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2255 Clark CtCITY OF EAGAN Remarks Additian River Hi S gth Lot 9 -Blk 4 Parcel ll? 64400 noo 04_ , Owner ' ''•'% • Street 2255 Clark Ct. State F.agan,MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTaR. GRADING SAN SEW TRUNK I'W 1973 14 *SEWER LATERA4 WATERMAIN * WATER LATERAL 197 6 3 WATER AREA ;- * STORM SEW TRK 1976 * STORM SEW LAT 1976 CURB & GUTTEF SIDEWALfC STREET LIGHT 1980 $ 1 WATER CONN. BUILDING PER. 5AC y o?0 PARK CITY OF EAGAN 3795 Pilof Knob Road Eagon, Minnesoto 53122 P6one; 454-8100 ATER SOFTRNER Date: Iq?ril 10, 1975 Site Address: ? ? ?' ? .• ? , - L ?r { 5 k ? oc ot B Sub/ ec. Nome ?'an?lall J. ::aukoV]::- ` 3 Clark Ccu-.: Address - - - - O City ;agan 5512 2 Phone: NameLlridSdV Water Condir`oning Co. . ? Address 'I'VB. SU. - No. ?- 14 8 Receipt No.: Single ( Residential ? Multl Res., Comm.llnd. I New/Alter. / Repoir Cost of Instollation Permit Fee Surcharge V City Phone: Total This Permit is issued on the express condition thot all work shall be dwm in accordance with oll applicable State of Minnesota Statutes ond City of Eagan Ordinances. ? Building Officiol PERMIT Rec'd in Street - - -' MINNEGASCO Mpls.F1 SERVICE INSTALLATION Sub. MUNICIPAL PERMIT N0. ORDER N0. Map No. Old? New? Bldg. Customer's Name Tel. _ lnstallation Address Legal Description: Lot No. Block No. Contr's Contr's Address ,Owner's Nome Owner's Address Tel. Tel. E-N0. Class Addition Date Ordered - Max. Demand CF/Hr. Taken By Main Auth. No. Service Location: Right ? Left [-] Front E] Add'I Info. Date Completed Foreman's Name To the (City Engineer (City Council (Village Council (Town Board The Minnesota Gas Company hereby requests permission to perform the work indicated above. MINNESOTA GAS COMPANY (Chief Design Engineer) To the Minnesota Gas Company Permission is hereby granted the Minnesota Gas Company to perform the work indicated above. of Date gy / (Authwized Siynolure) FORM 52-2R 6/69 CITY of EAGAN BUILDING PERMIT Ownes WINDSOR DEV. CORP. .............................................................................................. Addseac (present) .4660 W. 77th Street, Edina 55435 ................. ............................... ............................. Huilder .......... W....I.........NDS....•--OR -.......... DEV... ...----?-?-?--. CORP. ...................................... Addrau 4660 W. 77th St., Edina 55435 831-0717 DESCRIPTION ., ? N? 4144 3795 PiloS 8nob Road Eagan, Minnesola 55122 454-8100 Dale .......llf 18.76 ................. Sioziac To Be Used Foz Fron! Deplh Heigh! E?l. Cos! P!zmi! Fea marks S/F Dwlg & Gar 53' 44.7 0,000 115.50 20.00 ? 0 -,- /-) - a:reex, noea or oiner ueseripvon ax Locanon I Los I tl1oe6 I AGauion or Tract 2255 Clark Court 9 I 4 I River Hills 9th T6ls permit does not aulhoxize the use oi slreeis, roade, alleys or sfdewalka nor does it give the owaer or h!s ayaa! the xigh2 !o ereate anp siluation which is a nuisanee or whIeh presenfs a ha:ard !o the heallh, eafelp, eonvsnienes aed ganeral welfa=e to anyoae in the commuaify. THIS YEAMIT MUST SE KEPT ON THE PREMISE WHILE THE WORK IS IN PAOGAESS. This is !o certifp, that..... windsor Dev. orp. haspermissioa !o areet a......._S/F.Dwlg & Gar ...... .... ......C. . ........ ... . ................................ _upon the above described mise subjecf fo the provisions of all applieable Ordieames far the Cifp f .._--'-"#*.....01 . .... _'-"-"'-"' •'.l`."._?°'_'-"................. Per ........ . ..... . ..a.. _p.... ............... M or . ? Buildin Im xlos. ......... / l4? la t??`oa d 9o UC/ ,C1ils CITY OF F.i1GAN 3795"Pilot Knob Road Eagan,, Minnesota 55122 PERNTIT NO,: 756 The City of Eagan hereby grants to Thompson Plumbing Co. af 12201 Minnetonka Blvd. a PLUMBIIUG Permit for: (Owner?_F?indsor Oeq. Corp. C 1 a r k ew"t at 363 Metcalf Dr. ? pursuant to application dated 11/18/76 billed: Fee Px7cdwc $40. 00 dated.-this 1 19 day of D'ovemher , 19 76. 1.00 s/c Statement #1030 Building Inspeetor Mechanical Permits: Eid TotaL• ? , CITY OF EAGAN 3795'Pilot Knob Road Easa.n,. Minnesota 55122 PERNIIT NO.: 838, the City of Eagan hereby grants to RaY N. Welter Heating Co. of 4637 Chicago a HEATING Permit for: (Owner)`_ ?_ Windsor. Dev. 2255 Clark and at 4363--MwtvW2f , pursuant to application dated 12/27/76 Fee Paid: $40.00 date3-this 3 day of January ? 19 77? 1.00 s'.c Building Inspector Alechanical Pe:mits: Eid Tutale VIlL4GE 0_F E4GAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: 2089 Eogon,MN 55112 DATE: 11/19/76 Zoning: RI No. of Units: 1 ' Owner: Windsor Dev. Corp . Address: ark Ct. Site Address: _22_55 Cl L9 B9 RA 9th Nlumber:3'hompson Plumbinq Co. Ppeter Connection Charge; 20 ??,d- Acc u [ D R o n e B po it: 0??F31-7.Ea ea r No.: ? permit Fee: I agr ?eo <o ply with fhe Village of Eagan Sivcharge: __ mo ces. 3? Misc. Chargesf??? p?41eter Total: ?Y DatePaid: Date of lnsp.: Ins p.: VILUIPE QF E404N SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: 2839 Eagan, MN 5512I DATE: 11 19 76 Zoning:R= No. of Units: 1 Owner: Windsor DeV. Coip. Address: Sf2eAddress: 2255 Clark 6t. L9 B4 RH 9th Plumber: Thmmpson Plumbing Co. 11/18/76 #4636 100.00 pd 1 aym W comply wiM t6e Vilhge of Eeyan Connection Chazge: 350.00 pd Ordinoncas. Account Deposit Permit Fee: 10.00 polle?g? Surcharge: ? ?? --- ? By: Misc Charges: Date of Insp.: Total: ]nsp.: Date Paid: MASTER CAAD 2255 Clark Court L9 B4 RH 9th OWNER WINDSOR DEV. CORP. STRUCTURE AND S/F DwC111Ag & GdYdg2 LAND USED AS Permit No. I Issued Issued To Coniractor Owner BUILDING 4149 ? 11/18/76 W1fldSOT Dev. Cor . PLUMBING 4 CESSPOOL - SEPTIC TANK WELL EIKTRICAL HEATING GAS WSTALLING d3S Z ??? SANI7ARY SEWER I OTHER I OTHER I I Items Approved (Inirial) Date I Remarks Disfance From Well 1100TING SEPTIC FOUNDATION CESSFOOL FRAMING. TILE FIELD PT. PINAL ELECTRICAL HEATING DEPTH OP WELI GAS INSTALIATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING ? WELL SANITARY SEWER ?titv'fi Vio!ations Noted on Back COMMENTS: i ERIN(T : . ;..:'___,;. NC =?__': - ._.__ .. __. ._ ._.- _ __" - _ .- _ -.___ . _?__' •'_ ?'rrIl & !11?jrl4,p,d?1inxeit"?rrng V'sIrn-K 0 l.??rd S:irrvN?iru; 0 Lv>rd l'ittr•vtntg . .. ? ?? 1 i ? E3 ? Afacate vf 5urvey for?? Dj s Ql'-t I 1 , Z- n -6.4ka,c1 z: ?7 ?:a f i?' I -- 1 p<7 d'F t C ? G pn . . ?. ? . 2 1 3U r.. s ?• ? - ? •, .,? ?? ? ?' ' Y ? ?.-? . ._.,r_.... _ . - _?_ `•,?YJ.K 1 , i ?? ' • <". L? " -_.... yJ- / • a . ?' a ?/ . ' . TJ ? C.. ?'V . ?? . f 22 ---??- - - -??-DENOTES ? - ----- -- ----- I ? O. DENOTES T>a?:s'? TiIIZl.-DIfdG PF,FSiII r`DiL'.U?`TIO;'i C /y 1DDITS^TS? PrI:Cr',L & 0i^^101d P:iTi:P.BR IF i7i:11'.ATTED O1 a...nY- . _?..?.?_-,_?_..... US$?? TSiuPI;CiiE 'No. TELEPHOP.?i. W-). ,.1?[??/?.Ip .n? ? ?• s? .?-.!? ?- py- P.1.iD,i??'S___?lp?---Sd? k.ofi.c 2ucirdf? Ll;i:e nlzn, bidl.d.ing p7.ans, and energy calculatio::s Ati: ihis al?plir,uiion Signed _..__._ ....? OE'FICE U5E e7'? V?1LUi:'P70?:_ y.??(9? ? SAC r;.;?•?z co:a«;?2_s0_; taA2Et: !:.rMR FF. I'I,:1.i l:aiisC;C FZ';. ?zza nEnzr:am?o.i rrE ?--. . '\,U l41) Fa.°P°O'Jiai,& : ?SSEBS?i^:9T CLEFSC ...AUILDIIiG DEPT. POLICE DEPT. ?c`? . *.?P>:'T2 P, 5ug:tiR DEPT. FI2C nEP'P. P74RIC DEPT. 0 WINDSOR November 15, 1976 City of Eagan Attn: Dale Peterson Enclosed find check in the amount of $1,005.50 for permit and hook fees for: Lot 9 Block 4(plot plan enclosed) River Hills 9th Addition 2253 Clark Court • 0 We will build a Model 75-11 Elevation E. This home wi11 have a fireplace and a walkout. Thank You. WINDSOR DEVELOPMENT CORPORATION uoaxvt?:-M r a",z-:?,-Y.i WARREN R. ANDERSON Vice President WRA:jb 3 766 f1030 30 ? ? ? ? --? SUITE 192, 4660 WEST 77TH STREET, EDINA, MINNESOTA 55435 • PHONE (612) 831-0717 8?ii(p 2007 RESIDENTIAj, NECRAMCAL PLRNIIT APPLICATION City Of Eagen 3830 Pilot Knob Road, Eagan MN 55122 Telep6one # 651fi75-5675 Pleaae mmplde for: single fBmiiy dweilings.@ tmmhomes/wndos wfien permits em required fa aech nnit DaCO -7_ Site Addrass ?.-Z .S? /'?n J Unit # ? g -0. s C*to- J/- Property pwna /Vt?.?e?, Telephane p (06S/ ) 15-d' 'z . C? ? 9S Coaernctor Strat Addreay citY Shte ZiP ? Z Telephone # ( Bond 0:`7 The Appticant is _ Owner ? Contractor Other Ur irepArce onrned oet appliances, dnetworly ete,) fee appli? when'extenglve mechanfcal repaira era mede to a building. Add-on or slteratlon W existlng dwelLiug nutt ? fun1at)B _.._ air exchangar _ air conditioner _ heat pump _ other State Snrebsrge Totel 50.00 .SO $ D . ? i?; ePp1Y £or a.Residendal ?,dechenical Pumlt and acfrnowledge that the infarmadon is complete and acourate; that tlhe work will ?fO?once with tha ordinaocey anW-codes of the CiLy of Eagau snd with the Mechepicai Codos; fhat 1 undqetazW thia is nOt 8 p`mmit, fut oNP $n application for a permit, end wo& is nM to start approved p[on in thc case ofwork which inquirea a review and approval pleny.p??? ?? ??* ?i be 1n accordence with the ?rWtrZ?.i /?.H„J ?/-??.??-? Applicant s ueted Name "- Applicant's Signatwe _.Addidonel t-ii- i p?? RESIDENT OWNER Name: Me 17.1 GI/ V V Phone: VI 2 Address City Zip: c Applicant is: 'V Owner Contractor TYPE OF WORK Description of work: P'- L7 ("bp' Construction Cost: t t a)QJ Multi Family Building: (Yes No CONTRACTOR Name: 1\ii: License Address: City: State: Zip: Phone: Contact Person: COMPLETE In the last 12 months, has Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? 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 they are trade secrets. City of Emu Date: Tenant: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Applicant's Printed Nam For Office Use Permit Permit Fee: Date Received: Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION USa -BLUE or BLACK Ink Site Address: a'X C bfr Ni �i ILA J- 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 1 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 i 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 appro ;y;ns. x Applican Page 1 of 3 City of Eta!' 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 For Office Use Permit #: Permit Fee: Date Received: 11 l'014.3 Staff: 2013 RESIDENT IALPLUMBING PERMIT APP LICA /TION Date: Site Address: ?5.6 C,u G • tA-bkoto M J ^ �3J CX Tenant: Resident/Owner Contractor Suite #: Name: Phone: Address / City /Zip: $ Name: j%)M\ X\ kA 4, License #:3'11O6?)165 Address: CIS '51 4-1A 0 4 e., !..`, e., City:ry MC'ii i}T1 C.F. i t(t) State: 111E Zip: CS 51.91#-O, Phone: tot ' "t tC1 ' (" t at Contact: ?) P 131 Y\ Email: \I QV\ Ut t Do T l .„ all e0 _ New _ Replacement _ Repair Rebuild _ Modiify Space Work in R.O.W. Description of work: 44011 19-e .e"-- 2r )- LY/1,j ).44 wm+sr+,"� RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / _ PVB) Septic System rRESIDENTIALFEES: $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 Systetn New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) ,a TOTAL FEES $ W ey+ New Abandonment Water Softener _ Add Plumbing Fixtures ( Main / _ Lower Level) Water Turnaround CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454 -0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. j; www.gopherstateonecail.orgl I hereby acknowledge that this information is complete and accurate: that the work will be in conformance with t e 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 sta. ? out 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;,lans. Pcelv,1•1 Applicant's Printed Name X Applicant' gna ure FOR OFFICE USE Required Inspections: Under Ground _Rough -in Meter Related Items: Meter Size Radio Read. City of Eaafl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 (»o Use BLUE or BLACK Ink For Office Use �( Permit #: 11 g ' "� Permit Fee: ( { ' Date Received: 1 1 /o/13 Staff: 2013 RESIDENTIAL BUILD ING DING PERMIT(; APPLICATION Date: 1 ' 2 • 13 Site Address: ' S l fUP -' - P b Y i Wc nit # J‘-- I Name: Trsuits ''IOSK ' Phone: 619.8-1? •26911 Address / City / Zip: DaSS CL' 0 CA • CLVI �L �j 661 0� � Applicant is: Owner Contractor Description of work: /� l 4d4c 1 �� Q _ !'` 1)441%6 Pa`' L fit' Construction Cost: �! nQ -I1 ie I Kt Eche"+. J.w►d�t /tov' 10;4 6 f1�J S Mult�Farrmy tsuuaing: (Yes / No ) Company: t � CDNST, Contact: 1\• C O(oon Address: \ 4'? \` V) ' al s \ City: State:, Zip: 6.3 I:5 Phone: ?3• �. , J ASV L ., � (O[b(► 0 N C cense #: If the project is exemEt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting the ation may be class: ified ate that you submit >are considered to be public information , Portions e non - public if you provide specific reasons that would p rmit Itl a City to onclude that the are trade secrets. , CALL BEFORE YOU DIG. Call Goober State One Call at (651) 454 -0002 for protection against underground utility damage. Call 48 hours before you lend to dig to receive locates of underground utilities. Lwww.qopherstateonecall.orq I hereby ac mowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; tha I understand this i .t a permit, tat only an application for a permit, and work is not to start without a permit; that the work will be in accordance' with t - -.prove •- in the case c' work which requires a review and approval of plans. Exterior work days of perms x Applicant L i - ed Name t •nze s an «; g permit :sued in accordance with the Minnesota State Building Code must be completed within 180 C0\ Applicant's ig ture Page 1 of 3 SUB TYPES Foundation it Single Family Multi 01 of Plex Accessory Building WORK TYPES New Addition 1 Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25 %_ 100% v) Census Code # of Units # of Buildings Type of Construction DO NOT WRITE BELOW THIS LINE c9.255 GIa k- c- Fireplace Garage Deck Lower Level II$Lo9 Porch (3- Season) _ Porch (4- Season) _ Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Move Building Fire Repair Repair ePOV 4341 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water _Final Framing Fireplace: _Rough In _Air Test Insulation Sheathing Sheetrock Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S &W Permit & Surcharge Treatment Plant Copies Occupancy Code Edition Zoning Stories Square Feet Length Width Final TOTAL /4/7 _ Siding Reroof Windows Egress Window _ Storm Damage _ Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous _ Demolish Building* _ Demolish Interior Demolish Foundation _ Water Damage *Demolition of entire building — give PCA handout to applicant Rc. 2477 / MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Te ,'- Gas Line Air Test Other: Pool: _Footings _Air /Gas Tests _Final Siding: _Stucco Lath _Stone Lath Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Erosion Control , Building Inspector 62a.'/O 56'd ono Page 2 of 3