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2184 James St? T CITY OF EAGAN . ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT To be used for Est. Value '4r 9 79 0 6-r - Date I E *41 Fi ; Receipt # SEAT6lIBFR 16 19 87 SiteAddress 2164 Jr',;,"_S :'1' Lot Block Sec/Sub. ?'?`" ?' ? ?? Parcel No. a Name i)AVE $ELl,, 3 Address 7217 GLAL' :'!i':?STf-: ?iR ° City Phone i731-9363 ¢ 0 Name :t=?:•) t: ? Q Address P City Phone yVj W W Name ? _ ? Address U g W City Phone _ I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all appiicable State of Minnesota Statutss and Crty of Eagan Ordoances. . ,, Signature of Permittee •'? ___ - i? A Building Permit is issued ta_ 1.AVP_ ii't.LC, 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 ____ . ?_?- -°----------- --- - -?' - - OFFICE USE ONLY k? On Site Sewage Occupancy MWCC System Zoning Yn On Site Wel! (Actual) Const yn City Water (Allowable) PRV Required ?• # of Stories Booster Pump Length 04 Depth jV - S.F. Total Footprint S.F. APPROVALS FEES ' Engr./Assess. Permit ? 493.00 ? Planner Surcharge 48.50 Council Plan Review 246.50 Bldg. Oft. SAC, City 100•00 Variance SAC, MWCC 525.00 Water Conn. Sa S.IJO water Meter 67.00 Road Unit _305. V Treatment P1 180•00 Parks TOTAL 42,490.00 ? ..r.. r BLDG. 01-3210 O1-3422 01-3445 01-3446 01-2155 f7-3860 20-2275 20-3865 20-3868 20-3716 20-2252 20-3713 20-3743 79-3866 T Bld'g ?/ Permi Plan Check $urch./Adm. SAC/Adm. Surcharge Road Unit SAC Water Conn. Water Trmt. Water Meter Acct. Dep. Water Permi Sewer Permi Sewer Conn. 11-3855 Park Ded. TOTAL c.a '<`? CASH RECEIPT ? ? CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ? ti . , •. DATE ecccIveo - • FwoM ' AMQUNT $ ? . ? / ? ? C. DOLLARS ?oa E]CASN C]CHECK ? ,4„ ? ;?v I J`. _z i r _L / ? LC-•1?/ B Y 4 ".?"_ J 1 VYhite-PeYers CAPY Yellow-PottinQ CopY Pink-File Copy Thank You CITY OF EAGAN Addition OA Owner Remarks CLIFF ADDITION Lot 5 Rik 6 parcel 10 53550 OSd 06 st?eet _ 2184 James Street Improvement Date Amount Annual Years Payment Receipt Date STREETSURF, 1981 2420.83 242.0$ 10 STREET RESTOR. GRADING SAN SEW TRUNK ?r 1973 103.83 6.92 15 SEWER ATERAL - 1981 5817.17 581.72 WATERMAIN WATER LATERAL WATERAREA 1952 160.83 10.72 1 STORM SEW TRK 1979 349.33 17.47 20 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ;:" Jl "' 3830 Pilot Knob Road Permit Number: 18F' 7 q Ea9an, Minnesota 55122-1897 Date Issued: ? f' / N Fj I `r i (612) 681-4675 I SITE ADDRESS: APPLICANT: IK CL .Cf f PERMIT SUBTYPE: I M) ( F Nf;t; (6111) F+9i -4,0 TYPE OF WORK: M1i C• t•J ! ? "a l Permit No. Permit Holder date Telephone N ELECTRIC PLUMBING HVAC Inspestion Date Insp. Comments FOdTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR 7EST FINAL PLBG FINAL tiTG ORSAT TEST BLDCa FINAL BSM7 R.I. BSMT FINAL DECK FfG /I?drJ ? ??ND t??YEL, QECK FlNAL ? ?? r ,? . . (gPr#if iraft of (Orrupanrg (Citp of Cagan 19pjrartncrttf of lutlamg jns,pPrttnn This Ceraficate issued pursuant to the requirements of Section 306 of che Unijorm Building Code cerlifying thal at the time ojissuance this structure was in compliance with the various ordirrarrces af the City regulating buikting eonstruction or use. For the following.use Qessiecaooo S r D W G.( ' .. i.;-? P B7dg. Pormit No. ? o-Pe-Y Type - 3 DAV.C. BE;, r Zoning DWxia Const . ., ? .. 7 GT, f; . G. _ 0 T ? Owner of B?oWing ?m i .- Bw7diua Addrm I.app(y ? a.t. Feb_uary 16, i98,5 , Bw7ding OfFidal POST IN A CONSPICUOUS PL4CE ..,. . _ . . . CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 PERMIT Receipt # EsL Value Date " 119 Site Address Lot Block Sec/Sub. Parcel No. a Name W 1 ,, .. .:. l .' .. 3 Address ' 0 City Phone ¢ ti- V t Address f_ City Phone v¢ y? W Name F W ? Address u s W City Phone 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. Signature oF Permittee A Buiiding Permit is is5ued to:._ on the express condition that all work shall be done in accorda+?ce with all applica6le State of Minnesota Statutes and City of Eagan Ordinances. Building Official_ _ OFFICE USE ONLY On Site Sewage Occupency MWCC System Zoning On Site Weli (Actual) Const ' cicv warer - (AUowaae) PRV Required of Stories Booster Pump Length ? Depth f? - S.F. Total ? Footprint S.F. APPROVALS FEES -4 ` j ? t? Engr./Assess. Permit , Planner Surcharge Council Plan Review ?w i 1 Uv . il0 ' Bldg. Off. SAC, City 42')'00 Variance SAC, MWCC Water Conn 525.00 i . r7 'CC ' WaterMeter Road Unit 3u 5• oc ? Treatment P1 Parks TOTAL Permit No. Pe?mO Holdor Dste Telephona i? Piumbing H,V.aC. Electric ?; ??Jr/ ? '' r z. - l?i;??• ?' ' 7? ? ??"`? ?? ?S- j' i,• ^ Softener Inapection Dat• Insp. Comments Footings 1 Footings II Foundation Framing Roofing J ? Rough Plbg. , /G 6) Rough Htg. Isul. Fireplace Final Htg. 44140 - Final Plbg. ,(f PRV Bldg. Ffnal cert oca T s Temp. LP Deck Ftg. . deck Final Well Pr. Disp. gite PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILaT KNOB ROAD, EAGAN, MN 55122 DATE: _ PRICE: ? )?)?)?% _? PHONE: 454-8100 Lot i ! . . ` 4- Name _ ? Address _ ? city --? ? ? Name _ 3 Address _ p Ciry 1. TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # BLDG. TYt5.,,-' WORK DESCRIP?ION Res. New ? Mult Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU _ 6.00 (RES. HVAC INCLUDES A!C ON NEW -- - GAS OUTLETS (MINIMUM - 1PER PEfiMIn 1 50 EA ? - COMM/IND FEE - 1% OF CONTRACT FEE . . ?M BTU L APT. BLDGS. - COMM. RATE APPUES ? ? M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES I MINIMUM RESIDENTIAL FEE - ALL ADD-ON & M BTU o?lilV1 gTU R REMODELS - MINIMUM COMMERCIAL FEE - 12.00 20.00 ? ? CFM STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES ? BEYOND $1,000) ?FE E S/C: SIQ?,AQi47UR E ITTEE TOTAL• ? FOR: CITY OF EAGAN ? . PERMIT # PLUMBING PERMIT RECEIPT # ? g 1 0?'O CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?? -/ 02 ' S7 Site Address ? Lot !!?Z: ? Name - m Address _ m c City ? Name ? 3 Address _ O City SeciSub Phone Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 SfC IF PERMIT PRICE GOES SIGNATUFE OF PERMITTEE FOR: CITY OF EAGAN BLDG. TYPE WOAK DESCRIPTION Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $100 Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Ki!chen 5ink - $3.00 .? ? UrinaliBidet - $100 Laundry Tray - $3.00 -j ? Floor Drains - $1.50 Water Heater - $1 50 /• ?' Whiripool - 5100 Gas Piping Outlets - $1.50 . OD (MINIMUM - 1 PER PERMIn Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE STATE S/C: GRAND TOTAL: CITY OF EAGAN Permit Na 9161 Date: 3830 Pibt Knbb Road Meter No: Size: P.O. Box 21199 Reader No: Date: Eagan; MN 55121 Owner._;,_A,id Ltoll Site Address: ' 1`'4 Ts+mea Srrro r r? r .s r.,?. ri -, Fr Conn. Chg: 5 2 5. 0f?nd ' Zoning: Acct Dep: ?5 -()Cn(v No. of Units: ? Permit Fee: 0. (lnc Surcharge: _')i)nd I agree to comply with the City of Eagan Tr. Plant ' Meter -''I'Ordinances. l rlf? . Misc.:_ - „ . , ... -?. ?:.•. ,.,,,, ?-•?- B ? Y ' t_. - -- ? WATER SERVICE PERMIT -? CITY OF EAGAN Permit h 3830Pilot Kpob Road B/p No: P.O. Box 21189 Eagaq, IAN 55121 Owner. • ? v `, , -t I Site Address: ss ! Plumber. /Pei MWCC: _ City Chg: _ Acct. Dep: _ Permit Fee: L1 oate: 10-2f,-87 j Date: ? Zoning• No. of Units: ` I agree to comply with tha City ol Eagan Ordinancss. SEWER SERVICE PERMIT CITY OF EAGAN Permit No: 9161 Datec 1 ? 3830 Pilot K•wb Road Meter No: -`' 3?/ Size: P.O. Box 216 198 Reader No: 0 q_/_(e? Date: - -? EagaH; MN 55127 Owner. Site Address: T'ImPc ?' {- rna t 7 ? i? ? (' 1 (? i I,(' - Plumber. ;Lo1z/Pcrr- , F, ra Conn. Chg: r,? S _tlfln,l ?? ????"'Sh? T ? ng: Acct. Dep: 7 5 c?p?g6??ll ?B?ftAldf?t?1?S _ 1 Permit Fee: 1;) t?t,?tounn?G Ecc?v i ?rTHfC - GAS Etc. ? rccrrrv?r?c? Surcharge: 0 -l ?%ijAfo?ply with the City of Eagan Tr. Plant i ?/ Meter. Misc.: WATER SERVICE PERMIT CITY OF EAGAN j\j°_ 1418 3 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 BUILDING PERMIT PH ONE: 454-8100 Receipt# To be used for SF DWG/GAR Est. Value $97, 000 Date SEPTEMBER 18 19 87 Site Address Lot 5 E 2184 JAMES ST OFFICE USE ONLY '23 On SHe Sewage _ Occupancy PD MWCCSystem - Zoning On 5ite Well _ (Actual) Const Vn Vn Ciry Water _ (Allowable) PRV fiequiretl X # of Stories 64 Booster Pump _ 'Length 30 Depth - S.F. Total Footprint S.F. Parcel No. 6 Sec/Sub. OAK CLIFF a Name DAVE BELL ? Address 7217 GLOUCHESTER DR ? City EDINA Phone 831-9383 o Nan ?a Add ? City Address City _ I hereby aCknowledge that I haA eatl this application and state that the information is correct and aalee o comply with all applicable State of Minnesota Statutes and CiryP+f E gan OrQina ces. SignaNre of Permittee _ ? ? A Building Permit is issued to: A1AVE_B$yj, on Ihe ezpress cond ition that all work shall 6e done in accordance with al I applicable State of Minnesota.$tatutes and? City_of E? n Ordinances. Building Off?cial Jl??? ? APPROVALS FEES Engr./ASSess. Permit $ 493.00 Planner Surcharge 4$.50 Council Plan Review 246.50 Bldg.Off. SAC,City 100.00 Variance SAC,MWCC 525.00 Water Conn. 525.00 Water Meter 67.00 Roatl Unit -305.90 Treatment P1 180.00 Parks TOTAL $2,490.00 REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os w / , See instructions lor completinq this'form on beck ot Vellow copy. ?ys y D 6 9 4 9 5 "x BeloW Wak Covered by 7his Request A 1 ReD. TVPe of 9uilJing ApOliancea Wiud EquiOmenl WireA Home Range Temporary Service Duplex Water Heater ?htiny Fixtures Apt. Building Dryer Electric Meabn Commercial 81dg. mace Slo Unluader Industrial BIAg. Air Conditioner Bulk Milk Tnnk Farm OtnHF ceci v nin, (snedry) t er SuT7fY thcr Ofiij Comoute fnsnection Fee Belaw p Fee ServiceEnvanca5iza Y. Fea Fanders/Suhfeedets p Fne Circults , 0 to 200 qm s 0 to 30 Am s tn 30 An i Above 200 qmps 31 to 100 Ainps 1 to 100 Am s Swimming Pool Above 100_Am 5 anove 100_Amps Transiormers Irrigation Boon-is 'rtial,'Other Fee Signs Special InspeCtion S TOTA E Nemarks r ,S.o?I NouBh-in I ' vr D)a1e ,.P/l +?'? ? ? I, the EI ' I I nspeCfoq hereby certily Iha[ the above Final insoeetion hes baen meda. (hin request void 18 montha imm This request voitl / /? 18 rton[hs (rom ?'n ??? D 69495 4?e ? (<G;" Rrs u s Da?e . M?-? np ? , / ? ? 7 Fi e No. I Rnuuh.in I s' eciion Repuir ! es ? No J' E]Featly Now Q;44v1fN'njify Inspec- lor When Ready ?icensea uectncai conlracmr I heraby requasl inspection oi above ? Owner electrical work installed a[: Slre Addr ss. ox or te o. / Ci1y pgug ect n o. a.nshi Name or No. RanBe o. County Occ tIPflINTI Fower lier ? {z G AdtlreSs ElECVical ConVactor (COmpany Namei Cnnh?ict r's License No. KENDsRICK ELECTRIC D d a? Mailin9 Adj ?{rT8Cppi??yF ionl ?? ?? 1V1Ylr?LilnLlAltlli Authorl , i an) Phone Number MINNESOTq STATE BOAXD OF ELECTNICITV THIS INSPECTION flEQUEST WILL NOT Gripes-Midway Bldg. - Poom N-191 eE ACCEPTED BY THE $TqTE 90AflD 1821 Universitv Ave.. St. Peul, MN 56104 UNLESS PflOPEfl INSPECTION FEE IS Phone'(612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION L EsB?-00'0/0?1,-06 1 See instructians for com0leting this lorm on back of yellow coOV. D 4 1 5 9 8 "R"' Be/ow Work Covered by 7his Request J Adil R60. 7ypa ol BuilEine Aooliancea WireE Enuiument Wiretl ex 1 I Water ce Ik Milk T&nk p Fee Service Enbance5iie b Fen Fexders/Subleaders b Fna Circuits 0 to200qms 0 to30Ams Otn30F?ms Ahove 200 qmps 31 to 100 qnips 31 to 100 A s Swimming Pool Above 100_Amps Above 100_Amps Transiormers Irrigation Boorris Partlal-`Other Pee ji - Signs SUecial Inspection S gy Re TOTA FEE mtrks ' ? I, the Electrical Inspector, hereby certify that the above inspectlon hes bean a request void 18 mm?ths (mm ?V/ D 41598 / " N, & ?8???" Reqyyyes Date ?/ Fira No. RouAhj7nAn5Ver.tion Required? E]Reatly Nnw Q Will Notity, Inscec- ? 11Yes E] NO tor When ReadV UyiEensed ElecVical ConVqclor I herahy reOUas[ inspection of abave ? Owner electricel work instelled aL Stree Adtlress.84 or Ro ta No. )? K Ciry ectmn o. Towns?i? ame or No. Range No. County /1 ? /?J Oc jP'? ' ??? N U . Phone 2 9NO - ? 1?0 ?4 Power Su ier r?.? (,? r Adtlress Electrical Contrac(pr 1 o ntrar, r's License No. ' EiariiiiICF 1 0 MailinB ???54MtPdElbl?b l/ t Ll tionl M 24 Autho ? ? ? r ner Mak 6. inB I??stallatioN Phone Numb,.r MINNESOTA STATE BOARU 9F E1ECTflIdTY THIS INSPECTION REUUEST WILL NOT Griggs-Midway Bltlg. - Noom N•191 gE ACCEPTED BY THE STATE BOAND 1821 Univarsitv Ave.. S[. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS Phone16121642-0800 . ENCLOSED. , i -?ic i x v ci. cr p 2 6 9 7 7?„? RequestDate Flre No. Rough-inlion 6/19/89 Required? y C3ReaGyNOw ?WIINWtylnspeclor ' ? Ves L? No hen Reatly? N 193 licensed contractor ? owner hereby request inspection of above electrical work at: Job AGdreas (Slreet, Bon or RaNa No.) City 284 Jornes . Eagan SecUOn No. Township Name or No. Range W. ? Counly Occupent (PRINT) Phone No. David Bell Powar Supplier pddress Elecrcical Conhacmr (COmparcy Name) Cqmraclor§ Licei*se No. Lein Heatin and Elec. 042468-6 Mailing Pddress (Convadar or Owner Making InsfaAetbn) 6525 E, 170th St Prior Lake Mn. 55372 Autho ized ' naWra (Contractor/Owner Meki n t?a IaGon) Phpw NumOer Contracto 447-2490 MINNESOTA STpTE BpppD OF ELECiP?CM GrlggsMiEway Bitlg. - Room 5173 18Y7 Univeniy Ava., SL Peul, MN 55f06 Vhone(612)B4I-080p THIS INSPECTION REOUEST WILL NOT BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION PEE IS ENCLOSED. 1? /a REQUEST FOR ELECTRICAL INSPECTION ee-ooom-o? See ins?mctions fof completing thls fortn on back of yellow copy. u• U' 20-77 X" Below Work Covered by This Request e Atld fiep. Type of Building AppliancesWired EquipmenlWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm,/Industrial Fumace Farm X Air Conditioner Other (specify) ConVaclarS Femarks: Campule Inspecfion Fee Be/ow: # Other Fee # ServiceEntranceSize Fee k Circuits/Peeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs Inspector§ Use Only: TOTAL Irrigation eooms 15.50 Special Inspedion Alarm/Communication ? ? ? O[her Fee I, the Electrical Inspector, hereby tif th t th b i RougMin p ? Dafte y a e a ove cer nspection has been made. Final ' ,.. oa _ OFFlCE USE ONLY This requasl wltl 18 monihs imm as ????? RESIDENTIAL .??- ? BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Conshuction Reauiremenq RemodellReoair Reuuiremenls • 1 registered sAe surveys showing sq. R. of bt, sq. ft, of house: anE all roo(ed areas • 2 copies of pian (20%mazunum IM coverage allowed) . 1 set ot Ener9y CalcWations (or heated additions • 2 copies ot plan showing 6eam & windaw s¢es; poured found desgn, etc.) • 1 site survey.'or eaterior additions & decks • 7 set of Eneryy CalcWations . Intlicate if home served 6y septic system for addi6ons • 7 copies of Tree Preservalion Plan if lot platted after 711193 . Rim Joist Detail Optlons selection sheat (bldgs vnth 9 or less units) DATE VALUATION 51TE ADDRESS MULTI-FAMILY BLDG _ Y XN TYPE OF WORKi?W L.'_0. (.l)(rdOWS ki V1 2iX.16?((1G FIREPLACE(S) _ 0_ 1_ 2 - - - ? +?- APPLICANT STREET ADDRESS Renewal By Andersen, Inc. STATE_ZIP 1920 County Road "C" West TELEPHONE #(OSI -211104-4T44G Roseville, MN 55113 ;AX # PROPERTYOWNER 2.2I2. TELEPHONE#&S)? 77F'L0347 COMPLETE THIS SECTION fOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNLSO'C:1 RliLP,S 7670 C:1"fEGORI' I MIN`ESOTA RliLt:S 7672 (J submission rype) . Residential Ventilation Category 7 Worksheet Submitted • New Enerqy Code Worksheet Submitted • Energy Envelope Calculalions Submitted Plumbing Contractor: _ Plumbing system includes: Mechanical Conhactor: N[ectkviical svstem inclucies Sewer/Water Contractor: Phone # ? Il _ f I s i y l? ll? sEP o 19 z002 ',?J Pee: °----- °---------------° -----....... --° ----.... ------° ------------------- • ----°-------°------ ° °-----------------° I hereby acknowledge ihat I have read ihis application, state that the formation is correct, and agree to comply with ail applicable State of Minnesota Statutes and City of Eagan inances. Sfgnature of Applica r ???'?? ---.__-_____-_.°____-'-_------------------•----------°__?__..---------•-------------- ------- _. OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ Updated 4102 _ Water Softencr ? Wa[er Heatcr _ \'o. of Baths :lir Conditioning Hcat Rccoven Systcm Phone # L.awn Sprunkler No. oF R.I. BaSf PERMIT --- p[??+ITY OF EAGAN 13830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: BUILDING 030579 08J08/97 SITE ADDRESS: 2164 JAMES ST LOT: 5 BLOCK: 6 OAK CLIFF P.I.N.: 10-53550-050-06 DESCRIPTION: Bui;Lding`°R,ermit Type OECK ?Building W'ork, Type NEW a Cerlsus Cod# ^?. 434 A'LT. RESIDENTIAL .? - ,0V.. ='€ , . o? y ig a,,/...• ' a ? REMARKS: FEE SUMMARY: Base Fee $50.00 Surcharqe $.50 Total Fee $50.50 I CONTRACTOR: _ ppplicant - sT. LIc OWNER: FRDNTIER CONST ' 18914359 2006031 PUZIC IARRY 14101 FRONTIER LN 2184 .7AMES ST BURNSVILLE MN 55337 EAGAN MN 55122 (612) 891-4359 (612)899-2356 I hereby aeknowledg.e that.I taave.. read -?hi?,aRpjir?atian :?t'±d $tato t?+at,.the. infor`inat3on 3s correcG and ag-re6 to` catnply_with al l 6pp7,ieg6ie 5t ate 0"f ? StatuCes- and City o'f Eagan Or-.dina naES.: v. APPLICANT/PERMITEE SIGNATURE ISSUED B)l SI A E ? 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? ???,? ? CITY OF EAGAN J 3830 PILOT KNOB RD - 65122 681-4675 New Construction Reauirements RamodeURenetr Reauiremenh • 3 registered aite suneys ? 2 wpies of plan ? 2 eopies af plans (indude beam & window aixes; Poured ma. design; etc.) ? 2 ake surveys (exterior eddldons S decks) ? 1 energy calalations ? 1 energy calwlatlons for heated addRione ? 3 copias of tree preservetion plan if lot platted after 7l7193 required: _ Yes _ No ' DATE: __$-4-9-1 CONSTRUCTIONCOST: ?250D.OD DESCRIPTION OF WORK: STREET ADDRESS: LOT -6 BLOCK PROPERTY OWNER CONTRACTOR ARCHITECTI ENGINEER _CDns-I-vu?+?ov? o[-- dtC.k 2184 J0.mvC s4-re2-}- 4 SUBD./P.I.D. #: Name: _ ZQYr? Pk z_ lr_ Phone #: 544- z?>s la ..r ?... Street Address:-Z li?4 ?amr ? City: _ EClcilxn State: MN Zip: S512-2- Company: _rw n-hY ? avlS+vuc-ho Y1 Phone #: g? 1-43S 9 StreetAddress: 14ID1 Fvoy-r'IpY 1avit- License #: b? ?lin, City: [?nvr??v111?? State: 1-1N1 Zip: 6S33-I Company: Name: Phone #: Registration #: Street Address: City: Sewer 8 water lice-r.aed plumber (new construction only): and lot change are iequested once permit is issued. Penalty applies when address change I hereby acknowledge that I have read this appiication and state that the iMortnation is correct and agree to compy wfth all appiicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ' OFFICE USE ONLY RECEIVED AUG 0 4 1997 Certificates af Survey Received _ Yes _ No Tree Preservation Plan Received •_ Yes _ No _ Not Required BY' State: Zip: • ,?,' aoBE ENGiMEERING , COMnANY, 1000 GIST I46i1 C4e rZ z Gave _ BE CaHSULTIH6 EH61HEf45. ? PLAHHE9S and LAHD SUAVEYOQS INC. 57RE=71 BUAN=YILLE, YINHE_OS1 S•`•-37 PY 4=2'.`.OGfl ?'z crz?e n? ?Sz?'Ye c? ?accl ??cr?p?icr: rL LoT 5, ELOCK. G , oaK C± ?P-,, GAI<c`i'.? CV1NT'( , M1NNE°_.^TA. JAME? VT Q -- ? - ? N 89°48'04"E i 9Q.00 (457. ?) 0 i (D ?F (esa.?; (e_r,_.? j 1108. `i58.3:, (9Sb?; 0 2F.so a ??.92 - .? 95Z I) 24.so a `? 3o vi 3.0 4?ao i1eOO ? N PAOPOSED I R HouSF N 5aF.46E i ? N \ I (9578) t6 rr958A) (95&0) I - J - ? LOT 5 - , 5L=? =-?----- ? -?5 oa41rcaGs aNC ? o ? unurv EA°-J+IE^l M (960.4) (96o.4) ? N o 04"E (7-?. 7) GPl1G= 6'Xa_TFF1r_- E! _?:?,/c>: ( 9sa.0 ) rE, 1CrE3 PRCPC,_EU ELS?: G'-i INpICA'L-S GIFE":70l .F `°+' ?? SuaFf?C? arc??riAGE 9?.?5 ELE1/?TiON _o' FFcONT 6U;LDING SETP.ACiC LINE O c?1 ?--- N '? r - •? ? C ._' Z - (96o.i) C9eo.? SGqLE-1 I hersby cartify Lhat thia ia a t:ue and eorrect rapreeentation of a aiACOf f lind as ahexn'and deacribe3 hernon.- Aa prspared by 1nn on this ?Y Sr ? 19?1_• • - RE?i36D 9-16-87 151W4R6ED No?hE . ?_Hinn. Eag• H 1987 BDILDING PERMIT APPLICATION - CITY OF EAGAN ,/ IS NGLE FAMILY DWELLINGS INCLQDE 2 SETS OF PLANS, 3 CfiRTIFICATSS OF SQEVEY, 1 SST OF ENERGY CALCOLATIOAS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOSiNER MIIST DESIGAATE WHICH ADDRESS IS DFSIRED. NO CHANGSS WILL BE 9LLOWED ONCE BIIILDING PfiRMIT IS ISSiTPsD. MULTIPLE DWELLINGS - AFSIDENTIAL RENT9L IIPITS FOR SALE UHITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQItYEY - CHECg HITH BLDG. DfiPT., 1 SET OF ENERGY CALCULATIONS C0LMMRCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: ?f S/O En GE Valuation: r-- $ztm Date: !O Site Address Lot ;5- Block ? Parcel/Sub Owner _ 0 {?. vC ? ¢ L G Address _-?* 7a17 G/op?/f?s'fPr' ?i City/Zip Code Ed inA, /LI 4 ?79y3 S- Phone 8 3l-93 9'3 Contractor SE?F Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone 4l 97 000 -. °Nr•icu USE VNLI On Site Sewage oecupancy R-3 MWCC System _ Zoning P D ? On Site Well Type of Const i City Water _ (9etual) y ' - (Allowable) ? ? Ik of Stories Length 6 `/, 11 Depth 30, 00 S.F. Total Footprint S.F. 6PPROVAI.S FSFS Assessments Permit y 93. o? Water/Sewer Sureharge Z4 g.5o Police Plan Review 2 y 6. SD Fire SAC, City lOO.oO Engr SAC, MWCC 525,00 Planner Water Conn SzS'Oo Council Water Meter -6 '7,00 Bldg Off Road Unit 1?10'1!?-O APC Treatment Pl JgO,Of? Variance Parks Copies TOTAL ?? AR . ? ?4X :?'SF= 9.2 r az xiv? l9v J?r?,?T 58/ X/2 = G 972 6%Lxry c 9? 4fzKay= looe lo5ax58? 637??. an? 32y Ib- 5?2 12X7=? • 5?6 x?y' z? Z? 96938,°° ENG1NEfR1NGPIAHHE9S and IAHD SU(4201 N422- AO BE L COMnANY, INC. t000 EJlS7 1'S6Y3 STREE7, 8l]RNSVILLE , WHHE?07.1 56Ofl ?ac1 ?e?cr?p??crz• LOT 5, BLOCK G , OAK CUFF, OAKG7?,? CCUN'r{ , MINNESOTA i Q T57. ! EAI°TV`-IC E?EV?CN Q ? ( qsa.? ) GENO`rES PRnFCSEp ELE\/Ar?Gn1 o N 89°48'04"E INOICA7GS JD1FEC_'l0tt;' Or' 90.00 ?-? SUaF'ACF CR,aINAGE (4 456,9) (y.71) Q 5F - -? - - - - - I 4 - ?5 C956.9) 4se.3's _ . FINISNEL GA?:s?Gr . o ELEVATION (958.0; (4s7.i) :J]" F'RONT 6USLDING 11?08. `iSB.33 (qsbtb o 25.SO - ? a iS.qZ ?° SEf"EACK L INE ,?-j? ) 24.so a, in 3o 1 3.0 95a0 a 1aoo ? n CAOFOSF? c H VS 0 ? ._ O + N ` \ ? ?%C Q /l•?8 ? f?.00 1291 0 ? - O (9s7.9) (95 6?i) ? '? ?-• ? Lr7 958A) (9sao) u1 , l ! o _ ; i _L._OT 5 i ?_: ? ,•--: ; -? ;?. , 5L. -=--JS 41Z oaarrtAGs aNC ? o ? unurv EaS?Eri; C96o..4) ' C96o.21. SC.ALE'r=30 (160.4) 90.00 N C96o.21 89°48'o4"E I hertby eartify that thia ia a t:ue and earrect raprasent:tion Dt a tract of l+nd a: =ho+m'and describe3 heraoa» AQ praparsd by me on th3s rr day ot I-k,?usr , 19??. . REVi3ED _S-/6-87 E'v?q?sEV ya?? : ,. . Hinn. Res. • #121/4 MINNESOTA STATE ENERGV CODE CALCULATIONS ? Q? ? BASED ON CHAPTER 5 OF THE U MODEL ENERGY CODE - 1983 EDITION •Adoption Effective 1/134 Owner_?? phone Date. ` Site Address__ r?? Contractor Butlding Classification: Type AI (Single Family s Duplex)?Type A2(Resldentlal) NOTE: Com lete (3 storles or less ' p pages.3 and 4 first. j (Other) (Over 3 storles) GENERAL INFORMATION ry l. Building Perimeter6eE W*K ft. ? 2. Wal) height (ground [o eave) ft. ? ? 3.• I. x 2. z (above) gross wall area 2(p0p7iG ft. 4. Building dimensions (L) x(W) -- loll ft.Z roof 6 floor area , 5.. Square foot area of rim joist Floor jotst size (2 x 07 ?b ? X Perlmeter = Rim Joist area = z ? g ftz ?"2 12 6. Doors - AFea ?.Y "? Thfckness in. U factor + i Type of Construction perimeter ft. Manufacturer 7. Total door's perimeter ft. 8. Windows: Manufacturer ?'N,e1:State approved U factor TYPE SIZE AREA (Ft.2) N EACH - ? N w0944 ?!T' 9. Total ft.Z Glass 2,(p ? ILZ,6 10. Fireplace area; Width X helght = x = NUMBER OF TOTAL FEET 2 UNITS - Ft.2 I1. Exposed foundation: Neight R Perimeter i?Q-7 X Ft.2 COMPLETION OF THIS FORM IS REQUIRED FOR ALL A€47 CbNS7RUC ON, MAJOR REMODE ING AN? Bl11LDINGS BEINE MOVED WHERE ENERGY, OTNER THAN TNE MINIMAL CODE ALLOWANCE, IS USED. 12`.. Feaming area s 10% of gross wall area, 13. Gross wall area I J ft.2 Nindow area A 7iLP?1? ' ft.2 U windows U x A- ? ?7Z Rim joist area A ft.2 U rim joist =, 04-1 U x Aa Door area A' ft. 2 U door area = u x A ? _ 14- , Z . Z Exposed foundation A f071 Z ft.2 U foundation 1 U x A= Framing area A Z[y 0 ?i 2 _?.? 7,i)ft. U framing area =•?'?J' U x ,6,4CO Net wall area A ft. U wall = ?o43 U x A= ?r(O (138) TOTAL . , . . . . . . . . U x A!?i'?J?•d i 14. Gross wall area z 0.11 (A-1 single family & duplex = allowable U x A(Code (13. above) x 0,23 (A-2 other residential) - x .23 (Other buildings) x .28 (Over 3 stories) abo?earger thar A ????7??ZJ x U Code 'rJ, TuH 13E Must 15. Ceiling framing area (Ap) equals lOX of ceiling area (. ar the same as) 15A. Grass ceiling area =(L) 1- x(W) ft.2 158 Joist area (Af) = lOb ceiling area = ? De) iO ft.2 156. Net ceiling area (Ac) (15A - 158) _ 01`771 i O ft.2 U ceiling x A c_ , a?.L x91)_ _. 2t I ?? U framing x A f= i oZ3 x 06 = 2 1 , . 150. TOTAI'U x A ......................... ........ 16. Ce111ng area (15p) x 0.026 (A-1 single family & duplex - c allowa6le U x A x 0.033 (9-2 other residential) x 0.06 (other) `.Dz(p ' BaUH Must be larger than 15D (above) F (or the same as) A f15A) f 0, IG? x U- code = C-O7 NOTE: Use U and A values obtained from pages l' CER TIFICATION: I hereby certlfy that I:have calculated the "U" factors and "R" values hereln and that Che buildjng here described meets or exceeds the State of Mlnnesota Energy Conservation Act. Date Signature 0 • . ? ? ? 0-5-7- 477 .__.... ,- .._.__. __. .. - 8,83 x C 32-?3z.t f? 3t Z3t.' ?.,? -?) = I I'?C?? ? Z?83,13 I f GWj) __-- ? Z+X (vo - Z-bS AI= Z?r -?"-. 3-Z`1-X(ao ? 4f 1 uX? ?x Z= 22?n 75Xl =131 75 I?,c) -!5,0 r,> ------ ?I-I Z4X4t;, --.__ -!--_ 7-'2`FX45 = 2z?sx1= Zz?s ..._.?_.. _. . r ? _ _ ??v = ?>C I - ? ?o _,._ . . ._....____ _.: . Z CP D . ? 7..1 i o p1't ?= ZI ? ca .? NAL4 • SECTIOtI SiUD • . SCCiIOH tt10 trAL4 . 3 ECiIO11 . " .totsr - ? ?. "_`_--- " ' • K 7ALUE - U VALUE Inilde alr tllm .68 . Idterlot w*LL 0 . 1j; • (Nalil U . ? . [nfulAtlan , • ???? v . Slieathing Z,p(o A-3 .0 stding . . ,G7 • "' •' Outflda ale [tlm : R TOYAL Z 3,d 3 • --_.? Iaalde-alt [tlm .68 Ln[etioe vall ?.}?' • • . A" aeud(/a'v) R? .f.t916.50(Ftamind)U. ? . 9heathing 9lding ' ?.1 Outslde alc Lllrr. .l1 -- , . 0. TOTAL .Inilde alr fllm ' Rs .68 • ' • . ? Interlae vall . . ? • . Insulatlan ' .(Na11 ) U . t . -? 9liia tn ` ? ? . ? Ext4ttot va(1 ring . . --?r___^ Exe?rlac alc ElLm' R ????4?Z • • a tOtAL t -------------- ? • interlor alr Illm Itv :68 . 1 ? Inoulatton ' 1110b • ? l? lnah, eoEe•wuud R-1,89 (Rlm ? U¦?'¦ 91?eathing' 20? ?OISt) txterlor wall eovering ,67 ' Extarloc air fllm R. .?I ' . - ' -? . . ' _ ' . . • R TornL _ ??. 9 ? . . . ' cnee<<tir oit ciiM a= ..sa lnautaelo? ' . 'S,? • , ' . ? Coundaelon I,Z$ ..'? '. Extarlor •Ir [!lm R• ,17 '(Fdn.) ? ¦ R' ? ?' • . . . R iOTAL _ '"l. (3 ed Bluck • ?? • . . i CEILIiIA 'a[ill '1E11 j1) A T f, SPACE ABOVE ?R '!' Ue '1TlUE FRANIIIG CEILUIG ?• ? 0.61Alr Ftlm 0.61 Insulatton r -" ,T 3 8 aa I s c , , Cailing . ... ? . . 0.61 Atr Fllm 0.61 . I2,lla Total a , . .nz3 U • R'. ?b?z FIAT AQOF OR C?TIIE AA1 CELItl6 ' ` ? A '?aTue . R YAIUE FR,?IUNG . CEiL(tl(i 0.61 jnslda alr film 0.61 .___ , C?111n • .?_. , Jn+ul?tlan •....,.-? Alr opics •?„_^ Naaf Jocking • •.?_ , inwlatian • Bu11t-up roof 0.17 Outslde a1r film 0.17 Total R ?¦U lindaw tnfiltration ,5 cfm/llneal foot of crack • 1 testdentlal door 1nf11tratian 0.5 cfm/square faot or doar and minlmum. code-requtrement tan-residen N al doar inPlltra N an 11.0 cfin/lineal faot of creck ' lb 12" concrete black na lnsulatloo ¦;47.p 2,1 lb 12" concrete black insulated cores - .Z6 R 3.8 ' lb 12" iiglitwelght black ¦.32 R 7.1 .'. : 1b 12" 11ghttaelght 61ock lnsulatad cores •.12 R 9.3 • • '• J single glass • 1.13; with starm ,wlndow'.54 1 dauble glass ¦ :55 • • 1 trlple glass • .41 • . ' til exterior walls and ce111nys must have a vapor 6arrler (0.10 perm m?x.). ?apar barrier must he on the 1nslde (lieated slde) of wall. iapor barriers af the palyethelene thln f11m have no A value. . , , PERMIT# q 1 9lO RECEIPT OATE: ?O -A l -U ? RESIDEPTIAL PLiJM$IN& PEfiM1T APPI1CATION crrY oF EAsM 3$30 PILOT KROB RD $E1fiAN, MN 55122 631-6$1-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system_ _ PUZIC, LARRY SITE ADDRESS: 2184 JAMES STREET EAGAN, MN 55122 OWNER NAME: : (651) 894-2356 TELEPHONE #: (AREA CODE) INSTALLER NAME: NOftBLOM PLUMB'NG 00, TELEPHONE #: (AREA CODE) STREET ADDRESS: nnnc n_wnCIcy n waA-- dU% CITY: MINNEAPQLIS. MN 55408 STATE: ZIP Place a check mark next to the permit work tvae New residential dwelling unit under construction and not owner/occupied $ 90.00 ?Q Add-on, modification or alteration to existin dwelling unit, including: $ 50.00 • abandonment of septic system - • new installationlrepair/re6uild of RPZ • lawn irrigation system • waterturnaround OCT 2 3 2001 ? Nature of work: PNP401Q.GR '„fa7?e-7- ke Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ 50 Total $ ?•!?o Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I herehy acknowledge Ihat I have read this apptication, state thal the informatlon is corred, and agree to comply with all appiicable City of Eagan ordinances. It is the applicanfs responsibility to nolify the property owner that Ihe City of Eagan assumes no liability for any damages caused by the City dunng its normal operatlonal and mainlenance activi6es to the faciliGes constructed under this permit within City propertylri9h[-of-wayleasement. SIGNA RE OF PERMITTEE Updated 1101 -, CITY OF EAGAN APPUCATION FOR PERMIT SEWER AND/OR WATER CONNECTION PXrP6: PAYMENi' QF M AT TIME OF APPISCATION DOES N0T COI1S'fI7ST1E APrROVaL oF rEP14I2. - '?***?******?*********,r***,r**:+r*?#,r? , P ease Print 1) pROPERTY ADDRESS: H? )f?<S 5T - LEGAL DESCRIPTION: •. . Lot Block Su division or Tax Parcel ID ) IF E7QSTING SIRC'CiLR2E, DA'PE OF ORIGINAL B[7ILDING.PERMIT ISSUAPICE: ' PRESENf ZONIAiG/PROPOSID C'SE: - (Nbn ear [] Ca44ERCIAL/RSTAIL/OFFICE D 0 IGIDLrSTRIAL ? [I INSTITUTIONAL/GpVMVEM ? ? 2) 1?y7 R-1 SINGLE FANIILY R-2 DOPLEX (TWo Ltnits) R-3 TOWN[iOUSE (Three + Units) ( Units) R-4 APARITENT/COPIDC)MINICTM ( Units) NAhE:??'(Jrv?l-l,?/ A°DREss:-?in-7 ??? CITY. STAT'E, ZIP:_ j`/1 ?S M l) PHONE: 7fi -?(o ?/--? 3) ' r ?• NAME=_&umtkx7 r? aDnREss:3jn-7 ciTr, sraTE, zIP:?Lt? ? MA PHONE: ?J,,Q c9e L? MASTER LICENSE# 32 j? 4) •? ? ?. NA''E=_LAU i O' _ AMREss: `77? 1 CITY. STATE, ZIP: PHONE: 3 Cp / ' ? Active Fbcpired Not recorded Staff IrTtie1 5) " °1. •". =? , ? ?? ?. CONNECPION T0 CITy ggmIIt CpNNE(,TION 4+D CITY WATER Q pTREF_ 6) ? ? • ? [? PI.F.A.SE HOI,D 7) PFRMIT FC)R PICK-UP BY ONE OF ABC7VE PERMIT TD 1, 2. 3, 4, AHOTE (Circle one) iNSnr?zo?r oF SE7tM r,rro/Cx wp,TEa TNcrar.ramrpNS wrr•r• N[Yr BE SCEED- ULID iJNPII, PERPffT HAS BEETI - APPROVEa. FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: ' $ $ SEWER PERMIT (INCLUDE SURCHARGE ) $ $ WATER PERMIT (INCLLDE SDRCHARGE) $ $ WATER METER/COPPERHORN/OOTSIDE READER $ $ WATER TAP (INCLLDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ /S • CJ 7Z? ACCOONT DEPOSIT - WATER s ? z. ?6Z $ wAc $ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRONK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRLNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ lO d? a $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ 0 I 7`GC/ $ TOTAL .-7.-7 -5 Z ZJ . . .: ':.. .. 70 j? 175 RECEIPT RE CEIPT " DOES UTILITY CONNEC TION REQUIRE EXCA VATION IN PUBLIC RIGHT OF WAY? ? YES IF Y ES, THEN A" PERMIT FOR WORK WITHIN POBLIC ROAD WAY" MDST BE ISSUED BY THE ENGINEERING ? NO DIVI SION. LIST AS A CONDITION. SUBJECT TO THE FOLL OWING CONDITIONS: APPROVED BY: l 54--,1 TITLE: DATE: PERMIT City of Eagan Permit Type: Mechanical Eaaan. Permit Number: EA093493 Date Issued: 04/16/2010 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 2184 James St Lot: 5 Block: 6 Addition: Oak Cliff PID:10-53550-050-06 Use: Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. 952-445-2840 Chris Musta 21210 Eaton Ave Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: - Applicant - Owner: Controlled Air Lard W Puzic 21210 Eaton Ave 2184 James St Farmington NIN 55024 St Paul MN 55122 (651) 460-6022 X23 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 Cite of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature Use BLUE or BLACK Ink r-----------------r 1 For Office Use 1 I 7 I City of Eaedn ~ Permit I I 1111bo SG 1 Permit Fee: 1 / I 3830 Pilot Knob Road Eagan MN 55122 Date Re ed: l Phone: (651) 675-5675 1 I Fax: (651) 6755694 1 Staff: INFLOW & INFILTRATION PERMIT APPLICATION X/, Plumbing / Sewer & Water Date: " 10 -20 0 Site Address: 9 '~~~5 Y C.AP4 NA lv Tenant: Suite RESIDENT / OWNER Name: L 4-Ny-g,Y . \fz ► c", Phone: (.5t-991- z3 S Address / City / Zip: 2-L 9 ,zS ~Ac. ^su M tA Z Name: License CONTRACTOR Address: City: State: Zip: Phone: Contact: Email: PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK X- Sump Pump Repair Repair Other: Other: DESCRIPTION Description of work: -R1VJAd'1io IZkySTING 5L1M1? ?UMf At--iy ~an~L1~'3_ci IZD ~ t P t naG. FEES $55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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.gooherstateonecall.ora 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 1 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 whic Tres are approval of plans. x ~IZY i! 2 ` Applicant's Printed Name lica 's Sig ture FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground ____Rough-In -Final PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA102297 Date Issued: 12/01/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 2184 James St Lot: 5 Block: 6 Addition: Oak Cliff PID: 10-53550-06-050 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Renewal Andersen La rv W Puzic 1920 County Road C West 2184 James St Roseville NIN 55113 St Paul NIN 55122 (61)264-4777 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA116527 Date Issued:10/08/2013 Permit Category:ePermit Site Address: 2184 James St Lot:5 Block: 6 Addition: Oak Cliff PID:10-53550-06-050 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Matt Dlouhy Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Larry W Puzic 2184 James St St Paul MN 55122 Roofs R Us 1922 26th Ave St. Paul MN 55122 (612) 282-8092 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA163674 Date Issued:09/09/2020 Permit Category:ePermit Site Address: 2184 James St Lot:5 Block: 6 Addition: Oak Cliff PID:10-53550-06-050 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Larry W Puzic 2184 James St St Paul MN 55122 (952) 513-7706 Glowing Hearth And Home Llc 100 Eldorado Dr. Jordan MN 55352 (952) 492-9276 Applicant/Permitee: Signature Issued By: Signature