1603 Clemson DrCity of Eagan
Eagan,
PERMIT
City of Eaan
Permit Type: Building
Permit Number: EA100224
Date Issued: 07/22/2011
Permit Category: ePermit
Site Address: 1603 Clemson Dr
Lot: 63 Block: 02 Addition: Thomas Lake Heights 2nd
PID: 10-75951-02-630
Use:
Description:
Sub Type: e-Windows/Doors
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
Comments:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary:
Valuation: 3,000.00
BL - Base Fee $3K
$88.50
Surcharge - Based on Valuation $3K $1.50
0801.4085
9001.2195
Total: $90.00
Contractor:
J Carver Construction Inc
1345 Schletti St
St. Paul MN 55117
(651) 645-5488
- Applicant -
Owner:
Carol G Burhans
1603 Clemson Dr Unit A
Eagan MN 55122--186
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
C!tyofEaaaii
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK ink
Permit #:
Permit Fee:
i.o66>
Date Received:
Staff:
4(-7
2010 MECHANICAL PERMIT APPLICATION
Oats: / — /z Site Address: // 03 4 C/eyrs-ern . Dr—
Tenant Suite #:
RESIDENT / OWNER
Name: C& re' ga.►
Aczez
Address / City / Zip:
Phone: e;57.--.592 -37 '/
22-
Name:
z
CONTRACTOR
Name: /7424'y6w-et RA- s*.vt r License #
Address: /Z-2._ r 3rd f7' City: f�ts-75;fq s' .
State: r dl zip: 5Y3 Phone: c.5 T ''37— X33 R
Contact hh a ,c.e"e'ee^ irr ` Email: ec g " u 4 -
TYPE OF WORK
PERMIT TYPE
New )(Replacement Additional Alteration Demolition
r.Fe' e2/Kefip ✓lellY%Q/i'�✓
Description of work:
RESIDENTIAL
_ Furnace
)(Air Conditioner
_ AirExchanger
Heat Pump
Other
RESIDENTIAL FEES:
555.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$95.00 l=ire repair (replace burned out appliances, ductwork, etc.) (includes MOO State Surcharge) $ D * TOTAL FEE
COMMERCIAL FEES:
n
COMMERCIAL
.� New Construction Interior improvement
_ install Piping Processed
Oas Exterior tlVAC Unit
_ Under / Above ground Tank ( Install / _ Remove)
" When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
$75.00 Underground tank installation/removal OR
$55.00 Minimum (includes State Surcharge)
- if the!, agnit Egg is teas then $10,010, surcharge Is $ 5.00
- If the Permit Egg is s $10,010, surcharge increases by $.50 for each 51,000 Permit Fee
(ie. a $10,010.$11,010 Perrot Fee requires e $ 5.50 surcharge).
Contract Value $ x 1%
$ Permit Fee
_ $ Surcharge
$ TOTAL FEE
CALL. BEFORE. YOU qtg. Call Gopher State One Can at (661) 454.0002 for protection a9ainst underground $fluty damage. -Can •48 hours
before you intend to dig to receive locates of underground utilities. www.aoaherstateonecali.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 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 work which requkes a review and approval of plans.
Applicant's Printed Name
Applicants Signature
nd Rough. In ,:Air Test .:Gas
Exterior HVAC Scroening hispe
CITY OF I AGAN
5830 ;4 t Knob Road
P. O. Bc' 21199
Eagan, MN "55121
WATER SERVICE PERMIT
PERMIT NO •
DATE.
Zoning: No. of Units.
Owner:
Address.
Site Address.
Plumber:
Meter No.: Connection Charge.
Size: Account Deposit.
Reader No.: Permit Fee.
1 agree to comply with the City of Eagan Surcharge.
Ordinances. /r Misc. Charges-
Total-
By
harges•TotalBY Date Paid
�7
Date of Insp.: 717-1/ Ins •
3
CITY (?F EAGAN SEWER SERVICE PERMIT
3830 t_ot Knob Road
P. O. Box 21199 PERMIT NO •
Eagan, MN b5121 DATE:
Zoning- No. of Units.
Owner:
Address:
Site Address -
Plumber
agree to comply with the City of Eagan Connection Charge.
Ordinances. Account Deposit.
Permit Fee.
Surcharge.
By Misc. Charges.
Date of Insp.: Total.
Insp.• Dote Paid.
Le /Ykksc►rt,►niln f sn /414I%f 6.ntr
vF asirdtye
CllyofEaffall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
1ttoa4(
Permit Fee: 4 5 a ' as -
Date
. SDate Received:\ 0 `1 "[ 1 1 3
Staff: i>10
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: IC) - 1 1- 13 Site Address:lbal )�ol unit: 16
Name: 7/Q f (2 JP) 1 rL' f! � 764, ,] t»ti '5 Phone: 1. 72/- S f"'O o
Address / City / Zip:
Applicant is: Owner __ Contractor
Description of work: /Re rot_F h n 5Construction Cosf: C✓- 0 o
Multi -Family Building: (Yes u_ / No
Company: R g t Conssrg.cvC'1 Contact: 23e,_#,.&_ Eng eel
Address: Q J .ZM ianeheu6a.. City: MirdleiliecSs
State: I)W Zip: 55 Phone: ! - ~% Z 1- 5566
License / rl 2.' (2.- Lead Certificate #: _NAL 2 4 ?s% l
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:
Mechanical Contractor:
Sewer & Water Contractor: Phone:
Phone:
Phone:
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cab 48 hours
before you intend to dig to receive locates of underground utilities. www.gooherstateonecalLorq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days ofpermit issuance.
x g//t2.0..b , r?e1..7
Applicant's Printed Name t1
Appiica s Signature
Page 1 of 3
City of Eagan
PERMIT
City of Eaan
Permit Type: Plumbing
Permit Number: EA137815
Date Issued: 07/25/2016
Permit Category: ePermit
Site Address: 1603 Clemson Dr
Lot: 63 Block: 02 Addition: Thomas Lake Heights 2nd
PID: 10-75951-02-630
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
Surcharge -Fixed $1.00
0801.4087
9001.2195
Total: $60.00
Contractor:
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
- Applicant -
Owner:
Carol G Burhans
1603 Clemson Dr Unit A
Eagan MN 55122--186
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
For Office Use
VED. Pert m /6' 1‘/. --*
- • APR 1 6 2020 /61-7,
r-ee
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
Date• J c Site Address: ‘03 (zeivisi yvv IkPW Unit
/
I
• fter-t2,44.1 .4....t-ts4- oh.4.ca__Ae4 44.00—(44-44„Phone: _
Resident
Owner ,
i) 414.44 tiAskar,k;‘- _414_4•417 grea _iftc,„,,,e4-c40-(4'4 al
Type of Work
co.,t. 300D Building (Yes XI ' No
iververi-te.44- -rokic ,
II
Pyr ihrwie 44ontacl, _
r
Contractor J .
-7,
-,--,- - 7- Email frfki— ktyr 4:7*Ilforj".k..444 5 C WI,
l__ conse Lead Certificate
th,„ •F, ''orlead certification. p'aase0xpam hu
/41991•41.444iel_ AgAfAti 4ii= 41,7
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEIN BUILDING
in the lasj 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
V. /as aate and address c' ous ' um
Leensen Phirober: Phone:
Atlechc,3 Contractor Phone
Sewn- & Water Contractor: _ Phone: _
Fre Supiressmn COntractv _ Phone:
NOTE:Pians and supporttng documents that you StP3171it 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 Mey ate ttade secrets.
1",k1 fr,ly orb in!,2eive=74;4 electronic notifl:.:ation from to tvof proposed ordinances by signing up for an email update on th,,,
e,orized by a bwiding permit 5 ac. .aL;co-cian,-,;€ v,,!tri the Minnesota State Building Code must be completed within
iay- o ci r,ssuaock,
v"DU DIG C.,00her State One%All 4544,002 darnarge Cal;/il-1
AO
x _ x Atirieff _
oplic . s PritTteci Name Ap icant's ignatUre
DO NOT WRITE BELOW THIS LINE 4 CJm� "r t6 e 090. —
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
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 $3,( cc% Occupancy 7RC- I MCES System
Plan Review Code Edition ao i� SAC Units
(25% 100%_) Zoning City Water
Census Code S/3q Stories Booster Pump
#of Units I Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction SQL'., Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) i( Final/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: .l -/so-- , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167954
Date Issued:04/05/2021
Permit Category:ePermit
Site Address: 1603 Clemson Dr A
Lot:63 Block: 02 Addition: Thomas Lake Heights 2nd
PID:10-75951-02-630
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Carol G Burhans
1603 Clemson Dr Unit A
Eagan MN 55122--186
(651) 592-3781
Window World Twin Cities
2106 11th Ave E
N St. Paul MN 55109
(651) 770-5570
Applicant/Permitee: Signature Issued By: Signature