2196 James StCITY OF EAGAN Remarks
Addition OAK CLIFF ADDITION
Owner
screet 2196 James Street
10 53550 020 06
Improvement Date Amount Annual Years ? Payment Receipt Date
STREETSURF. 528 1981 2420.83 242.08 10 1210.43 A015681
STREET RESTOR. '
' GRADING
I
SAN SEW TRUNK 9 1973 103.83 6.92 15 1.8
? SEWE LATERAL " igHl 5817.17 581.72 10
2908.62
a er
WATERMAIN
WATER LATERAL
WATERAREA 19$2 160.$3 10.72 15
STORM SEW TRK Q 1979 349.33 17 . 47 20 227.11
STORM SEW LAT
CURB & GUTTER '
SIOEWALK
STREET LIGHT
WATER CONN.
500-00
BUILDING PER. 10642
SAC 525-00
PARK
eU,lLDING PERMIT
TO w w"d fa
,000
Site Addreu 1 I ;-
Lot Block
Parcet No.
W Name : NC
; Address
U City Phone Y4-Z-14 .3 3
=8 Name
?? Addre
H Citv
SXU•".E
GW Name ::.rt '. .. i:At;EL/PROBE ENGR
W
11 ,4ddress 14330 =!; ti'Nf?CF< AVE
?W City A?'" , Phone 432-2044
I hercby ocknowladge fhot 1 how rcad this application and stote that
the in}wmotion is torrect ond agree fo tomply with oll applicnble
State of Minnesota Stctutes ond City of Eoqan Ordinancas
Sipnoturo of Permittel
N Buildinq Pem+if Is isuxd to:
oll work shall be dons in occordonce with oll cppficoble State of Mir
Buildhq Officfol '
CITY OF EAGAN
383Q Pilot Knob Read. P.O. Box 21•199, Eagsn, MN 55121
PHONE: 454-8100
Y
Erect L.S Occupancy S
Remodel ? Zoning '
1
Repair ? Type of Const. V
Addition ? No. Stories
Move ? Length
Demolish ? Depth 39
Int Impr. ? Sq. Ft.
Install ?
Aporova (s Ftes
Auessment
Water 3$ew.
Police
Fin Permit S 417 _ U UJ
SurCherga 4?i- t1 a:
Plan Review 21-4-1? 4
SAC r; 25j .OQ
Enp. Water Conn. 5 00. 0 G
Plomwr water Meter 63.00
Council Road Unit 280•00
Bldg. Off. i i?.?'i /8'i Tr. PI. 00
APC Parks
Var. Date Copies '
V :
1!
1 Q y
. - ?
,
Total
on t M expRS ca"tlon thot
soto Statutes ond City ol Ecqan Ordinor+tes. ?
10642
Receipf #
?
n
S
=
d
e
?
cc
x
m
r
?
$
m
o
n
,..
o
_
•
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. m
° s 9
?
-CZ s
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J \ CA ?
?
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Y ? , ,
OQ ?• t N ? .Z
?
^ 0
\
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i C ? ? ^
.r ?
\ Q
n\
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•
mr
'
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. ??
r ?
r
1, Date
3, Job Addrei
4. Owner .?_. ?
5. Contractor
? <- MECHANICAL PERMIT Parmit No.
? CITY OF EAGAN
Fee
Frll in numbered spaces S/C "
-- ?? Type vr Prin[ legiDlY Tot. .
2. Installation Cost i
i: .
' Lot - Blk. Tract
Pfione
8. Address •'' ? '
;2-
7. City State Zip
8. Building Type: Residential .? Commercial ? Institutional O
9. Work Descrip&n: New 0 Add O Alter O Repair O
1 10. Describe
1 11.
Type
No. FqyiaMept 8TU - M. Ea.
"'? 1 '
For Air No. Enuiament CFM
Air Handling:
Mfg.
B°il ?
-'
-
Mfg. Mech. Exhaust
Urtit Heater
Mfg. Other
Air Cond.
Mfg,
? Gas, Piping Outlets
12. I hereby cert ifl+ that the above information is true and correct, and I agree to
comply witY %ll ordinances and codes governing this tYpe of work.
Signad : for
Rough Final
Inspections: ; Date Insp. Date Insp.
This is your p ermit when numbered and approved.
Approved CITY pP EAGAN 454-8100
Rsosipt -
1. Date
3. Job Address
UMBING PERMIT Permit No. :ITY OF EAGAN Fee r--'c' v?_-- ;
' in numbered spaces S/C
pe a Print /egibJy Tot • `?' =?l ? ?
Installation Cost
Lot -= Blk. Tract
4. Owner
----s-
5. Contractor Phone
6.
7. City State Zip - ! `
S. Building Type: Residential, U Commercial ? Institutional ?
9. Work Description: New b` Add 11 Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
C
l/D
fi
i
l
Bath tubs esspoo
ra
e
n
d
Septic Tank
Lavatory f
Shower tner
So
W
ll
Kitchen Sink e
Urinal/Bidet
Laundry Tray Other
% Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
oomply with all o?dinances and cod6s governing this tYpe of work.
Signed :
'-` for • . i > °-; =t ?. ?
Rouyh Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY UF EAGAN
3830 Pilot Knvb Road
P. O. Box 21799
Eagan, MN 55121
Zonirg;
Owner;
Addroas: ,
Sits Address: , ? ' ? , r,• Plumber: „-
Metar No.:
Size* " ar.Cv
WATER SERVICE PERM
PERMfT NO.:
DATE:
. No. of Units:
? A-"u ?P?:
Reoder No.: ,- _ • , ^t,,.-
, Permit Fee: _
1 y? 10 aonroh, whb !be Citi ef bqe. SuirhprQe:
Miac. Cho
?. rgn: -
B Tocol:
Y Date dald:
of Insp.:
r1- 6 Irap.:
CITY OF EAGAN
3830 Pilot Knob Rosd
P. O. Box 21139
Eagan, MN 55121
Zoning:
Owner:
Address:
Site Address:
Plumber: • •-.
Meter No.:
Sirn! _
Reoder No.:
1c9ne to ftaoly WNM flw Ciyr oi Eqpn
Oediwa
ey
Dote of Insp.:
Cerntection CFMrge:
Acoount Deposit:
Permit Fea:
Surchurge:
Miac. Chorypes:
Totol: '
Dote Paid:
CITY OF EAGAN
3830 Pilot Knob Road SEWER SBtYECE PERMtT
P. O. Box 271-39 PERMIT NO.:
Eagan, MN 55721 pATE; -
2aninp: No. of (lnits:
Owrwr. -
Address:
Slte /lddroxs: _ - ?
Plumber.
;... ,._. -
1 qM h eeMPlY wil6 !w Ciep oi Isgo¦ Connsct(on Charoe;
OeJiNnai. AccoLint D"wt.
Permif Foe:
Surcharpe:
BY Mise. Chorpes;
Date of Insp.: Totol:
Insp.: Dote Paid:
?
WATER SERVICE PERM
PERMI7 NO.:
DATE:
. No, of Units:
CITY OF EAGAN No 106 4 2
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
?
PNOP?E: 4548100 3C.
BUILDING PIRMIT
eeceiPt , ?
ij ?'
?
Te M ww 1er SF DWG/GAR est, yalue +598, 000 Date JULY 23 I y 85
SiteAddrexi 2196 SAMES ST Erect ? Ocwpancy R
Lot 2 Block 6 ceclSuh. OAK CLIFF Remodel ? Zoning Rl
Percel No Repair ? Type of Conrt. V
. Addition ? No. Stories
Name Move ?
RUSCON HOMES INC D
li
h ? Length 52
Z
qddms emo
s
14530 PENNOCK AVE I
tI
? oepth 39
? n
mpr. sq.Ft.
City A.V. Phone 432-1433 instal ?
o Appovab
SAME Foes
, Name _
=u
$? Addreaa
? CitV Phone
?W I Ne,,,e MARK NAGEL/PROSE ENGR
_? q?,?, 14530 PENNOCK AVE
iW Citv A.V. Phone 432-2044
I hereby acknowiedga thoT I Mve read this application and stote that
tha inlormotion is correcf and ogree fo comply with oll appticable
StaM of Minnezoto $tnfutes ond Ciry of Eoqan Ordinon4es.
Siqrwturo of PermiMea
A Buildinq Permir is issuad ro: nUZM-vI2NI nuriI?5
all work shall be done in occordanee wi?al a Rable StoM
Build{np OfHcial _ l ?, ?'?
Assessment _
Water 8 Sew.
Polica -
Firo
Enp.
%onror _
Council
BIdg.Off. 7/23/85
APC
Var. Date
Permit
Surcnarge 49, 00
Plan Review 213 _ 5 Q
SAC 525.00
waterconn 500.00
waterMeter 63.00
RoadUnit 2$0.00
TcPI. 132.00
Parks
Copies -r? O
' Total
_ on Me exprcn condfflon tMt
und Ciry o5 Eapan Ordlrances
is request void Ll'? ?.f
n ths fram ? U
?t1545 1 L a ,6
quest Date Fire
r L/rf -
?7a6 ??r
G C'_'t
--- IE]fleady Nuw &OJiil Nntify Inspec-
?NO tor When Reatly
[ErLicensetl EIeC[rical Contrac[or . I hereby repues[ insDaction oi ebove
? Owner alectrical work instelled aC
S[ree[ Address, Box or Route No. City
a / 9&
ection o. Townshi Name or No. RanBe No: County
OccupantlPBIN ' Phone No.
IW - ??33
Power Suppliar Adtd
re
f§?s
,
?
Electrical Convacmr ICompany Namel . nMrar,tor?s Liccnse No.
? •
4
MailinB Addres
C. [ractor or Owner Making nstailationl
3?7
Authorized at ontraclw Owner Making Ins Ilalion) Phone Number
- S/9P
MINNESOTq STATE aRO OF ELECTflICITY THIS INSPECTION NEQUEST WILL NOT
Grigga-Midwey 81A .- Hoom N-191 BE ACCEPTEO 8Y THE STATE BOAXD
1821 University Ave., St. Peul, MN 55104 UNLESS PflOPEN INSPECTION FEE IS
Phana (612) 297-2117 ENCLOSED.
,J CL( ) I? REQUEST FOR ELECTRICAL INSPECTION es-oooai-oa
/ See instructians for comoletine this form on Oeek o1 vellow copy. ?
p X'" Below Work Covered by This Request "??? IY SJ
Add Nep. TVPe oi Builtlinp APOluancea WiraA Equipment WireA
Home Range Temporary Service _
Duplex Water Hea[er ' Lightiny Fixtures
Apt. Building Dryer Electric Heatin
Commercial 81dy. Fumace Silo Unloader
Industrial 81dg. Air Conditioner 8ulk Milk Tenk
F3fm Other peci y - Other ISPecifvl
t e,r Sucei y thcr Oth.r
Compute lnspection Fee Below p Fee ServiceEntrencaSize ti Fee Faetlers/Subfeeders k Fee Circuits
1
AP)
0 to 200 Am s
0 to 30 qm s
2
0 to 30 Anws
Above 200 Amps 31 to 100 Amps 31 to 100'Am s
Swimming Pool Above 100_Amns Above 100_AmPs
Transiormers Irrigation Booms ?!Q Partiab'Other Fee
Signs Special Inspec[ion
$
?
TO7AL FEE ?
Remxrks
qough'in - 1e ? ,the E1e`?rical
Inspector, hereby
certify thet tM1g nbove
Final ? ? ?? ?
? apection has been
msda.
Thle request valG 18 monllia irom
6g 3qS
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
# 1V°._
Date44 l?/? /?,.? p? ?l
Site Street Address ? O?.7 r'(i?J ?d1 • Unit #
Property Owner Vo-+ , o IJWn Telephone #{((fj? )U 1y' ??
Contractor Telephone # (6651) 43-1? LILl
Address `-t / -IV/, City State-LL Zip ?u
The Applicant is: _ Owner ?TCpntractor _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_ Water Tumaround (add $125.00 if a 5/8" meter is required)
Other:
WaterSoftener VWaterHeater
_ new ?replacement ' $ 75.00
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ 65D
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved
y- a4I t?:a,I b _?Ct
pplicanYs Printed Name Applica
H1 d T E
APR 0 6 2005
,;4
.
706
?
1985 BUILDING PERlIIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS HUST BE LICENSED WITH ?HE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
m
To Be Used For • r??• ?l,X',fF]QW Valuation:Date:
Site Address;
Lot: ? Block _ lp Sect/SubOAy- nlja?
Parcel It
Owner I?AU?D)V-bL,
Address
City/Zip Code
OFFICE USE ONLY
Erect ?
Remodel _
ftepair ?
Addition
Move _
Demolish _
Int.Impr. ?
Install _
Occupancy (Z-3
Zoning 12-I
Type of Const ?-
# of Stories
Length 15Z
Depth 39
Sq Ft
Phane 4?P-Z,5lq APPROV9LS FEES
?r,
Cantractor '2)=,CCAJ ??,f ? Assessments Permit
;
? Water/Sewer ? Surcharge
?? j?jp?? ? V
Address 1 6 Police Plan Review
Fire SAC
City/Zip Code ?"jj?7 Engr Water Conn
Planner Water Meter
Phone Couneil Road Unit
Bldg Off Treatment P1
Arch./Engr. A17Y GH .?? F P, APC Parks
Address 1#yy)E/-46+j?yr Variance Copies
TOTAL
? '
City/Zip Code A--4 1GU kp, A Y^. ? 563!S1
Phone # ze>OlSl
d ,_ .
4z-7 • °°
°-
2 13. S?
SzS.p
SOO. -"
ue
132. -
ai,fli. 5 6
?0 4 x s? ?4- 272 5?
2? x,3 ` 3 42 ? q? ? 12?aZ
2? x Z? Z4- x tl "?8?4
13 X 32
9-758
17 ??U
,.. ,
' .,. u K+ ". . ..:...? t . ' . . , . ? ' . .. '
'Qr_ -?•' \. . .. ... . . ' . . . ? ? . '
: ----- EXTERIUR ENVEL?AE RYERAGE "U° COMPUTATION
. , ., ; . . r; i. : .. . '? , , • . . ':- . . . . ' . - ? -
. OWNER •;. . ? . . ? : • >,, .:.: .
,. ,
SITE AUDRESS .:? - r1 ?_ z..:.a r_? ,' ++ ''' t -. ?..r,F• . ..
<
1..?.?'.t rr.. ,.,., ? _, ., • .... :???.., - ,.. '.... ? . -,?:.. . f S,,•. : .,'i';. ? .
' CONTRACTOR t1bTM.i6' DATE• PHDNE•LL?l3Z-L,33 ?
... . ., . . . .
.. • . •; • ^,. 1 :• . . .
,.. • ,?
"-'" . •? Determine working square footage of each.
1. ToEal exposed wall area ......sq. ft.
2. Total rooflceiling area .... ?(0 ) j2 sq. ft,..x•oZ6
., ? • . .
. '[otal expased walT area above floar = Z?-7
a. Total
...:........
wall w9ndow area ...............
b,`. Total
....
door area .............................
-
c.",' Total sliding glass doorar2a .................... 7
'• d:`
e.: Total
Total fireplace wall area ..................:..... -?'
.... / . ,
wall.framing area (average 10,"0).........
f.' Total net'wall area above floor ................. 1?0 ?2 7 Z 6o
g. Total
....
rim joist area
........................
• Total exposed foundatian area = l/Z ,4 . ?
: h. Total foundativn window area .....................
" i. Toal net foundatian area abvve grade ............ ,
Uetermine "U" value of each wall segmant.
?.}:; •
a, ? nUn • 33
b ? X ,iuit .13 = ?
c. ? x lluis
.
=
, d, X JIU61 ? a ---
rluio
.
, ''; z _ f
57 ?4 x kluit
??
4
6 .
Q
.()
3
g• 7i?5??3 g Hu„ ?d4 a ?CL(117
h. X ??U?? • ?:, _ .r
x „u„ _ _7,57
, 4. .
" 3.
...
..... .
• ..........
. ' •.....•...7ota1 =
F
79=
I ,
-
. ?
If item 03 is the sanw as, or less than item #1, you have met tne intent
;:.of`56C 6005(c)2. ..
I
r
/ 1.., •
!
...,; , .... • .;.
7otal exposed ronf/ce9ling area = ' /?L(.o ' ? , ,. •
,. ,
Total gcoss roof/celling area.=. '? ., . ;ToCal skylight area .................
k:,.7otal roof/ceiling framing area ............
1(Y?.B
1.`Total net insulated roof/ceiling area..:.... -7 y . .
.., .
,~_... ? Uetermine "U" value for each roof/ceiling segment.
,. ,. . _._ ..???? . .
t.. .• ;•• i'g • x "U" "l:'J' ' .
` 4 :?i:. . .. ' ' .. .. . . ?
. k. /OD,R g „u„ oZA' = 7- ,4z u+?N•..o,iz.ai',usL"- ovea..
.
1. 907- z X „u,, ?z . e ,1F3.1? .rz,sb ,?•? 3.?? ..
.;'4 ..................................Totd1
" If total of #4 is the same as, or less than #2, you'have met the intent of, `. SBC G006i01. . . . . . . . . • , • .
?• .
Ta utlltzed the total envelope system method, the values.established by the
• sum of items #3 and 14 shall not be greater than the sum of itens 91 and 12.
.
• ?. '.??/Z •dZ + 2• 7?D,?Z+ ° 7i ICJ .44
L
l
. 3._19?5 + 4.I1V.-. 0 7-19: -
PFWOBE ?
ENGINEE?iING `PLpNNEpS °nd?IAND S?UBYEYORS
JAMES S7REET
COMPANY, IidC. ?
1000 E115T 1461h STREET, BUANSVILLE, IAINNE507A 55337 PH 432'3000
Cer?i}'i cczif aS't.P-?w e?
Z6
Lgaal .Iae.fcr4-82foss: LpT 2, Bt_ocK 6, OAK CLIFF,
DAKOTA CQU?.;TY, MINNESDTA _,?--
nr o R7 H
ScAi.E : t"= 30'
?ra.o
I
I
?I
r9Vo_o pENOTES E1(!57/N6
Ec E VA i toN
Z
( 96a.01 ??1.l?T?j PROf'CSc?
LLEVL1110N ? ?
w
? tn
-?-- INCi ca 74E5 P/RL-C, i0L ^F w°o
SURFACE ORAiN?bC ?
,
?
Ct_EVq1 toN = 96i,5
DRAINA,Gc ANp ,i-
U711.j-1' EqS EME,VT
.00
?RA,?F
6?0K /Z P.as6 75
J
? ? Z8.00
o ? RtopcsED - ,-??
?J NouSE o
52 • Oo
? 59`c.
or,z)
I i =
1'1 0
1 °
? - ?
w ?
I c v.i
o ?
I ? Lr?oxo} - ?' I
?p' I 5
LOT 2_ ?.
-? -- -
72.8? 90.00
89' 49' 04" E
?
?-- ? v
? 4,ty
9LG.z)
2 hereby carLity that thia ia a trve and correct repreaent:lion ot a traet ot
land as sho+m'and deacribed hereon.. Aa prepared by me on thia Rra dar ot
19 g .
m°I
89° 4$' 04" W
e777/
58,3) -- - - - ? 957.9?
30' FROM' RUILD1ilIC-
SETGACK LINE ? J0 J?1?? , .?'.!« a L1
Ninn. Ite;. No, leoer!'
ri
2/4d
CITY OF EAGAN
APPLICATION FOR PERMIT
SEiVER AND/OR G4ATER CONNECTIODT
1) PF,OPERTY ApDRFSS:
r.FraI, DFS=PTIC;1:
uEuS-=:G STRL'CP":2E, DAT?' 0= ORIGPidAL ctiILDL'';G P=--:•ST ISSU2,.NCz':
P4?S"^. ".^•II•!:/F:•?)tCS? LS;: 11 R-1 SD1GLE rP?MSLY
? R-2 DUPL,E.Y ('ISN'p UDIITS )
? R-3 TGtv'MOi.'SE ('PHRF"' + UNITS) ( Wi ITS)
? R-4 RpAR'IP^a:T/COrIDQ?LPiIITjrq ( Wi ITS)
? CCMMEE2CIAL/RETAII,/0FFICE
? niTJUSTRTAL
p INSTITUTIONAL/GOVERM,11Tr
2) AppI,ICa?'T (PLEASE PRiHi)
NAhfE; Ruscon Homes, Inc.
ADDRE55: 14530 Pennock Ave.
CTTY, STATE, ZIP: Apple Vallev MN. 55124
PHOLNE: ?.32-1433
3) pj,umgEp PLEASE PH1NT)
NFME: Star Plumbing
ADDRESS: 1018 Mound Springs Ter.
CITY, STATE, ZIP: Bloomington, MN 5}420 .
- PHOiVE: $$I{_41 PLpMBER LICENSE N 3329M
a) oCCcm?vr/aqLrm
NAhE:
Fwnriess:
CZTY, STATE, ZIP:
Patxr
PHC):E: ?- Qi7
FOR CITY USE ONLY
PWHBERS_LICENSE:
d? Active
? Ezpired
?
(Q o ecord
-t arr, nitia ="-
5) INpICATE WHIC[i PEPMIT IS BEIM REQUESTID:
El COmECLION 'Ib CITY SEYJEEt
? CO"ID1DCi'IG.I 'IO CITY WATETt
? dPf+.II2 (PLCASE DESCRIAE)
6) INUIG,::; 0:E:
? PL;aSE f?OLD APPROVID PERMIT FOR PICF:-UP BY ONE OF ABCTIE
°LF.aSE ?TAiL PRC7l7ID pER?LIT 'In 1, 2,3 4 AEIJJE
e A n (C1TC1@OriE)
7) SICZATC'ZE: DATE:
?wai?4N4W+fiai.a00 .ewLN? raar? . . . .... . . . .,,?.._-- ??
•. ?i?aa? i?ai s r:sa:a ra a?,.e?rJE:r?? ? a? ss ?:s.?? w
F 0 R C I T Y U S E O N L Y
PEMMIT °-. ISSOGp
?U SG
F°ES: $
$ ??/ SU
$
S
$-
$
$
( ? "U
$
S
$
S
$
SE:^:E.°, LnEaMlT (I:ICU,:D: SUP.CHARCE)
WATER PERP1IT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATEP, TAP (ZNCLUDE CORPORATION STOP)
SESOER TAn
ACCOUNT DEPOSIT - SEWER
ACCOUNT DEPOSIT - WATER
WAC
SAC
T4UNK IdATE.°. ASSESSP4ENT
TRUNK SE64ER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL SENEFIT/TRUNK WATER
OTHER
S
s-c>
TOTAL
AMOUNT PAID/RECEIPT #
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
[?] YES IF YES, THEN A"PERMZT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
? NO ENGINVERING DIVISION. LIST AS A CONDI-
?? TION. . ..
SUBJECT TO TFIE FOLLO:JING CONDITIONS:
APPROVED BY:
TITLE:
DATE :
-7 oLi H ?
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
New Construcllon Reauiremenis RemodeUReoair Reauirements Office lJSe(Onlv
3 regislered site surveys shaxing sq. R. of lot, sq. R of house; and all roofed a2as 2 copies of plan Ced of Survey Rectl r Y_ N
(20% maximum lot coverage allowed) 1 set of Eoergy Calculations for heatad adtlitions Tree Pres Plan Recd _ Y_ N,
2 copies uf plan showing beam & wintlow sizes; pou2d found desgn, etc. 1 site survey for additions & decks Tree Pres Required _Y _N
isetofEnergyCalculations Addrtron-indicatei/onsdesepbcsystem On-slteSeptic5ystem _Y _N
3 copies of Tree Preservalion Plan if lof platted after 711193
Rim Joist petail Options selection sheet (buiidings with 3 or less units)
?
?ate ?/ OS
Site Address ?? ?(,v -
si- W
Construction Cos[ ? fc' CJl?
Unit/S[e #
Description of Work
Multi-Family Bldg _ Y _ Fireplace(s) _ 0 _ 1 _ 2
Property Owner :11?1 Telephoue # t?;> 54
Contractor
Address r?.s
State City
Zip S Telephooe #(,?oNj) cLj'f -/??3G?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Ene?gy Code Category . Residential Ventilation Category t Workshaet • New Energy Code Worksheel
(4 submission type) Submitted Submitted
• Energy Envelope Calculalions Submitted
-7b.oo
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone #(
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
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 annr,? plfryn in the case of work which requires a review and
approval of plans.
,- ?, --:T,) ,c{??n?,/? ?-?
ApplicanYs Printed Name Applicant's
-J?qQ\
; PERMl7 APPL1CATlON
2008 RESIDENTiA CI?'TY O?E? AAiV
3830 PILOT KNOB f20AD, EAGAN MN 55122
551-675-5675
Piease complete for modifications to exisiing residential dwellings.
4 15-W
Date T ! ?s)- I _A( e
o:.., c+.oat Arirlres<
llnit #
Property Owner
__-._-__--_ , ? 1 ? n - ? - • -
Contractor
Address
City
Telephone # wi ) '
7etephone #
State"_ Zipqmm
Other
The Applicant is: _ Owner Contractor _ _
Septic System _ New _ Refur6ished Submit 2 sets of pians and MPC license Include$ C fee
00. O
_ ,_ e ,nnn
Alterations to existing dweiling
Add plumbing fixtures. This fee lndudes instailation of a water softener andlor water
heater at tne same time. ff you are instafling onl a water softener and/or wafer
heaier, do not compiete this section; move to the next section and check the
appliance(s) you are fnstalling, ? ? ? ? ? ?n c ?I
p c?
Septic System Abandonment
MF ?r.
WaterTurnaround (add $130.00 if a 518" meter )s requ+red) 5EP p t
I
OYher:
$ 50.00
I
lWaterSoftener _WaterHeater $ 15.00
new A replacement
7 ew _repair _sebuild 730.00
Lawn Irrigation _ RPZ -PVS -n ?- - -
$ 50
State Surcharge
Total 1 hereby appty for a Residential Plumbing Permii and acknowledge cnat the mformation ?s complete and accurate that the
work will be in conformance wiih the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but oniy an application for a permit, work is not Yo start without a permit and work wili be In
accor,dance with tne approved plan in the ev2nt a plan is required t be reviewed nd approved.
Apalicant's Print?1 ApplicanYs Signature
r---________.____--
For Office Use
• I Deq I
City Ol Ea~aPermit I Permit Fee: 3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 ( I
Fax: (651) 675-5694 I Staff: t
2009 RESIDENTIAL BUILDING PW MIT APPLICATION
Dater ' O I'Site Address: l -,j !d
Tenant: Suite
RESIDENT/OWNER Name: Ajalle ~ U Phone:
!mil Sf~J'~/ L
Address /City / Zip: / a dYYl,~2y G Fez
Applicant is: Owner 4f--'-'C`ontractor cy~
TYPE OF WORK Description of work:
Construction Cost: Multi-Family Building: (Yes No
CONTRACTOR Name: G y¢ ,,ra i+ License d G 7 10
Address: l '70 ! ! 3 0W
City: reC4 P
State: )AV Zip:
Phone: h/a -7~J~ Kontact Person: 1C a k, ( yCr I,, 1~61t
COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW BUILDING
Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
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: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons hat would permit the City to
conclude that the are trade secrets.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the o dinances 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 to sta ' ho 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,.{i ns.
X AlicanVs f x
ApPrinted Name Applican ignature
Page 1 of 3
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - -
I For Office Use I
City of Ea ~n Permit#: E I G~v~,(IJ I
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 1 I I
i
Fax: (651) 675-5694 ? Staff:
2011 }~.ESSRIE
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: DPI: M 44fc1A A etp k Phone:
li•~/-
RESIDENT /
OWNER Address/ City/ Zip: dl fli~ k/frr ~t J S 71* ,r it C1
Applicant is: Owner Contractor
dt l
TYPE OF WORK Description of work: 13,k t 1t /2 4 iot
Construction Crost: O O Multi-Family Building: (Yes / N )
Company: fC G S® ~.~t N s CO44 r Contact: -O~,S -~1
CONTRACTOR Address: 799-f l0 701 / 3 t y ^1A `S City:
State: Zip: .S` Phone: 4e7ll4 ^.~'d/ " ~al s~•~'~
License #:a 03,4 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade 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 eonecall.or
I hereby acknowledge that this information is complete and accurate; that the work (proval in conformance witt the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permiwork is not to star ithout a permit; that the work will be in
accord with the approved plane in the case of work which requires a review and of plans.
X 10 A eA
Applicant's Printed Name App ,cant's Signature
Page 1 of 3
DON WRITE
NOT BELOW THIS LINE
$IJB TYPES
Foundation _ Fireplace _ Porch (3-Season) Storm Damage
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of Plex Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES _4 aprz
New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition teMoj!!,., ~77 SAC Units
(25% 100%) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Math -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: Footings _ Backfill Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC ' Voo
Utility Connection Charge b
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
For Office- Use 1
I /
~0~[O
City of Ea afl ; Permit
4ipll~ I
I bI
I Permit Fee: d 1
3830 Pilot Knob Road 1 1
Eagan MN 55122 1 Date Received:
Phone: (651) 675-5675 j 1
I
Fax: (651) 675-5694 I Staff:
2//011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: ~7=& Site Address: L~7, hiQ.~ ~
Tenant: Suite
RESIDENT / OWNER Name:
N Phone:
Address / City / Zip:
CONTRACTOR Name: O Licen 0
_ y.
Address: N ~
'e Cit . d
State: Zip: _ Phone: ,L - ~ - ? A~
Contact: Email: i
TYPE OF WORK -New _ Replacement epair Rebuild _ Modify ace - Work in R.O.W.
15, f
Description of work:
Af o
PERMIT TYPE RESIDENTIAL
Water Softener
Water Heater
Lawn Irrigation RPZ PVB) Add Plumbing Fixtures Main Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
"Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
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.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in co formance with th i nces and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and wo snot to start o permit; that the work will be in
plan in the case of work which requires a review and approva plans.
accor c with the appr;e4
X 'e C Pit
/ x
Applicant's Printed Name A is is Si ature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Use BLUE or BLACK Ink
r-----------------
I For Office Use
Permit 2J
Ila
City of EaE
d
Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
I I
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff: I
I I
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit M
Name: D 1 VU S , Phone:6S / -2Y~
RESIDENT !
OWNER Address / City / Zip: 2 GI 44
Applicant is: Owner Contractor k-0 fie, r
Description of work: d k4 e- liy€ t9 LV S -f- S G( bt ✓op f ~l
TYPE OF WORKS
Construction Cost: Multi-Family Building: (Yes / No
~enndC~ ti
Company: (2 G S ati t C v. f Contact: D
CONTRACTOR Address: 1~7~% / s 1r1 City: C!~ e /
State: //?/t/ Zip: Phone: (e 9d J
License Lg .3 7 / Lead Certificate
If the project is exempt from lead certification, please explain why: (spe Page 3 for additional information)
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: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
1 conclude that they are trade 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.gopherstateonecall.org
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 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 plan
Exterior work authorized by a building permit issued in accordance with the Minn 21cant's uil ng Code must leted within 180
days of permit issuance.
x S~~-
Applicant's Printed Name nature
Pa ge 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA130649
Date Issued:05/06/2015
Permit Category:ePermit
Site Address: 2196 James St
Lot:2 Block: 6 Addition: Oak Cliff
PID:10-53550-06-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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: 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 -
Daniel C Dixon Sr
2196 James St
Eagan MN 55122
(651) 894-5553
Scherer Brothers Lumber Company
9401 73rd Ave. N
Suite 400
Brooklyn Park MN 55428
(952) 277-1600
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA138550
Date Issued:09/02/2016
Permit Category:ePermit
Site Address: 2196 James St
Lot:2 Block: 6 Addition: Oak Cliff
PID:10-53550-06-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Daniel C Dixon Sr
2196 James St
Eagan MN 55122
(651) 894-5553
Twin City Pipeworks Inc
5230 Jamaca Blvd N
Lake Elmo MN 55042
(651) 247-4495
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA139174
Date Issued:10/12/2016
Permit Category:ePermit
Site Address: 2196 James St
Lot:2 Block: 6 Addition: Oak Cliff
PID:10-53550-06-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Daniel C Dixon Sr
2196 James St
Eagan MN 55122
(651) 894-5553
Wenzel Heating & Air Conditioning
4145 Old Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature
r For Office Use
I'v
Permit#: 747
•_.. EAGAN
5 2019 �J
p,UG 1 Permit Fee: f i7,
1to,
Date Received: 4 11
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
11)
buildinoinspections aC�.citvofeagan.com (1,-
L04 R-��9
g
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 15 0}t eiSite Address: a , A 1 Unit#:
Name: 10Q,if\ Q\)( \ Phone: CS\—t' '/ OI.J`1 q
Resident/
Owner Address/City/Zip: a\etJ(W i\ m 55\ad
Applicant is: X Owner Contractor
Type of Work Description of work: \LkI x 1 1 \)1_)C
Construction Cost: 4_1Z41Multi-Family Building:(Yes / ►• ) _
Company: SYM + ! .A, . L ontact: S) Li 4, i Y-rukin
I�
Contractor Address: • - City: F611\ziwuk-k--
State: ip: t k Phone: • _calm'
l
Li. :nee* Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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. Phone:
Mechanical Contractor. Phone:
Sewer&Water Contractor Phone:
Fire Suppression Contractor. Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
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.citvofeaoan.com/subscribe.
Exterior work authorized by a building permit issued in acconlance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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 , fans.• r'
r
x *DAN' � . .xo A) x '6 /..P7Z1
Applicant's Printed Name Applicant's Sig ature
. r 0217 (0 Sf- a 7 t7
DO NOT WRITE BELOW THIS LINE
SUB TYPES
— Foundation _ Fireplace _ Porch(3-Season) ____ Exterior Alteration(Single Family)
— Single Family _ Garage ! Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi Deck — Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of Plex Lower Level Pool Accessory Building
WORK TYPES
tO_ New _ Interior improvement ___. Siding __._ Demolish Building*
_ Addition — Move Building , Reroof — Demolish Interior
— Alteration — Fire Repair _ Windows — Demolish Foundation
— Replace _ Repair ____ Egress Window — Water Damage
—
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation 4 Z q YV• — Occupancy -TLC- l MCES System
Plan Review Code Edition 104 20 i c SAC Units
(25% 100%?) Zoning P) City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length /`f Fire Suppression Required
Type of Construction v3 Width /et
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
,o Footings(Deck) Final I C.O. Required
Footings(Addition) t Final I No C.O.Required
Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test Hood
Roof: Ice&Water Final Pool: Footings Air/Gas Tests Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFIS
Insulation Windows
—
Sheathing Retaining Wall: Footings Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In Final
—
Braced Walls Erosion Control
—
Shower Pan Other:
Reviewed By: Tv ✓? IC ty/9. , Building inspector
RESIDENTIAL FEES
Base Fee
Surcharge OS 6:00 51 '
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3