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1578 Clemson Dr B ÿÿÿ þý ýü þýý üüúú ùýýûÿð ýþ äúîíýý î ßå åä ÿ þýø ûúùø öìë ó ûúùø ö ÷ øý ø ó ûó ïûøýù ò ñûý Þ âý ý äåáýù ã á ì ý û üâáåß äßå ý ð çåçêäêäå öù û îý çêå ê å èýûýåê õôû øóò øøý âý ô ù äåáýù åßäó í á ì þý ýâáåå ÝÜäßå î ùýì îýîýã ýîýøøýýý îýî íý ýý íøùìîýýøøý ý â ý ýû ýóùþý ýï ý ê øøýë í ýû û ù ýû CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21i99 PERMIT NO.: Eagan, MN 55121 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. Misc. Charges: (�/ Total: By Date Paid: Dote of Insp.• 7 3 Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O.Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: _ Zoning: No. of Units: Owner: Address: Site Address: Plumber: 1 agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: '4? Y 2� 9 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA109100 Date Issued:02/08/2013 Permit Category:ePermit Site Address: 1578 Clemson Dr B Lot:38 Block: 01 Addition: Thomas Lake Heights 2nd PID:10-75951-01-380 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, 952-445-2840 Dayna Gardner 505 RANDOLPH AVE Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Gregory A Lobeck 1578 Clemson Dr B Eagan MN 55122 Bonfe's Plumbing & Heating 505 Randolph Ave St Paul MN 55102 (651) 228-9071 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink I For Office Use l My ~i, 11 j Permit # A-1.615% 1 I agn Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: u,` 1 Phone: (651)675.5675 t I Fax: (651) 675-5694 I Staff: I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION B to Date: - i - i 3---- Site Address: _Unitl: Name: r, - Resident/ An ~ t Y4- 4J,0 h r! Phone: - ?2l - r- 'C,(14 Owner' Address / City / Zip: Applicant is: Owner Contractor T . Of Work Description of work: Kemp r- r o~ Tpe Construction Cost:+ 123 '400 Multi-Family Building: (Yes / No • Company: Rae_ Contact: W-- 670exi Address: t' ~z i nVl!? c:liCity: LS State: _L111Zip. Phone: 61,2 2- - ~ License - 1 t Z 0 6 2- Lead Certificate -&Af- 2 V?87 1 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 the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 4540002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.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 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 of permit issuance. x Ali z Applicant's Printed Name Applica s Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA123181 Date Issued:05/30/2014 Permit Category:ePermit Site Address: 1578 Clemson Dr B Lot:38 Block: 01 Addition: Thomas Lake Heights 2nd PID:10-75951-01-380 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 by law in ALL single family homes . 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 - Gregory A Lobeck 1578 Clemson Dr B Eagan MN 55122 New Windows for America 609 W County Rd E Shoreview MN 55126 (651) 203-0149 Applicant/Permitee: Signature Issued By: Signature � ��_o� J �b,�.��' Use BLUE or BLACK Ink �c�rv� ---------, ,-------- � � For Office Use C�t of�� a.�� y � AUG 0 5 2014 I Permit#: i � / 3830 Pilot Knob Road � Permit Fee: �P�• � � Eagan MN 55122 �Y:` � I Phone:(651)675-5675 i Date Received: I Fax:(651)675-5694 j � staff: � — / � ��_____��___�J 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of pians with all commercial applications. Date: � � Site Address: ��J�� ,f°Y1 S(� � Y' Tenant: 2. -e C:��f-- Suite#: ResidentlOwner Name: ` : �. Phone:__(p��-�4S�-��i �,_ Address/City/Zip: _ _ � � O Y"� �Y Name: �> � d- License#: � � � � �� Contractor Address: I��" \�2..it�VYl I I �1 � �1 ST City: �l�C�"1��Ci� ��d �/� p� , .K. State: �_4�� Zip: ��Phone: LQ� � ' � ��" �'i�� 1 � Contact: Email: (1 D f:likYGl.�Y [(�j')/� _New �Replacement Additional _Alteration Demolition Type of 1No[k Description of work: a. �.�� a� � .�� NOTE Roofi ,m,ountetl and grountl mou,nted mechamcal equipment�s�eqwred to 6e screened by City: Qode �lease contact the Mechanical Inspector for�nfprmation oi1 permittecl screening methods. ' �� . �_ . � ,. . r� RESIDENTIAL COMMERCIAL Fumace New Construction Interior Improvement � �� Air Conditioner Install Pi in Processed i _ _ _ Permit,TYpe : � — p� g — _Air Exchanger Gas Exterior HVAC Unit _Heat Pump Under/Above ground Tank (_Install/_Remove) - - �Other — RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existin�unit(includes$5.00 State Surcharge) 1�� v $100.00 Residential New(includes$5.00 State Surcharge) _$ �v ° TOTAL FEE ' COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee � "If contract value is LESS than$10,010,Surcharge=$5.00 =$ Surcharge"` **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 =� �" 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. x Y ' OV` x ApplicanYs Printed N me Applicant's Signature .� ,.. ,��, � ,,�,�....�., . ,y�.�.. ,,�.,- FOR OFFICE USE � � � ` � "`� �� `�� Reguired Inspect�ons � � Rev�ewecl By �� Date � ��. � �� . ,,..�:�. �� .� '� -�� r � ��,� � ,<, �. : �, ..�. � w�,, Underground _Rough Tn ; �ir Tesf �� Gas�ervice`Test ir�=�floor Heat _�Final, � �VAC Screenmg � � � �� I I • . ., For Office Use ' t : Permil 4 - i .4---''r.'"-s`4' -‘.‘'FIV-E1::) . t.: , , • , ,itiit' Pe /CR -6 7 :. . ,.,.... APR 1 6 2020 Fermi F D -.E., '.--<•roP,.,.-‘:. - -1 •c-,bs-,5 ;.-::,,X ,-2., :; .." '.3t-31' 2020 RESIDENTIAL BUILDING PERMIT APPLICATION ,-_,.,-. .71/ i .--•- 4 Site Address: ein-,5-r* hite_ave _Unit#: ' f/ ,- ' . . 7 : ti/.(6 6-- / C;;iq_sil 4,64c 0. e , ._. 1e—ze," Resdont,' ,, Own .,..1 ,,, : :,, Type ot Work e 'crI ;, a y-s--u.irOr cost * U0 Multi-Frn aily Building (Yes ic / No __r 2........,.... A- _Tikic- ...,,— nitirve44-tei , I I:r.,•,-:;,a r',, _Ay/ 6:7 ii, pe a eirv-tiv?VD divvie ...1-07t Contact Alta_l__01.. _hfity_r I - ,.. Contractor ...ir.1ess /. // , ,-- 01- 6-0-4e- . _jf_9,ve City Afifi I e kW/A-el - - ,r,- — A yt,z. 45.763-il -,,:.),--.. 657-r2-Vi clele), Email: /47f14.i—60)h yr 4:"0-1,11‘14 s i C 6,""v L. cense ::- fg 2-7 '/ Z. 1--- i_ead Certificate 4 : :i • ' c nt t. 'ITT ‘.:---- lead certification, ntens ',..-Aa:n wn,./ hiM „„LAA/ ,41‘44/Y1 4-IV641 Jill COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING t'ennl'hs. has the City of Eagan issued a permit for a similar plan based on a master plan? ,--.1r; ; aor:ress -_-, i'',1--;1' L' F., L icernseu ;:.1;. .,-,10,.1, Phone: i'sitcch,:.:fl--1, Contractor Phone: Sewe- t& Oilafet Contractoi' Phone: Fire Suppression Contractor: Phone: NOTPlans and supporting documents that you submit are considered to be public information. Portions O i the Information may be qtasstteed as nonpublic if you provide specific reasons that would permit the City to conclude thatlikeL.ere tagg_se_crOrt., , O,,o 0,1,, „Inscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the Gti EXtef`i.' WI:7,K authorized by a building permit issued in accoraance with the Minnesota State Building Code must be completed within 60 •lays o. ct - it issuance CALLt3t2L1t4'.E YOLI OIG. 'o, Gopher State One Cali (-. 651,454-0002 ',.,' ;2-,•i-, .(_ ,igarisl ulde'groor,d utility datraoe Call 40''(..,,r-- ' - , - , ,- ---r),),, .-. ; ,. , - ' -.-- .--,' ' '-,,',v,),-.. ..' 7,,,, ,;orlfc.,v1:-irce with :he '''1,11,P1(.,,,,,-;a (1 ,.,..Kie.-, iii.Ayi-- Ap. i c i,,il t Y., Pi-inta Name lap licanrs Signature. DO NOT WRITE BELOW THIS LINE / 70" Ci --.41._(.0/71 Drz. t r1, -- E / ,o0-. _.;-' 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 2( Replace _ Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation 'A.pcoo (wv,v,,,„„,,,) Occupancy 2 c- 1 MCES System Plan Review _ Code Edition acs i S SAC Units (25% 100%_) Zoning P1 City Water Census Code 4r / Stories Booster Pump #of Units / Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction X13 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) X 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: s • A/C/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