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2253 Clark StCITY OF EAGAN ? 3795 Pilot Kaob Roed Eogan, MN 55122 PFIONE: 454-8100 BUILDIMG PERMIT Receipt # t ? ) N2 4766 9784 78 Site Address "7= 73 Clwk S t• Erect ? Occupancy j Lot Block 4 Sec/Sub. River Nills 9th qlrer ? Zoning RY Porcel # Repair ? Fire 2one Enlor9e ? Type of Const. z Name ? 'r: Knudsot? Move ? #k Stories z Addres s ` j`lj 4 r? ` r` Demolish Q Front ft. Ci ? . , ? ?,'v [:.• '. `,:, : Phone Grode p De pth ft. . _ - - •- ?--- ? Na? kimi?al 1 ('nnct?rtyn*, ?- ?' Addross , ?.. : . ? r:*.. .... . a?,.,..e Ncme _ Address I hereby ucknowledge that I hcve recd this the informotion is correct and agree to c State of Minnesota Stotutes ond City of I Signature of Permittee A Building Permit is issued to: all work shall be done in accordance with i that Assessment Woter & Sew. Pol ice Fire Eng. Ptanner Counci I Bldq. Off. Permit Surcharge ` • ?? Plan check SAC Wnter Conn. Water Meter Total " L on the express condition that of Minnesoto Statutes ond City of Eagnn Ordinances. Building Officiul Pwwit # DaM hw" ? hrmiKM Plumbing Mechonicul INSPECTIONS DATE INSP. RoupF-ln Find Footings Foundotion Frome/ins. Finol ? Plumbinfl Mechoniwl Dote Irnp. pate Irap. Remorks: CITY OF EAGAN Remarks Addition River Hi lls gth - Lot 8 Rik 4 Parcel a& -*0 6AdO0 0130 04 OwneLbP.r ? r `?( `• ftbr U A Street 2253 Clark St. State Fa(]an ?A9N 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK #SEWER LATERAL ? 197 WATERMAIN , *WATERLATERAL 1976 WATER AREA * STORM SEW TRK 1976 *STORM SEW LAT 1976 CURB & GUTTER SIDEWALK STREET UGHT 13.56 5 Sewer trunk Brnsvlle ddit WATER CONN. 205.00 2654 4-13-76 BUILDING PER. #3883 141 , 50 2654 4-13-76 SAC PARK INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ' ?3830 Pilot Knob Road Permit Number. t, s Eagan, Minnesota 55122-1897 Date Issued: i(651) 681-4675 SITE ADDRESS: APPLICANT: ttx t 1 . . , , . , ?. , N1ViI: titll;, :i(11 r,1r) MF,,;i -0 0 4j PERMIT SUBTYPE: TYPE OF WORK: ' I INSPECTION D. . .A , ., ? L ?. - ? Permlt Holder aete Telephone # SEWER/ WATER PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBINC, PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METEF? FLUSH MAINS coNDucTivirv TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CRA1NC ~EATING AIR CONOITIONING HOUSE HEATING TEST RECORD AND ELECTRIC. INC ADOR2S5 ?pk] 14 C..O<+P / APT. F LO OR CITY SUBURB OCCUPANT -NQ.YY1Q5 T)f.C-Kt'r- - ? OWNER E°G CY` HEATLOSS DATEHTG.INST. `? SOLO'BY M 7 hA t G O INSTALLED BY ? Elacldcal Work By Ia f GGV ;-W Gae Llne By ?r t "'r TYPE OF HEAT GA_ FA . HW_ STEAM_ SPACE HTFl. _ UNR HTR._ OTHER .r. J GAS DESIGN MA CONVERSION KE MAKE OF BUHNER Model yCJ VV '" O Model Serial 44 lrl'c33 f cf/co Max. BTU Rating INPUT ?() ? MAKE OF FURNACE Model ONTFlOLS THERMOSTAT Q" a Heat Plug VaM Siza rI Valve lAiAi, ?. 0 KIND OF UNER g12E NONE Limll /'ton r 6?J DraX Hood A?A?+L i Fepulalor Llmit Setting ° Flltars Si~V Numhar Fan Setting cf ? Chimney Lacatlon Insida Outside PilotType S?.C?a?- ?4n/ 1tiy S- ChimneyConstruetlon .C• ? d ??"'1 PIIotMako 4 L? PIIO1Mode1 1 OhC•stur SmokaBomb Wiring Pilot Timing Oratt Test Tag L. W. Cut Off Door Pressure Liphling Inet. L/ Pressura 3•s? ?t,(?.• PefeontCO, p DatoTBSled ' input CFli Pereem O? Company Tesling / A Stack Temp. / O00 Percent CO -7f4 Name ol Tester Form 235 CITY of EAGAN BUILDING PERMIT owRO: ..... . ???..c?1s1 .:?.?. ............:................. Addrecc fpresentl C?.Ka:cn:....... Builder ............... L..1.7r..:_L'............................................................. Addreu DESCAIPTION N4 3883 3795 PiloS Knob Road £agaa, Mianesofa 55122 454-6100 Dale ...J..-.................... 6foriec To Be Ueed For Fronf Depih Hslghl Esl. Cos! Psrmit Fae Aemarka - 4'?.r aoa o' ? S I . Thia germit does nof avlhorize the use ot slreale, roads, alleps or sidawalks aor does it give the owaes or Lis agen3 the righS !o creale any si2vaiion which is a nuiseaoe or which presents a hazard !o the heallh, safelp, tonveatenes and general welfare !o anyone in the communilp. THIS PEAMIT MUST BE KEPT ON THE ,P?g?EMISE WHILE THE WORK IS IN PAOGRESS. ,L This is fo eerlffy. !hal....Z.L?.c.,?,z?e:z.. ??!Ra) .:................hes permission !o oree! , a.=.??/..l.=._?. ..[. ? ;CF42z.._.._upon the above desaribed pxemise subjecf !o the pzovisions of all applieable Ordinances for the Cifp of Eafjam ....!-=4=-'--? ------ ............. ............................ Pes ..?.- -??MX-....... .. :-QaCQ l.!?C.ag .""........"""" ?............... ?• Mayor Buildlny Inapealost. ? LOCATION ?h czrY. cF EAcarl 37-5 ?'i).ot i?nob Rcad • E= ,an, rii^nesota j1 °_2 Fri WET N0, : The City o_° Ea ;an hereby graizts to Rs,V N. klpjter fieatina Co„____ of a?estip .,gi, Pe"mit Por: (Cvr,7er)_ windsor oev._C23M?_A_ pursu.,n , to af,plication dated 6/8/76 _ Fee ?aic.: $20 0^ da'ed tris _?_cay of ,7une ? 19 76 _ 5o s/c Luildin,- Inspecter Prec.-nica.l '2ermits: Bid. Toc2'_-. v ??a ??? t/QiI?%//5 CITY.OF L'AG?:N 3795 Pilot Ifnob P,oad Ew,F,.^, i,'Lnnesota 55122 PERAIT NO.: The City of Eaoan hereby grants to Lindsay Water Con ditioning of 4219 Cedar Avenue Eaaan a Water Softener Permit for: (Ownea^) J. Knudson at 2253 Clark Ct. , pursuant to application dated _ 8/¢ Z76 Fee Paid: $5.00 dated this 10 day of Auvust e?9 75 .50 s/c Building Inspector Meehanical Permits: Bid Total: - ?; ?er /?,%/ ? .????,, c17,r c^ TKAGaN 379'i Pi7.ot Kneli ^o^.d ? Eag?n, M'inr.-?.sota 55122 P :FrIIT h'0. : 670 . The Ci.;, oi Ea.gan hereby grU.nts to ThomPson Plumbing Co. of 12201 Minnetonlia Blvd. a PLiMIDZNG Permit fer: (Owner) F/lndeor DeV. Corp. --I __-_ 4377, 4 , G':22bi 2253 _ Clark S_, pursuant to appiicution dated 4/14/76_ billed Fce $sxm'z $160.00 da;ted this 14 day of April ? 1976 I 4.00 s/c Fuiiding Inspector --r I•i?z:,._:,'c,?l. Fer::i.ts: ii.1 Totzii: ? 7 T CITY 4'if EAGAN 9795 Pilot Knob Road- Eagan, MN 55122 PHONBs 454-8100 BUILDIldG PERMIT APPLICATION $8,000, Receipt # T_ " ,,. ., Finish Baeement F„ _ n,,,e Ap Site Address ••°"w""'?25J`?]xk St. Erect ? Lot $ Block 4 Sec/Sub. River Hills 9th Alter ? Parcel # Repair ? Enlarge ? ? Na111e John E Knudson Move ? ; Address 2253 Clark St. oemoush ? o i-:- 8945541 agan - e,"_ Grade fl o IName Kimball r,anstructian z? su Address I MP L S Name _ hddress I hereby acknowledge that I the infortnotion is mrrecf ? State of Minnesoto Statutz Signoture of Permittee ?I A Building Permit is issued f all vrork shall be done in ac Buildirg Official read this applicotion and state that with alKapplicg6Wi5{ote of Assessment _ Water & Sew. Palice - Fire Eng. Plenner _ Council _ .Bldc. Oft. - N9 4766 9784 il 26. ,0 78 Occupancy i zoning RL . Fire Zone 3 Type of Const. V # Stories Front 28 fr. Depth 12 ft. Fees Permit- Z/.UU Surcharge 4.00 Plan check SAC Woter Conn. Water Meter --- it;t6'- Total on the express condition that Stotutes and City ofi Eagon Ordinances. VILLAGE OF EAG4M WATER SERVICE PERMIT 3795 Pilof Knob Road PERMIT' NO.; 1949 4/14/76 Eagan,MN $5122 DATE: 2oninq: RI ? No. of Uni[s: 1 Owner: 1'lindsox D@v. OOYp. Address: Site Address: 2253 Clark St. 9 Plumber: --T14@pgRil PL?IIM1bin9 0 o• Meter No.: Connection Charge ; ; ? Accoun[ Dep it - --- r biIled 656 6b ? derNo :7?• "`G 7 ? permitFee: - . 6g? ?5??biilea 1 agree? f?o comply with fhe Yillaga oi Eagan Sumharqe: 5?80 p? d Ordinanfes'3 Misc. Ch•nrKe.s: ? Total: By Date Paid: Da[e of lnsp.: Insp.: YILLA6E OF EAOAN SEWER SERVICE PERMIT 3:95 Pilor Knob 0.ood PERMIT NO.: 2706 Eaqan, MN 55122 DATE: 4/14/76 Zoning: RI 14o. of Units: 1 Owner: W3ndsot DEV 001_p^ Address: Site Address: 2253 Clark St L8B4 RH9 Plumber: -TllOmpson P1uRIbiIIq Co. 4/13/76 #2654 100.00 pd I a9raa fo eomply wi}h the Yillage af Eogan Connection Chazge: 350. 00 pd Ordinaneaa. Account Deposit Permit Fee: 10.00 billed 696 Surcharge: .50 b111ed 696 By: Misc Chazges: Date of Insp.: Total: Insp.: Date Paid: This requr.st.void 18 months £ro3nL ? le ? S? 00 !? G Dnte oP gia Re4ue85 7 d ? 25699 I, as ??I.'iyc?eed El$ctkicai Cont actor,B wner, do hereby request inspection of the above electrical w?r#nn?insta?l`ed at: 10 ? ? 7h Street Address or Rout ( No `? L q 2'J`l S t Citv__r?; i?.i? _ qcA ? ?? ? Section iown? ip Range County ?/; Which is occupied b /h'I??% fName of Occupant) Is a roughin inapection required on this job? No ? Yes Zl?' Ready No?w7 ? /JWill Call g- Power Supplier /nj_?/'?_U Address Q1bd? Electrical Contzactorg,?,p-t1} 2 li L Q Ca L/C Contractor's Licenae No?? (Company Name) . Mailing AddmsCd a(? - ?3'6 ? u (ElecMd Con cbr or Owncr Making This Installation) Authorized Signature ?\A,v u?.? ?j? / ft " ??.< Phone No-! ?( (ElccMCal Conmctor or OwMr Making ihu WtWlation) Minneso4a Sfa1e Board of Eleciricify 1954 Univerii+y Ave., SI. Paul, Minn. 55104-Phone 645-7703 ? R`cG'lHFST `711 ELECTRICAL INSPECTION ((]l CNF,CK RELOW W uRR COVERED BY THIS REQUEST "'- V'? U J J T Emm, ype o( liu,ldmg New Add. Repair Check Aonli.nces Wired tbr Check Eauinment Wired For Duoex ? ? ? ?"Ce ? 1'empor.ryWiring ent uia O ? ? w??• '`? ? ? ? Q ? Dry F.lm<nc Heatinp Commeraal Rld¢. ? ? FurM1 .? e` 4??? ? t„ausir;,l eiax ? ia suou?ia.aer El 'es Fnrm ? ai.? t Bulk Miik Tank ? List 1 Lul oine. p ? ? r°?ehe" 1?-?j rz ?e.c. 5 oia..e } Her Service Entran<e Size ?j F' ee Feeders k Subfnderx: K Fee Cirevifa: pj p 0 b 100 Ampon 0 to 30 Amoeree D to 30 Amperee 3 n 101 tn 20D Amyeree - 31 in lOD Amneres 31 to 100 Ampern Above 200 A. • Above 100 _Am Apo.e 100 A. Tr.neformen Si n Remote Conhol Circui? Paz[ial oY other Iee h g s - Speeial Inayection Minimum fee $5 Remarks I TOTAY.fEl ` e ` ---- --- -??••••,r-????, ••=•?oy c nyy cna ne abovetfon ha'?}?en m?2r+ ,('j (Rough-in) I??te (Final) ?ate 7'1LI-? This request void 18 months from "1_?- .i 5755 ,- , ., ? . Ire Na:- FougMn,nspeGlon NOTICE: ? q Rough-In Inspeation Inspector equlrad. [sl ?Ves Is Fequired. I ?(icensed contractor ? owner hereby request Inspection of a6ove electrical work at: Cb Jo? Address (Siree[, Box or Rou?e No.) orNO. IFange No. No. ( Q`?b Liceose Aulhorixetl Siynat r l,GOnVa o?Twner imarcniy ina? ? o- THIS INSPECTION REOUEST WILL NOT MINNESOTA STATE 60AHD OF ELECTPICITV gE ACCEPTED BY THE STATE 80ARD Grigga-Mitlway 61tlg. - Raom 5493 UNLESS PROPER INSPECTION FEE IS 1821 Univer5ity Ave., SL Paul, MN 55104 ENGLOSED. Phone (612) 662-0800 - -aoi-os ? 2 REQUEST FOR ELECTRICAL INSPECTION ea oo lv lo See insVUClions for completing this torn on back ai yellow copy. ? p? ? ? lol 4 5 7 5 5 `X` 6elow INork Covered by This Request n. TypeofBUilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Managemeni Gomm./IndusVial Furnace ONer (Specify) Farm Air Conditioner Other (specily) Conhacior's Remarks: Compute Inspection Fee Below: # Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 20D Amps 0 ta 100 Amps Transformers Above20D_Amps Ahove100-Amps SignS Inspecmrs Use Only: j- TOTAL Irrigation Booms / ?. J 0 Special Inspection !V Y Alarm/Communication DISCONNECTED THIS INSTALLATION MAY 6E IF NOT Other Fee COMPLETED WITHIN 78 MONTHS. I, the Electrical Inspector, hereby Ro°9n-'" oate certify that the above inspection has aeen made. F;,,ai OFFICE USE ONLY This request vaid 18 manihs fmm I MASTER CARD LoCATIoN C'Aea,,.t r,,,04 Aa 6--s OWNER 1A?? STRUCTURE AND e_ LAND USED AS ..? /iw Issued To Permit No. Issued i Contractor Owner BUILDWG - PLUMBING ?76 CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING (/v GAS INSTALLING SANITARY SEWER i I i OTHER I O7HER I I Items Approved (Initial) Dafe Remarks Distance From Well . FOOTING ~ SEPTIC FOUNDATION CESSPOOL FRAMING ? TILE FIELD f7. FINAL ELECTAICAL HEATING DEPTH OF WELL GAS INSTqLLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER ? MOO Violations Noted on Back COMMENTS: \ 9i3ZLD2NG PF.RMIT APPLICATION Parcel Number Include 2 sets of plans, 1 s3te plari w/elevations and 1 set of enerqy calculatiana. To be used for ? ?^rG Valuation Site Addresr,:o S- 3 C &"" ey( Lot F Owner Atldxess Contractor Address Arch./Eng. Address Erect Alter Repair Enlarge Nbve Dettolish Grade OFFICE USE Assesament Water/Sewer Police Fire ? Eng. Planner ? Council Bldg. Off. A.P.C. Date of Approval & Initial Telephone g-'v / Telephone nnxE 7/2 ` 7 ? OFFICE USE Occupancy _ Zoning _ Fire Zone 3 Type of Const. # of Stories Front Depth £EES ? Pezmit Suroharge Plan Gheck -r e-? SAC tRater Conn. 64ater Meter TOTAI CTl'Y OF EAGAN LF B MECHANICAL PERMIT RECEIPT #?'0d5 D. s,_ v+.er? /? `7 (612) 681-4675 DATE ' 9?- ,??-?-- RESIDENTTAL - -- PLEASE COMPLEfE UPPER PORTION ONLY FOR STNGLE FAMII.Y DWELI.ING3. ALSO, COMPLEl'E FOR TOR'NHOMESJCONDdS R'HEN SEPARATE PERMITS ARE REQUIRID FOR EACH DWELLING UN1T. OWNER: FEES SITEADDRESS: cZa53 C-IQ.V(c- COLLrt Q y? /?j ADDONJREMODEL(FJC[STING CONSTRUCTION ONL1) $ 15•00 INSTALLER HVAC: 0.100 M BTU 24.00 PHONE #: ? ? lmm-o? ?MO ADDITIONAL SO M BTU 6.00 ADDRESS: A??? A? GAS OUTLEIS • bIINIMUM 1 Q $3 EA. CT11': ZIP: SURCHARGE: $ SO j SIGNATURE: f4AA I TOTAL: $ /5. 5 Tzm 1011Tf3i° Vu.RN /++e.o ?L1l.?C-{? ioo ? l?EPc?e?m??c1?T COMME-RCIAL PLEASE COMPLEI'E THIS PORTION FOR ALL COMME1tCItWINDUSTRIAL BUILDINGS. AISO COMPLEfE FOR APARTMENT BUII,DiNGS [)R OTHRR MiJr,TT-FAMii.V RiTi1.T,iN,r_v% VpHF.N CF.PAuA7'_F. PFRMTCS ARF, NOTDig()T-ririt `: e:'[?R EACH DR'ELLIIVG UNIT. WORK DESCRIPI'ION: I (:ONTRACf' PRICE: I FEES 196 OF CONTRACT FEE. ? STATE SURCHARGE IS $.SU FOR EACH $1,000 OF PERMTT FEE. ? PRqCESCF.iI pIPaN!_ . $25.'i0 ? MIldIMUM FEE - $25.00 I$ PLEASE COMPLETE. FOR SINGLE FAMII.Y DWELLINGS. AISO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTf. NO. FIXTURES SHOWER WATER CLOSET BATH TUB LAVATORY HITCHEN SINK LAUNDRY TRAY ? HOT TUB/SPA WATER HEATER FLOOR DRAIN G?iS PIPING OUTLET • minimum - I ROUGH OPENINGS WATER SOFTENER PRIVATE DISP. • Da1cCty, lic. U.G. SPRINKLER • nome unaer mnsi. ALTERATIONS • io adsting WATER TURN AROUND EACH TOTAL 3.00 3.00 3.00 3.0(1 3.00 3.00 3.00 3.00 3.00 3.00 1.50 5.00 15.00 3.00 15.00 15.00 STATE SURCHARGE TOTAL: ?- - .50 SITE ADDRESS: oECKER JRME3 - 2253 CLHRK CQURT OWNER NAME: EROAN 1 Q - H 890-1634 W 333-3111 INSTALLER: ¦¦w....... J ADDRFSS: 2905 GARFIELD AVENUE SOUTH . y CITy: 827-4033 - 827-4$?'ATE: ZIP CODE: PHONE #: ( SI NA RE ? OF PERMITTEE 1993 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 CITY 6F EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 PERMIT PERMITTYPE: BuzLozNG Permit Number: 0 3 3 8 2 4 Date Issued: 1 0/ 2 7/ 9 8 SITE ADDRESS: P.I.N.? 10-64400-080-04 2253 CI.AftK CT LOT: 8 BL.OCK: q RTVER HILLS 9TH DESCRIPTION: . T.O. & REROUF Building,Permit Type STORM DAMAOE Builcling Wai?k Type REPAIR ;Gensus Code ? 434 ALT. RESIDENTIAL REMARKS: FEE SUMMARY: S 9NTRA?TOR: - Appiicane - sT. Lzc. pyyNER: H WA ROOFING 18530049 00039999 pF..CKER JIM 1200 E. 79TH ST 2253 CL.RRK 5T BLOOMSNGTON MN 55425 FAGAN MN 55122 (612) 553-0049 (661)890-1630 I here6y acknqwledge that I have read this application and state that the information is correct and agree to comply with all applicable 5tate of Mn. Statutes and Ci:ty ofi Eagen Ordinances. ? APPLICANT/PERMITEE SIGNATURE hlPar Wf pu? ' ?1 .. ... _ '. ..,., PERMIT CITY 6F EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 PERMITTYPE: guzLnsNG Permit N u mber: 0 9 3 8 2 4 Date Issued: 10 / 2 7/ 9$ SITE ADDRESS: 2253 CI..AftK CT LOT: 8 BLOCK: q RSVER HILLS 9TM P.T.N.: 10-64400-080-04 DESCRIPTION: „-? T.O. & RERQOF Bu,J:?1.din'g--,Perm3.t Type Bui3ldinq Walrk 7ype ? . ,-? l,r y-....._-'...- STORM DAMAGE REPAIft 434 ALT. RES'tIJENTIAL ,., .. F£' REMARKS: FEE SUMMARY: RCIqNTRAC?TOo F I N G 1200 E. 79TH 57 6LOOMIIVGTON MN (612) 853-0049 ppliaant - ST. LSC. 18530049 00039999 55425 OWNER: L7ECKER JIM 2253 CLARK 5T EA6AN MN 55122 (651)890-1630 I hereby acknqwledge that Z have read this a-pp7ioaCion and' staCe that the informatian is anrrect and agree to camply with a11 applzcable State: of h1n. S'Catutes a...nd Gity Of Eag...an Ordj..n..ances. ? APPLICANT(PEfiMITEE SIGNATURE I ?_?.? QQ - I j() - IS ED BY: SIGNATU E -. ? 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CI'rY OF EAGAN 3830 PII.OT KNOB•Rb - 55122 681-4676 New Construdion Reauirements " RemodeVReoair Reauirements ? ? ? • 2. ..tY 3 registered site suneys ?; 2 cbpies?of plan 2 copies of plana (inGutle beam & window sizes; poured fnd: design; etcJ 4 .'2 sRe surveys (exterior aCERions 8 decks) 1 energy calculations ' ? 1 energy calwlations for heated addkions 3 copies of tree presenation plan M lot platted aRer 717/83 requircd: _ Yes _ No DATE: DESCRIPTION OF WORK: 'a.;:,-p„ ..._?? ??b ?U - lco ? liM .., ? Name: i r ,'.°M _ Phone tl: ..._._ _:..:. Last Fint :. . . . •,. . ' STREET ADDpRESS: ' WIL (% ' LOT: D BLOCK: ?Z- SUBD./P.I.D. PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Street Address: City 1??,?Q('A.1n State: MY I Zip: c7?? Z? Street Address: 1 K I G F1 I- CiTy Phone #: License it (Y?Q` Zip: ,?..•._..??. . . . ...w. . . Company: Phone Registration #: Street Address: City Sewer & water licensed plumber (new construction ony): and lot change is requested once permit is issued. Zip: Penafty applies when address chang I hereby acknowledge that I have read this appiication and state that the infortnation is cortect and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature af Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No CONSTRUCTION COST; 5S`-'JI State: Tree Preservation Plan Received - Yes - No - Not Required 51909 RESIDENTIAL BUII.DING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone 9 651-675-5675 FAX # 651-675-5674 ? ?sy,zs ..PA,lttd t -3-23 jj? vvu? New Construc6on Renui2ments RemodeVReoair Reaui2ments OfFlce Use Onlv 3 registered site surveys showing sq. ft. of lot, sq, ft of house; and all roofed areas 2 copies ot plan _ CeA of Survey Recd (20% mazimum bt coverage allowed) 1 sef of Energy Calcula6ons for heated additions _ Tree Pres Plan Recd 2 copies of plan showing beam & wiridow sizes; poured fowW design, etc. 1 site survey for additions & decks _ Tree Pres Not Reqd isetotEnergyCalculaGons Addfllon-indicatei/onsdesepticsystem _Oo-siteSepticSystem 3 copies of Tree Preservafion Plan i( lot platted aNer 7N193 Rim Joist Detail Options selecUon sheet (hldgs with 3 or less units Date Construction Cost rJ %4, 6 UO Site Address a a ,5 ? C? Q rk C l UniUSte # Description of Work _ 3- Se c??n ?of Multi-Family Bldg _ Y x N Fireplace(s) ><- 0 _ 1 _ 2 Property Owner ? c«'" P S Do- C i ' !? Pl Telephone #(6 S? )996 ?? 6 3 O Contractor A b bJe- Address ?T 1_? City L 0 C? ?/& State Zip S ) bY''t Telephone # (%l ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Ca[egory - Minnesota Rules 7670 Cateeorv 1 • Residentlal VenGlation Category 1 Worksheet (4 submissiontype) Submitted • Energy Envelope Calculations Su6mitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor ?v ?9?? 9 T e, one Telephone Telephone # ( Code Worksheet I hereby apply for a Residential Building Permit and aclaiowledge 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 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. /?? Z? Applic t's Printed Name OFFICE USE ONLY Su6 Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace -pal 21 Porch (3-sea.) ? 03 01 of_ plex ? 09 07-piex ? 17 Garage ?.22 Porch/Addn.(4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yar_ N ? 25 Miscellaneous Work Types ? 31 New ? ? 32 Addition ? ? 33 Alteration ? ? 34 Replacement Valuation v O Census Code SAC Units Nbr. of Units ? Nbr. of Bldgs ? Type of Const V h/ ? 30 Accessory Bldg ? 31 E#. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire Bldg) - Give PCA handout to applicant Occupancy ff- ? - 01 MC/ES System Zoning City Water Stories / Booster Pump Sq. Ft. t PRV Length ? Fire Sprinklered W idth ?? _ Footings (new bldg) Footings (deck) ? Footings (addition) Foundarion Drain Tile Roof Ice & Water Final 1C Framing Fireplace _ R.I. _ Air Test _ Final ? Insulation REQUIREDINSPECTIONS FinaUC.O. ? Fina]/No C.O. _ Plumbing _ HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall ?^' Approved By ,? , 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 3 -- 5 19g-x q? ? ?/??o ?,?: ?.? .._ .... ...... ._ ._ ? ? .. _ .. I .? r.,? .? .ip . 1. T0? O'FeI?Gh ? ' rn ? k-r '. . ? , . r . ? `_'? ? ??e \?f • % ,' ?- ? ' ? • ? ?' A' p"j• ? ' . . ' i .I .. _` ? ` \ xj/ r! ; I n? _ ?' ? . . • ? ?j •/? UW nl I . " "_? ? , 0\a2 ' ??? > R . . %?- ' ?r? J . ?? . , - . .. I? .. . . \ ? % ? ? . . . . iJ !i , , _..... _-. - . _. ...__. ? . Counr.. . c:Oo%j 1 . . , "' ? . . . . . . ? (?. RESIDENTIAL BUII.,DING Permlt Application City Of Eagan 3830 Pllot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 ? sz) New Canstructlan Reauiremenfs RemodeVReoairRenuirements Olfice Use OnN 3 registered sde wrveys shaving sq. R M lot sq. R al house: and A roakd areas 2 copies al plan Cert M Suney Red (2096 maximum lot coverage albwed) 7 set of Energy CaOCUlatlons for heated additlons _ Tree Pres Plan Recd 2 mpies ol plan showug Ceam 8 wiMOw sizm: poured found design, e0c 1 site wrvey kr additbns 8 decka _ Tree Pres Not Reqd tsetafEneigyCakufatlans Addidmr•indMeteHort-sdesep&aYstem _OnaiOeSep6cSys0em 3 caPbs of Trea Preservatlon Plan if Wt platted after 711193 Rim Jaist Oetail Optlons aeledlai sheet (Wdgs with 3 ar less units Date 1 1 13 / C)? Construcdon Cost ? 600 __ Site Address Q lhk' ?. I UnitlSte # ? a?- DescripGon or work I<<p 1 u c V1 C?-/ I Mu1H-Family Bldg _ Y )11?-N Fireplace(s) _ 0 _ 1_ 2 Property Owaer "1 ? /? J C c // v` 2l Telephone #(6 U?' Contractor -1 ' c k 9 U \ A t. Address 7 U+ ? J 1 '-/ City ? yc .. , ? lt State Zip '?Telephone # 3a Y- 67.2? COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Categorv 1 (J submisslon type) • Residential Ventilatlon Catepory t Waksheet SubrnlCed • Energy Envelope Calculatlons Submitted Licensed Plumber Mechanical Coniractor Sewer/Water Contractor I hereby apply for a Residential Building Permit and aclmowledge that the iormatron-:s-c?d accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a peanit, 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. ne ? UCVe'L App ' ant's Printed Name Appli?ap -s-Wature ? A NEW BUILDING Minnesota Rules 7672 • New Energy Cade Wwksheet SubmiCed Telephone # ( OFFICE USE ONLY Sub Types O 01 Foundatlon ? 07 OS-plex O 13 16plex p 20 Paol ? 02 SF Dwelling O 08 OB-plex ? 18 Fireplace O 21 Porch (3-sea.) ? 03 Ot of _ plex 13 09 07-plex ? 17 Garage ? 22 PorohlAddn. (4-sea.) ? 04 02-plex ? 10 08-plex 92 18 Deck 0 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Oamage O 06 04plex O 12 72-plax Plbg_,Ya_ N O 25 Miscellaneous Work Types ? 31 New ? 32 AddiUon ? 33 Alteration IZ 34 Replacement Valuation C C d 700 0) y ensus o e SAC Units Nbr. of Units Nbr. of Bidgs Type of Const Footings (new bidg) ? Footings(deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ A'u Test _ Final Insulation Zaning City W ater Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width REQUIRED INSPECTIONS _ FinaUC.O. p FinaVNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windaws (new/replacement) _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connectfon Charge S8W Pertnit & Surcharge Treatment Plant License Search Copies Other Total O 30 Accessory Bldc. O 31 Ext. AR - Multi O 33 Ext Alt - SF ? 36 Mufti Misc. O 35 Int ImprovemeM 0 38 Demolish (interior) 0 44 Siding O 36 AAove Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair O 37 Oemolish (Bldg)* O 43 Reroof O 46 WindowslDoors •Oemolitlon (EMfre Bldp) • GNa PCA handout to applicant Occupancy 2. 3 MGES System Building Inspector 2 -&5 3 c1 z?vw S icliL UN-e? o t- A, n ? ?. $,, Io'? FeO?a%a 49'- 0?? De-op ?xi3?iar? $?4G??•.?. ?oov? 710 e, K 2t ;v.}o...e@ 2004 RESIDENTIAL BUII,DING PERNLIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 11?, 70-C) 0 New Construction Reauirements RemodeUReoair Reauiremenfs p i? USe?iv 3 regislered site surveys shaving sq. ft oi bt sq. ft of house; and all roofed areas 2 copies oi plan Gertof S?ey. Reed? '"=? ' N (20% maximum bt coverage allowed) 1 set of Energy Cakulalions for heated addifions Pres Rlan Recd c 2 copies af plan shaxing beam & window sizes; poured found design, etc. 1 site suney for additions & decks Preg,Rqylretl?? r= t,= N 1 set of Eneyy Calculations Add'dion - indicete if on-site sepOc system ?n s?fe'SepticSys? _? ,._ .?. 3 copies of Tree Preservation Plan'rf bt platted after 7/1193 Rim Joxt Detail Optlons selection sheel (bldgs wifh 3 or less units Datk-?- /K-0 /oLi ? O (l 1"T Construction Cost `I ! b' oo Site Address 02 2? C' (f .*5§@F UniUSte #"-" Description of Work r cmwc f( 0, 0 L?fd?(i ?CKG- A ?T Multi-Family Bldg _ Y T' ?1 N Fireplace(s) _ 0 _ 1 _ 2 Property Owner <?? / 1 (V\ D('a(J Telephone # (0j) F>ct0- JUn' Contractor Um wf L(j w y,n Address City f QOfI State I u ? Zip ?J,??.zJ Telephone # (10 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Enefgy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submisslon lype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( 110 Telephone # I hereby apply for a 12esidential Building Permit and acknowledge that the inform`a' curate; 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 pemut, 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. R&VC woan4 Applicant's Printed Name Applicant's Signa e ?Iti58-?b 2004 RESIDENTIAL BUILDING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 _/,? 00 New ConsWction Reouiremenis 3 registered site suroeys showing sq. ft. of lot sq, fl. af house; and all mofed areas RemodellRepair Reouirements 2 copies of pian 6ffi6l.4ke[3nW (20% maximum lot coverage allowed) i sel of Energy Calculalions for heafed additions 7cee.Pr05Pimn;Recd _Y _M1i. 2 copies of plan showing beam & window sizes; poured found design, eic. 1 sAe survey for additions & decks [r2e Pres ReqUirEd m Y_ N lsetofEnergyCalculations Add'dion - indicafeifon-sifesepticsystem p.n-?lte3eptic5ys[em ,._Y....;N?. 3 co, ies of iree Pteservafion Plan if l01 platled a8er 711193 Rim Joisl Dehail Options seledion sheet (bldgs wAh 3 or less unlis Date Site Address Construction Cost _/b I/ 0U u C. T UniUSte # Description of Work Multi-Family Bldg _ Yk?N Fireplace(s) _ 0 ? 1 _ 2 Property Owner ? Gl ? P Telephone # ?> ? ) ?Sy ° - Contractor / 1??L A A C_ Address -7 7 G ? ( ? State 7 J ? ? S ? ?-? Zip 3 b`Itl _ City ?- Telephone#(f)4 d 51 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUIlDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet (J submission type) Su6mitted Submitted • Energy Envelope Caiculadons Su6mitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 257o plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( 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 ihe State of MN Statutes; I understand this is not a permit, but only an application for a pernut, 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. Z/ z ? ??"? ? c?c(rc-L App i anYs Printed Name PERMIT City of Eagan Permit Type:Building Permit Number:EA117827 Date Issued:10/23/2013 Permit Category:ePermit Site Address: 2253 Clark Ct Lot:8 Block: 4 Addition: River Hills 9th PID:10-64400-04-080 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Amanda Peters Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - James W Decker 2253 Clark Ct Eagan MN 55122 Jns Builders Llc 2325 Endicott Street St. Paul MN 55114 (651) 646-0221 Applicant/Permitee: Signature Issued By: Signature