2180 James StCITY OF EAGAN 3830 Pilot ISnob Road, P.O. Box 21-199, Eagan, MN 55121
PH ONE: 454-8100
- ` - . - BUILDING PERMIT Receipt # " - To be used for `"'`? !('? 1? Est. Value Date "CTOBER y ,19 'Site Address 2180 JAT'tES ST
Lot ') Block b
Parcel No.
SeclSub. t)AK CLIFP ADII
a Name ALLAN THOhUS HtdPSE5 INC
; Address ?jf` 2 nLD tiHF?KOPt{H RD
0 City Pie., Phone 884-3232
Name _
¢o
,
zr
? Q Address
im City _
¢
W Name _
Z Address
?
W City_
I hereby acknowledge that I A<
information is correct and agi
Minnesot&Statutes and City c
Signature of Pbrmittee ? .
Y
A Building Permit is issued to;
on the express condition that a
applicable State of Minnesota
read this application and state that the
to comply with all applicable State of
4AS ..0., '':i I:\G
ie in accordance with all
ol Eagan Ordinances.
OFFICE USE ONLY
On Site Sewage OccupanCy -' 3
MWCC System m Zoning !.' 1
On Site Well (Actual) Const 1ln
City Water ? (Allowable) kla
PRV Required # of Stories
Booster Pump Length ;ij
Depth 44
S.F. Total
Footprint S.F.
APPROVALS FEES
? 454.50
Engr./Assess. Permit
Planner 5urcharge 43.00
Council PlanReview 127-25
BIdg.Off. SAGCity W"
Variance - SAC, M WCC 52 S_ FY]
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL ti` 2. 42E3 . 75
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
O A T E ???-- 19 RiC61v6D
FROM
AMOUNT
Ac DOLLARS
' oo
E] CASH [] CHECK
IOR
BY
? White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
BLDG'.' PERMIT N0.
?
0I-3210 Bldg. Permit `-? -
01-3422
?
Plan Check
01-3445 Surch./Adm.
? 01-3446
f= SAC/Adm.
01-2155 Surcharge --' ; '-
17-3960 Road Unit `,--
20-2275 sAC .T l ' l
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. ?
11-3855 Park Ded.
TOTAL
CITY OF EAGAN Remarks
,4ddicion OAK CLIFF ADDITION Lot 6 Blk 6 Parcel 10 53550 060 06
owner ixG 2180 James Street
? ? Street State
t?
I [ v /7 [K . -E'k' !/ q czzq, Y/+ iV J J '.< /
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1981 2420.83 242.08 10
STREET RESTOR.
GRADING
SAN SEW TRUNK ° r 1973 103.83 6.92 15
SEWER ATERAL 19 81 581].1] 581,72 10
WATERMAIN
WATEA LATERAL
WATER AREA ? 1982 160.83 10.72 15
STORM SEW TRK L/Li 1979 349.33 17.47 20
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGNT
WATER CONN.
gUILDING PER.
SA C
PARK
?
J.
'r
. (g.ertiftratP uf (Orrupanry
titp of Cagan
sPparttlptlt Df iliddttto 3t1S}1ptYiDti
This Cenifrcate issued pursuara to the requirententr of Section 306 of the Urtifor?n Building
Code certifying that a1 rhe time o.f'issuarree this slructure was in compliance with the various
ordinances of the City regulating building corrstruction or use. For the following.
ux cl.eaific.tioe Ftrmu rw.
O-VaY TYM ? Zoning Diuria 'fype CaM Vn
owm .r &am.8 1•11AN M09AS !K.; , Addma ? W C'_D ;"t i:j ;'43i'EE Fm, I3LIC
eunUng Aaarm i.oc.uty (}Ak'_ Q_IF'F AM
n.m:
BwWs Cffidd
POST IN A CONSPICUOUS PUCE
EN'r CITY OF EAGAN
Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100 '
To be usedf or Est. Value
Site Address
Lot Block
Parcel No.
Sec/Sub.
Name
W
3 Address
0 City Phone
¢
o
Name
.
? ? Address
? City Phone
r¢
yVj
Name
I
W
? Address
?
Z
a W City Phone
i hereby acknowledge that I have read this application and state that the
intormation is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signatureof Permittee
A Building Permit is issued to:
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official_
??2038
Date
On Ske Sewage
MWCC Syaton
On Site Well
City Water .
PRV Required
Booster Pump
Occupency
Zoninp
(Actual) Congt
(Allowable) s..i
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS
Engr./Assess. _
Planner _
Council _
BIdg.Off. _
Variance _
FEES '
Permit
Surcharge • ??
Plan Review
SAC, Clty
R
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment Pi
P
k
ar
s
TOTAL
. Pormit No. Permit Holdsr Date Telephons *
Plumbing
H.V.AC. j I?
Electric
Softener
Inspection Dat* tnsp. COmmsots ?
Footings I % ? Gt •. ?¢
Footings II
Foundation
,
Framing % - ?
Roofing /?dao?ry t--o
Rough Plbg. !?_?? !1 1 - ?f f7 /?
Rough Htg.
Isul. - .LZ 8 - -v s
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert Oca. CtiECK WITH ENGR. BEFORE -
Tem p. L P 1:,k'
Deck Ftg.
Deck Final
Well
Pr. Disp.
PERMIT #
PLUMBING PERMIT
, •
3830 PILOT
? CONTRACT PRICE: RECEIPT #
CITY OF EAGAN
KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE: 454-8100
Site Address ? 9LDG. TYPE WORK DESCRIPTION
lot ?e Block Sec/Sub Res. ? New
Mult. Add-on
m Name ? Comm. Repair
m Address Other
c City ' P h o n e ` ONLY - COMPLETE THE FOLLOWING:
RES
PLBG
.
.
NQ. FIXTURES TOTAL
aD Name ?
Address Water Closet - $3.00 $ ??
Bath Tubs - $3.00
t
$3
00 `-?
L
3
O City Phone ava
ory -
.
7 -Shower - $3
00 • -?
.
_.-I_Kitchen Sink - $3.00
FEES
COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet - $3.00
-LLaundry Tray -$3.00 -
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.
00 -LFloor Drains -$1.50 R
-?_Water Heater -$1.50 -
Whirlpool - $3.00 _
MINIMUM - COMM/IND FEE - $20.00 -LGas Piping Outlets - $1.50 + -
STATE SURCHARGE PER PERMIT - .
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1
00g
00) 50 (MINIMUM - 1 PER PERMIn
Softener -$5.00
Well - $10
00
,
. .
D
? - . isp. - $10.00
Private
Rough Openings - $1.50 = i
SIGNAT E OF PERA?fTEE
. FEE:
?, sTarE sic:
FOR: CITY OF EAGAN GRAND TOTAL: -
?__ ... ..... .. . . ... . .. . . . , . . . , . .. .. .., . .. . ._.a_. ..;ui..?.L... . . . .
, . MECHANICAL PERMIT
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
;T PRICE: PHONE: 454-8100
Name ?a F rz -e
? Address I.l _? 0 t??.,1 i,
tA
c CiN c t?
? Name _
c Address
p CitY -
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
M BTU
M BTU
M BTU
M BTU
CFM
%
FEE:
S/C:
TOTAL• 6? (
BLDG.TYPE
Res. k
Mult
Comm.
,_ ; Other
WORK DESCRIPTION
New
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
-
GkS attfitET3
(NFi
COMM/IND FEE - 1 % OF CONTRACT FEE .
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONOOS - RES. RATE APPLIES j
MINIMUM RESIDENTIAL FEE - ALL ADD-ON & ?
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00 ?
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
OF
,
i.
FOR: CITY OF EAGAN
I
CITY OF EA(iAN
3830 Pflot Knob Road
P.O. Box 21188
Eagan, MN 55121
Owner. , Al Iaa
?
.S'ita Orlriroce• -) 3 fr?
Chg:
Permit No: i a4 0u Date:
B/P No: 72315 Date:
No. of Units:
Fee: .. • Pc, I agree lo comply wHh the Clty d
OMinances.
rge: . S Otxl
By
SEWER SERVICE PERMIT ?
W-?
?--?-
- a
'
' OF EAGAN Permit No: 92 59 pate. 11-30-87 ?
1 Pilot Knob Road Meter No:
Box 2119? Size:
Reader No: Data
m, MN 55121
er. . :11an ThoM8 ^ougt n o .
Conn. Chg: ?`?•fl) 0 Pd Zonin
Acct Dep: 5•71Fll No. of Units: _
Permit Fee: I )• ooPd
Surcharge: •50P?' I agree to comply wlth the City ot Esgan
Tr. Plant 1"0• onn ' Ordinances.
Meter.
»•;,, ?.-h.,I:..^,?
Misc.: By
WATER SERVICE PERMIT
CITY QF EAGAN
3830 Pilqt Knob Road
P.O. Box 21199
Eaga6, MN 55121
Owner._ _,U1g?
Site Address- 2180
Permit Ma 9259 Date: 1' .. _
Meter No: Size:
Reader No: Date:
i I3 usin?.
T?...oe e??,..... , . .,. .. . --
Conn. Chg: 525. 0 cl
Acct Dep: de5 Rl
{(N?14?lftFQs: 1
Permit Fee: 1 [
Surcharge: r 1 aGirAff fLtcrnplr yvith the City of Eagan
Tr. Plant 1?' '• `'^?' Ordlnances.
Meter.
Misc., B
y
WATER SERVICE PERMIT
RI
CITY OF EAGAN N°- 14 2$$
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PH ONE: 454-8100
?7? J
Receipt # ? p?+? ?
To be used for SF DWG/GAR Est. Value $86,000 Date OCTOBER 9 19 87
Site Address 2180
Lot 6 61ock 6
Parcel No..
ST
Sec/Sub.OAK CLIFF ADD
w Name ALLAN THOMAS HOMES INC
3 Address 5402 W OLD SHAKOPEE RD
° City BLMGTN phone $$4-3232
o Name_
0 a Address
: City_
w
i
a
w
Name
Address
Clty _
I hereby acknowletlge that I have read this application and state [hat the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and C' agan di!ryen/ges.
Signeture ot Permittea --?-w"Z?--
A euilding Permit is issuetl to: ALLAN THOMAS HOMES INC
on the express condition that all work shall be tlone in accordance with all
applicable State of Minnesota S tutes and City o Eagan Ortlinances.
BuiltlingOfficial
?
OFFICE USE ONLY
On Site Sewage _ Occupency
MWCCSystem X Zoning
On Site Well _ (AC[uap Const
Ciry Water X (Allowable)
PRV Required X # of Stories
Booster Pump _ Length
Depth
S.F. Total
Footprint S.F.
APPROVALS
En9r./ASSess.
Planner
council
Bldg. Off.
Variance
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, M WCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
R3
R1
Vn
Vn
52
44
$ 454.50
43.00
227.25
100.00
525.00
525.00
67.00
305.00
_1 8D?00
$72, 42-677 5
ThiS reQUest void 1?3 j6'r?
18 nnmhs f?om
D 3 4 2 4 91 /,, Al., 11C14 Ii0: 'Zr
?5ac'
ReQUest Date ?
I
.
/[y Q
_ Fire No. RqL' '-i InsVection
R q iretl? v?
?HeaGy Now Will Notify, Inspec-
,
?
r ? f ?V?
U ?es ONo ?or When Reatly
?O?censetl tlecVical Conlraclor I hareby reQUasl ins0action of above
wner electrical work insialled at:
Sveet Address, Box or qoute No.
l?s ??/ Cit?
ection o. Township Name or No. anBe No. C itW7 L6t
Occopant IPflINTI ?
Phone _
Power SuOP?ie? Atltlress
EIc
al Convanor tCOm ny N
am
e)
f
t Contractor's License No.
/
(/
}
/'? `?
y?
N
21 ?/
/l? l? f! t
0
?
_
Maili
A Jress IConVac or or Owne MakinB Insta'lajionl
?
n?? vP oo? ar ?'L/,S,Sr1
uth rized Signamre ICon r cmr O ner Makine iiislallaiion) Phonr. N ber
S?
16
6
MINNESOTq STpTE BOARD OF ELE(?t"NICITV THIS INSPECTION HEQUEST WILL NOT
Griges•Midway Bldq. - qoom N-191 BE ACCEPTED BY THE STATE BOARD
1821 Univarsity qve.. St. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phooe16121642-0800 ENCLOSED.
REQUEST FOfl ELECTRICAL WSPECTION ee-ooooi-os
, See ins-ructiuns for completing lhis form on beck of Vollow copy.
v• ??/.J..??..
D3 4 2 4 9 "X'" Below Woik Covered by 7his Request
Add Rep. Typa ol BuiltlinB AGVliancea Wired Equiumenl Wired
Home Fiange Temporary Service
Duple,x Water Heater Liqhtiny Fixtures
Apt. 8uilding Dryer Bectrie Heatin
Commercial Bldy. Fumace Silo-Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Otne.i pecr v .iher ISper.ifyl
twr Snouify Othor Other
(:ompute Inspectian Fee 8elow
Fee . ServiceEntrence5ize tt Fee Fexders/Subfee.tlers b Fee Circuits
? U to 200 qmps 0 to 30 qm s .13,06
0 tn 30 An!
Above 200 qmoy 37 to 100 qmps 31 to 100 qm s
$wimmfng Pool Above 100_Amps Above 100_Am?s
Transiormers hngation Booms Partial.Other Fee
Signs
Special Inspectfon
S
Remarks
,
J3 TOTAL FE
?
.P6
Houeh-in
inal a
i. • Dnte
-?.L'
'??e f=
?
I, the Elecvica
?ns0actor, hereby
certify thei the abova
inspection hes been
mede.
tltla reQuest voiE 18 montlu tmm
U---
?.?
? a aio
?
?
`? ._ ,
Se3liS
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
?elephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Towahomes and Condos when pemuts aze required for each unit
Date S/ 1/ 0 3
Site Address $ Unit #
Property Owner %?-N Q?a S q ?A Telephone #(65, l p• 3 lo Oof
Contractor N
ZiA is-?
Address A City c -c k
State M 1? Zip 55113 Telephone #( loii) 3ls S- ? 3? o
The Applicant is _ Owner ? Contractor _ Other
Septic System New Refurbished Submit 2 sets of plans and MPC license $ 100.00
InUudes County fee. Additional wnsultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fxtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water tumaround (+ 518" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigaHon system
- Water softener 1 Water heater ? $ 15.00
? replacement _ additianal
V ?r1a?? u `
State Surcharge
1 $ .50
Total $
I hereby apply for a Residenual Plumbing Permit and aclmowledge [6at the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand tlils is not a
permit, but only an application for a pe:mit, and wock is not to stazt wit6out a permit; that the work will be in accordance with the
approved plan in the case of work wluch requires a review and approval of plans.
? IN`r gFl< A ,Ls F_rl ti?
ApplicanYs Printed Name
? ?
Applic t's Signature k..rnu
Ak-
L6= U OF SU RVEY
?
?5? 7 \
?
r51•S ?
O o9" ? fS7.8 .
i ?
.
i
9
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6
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YP
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--O1C91i1fi6L7 ?y u ri [ iTy
? I ? EASFh14=niT
/,Z N89°'48'o4"E 033J7
LE-GRL
L D T 6, BCOGf[ 6, OH K L'L/FiC
Dn KD 7"A G'D!!A/TY' M! 11/ NE'SDT'A
96y?
96AO ?
9
'63 8
?= WODD STAKE.PLACED p= IRON MON. SE7 •- IRON.MON. INPLACE B.M. Ri.vG oF MN A7- Ts,/E 1Nr,e1?'CTia?/ oF 7Amgrr, 9 T,art?c cT
BEARINGS ON PROPOSED INFORMATION ELEV. 964.27 c.-rYD.9Tq
ASSUMED DATUM '.. 6 3- 9 lst PLOOR EI,EV. 69 Z, 4 GARAGE FLOOR EIEU.
--9 = DRAINAGE 'OOO:O?ExIST': ECEU. BASEMENT"ECq.1?; • • TOP BLOCK ELEU.
' (000.0)=PROP05£D'ELEU:'60.0°EXIST.PROP. ELEU:
I hereby•certify that this plen, aurvey or ,70B ?
SCNOB O RG £eport was prepared by me or under.my.dirdat /
superviaion and that I am e duly Registered 30?p
ND SURVEYING Lend Surveyor under tha laws of the Stete OP, Book-•Pag
INC. ? Minnesota.
RT.1.B0%208 JSCdIC
272•322I OC1aN0. MN 55328, ,.
, oete: o- - 911 t6tr$t;airt r,o, 14760
?= 3d
?
APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTIQN
? N018: PA1MffSlf OF FM AT TIME OF ?
; nrrLicnazaa noES Nar eo*- ;
i STiN1E APPRGVAL OF PERGIIT. ?
:
? II15PflCPION OF uFMR APD/OR NA1ER .
t I[1S1'A[iATIIX1i WII.L P101' HE SCFDUII= w
k ON1ZL PfIiUIIT HAS BFFSI ApPROVm. ?
f fw?s??i+?t?xe:?tt??ss?rw?rr.e??Mri?fr??
9tV OF aCIiiCIi1
? P E PRINT
1) PROPII2TY ADDRESS: . . . ? 14W /
?j .
IkGAL DESCRIPTION:. .........
Lot B oc S vision or Tax Parce ID
IF EXISTIWG STRLiCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
Mont Year
PRESENT ZONING/PROPOSID USE:
Q COMMECtCIAL/RETAIL/OFFICE
Q IbIDOSTRIAL
a : I NSTIRLrPIONAL/GOVEE2DP-E6TP
2} NAME: V &?
ADDRFSS:
r-9<-'l-SINGLE FAMILY
? R-2 DDPLEX (3tao Ljnits)
q R-3 TOWDHOUSE (Three.+_Umits)
Q R-4 APARTDENT/COAIDOMINIUM
CITSt, STATE, ZIP: ..
PHoNE:
( Units)
( . . Units)
rur "Cy L-5e
3) NAME= Plwnbers License:
ADDRESS: ' Active
Expired
CITY, STATE, ZIP: Not recorded
PHONE: MASTER LICENSE #332rj St Initia
4)
NAME. ?
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) ? ? a ?• • ?? ? ??
gi ONNECTION 'N CITY SEWER ECTION TO CITY WATER F-I CfiHER
6)
******,r***,?**?*?**???*,8x#*???***,t***?**+***********«*?**,r***?********,r******,r**********??*,e*****???
x
* TfE GOID COPY OF 14iE PERMIT WIIS, BE SE[1P DIRFX.TLY TO PUBI,IC MRK5 7O FACILZTATE ME.TER PICK-UP. ?
? PLF.ASE ALI,OW 1WO NARKING DAYS FOR PROCFSSING. SONIDONE FROM Tm CITY WILL coNfACT YQU IF TmE *
* ARE ANY PROBLEMS. +
?
***? ***********t****,t*ir*****?+**t***+,t******??*t+r ******,r*,r?+*,t,r***,t******,r+,r**?t+?**++*r++***t+?,r+fl
FOR -CITY USE ONLY
PERMIT # ISSUED .
,? ?F ?c •.
Pd w/Bldg. Permit FEES: •
$ $ JG S-0 SEWER PERMIT (INCLUDE SURCHARGE)
$ $ 16 'S-b WATER PERMIT (INCLLDE SORCHARGE)
$ $ WATER METER/COPPERHORN/ODTSIDE READER
$ $ WATER TAP (INCLLDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOONT DEPOSIT - WATER
$ 57-S,b--o $ wAC
$ ?pZ S ? U? $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TR[7NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRLNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
S TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PDBLIC RIGHT OF WAY?
F__j YES IF YES, THEN A"PERMIT FOR WORK 69ITHIN PUBLIC
ROADWAY" M[JST BE ISSDED BY THE ENGINEERING
Q
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING COIVDITIONS:
APPROVED BY:
TITLE:
DATE: ll ,?()/?7
Form No. 29-M-QUIT CLAIM DEED Minnesote Uniform Convcyancing Blenks (1978) MillerOavis Co., Minneapolis
Indivitlual(s) loJOintTenants I i
No delinquent taxes and txansfer entered; Certificate
of Real Estate Value ( ) filed ( ) not required 001PCertificate of Real Estate Value No. _ ,19--
County Auditor
i
by i
STATE DEED'PAX DUE HEREON $
Date: NOV. 19 7
(reserved for recording data)
FOR VALUABLE L'ONSIDERATION, DONAI,D J. HILLA and DOROTHY L. HILLA
HUSBAND & WIFE , Gcantoi(s),
hereby convey (s) and quiLclaim (s) to
as joint tenants, rea] property in
THE SOUTHERI,Y THIRTY (30) FEET OF
LOT SIX (6), ffiOQC SIX (6), QAK (3,IFF,
ACCORDING TO THE RECORDED PLAT THEREOF,
, Grantees
County, Minnesota, described as follows:
(i/ more space is needetl, continue on back) ?
together with all hereditaments and appurtenances belongine thereto.
/
DONALD J. HII?
OOROTHY L. HALA_
STATE OF MINNESOTA 1
COUNTY OF naxo'M ; ?The foregoing instrument was acknowledged before me this?day of
by DONALD J. HILLA drid DOROTHY L. HILLA
HUSHAND & WIFE
NOTAI2IAL STAMP OR SEAL (OR OTHER TITLE OA AANK)
?
. .?
"V?Y'l7Vtl'?'/GY'GGJVVVV?tivv`V`?^?';/ !
.
THIS INSTRUMENT W AS DRAFTL'.D BY (NAME AND ADDRESS):
HILLA CONST. C0.
I 14405 JUDICIAL ROAD
FTAYNE L. HELMBOLT and MARILYN M. HELMBOLT
HUSI3AND & WIFE
SI( GNATURE O ',
Tsx 5[atemenq tor tha
be arnt to ([nelude name
, Grantor(s)
yroDetty descefbad 1n thL ln?teument ahoWd
?ddraae o2 Grmtee):
NOV. ,1987 ,
BURNSVILLE, MN, 55337
rErio To:
FROM:
DATE:
SUBJECT:
BUILDING IDTSPECTIODTS
THOMAS A COLBERT
NOVEMBER 9, 1987
LOT 6, BLOCR 6, OAR CLIFF EASEMENIT VACATION
At the November 5, 1987 City Council meeting, Council authorized
the placement of a structure on the north 20 feet of the existing
30-foot-wide roadway and utility easement across the above
referenced lot. This authorization was granted, prior to public
notification and vacation, if the applicant could provide the
City with documentation from possible affected utility companies
that they have no objection to the proposed easement vacation.
The applicant has provided the required documentation (see
attached documentation).
The applicant will be submitting a revised "Certificate of
Survey" showing the new proposed house location.
If you have any questions, please don't hesitate to contact me.
?
Di ec or of Public Works
Attachments
TAC/mc
(
November 6, 1987
Re: Placing of House On City Easement Prior To Vacation
of Easement
Dear Mr. & Mrs. Helmbolt:
We the undersigned have reviewed and approved the proposed encroachment upon
the north 20' of the existing 30' roadway and utility easement by planned new
home construction as shown on the enelosed sketeh. We realize this approval
is prior to the proposed vacation of the north 20' of said 30' easement and
leaves a 10' wide strip of easement free of any structures or appurtenances.
We will reserve the right to grant approval for any given appurtenance at any
given location within the south 10' of this easement.
DTILITY: thwestern?el? Teiephone
SIGNSD: (?
'PITI.E:
DAT6:
DTILITY *Ppl Na 4,,Gas
SIGNSD:
YITLS:
DATE:
DTILITY: kota Electric
SIGNSD: I
TITI.S: `? L.l '.,;,
nArE: '? Z
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DTII.ITY: No h Cent al Cable
SIGNSD:
TITLE: Co.sfr?c??a? Sv?cr..:w
DA7B: 1I - 6-87
DESCRIPTION OE EASEMENT
TO BE VACATED:
Vacate the north 20 ft. of the south 30 ft. easement of Lot 6,
Block 6, Oak Cliff, excepting the 5 ft. of easement along the
west lot line and the 10 ft. of easement along the northeast and
southeast lot lines of said Lot 6, Block 6.
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Proposed
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house Iocation / .
."ann.... _ . - -11 77
20' of easement to be vacated
L EGRG
L o r 6, &ocIc 6,
q R KD TA coaAVTY,
Existing 30' easement
oHx CL/F7
MI NAIFSOrA
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IN PROCEEDINGS SUBSEQIIENT TO INITIAL REGISTRATION
STATE OF MINNESOTA IN DISTRICT COURT
COIINTY OF DAROTA
FIRST JUDICIAL DISTRICT
In the Matter of the Petition of: Copy
WAYNE L. HELMBOLT and MARILYN M. HELMBOLT
In Relation to the Land in the County
of Dakota and State of Minnesota
described in Certificate of Title
No. 78328 as follows:
PE T I T I O N
Lot Six (6), Block Six (6), Oak Cliff
according to the recorded plat thereof,
subject to an easement for inqress and
egress and installation of public
utilities over the South 30 feet of
that part of the Southeast Quarter of
the Northwest Quarter of Section 31,
Township 27, Range 23, lying Westerly
of Slaters Acres, according to the
recorded plat thereof. (Affects the
South 30 feet of above and other lands)
For an Order Deleting a Recital from the
Body of the Certificate and the Memorials
of Document Nos. 60308 and 108446 from
said Certificate.
TO THE HONORABLE JUDGES OF THE DISTRICT COURT OF DAKOTA COUNTY:
Comes now the Petitioners and show to the Court as
follows:
1. That on the 22nd day of October, 1987, the
Registrar of Titles of the above named County entered Certificate
of Title No. 78328 to Wayne L. Helmbolt and Marilyn M. Helmbolt
for land in said County described as follows:
Lot Six (6), Block Six (6), in OAK CLIFF,
according to the recorded plat thereof.
Subject to an easement for ingress and
egress and installation of public utilities
over the South 30 feet of that part of
the Southeast Quarter of the Northwest
Quarter of Section 31, Township 27, Range
23, lying westerly of Slaters Acres,
according to the recorded plat thereof.
(Affects the South 30 feet of above and
other lands)_
2. That on said Certificate of Title the following
memorials appear:
DOC. N0.
60308 Order and Decree of Registration. Subject to a perpetual
easement granted to Charles L. Bolstrom and Maxine S.
Bolstrom, his wife, for roadway and utility purposes
over the South 30 feet of that part of the Southeast
Quarter of the Northwest Quarter of Section 31, Township
27, Range 23, lying westerly of the Northwesterly line
of James Court in Slatters Acres. (Affects the South
30 feet of above and other lands).
108446 Quit Claim Deed dated May 1, 1979 and registered February
7, 1980 by and between Charles L. Bolstrom and wife,
Maxine S. to Donald J. Hilla and wife, Dorothy L.
(Easement for roadway and utility purposes over above
and other lands).
3. That Petitioners are filinq with this Petition
a Quit Claim Deed from Donald J. Hilla and Dorothy L. Hilla
to your Petitioners conveying to Petitioners the easement set
forth in the body of said Certificate as a recital and as
memorials on said Certificate as Document Nos. 60308 and 108446.
4. That although the recital in said Certificate
does not refer to specific persons in whose favor the easement
was created, an examination of the original Registration records
contained in District Court File No. 71678 reveals that this
recital was placed in the legal description of the land as a
result of the easement given to the Bolstroms as also set forth
in Document No. 60308.
5. That the land that this Deed once benefited has
since been platted as Whispering Woods and there is no longer
any need for said easement because all lots in Whispering woods
have their own road access.
WHEREFORE, your Petitioner prays the Court for an
Order directing the Registrar of Titles to cancel Certificate
of Title No. 78328 and to enter a new Certificate of Title for
the land therein described in favor of the Petitioners free
from the above described recital, the memorials of Document
Nos. 60308 and 108446 and free also from the memorial of this
Order.
WayrfA L. Helmbolt
// i.&Y/ ) 0/7 i
Marily M. Helmbolt
STATE OF MINNESOTA)
)ss.
COUNTY OF HENNEPIN)
Wayne L. Helmbolt and Marilyn M. Helmbolt, having
been duly sworn on oath, depose and state that they are the
Petitioners in the above entitled proceeding, that they have
read the foregoinq Petition and that the same is true of their
own knowledge except as to those matters therein stated on
information and belief, and as to such matters they believe
it to be true.
?".a?a-•-l- ? `a?.e?-Q.?.Gt?'
Wayn&'L. Helmbolt
?? l` G?4i.?1Z- ???L??
MarilyEM. Helmrolt
Subscribed and sworn to before me
this Ya.Jday of?w?y?-e?a-:J , 1987.
Notary Public
Y AAi
AALENE SWENSON
" ` NOTARY PUBLIC - MMNESOTA
'c'Vi HENNEPIN COUNTY
.' My Commlssion Expires Hov. 14. 1991
? ' 7?'Ytl'aaVVCYV'N
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7987 BQILDING PERMIT APPLICATION - CITY OF EAGgN
SINGLE FAMILY DWELLINGS
IACLDDE 2 SETS OF PLANS, 3 CERTIFICATfiS OE SQRVEY, 1 SET OF ENERGY CALCQLATIOHS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWPiER MIIST DESIGAAtE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE 9LLOWED ONCE SIIILDING PERMIT IS ISSDED.
MULTIPLE DWEI.LINGS - RESIDE34TI9L RENTAL OAITS FOR SALE OB9ITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORYEY - CHECg IiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COLMMRCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & ST[7UCTURAL PLANS,
7 SET OF SPECIFICATIONS AND 7 SET OF
ENEftGY CALCULATI0135,
$2,000 LANDSCAPE BOND
To Be Used For: 3/N40; ffiVn/Lf? Valuation:
T-
- Date: /5 Q,/r J?/7
Site Address 'Awlfis T
s%
OFFICS DSE ONLY
? ???, oo
Lot
Bloc k On Site Sewage Oecupancy ?-3
MWCC System ? Zoning
Pareel/Sub ( f A J Ftr On Site Well Type of Const
City Water ? (Aetual) V-N
Owner ?GiY1 & t-7 ? K v ( Allowable ) V-/?-
Il of Stories
Address Length Z -
Depth
City/Zip Code S.F. Total
Footprint S.F.
Phone APPROV6LS FSSS
Contractor '19 LGAN 7ND/nA5 iiOfgfS / ,Assessments Permit 4511150
Water/Sewer Surcharge 3,00
Address 5yP1 W UL17 s#Ak, Qp AM Police Plan Review 2z7, z5
Fire SAC, City 106,DU
City/Zip Code Engr SAC, MWCC 525.00
Planner water Conn 25.00
Phone Couneil Water Meter 6`11 00
Bldg Off Road Unit 3 05.00
Arch./Engr. /d/iF}N-6 6 [nJ APC Treatment Pl 1 0,00
Variance Parks
Address 143 5 4)4f11 /Af;tf1,, Copies
TOTAL ot? ? 5'-
City/Zip Code n/
Phone !1 ?'v 7
`
CA!?AGE`j ? ? ?, i?
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zvA'6=!??y xr2=
/
H?usr
-?
2oX Lf z ; gyo
i& x/ 8= zga
1C) Xr2= I z.o
yX 6q
IXio= io
Z y -7
zxL_ y
?-
.r-
/ 3yn X s8= 'lrlrl2o
852 o g
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9-37-?'VYe
:?--b
One or Two Family
All Other
CITY OP ilS&Fl?% BUILDING llEPARTMENT
EXTERIOR E14VF3,OPE AVERAGE "Ull COMPUTATION
(To be suhmitted with building permit application)
Dwelling Owner `y\'r-IL !v
Site Address _ -
,?2 J r0 Ti-Lll•i
Contractor Date e G A7 Phone sb=</- 3,q 3?2
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LINEAL FEET OF \A Za? I r04
EXPOSED YIALL ft, above grade = !
TOTAL rX°OSED 4VALL ARLA SQ. FT.
OPAQUE WALL COPiSTRUCTION: "U" Value x Aroa
2
iipil
D
• R
eference ?N?"' "U"
? x SQ,
from 7
"Ull G? x SQ,
attached "U" x SQ.
sheets l'u" x Sq.
npu x SQ.
WINDOWS: "U"
Make & Type
n u
u u
u n
Value x Area
1A}=t-- GA4VW?'C ?lUll
nU n
njjii
` njJli
DOORS: ll'U" Value x Area
FT. UII_7t2(U)(A)
FT. Z , (p'G- -r'i (U) (A)
I'T. (U)(A)
FT. _ (U)(A)
PT. - (U) (A)
FT. _ (U)(A)
x SQ. FT. 162 = Orj/ (U)(A)
x SQ. FT. _ (U)(A)
x 5Q. FT. _ (U) (A)
X SQ. FT. _ (U)(A)
t•talce & Typa ::U:: x SQ.
" r? 91-, n0u ` x SQ.
n n X sa
??U?; ,
x SQ
.
TOTALS Z ?/gQ,
AVERAQE IfUll
TOTAL (U) (A) VALUES
DIVIDED BY TOTAL 4VpLL ARLA
AVERAQE
115?r
less for 1&2 family
dw gs
TOTALCAREANa: J? I
FT. 41117 =?J16.0 (U) (A)
FT. FT. ! i0 (U)(A)
(U) (A)
FT. _ (U)(A)
r'T.- (U)(p)
Detail reference 'IUII %CiZ-1 x SQ. FT. ?311 = ZC?7?7? (p)(p)
from liUlt x SQ
FT
attached sheets,
liUll .
. . (U)(A)
Descri6e openings
ipUit x SQ. FT, (U)(A)
in roof.
??U?? • x SQ. FT. (U)(A)
x SQ. FT, _ (U)(A)
TOTAL (U)(A) VALUES DIVIDED BY Trhl-? z$,? CvyA\
?3
TOTAL ROOF/CEII.IN6 AREA
AVERAQE °UlI'?"025"'fqr ventilated
?C 0
13_] I
roofe,
?--
14 g-7 - -flb
wo -,- -? Vi
?'oX (?' ?+<i? ?4-1o4- I-I) = 3l?5
???C ? ?z??Z??? 3?1-t3??-1-?) L77 1?4'
. OL)=1 I - I+
j ?auNP '?vp = lz .K I = IZ" o
1'71'FX(= z-75
41, 35) o
,3 - 7.PX 3c..o : Zl ? oX I= Z1 1v
e ?nn = ?r5, a
??????
. :
y
--VlALL SECTION--
"' , Determining l'U" valuee at Roof, Wall, Riinp and Conc, Bloclc
R00
1.)
2.)
3.)
4.)
5.)
F/CDILING
Intorior Air F'ilm
5/81, ayP, sa.
Insulation
rxterior Air Film
(STILL)
R V1l[,UE
0.61
.56
q4.oo
.6t
uU" = 1/R= OZ1 'POTAL (R)= qj.-?fj
WA7,L
6.) Interier Air FiLn
. 7.) i" GYP. IId.
8.) Insulation
9.) 10,) Masonite Siding
11.) Exterior Air Film
(R VALUE
0.68
.lt5
Ft_Ov
? 7?
.17 •
flUll _ I/R= -(?yI3 TOTAL (R)= Z3?0
RIM
72.) Interior Air P'i1m
13.) Insulation
14.) 2" Fir Rim.Joist
15.) 1?Uil,Tiz?r?,
16.) htaaonite Siding
17.) Exterior Air Film
R VALUE
0,68
19.00
1.88
z•U?
.67
.17
iip" = 1/R= .CY(O TOTAL (R)=
FOU1dDATIOPT
18.) Interior Air Film
19.)
20• ) R%61D 1A15UL
21.) 12" Concrete Bloclc
22.)
23.) Exterior Air Film
R VALUE
0.68
5•?
1.28
.17
ifUll = 1/R= . 11 TOTAL (R)= 7 13
Proposed Construcfion
Under Construction
VETERANS ADMINISTRATION, U.S.D.A. FARMERS HOME AOMINISTRATION, AND
U.S. DEPAPTMENT OF HOUSING AND UReAN DEVELOPMENT
HOUSING - FEDERAL HOUSING COMMISSIONER
lFor accurare icgister oI carhon capica, /orm may be separated alon9 aLove lold.
S(ap/e col"plefed sheefs ro9ether in original order.l
DESCRIPTIO(d OF lVIATERIALS No. _
/To hc in,c,itJ 4y F1IA. V.I urFrnllN
'roperty oddress ??RD /%?"z? S?- City Sfafe v/ ?41•
Nortgagor or Sponsor
. ?Yamel'/ I?Jm?)
:onMacfor or Builder ?EQGua t,C?'?L?9 YY?-? ;. ??• 5402 W. Old Shakopee Road
INSTRUCTIONS
7. F0r addr7iona7 in/onnation on how this loim is to 6e suLmittetl. 7, Work not mecilica!!y desc/iGed or shown ?wili no1 be conriderad
numper ol copies, eta, see Ihe insbucfions applicab/e ro the HUD Applica- vn/ess required, fhen tDc minimum acceptaAle wi71 be atsumed Work ex-
(ion Por Morf9age lnsurantr, VA Reques[ /or Determinarion ol AeasanaGle ceCdinq m(nimum requiremmis cannot be considered uMesa speci/ica!ly
V,Nue, o/ FmHA Properry /nlonnalion and ApPrni.ta! Reporl, as thn casc descrihed.
nray be. 4. fnc/ude no ulMrnates. "ur epva("Ohrases. or canfr. dicforV itain::
2. Describe nll nrafenalt and epuipmenf (o be uted, whethei or nut (Corrsidcration of a rcOUesf fnr accepbnc¢ o15uWfitutemateriali Of eOuiO-
mrnt it nat lher¢Ay Precluded.l
shnwn an Me drawings, hy morking an X in exh , ppropriafe check-Lox 5. lnclude siynalures reyuired af (he end ul this /orm.
and mtering the iNOrmatian w!!ed /or each sPate. !/ spaCe is indAcqoufc G. The consfruction sh:dl fm complerod in comPliance wiih Ure re-
enfer "See misa"and destribe under /tem 77 oron on attacheds/rnnt. farcd Jrewinpr aiid spr.cilications, as amendeA during processiny. The
THE USf Of PAlNT CONTAINlNG MORE THAN i'HF PfRCENTAGf specilir.ations inNude tMS Destriprion of Marerials and the applicaLle Min:-
OF LEAD BY WEfGHT FfRMfTTfD (tY LAW 1S PROHlOlTfD. 'num Properry Srandards.
1. EXCAVATION:
Acaring wil, rypc SanCI/C].:ly
2. FOUNDATIONS:
Fooiinga: wncrtie mia pOUTEa ConCYete atrcngih psi 2000 Rcinforcing Steel Rod
Fvundmion w>II: material 8° nT 1.2° concrete }ilOCk Keinfor<ing
Intrriot found>tian wall: matrrial 8" nr 12" COi1CYCtC hLO[?inY (oundation wall
Colomm: material and aius _ Pien: matcrial and reinfurcing POUYE_ COOCLete
Girdm: malcrul and siza Sills: matvrial
'Daetmvm cNranct arcaway \Vindow arcaways
??'aitrproofing Ttowel. on Master/611 Mil.l. Po].y Foooing dni?., 4' Drain Li.. e openings per oc
Tarmitc p`oi«uon
Baxmendkis spact: ground tovrr ; invulation ; founda?ion v<nu
Spccial foundaiwm Front stoop and parage door opening
Addltional informatiqr: 24 x 8 poured steel reinEorced footings
12 course 12 b oc - smC ; course ..oc -'nec wa. s ,
3. CHIINNEYS:
Cla58 13-6
DI3L Metal HSb(:St05
M????ial
PrdabribtcJ(nmk, a ndiitr)
Flue lining: material Hcaicr flue size FirSpi,ce mu< siztS? °.G zl c
Vems (malrrialandnZr): g» or oil hcatcr ; walcr heascr 3 Galrinizc7 Ylue
Additional infortnatian:
4. FIREPLACES:
Type: (R aolid fucl; Q gas-burning; Q circulalor (nwk, and ii;r) Aah dump anJ Otanoul
Firrplau: 6cing : lining : htanh : maniel ('o,lar
l i
ti
Addi
i
f
arma
on:
t
ona
n
5. EXTERIOR WALlS:
Dou,las I'ir 19%,dried
Nood fnmc: wond gnJe. aad slot<its_
Corner wrapping
? Cvrntr bncing. BuildinH paper or (dt
Shrathing Bullt7:lt6 ; thicknns 25 32 . widih 4xb ; Q salid: f],7paccd ._ ••,,o. c.: ? diagonaLQ??
5
Siding Bradc . cy{x ? x: aizc : exposure ": faatening
Shingln ; gradc : typc : size rxposure- ": Vflcning
Statto ; ihicknees . IAth ; weight Ib.
p' venecr Silb I.imcb Bax flashing
? ason • wlid ? Gced ? smccatd: toul.wall thicknvv : fuing ihic4ncas ": facing mal<rial
Oackup matcrial ; thi<kncse °: bonding
Door oills Alum Window sill, WOnd linlela. Bax Oa>hing
Interior aur(aeer dampproofing, cwce a( ; fufring
Addi
l i
f
i
i
i
ormat
on:
ona
n
Eat<rior yinting: muerial rl?''la nPp11Cd
T' ; num6cr of coau
Gable will wn:truuion: [Y]` samc aa main walb; Q othcr tomtru<tion
6. FLOOR FRAMING:
DP 2x10 160c
1x3 Pine ? ho?? Met?
_
a
Joiols: wooJ, gndr, and spcdva : othcr r
, 6ringing
?
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.
: Ihic4ntu
Q firs? Ooor, 0 ground aupponed;',] xlGsupponing; miK
Concretc slab: 11 bastmrn, Eoor
j
rcinforcing irP mesh lgar?pe) ; insulatiun . mcml>fane
d
4 Z X 10 U-jO15L hangers
i
l i
(
-; Ihickncss
Pill undcrsUb: matcrial San ormat
vn:
n
. AdJitiana
7. SUBFLOORING: (Destribe undarFlooring for speciol (loors under ifem 21.)
3 4" Ton e b Groove b Clued 4X3 Dxboard
Na?vriaL grade and spccies ? Fi? : sixe ; IYpc
Laid: ? fint (1mr, 0 sccond (loor, Q auic sq, ft.; ? diagonal; 0 right angia. Additional informalion:
1/4" MahoKany 4x8 P].y uncler Vinyl
8. FlNISN FIOORING: (Wood only. Describe ofher finish Aooring under item 21.)
c.oc„Im, a??o.... c..nc s.«". Tim.".., Iv'orn ma. r,,.t.
Fi
fl
aor
nt
d ll
S
-
ccon
wr
nitic 17oor sn. ft.
Farm ApV,ovr.cl
OM6 Nu. 2502-0192
c
AdAilion-iI infnrmalinn•
Previous Edition May Be Used Until SunPN is ExhaustM DESCRIPTION OF MATERIALS
? HUD•92005 16•791
VA Form 26•1852, Form FmMA 474-2
.. . ..?
i,
DESCRIPTION OF MATERIAL:
9. PARTITION FR/1MINfi:
Stud.: wood, gndc, aod ?pecin DP 19% MC ,;,c and ,P,c;,,g 2x4 16"oc p,h« Double Corners
nnaitionai intonnation: -noor & window headers 2x10 on Ueari.nQ wa11s
10. CBIJNG FR/1MING:
Joiats: woal, grade, and apeties DP 19"/, MC 2x10 pther Bridging 1X3 P171C
ndditional infortnation: A].7. 16" oc
11. ROOF FRAMING:
Raftrrs: wood, grade, and tpecica Manuf.actured Truss Roof truucs (fee dcuil): gnde and apecio
Addidonml infurmation: G3rage ROOf TrusseS
12. ROOFINCi:
Sholhing: wood, gndr, and specia L5" OXh07Td 4X8 ; 0 miid; 0 spacedoc
Roofing _ 240 # AsPh81t ; gnde GAP size 12x36 ; iypc Se11 Tab
Underlay fCl.t ; wcight or ahickneas 1511 ; oize 36" : faatcning staple
Built-up roohng ; number of pliea ; mrfxing material
Flafhing: material M0t3l ; gnse ar weight : 0 6ravcl vopr Qsww guards
AdJitional information: Met81 Vell Ys
13. GUTTERS AND DOWNSPOUTS:
Guucrs: material : Hage or wc;ght ; size ; shape
Downspouts: material ; gagc or wcight ; size : shape ; numEer
Dmvnspows ronntcied to: ? Siorm sewtr, ? mnilary stwer; E] dq•-well. ? Splaah bixke: material and ai:e
Additional infurmuion: Raitt 1've rters ovex' uncovered entiies
14. u?ni rwn rLasree
lath []walla, [icceilingf: maltrial Cy7)s um w•eight or thickn<ss 518" Plastcc coau 3 finish SPYay-textuTe
Dry-wall [n walls, ? ceilingf: material G ynsum ; ihicknesat Ifini.h Sand, prime, &paint
Joint ttealmcnt 3 coats-joint co muound over tane metal corners nailed
15. DECORATING: (Poinf, wallpoper, elt.)
R0045 WALL FINIfN tiIATP1Al ANO AMLIGTION COLINC FINB11 MAT[IIIAL ANO ARLIGTpN
Kitchen - eX re
Bath 2
Othrr _
Additional infarmation
16. INTERIOR DOORS AND TRIM:
Doon: type 1'Lish Np]1pta f:nra+ ; material Oak VenfCr ; ?hickness 1 3/8"
Ooor trim: tpx PrinrrrYnn ; material. Oa k Bxsc type Prineeton ; material Oak ; aize Z1-"
Finish: doon.. Sr,q;.,rd 7 rnnts catin vn rnish ; irim st8ined 2 coats satin varnish
Olhtr Irim (ilem, ypt andlumlion) A11 Yrim 0 ,91c
Additiowl informalion: 17n11.,,., .-nro (1 1 Ri fnld dnnrc
17. WINDOW$:
\Vindawe: typt C.snmpnh ; makt '9/3e -L'1 -? ; matcria14GQ(ZW, C4110 `; saah thickneu
Glasa: qnJr Q$/` i.+mll -,rPA ? 0 msh woights; 0 laalances, iype rmmPrrcci on ; hcad Ila ehing comllressi0il
Trim: type j?iCCux'e : matcrialt're arnrl Pinp Paint_ . - ; number toan 2
Wtathorsiripping: type cnmproccinn ; material Vinyl 6 Rnbh[.t' Siorm sash, num6er
Screens: $j Cull; ? half; tqpt Al+im Rramn ; number nl l ; screen ebth maierul tiberElass
Basement windows: iypc $=+mp - : matcrial_ ; acreens, number All . ;Storm sash, numbcr
Special windows
Addiiional information:
18. ENTRANCES AND EX7ERIOR DETAIL:
Main emrance door. material $^? i a 41^^A ; widih 2'9'thicYness.1.314 1 Frame: material Wood ; ihickneu 34 •
Other rntrance doon: material Mnral Clar1 ; width 9'9" ; thickneasl__V4 Framc material Wood ; ie;ctne..3 4•
H<ad Oashing Q19 M mi Wuthenvipping: type Vinyl Magnetie ;,,d dles Alum, Vinyl
Scrttn doon: ihic4nessJj._°; number pgrir. ; scrten cbth material rihrrSla?SSrorm Joors: thick nnt numbtr.
Combination siorm and scrnn doon: thickness _] number_; xreen doth material 1'hPT(j1 a5
ShuUtrs: ? hingcd: ? fixcd. Railinga , Alut louven
Extetior miliwor4: grade anJ speciea_pi p,e Paint rurnrinr i.nfrx ; num6er emu2_
Additional information:
Fj'vM$" Clirling An pir'n S, 7)erk lrvrls inculated H
orq ZaSS
19. _
CABINETS AND INTERIOR DETAtL: ,
Kit<hen cnbincts, wall unils: material n.,t, P.?.pA (`iichnm ; lincal fett af shclv<s ; ahdf widih 12"
Bau uniu: material Qak??ased 6B6G0? : counlcr lop fnrnii ra ;edging formlCd
Hack and end splash (prp?iCo Finish of nbintu St'nin & V'lrriiSIl ; numbcr coab 2
M<dicinc cabintu: makr ; mod<I
Other cabin<u and 6uilt-in fomhurc _gatbrse m Ynri1t1E's? nnli- Farorl rncYnm
Additioml :n formation:
20. STAIRS:
$T??11 TIIC.?W RISCIO STIIIN4! I?.?VUMIL B\Lll]T[kf ,
Mu.rial 7Tickrcu Ma?rrul "fTrtkntu AL,,rui Sice Mawrul Siu M.onw Sia
Baxmem riY 1 P1O0 '1Y X '1
Main Part:ic e ine ?lr x
4
-
Auic
Dimppearing; make and modrl number
Additional information:
HUD-92005 16-79
2
VA Form 26•1852, Form FmHA 424-:
+PEGAL ROORS AND WAINSCOT:(pescribe Cnroct as listr.d in Ceriilicd Prnducis b..????rvl
A4nTtAw.. Cnint. 9oRUU. Stau. Gnce, F.rc. Tucwo?.o
MwTr.SUwL Wwu B?sa
MAnAuL Unouvtnw
M. rw.L
'
8 Kitchcn
Bath - - CamhCay
7
w
Y
r I.OCAi1pN MATLRUI.? CpIqA, BORDG, Gr. SIZI]. GAGL, ETC. HGGNT HVONT
Ovu Tu. HIMM IM SNOWLL]
IF.o. FtouM)
R
Y IIa?h I n',
i
3
Bathro«n accesmries: 0 Receucd; material ?'pY'imic ; numlxr ? ; C] Mtached; maiuial Cc.ramir ; numbtr
Additio`ul infortnalion: $,p?j ?J j?,j?1 pl 1 ? j?t;ps 1 1
Z4. PLUJNBINCi:
FI%TVRC NuVKR LACATlON A{A<{ 1 MWS F,%N4! IOlMT?IGTIf?N NO. 51)[ C•Old
S;,,k 1 Kitchen Ster].ing 22x " S.S
y,v,b,y 1 Bath Kohler 1c-2904 rounc ite
watcrdous 1 ]3ath Koh].er ic1200, 21xj ite
B,ihwb 1 IiaLh Koh].er k-7155 x ite
Showcr ovcr uub'?` 1 ISath E1jeY
Scall Shower& '
Laundry iraya 13asement Mustec . x iite
A[t Quuin rod A 0 Dopt ? Showtr pan: ma4rial
Walv iupply: [lpublit; ? community ayaccm; 0 individual (private) ayatcm.*
Sewage du?oaal: W puWic; ? tommunity syslem; ? individual (private) system.*
*Shau ald dntnbr rnliuidwf ryifcm in tomP4le Ertail irt .reParotr dramingi ald tprcifimfiau arrorAixg m rrqvirrmrnlr. .
liouae dtain (inside): Q cast iron; Q tile; [] olher Houx uwu (wtide): ? ra:t iron; 0 tile; 0 aher
Water piPin6° ? 6alwnized settl; [R copper tubing: 0 oeher Sill cocks, number Z
Dometic water heaiu: typt AllqBip-gwrzy : rtukt and model 40 ?t_]_; heating eapuity f7
?+
gph. I00' riu. Storagc unk; matcrul G].155 lined steel : "wc,iY 6'???*•
Gas aervice: 60 utility companY: Q liq. pet. gm: ? othuN--..-?j r-..- Gas piping: ? caoking: $] houx healing.
Footing dnins connaicd to: Q slorm stwcr; ? aanitary scwcr; [7 dry wcll. Sump pump; makc and malcl n.,gjrptj.14C' 110d
; tapaciiy : diachargea into .
23. HE?nric:
? Hot wuet. ? Sttam. ? Vapor. ? One•pipe system. ? 7'wwpipe aystem. .
? Radulon. ? Convttiora. ? Daac6oanl radiation. Makc and modd
Radiant pand: Q Ooor; 0 wall; 0 ceiling. Aancl coil: matcrial
? Citculator. ? Rctum pump. Makc and modcl ; upaciry gpm.
Hoiler. make and model Owput Btuh.; ntt niing Dtuh.
Additional information:
Warm air: ? Gnvity. [l ' Forccd. TYpt of ayritm ..
Duct matcrial: supply - 6a1y? .. . : rcturn GRry Inaulation. thic4ncu2(j6A 23 Outside air inWee.
Furnact: make and mod<I R12ectlt Input- Owh.; owput BWA.
Additiorul in(ormation:
? Spacc hesler; Q floor furnace; 0 wall hcaten Input BNh.; oufput Bluh.; numbtr unib
Makc, modcl Additional informalion:
Commis: makc and rypcs lSoneywell
Addilbnal infortnalian: ' -
Fuel: ? Cpal; Q oil; ? 6ar ? liq. pcl. gae; Q clcctrir, 0 othcr ; sbragc capacity
Additiotul information:
Firing cquipmcm (umi:hed scpanlcly: 0 Gaa 6urncq convmiom typc. ? Stokcr: hoppcr fttd ?; bin fttd ?
Oil burncr: Q prcssutc atomizing; 0 vapori:ing
Make and modtl Conlrol
Additional inlormation:
Elcctric heating ryst<m: typc _ Inpw waus; @ volu; ouIput Btuh.
Additional infvrtnation:
Vtntilating equipmmc attit fan, makc and modcl Kenmore 53388 : uwtstr cf^•
kilchcn cxhausl fan, make and modd
Othcr hwting, vtntilating. or cooling cquipmcnt
24. BECTRIC WIRING
Scrvitc: ? ovcrhmd: 6(] mdcrground. Pancl: ? fuu Iwz; C] circuit-brcakcr, makc G]y AMP'> > nn No. tirtuita30_
Wiring: 0 conduit: Q armorc<I cablt; t2 nnnmctallic cal)lr,' 0 knob and [ubc: 0 o:hcr , -
$pccial oullcq: ? range: O water htat<r: Q 0lhcrt
Doorlxll. 0 Chimo. Push-0vimn locaciiros Ft,Ont Addi[ional iu(ormalion: Oy;,].10g l 4 8 l, r?
swst?4res - ---
25. llGFff1NG FIXiURES:
Total num6tr of fiawres PCY plan rasi allowanct for fixtures. typiwl insiallalion, 3
Nontypical installation
Additional information: 3 DESCRIPTION OF MATERIALS
Hua92005 (6•791
VA Form 26•1852, Form FmHA 4242
' ? • ? ? DESCRIPTION OF MATERIALS
6. 1NSUUTION:
LOfJTIOn TNC4NW Mw?Rlnt, Trrr., ewo Atan.uo Ur iNSTwIL1AT10N VAI,Ok B/.tllta
Kwf 131own f.i.ber l:ass M+ Owens Cornin
Ccilin8 14?z'1 4 Mil7. pol.y
yyall G" fiber lass baths Owens Corning 4 Mil7. poly
Floor
•CanCileivers- 6i in bal'hs Kraft Paper
MISCELLANEOUS: (Destribs any main dwsllinq matariafs, aquipmsnf, or consMVCfion ifami not shown ebswMrs; or uie to provide
oddifionol inlormalion whers !he apoca provided was inadpvate. Aiways ra/arencs by ifem number to corrsipond to numbaring
uied on Mis form.)
HARDWARE: (maka, mahrid, ond fmiih.) Kwi clcset Brass Ki tchen hardwar. e]3rass p7.lled, a27. _
rxterinr lnrkc kpyrcl slikr
SPECiAL FOUIPMENT: (Stah materia) or moke, mod*l and quontiy. Include onJy equipment and oppfiancos which ore occspf-
obla by local law, cuitom and applitablit, fHA ifondards. Do not includa iNms which, by ssfa6lished cuilom, are supplied by
«cupanf ond removad whsn he vocofti promises or thaMles prohibifed by law From bacoming realty.)
nl C}1W;1ChC`Y /7m a/11d-
Rnnge Hnod /,' I14 14 NA
Sinlr Tlis,nnar+r
PORQIES:
TPtRACEi:
(iARAGES:
Sizc oer nlan Construction ;;ame as housc, sl.ah reinf:orced with wire mesh.
160 Mzsonite Eluch door Torrion spring 5/8" Gypswn firewa7.l Keyed locks,
3 x 4' s1aL aC scrvicc door
WALKS AND DRIVEWAYS:
Driveway: width1.6,: bau matcrial CLa55 5 Ihickna. 4 "'; wr6eing material I;l,tumi_nous ; ihietrcu? °
;
Frone wal4: widiA31: malerial. CoticTeto thickncu 4 . Scrvice wdk: width ; material : thickneu_••
Siepa: matcrul trrac4 "; risen . Chtek walb
OTNER ONSITE IMPROVENIHrTS:
(Sprrifj o!l r:lerier enrilt imprownitnli nof dnnibtAtfuwhnc, rixfudina ifrnu iurh ai vnuimo( `rodina, d•ainaar iHUrrurn, rHainin` eualL,I?no. roifin6i,
and atmu6ry ilrYt(vnl.)
uwDscnrINO, rtnrmrou, aria pNisN nannirw:
Toqoil << "thick: ff Gcmt yard: b udc yarcb: [Trur yud to A1.1. fxa bchind main buiWing.
I,awna (irrdtd, mddtA. or iPriggrA): p Gom yard : Q aidc yatds rtat yard
Planiing: [I aa ipmifitrl and ehown on drawings: Q am (ollowr
Shade treu, deciduous. " uliper. Evergreen tron. ' to '. B A B:
Low Aowcring trecs. Jcciduous. ' to__' Evergran shruM. B k B.
HigA=growing shrubs, dttiduouti ' to_' Vinci, 7ryur
Madium-growins shrub., deciduouut, ' to_'
Low-growing ahruba, dtciduous, ? 10_1
IDCrmnunox.-'Ihis uAibit shall be ideotificd by thc sig'uNm of the builder, wtpma, and/or the p'opo" maipgor if the Ltter u
luawn at the Woc of appliution.
Date Signasurc
,
wU.S.GOVEflNMENTPflINTINGOFFILE:l98t-SS4-OI4I1J6t.7 DESCRIPTION OF MATERIALS
4 HUD•92005 I6-791
VA Form 76-7852, Form FmHA 424•2
cPe ' ?
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
?U-1. ag City Of Eagan
3830 Pilot Kaob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes/condos when pertnits are required for each unit
k-
?D. 150
Date q / I co
Site Address (31 _ k P)o ?0?1"r?e? ? • Unit #
Property Owner Telephone!(( (.?J) %gCr,?
Contractor FWohlers Southside Htg. & Air
I
Inc
,
.
? 6950 W. 146th St., #106 i,
Street Address ? Apple Valley, MN 55124 City
(952) 431-7099 F
State Jlephone # ( )
Bond Q8L4 '7 Q u'7 Expires:
The Applicant is _ Owner WContractor Other
Add-on or alteration to existing dwelling unit $ 30.00
_?:Z, furnace _Additional '-/-Replacement
air exchanger
airconditioner _New _Replacement
other
State Surcharge $ .50
T
t
l 3L?
o
a
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work wifl
be in conformance with the ordinances and codes of the City 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 permit; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval ofplans.
QN--t? La_-?,ke?s
Applicant's Printed Name
Applicant's Signature ?=LID Lr LI U? I
!;l, ,SEP 1 9 200
5 ?
79 9l0 2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWction Reauirements
3 registered site surveys showing sq. ft. of lo( sq. ft, of house; and all roofed areas
(20°k maximum lot coverage allawed)
1 Soils RepoR if proposed building is to be placed on disNr6ed sdl
2 copies of plan showing 6eam 8 window sizes; poured fand design, elc.
1 set of Energy Calalations
3 copies of Tree Preservalion Plan if lot platted aRer 711193
Rim Joist Delail Optians selection sheet (6uildings with 3 or less units)
Minnegasco mechanical ventilation form
RemodellReoair Reauiremen4s
2 copies of plan showing foolings, beams, joists
1 set of Energy Calculations for heated additims
1 site survey fir additions & decks
Addifron -indicate d on-sNe septic system
OfficeUsebnlv
C6A of Suriey:Recd ? =_. Y -= N
Sals Repon: :T Y =N
Tree Pres P.lan ReGd =Y =N
TreeP?esReguired =.°.Y _;N
On-sAeSeptic,System <11 Y _N
Cr' kd 9 //
Plans are considered pubEic information unless vou state thev are trade secret and tFee eason
Date 08 / 24
SiteAddress 2180 / 2007
.Tames
Street, Eagan, ConstructionCost $27,000
MN 55122 Unit/S[e #
DescriptionoTWork Porch addition
Multi-Family Bldg _ Y X N Firepiace(s) _ 0 X 1 _ 2
Proper[yOwner Kim and Paul BerQ Telep6one#( 651 ? 882-6330
Contractor Self
Address 2180
State MN James Street, City Eagan
ZiP 55122 TelephoneN(651 ) 882-6330
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
(? submission lype) • Residenlial Ventilalion Category 1 Worksheet
Submitled
• Energy Envelope Calculations Submitted
A NEW BUILDING
Mincesota Rules 7672
. New Energy Cotle Worksheet
Submitted
In the last 12 months, has ihe Cify of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor _ ?????
Sewer/Water Contractor
Telephone # (
Telephone # ( )
Telephone #(
I hereby apply for a Residential Building Permit and acknowledee that the
_ =>
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.
INvI I er
Applicant's Printed N e
`? 7a---P,
Applicant's Signat •e
.
DO NOT WRITE BELOW THIS LINE
Sub Tvaes
? 01 Foundation
p 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? OS 03-plex
? 06 D4-plex
Work Tvaes
? 31 New
0 32 Addition
? 33 Alteration
? 34 Replacement
? 07 05-plex
? OS 06-plex
? 09 07-plex
? 10 OS-plex
? 11 10-plex
? 12 12-plex
? 13 16-plex
? 16 Fireplace
? 17 Garage
? 18 Deck
? 19 Lower Level
30 Accessory Bldg
31 6ct. Alt - Multi
33 Ext. Alt - SF
36 Mul6 Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building• ? 43 Reroof ? 46 WindowslDoors
'Demolition (Entire Bldg) - Give PCA handout to applicant
D@SCfIDtlOfl: WaterDamage_Yes
Valuation ? Di UDz) . O o
Plan Review 100% or 25%
CensusCode 53 y
SAC Units
# of Units
# of Bldgs
Type of Const
Occupancy _12KC'% MCES System
Zoning !?- ( City Water
Stories ? Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width ?
_ Foo[ings (new bldg)
_ Footings (deck)
? Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
?O Framing
? Fireplace J. R.I. 4 Air Test LQ Final
?G Insulation ? ^-. I I
Approved
REQUIRED INSPECTIONS
_ Sheetrock
FinaUC.O.
'?Q, Final/No C.O.
?p HVAC
O[her
_ Pool F[gs AidGas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ W indows
_ Retaining Wall
? 20 Pool ?
? 21 Porch (3-sea.) ?
? 22 PorchlAddn. (4-sea.) ?
? 23 Porch (screen/gazebo/pergola) ?
? 24 Storm Damage
0 25 Miscellaneous
Building Inspector
Base Fee "
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
24 z x -) I.po = 1 7?1gZ.e-o
.
Certifica te of Boundary Survey for.•
? PAUL BL`RG
M 589'25'02"W 30.06 ? Meos. \
N89'48'04"E
?
HWsrssw 89,95 30.05 ••NOte** ffset Distances Measured to Found Monuments
?
?
0
Ezistirtg W to
House
?s T
n
N
?a
z 0
Z
DE'LMAR H. SCHWAN
LAND SURI/EYORS, IJVC.
DR.4VYN DATE 14555 So. RoseRT TRaiL
JM 7/ 17/07 RosehtouNT, MN 55068
APPROVED DATE 651-423-1769
DGR
SCALE SHEET PROJECT NO.
1 " = 30' B07049
Property Description:
Lot 6, Block 6, OAK CLIFF, according to the recorded pla[
thereof,.Dakota County, Minnesota.
Also showing the location of a proposed addition staked
thereon.
?
\
?
hQ
?
? " . BLOCK 6
?osa ? ?° a?V oa?
S I s Pdd?ti . \> 7 ?? .!°
? L-------- -' ------ ---------------------? ° Oroo??
o 10.2 10.2 10.2
14.80 M ?.?
0
r Found Iron Pipe Monument
\
51 3' Choinlink Fence
? -.;? e _ Gute Fencepost
I \?
?
I \ \?9e o s?? ?OB'32,
' LoT 5
SB I Property Addresm 2180 James
? ` ? SP?e?f ? 4? $ 4BOS,
? ?TS \
I ?' ??? 39 \
? c ?
? o.
o9P ?
----a4.i----
xis.fi?
9 ?
i P ec yODSQ \ \ ?
Ws< ?- w 90.02 ?- - N 89'48'04" E 233.77 ?
5 8546'31' W 233.82 = Neas.
/1"ebycBdilythat Ihis survey, p/en arrepart was prePaieo"bYme ^_. l^ G?' ?C/ -
or 11nde1-my dirscf supeivision and Uief/am a dv/yRegis7eisdLairo'
Sunre,?rc?randerfhe /aws o1b5e State ofiLfln?snfs
-10
LotArea = 20,597sq: it.
Hse & GarAraa = 2,055sg: R.
, r. co
C)?
DA!!ID G. ? ? ? ..1
?PP =?
-22844- i.? ?
"?"°"° -' -1- N06'w27'E- 1.42 from Comp.
- 2-1' 1077 A67/ro9018 LiG1sn80 NO. 22044
?
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168211
Date Issued:04/13/2021
Permit Category:ePermit
Site Address: 2180 James St
Lot:6 Block: 6 Addition: Oak Cliff
PID:10-53550-06-060
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 -
Joshua D Scott
2180 James St
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(641) 264-4088
Applicant/Permitee: Signature Issued By: Signature