits `
• SIGMA - - - OOD
SURVEYING
MuRefflow
SERVICES INC. B RE
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o Denotes I~ ron~Monument PROPOSED GARAGE FLOOR ELEVATION=
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d Denotes Wood Hub Set PROPOSED TOP OF BLOCK ELEVATION= -12
Denotes Existing Spot Elevation PROPOSED BASEMENT FLOOR ELEVATION= ?II('() q(
(,817.3 i Denotes Proposed Spot Elevation PfapoyeA, Salo o,•. Grade wfo = iD ($1 1
r--- Denotes Drainage Direction *NO1E: Verify all Bldg. Dimensions and
Floor Heights with Final House Plans.
PROPERTY DESCRIPTION-
- - -SURVEYORS CERTIFICATION-,
I hereby certify that this survey, plan or
Lot 20, Block 2, BUR OAK report was prepared by me or under my
direct supervision and that I am a duly
HILLS, arecordedccorording thereof, to the Registered Land Surveyor under the laws of
plat the State of Minn ota. l
Dakota County, Minnesota. 5( 1~ )43
l
.-Date:
Wayne D. Cordes, Minn, Reg. No. 14675
euis nlay 21 1943 Woca a House 4 F-(ev's,
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
c-~ 3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675 O
New Construction Requirements Remodel/Repair Requirements _ p Q _
• 3 registered site surveys showing sq. ft. of lot, sq, fl, of house; and all roofed areas • 2 copies of plan (d_~CNJ
(20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions
• 2 copies of plan showing beam d window saes, poured found design, etc.) • 1 site survey for exterior additions & decks
• i set of Energy Calculations • Indicate if home served by septic system for additions
• 3 copies of Tree Preservation Plan If lot platted after 711193
Rim Joist Detail Options selection street (bldgs with 3 or less units)
DATE 0Z VALUATION
SITE ADDRESS 3 y 7e~ cJ MULTI-FAMILY BLDG -Y
TYPE OF WORK CCK j.~ le e L S FIREPLACE(S) _ 0 -a- 2
APPLICANT--t
STREETADDRESS -!5_S</ 77 ff7ccT 4L CITY Ed _STATE ZIP sS f 2/
TELEPHONE #(61_43~fr- 7<1 $5' CELL PHONE 46S/) 69 7- 4/ZS-7 FAX #
u r4.kf^~
b/
PROPERTY OWNER `'~e~~"`n -74
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations 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 _ Lle Heat Recovery Sy stem Sewer/Water Contractor: Phorle4 AI hereby acknowledge that I have read this application,
state that the informatiInIs-coat t; mply
with all applicable State of Minnesota Statutes and City of Eagan O .lances.
Signature of Appllcan
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg
❑ 02 SF Dwelling ❑ 08 06-plex 112 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt- Multi
❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF
❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi
❑ 05 03-plex ❑ 11 10-plex fd 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 Occupancy -3 MC/ES System
Census Code ZE Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const V N Width
REQUIRED INSPECTIONS
Footings (new bldg) _ Final/C.O.
- Footings (deck) X Final/No C.O.
Footings (addition) _ Plumbing
- Foundation HVAC
Drain Tile Other
Roof - Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
Framing _ Siding _ Stucco _ Stone
Fireplace k R.I. )0 Air Test A Final _ Windows (new/replacement)
Insulation _ Retaining Wall
Approved By Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
PERMIT# t + / RECEIPT DATE:
8008 USIDENTIAL'PLUM$IN(i PMrr APPLICATION
crrY of $Aam
3630 PILOT KNOB P.D
EAGALN, MN 551 EE
651-6$1-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITE ADDRESS: s3i/ 77 fro-ee~r w
OWNER NAME:: U lb SO,-) TELEPHONE #66-") -?f -3<oS_- 76 87
(AREA ODE)
INSTALLER NAME: O~ N 2~F TELEPHONE
(AREA CODE)
STREET ADDRESS:
CITY: STATE: ZIP:
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
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
X Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
Abandonment of septic system.
Water turninund - existing dwelling unit 518" meter if needed - $118)
Other: k DCLZ-L VV~-c t,-+ 1
_ RPZ: new installation/repair/rebuild $ 30.00
lawn irrigation system
Replacement/additional: _ water softener _ water heater $ 15.00
State Surcharge $ ..50,~~
Total $ 5v 'U
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 wit ' i p p yfrlght~waytea aunt.
I-SIG PERMITTEE 1/02
2007RESIDENTIALBUILDING PEwaTAPmc4noN C/6 00
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements Remodel/Repair Requirements Office Use Only
3 registered site surveys showing sq. R. of lot, sq. ft of house; and all roofed areas 2 copies of plan showing footings, beams, joists Can of Survey Recd _Y - N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Report - _Y -N
I Soils Report 9 proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres Plan Recd _Y -N.
2 copies of plan showing beam & window sizes; poured found design, etc. AddWon - indicate Hon-site septic system Tree Pres Required - - _ Y _ N
I set of Energy Calculations On-she Septic System _Y _N
3 copies of Tree Preservation Plan 9 lot platted after 711193
Rim Joist Detail Ophons selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
Plans are considered public information unless you state the are trade 7secret and the reason.
Date 9 Construction Cost d C C/ .
Site Address ice' Unit/Ste #
Description of Work 7`, t ~"17
Multi-Family Bldg - Y N / Fireplace(s) _ 0 _ 1 - 2
Property Owner `-n- r- V7/~ SP~;;~? Telephone # ((a$1) o S
Contractor r
Address ~s0 or 1 i 76;t jJ City r74-l,7
State Zip SS3d 5 Telephone # ,Z ~2{s 'X53
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plane
Y - N If yes, date and address of master plan:
Licensed Plumber Telephone )
Mechanical Contractor Telephone # ( J
Sewer/Water Contractor 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.
Applicant's Printed Name ; .Applicant's Si /r
c
1~ jny n 4 2600 ~ I e -7 I
NOV 2 Permit As L/- 70
City of Eaaa~
I PermtFee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received
Phone: (651) 675-5675 j staff. j
Fax: (651) 675-5694
2008 RESIDENTIAL BUILDING PPERCMIIT~ APPLICATION
Date: Site Address: -,E-4 D~ " ~T \ l )
Tenant: ` Suite M
RESIDENT OWNER Name: $ lr\-1 PC~\1iS5 Phone:
Address/ City/ Zip:
E
Applicant is: _ Owner 'Contractor
s
TYPE OF WORK Description of work: 11( i'2'
Construction Cost: l,y~ 2Gq G
~ Multi-Family Buildmg s_/
CONTRACTOR Name: t 1 C) C' License ]DO I Address: " I C( 0 Q...-(-) E1 `CC,
Ir74
City: LCI C A 'State:~y Zip:
Phone:ontactPerson:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 7 _ Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes; date and address of master plan.
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer S Water Contractor: Phone:
N07E Plans aid supp ing docker On s that you submit ac# h4sid6M f6 be?p Ub c in fo%matrofi~~'ot~erorrs of;
theme mfirrnratto7l ay~be-classt d as no t Public r rx prPvide spec>1G~tl?S6 S fr 06-61d pernut thte to
axcu M'"` ..f=-4 [vm~ -~„-~`.r:tA GOIJfI(~B.~at=thP ,:'d!`e(lle S2~EFtS.F'.
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.
4
Applicant's Printed Name pplicartfs Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type: Building
Permit Number: EA106149
Date Issued: 08/14/2012
Permit Category: ePermit
Site Address: 534 77th St W
Lot: 20 Block: 2 Addition: Bur Oak Hills
PID: 10-15500-02-200
Use:
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Windows/Doors-New/Replacement Description: House
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
COn1111entS: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection.
Call for fmal inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee SUn1111ary: BL -Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195
Valuation: 4,000.00 Total: $105.25
Contractor: -Applicant - Owner:
Window Concepts NIN Jeffrey G Arvidson 990 Lone Oak Rd #114 534 77th St W
Eagan MN 55121 Eagan MN 55121
(651) 905-0105
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.
ApplicanvFermitee: signature issued By: signature
Use BLUE or BLACK Ink
For Office Use I
I 1
I L I
City of Ea on I Permit r L
I
I Permit Fee:
3830 Pilot Knob Road I 1
Eagan MN 55122 1 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 Staff: I
L---------------
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 10/10/11, Site Address: Unit
_ y m Name: f (_l_ i;'(IW~(1V Phone:
~
RESIDENT I<1 17
OWNER g Address /City /Zip:
r
j Applicant is: Owner __Contractor
TYPE OF WORK < Description of work: OLKCJA V T f4 K..1 )V✓ 1
06
Construction Cost: /~LJ(J i Multi-Family Building: (Yes _ /No
Company: " C.ly-0V , lit-JC Contact: 9lf'))Ull() 6SA6 ,
Address: /q0 City: Lyr /L
I 7 C~~S`tC
CONTRACTOR ;
State. P Zip: ESW Phone: ~3 ' Su 3
y'~ i ~ J/ 1
Lead Certificate NA -7 - Sq(o ~J / 1
t. License /
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
LNOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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.aopherstateonecall.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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Co a must be completed within 180
days of permit issuance.
x 1®.
Applicant's Printed Name nt s ignature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA108622
Date Issued:12/21/2012
Permit Category:ePermit
Site Address: 534 77th St W
Lot:20 Block: 2 Addition: Bur Oak Hills
PID:10-15500-02-200
Use:
Description:
Sub Type:e - Water Heater
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Kris Oien
3670 Dodd Rd
Eagan, mn 55123
651-365-1340
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Jeffrey G Arvidson
534 77th St W
Eagan MN 55121
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA151599
Date Issued:09/04/2018
Permit Category:ePermit
Site Address: 534 77th St W
Lot:20 Block: 2 Addition: Bur Oak Hills
PID:10-15500-02-200
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jeffrey G Arvidson
534 77th St W
Eagan MN 55121
(651) 271-1625
Croix Crystal
3440 Yoerg Dr
Hudson WI 54016
(715) 386-8667
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177009
Date Issued:06/13/2022
Permit Category:ePermit
Site Address: 534 77th St W
Lot:20 Block: 2 Addition: Bur Oak Hills
PID:10-15500-02-200
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Jeffrey G & Jill M Arvidson
534 77th St W
Saint Paul MN 55121--233
(651) 343-3395
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature