2243 James St
Use BLUE or BLACK Ink
r"'-'-'----'---------'--
For Office lJse
Permit ~9 /z/ _
non
City of Ea
V I Permit Fee: I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax; (651) 675-5694 I Staff:
L -----------------I
INFLOW INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date: Ste A dress:
Tenant: ~ ~
'UCT Suite
r
Name:
RESIDENT / OWNER --~J - Phone:
Address/ City/ Zip: zY 4=
Name: License M
CONTRACTOR Address: City:
State: Zip: Phone:
Contact: Email:
PLUMBING (Within the building envelope) SEWER $ WATER (Outside the building envelope)
TYPE OF WORK Sump Pump Repair
Repair
Other: Other:
Description of work: cFEES
$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,cityofeagan,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.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 appI' ion for a permit, and w5rk i not to start without a
permit; th iwork wi I be in accordancewith the approved plan in the case of work hich requires a review and pproval of plans.
xU~ U C~i
Applic nt's Printed ame ppii s Signature
FOR FFICE USE Reviewed By: Dat
Required Inspections: -Under Ground -Rough-In -Final
CITY OF EAGAN Remarks- 7?-
Addi*.ion QA{',,I,,IPF ??]T] Lot 6 Blk I Pa40 53551 060 Ol
Owner Street - .2State ? , M 55122
? v 31i?r?cs 17
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURf. 181 12. 1.2 1
STREET RESTOR.
GRADING
5AN 5EW TRUNK 1973 118.79 7.92 15
SEWER LATERAL
WATERMAIN
WATER LATERAL 181 11.1 1.11 1
WATER AREA $2 184.07 12.2 1
.
STORM SEW TRK 1 20.00 20
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
@+-+r:?r?•.. _. .. . . . . .,. , , , '-?•!^•?R'?wlR"wwewn'"•?.c,..,?...rr.- - . . ,. T.7? ,
r. _
CITY OF EAGAN ?a 17142
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
? PHONE:454-8100 BUILDING PERMIT Receipt #
To be at>ed for 3"sEASOIQ PORC" Est. value $9+000 Date SEP 25 19$9
Site Address.1 Z243 .iAl4E5 5'[
Lot 6 Block 1 Sec/Sub. OAK CLipF ZND
OFFICE USE ONLY
P3fCel N0. Occupancy - FEES
W
Name ?JGI?1S 6 LISA HULTBERG Zoning
(Actual) Const
- Bldg. Permit
10$.00
? Address 2243 `jMSES ST (Allowable) - a.50
o Surcharge
City ?? Phone 726-7436 # or stories ?
? Plan Review
Name s?? Length
Depth SAG City
ZF
?
O Address S.F. Total -
U
?
City Phone
S.F. Foolp(ints SAC, MCWCC
-
?
Water Conn
r On Site Sewage _ !
? W Name On Site Well - water Meter ?
_ a AddfeSS MWCC System -
¢ =
a W
City PhOne
Ciry Water ACCt. Deposit
_
S/
t
P
PRV Required W
ermi
_
I hereby acknowlege that I have read this application and state that the
information is correct and agree to comply with all applicable State of Boaster Pump - g,W Surcharge
Minnesota Statutes and City ol Eagan Ordinances. Treatment PI
Signature of Permitee APPROVALS Road Unit
A euilding Permit is issued ta: DOUG1.AS OR LISA HULTBERG
on the express condition that all work shall be done in accordance with ali
applicable State of Minnesota Statutes and City ot Eagan Ordinances.
Building Official ' % Planner
Council
Bldg. Olf.
Variance - park Ded.
_
_ Copies
- TOTAL
3.00
115.50
? PermH No. Permit Ho1de? Date Telephorre #
WATER
f
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
?
rjSJ
Inspection Date Insp. Comments
Footings I ?
Foundation
Framing re/n ? ?
Ropfirg
Rough Plbg.
R.* Ht9•
Isul.
Fireplace
Fnai Htg.
Final Plbg.
Const. Meler Plbg. Inspector - Notify Plumber
Engr./Plan
Bldg. Final
Deck Ffg.
Deck Final
Well
Pr. Disp.
? ? ,??? . L ?•¢h,y ciTr oF EAGaN 12 ? ? '-?
' ?•-°_.. , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ?
'
BUIL4ING PERMIT Receipt #
Tobe usedior '.?•'' J:i::?GAW Est Value +'108, GC1o Date ,7L]LY 1?? ..;?
,19
5ite Address 2243 jAPdES ST Erect El Occupancy a3
Lot_ Blxk 1 Sec/Sub. v?r? CLIFP 2ND Remodei ? Zonina R i
Parcel No. Repair ? Type of Const V.ii
Addition ? No. Stories
a Name -'Ur7SFiI:'E CO?1S'I.'RT?(;, Move ? Length 50
= 5985 12 5 TH ST W Demolish O Depth 2 fi-
31 o Address Int. Impr. ? Sq. Ft
Ciry _li_ V_ Phone 431-2200 Install ?
o Name SAi Approva ls Fees
? i Address Assessment Permit a . 0 U I
~ City Phone Water & Sew.
P
li Surcharge '??
?' 50
Pl
R
i
? ¢
? W Name , t %, ` .: ? - r r.?• o
ce ' an
ev
ew
?O o
Fire SAC
_z Aaaress :??zr?o
u n
Eng. 5 .04
Water Conn.
g? City R'.: ,Ti. Phone 884-3t)29
Planner ?.5?
Water Meter
I hereby acknowledge that I have read this application and state that the Council
Bld
Off?? Road Unit ?' 0
?5 • 0 0
Tr
PI
information is correct and agree to comply with all applicable State of g. .
.
Minnesota 5tatutes and City of Eagan Ordinances. APC Parks
Si
nature of Per
itt Var. Date Copie
j
e U
g
m
ee ,.. ,
t,
Total
A Building Permit is issued to: on the express condidon that
all work shall be done in accordance with all applicable State of AAinnesot a Statutes and City of Eagan Ordinances.
Building Official
?
!
I
PermR No. PWmk Hoider Dde TNphoW k
PIumWn9
0
H.V.A.C.
; M.dric C14,,3pf 9
? sanenw
i
?
ImpeCNon DaN losp. Commenb
Footlnys l 7
a
Footlnys 11
Foundsdon
Framin9
Rooliny
Rouyh Pibp.
Rouyh Htq. - 94,
Insul. ?
Firaplace ' 4LlS 4?„fsi?•.? --- 7- g'7 ?•
FMaI Mt9• TtG-
Finel Plbp.
BIdy.FInN 7_4-g7
Gri. Oee. O'6e? - /
Dack Ft9• C.ge, /-074
Deck Frmy. 7?t ? G~ ?• C' c-r? Z
WNI ibe ?tlon:
? P?. ?. G?.?-? G- ? =8?- ?
?I
?
?
V7
?_`I/?/??/?_•? ? ?°???_/-) ,I
L ??? ' ?L"? V? 1??? ? ? WY
7
' • MECHANICAL PERMIT
CITY OF EAGAN
' 3830 PILOT KNOB ROAD, EAGAN, MN 55121
ONTRACT PRICE: PHONE: 454-8100
PERMIT #
RECEIPT #
DATE: ?_?6 g6
otBlock ? Sec/Sub
V
Name CWTIJV6- Res.
Mult
;g Address ? ? /ZCsST ADL? FJ? Comm.
? CiytDEN Phoney? -O S?9 Other
m
c
3
O
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
M BTU
M BTU
M BTU
M BTU
T_ CFM
FEE
S/C:
TOTAL•
WORK DESCRIPTION
New
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU • - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
6" a 'L! r? ?J
SIGNATURE OF PERMITTEE
FOR: CfTY OF EAGAN
i
. ' ? •
3830 PILOT
_ PERMIT # .. S ??
PLUMBING PdiMR RECEIPT # 5?3 ;>
CITY OF EAGAN /
KNOB ROAD, EAGAN, MN 55121 DATE
PMONE 454-8100
WORK DESCRIPTION
m Name
?o Addre
c Ciiy _
? Name
3 Addre
p CitY -
MINIMUM - COMM/IND FEE
STATE SURCHARGE PER PERMIT
(ADD $.50 SIC IF PERMIT PRICE GOES
BEYOND $1,000.00)
20.00
.50
1 I (
SIGNATURE OF PEHMITTEE
FOR: CITY OF EAGAN
"R @S. NBW z
Mult Add-on
Comm. Repair
Other
FIXTURES TOTAL
Water Closet - $3.00
F? ?
Bath Tubs - $3.00
:
l
Z Lavatory - $3-00 1
Shower - $3.00
/ Kitchen Sink - $3.00 -
Uri idet - $3.00 ,
undry Tray - $3.00 _
- Floor Drains - $1.50
/ Water Hester - $1.50
Whirlpool - $3.00
- Gas Piping Outlets - $1.50 `
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
7K::Rough Openings - $1.50 -
FEE
STATE S/C: -
GRAND TOTAL: ? ???
CITY OF EACAN WATER SERVICE PNtIWi
3830 Filot Knob Raad
P. 0. Box 21199 PERINIT NO.: .
Eagan, MN 551?,1 DATE:
Zoninp; ? No, of Units:.
r'`----- ,le•-,:>,C: tE ..ORSc..
AMroSS:
SM4 /1dd?lst: • " f ; ' _ . . , . . ,. .
Plurr?ber.
Meftr No.• 3 Ca?nsct ?ya:
Size: 5/T! 1QoaK
._
1 Nrw h a-=Ply wN61w G1y ofA"
Ordbwmam ', __. rel
By ?CG
Dote of I nsp.:
?- v ? rPP
CITY OF EAGAN SEWE SUVICE PERMIT
3830 Pilnt Knob Road P. O. Box 21189 PERMIT NO.:
Engsn, MN 55121 DATE: ,
Zo„dnq; No. of Units:
Owrnr. ' - ' ...
Address: . . •Za % ? 7 _
Site Addross: ; tt•eet
PIUR'IVl/: .."TJ f
64 r
?-;:--' [,F:? .... .
I ym nI .Oir wMb 1iw Q1f? of MMw CorrNCeion Uwrp.:
OrdlNSeN. AcoouM Deposif:
Ponnit FN:
Surehor0e:
gy Mise. Charpas:
Dote ot Insp.: Totol:
Insp.: DoM Pafd:
CITY OF EAGAN
3830 Pilot Knob Road
P. O. Box 21199
Eagan, MN 5512.1
Zonirg:
Owrwr: -= uns h:Lxie tl tc ".: .
llddrssx
5k? /?ddross: 2243 Tae1t _
Plurriber. i? t:, r 1' Lt
Meter No.:
Stu:
ReadN No.:
1Gew fe eewrh? wi& IM Cih of Eapw
O?11M?oM.
By
Dote of Insp.:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
. No. of Units:
_ COflflECtiOfl Cwtiryo:
. /locounR DeDosit: R?-
_ P.miir Fee: . ' ri°.
i-
Surthoroe: , Misc. Chorpm
TotaL• ,.
_ Dote Paid:
- Insp.:
CITY OF EAGAN NO 17102
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 -
PHONE:454-8100 ^ /
BUILDING .°ERMIT Receipt # '
?.. ? ?
6
Tobeusedfor 3-SEASON PORCH Est Value $9>000 Date SEP 25 1989
SiteAddress 2243 JAMES ST
Lot 6_ Block _L Sec/Sub. OAK CLIFF 2ND OFFiCE USE ONLY
Parcel No. occuPancy _ FeEs
Zoning _
w Name nOtrGi n &.iSA H t. B R (ACtual) Cons[ Bldg. Permtl 108.00
Q AddfeSS 7243 .7AMF.S ST (Allowable) -
- 4
50
Surcharge .
City EAAAN Phone 726-7436 #olSbnes _
ib ? Plan Rewew
Lerglh
o Name -SAM Deplh E21 SAC
Cit
,
y
ga Address S.F.rotai -
SAC, MCWCC
? City PhOne S.F. Footpnnts _
Water Conn
On Sne Sewage _
Name on site wan
-
M
W
t
t
0- er
er
a
e
Address MWCC System -
1 City Phone Ciry Water _ AccL Deposrt
VJ P
i
S
PRV Reqwred _ /
erm
t
I hereby acknowlege that I have read Ihis application and slate tha e Booster Pump - SiW Surcharge
mlormation is correct and agree ro compiy with all appli iS(e ate of
Minnasota StaNtes and Cdypt-Ee an yman s. /
l Treatment PI
Signature of Permit APPpOVALS Road Unit
A Bwldmg Permit is issued to: DO L$ OR Planner - Park Ded.
on the ezpress condtlion that all work shall be done in accordance with all Councn
3
00
applicable State of Minnesota Statutes and Gry of Eagan Ortlmances. BIdg.Off -
Copies
.
p
Builtling Oflicial 4
Vanance
-
TOTAL
115.50
CITY OF EAGAN N o 12269
3R70 Pilnf Knnh Rmrl P(1 Flm 91_100 Fnnan MN 55191 -
PHONE: 454-8100
BU ILDING PERMIT ReceiptIf-?(
7obeusedfor ` SF DWG/GAR Est.vaiue $108,000 oate JULY 14 1986
SiteAddress 2243 JAMES ST Erect ? Occupancy R3
Lot 6 elock 1 Sec/Sub.OAK CLIFF 2ND Remodel ? Zoning R1
Parce l No Repair ? Type of Const. AXn _
. Addition ? No. Stories
a SUNSHINE CONSTR UCTION Move ? Length 60
; Name
S98$ 125TH ST W Demolish ? Depth?- `
o Add?ess Int. Impr. ? Sq. Ft
City A.V. phone 431-22 00 Install ?
a
o
Name SAME Approvals Fees
?¢ Address As52SSm2flt Permit $ 453.00
? City Phone Water & Sew. Surcharge 54 . 00
?Q Police PlanReview 226.50
F= Name •TAMF.S R HTT.T. Fire SAC 575•00
Address-8200 HTIMRnT.IIT Eng. WaterCOnn. 500.00
aw city RT.MTN Phone $84-109 9 Planner WaterMeter 63.50
Council
Iherebyacknowledgathatlhavereadthisapplicationandstatethatthe
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Ci is!,E
ag_an pr inance . Bidg.oH. 7/9/86
APC
Var. Date
?
?
Signature of Permi
A Building Permit is issued to: SUNSHINE CONSTRUCTION
all work shall be done in accordance with all applicable StatAo innesota Statu ,
Road Unit 290.00
Tr. PI. 156 . 00
Parks
Copies
rotal $2.318.00
- on the express condition that
of Eagan Ordinances.
Building
?????/gcJ REQUEST FOR ELECTRICAL INSPECTION
? Sea instrucgft for completing tNS brm on back ol yellow copy
P 6 637 6 I 'x" Below Work Covered by This Request
.% EB-00001-07
'" C--1,3 5?
aw Add Rep. TypeofBwlding AppliancesWiretl EquipmentWired
Home Range Tempoiary Service
Duplex Water Heater Elecfric HeaLng
Apt Building Oryer Other (Specity)
Comm./Industrial Furnace
Farm Air Conditioner
Olher (spectly) ConiracrorY Remarks ? h c
y2G ?
Compufe Inspectian Fee 8elow:
# Other Fee # ServiceEntranceSize Fee # Circuits/Feedere Fee
Swimming Pool D to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 700 _ Amps
$i9fIS Inspector§ Use Only. TO ?
Irrigation Booms Q?
Special Inspection \
Alarm/Communication 36 ??
Other Fee
I, the Electrical Inspector, here6y
certify that the a6ove inspection has
been made. Rough-in 11F)
Final
4-7 o? ? 4t
OFFICE USE ONLY ?
This request wid 18 monihs irom
!o -;2 lr " C??f35?5
G? 6 3 6
:
.
Request Dete Fre No. B n Irepeciion
ired7 ? ReeOY No'^' ? WII Nolify Inapedor
? Yes ? No Whan fleady?
10 licensed contractor wner hereby request inspection of above electrical work at:
.bb Atltlrasa (Street, Box or Route No.)
.-:7?43 ??MCS
S4- Ciy
SectiOn No TownsMp Name or No. Range No. Cou
4
?
a
?
Orcu t(PRINT) phone No.
7 N3
Pawe, SupPli ? / Pdtlra ,s>' 99 -S zvG 14
G (
Electriral ConUactor ( pany Name) Comractork Lkense No
/%
SC ??
Mailing ADArew (COniractor or Owner MalunB InsWlletron)
/wtlw' ure c[or er g In Plwne NumEer
fsqy-f zG c-
WNNESIfA STATE BOARO OF ELECTBICITYQ THIS INSPECTION REOUEST WILL NOT
Grigga-Nitlway &tlg. - poom Sfl3 BE ACCEPIED BV THE STATE BOARD
1821 Unlvenlly Ave., St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone(8fY)6q2-0800 ENCLOSED.
;8'=,,?,?g ? 4 o
C 4 3 019 ?"_? 9 s?-
Re.que U te Fire No. Requued7 n e qj3&loo Oqeatly Now ?Will Notrty InsOec-
?
? Yes ?NO 1or When Ready
i
Licensed Electncal Contr»ctor I hereby request inspeclion of ebava
Owner electrical wark inslalled e[:
Street Address, Baz or Route No. C v)
ecuon o. Township Namo or No. NanBe o. Counry
Oc o M(PflINT) Phon No.
we uD0
/ ier Atldress
tncal Comracto ompany Namel C mvacmr' I.icense No.
?? n c e L (
0 s -?
.,
? -
?
MaJing
ddress (Contr tnr or Owner Maki ne Instai uon)
n`75 ? 3 - .5537?
Ma
kmg Ins[allation)
v?l18r
Authonzed atore ILO 1 r/O Phone Number
/
/ )
MINNESOTA STATE BOAXD OF ELECTflICITY THIS INSPECTION PE2UEST WILI NOT
Griggs-Mitlway Bldg. - Noom N•191 BE ACCEPTEO BV THE STATE BOAND
1821 UniversitV Ava., St. Peul. MN 55106 UNLESS PNOPEN INSPECTION FEE IS
Ph... 16121 297-2171 ENC LOSED.
UEST FOR ELECTRICAL INSPECTION EB-OOWi-04
l?f M1 See instruc4an5 for complelirg lhls torm on back of vellow copy.
y I? 1? 01? ?
_?-3 0'? 9 "'X"' Below Work Covered by This Request
HAtl fleD. TyOe af Bwltleng Appliancea WbeE Equioment Wved
Home Range Temporary Service
Duplr.x Wafer Heaier Lighbny Fixtures
Apt. Buildmg Dry¢r Electric Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial BIAg. Av Contlitioner Bulk Milk Tenk
Farm ther peci y rher (SUer.ily)
t er ucafy iher Othur
omnute nspectton Fee Below
k Fae ServmeEniranceSize p Fea Feeders/5abieedera k Fne Gvcurts
5 p0 U to 200 Am s 0 to 30 qm s ? . ? 0 tn 30 Am
Above 200 qmps 37 to 700 qinps a, 3112 lU0 Am s
Swinxning Pool Above 100-Amps Above 100_Amin
Transiormers Irrigation l3ooms Partial,'Oth ee
Signs $pecial Inspection $
TOTA FE
'
Nemarks E? ?
?
J
flouBh-in . y' nte I. the E L
C/' ?•?? Inapecbr, heraby
ce M
rLfy et tha above
Final ie inspection hes Oeen
de.
lrhis reoueet voltl 18 montlis Irom
b
1986 BIIILDIRG PEEtMIIT 9PPL CARION - CITY OF SAGAN
BOTB: 9LL CONTRACIO&S MUST BE LIC6NSSD iiITH THE CITY OF EAGAA
SIIYGLE F9lIILY DWELLI9GS
INCLUD6 2 SETS OE PLANSt 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MQLTIPLfi DWSLLINGS - EESIDENTIAL
INCLUDE 2 SETS OF PLANS, CER
1 SET OF ENERGY CALCULATIONS
COl4ERCIer-
BENTAL ONITS FOR SALS i1NITS
OF SDRPI3Y - CHECg FiITH BLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For•
Site Address
jt&iCCL-? ?'?.'$ . Valuation: /8??'j„ Date: 7
Z243 .3 A.M e!?. -5 r ( OFFICE USE OAiLY
Lot ? Bloek (
Parcel/Sub 6A(c GLr FF ZA--D
Owner _ uu S/-h1u4E (10Ac st,
Address 'Sr76,S fZaT? 57- k-J"
City/Zip Code tt?? /2QPhone 431 2?)
Contractor A /Y1e yQS A W U,
Address
City/23p Code
Phone
Arch.lEngr. =?a,ME-%V> 915-(..
Address e2.?o 'Pu vn 6QLoy' ;
City/Zip Code ?oN+in?CrWK 5,TQ3J
Phone 0 884 302-1
Erect ? Occupaney 9,3
Remodel Zoning ?
_
Repair _ Type of Const -Z-A/
Addition _ # of Stories
Move Length <z-0
_
Demolish
Depth _
?,l?v
_
Int.Impr. Sq Ft
Install
APPROVALS FEES
Assessments Permit 41J 3
Water/Sewer Surcharge ?
Police Plan Reniew Z?o. O
Fire SAC
Engr Water Conn :?;o
Planner
Water Meter ?yy
1'oJ J??
Couneil Road Unit ??D
Bldg Off .f Treatment P1
APC Parks
Variance Copies
TOTAL
HOTE: ADDEESSES EOR CORNER LOTS - CONTRACTOR/HOMEOiiNER MIIST AESIGNATB WHICH ADDRSSS
IS DESIRSD. NO CHANGES WILL BE ALLOHED ONCfi BOILDING PBRMI? IS ISSDED.
Z?vX.?
222('°5 72?/?
??2C?,? 9?X5?3= 5730?
?
?
?,
CITY OF ?ACs??4h?BUILDIN(3 DEPIIRThIL!?T"
?:XTERIOR ENVII,OPE pVERA6E IIU?? COIdPUTATION ?
(To be submitte tvith building permit application)
S?rnt SEFlarG C10 .uS'7
One or Two Family Dwalling Owner
All Other Site Addrese _ 1Z2 41-j . Rryt6-4, ??-
Contractor GJ/IOVr.!lmIP 6jlX'jT Date Z a phone 43i'ZZ00
OF
EXPO ED YALL gt. above grade
TOTAL EXPOSED WALL AREA SQ. FT.
OPAQUE INALL CONSTRUCTION: "Ult Value x Area -
Detail ?lUll 004-3 x SQ. FT. (U) (A)
reference "U" x SQ. FT. _ (U)(A)
from °U" X SQ. FT• a (U)(A)
?
attached I ull x SQ, FT. _ (p) (R)
sheets (U)(A)
npn x SQ. FT. _ (U)(A)
WINDOWS: "Ull Value x Area
Pfake & TYPe 4,4, I,UMY,?? Sk-rnpll ?f G
?? • x SQ. FT._Z 33 =?(U)(A)
uUn x SQ. FT. _ (U)(A)
u
n
npn
uUn x SQ. FT. = (U)(A)
x SQ. FT. _ (U)(A)
DOORS: ltUll Value x Area
1•la!ce & Type 5 u n C 7. ??' ??U) ?A)
tr ir U $Q. FT. ? a
11 u ??pn 7C x SQ. FT. =4ffZZ??(U)(A)
n " nUu X S4. FT. _ (U)(A)
_ x SQ, FT, _ (U)(A)
TOTALS Z!a(a 5Q. p'T._??I, I v (U) (A)
AVERAaE "Ull
TGTAL (U) (A) VpLUES
DIVIDED BY TOTAL ti'JALL AREA
AVERAaE "U" ,115 or less for 1&2 Yamily dw?nge
RooF/cEaLzrra: ??? ;
TOTAL AREA: -----1-?LG_
Detail reference
from
= flUll
x
SQ.
FT. - (U)(A)
attached sheete
AaE ??pn Z015 x
'? SQ. FT.(p)
.
Describe onenings U?? x
itUv, SQ. FT. (U)(A)
in roof. x
??p?? SQ. FT. (U)(A)
TOTAL (U)(A) VALUES DIVIDED x
BY ZZ17z SQ. FT. (U)(A)
TT ?N,fr . Z2.7z..?,TM
ROOF/CEILIiJ(} AREA ?
1025 for ventilated roofa.
?
31
?
41
?
.-
_^YIALL SEOTION-- . ,
Determining "U" valuee at Roof, Wallp Rim# and Coao. Bloak
ROOF/OEILINa R VALU •
1.) Interior Air P'i1m 0.61
2.) 51811 ayp. Bd.' .56
3.) ineulation
oo
4O
4-) ,
50 Exteripr Air Film .61
(6TILL)
? null iDZ..-aj TOTAL
? (R)
VIALL R VALUE
6.-) Interlor Air Film 0.68
7.) *" 4YP. Hd. ' .45
80 Inaulation 19,oo
9.) BuILT•l?'iTE ?
x
10.) Mssonite 8lding .67
it.) Exterior Air Film .17
upn p i/R= ?d9-3 TOTAI, (R)=2!3.0I
. ?. • .
RIH R VALUE
. 120 Interior Air Film o.68
130 Ineulation iQ,o 0
14.) 211 Fir Rim Joiet 1.88
15.) ?ulc.T • RrT'E Z.oQ-
16.) Maeonite 8lding .67
17:) Exterior Air Film .17
IipII a IIRa i010 TOTAL (R)a
r • iT
FOUttDATION R VALU
189) Interior Air Film • 0.68
19.) '
20.) .
210 12" Oonorete Block 1.28
22.) F?ICoI,A 1A.UL , S,oo
23.) Exterior Air Film .17 11`JU a ,/Ra
ROTAL (R) = 7• I'?
?
0 . _;:
IOEi •UU?
SDIGLE FAMILY DHELLIAGS
2 SETS OF YLiNS
3 REGISTEAED SIiH SII69EYS
1 3ET OF ENEAGI C1LC3.
1989 B(1II.DIBG PERMIT EPPLICATION 4. ? u+
CI?Y OF EAGAN
S•(JU?
ll5 •7U?
letiol 108 - UU+
!lULTIPLE DHELLING3 r; • 50+
2 3ETS OF PLAP3 j • U u+
6EGISTfiRED SITE SDRVES3 - i 1 5•? U:(CHEC% iiITH BLDG DIV. )
1 SSf OF ENEB(ii CiLCS.
MULTIPLfi DiiELLINGS HENT9L DNITS F0R SiLH umYTS / OF D6ITS
BOTBt WDRES.SFS !OR COAItEA LOTS - COATAIt?OR/HOHEDWAEA MOST DE4I(iNATE UHICH IDDHESS
IS DFSIRED. BO CSANl3FS AILL BE Ai.LOHED ONCE BUILDIRG PERMIT I3 233DED..
SEVJER 8 WATER PERMIT FEES 1RD ICCODlPT DEP03I7 F6B3 iiII.L Bfi IACLUDED fiITH iHE HUILDINfi
PERIiIT FEE. PHOCFS3ING TII+lE FOB SEWEA iND 1fATEA PERMIIS IS Ti10 DAYS ONCE A PERMIT H6S
BEEN COMPLETED IHDIC?TINC ! LICENSED PLMSER.
PENALTY iPPLIFS WHENt PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED.
LOT CHANGE IS REQOESTED ONCE PERMIT IS ISSIIED.
To Be Used For:3`SE*14 R'" Valuation: ? Dates 1 Z5, `,
31te Address ,:'y3 ?u•n?s S
Lot i? Block I
Pareel/Sub C?e? 41G(`d--o
Ormer
6ddress N
City/Zip Code - ? ?n? ?iz?
Phone
ContracLor
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone 4
4?7dav '
Oceupaney
Zoning
Actual Const
Allowable
1 of stories
Length
Depth
S.F. Total
Footprint S.F.
On site aevage
Ax aite we11 _
!lYCC System _
City vater _
PRY required _
Hooster Pump _
LPPAOVlI.S
Planner _ Couneil
Bldg. Off. ?9(7S
nariar,oe
F'EF.S
Bldg. Permit 08•00
v
Surcharge ,S
Plan Reniecr
SAC, City
SAC, MWCC
Water Conn
Water Meter
9cet. Deposit
S/li Permit
3/ii Surcharge
Sreatmeat Pl.
Aoad Unit
Park Ded.
Copies oa
StTBTOTAL
PenalLy
SOTAL I i
.
CITY OF P_rGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
?xxxxxxxx?xxxxx .? .? xx???
*KYP': P.AYMENI' OF FF.E AT TIME OF
APPI.ICATSON DOFS NDR' OODb`FI7T.T1E
APPROVAL OF PII2NIIT.
nusrttxI?ota oF sEWEt arID/Ct MMsz
TTLS'1`ATS.ATTON$ WnL NO'j' $F, $CHED-
OIkD iJNi'II, PERMIT HAS _BEIN
APPRC3VID.
P ease Print
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
?C, oAe CcjFf' 2"'
Lot B ock Subdivislon or Tax Parce ID
IF E}ffSTING STRC'CZURE, DATE OF ORIGINAL BLILDING PEk2MIT ISSL'ANCE: '
(Mon ear)
PRESENf ZONING/PROP0.SID L'SE:
C] CONIIgRCIAL/REPAIL/OFFICE
'-- R-1 SIIQ„I.E FAMILY
0 INID'STRIAi. /
? R-2 DLPLEX (Tv,o Units)
INSTI'I[JTIONAL/GOVIItIaENT ? R-3 TOWPII-IOUSE (Three + Units) ( Onits)
? R-4 APAR'IYNENT/CODIDOMINIUM ( Units)
2)
Nl1ME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
• 3) . i: ?,• For City Use .
N'ME: ?5>% A 2. Pliunbers License:
ADDRFSS: /o l8 1'rl c?c-e?un 5P2 jKi
sS r2 Active
.
C Expired
? CZTY, STATE. ZIP: kj t qa? InLe s i O ti MM . ?? 4 20 Not recorded
?ONE: g8Q- -?f /4? J 1NAS'IER LICENSE# 33 25 m S?ltlal
4) •• e i?•
NA
ME
SR
??
: mc R S
ADDRFSS: '
CITY. STFiTE, ZIP:
PHONE: •
5) ?? ? ? ?• •?• :? • a? ??
? CONPIDCrION TO CITY SEWII2 JM CObINEX.ZION TO CITY WATER Q OT[M ' •'
6) '? ..•?. [3 PLE7ASE HOLD APPROVID PII2MIT FOF2 PICK-DP BY ONE OF ABOVE --- `-
? PI.EASE MAIL APPROVID PERMIT ZO 1•Q 3, 4, ABWE
? (Circle one)
7) E, -214-86
--,
?
FOR CITY U6E ONLY PERMIT # ISSUED
96 9 0 .
Pd w/Bldg. Permit FEES:
$ le?) $ SEWER PERMIT (INCLUDE SURCHARGE )
$- 14L' $ WATER PERMIT (INCLODE SURCHARGE)
$ ? 3' S-D $ WATER METER/COPPERHORN/OOTSIDE READER
$ $ WATER TAP (INCLODE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$_ O D $ ACCOUNT DEPOSIT - WATER
$ 6-Z) D - U-- -a $ WAC
$ S 7 -, G O $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRONK SEWER
$ $ LATERAL BENEFIT/TRLNK WATER
_
$ ?dr?
C7D $
. WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ I??F S' S? S TOTAL
(o `t fo (o
RECEIPT
RECEIPT
DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY?
Q YES IF YES, THEN A" PERMIT FOR WORK WITHIN PLBLIC
Q
NO ROADWAY" MOST BE
DIVISION
IS ISSLED BY THE ENGINEERING
. L
T AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE : S ?/ ?
,
SuRVEVOR's
30 ?
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CERTIFICATE
E%IS11N?
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SUNSHINE CONSTRUCTIUN,CO.
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9
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s i ? S4.20
E 85.00 -
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STREET
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/
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t.o
-
? DENOTES PROPOSED SURFACE DRAIIJIIGE SCALE: 1 IIJCH = '0 FEET
p DENOTES
S
I)fNOTE 112UN MONUh1ENT 5ET
lls(1N MONl1PiENT FOUF{p
PROPOSED GAItAGE
FLOOR =
9?b?o
FEET
•
X000.0 .
DENOTES EXISTIIJG ELEVATIUIV PROPOSED LOWEST
OP Of FLUOR
ULOCK =
9.4 FEET
FEET
(UOU.O) DENOTES ('RUPUSEU ELEVATIOPI I'ROPOSED T
i HEREBY CERTIFY TO SUNSHINE CONST. C0. THAT TH15 15 A TRUE APJD CORRECT
HEPRESENTATIUN OF A SURVEY UF THE tiOUNDARIES OF:
Lot 6, Block 1, OAKCLifF 2flD ADDITION, according to the recorded
plat thereof, Dakota County, P1innesota.
ANU Of THE I.Of,ATIUN OF A PItOPOSED BUILfJING. 1T DOES NOT PURPORT TO SHOW IMPROVEMEN'f5
OR ENCROACHMENIS, IF ANY, THEREUN. AS SURVEYED BY,ME, UR UNUER MY UIRECT SUPERV151UN,
THIS WS UAY UF Ju? + 198(0•
SIGNEG: JAME§-F./HILL, IHC.
8Y : r?HAROLU C. PETEItSON, LAND SURVEYUR
MINNESOTA LICENSE N0. 12294
PRDJECT NO.
86767
FILE NO.
FOLDER
p00K / PAGE
1y6/ y0
JAMES R. h11LL, INC.
Pianners / Engineers / Surveyors
0200 Ilumboldt Avenue 6oull,
plootninpton, mn. G5431 612-884-3029
.
I
SU_R1+tEYOR'S CE-RTIFICATt suti3HINE ConSIxuciiurv,ca.
1. EXISU?SE XS?v.4 '' N
ry' 0
30 100•00
82032?05"
? N _ 26.38 -
? 32.75 _ 9c7.89
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9LY.7 ?f.3 713:61;, 15.35 F
x46e.9 ?o
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° ° ? LOTi F-
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2a33 z sY:L ?. wlX
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8 4' 2Q
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30 32.75
------ '-- et?.R /
--- ,, ?- N89048'04"E 85.00
9t.2•
IW
o ' t°
JAMES STREE?"P".`_?'
63•7
DENOTES PROPOSEp SURFACE ORAIIJAC,E
?Q
FEET
O DENOTES 1(tON MONUPIENT SET SCALE: l INCH =
• DENOTES 1R(1N MONUPIENT FOUFIU PROPOSED GAItAGE FlUOR = 9eb•0 FEET
zonn.o IJEMOTES EXISTING EI.EVATIUhI PROPDSED LUWEST FLOOR
LOCK ?
?•4
9? FEET
FEET
(000.0) DENOTES PRUPUSEU ELEVflT]OPI PRUPOSED TOP OF a 0
I HEREBY CERTIFY TCl SUNSHINE CONST..CO. THAT TH15 1S A TRUE AtID CORRECT
REPHESENTATIUN OF A SURVEY Uf 7HE QOUNDARIES OF: "
Lot 6, Block 1, OAKCLiFf 2fJD ADDITION, according to the recorded
plat thereof, Dakota County, Ptinnesota. .
ANU OF THE I.Of.ATION_OF A PROPOSED BU(LQiNG. IT DOES NO7 PURPORT TO SNOW 1MPR04EMEN75
UK ENCRUACHMENIS, IF ANY, TNEREUN, AS SURVEYED BY,ME, UR UNI3EN MY UIRECT SUPERVISIUN,
THIS ZLtS UAY UF Jt? , 1946• ,
.11
SIGNEU: .1A?E ILL, IIIC.
NAROLU C. PETERSDN. LANQ SIiRVEYUR
MINNESOTA LItENSE N0. 12294
AROJECT NO
86767
' FILE NO. °
._"FOLDER
?_.. ?
°O°K / `'AGE . JAMES R. f-{ILL, 1NC.
14161 yO Planners / Engineers / Surveyors
8200 Ilumboirlt Avenue &outh
01001n111pton, Mn. 55431 612-894-3029
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA080335
Eagan, MN 55122 . Date Issued: 10/09/2007
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 2243 James St
Lot: 6 Block: 1 Addition: Oak Cliff 2nd
PID 10-53551-060-01
Use
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace
Description: House
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not
acceptable in lieu of inspections.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Royalty Remodelers Brenda L Johnstad Ewing
4411 Slater Rd 2243 James St
Eagan MN 55122 Eagan MN 55122
(612) 414-8199
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA132246
Date Issued:08/03/2015
Permit Category:ePermit
Site Address: 2243 James St
Lot:6 Block: 1 Addition: Oak Cliff 2nd
PID:10-53551-01-060
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 -
Brenda L Ewing
2243 James St
Eagan MN 55122
T&s Heating And Air Conditioning Llc
8617 Ironwood Ave S
Cottage Grove MN 55016
(651) 829-0248
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170720
Date Issued:07/14/2021
Permit Category:ePermit
Site Address: 2243 James St
Lot:6 Block: 1 Addition: Oak Cliff 2nd
PID:10-53551-01-060
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 -
Matthew S & Emily R Montgomery
2243 James St
Eagan MN 55122
(651) 494-7481
Great Plains Windows & Doors
6866 33rd St N, Suite 100
Oakdale MN 55128
(651) 207-4571
Applicant/Permitee: Signature Issued By: Signature