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1540 Clemson Dr05/31/2011 WED 11:.47 FAX 4411`bCity ofBaQen Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675.5675 Fax: (651) 675-5694 b IjJQQz/oo4 Use BLUE or BLACK Ink For Office Use Permittt: /Of Ll5 Permit Fee: NO' J 2011 RESIDENTIAL BUILDING PERMIT APPLICATION 1 1 Site Address: _ Fenn 4,:5Qe.. Unit 6: =d�li1'1/ Name: � .����� 1MMeA9 Phone: a&_ t- 4:caLe. Address / City / Zip: d ism t o� Applicant is: Owner ✓ Contractor Description of work:akkixt7nC1YYl — P_ Construction Cost: Lo,5 Lt ^ Multi -Family Building: (Yes / No t./.). ) Company: Contact: �� �Sda ��� L� ^ 1 Addres (•� O i((LA M A h A Ai/ City: ` .1 t u P L ' ii�_ �1l�Co�J State: Zip; 5 cf)f _ Phone: ���'t9't (Sr.� 1 Co 16 License #: 00 5 kg nun Lead Certificate #: A/AT 0,340-/ If the project is exempt from lead certification, please explain why: (see Page 3 for additional Information) COMPLETE THIS AREA mix IF CONSTRUCTING A &kw BUILDING In the last 12 months, hos 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; • gfra., r.r.i. r> > CALL BEFORE YOU DIG. CaII Gopher Siete Ono Cad at (051) 454-0002 for protection against underground utility damage. Cab 48 hours before you Intend to dig to receive locates of underground utilities. www.000herslateoaeoall.om 1 hereby acknowledge that thle information 10 complete end accurate; that the work will ba In conformance with the ordinances and codes of the City of Eagan; that I understand this Isnot a permit, but only an application for a permit. and work to not to start without a permit; that the work will be In accordance with the approved plan In the oase of work which requires a review end approval of plans. Exterior work authorized by a building permlt Wooed In accordance with the Minnesota Slaps BulldIng Code must be completed within 1BO days of ermlttIIsssuance. gyp@ X J Me//d, Appll nt's Printed Name fro Applltanes S urs Page 1of3 09/31/2011 WED 11:49 FAX 1003/004 75q0C(cmoli �- DO NOT WRITE BELOW THIS LINE / O(/6 SUB TYPES _ Foundation _ Fireplace — Porch (3•Seaaon) _ Storm Damage XC 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 New _ Interior Improvement — Siding _ Demolish Building* _ Addition Move Building _ Reroof Demolish Interior X( Alteration— Fire Repair _ Windows Y Demolish Foundation Replace — Repair _ Retaining Wall pESCRIPTIOI'( 3000 Valuation 44f0, Occupancy TQc - 3 MCES System — Plan Review Code Edition SAC Units (25% 100% Zoning',V City Water Census Code /114 Stories Booster Pump # of Units — Square Feet — PRV d of Buildings — Length Fire Sprinklers — I Type of Construction DA Width 1 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: _ Egress Window _ Water Damage 'Demolition of entire building- give PCA handout to applicant Roof: _Ice & Water Final Pool: Footings ,Air/Gas Tests _Final j Framing Siding: Stucco Lath Stone Lath Brick Fireplace: _Rough In Alr Test _Final Windows -Insulation Retaining Wall: _ Footings _ Backfill _ Final $heathen Radon Control Sheetrock Erosion Control 0 . Building Inspector RESIDENTIAL FEES v Base Fee 6,j' S—' Plan Review 5253 MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies /5"N A TOTAL /06 41i Ao A./1/ Page 2 of 3 City of Eagan Eagan, PERMIT City of Eaan Permit Type: Plumbing Permit Number: EA101378 Date Issued: 10/05/2011 Permit Category: ePermit Site Address: 1540 Clemson Dr Lot: 4 Block: 01 Addition: Thomas Lake Heights 2nd PID: 10-75951-01-040 Use: Description: Sub Type: e - Fixtures Work Type: New Description: Main Floor Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Alex Barna PO Box 188 Cedar, MN 55011 763 444 0292 Fee Summary: PL - Permit Fee (miscellaneous) $50.00 Surcharge -Fixed $5.00 0801.4087 9001.2195 Total: $55.00 Contractor: Sowada and Barna Plumbing PO Box 188 Cedar MN 55011 (763) 444-0292 - Applicant - Owner: Christie J Thames 1540 Clemson Dr Eagan MN 55122 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 CI Y 3830 Hot WATER SERVICE PERMIT 3830 Pilot Knob Road P.O. Box 21199 PERMIT NO.: ? e Eagan, MN 55121 1 Zoning: DATE: t sz p No. of Units: Owner: To Address: Site Addess: 'Lt'1 a --- T►ri w T Le R1 T}inm t t T Plumber: Meter No.: Connection Charge: Account Deposit: Reader No.. Permit Fee: I agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: By L,Cc,{ 7 id 6 Total: Date of Insp.: /D ./ �!� �� Date Paid: Insp.: Size: CITY OF EAGAN 3830 Picot Knob Road P. O. Box 21199 Eagan, MN 55121 Zoning: Owner: Address: Site Address: Plumber: SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: 1 agree to comply with the City of Eagan Ordinances. By Date of Insp.: Insp.: Connection Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. Charges: Total: Dote Paid: 13-q,) 5A-1/4 45 S.. Date: Ciliy of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use I Permit #: t t� 110 d 1 Permit Fee: Y U 1• 1 5 - Date Received: Staff: Sib t3 2013 RESIDENTIAL BUILDING PE(RM)IT APPLICATION - 11- 13 Site Address:.L��_,,_ /5 3A1e3)) $ itO).60 Name: /00.26,/ '7-11r ItS 77, t.) hf '1_L� _ Phone:. -Z• 72/- 3-3-0411 J Address / City / Zip: Applicant is: Owner Contractor Description of work: Re rec # m n j Construction Cost: _L (`I 5 Multi -Family Building: (Yes _ / No Company: f} ( C()/?$?tit %/f' Contact: Live.) Address: _an. 3 e2. M city: M lnr)ea. poh`s State: MAJ Zip: 5-5-4i0 ` Phone: _ol ' / Z. - 55 5 License #: t^ - 1 92.0 2- Lead Certificate #: N 2 412.'7 " % 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: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecali.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 of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days ofjpermit issuance. E x t204. ' -M ., t e/? Applicant's Printed Name x Applica s Signature Page 1 of 3 1,11/ City of Eaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 JAN 0 2 2014 Use BLUE or BLACK Ink 1 For Office Use Permit #: Permit Fee: Date Received: Staff: 2013 MECHANICAL PERMIT APPLICATION D Please submit two (2) sets of plans with all commercial applications. Date: i z/ 1 i ' Site Address: 1.41 Ce ' r S V - Tenant: Suite #: J Name: V-eut h Te t\S-P-Phone: CO SI 4 5 (' O42- Address/City/Zip: 164 Q f Ve-,r Dr ga9Ck.r\, (22 Name: Flare., tAtslinyl �r - P % C ( C'ci,1 License #: Address:9 -;03 pl 1 PN`e--- pc) - City: (" lvldeh tJOIA�Qs--( State:M /kJ Zip: `' ' 2 Phone:1 Lo3 - v '2 -(I 1 �D Contact: Email: i62CeANe.L1t-k- - CO `'Y> New- Replacement Additional Alteration Demolition Description of work:tiat'F.hne i -N t I`CY\C e l`n ((tS NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened byLLCi Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL New Construction Interior Improvement Install Piping Gas Processed Exterior HVAC Unit Under/Above ground Tank ( Install / _ Remove) RESIDENTIAL FEES $160.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Residential New (includes $5.00 State Surcharge) $ (26 TOTAL FEE COMMERCIAL FEES $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal *If contract value is LESS than $10,010, Surcharge = $5.00 **If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005 ***If the project valuation is over $1 million, please call for Surcharge Contract Value $ x .01 = $ Permit Fee $ Surcharge* = $ TOTAL FEE 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. City of Eagan PERMIT City of Eaan Permit Type: Building Permit Number: EA121411 Date Issued: 03/31/2014 Permit Category: ePermit Site Address: 1540 Clemson Dr B Lot: 3 Block: 01 Addition: Thomas Lake Heights 2nd PID: 10-75951-01-030 Use: Description: Sub Type: Windows/Doors Work Type: Replace Description: Two or More Windows/Doors 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 or installing Bay or Bow windows, 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: 4,000.00 BL - Base Fee $4K $103.25 Surcharge - Based on Valuation $4K $2.00 0801.4085 9001.2195 Total: $105.25 Contractor: Champion Window Company of Mpls 5100 HWY 169 N, #B New Hope MN 55428 (763) 574-2054 - Applicant - Owner: Donna Mae Mccloud 1540 Clemson Dr B Eagan MN 55122 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 City of Eagan PERMIT City of Eaan Permit Type: Building Permit Number: EA127912 Date Issued: 10/20/2014 Permit Category: ePermit Site Address: 1540 Clemson Dr Lot: 4 Block: 01 Addition: Thomas Lake Heights 2nd PID: 10-75951-01-040 Use: Description: Sub Type: Fireplace Construction Type: Work Type: Gas Fireplace (new) Description: Census Code: 434 - Occupancy: Zoning: Square Feet: 0 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 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: Hearth and Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 638-3309 - Applicant - Owner: Kevin J Jensen 1540 Clemson Dr Unit A Eagan MN 55122 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 E For Office Use �G 6, %.1": " : a",,0 �� 0 Permit* / I ...... ....... Permit Fee: /417- .5,.& I"1EC EIV ' Date Received: ye 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 i (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 JUAN 10 2613 Staff: 4 buildinginspectionsacitvofeaaan.com 2019 RESIDENTIAL BUILDING BUILDING PE APPLICATION Date: 1 / 7/1 "/ Site Address: !7 yU ���' 4.�y�/ )0~ Unit#: Name: ,4 - /L( .-u+ /erwaytf firma aiSb �i,ticy f Phone: Resident/@nt/ Address/City/Zip: d Applicant is: Owner Contractor Type: 3 Description of work: IC�[,�¢E�1' v,r .il /1� (s;,,� ,'�-', ray 4`%"r�t IL a6 r f / X&Citta Construction Cost:5.0®• Multi-Family Building: (Yes I No ) `a //11 re aa� 'v't� r r ve, . Company: Dk7 effr/L 77eKLTT4's 99V6 Arnie. ontact: /O ti e r., 4471,/ �-n Contra-afar' Address: 14//.2 &/finezfr !me- City: I%t'LiE .LeViI � r ,- State:00V Zip: sem-/,3L f Phone:4,47-624/4-Y �A,/,nail:/ �x frp v5rArez•Ticro/.riuc ? • c e....:- .-, License#:.t 22. 9 f 24- Lead Certificate#: If the project is exempt from lead certification, please explain why: (� �L aA1 ® idigo a 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: � SwP7' orr class eafas i''''''''''"`-7.- .� r l 4 ' .. . 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.citvofeasian.comisubscribe. Exterior work authorized by a building permit issued in accordance 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.aooherstateonecall.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 pe '; that the work will be in accordance with the approved plan in the case of work which requires a review and approval cans. xPLLI/ r x mi Applicant's Printed Naarrib � Applicant's Signature DO NOT WRITE BELOW THIS LINE /5Z7 C! m-c 'i 2 /.S- D " 1 SUB Tlr''ES Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) _ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi C Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous le111 of A 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 je 3/ e D 0•^ Occupancy – MCES 0ystem /r Plan Review Code Edition ^2 0>C SAC nits (25%_100%p) _ Zoning PD City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction VS Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings(Addition) l0 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: Mb ' 'r '1c-` Le A- , Building Inspector RESIDENTIAL FEES Base Fee !r✓ X; S %nq /Go+d I i rl Surcharge Plan Review /D 'C 2v 2 00 Sf S ' / MCES SAC ®,.,p /`rj.D J 1I - 14T City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3