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2277 Clark StCITY OF EAGAN Remarks Addition Wve"ills fltk? Lot 14 sik 4 Parcel e*&'l"'400 240 04 owner L', I, + t ' ^ . ', , I' ir' V ? ' tf Screet 2277 C.lark St. State Eaqan,NN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK ? r ]?9'73 148.72 9.91 15 Paid *SEWER LATERAL 1976 2101.6 6 700.55 3 Paid WATERMAIN *WATER LATERAL 1976 3 WATER AFEA STORM SEW TRK *STORM SEW LAT 1976 3 CURB & GUTTER SIDEWALK STREET LIGHT o rn rlle 180. 0 WATER CONN. 205.00 3000 5-21-76 BUILDING PER. 4 _ _ sac 450.0 3088 5-21-76 PARK RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ? 651-681-4675 New Construction Reauirements • 3 registered sile surveys showing sq. k. of lot, sq. R. of house; an?ll roofed areas (20% maximum lot coverage albwed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted aRer 711193 . Rim Joist Defail Options 5elec6on sheet (bld9s wiN 3 or tess units) DATE 14J2C0_'1 VALULi'ION JOB SITE ADDRESS 2? 2' /7 (2;?rle S?- IF MULTI-FAMILY BUILDING, HOW MAN UNITS? PROPERTY OWNER ,DrNW-'?,Lp 0/ C()ly//riI/N Qj, TYPE OF WORK 7?4 y' ?? RV0/ APPLICAI ADDRESS PAGER # ZIP CODE NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINh'F.SOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESO'1'A RULES 7672 - New Energy Code Warksheet Submitted Plumbing Contractor: _ Plucnbing SysCcm Inclucles: Mechanical Contractor: Mcchanical Syslem Includcs: Sewer/Water Contractor: Air Conditiocung Hcat. Recovery System All above information must be submitted prior to processing of application. Phone # ? I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordi ces. Signature of Appllcant ?.?'??? WaCcr Softener Watcr Heater No. of Baths 113 .---I S RemodellReoa ir Rea uirements • 2 copies of plan . 1 set of Energy Galculations for heated addifions • 1 site survey for extedor additions 8 decks . Indicate if home sened by septic system for additions Phone #: I,arvn Sprinkler No. of R.I. Baths FIREPLACE(S) _ 0 _ 1 _ 2 u E#7f.,?5-s?'/--415'7U P'ee: $90.00 Pcc: $70.00 Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1101 CELL PHONE # FAX # t/ R!M ? CITY of EAGAN N2 3942 / BUILDINI3 PERMIT Ownes 3795 Pilo! Knob Road .....-rv'?ey??...... i---- ..._V....?.. A Eagan, Minnesola 55122 Addeesc (Psesenf) ........?...... ry 1....'_,,..................... 454-8100 Buildar .................../. J?/?+Vt1L9 --e..... . ....------------ ...... I.?x.?..,??•..1....? ' ---- ?- ' Dale .. . Aadra.. ....... ..?.?.,,...?,?+......... ?.t."%3.5.........--- i DESCRIPTION Sforiee To Be Used Fos Fronf Depih Heigh2 Esl. Coe! Permi! Fee Remarks I ? ? l ?4?gan , . 6?. ?IS ¢91oo i? hl =/a '.41 71 This perroit does not auihorize the use oi streeis, roads, alleys or sidewalks nos do¢s it give the owaes or hit ageat ffie right fo creaie anp sifualion which is e nuisaaea or whiah presenls a hazard !o the health, saieiy. conveaSenca and general welfare fo enyoae in the communify. THIS PERMIT MUST SE P O E PREMISE WHILE 2HE WORR IS ISi PRO E. / This is !o ceriifp, 2haS`eAnR.M?ef.l..'.?,?1 .............has parmission !o aeee! a. .._. . ...?!!??;.?t,_upon !he above descr? pre subjeM !o fhe provisions of al] applicable ' ces for f e' y of Eagan .._-°-°-°-°--------------- -----° ..._-°.__........_... Per ...... -----------°° - --.--.-°°.................... pq? --'-' SuildSng Inspeeior 9a. /vD - 0T7t o;^ rAc,W lilot Iineu Foad F.a? ?n, Niini°,c;o ?a 55'i 22 FEF'MIT i:ie City of =a,gan hereby grmats to __pmp_so? Plomb?,a!?oo: of 12201 Minnetonka Blvd. -_- _ PLfJlfBING_ Per!T;it for: (Owner) Windsor oev nom- ?--- --- davt RrA 77 lar St pursuant to appiical;ion da-ced- a49547a Billed -xDbb6 --- $60.00 de,ted this ?.{L_ clay of _? r. ???,7b° 1.50 s/c Statement #873 i,u.i-oing Zr,:sFe?:tor --- ---..._ Ferri.ts: 1?"' CT.TY OF EAG:=A 3795 Pi1ot Knoh Ro3a Eagan, i+i_r.n,?scta 55122 rERMIT Y10<; sso The City of Eagan he^ery F.rauzts to gay N. Welter Hatna ti 7?c??. af 4637 Chicaao Ave._!__.-_ z F?ATING C_ Yermit for: (Owner) Windsor Dev (',43R- at2277Clark St. Pursuant to applicaticn dated ,_ 6/4176 Fee ?t:id: $20.00 dated tnia 23 da;r c' June l%_ 75. __? .SO s/c IIuilding Inspecto" Mechanical Per•mits: Bic T.ota.l: MASTER CARD Permit BUILDING PLUMBING No. I e oj? Issued tssued 70 Coniractor Owner CESSPOOL - SEPTIC TANK WELL EtECTRICAL HEATIN6 y .`?-??? - -'•KSh ( GAS INSTALLING - I f V SANITARY SEWER OTHER 07HER Items Approved (Initial) Date Remarks Distance From Well FOOTI NG SE PiIC FOUNDATION CESSPOOL FRAMING a TIIE FIELD FT. FINAL ELECTRICAL ' HE.4TING i I DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUM8ING ? WEII SANITARY SEWER I Violations Nofed on Back COMMENTS: STRUCTURE AND LAND USED AS _ VILLAGE OF EACAN WATER SERVICE PERMIT 379,'. Pilo: Kaob Road PERMIT NO.; 1982 Eogon,MN $5122 DATE: 5/25/76 Zoning: RI No. oF Clnits: 1 Owner: W1I1aSOr.. LeV. COIp. Address: Site Address: 2277 Clark St. 014 84 RH 9 Plumber: '1'1'1om?sOn Plulnbiny Cb, ?M'eter No.l? NS?3?-,????.5' 7 Connection Charge: 205.00 pd ?""e? Laz d Acwunt Deposi[: _ Reader No.: Permit Fee: 10.00 billed 873 ? 1 egrce fo comply wifA tha Villoga of Eagan Surchazge: •$0 bi11ed873 Ordinut;?s y 60.0 0 jXl Misc Charges: _ Total: - By Date Paid: Date f Ins .: Inyp : YILLAOE OF EAGAN 3795 Pilot Knab Rood Eagan, MN ?v2I /,oning: Owner: _ ,Address: Site Address: 2277 Clark St. L14 B4 RH 9 plumber: Thompson Plumbing Co. 5/21/76 #3000 100.00 pd 1 agrea to comDly with fAa Villaqa of Eoyon Connection Charge 3$0.00 Pd Ordinoncas. By: Date of Insp.: Insp.: - __W_inbi v.rp; SEWER SERVICE PERMIT PERMIT NO.: 27 40 DATE: 5/25/76 No. of Units: 1 Account Deposit: Permit Fee: 10•00 billed 873 Sumharge: • 50 billed 873 Misc. Charges: Total: _ Date Paid: SOUTHWEST Fz"4; STATE BANK 7600 Parklawn Avenue • Pentagon Office Park, Edina, Minnesota 55435 612/920-9660 ? .?31 ' 4 a?t'b April 25, 1975 Dakota County Treasurer Hastings, Minnesota 55033 Re: Lot 2,3,4, and 10, Block 3, and Lots 14 and 15, Block .4, all in ,$yyp,r u; 11 s 9th Add. „ 3ear Sir: Enclosed is our Bank Money Order in the amount of $13,181.10 as payment in full of the special assess- ments against the above property. Please send us a receipt for same. Yours truly, ? ? l Irene Hufnagle ? Mortgage Loan Dept. Enc. r . 1915 = 1 WINDsoR DEVELOPMENT CORPORATION May 20, 1976 Mr. Da1e Peterson RE: Lot 14 Block 4 River Hills City of Eagan 2277 Clark Street 3795 Pilot Knob Road Eagan, MN 55122 Dear Mr. Peterson: Enclosed please find a check for building permit application and fees as allocated on the check stub in the amount of $1,046.50. This home will be a Mode1 75-10 elevation D, and will contain the following: - 3 car garage - Bath and 3/4 up - Finished family room - Patio door family room with walkout - 2 Fireplaces - Appliances - 8 x 10 sundeck of£ dinette - Wet bar in family room - Central air 2? ton Attached also find a copy of the proposed plot plan. Sincerely, WINDSOR DEVELOPMENT CORPOIZATION kw2Q„" e LL,,.J Warren R. Anderson Vice President WRA/cj Enclosures ? \Q V ? SUITE 192, 4660 WEST 77TH STREET, EDINA, MINNESOTA 55435 • PHONE (612) 831-0717 n?rq r.nl i ? ? ?, ..? . i s n ,1,: ?? u? ? r :i i. ? ? V ?p l . _... :?, 7rd " .. ;,?.-. I ? ,.y;?'? ,?,,, _ -,:. :. ? . r! ' ??'.: -.?'?. ?? i: ?" ?"* .r..= i-'.?: ? ' f ,-?, . i:.?. . F ' r?: ?;. ? 1? ? ?? ?? 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651•681-4675 New Construdion Reauhemenls Remodel/Reoair Reauiremenfs 9 3 regisfered sfle surveys showing sq. tt. of lot, sq. k, of house and all roofed areas (20% maximum loi coveraae allowed) 2 copfes of plans (show beam 8 window sizes; poured tnd. design; etc.) > 1 set of energy calculatlons > 3 copfes of tree preservation plan N lot plcMed afler 7/1/93 DATE: DESCRIPTION OF WORK: STREET ADDRESS: LOT: ? BLOCK: Phone #: (area code) PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER l9 rv?rv?? tast ? ?•rtvl? Flrst Ci a ,Q Phone #: l?-s I) ( n:Z^0,5-.? City a State: /\J Zip: -5?s-` Street Company: --? Sfreet City 2 copfea of plnn 1 sef of energy calculations (or heated addRlons 7 stte survey tor exterior addkions & decks CONSTRUCTION COST: State: Company: Telephone #: area code ( ) Street Address: Registration #: City State: Zip: Sitwer & water Iicensed plumber (reauired }or new consfruction onlv): Penalfy applies when address change and lot change Is requested once permR Is Issued. , { hereby acknowtedge thot I have read thts applicafion, state that the Informatlon (s cortect, and agree to comply with all applicable State of Mlnnesota STatutes and Cffy of Eagan Ordinances. n //? Signature of Appllcant: OFFICE USE ONLY ? J'!? License # Name: 7S-0 C) '0o Zip: Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace D 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 1 of_ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage O 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE X 31 New ? 35 Tenant Impr ? 39 Gas Line On ly ? 43 Siding/Soffits/Fascia ? 32 Addition 0 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg." ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior ) ? 42 Reroof ' Give PCA handout to applicant for demol ition permit GENERAL INFORMAT ION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. -q3z-- Census Code 5AC Code No. of lJnits No. of Bldgs MC/ES System City Water Booster Pump PRV Fire Sprinklered d/3`/ Oi ?- APPROVALS Planning Building j?o Engineering Variance Permit Fee Surcharge Plan Review License MC/ES SAC City 5AC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units Valuation: $ 16x2-? = if32 I , % SAC t' ?.y? ? {:. ?:: V .. ", ?' •? ? "' I ,. ?{ .. a; 4 7L e „ ,: 3 + ^?'_ c. ?? ? '• 1;r K r-+ ?' . ? .t.Y \? r .. •, ? ,? ':y r/ =J? .??? v.. ,: ? ? J z ?. ? - ' `t"'•' ?? ? ???. "> , ° ? ' • : I `we a3k ? ` . '°" .. Qo2s 5"? ' ? ?; W ?, . •, ` ; Y {' t / (??f 4??0 ? °.t ? t. ?r t e i I ~ , i, ry ?j '4.?' v t ? .? lr.??T . ?• ? `?iii P,rot1 , r, 7 a 1 r (y ? ,, 14 . •'-., It ,'r ? .:, `• '?d";+Y'? . a .' . ` ' `,??+ ?? `` 3 -.' . J? ' S - ? :rit'y? ? ? •,, RO •??.."/0?,? •u;??).s?r.7`? ,?'IF i? ?Z? ? ??' ?? ?1? k - G? '??0?' ? ? ' , qQ £'? r.r? ??? . i. ` Y\ A i? • r' ? y 1 Rl ?'(y ?e r?? .? ??:? TCri?f^??:? p i Nry 19? ; ; r ?? ' R < Y < ; ? 3O 6 , 9 - ?x2 i. ?, t??? ,: r•, ? . ?;?? I •,,? \?, \* .? ? 1? ••'' ?? 1 i?? ` f ` I I 11 ? r ? r. 1 y'4 ?{A T? }i ? J.' A?N fi I?\?. ? r J ?',? ' ? ? 1 ' .:v q r t ? ` ?/^ ? ? .?t A { r- a.i:•?; ?4. ? ^ ??i ! Y r . . r i. In. . ? ,.. ? . ??p ?z t Fr '. ?. '.-?\ ' ,? -,'? t ,r ?y.S „ r _IG? ? ? ??•,y k4.-, ?>'_.90? . ?.+# ya;? .?{ f ?"N ev -Y ?: 1 + x 5 i? ,? ? ' .i ':. b; r,? .? Y ,P ?. ii i xi 41-4. ? it?:r l 4 ? ° r? '=i{ ? :?i224 , . .. `,1 t• ? ` ?, , }..?.??,? •{.?, ? ,'? ? .5 r 1 ? }R? i ?:! . ?I . ? y.? ••' r ? ' i ?,_y '' ? L. ?. .. i!' :, , ;, ,, 4y,? ? f,?!( x? i? t-? ;.i r? ? ? ? ? ?.v Gti f ",?,1,( llt:rPvt Mv ? t? _3 $ ? 1 S ?I •I?U? /I? . . ,. i 4.. aY! ??'? _A Y 7 OtiG?^ .?i??rtf ??1??rFM? , ?a'..?:-• Y?/ /? ????.All?` y ) yir Q/1J 1 1 1' V«I ?/ ? W ? ,?! 9 3 ?• ?"t; ..' ?r 4.y?'..' ,?i\yd? r v i ? I i ?'? ? C -''? ? ' ?o +? . ? ? iF •? ? ?n• .. • x ..'i??M. ?? .. . . . .., . , . , ...a. .? . ..... ..-..,.. ?.,. .... ... ,.•? City of BaiaIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ?-----------------i I Fo[;Office?Use ? ? Permit #: I ? ? Permit Fee: ? i ? Date Received: p _ ? I I I 5taff: I ?-- - - - - - - - - - I 2008 MECHANICAL PERMIT APPLICATION Date: Site Address: 7-7 O-Jxl21C S?' AU 200$ ?? ? Z? ` ; j /- ? C_ Tenant: J,7r7 1 GC `y7 Su e#: RESIDENT/OWNER Name: :7D&-17,v.r e 6v,' CPhone: ? z7 D Address / City / Zip: S ?9Y» CONTRACTOR Name: URNSVILLE, HEATING& AIC, INC. License #: 3451 W. Bumsville Pa way Address: SWt8 120 City: Bumsville, MN 55337 State: zip: Phone: Q`17 OOd,C ContactPerson:?GCs? ? TYPE OF WORK _ New -Y-Replacement _ Additional _ Alteration _ Demolition Description of work: ' Y ? NOTE: Bofh roof mounted and grotind mounted mechanical,e`puipment is required to be screened by CityCotle. Please confact ftie Mechanica'I lnspector qr one of ihe :Planners for information on 'ermltted:screenin mefhods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement ? Air Conditioner = = Install Piping Processed Air Exchanger - _ Gas Exterior HVAC Unit HVAC units must be screened _ Heat Pump Under / A6ove ground Tank C_ Install / Remove) _ Other " When installinglremoving tank(s), call for inspecGOn 6y Fire Marshal and Piumbin Ins ector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (repiace burned out appiiances, ductwork, etc.) (includes $.50 State Surcharge) ? S? S $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1% $50.50 Minimum (incfudes State Surcharge) _ $ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is >$1,000, surcharge increases hy $.50 for each =$ State SurCharge $1,000 Permit Fee (i.e. a$1,001-$2,000 Permit Fee requires a$1.00 surcharge). $ TOTALFEE I hereby acknowledge that this mformation is complete and accurate; that the work will be in conformance with the ordinances antl codes of the City of Eagan; that I understand this is not a permit, but only an application for a pertnit, and work is not to start witho a?nit; that the worl e in accordance with the approved plan in the case of work which requires a review and approval of plans. X x Applicant's Printed Name ApplicanYs Signature FOR OFFICE USE Reviewed By: Date: Required lnspections: Under Ground Rough ln _Air Test Gas Serv ice Test ln-flooc Heat Final C!ty of Eau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use1 6� Permit #: j D -5-a Permit Fee: Date Received: Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: -5--Q 74/ Site Address: Unit #: Name: f✓e,,t,►s cL"Mi,?(i S Address / City / Zip: 2_277 c./6,r__ Applicant is: Description of work: Construction Cost: Owner X Contractor SOO Phone:(g() t'(Z g L( g2c, Multi -Family Building: (Yes /No Company: E r c'S /`"/ '$ Contact: auy,sui Address: / o� �a b.aI is// -4I A State: ► +N Zip: --C-C3 Phone0-9jay.5 3(40.8 City: .Sekv4y e Email: C1,1a,ie /t_o'r- elv5mo' License #: BC 373/2- Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) Vivi -5 y 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE Plans end sup ort, _ `he rinform'ad on m k e classy m" public i. concludethat td. to be pub! information, Port+ons .of re Crede' `secrets. 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.qopherstateonecall.orq I 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 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x And«� VtsVotS Applicant's Printed Name x ile/m/rz Applicant's Signature Page 1 of 3 For Office Use ^os Permit#: %, ,,., EAGAN Permit Fee: T Date Received: l '-�—/g- 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 OCT r'� �+ E ,� +��� Staff: buildinginspectionsacitvofeagan.com L 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 7/5'6//, Site Address: `7 '277 /f G Tenant: Suite#: Resident/Owner Name: Phone: r`75-f-707 O sca i Address/City/Zip: 02,177 44K �! , C/-} Name: License#: ‘Ho// COMMERS COND17101E0 WATER Contractor Address: 9150'W 35W SERVICE Ef1litE City: BWNE MN 55449 State: Zip: Phone: 742-o0S705 770 Contact: .154- 2.--/4"/t, Email Type of Work —New /Replacement Repair Rebuild _Modify Space _Work in R.O.W. Description of work: W ,.,.,.v..n_:W..0 s..... - „u._4. k,.... ...:.m.,,.....:..... .............«.wW.. ,......,«..... s.M...r.....c.>. ,,..,:,.. ..,,..Y.:r �......«.,au RESIDENTIAL :.....w.,�.W,+.�.a.«�w.»..1 �w.,ma....ww:wpm«:mr,..rrs.a....n..w+ .e.......e....: .� Water Heater x/Water Softener Lawn Irrigation(_RPZ/_PVB) Permit Type ? Add Plumbing Fixtures(_Main/_Lower Level) Septic System _New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ 6,0 0 0 CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before y intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaqan.com/subscribe. I 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 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. 12,1 j 4- x "))u XClitsPtil Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: PERMIT City of Eagan Permit Type:Building Permit Number:EA153724 Date Issued:01/16/2019 Permit Category:ePermit Site Address: 2277 Clark St Lot:14 Block: 4 Addition: River Hills 9th PID:10-64400-04-140 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Dennis Cummings 2277 Clark St Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature