553 77th St W
Nov,10, 2010 12:06PM Minnesota Siding Solutions LLC No,6727 P, 2
Use BLUE or BLACK Ink
- - - - - - - - - - - - - - - - -
For Office Usseef~
M of Ea
Y F I Permit Fee,
3830 Pilat Knob Road
j Date Received: Eagan MN 55122
i
Phone: (651) 675.5675
sw-
Fax: (651) 6764684 I 1
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: H-10-(o Site Address: s -7 t.~.~
Tenant: Po bi r~ so rs ~ suite
RESIDENT I OWNER Name' ab; Phone: 5t -S~ ° S~S_I
Address / City ! Tip: !553 77-k:S~ Lj
Applicant is: Owner K..__ Contractor
TYPE OF WORK Description of work:
Construction Cost: 1 . ° Multi-Family Building: (Yes / wa
CONTRACTOR Name: M I' ,wtr► y rtv So ( j 44 o Al License M c:2 " I
C
Address: City. O!Lsaae
State: Zip,, 5523 6 Phone::)7
Contact: RC b Email: r rn s V kan
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;
NOTE:. Pions and supporting documents that you submit are considered to be public Information. Portions of
the inkrmation may be classlfled as non-public if you provide speffic reasons that would permit dw City to
conclude that the 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.aooherstateonecall,ora
I hereby acknowledge that this information is oomplete and accurate: that the work will be in confomrence with the ordinances and codes of the City Of
Sagan; that i understand this is not a permi4 but only an application for a permit, and work is nat 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.
Applicarrrs Printed Name Appicanra Signature
Page 1 of 2
INSPECTION RECORD
CITE' OF EAGAN PERMIT TYPE: ;
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
~ J t l I; I ;;,i 1 1 tlA,.f
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR.
I IlI,rII1:, , ,
. ~ ;II. Il,lt I r~l~
I l i I t i,+,; 1 i 1 I At f
F~ ! I,fi 1111"H II! ii 1+
I 1 t , I rl r; t
lipw 11a-.
Permit No. Permit Holder Date Telephone i
ELECTRIC
PLUMBING 5F f/5 t~~iaf -
HVAC •~~Z~
Inspection Date Insp. Com ents
FOOTINGS
FOUND
FRAMING
ROOFINGS Q
ROUGH Q
PLUMBING 7-,77, /V
PLBG
AIR TEST 7 .`J-IS x
ROUGH
HEATING
GAS SVC /t y
TEST
INSUL
GYP BOARD
FIREPLACE ~G
FIREPLACE
AIR TEST ?
FINAL PLBG {S~/
FINAL HTG / Cc~>
ORSAT 7
TEST
BLDG FINAL
BSMT R.1.
BSMT FINAL
1 DECK FTG
f DECK FINAL
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
I 11,11410
SITE ADDRESS: ' r 1 „ I
~S t t, f k " APPLICANT:
i i III I fl ~ I•.i~l~ I i 1 i 114 i ~
+fAY ItTI L'. (f;l-'1 Fr1I't-q"~`•~ ~`J
PERMIT SUBTYPE: TYPE OF WORK: ,
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR.
F
~~l--------- - - - -
Penult No. Permit Holder Date Telephone a
ELECTRIC
PLUMBING
HVAC
Inspection Dab Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL 9/n
L -
Address 553 77TH ST W Zip 55121
Lot 5" 131k 2 Sub 13UR OAK HILLS
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: ~2, Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 6814645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink • Contractor Copy
y PERMIT
CITY OF EAGAN ~ KY433
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 026311
(612) 681-4675 Date Issued: 09/01/95
SITE ADDRESS:
553 77TH ST W
LOT: 5 BLOCK: 2
BUR OAK HILLS
P.I.N.: 10-15500-050-02
DESCRIPTION:
Bu"iding.Permit Type DECK
Building Work Type NEW
i,
REMARKS:
FEE SUMMARY:
Base Fee $30.00 COPIES $1.00
Surcharge $.50 Total Fee $31.50
Subtotal $30.50
CONTRACTOR: - Applicant - ST. LIC. OWNER:
FRONTIER CONST 18914359 20011289 BURICH BRANDON
14101 FRONTIER LN 553 77TH ST W
BURNSVILLE NN 55337 EAGAN NN 55122
(612) 891-4359 (612)934-8339
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 ad City of Eagan Ordinances.
P LICANT/PERMITEE SIGNATURE ISSUED BY. IGN `O RE D
INSPECTION RECORD
CITY OFEAGAN PERMIT TYPE: BUILDING
3830 Pilot Knob Road Permit Number: 026311
Eagan, Minnesota 55122-1897 Date Issued: 09/01/95
(612) 681-4675
SITE ADDRESS: P'I'N'` 10-15500-050-02 APPLICANT:
LOT: 5 BLOCK: 2
553 77TH ST W FRONTIER CONST
BUR OAK HILLS (612) 891-4359
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
INSPECTION TYPE .DATE INSPTR. INSPECTION DATE INSPTR.
FOOTINGS FINAL
F
r'
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) ,
681-4675
New Construction Reouiremems RemodeVReoair Reouirements
♦ 3 registered ske surveys ♦ 2 copies of plan
♦ 2 copies of plans (include beam & window saes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks)
♦ 1 energy calculations ♦ 1 energy calculations for heated additions
♦ 3 Copies of tree preservation plan if lot platted after 7/1/93
required: _Yes _ No
DATE: fir=' CONSTRUCTION COST: ~
DESCRIPTION OF WORK: e
STREET ADDRESS: SSA
LOT=5 BLOCK Z SUBD./P.I.D.
PROPERTY Name: Rv"CL~ 'B z Phone QLL
OWNER " T MST
StreetAddress• S~j s~ lam)
City: 4"- ((State: VYW Zip: SSi ZZ
CONTRACTOR Company: ~YCSV.-hck~ ~rst, Phone Street Address: Ik-Ilui l=air e'r- 6v~k- License ~C~bIIZ
City: lie State: M/0 Zip•SS'!~-7
ARCHITECT/ Company: A-A Phone
ENGINEER
Name: Registration
Street Address,
City: State: Zip:
Sewer & 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 application and state that the information i correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY f~ECEOME®
Certificates of Survey Received _ Yes _ No AUG 2 8 1995
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
w,
M +
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 ❑ 21 Miscellaneous
❑ 05 SF Misc. ❑ 10 _-Alex x15 Deck
WORK TYPE
x-31 New ❑ 33 Alterations ❑ 36 Move
❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code of
Census Bldg i
Census Unit y
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ /ZOO
Surcharge
Plan Review
License
MCMS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Other
Copies do A co
Total:
% SAC
SAC Units
S 'f1 y 07 2422 Enlerprlse Drive
N Q y Mendoto Heights. MN '55120
n 3 (612) 681-1914 FAXt681-9488
Oj ,n wo sunEYaln . an aareRS
A or Ag WD PIAIIIERS. LARDWn AROEILCTS 625 Highway 10 N.E.
O a * Blaine. MN 55434
H (612) 783-1880 FAX-783-1883
rtificate of Survey for: HOMES BY CHASE
553 77TH STREET NEST
N839W042"
w _
0 97.54 ~g1as)
r~ DRAINAGE k UTILITY. r
R V I E 1N 5
EASEMENT PER PLAT ~
r 5 /
f r l
..11A11~ ~ r /
867.8 /
x /
6 FF ^ rr (0 g.°)q 874x.7 / O
IoI, i$~m'V 1} 22 g66. Ir r1 w^.
1 ~~ildF'• tnT"" ~(l l f~~') R.~J/ 1`~ ~N I45' l✓:, N ~
IV 1 .0046 4• 9. AA X i . rA i a 3f l PROP /HpUSESEp + i4 875.8
M ° `
24.0 1 861.0 '
Z~ F r + 0 C , eW
865.'/hMA
y
A ~ 14.00
856.7 I
r - n A4 /o
BENCH MARK CAR
TOP OF PIPE - ^ ~
ELEV.=856.97 880 `
L
X851.8 ° -Ry-~ _ PROP
l V E851 b `Ar BENCH MARK
853.8 ~r 5 TOP OF PIPE
853.5 ` aQ 84 ,4 J : y' ELEV.=865.73
n° 4+ft 0310 13is 860.9
~
7N 858.0
y_
659 VIE E '
tl R R c W a R a FEE, Q LJ Cal
Ekid2W G G•DEM
NOTE: PROPOSED GRADES SHOYM PER CRADMO PLAN eYI MERI.A & ASSOC. PROPpRE0 HOUSE ELEVATION
NOTE: BUILDING DIMENSIONS SHORN ARE FOR HORIZONTAL AND VERTICAL LOCATION LOWEST FLOOR ELEVATION:
OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING AND
FOUNDATION DIMENSIONS,
TOP OF BLOCK ELEVATION: 7
NOTE NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE t,~
/ L
SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIm HOUSE GARAGE SLAB ELEVATION: 6~z
PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR.
NOTE: THIS CERTSTCATE DOES NOT PURPORT TO SHOW EASEMENTS DIM TNAN . x Doom DENOTES EMISTING ELEVATION
THOSE SHOW ON THE RECORDED PLAT. ( 000.00 ) DENOTES PROPOSED ELEVATION i
NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. - - - DENOTES DRAINAGE AND UTILITY EASEMENT
DENOTES DRAINAGE FLOW DIRECTION
NOTE BEARINGS SHORN ARE BASED ON AN ASSUMED DATUM 0 DENOTES MONUMENT I
$ DENOTES OFFSET HUB
WE HEREBY CERTIFY TO HOMES BY CHASE THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF:
LOT 5. BLOCK 2. BUR OAK HILLS
DAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS. EXCEPT-AS SHOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 7TH DAY OF APRIL, 1995.
S -/v-QS pZ...l r,r5.9 Lr .n ~LsS S NED. IONEER ENIdINEFRIN) P.A.
SCALE : t INCH a 30 FEET 9Y:
John C. Larson, L.S. Reg. No. 19828 I
95077.00
PERMIT 14-1 1193s
I- I CITY OF EAGAN"a 3
3830 Pilot Knob Road PERMIT TYPE: BUILDING
Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 6 2 7
(612) 681-4675 Date Issued: 05/22/95
SITE ADDRESS:
553 77TH ST W
LOT: 5 BLOCK: 2 11111-
BUR OAK HILLS
P.I.N.: 10-15500-050-02
DESCRIPTION:
B1t31ding'Rermit Type SF DWG
Building Work, Type NEW
.08C Occupancy`, R-3 U-1
Construction Type VN
Zoning R-1
Building Length 70
Building Width 52
REMARKS:
PRV VALLEY PLUMBING
FEE SUMMARY:
VALUATION $156,000
Base Fee $835.50 MISCELLANEOUS $1,892.50
Plan Review $543.08 Total Fee $4,199.08
Surcharge $78.00
SAC $850.00
SAC 100
SAC Units 1
Subtotal $2,306.58
CONTRACTOR: - Applicant - ST. LIC. OWNER:
HOMES BY CHASE 18955337 0001619 HOMES BY CHASE
1668 E CLIFF RD 1668 E CLIFF RD
BURNSVILLE MN 55337 BURNSVILLE MN 55337
(612) 895-5337 (612)895-5337
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 M".
Statutes and City of Eagan Ordinances.
J/,~Cl
APPLICAN I EE SIGNATURE ISSUED 8 SIG ATU
INSPECTION RECORD
CITY OFEAGAN PERMIT TYPE: BUILDING
3830 Pilot Knob Road Permit Number: 025627
Eagan, Minnesota 55122-1897 Date Issued: 05/22/95
(612) 681-4675
SITEADDRESS:P.I.N.: 10-15500-050-02 APPLICANT:
LOT: 5 BLOCK: 2
553 77TH ST W HOMES BY CHASE
BUR OAK HILLS (612) 895-5337
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR.
FOOTINGS FOUNDATION
FRAMING ROOFING
INSULATION FIREPLACE
ROUGH IN PLBG ROUGH IN HTG
FINAL PLBG FINAL
REMARKS: PRV VALLEY PLUMBING
F
CITY OF EAGAN 0
3830 PILOT KNOB RD - 55122 t
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) r A
681-4675
New Construction Recufrements Remodel/Repair Requirements
♦ 3 registered site surveys ♦ 2 copies of plan
♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks)
? 1 energy calculations ♦ 1 energy calculations for heated additions
♦ 3 copies of tree preservation Ian if lot platted after 7/1/93
required: _ Yes ;XNo
300
DATE: J Y-19~*"q.5 CONSTRUCTION COST: /14
,
DESCRIPTION OF WORK: tQ
VSTREET ADDRESS: X53 ? 7 C~~ ~/l/ 1
LOT 1-- BLOCK SUBD./P.I.D.
PROPERTY Name: S ~ Phone
OWNER IAST FIRST
Street Address- 6;11111~dZ7 Ay
City: State: Zip-
CONTRACTOR Company: Phone
Street Ad . ~ License
City: State: Zip
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration
Street Address,
City: / a //%l //~bf79~State: Zip:
Sewer & water licensed plumber: e-11 . Penalty applies when address change and lot
change are requested once permit is issued.
1 hereby acknowledge that I have read this application and state that the informal' is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: r~ I
OFFICE USE ONLY FMAY VER
Certificates of Survey Received _ Yes 1994
Tree Preservation Plan Received Yes No " " "
OFFICE USE ONLY
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 o 13 Garage/Accessory ❑ 20 Public Facility
❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous
❑ 05 SF Misc. ❑ 10 = plex ❑ 15 Deck
WORK TYPE
p~ 31 New ❑ 33 Alterations ❑ 36 Move
❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition
GENERAL INFORMATION
Const. (Actual) ~r-A, Basement sq. ft. MC/WS System _
(Allowable) zr-H Main level sq. ft. /,//sue City Water
UBC Occupancy 3 u-~ 2- sq. ft. fray Fire Sprinklered
Zoning / sq. ft. PRV YES
# of Stories z . a r sq. ft. Booster Pump
Length 7 ° sq. ft. Census Code. Co
Depth Footprint sq. ft. 2,171 SAC Code a~
v s Census Bldg i
w~ S ai Census Unit
s z
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ S(o c
Surcharge
Plan Review dy/9ia ~smr
License
MCMS SAC CAA ZF
City SAC iv vy z~Y zx a>
Water Conn. /z r6 = G -?z
Water Meter 7 y& 3 3 G I x a?
Acct. Deposit , l - s
SM Permit / yzs "
S/W Surcharge ? s / 9~
Treatment Pl. / yfL x sv= 7~ e{o~
Road Unit
Park Ded. Z 2z 4z 7aY
Trails Ded.
Other
Copies 33 x z Y = y x b~
11e /Z c (L
Total: SY; ScK
Rio SAC
SAC Units
6~~~ - /mss ~9Z
2422 Enterprise Drive
* 7~ Mendota Heights, MN 55120
* /1yI~(612) 681-1914 FAkISM-9488
WIO~Yoon LAND SURVEYOR; CIVIL ENGIMMS
en® n-ar I LAND LANOSCAae " 0 625 Highway 10 N.E.
Blaine, MN 55434
(612) 783-1880 FAX-M-1683
Certificate of Survey for: HOMES BY CHASE
553 77TH STREET WEST
r (.4 15)
N83000'420W 87.54 (s?Q s)
0
LAGAk -7 o
R E V I E W E D 1 EEASEMENT PERnPLAT-=~ 5
5 1
i 867.8
i
X i g
6 I T' 1 (a6f0) I 6x4.7
~o O tN 11122 866.8 /
1111• Al - 1 87.2.0
s l+ }2.Op~ ~44. 7-A I I✓
~JVS/~ 4 PROppos d 0 /HOU3FF0 1 875.8
v 24. p0 0
1N I $61.0 ' O /M 01h
865. I n
~ ~ it J ~ I CCCj
vdi
/W 19. 1 f M 14.00
856.7 _ J GARAGE~M tl
BENCH MARK M
TOP OF PIPE -
ELEV.=856.97 v> 86Q 31',00 ^ Z / _t CJ~
I f1
SERy~ C DRt~ 'FD L
V.%VI BENCH MARK
853.8 ` ffi J g 1 TOP OF PIPE
853.5 84.04 !s ce54•g} ELEV.=665.73 i
~o-Q4h~ 860.9
JJ 858.0 I(~~
7 659 L~
~o m V a Ct I'~" Iv F.l -sT : I
77.
NOTE: PROPOSED GRADES SHOWN PER GRADING PLAN By,. MERILA & ASSOC. PROPOSED HOUCE ELEVATION f
NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION 1
OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING AND LOWEST FLOOR ELEVATION: '
FOUNDATION DIMENSIONS. TOP OF BLOCK ELEVATION:
9 7p4-
NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE
SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE GARAGE SLAB ELEVATION: _8 -
PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR.
NOTE: THIS CERTIFICATE DOES Not PURPORT TD SHOW EASEMENTS OTHER THAN X D00.00 DENOTES EXISTING ELEVATION
THOSE SHOWN ON THE RECORDED PLAT. ( 000.00 ) DENOTES PROPOSED ELEVATION I
NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. - - - DENOTES DRAINAGE AND UTILITY EASEMENT
DENOTES DRAINAGE FLOW DIRECTION
NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM DENOTES MONUMENT
-0 DENOTES OFFSET HUB
WE HEREBY CERTIFY TO HOMES BY CHASE THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF:
LOT 5. BLOCK 2, BUR OAK HILLS
DAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS. EXCEPT_AS SHOWN, AS SURVEYED BY ME OR
i
UNDER MY DIRECT SUPERVISION THIS 7TH DAY OF APRIL, 1995. I1I
S-/O-g5 ~Zw1U15~ ~•'oc1~5 SLUNED: IONEER EN¢`INEERIN P.A.
{ -SCALE 1 INCH = 30 FEET BY,~ ~
L John C. Larson, L.S. Reg. No. 19828
95077.00
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LFGAL•s lzzzl
Date of Surveys - 4~
y~ ~
DOCUMENT BT NDARDS 9S-
3'0 0 Registered Land Surveyor signature and company
90 D Building Permit Applicant
FYO D Legal description
by D D Address
2113 D North arrow and bar scale
BID D House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
tY 0 0 Directional drainage arrows with slope/gradient t.
ODD D Proposed/existing sewer and water services
CY,D 0 Street name
D/ 0 ❑ Driveway
ELEVATIONS
Existing
@f D 0 Sewer service
2" , ❑ Lot corners
❑ Top of curb at the driveway
D D - Elevations of any existing adjacent homes
Proposed
0- 0 0 Garage floor
CARD D First floor
11-'D D Lowest exposed elevation (walkout/window)
V 13 0 Property corners
D Front and rear of home at the foundation
WIVE/ PONDING AREAS (if avolicablol
/D 2Eaasement line
D ❑CT ,f] HWL
0 ~ 3 Pond 9 designation
D Emergency overflow Elevation
DIMENSIONS
0 0 Lot lines
5<0 D Right-of-way and street width (to back of curb)
0~ 0 0 Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
[3~ D 0 Show all easements of record and any City utilities within
those easements
0 D setbacks of proposed structure and setback of adjacent
O' 0 0 existing homes
Retaining ya3~ a irements, if any
Reviewed.
Na e / ate
October 1992
C
4.5° .6 BEND
7.9 S 0+20 BUR OAK HILLS 53.2
33.i._~.
72.2 ' -
835. HYDR NT W/ MM
7 111/40 6" BEND LOCK 2 6"x 6" EE
2ANT
1 6 _
45.4. 1 1 '
Rp : 41408 6 _
V~o. 5
.s~.0.. 3S46.o• 48,32'6 / S14 4 S 2}35.8
W
a 32 q 85 O 29 476,
98 3 8645
5i•g • ass 5 3 Q
;0 MH 49 6AT f Vq Y
U
s. CVf Q
MH 50 6"D P e4 5 3'
.yam
r _ Ty p
_._45.6....--
` u
33.5
45•
/ S 0.x'98 44.6..-.
6.7, S 0156
83 2O
10 8.0 / 43.30
DOES ~ .:.ll :.~:tl~i°.:. 84x•5 S ~~5 qa.~_ S,.g.... My 4C
s 0+ O IT'2'E CITY 0 AGF i`J DOcS is
45.8
852 5
7 5.8' THE ACCT RACY OF UTILITY LO:,Ti0ti3 12 / 7
8 31. O AND/OR i_LEVATIONS• THIS DW 3 FOR s3.2
ON ANI s 2ts3
INFORM ION PURPOSES 0;. 13
PERSOiUSING IT SHOULD ~lE';'.+:Y THE B 859 5
iNFORP ATION ON THE SITE. OCK 2 14
B.M.
.
46
1,4
: L.. s / w
6 DIP WM
. T.. i P STORM SI
12° RC
PROPOSED GRADE ,BsQV C
i 1436
l~
1
i 4 7wro
S.A C w cn
> N
~ o
~ U
CIO Y
g3o = o
?V C THE CITY OF EAGAI I DO-7S NO I GUARANTEE ww N N
04 -
° THE ACCURACY OF UTILITY LOCATIONS
w AND/OR ELEVATIONS. THIS DATA IS FOR 0 +
co p INFORMATION PURFOaES ONLY AND j
, PERSONS USING IT S ULD VER-Y THE c i
v INFORMATION ON THE SITE. ti L
o oo r` tO + > m
0 > OD 'n z
+Z + ±
13 12 I I l0 9
0- s038 A 4 9
Request al Fire No. Rough-lo InsNLTon Required Inspection Other Than Rough-In
C YOa ust cal inspector when ready) ❑ Ready Now ❑ Will Notify Inspector
Yes ❑ No Date Ready
I licensed contractor ❑ owner hereby request inspection of above electrical work at:
Job Add Street, Box or Route No.) Guy
7t St W
Section No. Township Name or No. Range No. County
v
Occupent(PRINT) Phone No.
Power Supplier Address
e ~;II
`n5P 315 .e Ah IC
Electrical Contractor (Company Name) i Co ractm's License No`.y
6 Ir Q lA r. rL C 'l
Mailing Address (Contractor or O+ er Making Installation)
1 / . U~. L)
Authorized Signature (Contractor/ er Making Installation) Phone Number ~j
,
may' ^Yr'~. 31
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-128 III II I I II I ( II BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
/7 REQUEST FOR ELECTRICAL INSPECTION - E/B-/00001-09
See instructions for completing this loon on back of yellow copy. 9
~J y~5 "X" Below Work CQ,&ered by This Request YW
Ne Add ep.' Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) contractors Remarks:
Compute Inspection Fee Bslow:
# Other Fee # Service ntrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps >,0 0 to 100 Amps 77
Transformers Above 200 Amps -Amps 11 Signs Inspectors Use Only TOT
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MON
I, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has Final Date
been made. _q✓
OFFICE USE ONLY
This request vad 48 months from
I & 2 Family Residential "Cookbook" Methoct
SITE ADDRESS
BUILDER a > '~.'t a Date
Minimum Criteria:
Rim Joist R-19 insulation t Foundaton Windows:: Insulated glass, 12" air space, wood or vinyl frame
Entry doors: I~Y4 inch solid wood wi&Storm of better ''t y t
STEP 1'' Window & Door'Anea ? STEP 2 Calculate area as a percent of wall
Total Window Door Area in Sq. Feet 'a.c~ Box A(Window & door area) divided by ;ox B (total
WINDOWS'Oncludi g foundation windows)- r P'.all' area) times 100 equals the window and door area
t ,y { l , e as a eat of wall area (Box C).' i
Dimensions Qnty. Area P
BozA
C
Box Ba :,-2/v!3
x"
o x ~ ~ o f Q 09'
. ; STEP 3 ~ Design Features
a
OPTION
w. 0... ASSEMBLY .
x I.
FRAME bWALL i.
X STANDARD FRAMING t/
x ,d
- o ADVANCED FRAMING
X S'a 0
.CAVITY.II sut.ATION: R- T
X
DOORS: SHEATFIING: .LESS TItANR-5 ' v
T
3 J x R-S OR MORE
o If
x D o 7 WINDOWS (except foundation windows): '
X U-FACTOR
Total Area of
Window & Doors A
From the table, determine the maximum percent window
Total Wall Area in Sq. FL & door area for the design options selected and enter the
Wall Total Perimeter Height Area value in box D below:
O S 4w
D
C must be less than or equal to Box D
Total Area -1.11 -
' of wall 6/3 B
F. The building must not exceed the maximum window and door area as a
percentage of overall exposed wall area listed below for the combination
of framing technique, R-value of insulation within the insulated cavity,
sheathing R-value, and window U-factor. Other components must meet
the requirements of this subpart.
MAXUAUM WINDOW AND DOOR AREA
AS A PERCENT OF OVERALL EXPOSED WALL
Cavity Window U-Factor
Framing Insulation Sheathing 0.49 0.36 0.31 027
STANDARD.; R 13 . ZR-7.. 13 4"/0:: 17.8% ' 21.3% 24.31/6
STANDARD _ R-15 ZR-5 12.9% 17.1% 20.1% 23.4%
STANDARD R-18_ y ; <R 5;n 111% 16 Q3o,...,; " .,.18.8.% 22.0%
STANDARD R-18 ZR-5 13.5% 18.6% 21.8% 25.3%
ADVANCED R-18 --<R-5 111% , 17I% .20.1% 23.4%
ADVANCED R48 ZR-5 13.5% 19.2% 22.5% 26.1%
STANDARD R-21 <R-S.' ° 11 8% ...1-"7.1M`, 19.9% 23.1%
STANDARD R-21 >_R-5 14.0% 19.3% 22.5% 26.1%
ADVANCED R-21 <R-5 11 8% 18.M1. . 21.2% 24.6%
ADVANCED R-21 ZR-5 14.0'6~ 19:9% 23.2% 26.9%
Subp. 3. Performance criteria. The combined thermal transmittance (Uo)
factors for walls, roof/ceilings, and floors over unheated spaces must be less than or
equal to:
A. 0.110 Btu/h ft2 OF for walls;
B. 0.026 Btu/h ft2 OF for roof/ceilings; and
C 0.04 Btu/h ft2 OF for floors.
STAT AUTH. MS § 216C.19
HIST: 18 SR 2361
7670.0480 Repealed, 18 SR 2361
Minn. Rules Chapter 7670 26 June 1994
CITY USE ONLY
L ~ BL RECEIPT* SUED. Atat 641 Z," DATE: 5 1r5
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ► single family dwellings
► townhomes and condos when permits are required for each unit
FIXTURES EACH NO. TOTAL
Shower 3.00 x t =
Water Closet 3.00 x = a -
Bath Tub 3.00 x a = 6-
Lavatory 3.00 x = a
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x 1 = 3-
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x I = 7~-
Floor Drain 3.00 x I
Gas Piping Outlet * minimum - 1 3.00 x i = 3-
Rough Openings 1.50 x
Water Softener 5.00 x =
Private Disposal * Dakota Cty. license 20.00 =
U.G. Sprinkler * home under const. 3.00 =
Alterations * to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL H
SITE ADDRESS: G"53 5- T Li
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS: CPU a j a t r,
CITY: STATE: lM- ZIP: m`ar'
PHONE#: (Lla ) I-10 -atat
SIGNATURE OF PERMITTEE
CITY USE ONLY /y
L ~ BL RECEIPT
SUBD. A.r 6 /1& DAM-0-0 ~'5
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 56122
(612) 6814675
Please complete for: ► single family dwellings
► townhomes and condos when permits are required for each unit
New construction Add-on furnace
Add-on air conditioning Fireplace conversion (to existing firepla .F
Date: 5- 99 -9 S
EEM
► Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
► HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00\
► Gas Outlets (minimum of 1 required @ $3.00 each) `3.06
► State Surcharge .50
TOTAL S7~
_ ~ _i
SITE ADDRESS: S`S 3 nI t h ST.
OWNER NAME: ES PHONE
INSTALLER NAME.
STRE T ADDRESS.
CITY: STATE:_ ZIP:
PHONE (~l t
S17URE OF PERIVII I I Lt
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 ` I 1
Telephone # 651-675-5675 FAX # 651-675-5694
New Construdion Requirements Remodel/Reoair Recuirements Offrce wage
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan co 4f Survey Recd _ Y _ N
(20% maximum lot coverage allowed) t set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y _ t.
2 copies of plan showing beam & window sizes; poured found design, etc. I site survey for additions & decks Tree Pres Regwred -Y.. _ N
7 set of Energy Calculations Addition- indicate if on-site septic system amile sepke,System _Y _N._
3 copies of Tree Preservation Plan if lot platted after M193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
6ro
Date /f l 6 / 01 Construction Cost - Ol
Site Address <3 22-A G/el rh A/ l L/ Unit/Ste #
Description of Work ~u 1PMC ~7 3 S
Multi-Family Bldg Y _ N Fireplace(s) _ 0 ~ - 2
Property Owner k/1 &4,(; s 4 Telephone #
Contractor ~a-L ArAiI rwg +~P~r. lhy
Address 32/ V A-40 br, E .)r City 1F.514 -7
State 1kjAv Zip 57 (Z( Telephone #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category Residential Ventilation Category 7 Worksheet . New Energy Code Worksheet
(J 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 plan?
- Y - N If yes, date and address of master plan:
Licensed Plumber Telephone )
Mechanical Contractor Telephone )
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 s ,without a
permit; that the work will be in accordance with the approved plan in the case of work which requi\e~ are tew and
approval of plans- ~ \\\\\\\\J\
G'a~y ~4fr<~ ~ ~0~5
Applicant's Printed Name Applicant's Signature
.J~ r
OFFICE USE ONLY
Sub Types
❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg
❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi
❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF
❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc.
❑ 05 03-plex ❑ 11 10-plex /fit 19 Lower Level ❑ 24 Storm Damage
❑ 06 04-plex ❑ 12 12-plex Plbg_Yor_N ❑ 25 Miscellaneous
Work Types Z~ ('lam DeS i3.fTr/7° a
❑ 31 New 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding
❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair
❑ 33 Alteration ❑ 37 Demolish Building' ❑ 43 Reroof ❑ 46 Windows/Doors
❑ 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code y3~( Zoning ' City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) _ Final/C.O.
Footings (deck)o Final/No C.O.
Footings (addition) _ Plumbing
Foundation i~ HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
Framing - Siding _ Stucco , Stone _ Brick
?O Fireplace La R.I. `e~OAir Test W Final _ Windows
1'0 Insulation rn~~~ - Retaining Wall
Approved By.. ~v Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
4 50,
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date / ZZ / O 5
Site Street Address ~S3 GU 7-77'15--r- Unit #
Property Owner Telephone # ( )
Contractor fLtj6,'4,v4 c,a L Telephone # (732) $ S 7/"
Address HBO / W 86"S E City 94,wwa'o,V Stated Zip 5 rweYY
The Applicant is: _ Owner contractor -Other
Septic System - New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
Add plumbing fixtures. This fee includes putting in a water softener and/or water
heater at the same time. If you are installing only a water softener and/or water
heater, do not complete this section. Move to the next section and check the
appliance(s) you are installing.
-Septic System Abandonment
-Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
Water Softener Water Heater $ 15.00
- new - replacement
Lawn Irrigation _RPZ _PVB new -repair -rebuild $ 30.00
State Surcharge $ .50
Total $
I hereby apply for a Residential Plumbing 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 plumbing codes; that I
understand this is no p mit' but only an application for a permit, work is not to start without a permit and work will be in
accordance with the ppro ed plan in the event a plan is required to be reviewed and approved.
-r~~
Applicant's Prin me App icl ant's Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA142529
Date Issued:05/08/2017
Permit Category:ePermit
Site Address: 553 77th St W
Lot:5 Block: 2 Addition: Bur Oak Hills
PID:10-15500-02-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Robin R Burich
553 77th St W
Eagan MN 55121
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA150911
Date Issued:07/30/2018
Permit Category:ePermit
Site Address: 553 77th St W
Lot:5 Block: 2 Addition: Bur Oak Hills
PID:10-15500-02-050
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 -
Robin R Burich
553 77th St W
Eagan MN 55121
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature