542 77th St WINSPECTIUN RECORD Control No. 0701
CITY OF EAGAId PERMIT TYPE: f:uii
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date lssued: ?? ?'?A J?'?
(612) 681-4675
SITE ADDRESS: I. Or: 14 APPLICANT:
64?.' 17TH ST W NCDODiAID tONSr INC
' f+UP OAk H.TI.I.'S (6i.X) CA13- 7061
PERMlT ?,"13TYPE: TYPE OF WORK:
INSPECTION .. .
4 APtrN B ..
1ldr,lll A1 1l.f N p.t pqt
F I IaF P i 111 :
Iil.MARK:it RE 4:f' I11 T 0
•:???: <
I ?
F'F2V SGW Pt9R - S'i'Aft t'lBQ.
PermR No. PermR Holder Date TNephone 1F
S1W
PLUMBING
HVAC
ELECTRIC `1i" •
ELECTRlC -
Mspection Date Insp. Commerft
FOOtings I
7
FoundaHOn C G
O
Framing
Roofing
Rough Plbp.
Rough Fttg. S-
Isul. f- -$2-
Ftreplace 11?11f.7 .?
Ft nal Htg. ``/s
Otsat Test
Fi,a? Ptbg. ra?5 PAbg. inspocw -Notify p,umber
Const. Meter
Engr./Plart
81dg. Rnal !G 2 ?
Oedc Ftg.
Deck Flnal
wen
Pr. Dlsp.
CITY OF EAG,
3830 Pilot Knob Ro8
Eagan, Minnesota 5!
(612) 681-4675
SITE ADDRESS:
-' i
PERMIT SUBTYPE:
INSPECTION RECORD
PERMIT TYPE:
Permit Number: ? ? ? •: • ?
Date Issued:
i; i?,, , o APPLICANT:
? ?. . . - . ,
1 lJ ? , ? i ?? , i,.(,N•. ?Fi ? 'r l ' -
. , ? .f?? ? • _ • •
???•?,?,?...i;Y TYPE OF WORK. '}??
i ' .?, . . . „'?a?P?@?w.•a #-iY'F:?'f;;
t 1 N? I1I1+1 1, )
I r? V !
I 1-
! I I I
7
\
Permit No. Permlt Holder Date 7elephone #
S!W
PLUMBING
HVAC
ELECT ??g ! ?
ELECTRIC
Inapsctlon Date Insp. Commenis
Footings I [. ,, Y
Foundation
Framing
7 1 ?
' s o.? s:c .,.?
Roofing
Rough Plbg.
Rough Hig.
Isul.
Freplace
Final Htg.
Orsat Test
Fnal Plbg. Plbg. Inspector - Noti}y Plumber
Const. Meter i ?
?
.
EngrlPlan ? Q V/7 e, r
Bldg. Final ?s/4 ,J
7 ? ? S I?ISI. ?A00 Al T#57 r/r /11V!
Deck Ftg. ` . I ry '
Deck Finel
Well
Pr. Qisp.
J
/11?7 !
? ir?s?9a- id85°?S ?/07,3? y
a04 90ki (9ai Ijj-?,v $`6sorp
Request oate Fire No. Rougn-in Inspection
RaqMGetl9
? Reatly Now 3ill Notity Inspecto
r
?
?Ves ? o -
'
When fleetl ° !% -
IVucensed contractor ] owner here6y request inspection of a ove electrical wor ?
Job 4atlress IS reel B. ar Pq City
Secimn No Township Name or No Range No Cou iy
Occupantl RI T? r) Ppon No
Power SuOPLer
t 1 \
C?1?r Atltlress
Eiecinr I ConVactor iCOmOeny Na e)
? Co;?a cto s License N
Mani g re ner Makmg Instal auo
Nu1M1OU eC Sig atuR ICO I
,1 9
?? oVOwnpr MakinG InS?a tian?
? P o e Nu D r ^?
.C
\J
MINNESOTA STATI 60AflD OF ELECTPICITY THIS INSPEGTION REOUEST WILL NOT
Gnggc-Mitlway Bltlg. - Room 5-173 6E ACCEPTEO BVTHE STATE BOARO
1831 Univarsiry Ave, St Paul. MN 55106 UNLESS PROPER INSPEGTION FEE IS
Piwne (612) 642-0800 ENGLOSEO
REQUEST FOR ELECTRICAL INSPECTION
?? See inst,cuons loritompletmg Inus tortn oo back ot yellow copy
04590 "X" Below Work Covered by This Request
?r??? EB-00001-OB G
/dS i.}V
eY+ dd Fiap TypeofBwlding AppliancesWired EqmpmeMWVetl
Home Range Temporary Service
Duplez Water Heater Eleciric Hea6ng
Apt. Building Dr er Other (Speafy)
Comm./Industrial urnace
Farm Av Conditiorier
Other IsVeaty7 Goniraclor's RemerNs
Compufe Inspechan Fee Below
• Other Fee # ServiceEntranceSrze Fee # Grcuits/Feeders Fee
Swimming Poal 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 700 _ Amps
Signs Inspecmr's Use Only TOT L ?
Irrigauon Booms rg` ?'7 )ti
Speaal Inspechon %G
?? ?
i
AlarmiCommuniwUOn THIS INSTALLATION MAY BE OR RED DISCONN CTE ZNOT
Other Fee COMPLETED WITHIN 18 M HS.
I, the Electrical Inspector, hereby
certiry that the above inspection has
been made Rougn-in oata G?
, d O
(
OFFICE USE ONLV c,
i
This repuest witl 18 manlhs trom
6
7 5 J8D4 g
0
Re uesf Date
?
? Fira N? Rough-ln In08ectmn Repurted
(YOU st II inspaclor when reaEy) Ir?s eceon Other Thugn.in
qeady Now Will ?ity Inspector
p Yea ? N. pale Reatly
I icensed contractor D owner hereby request inspection of above electncal work at:
ob Adtlress fStreel Box or Route No I
T Qty
?
!S..l Township Name or No Range No COUn
PfGZ.
Oc
ntPR1NT Pnona No
= qtltlress
C?ntract.,?
ny me)
'
? Comratror5 Lroense No
?
/
/?
G .9O G v
Madmg paaress ICOnirector or Owner Making InstallalioN
^
Nu?orizeo SignaWre iGOnvacmr,Owner ing Ins(all r n, . PM1One Number
MINNESOTA STATE BOARO OF CLECTRICITY THIS INSPECTION REQUEST WILL NOT
Grigga-MlOwey Bltlg. - Hoam S-173 6E ACGEPTEO BV THE STATE BOARD
tBtl Onivaraky Ave.. SI. Paul. MN 55100 UNLE$$ PROPER INSPECTION FEE IS
Phone(BiR) 642A800 ENGLOSED
REQUEST FOR ELECTRICAL INSPECTION e-o ,- e
7 ?s 9?
? See mstmc0ons lor compleLng ihis form on back ol yellow copy ???? . a???
7 5 58 'X° (s.low Work Covered by This Request
e Add Rep Typeofemldmg AppliancesWved EquipmeMWuetl
Home Range Temporery Service
Duplex Water Heater Electric Heating
Apt Bwlding Dryer Load Menagement
Comm /Industrial Furnace Other (SpeCify)
Farm Av Condinoner
Other Isyea 1 ConVaclor's Remarks
Compute Inspection Fee Belaw: 21- 6eQ-sll Af 14L?16
? Other Fee # Service EntranceSrze Fae # Crtcuits/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 10Q Amps
Translormers Above 200 _ Amps ' bove 7 _ Amps
SignS Insooetors Use Ony TOTAI y?'S
' Irrigation Booms ?
Special Inspecnon
Alarm/Communwanon THIS INSTALLATION MAY E ORD RE DPCONNECTED IF NOT
Other Fee COMPLETED WITFIIN NTH .
I, the Electncal Inspector, hereby Rou9n.o ? oi?,. .L
7
certity that the above inspection has
been made. F,,,ai oate ?
OFFICE USE ONLV
This reQUest voitl 18 monlns irom
AflAess,. SGZ 771H gIREET WEST Lot 14 Blk z Sec/Sub $UP, pAK HILLS
These items were/were not complete at the time of the final inspection.
Datle: 10 16 92 Yes No
Final grade (6" ftom siding) (.?
Permanent steps - garage ?
Permanent steps - main entry V/
PermanenC driveway ?
Permanent gas ?
Sod/seeded grass ?
Trail/curb damage ?
Porch ?
Basement finish ?
Deck ?
Please verify vith the builder the removal of roof teat caps from the plvmbing
system and the shut-off of vater supply to the outside lawn faucet before
freeze potential axlsts. ?
neemeoruee
White - City copy Yellow • Resldant copy Pink - Contractor copy
=
CITY OF EAGAN
? 3830 Pilot Knob Road
Eagan, Minnesota 55723
(612) 681-4675
SITE ADDRESS:
PERMIT
542 77TH ST W
LOT: lq BLOCK: 2
BUR OAK HILLS
PERMIT TYPE:
Permit Num6er:
Date Issued:
BUILDING
000892
06/24/92
DESCRIPTION:
?
REMARKS:
-Buildl,ng Permit Type sF DwG
f 8uildin??,Work Type NEW
UBC Oceupanc,y R-3 M-i
Gonstructipd 7ype VN
2oning ; R-1
Building Length ' 64
! eullding•Width 40
,.
xi.
RECEIPT #
FEE SUMMARY
8ase Fee
Plan Review
5urcharge
SAC
5AC %
SAC Units
Subtotal
PRV
VALUATION
$8@4.00
$522.60
$73.50
$700.00
100
1
$2,100.10
S&W PlBR - STAR PLBG.
$147,000
MISC FEES $1.610.50
Total fea $3,710.60
CONTRACTOR: - Applicant - sT. LICOWNER:
MCDONALD CON57 INC 168$7061 0002376 MCDtlNALD CONST INC
1212 BLUEBIIL BAY RD 1212 BLUEBILL 8AY RD
BURNSVILLE MN 55337 BURMSVILLE pIN 55337
(612) 688-7061 (612)688-7061
I hereby acknouledge that I have read this apRlicat3an and state that the
informaticrt is eorreet and agrea tn camply with all appi:tcable State pf Mn.
Statutes and Eity af Eagan o,rdinartoes.
L
?,?
1, ' AP LICANT/PEFtMITEESIGNATURE
INSPECTI
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITEADDRE55: LaT,
542 77TN S7 W
BUR OAK HILLS
PERMIT SUBTYPE:
9F DWG
TYPE OF WORK:
Control No. 0701
NEW
INSPECTION
FOOTING .. .
FRAMING ..
INSULATION FINAL
PIREPIACE
REMARKSs RECEIPT M
F-
L 9
?
ISSY. SATUFIA-
ON RECORD C°ntr°' "°- 0701
-
PERMITTYPE: BurLolNG?
Permit Number: 900892
Date Issued: 0 6/ 2 4/ g Z
ia aLacK: z APPLICANT:
MCDONALD CONST INC
(612) 688-7061
PRV SSW PLBR - STAR PLBG..z-.-.:-
7
?
PERMIT, #
kEACTIYATE
710,
CITY OF EAGAN ?
1992 BUILDING PERMIT APPLICATION AM 41?
681-4675
r?? y 1 a RECD
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typinq of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is 9ssued.
qD ?
Yaluation of work I2? 900 (?l?C?.uDiNG _
? ?? ;? _
?
? ?
MM Ce! f?XTRRS
)
? `'T
,
Site Address:
??Rti
STREET SUITE N
Tenant Name: (commercial only)
IAT I T BLOCK o_ SUBD. ?u? P.I.D. M
Descri tion of work: F-l.c) 'Z F TJW(y
The applicant is: ? Owner Contractor ? Other (Deseribe)
Name Phone
Property «sr FIRST
Owner
pddress
STREE7 STE p
City State Zip
Company n'1c DoNpC,h CQAJS`KLlGTLD/!JF XXlC• Phone ?oG/
Contractor Address 0.1-1, BLu..tPjlLC.lS/ry 2D• License #1Y,YJZ376 Exp.
City &9N3UtLL2.a State 11?1N Zip S5337
Company Phone
Archttect/
Englneer Name Registration #
Address
City State Zip
Sewer & water licensed plumber .STA1C PLCCna 41rc) G 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.
Slgnature of Applicant: AdAaa
?
c
& 0
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation
ig 02 5F Dwg.
? 03 SF Addition
? 04 SF Porch
O 05 SF. Misc.
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
O 15 Ueck
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
O 21 Miscellaneous
WORK TYPE
id 31 New
? 32 Addition
? 33 Alterations
? 34 Repair
? 35 Tenant Finish
? 36 Move
? 37 Demolish
GENERAL INFORMATION
Const. (Actual) V- N Basement sq. ft.
(Allowable) V- N lst F1. sq. ft.
UBC Occupancy -3 2nd F1. sq. ft.
Zoning Sq. Ft..total
N of Stories footprint Sq. ft.
Length CP y? On-site well
Depth 40, On-site sewage
APPROVALS
Planning Building
Engineering Variance
REGIUIRED INSPECTIONS
? s;te
? Wallboard
? Footing
? Final
MWCC System c5
City Water. ycy
PRY Required Yk?,
Booster Pump
Fire Sprinkler
Census Code 101
SAC Code oL
Assessments
? Framing O Insulation
? Draintile ? Fireplace
Permi t Fee valuatim: $ IL) r1, O O o
Surcharge
Plan Review GAYtA6E
License 3Z r z2= r7by
MWCC SAC
City SAC Z K ? Z- ?2 4?
Water Conn.
Water Meter g x'(a N ?? 980
?
Acct. Deposit 13gM,r
S/W Permit
S/W Surcharge
Treatment Pl. 88
jb?C/g z Z
Road Unit
Park Ded. _
1 I$?l X?S
? ??,76d
Trails Ded. 1sT FLo o R
CoPies
Other
Total: f112n7=
sAC % )Oe 119W u 53= 63,2? Z
SAC Units _? (-
ZND r?-JOYL
?ZZ.= lazy X53
146) 144j
, F' i ona.-r Eri? i nEer i ri? F_.S 1'?4F.c P. 02
*p
y rIONEER LAN??_WFVFYpqS
e? hgin?r?rring LnNO cur?N£RS • L,
* * * * 11
2422 Enterprise Drive
Mendota Heiyht-o, MN 55120
,612) 651-1914-Fax 681-9488
525 Highwoy 10 Northecst
Blame, MN 55434
;612) 78.3-1680•Fax 783-1883
Certificate of Survey for: MCDOnQld COCiS_t1"k.,ICtl01`1 I1'1C.
House Address: 542 77th Street West, Eagan, MN
__Niodel Name: 92-289
--- _ i
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EACaFe.Id EN INA:ERIPIC L'E.'1'
?
. Sco.c Denetes Existing Elevotion PROPO5ED HOUSE ELEVAFION
Derates Proposad E!evaticn Lowest F!oor Elevatian:866.22
-- Derotes Drainage & Gtility Eesement -
DenoYes Drainage Flow Direction Top of Block Elevation:874_33
--0-- Denotes RAonument Garoge Slab Elevation:873.33
s-- Denotes Offset Hub 8earings shown are ?ssumed
LOT 14, BLOCK 2 BUR OAK HILLS
-- -- __ -- E?r ..
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N 20.33 M1 ? __ C.,87.3'p •? / + .
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;?qthOVi ?£?Ji
105
N 77'?' ?
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OAKOTA CGUNTY, MINNESO-A
und ?_. Y vf s?.,..?._ A O 1 D
.
?
?
??iQ?e._ '? inch=3 0fQHt
rT , = %
ro?T lff, CI l.5 REG.NL+.1<853
I Her±by c?`?Sifv [hat th?y svr?cy, plao or repori .a?&s preunrcIc.l by me o, under my direct so Prvisinn and that 1 am duly Reg:steryd Land SJNaYJ,
rr the l a?n?s of +he S?ace e* M'mnesoia. ?a?e? thiy ?? ^ da ? ?' . ?_?
MINNFSOTA STATE ENERGY CODE 9ALCULATIQN3
" BASED ON CHAPTER 5 OF THS ?j
MO??;NERGY, COpE - 1983 EDITION ?? ?/?
' Adoption Effective
ier 9? 1?t-i'? Phone Datfl
Type A2 (Residential, 3 stories or less) (OVer 3 stories) (Other)
NoTE: Complete pave5 3 and 4 first.
OENERAL• ?NFORMATION /,? N
6??J?/R-?
? p..w:
1. Building Perimete?V.j?, .
II
2. Wall height (ground to eave) ft. .
3. 1. X 2. (above) gross wall area???l? sq.ft.
4. Building dimensions (L) r X(W) d 2?Dsq.ft.roof & floor area
)
5. Sq. foot area of rim joist 1Q,or j size (2 X O
1q.ft.
? r/ X(Perimeter) _ a l
1z
6. Doors - Areal ? 1
Thickness in U. facto \ ?,A?
Type of Conatruction Perimeter ft.
Manufacturer
7. Total door's perimeter ft. .
,. ? ;, _.. _ ? I P-r:
B. Windowe:
U factoi
TYPE SIZE AREA (Sq.Ft.)
Ga?" ?`N CJ 1I EACH
r
approved
NUMBER OF TOTAL
UNIT9 SQ EEET
9. Total sq.ft. Glass
lo. Fireplace area: Width X Neiqht X = sq.ft.
11. Exposed foundation: Height X Perimaterl (P / Xl:2& =,Q,i1Jy"Sq.ft.
COMPLETION OF TIIIB FORM IS REQUIRED P'OR ALL NEW i2ONBTRUCTION, MAJOR
REMODELING AND BUILDING3 BEING MOVED S9HER8 ENERGY, O'THER THAN THE HINIMAL
CODE ALLOWANCE, I5 USED.
-1-
Building Classification: Type A1 (3ingle Family & Duplex) 7F'
12. Framing @rea = lo% of gross w?ll erea. •
14. Gross wall area x 0.11 (A-1 single family 6 duplex) = allowaE
(1?. above)
P7. Gross wall area ?l\ ? sq.ft.
Window areallA Z_?7 i& sq.ft. U windowe =, UxA =
Rim joist area A`1V eq,ft. U rim joist= UxA -
Door area A?7f? sq.ft. . U doot atea= UxA =
other doorellarea A ??` i5q.ft. U otfier doarea? UxA ?
Exposed fndn A 11 sq,ft. U foundation-iQ5 _? UxA ?
Framing area A'?? sq.ft. U framing area=L? UxA
Net wall area AG??rG sq,ft. U wall- ? UxA
(19B) TOTAL . . . . . . . . . UxA
x 0.27 (A-2 vther residential)
x .23 (other buildinqs)
x .28 (over 7 storiea)
? ? `' ?????TUf1 muat be larger than or eame
A U Code t m '? °F. as 138 aboVe
15. Ceiling framing area (Af) equals 103 of ceiling area
15A. Gross ceiling area n(L) ? x(W) mIt?sq.ft.
158. Joist area (AE) = 108 ceiling area s I?4- .,sq,ft. ?
15C. Net ceiling area (Ac) (15A - 1513) a G s ft. Of2ocir U ceiling x A, _•??? xt ot ?_n I
U framing x A f =? Xtov?-; -,
15b. ToTAL U x A ..........................j,1 LIt k ;
16. Ceiling area (15A) x 0.026 (A-1 single )hamhy duplex)
= allowable UxA/Code
x 0.033 (A-2 other Yesidentiel)
x 0.06 (other)
u9a,? C s,rl ? a?? BTUH muat be'larqer than or same
A(15A)?L.X ll Code °F. as 15D above
NoTE: Use U and A values obtained from pagea 1, 3 and 4.
r,EgTIFICATION: I hereby certify that I have calculated the "U^ featots and
"R" values herein and that the building here desaribed meeta or exceede the
State of Minnesota Energy Conservation Act.
Date siqnature
-2-
?dk
46
. -- - - - - 4
-- -- - - - --- 5t
--- - -
--- ------ ----- at -
?-?-c? __ _ - - -- - - - l 2 ? - - ?_ -
t?t ??2-2?
--
AW
#
tox = -- -
--
?
D???--
WALL ^
SECTION
II
--R YALUE U VALUE
Inaide air film .68 '
Intecior wall 145 (Wall) U . A :
Insulation 19'0 '
Slieathing 2•0? b^.?
Slding
?
OutaLde air Ellm .17
R TOTAL 2,3.0'?j
Inslde air fLlm i 68
STUD
SECTION
Intetiot wall
u
?? nGud
Sheathing
Sld[ng ?
Outslde air Eilm
R TOTAL
.?`J
R= -048 (D .rjp(Fraroing) U - ? .
? Z.OCO
. (10 . 09 5
.l7 ?
lo• 53 2ND WALL
SECTION.
Lnetde air fllm R= .68
Intetiot wall
Ineulatlon
Sheathing
Exter[or walt covering
Exterior air film R ..17
R ?OTAL
R1P1
JOIST
__-----
?
Interioc air Eilm R= .68
lnaula[ton) F1dr=R&;Lm,/i 19.00
? Z' ??. Z.o`?-
Exterlor air film R' .17
a rornL Zi • 81
^Exposed Bluck
lnterior air film R= .68
(Wall ) U . R .
z
?IN/? Insulatton 19.C3
'l? inch soEt wood R=1.88 (Rim U
JOiSt) '
Sheathing Z.C7(p , 04?
? Exterior wa?l coveting .(07 `-'
Exterlor air fitm R= ,17 ,
? R TOTAL 2-4. 4(O
\
\A?'-•?`,rade
3.
(Fdn.) U = k =
..?.
R VALUE
FRAMING
R VALUE
CEILINa
0.61 A1rF?lm 0.61
? ?•? Insulation 45' ?
4.38 Jvi
0.56 Ceiling 0.56
0.61 AirFilm_ 0.61
4z.1tp motalR 4(o•78
?vLr'? ua1/R • dZl
Window infiltration o.5 afm/lineal £oot of crack
Residential door infiltration 0.5 efm/square fvot or door and minimum code
requirement
Non-residential door infiltration 11.0 efm/lineal foot of crack
Ub 12" cancrete block no insulatioh = .47 R 2
1
Ub 12" concrete block insulated cores = ,26 R .
3
8
Ub 12" lightweight block = .72 R .
3
1
Ub 12" liqhtweight block insulated cores - .12 R .
8.7
U single glass = 1.13; with storm window .54 •
U double glass = .55
U.triple glass = ,ql
All•exterior walls and'ceilings muet have a vapor barrier (0.10 perm max.).
vepor barrier must be on.the inside (heated side) of wall.
Vapor barriers of the polyethelene thin film have no R value. •
e
L /// eL CITY OF EAGAN CITY USE ONLY
SUBD.4/4? PLUMBING PERMIT
(612) 681-4675 RECEIPT
DATE ?
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FDLLOWING:
N0. FIXT[TRES EA. TOTAL
NEW CONST REPAIR/ADD ON 15.00
ADD ON SHOWER 3.00 00
REPAIR WATER CIASET 3.00 9,00
BATH TUB 3.00 3,00
? LAVATORY 3.00 ?
OWNER NAME: C? ?q c` ?CG ?''f? -f
i?UC?S/ _.hC KITCHEN SINK 3.00 ?3.IY5
?
/??7 r
? LAUNDRY TRAY 3.00 ?.06
?
?
??
SITE ADDRESS: ? // , !\
, HOT TUB/SPA 3.00 P 00
WATER HEATER 3.00 Oq
? FLOOR DRAIN 3.00 3•0 0
n
G
? 6AS PIPING OUT.
9
INSTALLER:
I ly) , ? (MINIMUM - 1) 3.00 oQ
1
? ? h G WC? !
?'?/\ ROUGH OPENINGS 1.50 v,
ADDRESS; OTHER
?Vb WATER SOFTENER 5.00
CITY
h. ZIP:
_
PRIVATE DISP.
15.00
U.G. SPRINKLER 3.00
PHONE V _ W. TURNAROUND 15.00
STATE SURCNARGE .50
SIGNATURE OF PE ITTEE TOTAL: ?
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. AL50 FOR MULTI- FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
SITE ADDRESS:
TENANT NAME: _
SUITE #:
INSTALLER:
ADDRESS:
CITY:
PHONE
FOR:
CITY OF EAGAN
CONTRACT PRICE:
1% OF CONTRACT FEE. .
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIM[IM FEE.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL:
$
$
(SIGNATURE)
-- ?
CTI'Y OF EAGAN
I,? (I MECHAHICAL PIItMIT RECEIPT #/D!? /?9 7
SUBD.? ? ti'C ? E-? DATE 'a
RESIDENTIAL
PLEASE COMPI.ETE UPPER PORTION ONLY FOR SINGLE FAMII.Y DR'ELLINGS AISO, COMPLEl'E FOR
TORTIHOMFS/CONDOS R'HEN SEPARATE PERhIITS ARE REQUIRED FOR EACH DWF.LLING UNIT.
OWNER?".? FFFS
STfE ADDRESSc ADD ON/REMODF.I. (E2QSTING
CONSTRUC170N ONLI') $ 15.00
INSTALLER: HVAC: 0-100 M BTU 24.00
PHONE #: , j_ C) ?D -1 ADDTI'IONAL 50 M BTU 6.00
ADDRESS: '? , > II } GAS OU1'LEfS - MINIMUM 1 @ $3 EA. ? 1-:1 -(Y)
?
CITY: - - `
ZIP:
SiTRCHARGE
$ .SU
SIGNATURE:? "?,Qj TOTAL• $ aC •SQ
COMMERCIAL
PLEASE COMPLEI'E THIS PORTION FOR ALL COMMERCIAIIIPIDUSTRTAL BUILDIPIGS. AISO COMPLETE FOR
APARTMENT BUILDING5 OR OTHF,R MUI,TI-FAMILY BUII,DINGS WfIEN SEPARATE PF.RMITS ARE NOT REQUIRID FOR
EACH DWELLING UNTT.
WORK DESCRIPTION: CONTRACC PRICE:
146 OF CONTRACT FEE. FEES
STATE SURCHARGE IS $SO FOR EACH
S1,000 OF PERMTf FEE.
$
PROCFSSED PIPING • $25.00
MWIMUM FEE - S75.00
$
OWNER: TOTAL: $
S11'E ADDRESS:
TENANT:
SUITE #: . °
INSTALLER:
ADDRESS:
CI1'i': ZIP:
PHONE #: „ C1TY SIGNATURE:
SIGNATURE:
Of?'EA,GAN
? GITY
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675 '
SITE ADDRESS: I
P.I.N.: 10-1550,0-140-02
DESCRIPTION:
PERMIT
542 77TH ST W
LOTs lA BLOCK: 2
BUR AOK HILLS
BUILDING
023948
06/24(94
?- (DECK INCLIJDED)
Huilding' PermiC Type SF PORCN
8uilding Wc'sr.yc Type NEW
l=
r
/ - ?
?i
,-/
--
REMARKS:
A SEPARA7E PERMIT IS REQUTRED FOR ANY ELECTRICAL WORK
FEE SUMMARY:
VALUATION $10,000
PERMIT TYPE:
Permit Number:
Datelssued,
Base Fee $117.00
Surcharge $5.00
Lic. Search Fee $5.00
7ota1 Fee $127.00
CONTRACTOR: - Appiicant - sr. LIC. OWNER:
MERRT6AN DESIGN5, MIKE 18243470 0004409 FI5HER MATT
3616 NICOLLET AVE 5 542 77TH ST W
MINNEAPOLSS MN 55409 EAGRN MN 55121
(612) 824-3470 (612)688-9546
? I
I hereby acknowledge that E have read thi5 a.ppla.cation and staCe that the
informatian is aorraet arrd agree Co camp,ly with a11 aRplicable State of hln•.
Statutes and',Gity of Eagan Ordinancee. J
L 1Qt?V?1
PPLICANT/PERMITEE SIGNATURE ISSUED SIG AT E
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
LOT:
542 77TH 57 W
BUR AtlK NILLS
PERMIT SUBTYPE:
5F PORCW
MERRIGAN OESIGNS, MIKE
(612) 824-3470
TYPE OF WORK:
NEW
DESCRIPTION (DECK INClUOED)
I ? - T
PERMITTYPE: auiLoxNG
Permit Number: 023948
Date Issued: 0 6/ Z 4/ 9 4
APPLICANT:
14 BLOCK: 2
I L - - ? - " y*`=--
REMARKS: A SEPARATE PERMIT IS ftEQUTRED FOR ANY ELECTRICAL WORK
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION ro
681-4675 /
! r
rr,?;? ;-2<
SINGLE & MULTI-FAMILY ys,, 1 c py of energy
2 sets of plans, 3 registere sit ?urv§
'? ? ?
calcs.
14?
?
COMMERCIAL 2 sets of architectural & st }a+i.s,_1_s t of
specifications, 1 copy of energy calcs.
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 6_ / o-? v Valuation of work /b/ ,'"
Site Address: ?-/.2 77r" 5t'
STREET SUITE #
Tenant Name: (commercial only)
L
LOT
BLOCK Z
SUBD. g?r Q4-V- hfirrl
P.I.D. #
?escri tion of work: VoPC/ Y',-PC?
The applicant is: ? Owner ? Contractor ? Other (Describe)
Name ? 7: _/ s'r/t/Z HA 71- Phone 6??- 9S?/d
Property LAST FIRST
OwneY Address 77rH s-f
STREET STE #
c;ty ?.a6 4A? state /-cAJ z;P
Company MlkL' MC-7Lu6.etv\ M=src;.tS Phone cn'2&/.
Contractor Address 3616 A,cwiG--t 4vC- -S? License #o!uL1?fa9 Exp. -3 31-`r?
City /''«" State M'A Zip d-sYoq
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber 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.
l
Signature af App
icant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
O 02 SF Dwg. ? 01 4-Plex O 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
0'04 Sf Porch ? 09 12-Plex El 14 Fireplace
? 05 SF Misc. O 10 Multi. Add'1. ? 15 Deck
WOR K TYPE parc,./-. 0 ,ll ?J,er L
El 31 New ? 33 Atterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Staries
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIQNS
? Site
O Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
67 Footing
Ia Final
[a Framing
? Draintile
c
Ol/
?
?3-Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
CoPies
Other
Total:
vetuacim:
)
.
??-
.
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
O 19 Comm./Ind. Misc.
? 20 Public facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster PumP
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
SAC %
SAC Units
4 s= F.c,=
-.n; i s I?crso 1, sZ-- r . .
i
S 4)?
i
ccale:
uoe ar ,?c4c?.s oeG. rro 14691
2422 Enterpnse Drl?e
"'°` _' ("? 15h¢? I Mentlota Heiyht5, MP! 55120
?. :
q ?(67L} 6S1-1914•Fax 685_3498
n??p y?4A?l?kS . CI`AL ENf?41EENS ?
i.,r.? ci?uni'<5 • lANOSGFF ARCHIiEC25 "----- ?I ----?-
S???e 525 Hignwoy 10 Northecs!
MN 55434
* * II(612) 7bS-tn80•Fox 783-1883
Y !%?
R'
Qr2ificaie ??f Survey tor: MCDOt`1QlC? iOf'1St"UCtIC7`l I I`1C_
loi,se Audress. 542 1; th StrEet._V?'est,?Eagan,_MN
Model PJame: 92-289 ?
- --- _ - ,
`---__ ?
- -- - _ ' j? T?l S` -- -- --- --- - --- - -
/ -- -- -- - --- _ - W? S T? ,.
_ -_- ___- _ - s --- -- ?_ ?
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--
,? p5.o?-=--=------== - -=----- -- `- ._ .
{I ?z a ra I 7
{ ^9E ?; -_ ?-, - r
J
?-fi?L.
?
? Q
? N 70 34 . ' u: -?-HnPJS[r? h .
49 00
a
?i.~ r-?
q ;
, *r
- -- - ,
?-? - -- --- --- - _ ` ;` . ? ,
10500 -m
N
A.M. J-
iR?. t`!I I 11?%?'
? lsA?:AI?( f;N??1Id?,EHIIdG I:1:..'1`
?
soa.c pzncte?s Exlsting Elevation PROPOSED HOUSE ELEVATION
• acod; Denate?s Proposed Elevation Lowest r!oor Elevation:866.22
-- Denot?s Uroinage & Utility E asement Top of Blocu Elev?tion: 874.33
Denote?s Drainac?e Flow Direction --
--o-- Denotes Monument Gorage S1ab Elevoticn:873.33
-?-.-- f)enotes Offset Hub bearinys shown ure assumed
LOT_14, BLOCK 2 BUR QAK HfLL_S
DAKOTA CGLINTY, MINNE'SOTA
1 I?e:>by c«-t,f. tnat [his u?r.?y, ?na.+?1 reaort .?ss p?eu??e1 by ?*'.c or under my tlirect su •'rviinn ard [hat 1 srn AuIY F?eyiEi??rr:d Land JJN9\'p(
h -ftheSiaie<nFdinneso?a Ga?e? ?hi ?` tla AU 1
LOT Jj BLOCK "' SUBD.6ZA- 61t /J&
RECEIPT # 513DATE t?ly 3;7
1996 CITY OF EAGAN
IRRIGATION PERMIT (FOR BACKFLOW PREVENTER)
COMMERCIAL INSTALLATIONS: PORM MUST BE COMPLETED BY LICENSED PLUMBER
Date:
_ Commercial
Residential (boulevards)
? Existing residential
GPM
GPM
Area/address to be irrigated: ,a0? - 72 4/i'«7
Installer: /Ce-oz Owner ? Plumber P"
Street address: ?24 f T /7
City, state & zip code: Phone
Owner Name-& a 22?
5treet address: -27f
Ciry, state & zip code: 4Zg!ig sslal Phone #: ? b//? ?5-Yc
1(Iigai7J11 l.Ullti'dCtlil, li LilifElG;lt 111dYI Iii5tdiiCf:
Telephone #:
.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to
comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property
owner that the City of Eagan assumes no liability for any damages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit within City
property/right-of-way/easement.
?_X'5?7
Appli anYs signature Title '
Approved by:
PRV ? Yes ? No New service
Meter 5ize & Cost
Date:
O Yes ? N o
Fees due:
Calculated by:
Prsa 1tC v""""" OA'o 7dX'a4
o•,e
PROCEDURE FOR IRRIGATION SYSTEMS - 1996
An irrigation permit js required - please contact Protective Inspections at 681-4675.
Fees
Commerciai project: $25.50 irrigation permit to cover installation of backflow preventer.
$50.50 water permit fee only if new service is instailed.
$300.00 per tap if installed by City.
Residential project $20.50 irrigation permit to cover installation of backflow preventer.
$50.50 water permit fee if new service is installed.
$760.00 oer connection - WAC.
$396.00 ner connection - water treatment facility.
Existing residence: $20.50 irrigation permit to cover instaliation of backflow preventer -(not
required if backflow preventer previously instailed).
Meter charge: If gallons per minute are less than 25, a 1" meter will be required at a cost of
$182.00. If gallons per minute are more than 25, a 2" turbo with strainer will
be required at a cost of $822.00. This information is to be supplied by the
designer of the system.
No meter will be sold before all sewer and water inspections are complete on a new service. If new
service lines are not required, one check may be written for meter and permit costs. Receipt will be coded
to 20-3716 (meter portion only) with pink copy forwarded to Utiliry Billing Clerk.
The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and
backflow preventer. The Public Works Department may be reached at 681-4300 for water tum-on and set
and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for
A.M. inspections should be made on the preceding work day. Requests for PM inspections will be accepted
until 12:00 noon.
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA142924
Date Issued:05/24/2017
Permit Category:ePermit
Site Address: 542 77th St W
Lot:14 Block: 2 Addition: Bur Oak Hills
PID:10-15500-02-140
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Matthew R Fisher
542 77th St W
Eagan MN 55121
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(952) 985-6675
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA146742
Date Issued:11/13/2017
Permit Category:ePermit
Site Address: 542 77th St W
Lot:14 Block: 2 Addition: Bur Oak Hills
PID:10-15500-02-140
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Matthew R Fisher
542 77th St W
Eagan MN 55121
(612) 750-7421
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature