550 77th St WCITY OF EAGAN
3830 Pilot Knob Road
? Eagan, Minnesota 55122-1897
(612) 681-4675
SITE AQD.RESS:'
s ? ; ? t :?
i ! ...-
PERMIT SUBTYPE:
;CORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
TYPE OF WORK:
? }tll! 1.1? tNl
INSPECTION D• . .ATE JNSPTR.
, i I .,I
r?. '
L
.
; ;
,_ .
Permft No. Pertnft Holder Date Telephone #
ELECTRIC
PLUMBING
tiVAC
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.
eSM7 FINAL
DECK FTG
DEGK FINAL ???G
' -- ' INSPECTION RECORD
?'C1T1( OF EAGA1g PERMIT TYPE:
3830 Pilot Knob Road Permit Number: '! •' ?' ?'' '..-
Eagan, Minnesota 5512_3 Date Issued:
!(612) 681-4675
? SITE ADDRESS:
PERMIT SUBTYPE:
APPUCANT:
? TYPE OF WORK:
INSPECTION .. . ..
! t)'.tEf !F I I+t,$ ? i.; -•.l
Rf- - CI- 11• r a
?•?s?-?r.*?I?,????^r,a? _: _ ?' . ?.
- - - - - - - - - - - ? - - -`-- - - -- - -'-? - --'?-- i'Y - +?`?
T,
Permit No. Permft Hoidar Date Telephone #
S/1N
PLUMBING
HVAC /li q? (J_ oZ.
ELECTRIC
ELECTRIC
Inapectlon Dete h1ep. Commntta
Footings I /? /
r
Fou?dation z 9 ?
Framing -A
Roofing
Rough Plbg.
Rough Fltg. SA 3 ?/3 / U G•
Isul. r Q
Freplace ??"?! y,? LIJ?
Final Htg.
vn-
Orsat Test /t
Final Plbg. 11- ? Plbg. Inspecta - NotHy Plumber
Const. Meter
EngrJPian
Bldg. Final ? 24
Deck Ftg.
Deck Final
weli
Pc Diap.
a ?,s-
L
O? 3 ?
5 3
Lv o d'
Rep t Date .
1
? ire No. Poug i Inspection
peGy' 9
es ? No ? Reedy Now 04 ill NoHly Infoetl?r
h» etl?5
I 5d'licensed contractor p owner hereby request inspecYion of above elect al w
Joo t . eox or Routa I `? ?
?? 1 ciry
Section No. Township Name or No. Fanqe No. Coun
Occ a( I Ph ne N ?
i
Pi
`Ii AtlOres
EI G al Conlra or orppany me) C nUa r's ' e e 0
M II tl s CUpqrac r r Owner Making In all ?onl .
Au orizee ignaiure c tractor+ wner ki Install U I u
MINNESOTA $TAiE BOARO OF ELELTflICITY THIS INSPECTION REQl1E$T WILL NOT
Grigga-Mltlway Bltlg. - R.O. S413 BE ACCEPTED BY THE STATE BOARO
1821 Unlvenity Ave., SL Paul. MN SSlOi UNLESS PiiOPER INSPECTION FEE I$
Phom (812) 864-0600 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION ??-Os]?
?
? See insimclions lor crompleting Mis lorm on Cack of yellow copy. fj
L08559 Below Work Covered by This Request
tltl Rep. Typeof8uilding AppliancesWired EquipmentWred
Home Range Temporary Service
Duplex Water Heater ° Electric Heating
ApL Building yer ' Other-(Specity)
Comm./Industrial Furnace
Farm qir Conditioner
Other (specilyt ConVacrorS RemaMS:
Compufe Inspecfion Fee Below:
# Other Fee # ServiceEntranceSiza Fee # Circuits/Peeders Fae
Swimminq Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps 10
SignS inspector5 U Onry:
s T TAL
Irvigation Booms ? Q7
?
Special Inspection ? ? ?
/ ? ?
c+V
AlarmlCommunication T
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTNS.
I, the Electrical Inspector, hereby
tif
th
tth
b
i
i RougO-in ?• oata
cer
y
a
ove
ea
nsped
onhas
bean made.
Final '
eta ? ?
OFFICE USE ONLY This request void 18 months irom
Address 550 77TH STREET WEST Zip 5512 1
Lot ''12, Blk 2 Sub BUR OAK HILLS
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage) ?
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass i,/
TraiUcurb damage
Porch
Basement finish ?
Deck L/
Please verify with the buildet the removal of roof test caps from the plumbing system and the shutoff of water supply to
the outside lawn faucet before freeze potential ezisis.
Contact engineering division at 681-4645 before working in righbof-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contracror Copy ?
PERMIT
? CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: 9 u T L o z r! r
Eagan, Minnesota 55123 Permit Num6er: 020263
(612) 681-4675 Date Issued 0 2 i 0 1 J 93
SITE ADDRESS:
P.L.N., i0- 155@(9-12e-0:
5 ?s 0 r H s-r L,t
LoT, 0012 rLoCn, 0002
auH oaK HIz[.I,s
DESCRIPTION:
t3uilrlirty I'ermit Typ:= i-?F 1J6Jf5
Buildiqg'Work Typt= I`drl..i
UBC Qr.cupancy R-3 M@1
Construct.ion 1y pc b`A!
Zoning R-i
8uil.di.nq L2nqtihr
Builti9.rtq 1.JidGh ?
+.
E; 6
A4
REMARKS:
RrCE'tPT ff
Vh'V S&b: PLER - F1V'?-STlal? PL^oG
Fa.a-1 .,e0 0
FEE SUMMARY:
vA t iinT:t??N
BaSF ree
!'len Re.ii.Pw
F3ut°cl-iai°ge
;flC
snz: a
S A C Units
Subtotal
$ s3s.so
$606.?0
$75o?o 0
1?G)
1
1; F' °£i:'.. S
risi Fr?es
- lor„al '`ce=s
??q
?yo.00
j_?m,7q4_sm
1:4126.78
CONTRACTOR: - A p p I. i o a n t -- s T. I,z cOWNER:
MCDONAI_U CUPdST INC 16887061 0002376 M(;D(1NALC1 rONSTRI!C7IC1N INf
1212 81_UE:13II-1- RAY RD 1212 F3LUE8ILL BAY RD
L'URNSVSi LL h1N 55337 BU(tNSVILLE hIN 55337
(512) fi^o3-7E4Ei7. I6 2lJ6 8 8- 7 0 G:I.
?
L hareby acknpwledge that I have read thiw applaFation and state thiat the
in'formation is correct and aqrEe to aoiriply wit'h rall appliez3ble 5CaCe of i4n.
Statut'es anci CiTy ol' Eayari Qrdinanr.es.
APPLICANT/PERMI EE SIGNATURE ISSUED BV: GKIATURE
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
L.o1 : tz
5 5 e 7rrH s?r A
%tUR OdkK Id SI_LS
PERMIT SUBTYPE:
sr nwe
PERMIT TYPE:
Permit Number:
Date Issued:
BLar.he o,,¢,;p`PPLICANT:
mr,ooNALo r,oNsr iNc
(612.) 68+3-7061
TYPE OF WORK:
NFw
ouzL ozr!G
412N[t;3
0 - /u,i/y?3
INSPECTION
FfJQ77;i'•IG .. .
t'RflM1NG .•
7:M5UI.ATION ?IPdA!
P?fiiFS'I..1dCl=
RFM(iltl<S: RECEIP'i" Jk F, R V S&W ;'LEf? - rIVE-STRR PLhG
?
7
? . . . . ? ? _ .- . _ _ . ?
REACTIVATE _
PERM:T 4., •
., :x ?
CITY OF EAGAN
1993 BUILDING PERMIT
681-4675
APPLICATION 'a
JA N 2 ? RECo
e? t /a7
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specificatians, 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
issued.
/e /S / 93 Valuation of work ,??y-3? tS? l?A'C.,(,ttDsnt?.
? • ?',c.?- s )
S'% ? b 7- ?.
? SD 77 ?
r
.
e Addr ess: .
t
STREET SUITE #
Tenant Name: (commercial only).
LOT ? BLOCK _a SUBD. gut O/_K P.I.D. N
Descri tion of work: .S .(I L ?9m/L
The applicant is: O Owner OContractor ? Other (Deaeribe)
Name Phone
Property LAsT ?,RST
Owner
pddress
STREET STE k
City State ZiP
Company mt InJALD COr1S7Ru.G770n1. .1-=?+/C• Phone 4oo8 70(ol /
Contractor Address ,A/'Z 134UP/s1Z4 l°???/ RD• License # WU6 Exp.
City ?leNSl?6LL?, State N1N Zip SS3 5 7
Company Phone
Architect/
Engineer Name Registration #
Address
City, State Zip
Sewer & water licensed plumber VP, STh-2 ;04u1i106/^J 6- . 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.
t
V ?
(
•
i
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE 0 OI Foundation ? 06 Duplex ? 11 Apt./Lodging
1? 02 5f Dwg. ? 01 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 Sf Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Oeck
WORK TYPE
gr 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) v- N Basement sq. ft.
(Allowable) v- N lst F1. sq. ft.
UBC Occupancy R-3 rn•1 2nd F1. sq. ft..
Zoning R-t Sq. Ft. total
# of Stories Footprin t Sq. ft.
Length ? On-site well
Depth ? On-site sewage
APPROVALS
Planning Building j-ZS1y?_?S
Engineering Variance
REQlJIRED INSPECTIONS
? Site
? Wallboard
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/M Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
0
SAC % 10
SAC Units -r
? Footing
? final
? Framing
? Draintile
v.tuoccon: S I 8 y, 0a° '
GARA(A; 3Z X 22 = r7 0 4
a (`?
BSW; G$p x 16 = I o? g So
3Y )( 36 = 122 ??
12,s9xg= ooi)
?8X 22 = 39G?
165
22/
!s? FLoo,e
Ssn+Ts tS ?S
IYLx6 - 9 g09914
152e x 53= ,
N !_f?zeo 12'N
34 X 3 & ='
iz,G7 n K = C?or)
s x 22 =
99 x53= G
r
? 16 Basement Finish
O 17 Swim Pool
? 18 Comm./Ind.
0 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 31 Demolish
MWLC System YES
City Water
PRV Required
Booster PumP
Fire Sprinkler
Census Code rol
SAC Code o 1
Assessments
? Insulation
? fireplace
?g3Jy9L
. . ,- r .
M??RFA? II 2422 EhF4rpfI3R QYivG
T Mendetv Heights, MN 551:0
* PICNEER ?(s?z) sai-isia•FoX 681-9488
w LhIJp SURVEYORS • LIV11. ENCdNfFR$
??? ¦ TneerTn lMlD PLAHNCRS • LANDGCAPE AFGHII[CT$ 6 '
9 g Hlghwoy 70 Northeosl
* '* Slaine. MN 55434
-yc ? (612) 783-1550-Fax 783-1883
Certificate of Survey for: MCDOndId C0n5t1'UCtIOn. I1'1C.
Nouse Address: 550 77TH Street West. Eagan, MN
? --?
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05•42-061.
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. soo.a Denotes Existing Elevatlon pROPOSED HOUSE ELEVAl10N
r.y..6 Denotes Proposed Elevation Lowest Floor Elevation:85b.57_
-- Denotes Drainage & Ufility Easement
Denotes Drainoge F(ow Direction Top of evation: 859.,,3,3
f? ? -..r.....?
Ei "(?? n:-F3? ;
--o-- Qenotes Monument
Rltl
-o-- Denotes Offse{ Hub• Bearings shown are assumed ?'?.,
LOT 12 , BLOCK 2 BUR OA
DAKOTA COUNTY. MINNESOTq
1 hereby cerNW Nat ihfs survey, plan or renort wes prepsred by rnz or undsr my direct e
under ihe Iswe of ehe State o! Minnesuq. batcd this -31day ol ?J' 0 i A.D. 1
inch _
1 S??'?o / I
? fl4(v.ln '
s! /
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,
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"JT97 081.24
LOT BIIRVEY CHECICLIST r0& RESIDENTIAL
? SIIILDI2iG ERMIT IIPPLIC7ITION
PROPERTY LEGA •_
I
Date o! Burvept _///3/ 9?
?9C NT BTA_ ILQf,6
.0??? 0 • Reqistered Lnnd Surveyor siqnature and company
D' O 0 • Building Permit Applicant
0?D 0 • Leqal description
• Address
0 • North arrow and bar scale
0 0 • House type (rambler, walkout, split w/o, split antry,
lookout, etc.)
Lf 0 D • Directional drainage arrows with slope/gradisnt 4.
D? 0 0 • Proposed/existing sewer and water services
L? 0 0 • Street name
C? 13 D • Driveway
ELEVATIONS
Existina
M tfl 13 • Sewer service
6 ? ? • Lot corners
e / 0 0 • Top of curb at the driveway
0 D 13 • Elevations of any existing adjacent homes
4ronosed
0 0 • Garage floor
[Y 0 C) • First floor
fl 0 0 • Lowest exposed elevation (walkout/window)
D 0 • Property corners
13 0 • Front and rear of home at the foundation
PONDING AREAB (if aonlic bi.)
13 f? 0 • Easement line
O C( O • xwL
D LY D • pond ; desiqnation
D D? 0 • Emerqency Overflow Elevation
DIISENS iON6 '
? 13 0 • Lot lines
d D 0 • Right-of-way and street width (to back of curb)
• Proposed home dimensions includin an
g y proposed clecks,
overhangs greater than 21, porches, etc. (i.e. all
structures requirinq permanent footings)
E? 0 ? • Show all easements of record and any City utilitias within
those easements
I1( 0 0 - Setbacks of proposed structure and setback of adjacent
D ? 0 • existing homes
Retain' irements, if any
- Reviewed: L_
a e Date
/
October 1992
,
;
.
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?--R-.-H Celllnq 0.56
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htlal door !n[lltratlon 0.9 o[ta/equare
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qulrement
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11;
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4
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I
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vapor batrlera ot the polyethelena thlq Illm ??nve no It vnlue.
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?CiTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-15500-120-02
DESCRIPTION:
PERMIT
ssa 77TH sr w
LOT: 12 BLOCK: 2
BUR OAK HILLS
Bu'a,lding'aPermiC Type
DtAk?lcFing'W"or_Is. Type
%
„.
waai: s , ?S,
?
Y
e
G ? arc g?kT?t
t'm%-F" ? A ?LL
REMARKS:
PERMIT TYPE
Permit Number:
Date Issued:
DECK
NEW
??
1??
B
U?LDING
025518
05/04/95
fi
is! x{
% ° a?a
.s,%'? '? ? ? 1"a
FEE SUMMARY:
Base Fee $30.00
Surcharge g,5m
Totel Fse $30.50
Altia 8,Q1j" 1 m l
irSUE B SIG URE ??
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number:
Ea an,Minnesota55122-1897 025518
9 Date Issued: 8 5/ 0 4/ 9 5
(612) 681-4675
SITEADDRESS:P'I'N.: 10-15500-120-02 pppLICANT:
LOT: 12 BLOCK: 2
558 77TH ST W MCMORRAN SCOTT
BUR OAK HILLS (612) 591-9050
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
L_ J
?
3830 PILIOT KNOB RDN 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construdion Reouirements RemadeVReoair Reaulrements
? 3 regiatered site surveys ? 2 copiea of plan
? 2 wpies ot plens (inUude beam & window saes; poured fid. tlesign; etc.) ? 2 site suneys (exterior addkions 8 decka)
? 1 energy calalafions ? 7 energy calwlations for Meated addkions
? 3 copies of tree preaervation plen H lot pleried aRer 7/7l93
required: _ Yes _ No
O"N
DATE: CONSTRUCTION COST: ? 1-7 SD
DESCRIPTION OF WORK: DEC?-
STREET ADDRESS: S 5cs -7Z -:L 7:SA ' WQAJ?
LOT 1Z BLOCK Z SUBD./P.I.D. #: %?39-
w SCNL-4"?-M
PROPERTY Name: 5,:ti .-. Phone #: 4i-$8-017
OWNER °w"
Street Address• ?SA ? W
Ciry: State: ? Zip: SS 1Z.,
coN'rRAcTOR Company: Phone #:
Street Address:
ARCHITECTI
ENGINEER
City: 5tate:
Company: _
Name:
Street Address:
City:
Siaie:
License #:
Zip•
Phone #•
Registration #,
Zip:
Sewer 8 water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this appliption and state that the 4R" ?isrre?t and agree to comply wfth all
applicable Sfate of Minnesota Statutes and City of Eagan Ordinances. ? (1
Signature of Applicant 674 " -
OFFICE USE ONLY FAPR c I?G?IEU
Certificates of Survey Received Yes Na 2 7 fs9r?
Tree Preservation Plan Received Yes No ___________
E.AGAtJ--551Z1 ,
+ Z Z"
a
b
1 OQ
5,-r?ee?r
5 ?"t'F P?AN: NO'T 5cAt_E,
CITY OF EAGAN
SUBD.
?,s! Oak / p(612)N681-F4675
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
HHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
PEW CONST _
ADD ON _
REPAIR _
OWNER NAME: \?* bnnr._??
SITE ADDRESS : .`3'?Jo- I ~Ii?
INSTALLER:?^(lrnf7'?.nv.??
nnnxEss: ISix)t n`1a_mm?IAh.
M? s
CITY:? + u.M?Jrv?? k.,- ZIP:
PHONE #:
OF
CITY USE ONLY
RECEIPT ?J RDATE
ALSO, FOR TOWNHOMES AND CONDOS
COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
REPAIR/ADD ON 15.00
? SHOWER 3.00 cOn
? WATER CIASET 3.00 4EM
BATH TUB 3.00 o n
? IAVATORY 3.00 I?, On
? KITCHEN SINK 3.00 3, on
rL LAUNDRY TRAY 3.00 ao?
HOT TUB/SPA 3.00
T WATER HEATER 3.00 Z-5.Oo
? FLOOR DRAIN _
3.00 =O
GAS PIPING OUT.
? (MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
? OTHER `6k1^^a' p'i Pu-- 3.c:o 3 nC?
? WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
W. TURNAROUND 15.00
STATE SURCHARGE .50
Gc>
'!sD
TOTAL: S c
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTAZAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
.,
'.:a=:u:\ ?4v"W -,-.,., ,,.,`c
.
CONTRACT PRICE:
SITE ADDRESS: 1% OF CONTRACT FEE. .
STATE SURCHARGE - $.50 FOR
TENANT NAME: EACH $1,000 OF PIItMIT FEE.
SUITE #: I $25.00 MINIM[TM FEE.
INSTALLER: CONTRACT PRICE x 1% $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
PHONE TOTAL: $
FOR: (SIGNATURE)
CITY OF EAGAN
I
1993 MECHANICAL PERMII' (RESIDEIVT7AL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
X NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE a ` ? ? -q,--:?
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLET$ (MINIMUM 1@$3.00 EACH) ,j ?900
ADD-ON/REMODEL (Exls'rtNG CoNSTtucr[oN) $ 15.00
STATE SURCHARGE .50
TOTAL ?
STI'E ADDRESS: `) () ? ?
OWNER
INSTALLER:
#: - 7 D 1., I
ADDRESS:? ? I c ?
CITY:)Kk`C A STATE: ??Cl 1'l ZIP CODE: EC'? ?y-
TELEPHONE #: "r- D-(?,?'?
? CITY USE ONLY
/ / B J n RECEIPT #: ?U CO y ?oZ?
SUBD. RECEIPT DATE:
PERMIT #
1999 PLUM$INfl i'E$MIT (RESIDEN'I'IAL)
crrYoF£,as,aN
3930 PILOT KNOB (iD
P.AfiAN, hIN 5512E
(651) 6$1-4675
Please complete for: ? single family dwellings
: townhomes and condos when permits are required for each unit
9 backflow preventer for underground sprinkler system
FIXTURES
EACH Ji
TOTAL
Bath?!ih ? 3A0 X --- -'_ $
Floor drain 3.00 x = $
Ges i in outlet ' minimum - 1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato
Minimum fee alteretions ta existin dwellin 3.00
30.00 x
x =
= $
$
Private Dis osal S stem new/refurbished ' re uires PC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re?air 30.00 x $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Watef SOftenBr' if dwelling under construction 5.00 X = $
Water softener if existin dwellin 30.00 x = $
Water tumaround 30.00 x ---- _ $
State Surchar e .50 --> ----> ----> $ 50
Total --? --> ----> ----> $
Re;::i;;ca,-: uaii for inspections of aiterations, i.e. water heaters, water softeners, etc.
-----------•---------------------------------------------------------------------------------------------------- -
I hereby acknowledge that I have read this application, state that the information is cortect, and agree to comply with all applicable Ciry of Eagan ordinances.
It is the applicanCS responsibility to notify the property owner that lhe City of Eagan assumes no liability for any damages caused by the Ciry during its
normal operational and maintenance activilies to the facilitles constructed under Nis permit within Ciry property/right-of-way/easement.
SITEADDRESS: e-ff-Z 7)-) e-_M 8'y4A? "6SQ - 7 7T40'1, G?/..G¢.L'
OWNER NAME: :`// G6-(i{ ?n l%/'J.&a?,j
INSTALLER NAME:
STREET
CITY:
TELEPHONE #: ' 65 I ' 6? l
(f{REA CODE)
4
to TELEPHONE #:
?
SIGNATURE OF PERMITTEE
RESfDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
? v 3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Canstruction Renuirements
• 3 registered site surveys showing sq. ft. of lol sq. k. of house; and all roofed areas
(20%maximum lot coverage allowed)
• 2 copies of plan showing heam 8 window sizes; poured tound design, etc.)
. 1 set of Energy Calculatlons
• 3 copies of Tree Preservafion Plan if lot Flatted afbar 771193
• Rim Joist DetaY Options selection sheet (bldgs with 3 or less units)
DATE t.p I 1?1 10Z
SITE ADL
TYPE OF
APPLICANT
STREET ADDRESS Ilp n KJ,C'e . C??F
TELEPHONE A(?ibr al)'qC_gfCELL PHONE #
IULTI•FAMILY BLDG Y '? N
FIREPLACE(S) _ 0 _ 1 _ 2
-W STATEUOZIP 5511-1
FAX # (2`7) ^ ;?q o) ' O`t W
PROPERTY OWNER a Ctf, 1'tCMOr10-0 TELEPHONE#4Q51-6rK-29
--------------------------------------------°----------------------------------------°-------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ FIIVIvES01'A R[JL1 4 7670 CA'l'TGORY 1 MINNCS01`A RULES 7672
(J suhmission rype) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelape Calculations Su6mitted
Plumbing Contractor: --------- _-------- ___----------- Plionc # ____
P1umUing systcm includes: _ Wa[cr SofCCner _ Luni Spnnkler Pce: $90.00
Watcr Hcatcr \o. of R.I. I3aths
-- No. of 13aQis --
Mechanical Contractor:
Mcchimical syslcm iucludc,:
Sewer/Water Contractor:
Air Condilionitig
Hcat Rccovci-v Syslcm
JuN 18 zooz
-----°----------------------°--------------°---°----------------------------°--° - --------------...------°°._..
I hereby acknowledge that I have read this application, state ihat the information is correct, and agree to comply
with all appticable State of Minnesota Statutes and City of Eaga/yr???d^inances.
Signature of Applicant` - , \?i...??
0
---' °----------------------°------------°-------------°--------.___.?..-•--° ......----- .--------------------------- ------ _..__
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
RemodellRepair Reouitements
. 2 copies of plan
• 1 set of Energy Calculations for heated additions
. 1 site survey for exteiior additions & decks
. Indicate it home served 6y septic sys[em for additions
VALUATION I 4OOO
Use BLUE or BLACK Ink
~ V '
For Office Use I
APR 14 204 Permit U
City of Ea Ed~ I I Permit Fee:
bao
3830 Pilot Knob Road I L y
Eagan MN 55122 1 Date Received:
I
Phone: (651) 675-5675 I
I Staff:
Fax: (651).675-5694 I _ _ _ _ _ _ _
-______--J
2xr014 RESIDENTIAL PLUME ING PERMIT APPLICATION
Date: Site Address: V~
Tenant: C' Suite
ResidentlOwner Name: Phone:
1-#E- -W
Address + City / Zip: ! f V
Milbert Company Inc dba Cullign Wat
Name: ucense WC643176
Contractor Address: 180150th Street East City: Inver Grove Hgts.
j
State; :MN_ zip: 55077 Phone: 651-451-2241
Contact: William -Milbert Email:
Type of Work - New Replacement -Repair _Rebuild - Modify Space - Work in R.O.W.
Description of work:
RESIDENTIAL
Water Heater
RPZ / - PVB) 2L Water Softener
Perinit Type Lawn Irrigation Add Plumbing Fixtures(- Main Lower Level)
Septic System
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing` Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge)
'Water turnaround (add $200.00 if a 5/8" meter is required)
$115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
6a. v
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you `intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
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
xtltt'1~
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Staff:
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA139141
Date Issued:10/11/2016
Permit Category:ePermit
Site Address: 550 77th St W
Lot:12 Block: 2 Addition: Bur Oak Hills
PID:10-15500-02-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Scott M Mcmorran
550 77th St W
Eagan MN 55121
Haley Comfort Systems
122 3rd St W
Hastings MN 55033
(651) 437-0338
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r
For Office Use
**'
City of EaaanPermit#: �
Permit Fee: L
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651)675-5675
Fax: (651)675-5694 Staff:
2017 RESIDENTIAL BUILDING� PERMIT APPLICATION
Date: 7/1 7 / 17 Site Address: cS� + 7th $f• if .65/a 1 Unit#:
Name: WeinCy PA,0TCt1(1, Phone: C51 -7 7 "2.77
Resident/ _ [�-.
Owner Address/City/Zip: 550 -77 �� S , \J- 0.3QJA. S I2
Applicant is: Owner X Contractor
Description of work: Since re j (eoo'4
Type of World Construction {`�0" > r
Construction Cost: 3 /C, 000 Multi-Family Building:(Yes /No )C )
Company: Rack 1 ore IAAi-rote-A-i Contact: 15e L
15
in
Contractor
Address: 1J/ 75 s) N- City: 51:)It,,cj-e/-'
State:AN Zip: S5I62— Phone:r;S/-7?5-07072 Email:sales bIocc res404:G,4;nJo. Cor‘...
License#: 7075e 30L Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that=you submit are,.considered ie be public information. Portions of
the information may 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.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the 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 Code must be completed within 180
days of permit issuance. r /7
x Kr - 1V 5 l r ►V/
tt!!''
Applican s Printed Name Applican s Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA144657
Date Issued:08/03/2017
Permit Category:ePermit
Site Address: 550 77th St W
Lot:12 Block: 2 Addition: Bur Oak Hills
PID:10-15500-02-120
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
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Scott M Mcmorran
550 77th St W
Eagan MN 55121
(612) 501-1077
Centerpoint Energy
1240 W River Pkwy
Minneapolis MN 55454
(612) 321-5597
Applicant/Permitee: Signature Issued By: Signature
CenterPoint.
House heating test record Energy
/-W L 1 2017
Owner frC1-$oy7 Controls Conversion
leti
Address 55) 77 `" S1 Apt Thermostat 1 1 FrO Heat plug Vent Size 3 Pfr Z
City Ats.4e) 7 Valve A Kind of liner/size
Heat loss /1� Date htg.inst P- 1_1 Limit t elf Draft hood 1-3- b Regulator '.----**-/-
Sold by CenterPoint Energy Limit settingit11-75
Filters:Size 2 0X/5.x 1.Number
Installed by CenterPoint EnerayFan setting aChimney locations: ride Outside
O
Electrical work by CenterPoint Energy Pilot type fJ.x Chimney construction f LFan
Heat type ((TA ()Space heater Pilot make Wiring Test tag 4.----------
Gas line by ---- Pilot model -- Lighting Inst Date tested 9-/ 7
Unit heater
Other Pilot timing Company testing C rPoint Energy
Gas design Pressure:Hi fire/Lo fire /_ 1Tester's name • ‘-- w
1
C)
Make DAC k vv.) Model b 1`1°)b ye(b p Percent CO2 9
Serial no. 17 01 ( 61 ,‘ Input CFH f 00 Percent 02 S.- i
Input LOCI D G D Stack temp i d Percent CO 8,
CNP 235(11-2008)
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168018
Date Issued:04/06/2021
Permit Category:ePermit
Site Address: 550 77th St W
Lot:12 Block: 2 Addition: Bur Oak Hills
PID:10-15500-02-120
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
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 -
Nick & Abby Chmiel Erickson
550 77th St W
Eagan MN 55121
Pure Home Restoration Llc
20384 Hampton Ave
Lakeville MN 55044
(952) 955-9011
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169157
Date Issued:05/17/2021
Permit Category:ePermit
Site Address: 550 77th St W
Lot:12 Block: 2 Addition: Bur Oak Hills
PID:10-15500-02-120
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Nick & Abby Chmiel Erickson
550 77th St W
Eagan MN 55121
Pure Home Restoration Llc
20384 Hampton Ave
Lakeville MN 55044
(952) 955-9011
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170731
Date Issued:07/14/2021
Permit Category:ePermit
Site Address: 550 77th St W
Lot:12 Block: 2 Addition: Bur Oak Hills
PID:10-15500-02-120
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Nick & Abby Chmiel Erickson
550 77th St W
Eagan MN 55121
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(651) 633-2561
Applicant/Permitee: Signature Issued By: Signature