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557 77th St W Use BLUE or BLACK Ink r For Office Use Permit 0 City of Ea 0~~ el b I Permit Fee. 0 3830 Pilot Knob Road ► I Eagan MN 55122 Date Received: Phone: (651) 675-5675 ► I Fax: (651) 675-5694 I Staff: I I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION 9 S Date: ( Site Address. . Tr,- 7 Tenant: Suite RESIDENT/OWNER Name: J rr1F17f `1 oz/ LT O Phone: Address / City / Zip: ~S 77 Sr ° s~✓L~ Z Applicant is: Owner eContractor TYPE OF WORK Description of work: 7,£fX_ OFf t~U//' Construction Cost: b 0U . Multi-Family Building: (Yes / No ) CONTRACTOR Name: F OO r/ea -4-P 'f-4-AV? 1-7 L License tl 2 Address: ~A,"% 46-,• 4- t city: ,7 State: Zip: 5-t-470/ Phones: 6 Contact: Email: c~- 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: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that 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.ciopherstateonecall.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. ~9 AM, Applicant's Printed Name Applicants Signature Page 1 of 2 INSPECTION RECORD 'JControl No. 0553 ' CITY OF EAGAN REACTLVATM FoR BSW FINISH 05/04/93 PERMIT TYPE: fill 1 I It IN(* 3830 Pilot Knob Road 14ILLIAM OJILE 672-8944 Permit Number: 0 i 0b - q Eagan, Minnesota 55123 Date Issued: d~" ~`l2 (612) 681-4675 SITE ADDRESS: ESL APPLICANT: 771IH ST W MCUONALD CONST INC Ltl.lR 0A11 HILL5 15T (612) 688-1061 ~ i PERMIT SUBTYPE: TYPE OF WORK: 1114") NEW INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR- '1q1 1 1141) FR AMTN~s 10%UtAf ION FINAL Flkl"PLAI F ftF'f1Akt' kf I f-1F-f k fliLJ VLHit. K IAk PfH6- ,41! Permtt No. Permit Haller Date Telephone # S/W i PLUMBING r 11L~ HVAC - 6P AAA- ELECTRI ELECTRIC ~9 O Inapectlon Date Insp. Comments Footings 1 61 Foundation Framing / 7 ~l f0 174~r.~ 2 93 Roofing / Rough Plbg. _ -eO Rough Htg. Isul. ~_`f©T 2 Fireplace w/ Final Htg. h /0~ 7d f~ Orsat Test b ' ArR Final Plbg. d d 6 Pibg. Inspector - Notify Plumber Const. Meter ~oC EngrJPlan Bldg. Final n Deck Ftg. Deck Final Well Pc Disp. J 49 ay/yam - ~~~~atr 6;1384 Request pate /I Fire No. Rough-In Inspection r /"~i ReoNYetl? ❑Reatly Now _ WIII Notify Inspector Yes ~.No When Reatly? I Lcensed contractor I_7 owner hereby request inspection of above electrical work at: Job Addr a (Street Box or Rou N ) Qy Y1/ Section o. Township Name or No. Range No. Coun i OccJpant PRINT Pone Power Suparer rlll...,iii Address Ele I Conkactw ICompasy Name) Co tract r5 Lirzr~ge MMal A dr C -tractor I Making 'IInnedi ion) U Y Aalho ec Si nature IC nlr cloVOwner Maki g s+ Ration) P n m` MINNESOTA ST E BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. -Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. SL Paul, 155104 UNLESS PROPER INSPECTION FEE IS Phone (612) 602-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ► See Instructions for completing this form on back of yellow copy, 4t' ~O / y JV334 i WV BAw Work Covered by This Request gv,Add Flpp. Typeof Building Appliances Wired Equipment Wired _ Home Range Temporary Service Duple, Water Heater Electric Heating Apt. Building Pryer Other (Specify) Comm./Industrial Furnace Farm_ Air Conditioner Other (speedy) CAOf ctnrs Remarks' RAS n Q- KM Compute Inspection Fee Below. her Fee # Service Entrance Size Fee # Circuits/Feeders Fee -Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 Amps Signs tnspector's Use Only: _ TOTp Irrigation Booms i o 5 Special Inspection Alarm1Commun1cation THIS INSTALLATION M ORD Ell DIrSCONNECTED IF NOT Other Fee COMPLETED WITHI NT I, the Electrical Inspector, hereby Rough-in Date /7 certify that the above inspection has F;nat Date been made. OFFICE USE ONLY This request vo;a 1S months from L 3 9 8 0 1 to Repuest Oate Fire No. Rougi Inspection ,J l Re uiretl? ❑ Ready No Will Not ly Inspector S s M No When Ready? I Icensed contractor D owner hereby request inspection of above electrical work at: Job dpress (Street. Box or Route No.) City t 1 -7- 7 Gt Sec n No. Township Name or No. Range No. County Occupan~IPRIN 1 Phone 1L~r ~ Power Supplier Address Electrical Contractor (Company Name Contractor$ License No. c 8 Mailing ANac dress IContr for or Owner Making Installanonl -7 Z Authpnzed nature (Contra or.'Ow er Maki Instal nl Phone Number o/ L- 5-7,7 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Griggs-Midway Bldg. - Room 5-113 Sm Be ACCEPTED By THE STATE BOARD 1821 Unlveraly Ave.. St. Paul. MN 55186 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-MO ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-08 `y See Instrutlians fOr completing this form an back of yellow copy. erl0~~ N L 39S 02 X" Below Work Covered by This Request ew Add Rep, Typeof Building AppliancesWiretl Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other(Specify) 1 Comm./industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute inspection Fee Below: 1.~ # Other Fee # Service Entrance Size Fee # C to it feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps 100 _ Amps Signs Inspector's Use Only: TOTAL \ rigation Booms -30 U. S Q Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF N Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in oete certify that the above inspection has Rnal Oa e been made. 'ev 7 OFFICE USE ONLY This request void 18 months from Addrezs 557 771H ST WEST Zip 5512 l Lot 5 Blk 2 Sub BUR OAK HILLS 1sT THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Q4/26/93 Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) V 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 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy PERMIT Control No. 0553 CITY OF EAGAN 3830 Pilot Knob Road PERMIT. TYPE: BUILDING . . Eagan, Minnesota 55123 Permit Number: 000629 (612) 681-4675 Date Issued: 06/02/92 SITE ADDRESS: 557 77TH ST W LOT:. 6. BLOCK: 2 - BUR OAK HILLS 1ST DESCRIPTION: ,B:u,ildittg Permit Type SF DWG Buildit4uork Type NEW UBC Occup•an-q .R-3 N-1 Construct ion,Type VN Zoning R-1 Building Length 72 <.BuiIding Width 34 1 REMARKS: 1 C RECEIPT # ~1C1~ J PRV S&W PLBR..- STAR PLBO. FEE SUMMARY: VALUATION $154,000 Base Fee $828.50 MISC FEES $1.610.60_._ Plan Review $538.53 Total Fee $3,754.53 Surcharge $77.00 SAC $700.00 SAC % 100 SAC Units 1 Subtotal $2,144.03 CONTRACTOR: - Applicant - ST. LI OWNER: NCDONALD CONST INC 16887061 000237 NCDONALD CONST INC 1212 BLUEBILL BAY RD 1212 BLUEBILL BAY RD BURNSVILLE NN 55337 BURNSVILLE NN 55337 (612) 688-7061 (612)688-7061 I hereby acknowledge that I have read this a.ppiication and state they the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. L- - (Livia RVjj I ~1 A IC P MITEE PURr~ ISSUED Y: SIIGNATUREq~ INSPECTION RECORD Control No. 0553 CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 000629 Eagan, Minnesota 55123 Date Issued: 06/02/92 (612) 681-4675 SITE ADDRESS: LOT: 6 BLOCK: 2 APPLICANT: 557 77TH ST W NCDONALD CONST INC BUR OAK HILLS 1ST (612) 688-7061 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE iNSPTR. FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: RECEIPT B PRV SSW PLBR. m STAR PLBG. r --7 1 L_ CITY OF EAGAN + 1992 BUILDING PERMIT APPLICATION Sy S 3 681-4675 JAY 1 9 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 typing of permit is requested, but not picked up by last working day of month in which re nest is made o lot chan a is re nested once ermit is issued. Date f Valuation of work /lG~gdo (f rclu ~i a~ L o f ite Location: 557 '7 2 ~S G/rsf Mnl 55121 ttXfi s} STREET STE k Tenant Name: LOT b BLOCK a SUBD. F3uv bah G!i`G!s F.I . D. # Description of work: The applicant is: ❑ Owner contractor ❑ Other (Describe) Name Phone Property LAST FIRST Owner Address STREET STE # City State Zip Company M(: V&Tka4 Cvws-tr%&e 4iv-I, , arc-, Phone - 6 SS- 706 / Contractor Address tZL"L -Uu,t bt ti 3t, R.(( License #0002376 Exp. City ~tarnsUt~L~ State MN Zip 55337 Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber _-4aLy iLL r w5 Processing time for sewer & water permits is two days once area has been a proved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all appli re State--of-Minnesota Statutes and City of Eagan Ordinances. j Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Garage/Accessory ❑ 11 Res. Add./Porch ❑ 16 Agricultural X02 Single Family ❑ 07 Fireplace ❑ 12 Comm./Ind. New ❑ 17 Building Move ❑ 03 Two-family ❑ 08 Deck ❑ 13 Comm./Ind. Add ❑ 18 Demolition ❑ 04 Multi-fam. T.H. ❑ 09 Basement Finish ❑ 14 Comm./Ind. Rem. ❑ 20 Miscellaneous ❑ 05 Apt. Bldg. ❑ 10 Swim Pool ❑ 15 Public Fac. WORK TYPE g 90 New ❑ 93 Remodel ❑ 96 Move ❑ 91 Addition ❑ 94 Repair ❑ 97 Demolish ❑ 92 Alterations ❑ 95 Tenant Finish ❑ 99 Undefined GENERAL INFORMATION Occupancy 7,-3 M -l Basement sq. ft. MWCC System (c5 Zoning R-1 1st Fl. sq. ft. City Water 5'$ Const. (Actual) r1 2nd Fl. sq. ft. PRV Required F (Allowable) Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length 2 On-site well Census Code 01 Depth .34 On-site sewage SAC Code c~ r APPROVALS Planning Building DS s.z>94 Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard p Final ❑ Draintile ❑ Fireplace Permit Fee SZS.So Valuatiao: s 154 000 Surcharge '7 00 GARAfrES 34X 22 = ~u~ Plan Review 36 ,S License MWCC SAC 700, oo City SAC .EDIT'' ~Zy 'A 563 q 100.0 Water Conn. 6"!5.000 Water Meter .35,00 ag X3s=1b6y Acct. Deposit 30,00 !1 K I Z z 13?_ S/W Permit 30.00 S/W Surcharge ,so 1 I°16 )4 15'= 1'?9 Ll o Treatment Pl. s300.0o Road Unit 380,00 IST lr~.o-~v_ Park Ded. Trails Ded. 1212 S.r-. x .53,= /P y,z Copies Other Zoo ~iaon. Total: ~g~r,.x3s,. 112 xS3= SAC % a o SAC Units 15311'73 MINNESOTA STATE ENERGY CODE CALCULATIONS BASED ON CHAPTER 5 OF THE MODEL ENERGY CODE - 1983 EDTTTON Adoption Effective Owner Phone r Date Site Address- 1~Lb L G tL OA*, P/cc Contractor N4~ L~1G~,T fG I Phone Building Classification: Type Al (Single Family & Duplex) Type A2 (Residential, 3 stories or less) (Over 3 stories) (Other) NOTE: Complete pages 3 and 4 first. GENERAL. INFO MATION Gr 1. Building PerimeterA `~ft. 2. Wall height (ground to eave) (1 ft. 3. 1. X 2. (above) gross wall area sq.ft. 4. Building dimensions (L) X (W) ft. roof 6 floor area 5. Sq. foot area of rim joist - F 2pF j0 Ize (2 X 69 ) 6 r/ X (Perimeter) sq.ft. 9 12 6. Doors - Area ffl1' Thickness in U. factor y K 1 Type of Construction Perimeter ft. Manufacturer 7. Total door's perimeter'` 1' , I 1 l--fitt. . 8. Windows: Ma gf cturer~~L ,e_ ~ , State approved U factor- tso TYPE SIZE AREA (Sq.Ft.) NUMBER OF TOTAL EACH UNITS SQ FEET 9. Total sq.ft. Glass l 10. Fireplace area: Width X Height = _ X = aq.ft. 31. Exposed foundation: Height X Perimetert(O X= !L~6q.ft. COMPLETION OF THIS FORM IS REQUIRED FOR ALL NEW CONSTRUCTION, MAJOR REMODELING AND BUILDINGS BEING MOVED WHERE ENERGY, OTHER THAN THE MINIMAL CODE ALLOWANCE, IS USED. -1- 12. Framing area = 10% of gross /wall area. 13. Gross wall area ✓ t sq,'f~t/. Window area A~ q.ft. U windows = 1 UxA - 1 oil; 1 1 Rim joist area A L Ib rsq. ft. U rim joist= ( \ UxA = r A Door area A 1t sq.ft. U door area= UxA = -7 1 I( Other doors area / O O q.ft, U other doors= 47 UxA = Exposed fndn A O rtet ll'?~ sq.ft. U foundation=lpr,~~ UxA = 1 Framing area A4Sq.ft. U framing area=10-1 UxA Net wall area A •2sq.ft. U wall= r';/ UxA = G (13B) TOTAL . . . . . . . . Ux = ~:I'./ 14. Gross wall area x 0.11 (A-1 single family & duplex) - allows xA/Code (13. above) x 0.23 (A-2 other residential) x .23 (other buildings) X .28 (over 3 stories) BTUH must be larger than or same A l~ U Code t~1 '7 °F. as 130 above 15. Ceiling framing area (Af) equals 10% of ceiling area 15A. Gross ceiling area (L) x (W) _ sq.ft. 158. Joist area (Af) = 10$ ceiling area ~J~I~sq,ft. 15C. Net ceiling area (Ac)) (15AA - 15B) sq.ft. U ceiling x A C = L~ l 1 x PC/ L U framing x A f = ✓1 x'✓, =,217 15D. TOTAL U x A 16. Ceiling area (15A) x 0.026 (A-1 single family & duplex) allowable UxA/Code x 0.033 (A-2 other residential) x 0.06 (other) BTUH must be'larger than or same A (15A )1 ~5 U Coder =LoF. as 15D above NOTE: Use U and A values obtained from pages 11 3 and 4. CERTIFICATION: I hereby certify that I have calculated the "U" factors and "R" values herein and that the building here described meets or exceeds the State of Minnesota Energy Conservation Act. Date signature -2- ~2-17 t~ -TO 10 III t~ Cod , ~ ~5► it ~ 1 , ~xdr - 2 4t fad ~4V4, ~r 8 o~ , ~ ~ t~ ~ 0~1= C~ ~ o t ~ Opt ltl ~I~ U VALUE CALCULATIONS R-VALUE U VALUE 1- Inside air film .68 WALL ~~J Interior wall . T✓ (Nall) U SECTION Insulation 1910 Sheathing Z,ow ' 1- Siding ,(p] Outside air film .17 R TOTAL Z3.03 Inside.air film .68 STUD Interior wall 145; SECTION 41, stud R= *M (0.5 (Framing) U. R Sheathing .UL9 y ,oqy Siding 1(017 Outside air film .17 R TOTAL (0.53 Inside air film R= .68 2ND WALL Interior wall SECTION. Insulation (Wall) U . R Sheathing z a Exterior wall covering Exterior air film R ..17 R TOTAL Interior air film R= .68 RIM ~ insulation ;Iq.o JOIST Inch soft wood R-1.B8 (Rim U = k a Joist) ' Sheathing 2.0(0 1 q41 Exterior wall covering ,(y] s Exterior air film R= .17 R TOTAL Interior air film R' .68 Insulation 11.0 \ Foundation I z b 1 (fdn. ) U = if = Exterior air film R' .17 • 70 ` R TOTAL ' 13 - Exposed Block -~`,rade 3. CEILING WITH VENTED ATTIC SPACE ADQU R VALUE R VALUE FRAMING CEILING 62 AirFilm 45. Insulation 0 4.38 joist 0.56 Ceiling 0.56 0.61 AirFilm 0.61 47-•(to TotalR ` (o.7g DZ~j u=1/R dZ~ Window infiltration 0.5 cfm/lineal foot of crack Residential door infiltration 0.5 cfm/square foot or door and minimum code requirement Non-residential door infiltration 11.0 cfm/lineal foot of crack Ub 12" concrete block no insulation = .47 R 2.1 Ub 12" concrete block insulated cores = .26 R 3.8 Ub 12" lightweight block = .32 R 3.1 Ub 12" lightweight block insulated cores = .12 R 8.3 U single glass = 1.13; with storm window .54 U double glass = .55 U.triple glass = .41 All exterior walls and ceilings must have a vapor barrier (0.10 perm max.). Vapor barrier must be on the inside (heated side) of wall. Vapor barriers of the polyethelene thin film have no R value. i P i c r-.._- r- 6 r. ? rl r- r-I a r. 1 ? 4 F . r ice`- } / , ~/✓I 1~V En:erpnsc Drive Ilrlg-~;s, , ;120 bi, ~l{ c"'q Mcr:da a MN j - (612) 681 1 f4•Fax 631-9-483 engineering C HiGha c 10 fly t coa f1N ,:5434 I I * ~ ~(E12) 783-1880•Fnx 753-'1F3ti3 Cer if, aie S.-,r've:y or. C on(1 d onstr-uc c) i 1!'10_ I ?yi:::!"eSS: .`%77 lIL`l Sire±_~ft~ES`,, oC]~.;, `u I VO(Jc-l Narne: 92-_7;7 ` - - S 83.CC'42" j r 72.94 I EAGAN 4Ed1EVt`ED - - I j I f)( ~7E5~ Zo --cf)-.. I $ I I C) .N' CY) 77 { ad - J o! i =97.a8 a _ I A r - - - - - - _ ' 065.25 - - - - Fay / R' EAGAN ENGINEERING DEPT WES li AM-, Denotes ~xistlr,g ~5veton rRCPCScC HOUSE EL'=VATfDN Denotes F. - posed ~~efien - _ _ - _ - ; LCW?S; r ou Elevation - Denotes uri, J7Otie t..i?lil iy CSem en. ---'--De-iutes D.Gif, ge WOK D:~en,;a7, rcp C? 910c~ '.Ievc i r - Sic n ElcvcYLIJC. {+I` Denc_ s C -set Hum 8ec ^ge ^,"owr1 cre ^ssumed LOT c_ BLOCK 2_ BUR OAK HILLS DAKn. A rnIJN T Y, kINNESCTA I ~ ,,.l.; o' IC7 91 08 i.18 lSL d CITY OF EAGAN CITY USE ONLY PLUMBING PERMIT SUED. dtlr (612) 681-4675 RECEIPT DATE RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES.AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DES RIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST REPAIR/ADD ON 15.00 ADD ON 7 SHOWER 3.00 ~7 _00 REPAIR ~ 3 WATER CLOSET 3.00 ~ 00 BATH TUB 3.00 3.00 3.00 OWNER NAME: LAVATORY KITCHEN SINK 3.00 Ob 3.00 ()G SITE ADDRESS : _ I ~~j v 1 I /UF SS T HOT LAUNDRY TRAY 3.00 3 00 T WATER HEATER 3.00 x•00 L FLOOR DRAIN 3.00 -:D,00 GAS PIPING OUT_. INSTALLER: !V ` f Um vi (MINIMUM - 1) 3.00 306 7~- ROUGH OPENINGS 1.50 ADDRESS: /D OTHER _ WATER SOFTENER 5.00 7770 CITY.~_ rdtl tl`l ZIP: J 0 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE u W. TURNAROUND 15.00 STATE SURCHARGE .50 -6 SI NATURE OF PERMITTEE TOTAL: COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: CONTRACT PRICE: SITE ADDRESS: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR TENANT NAME: EACH $1,000 OF PERMIT FEE. SUITE $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE FOR: (SIGNATURE) CITY OF EAGAN CITY OF FAGAN So2 L~ B MECHANICAL PERMIT RECEIPT # SUBD. _ 21 ~ A~A (612) 681-467S DATE - RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. OWNER - o- FEES SITE ADDRESS: ADD ON/REMODEL (EXISTING $ 15.00 CONSTRUCTION ONLY) INSTALLER 1 ( HVAC: 0-100 M BTU 24.00 PHONE n ) C " ADDITIONAL 50 M BTU 6.00 ADDRESS: 'r). GAS OUT'LIM' - MINL'J j vl- 1 L $3 EA. 3 ~6 CITY: '~7 G ZIP:` SURCHARGE: $ .50 SIGNATURE. - TOTAL: COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAIJINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: CONTRACT PRICE: FEES 1% OF CONTRACT FEE. STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE. $ PROCESSED PIPING $25.00 ]MINIMUM FEE - $25.00 OWNER: TOTAL: $ SITE ADDRESS: TENANT: SUITE INSTALLER: ADDRESS: CITY: ZIP: PHONE CITY SIGNATURE: SIGNATURE. REACTIVATE IT RECE ED CITY OF EAGAN PERMIT # 1993 BUILDING PERMIT APPLICATION APR 2 9 1993 681-4675 A A SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, l set 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 Valuation of work gWr<X Site Address: S I s'r cJ X121 STREET SUITE Tenant Name: (commercial only) LOT BLOCK SOBD. Q k P.I.D. M Description of work: ir115G ~~_srncu" The applicant is: Owner ❑ Contractor ❑ Other (Uescribe> Name 0 i i't, L.E. r Phone eFOI^9s'_6 Property LAST FIRST r~j - y 1A 4 Owner Address STREET STE # City - State - Zip 2 Company Phone Contractor Address License # Exp. City State Zip Architect/ Company Phone 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 11 applicable State of Minnesota Statutes and City of Eagan Ordinances.i Signature of Applicant: 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 C) l 651-681-4675 a nom( k Now Wirt ueflon Reaulremenh Remodel/Ready Rea iremeMS D 3 registered site surveys stowing sq. fi. of lot, sq. ft. Of house 2 copies Of pion and gel rooted areas (2Q% maximum lot coverage allowed) I set of energy colcuiaflons for healed odditm D 2 copies of plans (show beam & window sizes; poured lad. design: etc.) I site survey for exterior additions A decks a I set of energy colculallons D 3 Copies Of tee preservation pion Slot plaited after 7/1/93 DATE: L)` 1,5-00 / CONSTRUCTION COST: ly Z U 0 DESCRIPTION OF WORK: 3111 STREET ADDRESS: s~.S 7 7 / S f- n LOT. (0 BLOCK: a SUBD./P.I.D. e)tti V Name: Mo L( L-n i`-l J 2,C~ff Phone Lf~ z 3 y Z PROPERTY Lod Rrst / - &-JO 2,14 - L/ (0 7 s X ! 1 OWNER Street Address: -S 7 7 6f ? city u ^ state: zip: SS/ / Company; Phone (area code) CONTRACTOR Street Address: License If Exp. City State: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone C ( ) Street Address: Registration r city State: Zip: SewerMater licensed plumber (If Installing sewer/waterPhone I hereby acknowledge that I have read this application, state that the hfomalion is correct, and agree to comply with all appBaable State of Minnesota Statutes and City of Eagan Ordinances. j~ Signature of Applicant.. OFFICE USE ONLY Certificates of Survey Received Yes No FEB 15 Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 21 Porch (3-sea.) ❑ 31 Ext. Aft - Mufti ❑ 02 SF Dwelling ❑ 08 06-plea ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Aft - SF ❑ 03 01 of_ piex ❑ 09 07-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Mufti ❑ 04 02-plex ❑ 10 08-plex 19 Lower Level ❑ 24 Storm Damage ❑ 05 03-piex ❑ 11 10-plex Pog _Y or_ N ❑ 25 Miscellaneous ❑ 06 04-plex ❑ 12 12-plex ❑ 20 Pool ❑ 30 Accessory Bldg. WORK TYPE ❑ 31 New ❑ 36 Move Bldg. ❑ 43 Reroof 32 Addition ❑ 37 Demolish (Bldg)' ❑ 44 Siding 33 Alteration ❑ 38 Demolish (interior) ❑ 45 Fire Repair ❑ 34 Repair ❑ 42 Demolish (Foundation) ❑ 46 Windows/Doors * Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code_ # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) it n) Basement sq. ft. Census Code (Allowable) Y Main level sq. ft. MC/ES System UBC Occupancy ( sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinkiered MISCELLANEOUS INSPECTIONS ❑ Stucco/Stone APPROVALS Planning Building AI/ Engineering Variance Permit Fee Valuation: $ _ Surcharge Plan Review License MC/ES SAC City SAC r-- Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies -S Total: SAC Units % SAC CITY USE ONLY L ~ BL RECEIPT#: ~,jpl 7, SUBD. 6 l CLX 1•~ RECEIPT DATE: qdi - I G- 0 a PERMIT # 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, NN 55122 651-681-4675 Please complete for. > single family dwellings > townhomes and condos when permits are required for each unit > backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Alterations tp existing dwe 'ng - minimum fee $ 30.00 Describe: hoSC+hRi Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet " minimum -1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Septic System new/refurbished " requires MPC lie. 75.00 x = $ Septic System abandonment 30.00 x = $ RPZ new installation/mpaidrebuild 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground sprinkler if dwelling is under construction 3.00 x = $ Underground sprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x $ State Surcharge .50 $ .50 Total $ 7~o .43 Reminder. Call for inspections of alterations, Le. water heaters, water softeners, etc. - - I hereby acknowledge that I have read this application, state that the illkw4 ion is correct, and agree to comply with all applicable City of Eagan ordinanoss. 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. SITE ADDRESS: SS7 7 7 tL- OWNER NAME:: ~C F~ t 1 1o cr I - TELEPHONE Z 3 N 2- T (AREA CODE) INSTALLER NAME: TELEPHONE (AREA CODE) STREET ADDRESS: CITY: STATE: ZIP: SIG ATURE OF PERMITTEE PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA093272 Date Issued: 03/30/2010 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 557 77th St W Lot: 6 Block: 2 Addition: Bur Oak Hills PID:10-15500-060-02 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Home Depot At Home Services Jeffrei S Moulton 656 Nlendelssolm Ave. N 557 77th St W Golden Valley NIN 55427 Eagan MN 55121 (763) 42-8826 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA096158 Date Issued: 09/28/2010 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 557 77th St W Lot: 6 Block: 2 Addition: Bur Oak Hills PID:10-15500-060-02 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Renewal Andersen Jeffrei S Moulton 1920 County Road C West 557 77th St W Roseville NIN 55113 Eagan NIN 55121 (61)264-4777 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA155096 Date Issued:04/29/2019 Permit Category:ePermit Site Address: 557 77th St W Lot:6 Block: 2 Addition: Bur Oak Hills PID:10-15500-02-060 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 - Jeffrey S Moulton 557 77th St W Eagan MN 55121 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA155783 Date Issued:06/03/2019 Permit Category:ePermit Site Address: 557 77th St W Lot:6 Block: 2 Addition: Bur Oak Hills PID:10-15500-02-060 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jeffrey S Moulton 557 77th St W Eagan MN 55121 (651) 925-6994 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature rFor Office Use � jJ ��.��, Permit#: /S// % Sa I I I A T Permit Fee: /��• RF C�; mac,' 1r. // 9 C� 3830 PILOT KNOB ROAD EAGAN,MN 55122-1810 Date Received: 6 � ��/ SUN 2 8 LUJ� (651)675-56751 TDD:(651)454-8535 I FAX:(651)675-5694 buildinuinsoectionsacitvofeaoan.corn Staff: 9___J 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: Phone:�yr/� Resident/ q �`� Owner°` Address/City/Zip: 557 1. 7 �''{ Applicant is: Owner x Contractor Type of Work Description of work: ,For A/Ai C Grl/ll R Afro t4 4' Construction Cost.___?>11.47:00, Multi-Family Building:(Yes /No )( ) r Company:./oM► hte/SN ti,2.134✓r,'2 aC Contact: A/itt TMf41,,i0A/ Address: Y/O 7 /S3" ' LN city:ty: Arlo LAM State:f,$NJ Zip: Phone: 763-"„),1 -9 9/4/ Email: A4444044.0 a4oeJzt'P4 /.104t #1 License#: 365325013 Lead Certificate#: If the project is exempt from lead certification, please explain why: aJ� Boicr /'ioj T /17r COMPLETE THIS AREA ONLY IF CONSTRIgCTIN '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: P *" Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE"Plans and;suppor8ng documents that yousubmit are;considered to'be public`information Portions of the Information miay be ciassfed as non'pUblic'If you provide specific raasons•that wou%af by r permit that*to�nclude;tha! You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. 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. 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.000herstateonecall,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 o 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 pl= x Aft4 t) St414JS4RJ • Applicant's Printed Name Applicant's Signature _7 774-1A S-i- . CD /sC SaI DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous — 01 of_Plex Lower Level — Pool _ Accessory Building WORK TYPES New Interior Improvement _ Siding Demol sh Building* — _ Addition Move Building _ Reroof _ Demol h Interior __ Alteration — Fire Repair _ Windows _ Demo! h Foundation Replace Repair _ Egress Window x Water Damage Retaining Wall `Demolition of entire building-give PGA handout to applicant — DESCRIPTION 1 Valuation vii®60 Occupancy a72-Z--IMCES Syste Plan Review Code Edition a0/5 /4.01:/2-L_ SAC Units (25%_100%K) Zoning is�l City Water Census Code Stories Booster Pum #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V(5 Width I REQUIRED INSPECTIONS I Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required — Footings(Addition) )C Final 1 No C.O.Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test Hood Roof:_Ice&Water Final Pool: Footings Air/Gas Tests _Final c Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test Final Siding: Stucco Lath _Stone Lath _Brick EFIS XInsulationWindows tit Sheathing ,Retaining Wall: Footings__j_Backfill_Final :; Sheetrock Radon Control m Fire Walls ,;jtliFire Suppression:_Rough In Final of Braced Walls Erosion Control — . Shower Pan Other: Reviewed By: ,Building Inspector RESIDENTIAL FEES Base Fee Surcharge cell__ Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read 1 Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA169694 Date Issued:06/04/2021 Permit Category:ePermit Site Address: 557 77th St W Lot:6 Block: 2 Addition: Bur Oak Hills PID:10-15500-02-060 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. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any 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 - Jeffrey S & Kathleen Moulton 557 77th St W Saint Paul MN 55121--233 (651) 310-4104 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA171405 Date Issued:08/16/2021 Permit Category:ePermit Site Address: 557 77th St W Lot:6 Block: 2 Addition: Bur Oak Hills PID:10-15500-02-060 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jeffrey S & Kathleen Moulton 557 77th St W Saint Paul MN 55121--233 Renewal Andersen 1920 County Road C West Roseville MN 55113 (641) 264-4088 Applicant/Permitee: Signature Issued By: Signature