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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: ??.. /?; c4v zj5 cT^ :: v ,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 • ----- ? =?.: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.: % c ?? 1?':; : v?-? ? ? ,9-1 e ?e 1'°= ?- S o ? ec-k<<?, t?.z A?.t?f 6?; Id; ? t-? / s o ? G?,??y s K.. .9 hJ waT-e-r c o wh. <c, 77 v,.,. A w d z 2..s' </ C??.? ?r ?lev ,? .A-?? w?ll ?ooZ ? se w? 0 &-? . . 5" ?; ? r? l?; llS 9' ?-?- SZ` ,4 ?? o.. 1,i4a c(e L ~/',?S1 - Z. O/ f. 6 0 ;s?w.451,Cil * d; s C 0 s4L ?:5?,td ??;1??GGw ce;l?°w? ?44t4xe,r ct ? I ? w? ?415 G.C? Cc6eq?.,.+s RCG%,ii. W /d-/ ? o u t 2?-2 tP. 0 ;h6o4, d 1l#L)1 t 1.1Z ?D 1? ce.' 11- ka 1 lri-C FIGV6*i ?D(NeI^hCVGL _ 'ri `h fA o bw do wL,-? /1) O lJ harG ? T 1^ O M. t ?T?IaG/}1??c;-v OT ?vw?5 iS Dh. ??E Cl?eG1"? SIUb il fi1l^a?poS?d ?/ot ?IR-N ?S EG?G?USGd V u ( ti. C, S.ov OeveIM&-v* 00 r.- t" ? Q0? ::. s ? . 1 MAST R CARD 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 pp? :,, .. . , Y! ? s ., . .. , ?-r? .`...?. ;. ? ,.'. r? e ? ; :;.:. > > ? ?? _.::-s _,? ?? a• ' ? I +a'cantJ 2ro.ll' . . ^?, I ?Qa? ` ? ? ,??? ? . F N?t . •p ? . ti .'.... o u5 ? ?. .y o? f2?cAhY:. .. \ .J `.. tui. i , ,? -?,4 rvXrL I ? N e m, ? _._._ ro srAb k ? ` . ? • ? A? ?8/7? a ; `-? _ . .. ? 4•. ? I"O;? ? . j . .. ''? ?• „ • ? ? ? -.,,r ? 1 1 ? ?xa Ut- n IY ?.. t.. y rY!. :; x; ::,:;, , . ? ? • ? .,;;::.? 5 ;; - •.. ? t 6 <<_ :3 / Cf,at,? S`fr:•' ? g?,n? »n? Nj, a„,.,.;,?' ?°?; ` ? , ---.rJ_-_ , ' ? __. .. 90? +. r+n??`t'! 4G ' ?eq 0/ rr / " " : yk +? .?. ,? . ...?. ., ...........,_...,w? ti -????. ??? I ? •? +2'cant --26.l1 ? w?? ? 3?° •m 3 I ? r>f) f?an,z ? AOQ 'P':: t L r ?. 902 Ep,? ? 9nYPp0 y{? ._ 9o?FK ? ?'?v, ' '"` ? >t'' ?--? r?,•?e ? ? f S ? i+ e` qV/.? Pxar;.? ?v f +f _} t. ,.....? ' o. . .::). ..... . C?j , ' ? . / ' `' :.' ?'h]••? • ??N ' ?1 f 1 Y L?i ! CV ', 1b..l r, IN, ; ? 7-Z . ? k• wr ' ? ? 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