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
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TJ ? C.. ?'V
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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