2254 Clark StCITY OF EAGAN Remarks
Addition River Hills 9th Lot 4 Bik 5 Parcel 10 64400 049 9S
Owner?lll',! Street 2254 [`larj?$t State E3qan,MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRUNK ?
;k SEWER LATERAL 7
WATERMAIN
i?V1IATER LATERAL 1976 3
WATER AREA
* STORM SEW TRK 1976
*STORM SEW LAT 1976
CURB & GUTTER
51DEWALK
STREET LIGHT 3e, f 1
WATER CONN. $Y,riSVlle 205,0 1 1873 12-6-75
BUILDING PER, ii-Isi dW ,& a. . 1$73 12-75
425 0
PARK
.?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN ? ?? ao
3830 PILOT KNOB RD - 55122
651-681-4675
NewComWCtion Reoulrements
• 3 regisbmd site surveys showing 9q. R W IoL sq. ft W house; anU raofed areas
(ZU% manlmum bt coverage aWwed)
• 2 copies of plan shawing beam & window sizes; poured tanM design, etc.)
• 1 set of Energy Cakulations
. 3 oupies ot Tree Preservafion PS3n K bt pWtted aNer 7lt183
• Rim Jast Defail Op?ons selecti4 sheet (bldgs wflh 3 w kss unib)
DATE
JOB SITE
IF MULTI•FAMILY
PROPERTY OWN
HOW MANY UNITS?
TYPE OF WC
APPLICANT
ADDRESS
PAGER #
CELL PHONE #
RemodellReoairReaulremeMs
• 2 copies of plan ?
• 1 set of Energy Calalations for heated additions
. 7 sile survey for exteaior additions 8 decks
• Indicate N home served by septic system tor addi6ons
VALU/[ION /?R'r
?
??,
F REPLACE(5) _ 0_ 1_ 2(? q
??HONE#
Q ZIP CODE
FAX #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RUI.ES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Confractor: Phone #:
Plumbing System Includes: _ Water Softener ? Iawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical Conhactor: Phone #
Mechanical System Includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery 5ystem
l?
Sewer/Water CoMractor. Phone #
?
All above infortnafion must be submitted prior to processing of application. B
Y
I hereby acknowledge ihat I have read this application, state that t e info tio is c rrect, a agree to comply
with all applicable State of Minnesota Statutes and City of Eagan dinan
Signature of App
Certifcates of Survey Received _ Tree Preservation Plan Recei d_ Not Required _
Updated tlOt
OFFICE USE ONLY
r
O 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling O OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 EM. Alt - Multi
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 PorcNAddn. (4-sea,) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex A18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Llamage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N [1 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
O 33 Alteration 13 37 Dematish (Bldgp ? 43 Reroof ? 46 Windows/Doors
0 34 Replacement 'Demolition (EnUre Bldg only) - Give PCA handout to applicant
Valuation !>
J6 00-m-"
Occupancy ,,;)
MC/ES System
Census Cotle /,/4 Zoning ? City Water
SAC Units Slvries Booster Pump
N6r. of Units 1 Sq. Ft. PRV
Nbr. of BId95 Length Fire Sprinklered
Type of Const Width
?
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved ByUC,C7 , Building Inspector
REQUIRED INSPECTIONS
Footings (new bldg)
Footings(deck) FinaUNo C.O.
Footings (addition) Plumbing
Foundation
Drain Tile
Roof Ice & Water Final
Framing
Fireplace _ R.I. _ Air Test -Final
Insulation
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical PermR
License Search
Copies
Other
Total
`? C o- c.?
Final/C.O.
?
HVAC
a?¢ _ I _c) J
?
CITY of EAGAN
BUILDING PERMIT
Ownax d!/l....??41./.?.f-f?l.`.'?.'/_?_?.?.?..?..-- ... ................. ,?j
Address (Preaeal) .??.Q?.........1./.V.......?.7..?...... ...........???7 Z.
Bulldar ...........,?'?'f ? .................. ..................................
.........
Addreae ........._???-??.. . ..?...........sr?.9.?.?... ..
?
. .
N-0 3811
3795 Pilo! Knob Road
Eagan. Minnesola 55122
454•B100
Dals Ji.?..?...:.,1.?.7tl ..................
SSOries
I To Bs Used For Froa! Depih Heigh! et. Cos! Parmi! F Remarks
74
? ?
l?a,?i
..,?
yL .
This permit doea not au2horize !he use of clreels, roads, alleys or sidewalka nor does it give Yhe ownas os hLs agen!
!he ri8h! !o ereale eny siluation whiah is a nuisance or whieh presenls a hazard !0 1ha healfh, sately, eonvenienee and
geaesal waliaxe !o anyone in ihe eommuniip.
THIS PERMIT MUST BE_*LPT NPREMISE WHILE THE WORK IS IN OGAES .
Thla ia io eerlify, t6ai../? . ---???.---°-..........._..haspermission !o arect a....... ..... ...... ......... .................... _upea
ihe above described mise subjecY !o ihe pravisions of all applicable Pwdrnanc for !he CiSy ofx%/2?? -
....---,?p`-''-----'--- -" - `'-- -`--'----------°--°'---`-----. Par ....... . .......... ..... .?.. .... ...._.Z2!lY..?""'"'..............
° r- - uildiaQ Iaspector
Y
CITY ^vr EA!='=N
3; 95 Pilot I'nob Itoaa
Eag,si, T'Lir._??aota 55122
/L) (??/?/GG D?lC UJ
PE'$; "-= PdO.: 7n0
Cit-y of La,;an herabg rrziits to Ray `,. 'Welter ?teatina F A/C
0f tdpls
----
• Marell Cbnst. and - -^------
a HEyP?_,=I2IG PerMit- for:(Gwner) Windsor Dev.
1 z?L'AOI.ClZ3TIC?0.' . . ??? ?? ?••?????
at _ 2254 C1ark.St. pursnant to application dated 1/T9/7E _J
Fee Paid; SF0.00 dated this 23 day oi January
? 19 76
1.50 s/c - •
Euildir.g Inepectoi ,
•
P":schar.__ca1_ PeTmi_+,r;
Bi:l To-tal:
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,lnJ T'i1oo YnoU ?r,3d
E? an, ?,.Lrx;.?ota 5,1?2
-:e Ci 'Y oi . ? =n her-by ?rantS to _ Thor,.?: ? 'l .a•` rn • -----
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=?.:iIT ivz0. 6n.^.
?------- °i, 12201 irui<ai! t' -- -------
_ cJ?IIrt?:n7' rk>v. ':ol_?:.
4?s-^-'t*"?-` 1-2 54 c jr,_r K Sf i
- :-
_:_ i3Tftt`8=uaaC to .p1 ic2.iion dated
--
and-1-3 .
tm_s daf Of
II1Zled: 2,-?() --T ---- --- - - -
liuildi:.f>
P•lechnr:ionl P?rn,_ts.
Bid 1'otal.:
i?a9ls? ji,?34ed' ? J54J 17
N 54441
Rei Date Fire No Faug x1n Inpsecbo• Requiree Inspecfwn Otbe? Than Rough-In
(Vou must call Idspedar when r¢ady) +Ready Now ? Will Notify Inspector
11-14-94 ? ves ?{NO oateReaay
IL]tdicensed contractor ] owner hereby request inspection oi above electrical work aC ..
Job Atltlress(&reel. 8ox ar Roule NoJ Cpy
2254 a.rk qt- Ea an
Section No. Townsnip Name or No. Pange Na County
Dakota
Occupact(PRINT) Phone No.
Heidi Orstad 894-1814
PowerSupplier qqtlraee
Dakota Electric Farmington
Eledncai Comrador ICOmpany Nama) Gonlractork Gcense No.
Roehning Electric CAO 1557
Memng qotlress IGOntraclor or Ownar Meung Installation)
14811 Endicott Way Apple Valle ,Mn. 55124
Amnonzetl ??IaWre.ICOnteacvnOwnar eking in tauetion, ti
??'??,. PM1one Number
423-4328 .
MINNESOTA STATE BOAHO OF ELECTfiICIiY THIS INSFECTION REOUESi WllL NOi
Griggs-MiOway Bltlg. - Hoom S-173 ?6E ACCEPTED BV THE STATE 60ARD
1821 University Ave.. SL Paul. MN 55104 ?I/? UNLESS PROPER MSPECTION FEE IS
PM1One (612) 662-0800 TQ4 K. ENCLOSED.
REQUESTFOR ELECTRICAL INSPECT(ON
? See Instmctions Im completing Ihis torm on back o1
ellow co '.iif i es9-00001
y
py.
p pq1
? 5 q
}
R{ '-F X"
?
_
Below Work Covered by This Aequest
ew?Atld Rep. ?-TypeofBuilding AppliancesWiretl EquipmentWired
Home aange Temporary Service
Duplea Water Heater X EleCtriC Heating
i Apt. Building oryer X Load Management
? I COmm./tndustrial Furnace Other(Specify)
? Farm Air Condilioner
? Omer Ispac
ComputelnspectionFeeee7ow: GonVactors Remark;,_
Wiring for
off peak & Elect.Hea
# Other Fee # Service Entrance Size Fee # CirCUiis/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 10D Amps
Transformers Above 200 _ Amps Above 100 Amps
SignS Inspecmr's Use Only ? TOTAL
Irrigation Booms
Speciallnspection
\
Alarm/Communlcation THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certitythat the above ins
ti
h Roq9n-m oate
pec
on
as
been made. F.ioai / oaie
OFFICE USE ONLV
This requesi voitl 16 montM1S Irom
WATER SERVICE PERMIT
VILLAGE OF EAGAN
3795 Piiof Knob Road PERMIT NO.: -1913--
75
--
12J1W
DATE
Eogan.MN 55172 :
'I.,oning: No, of Uni[s: - 1
Owner: -fe711id T1°v-ro4P=-
Address:
Site Address: - 22SQ C1axk?t--. ??g5 RK 4
Plumher: T1'i0mSaII?lllIDh_
^`e' Connection Charge:205 00
Met"?Q_xi
S11e_
w Account Deposit:
10.04 billed
.
Reader No.: ,?--
' Pennit Fee:
,50 bllled
Eagon Surcharge:
mply with fhe Villoge of
1 ogrea to co
60, 00 pd
?J
Ordinaneae. 7;? Misc Charges:
?
,
? Tolal:
gy Da[e Paid:
Uate of Insp.: Insp.:
yiLLAoE DF Eauan SEWER SERVICE PERMIT
?h7n
3795 Pilot Knw6 Road PERMIT NO.: 12/19/?
Ea9on, MN 55122 DATE:
No. of Units: I-
pwner:
Address:
Site Address:
PWrrftr:
to comply with fFe Villogs of Eaq on Connection Charge: ?zs 0 O ?d _
1 a9na Aceount Deposit:
prdinoncea. 13.00 k?illed
Permit Fee: - --5? billed
Surchazge:
Misc. Charges:
Hy:
Total:
Date of Insp.: Date Paid.
InsP.:
%
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LOCATION jr a a.sy C,c Q fk 5 t. y- s IPA," 9
OWNER w,,vd s,L / Je1).
STRUCTURE AND 7 ?_ ¢ Q
LAND USED AS S F I? I.i e
Permii
No.
Issued Issued To
Contractor Owner
BUILDING 34911 -/?- x '
PLUMBING
CESSPOOL - SEPTIC TANK ?
?
WELL
ELECTRICAL
HEATING 7 4-,j, 4 Q ?.
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER I
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING $EPTIC
POUNDATION i
?
CESSPOOL
FqAMING TILE FIELD y-EY.
FINAL
ELECTRICAL
HEATWG DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
ci
WELL
SANITARY SEWER
, 'It , ?
Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO.
DATE OF INSPECTION
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
11 ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
? NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
ITEMIZED AND DESCRIBED AS FOLLOWS:
? REINSPECTION REQUIRED . DATE OF REINSPECTION
REINSPECTION REVEALED
CERTIFICATION - I certify that I have carefully inspected the above in which 1 have no interest presen[ or prospective, and that I have reported herein
all significant conditions oLserved to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments tor off-site improvements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR OATE
_41gyr 23
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RESIDENTIAL MECHANICAL
Permit Application
City Of Eagan
P05_ 3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete for: Single Fanuly Dwellings & Townhomes and Condos when permits are required for each unit
Date I d,/?/ ?
Site Address Qa 5H 0 j Qr KSt7 U nit #
ProperTyOwuer _p-laCICLQJ-k Telephone#(US}
Contractor Wohlers Southside Htg. & Air, Ina1
6950 W. 146"' St., 4106
Street Address
Apple Valley, MN 55124 ?
City
(952) 431-7099
State Telephone # ( )
Bond q: ??--J-- C&4 `7 q 8 Ea
ir ??-Z5 -
p
es:
The Appllcant is _ Owner X Contractor _ Other
Add-on, modil'ication or alteration to eaisdng dwelling unit $ 30.00
? furnace replacement
air exchanger
_ air conditioner _ New _ Replacement
other
State Surcharge $ .50
} .
l0 `, "
50
Total 1?30
I hereby apply for a Residential Mechanical Permit and acknowledge that the informari8°n:nscotnplete and accurate; that the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a pernut; that the work will be in accordance with the
approved plan in the case of work which requires a review and approva] of plans.
,?Gq ?,' p? CJC;???
Applicant's Printed Name ApplicanYs ignature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161220
Date Issued:05/13/2020
Permit Category:ePermit
Site Address: 2254 Clark St
Lot:4 Block: 5 Addition: River Hills 9th
PID:10-64400-05-040
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 -
Jacqueline M Gladis
2254 Clark St
Eagan MN 55122
(612) 636-5810
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 745-1400
Applicant/Permitee: Signature Issued By: Signature