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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