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1587 Clemson Dr B PERMIT Permit Type: Building City of Eagan Permit Number: EA105316 Date Issued: 07/09/2012 Permit Category: ePermit Site Address: 1587 Clemson Dr B Lot: 52 Block: 02 Addition: Thomas Lake Heights 2nd PID: 10-75951-02-520 Use: Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Comments: Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. BL - Base Fee $4K $103.25 0801.4085 Fee Summary: Surcharge - Based on Valuation $4K $2.00 9001.2195 Valuation: 4,000.00 Total: $105.25 Contractor: Owner: - Applicant - New Windows for America Richard W Palecek Tste 609 W County Rd E 1587 Clemson Dr Unit B Shoreview MN 55126 Eagan MN 55122--481 (651) 203-0149 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 WATER SERVICE PERMIT o. Road '. s. Box 21199 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: Date of Insp.: , Insp.: W � V U • i of Knob Road SEWER SERVICE PERMIT 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: yo . 44 / - '7 �� N a Use BLUE or BLACK Ink I For Office Use ~q of Eap I j Permit _AVOIq 4 j Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: JA, 13 _Va Phone: (651) 675-5675 i I Fax: (651) 675-5694 1 Staff: I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION # Date: Site Address: L6154) $ $ 0192, AC_6m~5- un~ Name:I AIrf-2 Z__~ tl T&WL/S_-- Phone: Resident Owner Address / City i Zip: - Applicant is: Owner - Contractor Type of W*rk Description of work: Remo e-r1 - - - Construction Cost: 80 Multi-Family Building: (Yes / No Company: rT Contact: '3:~_L~Gq EMI) Contractor Address: O I"I ti eh~~?k-----city: 1~/_/?_n,°Q/i-S State: Zip: Syd ~ Phone: 612 i-~~ ~ License 2e - 19106 2- Lead Certificate #:_&A - 2 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: flans 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 Cali at (651) 434.0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. MM.gonhen tateonecali.ora 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 Cade must be completed within 180 days of permit issuance. X. fi 2a.bP_ 46~n rd! en x Applicants Printed Name 1 Applica s Signature Page 1 of 3 Use BLUE or BLACK Ink ---------, � For Office Use i � ..— I �I� �f �� F��#:�.. � � /'� ,c�-� , � � Permit Fee:�Yl J •l /�J i 383Q Pilot Knob Road � � Eagan MN 55122 I Date Received�', –�� Phone: (651)6T5-5675 j .� � Fax: (651)675-ss9� JUL 3 0 1p15 , staff_ ____________� 2015 RESIQENTIAL PLUMBING PERMfT APPLtCATIQN Date: Site Address: (. / � 1 � � l.��J� �� . Tenant: �� Suite#: � �a '� Name: 1'^�1.� �� C.�� Phone: � +''� - � t � Address/City/Zip: � C�� ..J�• �l� �'`N ��1 . � � a f � �'�7License#: lL�`�"�� 1/�� Name: � � ' � �� Address: i�r City: '��'�� State:�_Zip: �I"l o �� Phone: �� U Ul,�� £ Contact: , Email: � � ��i � � l � J� lU 1.,�(/1' � � � � ' � _New �Replacement _Repair _Rebuild _Modify Space VNork in R.O.W. � �`�t��tt�� ^ r�� j�+��- ;E Description of work: � � �� V v�L't�'( , � � a RESlQENT1At � � � Water Heater � � . � �Water Softener � ,� Lawn Irrigation(_RPZ/_PVB) � �� Add Plumbing Fixtures{_Main/_Lower Level) � � ' Septic System � � � N ` Water Turnaround � � � — ew � � � � "� Abandonment - � RESIDENTtAL FEES: � � $60.00 Water Heater,Water Softener,or Water Heater and Softener{includes State Surcharge) _ � $60.00 Lawn I('rigatlon (includss State Surcharge} � $60.00 Add Plumbing Fix#ures,Septic System Abandonment,Water Turnaround"{includes S#ate Surcharge) � � � 'Water Turnaround(add$210.00 if a 5!8"meter is required) � � $115.00 Septic SVstem New{includes County fee and State Surcharge) � � � TOTAL FEES$ � _ � CALL BEFORE YOU DIG. Call Gopher State One Call at(631)45d-0002 for protection against underground utiliiy damage. Call 48 hours before you intend to dig to receive locates of underground utilities. w�vw.qophersia#eonecaiLflrp I hereby acknowledge that this infortnation is compiete 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 app{i�tion for a permit, arxi wrork is not to�art wittwut a permit;that the work wii{be in accordance with the approved plan in the case of wark which requires a review and approval of pfans. x�l 1! y i..- e� l.'��.li./( X � ;�� ,.�,'.'-,. Applicant's Printed Name Appii 's Sigraature F��1��` �BW��. ` �;�,,.,�..,,,_,„,_,,,.�..�,,,, #��. L#��r�� ; �� `�� ,_.:,�,�_'�"� . �� ' Use BLUE or BLACK Ink For Office Use 4 Permit#: i 4 go9°'4* City of Eaau Permit Fee: 1 a 3830 Pilot Knob Road ✓�7 �� Eagan MN 55122 Date Received: Phone:(651)675-5675 aEWED Staff: Fax:(651)675-5694 JUL 1 4 2017 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ?/ii I7 Site Address: / �1 N UC? s� /�4'V a Unit#: Name: AAP1CW /1(1-1-4-s /C W /tree. Phone: Resect owner Address I City/Zip: Applicant is: Owner 1( Contractor PD Description of work:_/0 )"/C - �'� T Work Construction Cost: 20011 Multi-Family Building:(Yes /No ) Company: 44yi- ee'n s Z PV 2p'- Contact: /3€41-- frf1, /Ayr Address: /S74)- L44-)c -t City: Arly tlif2t+r Contractor, State:Os/ Zip: 9574X-V_ Phone:467-Al-VP( Email: r?ti-e9Aop'tor^ai? cM-r' ve License#: E(! 22-9f 44 Lead Certificate#: N4r — F/1).ofd / If the project is exempt from lead certification, please explain why: j Aletia4 4 l/ ? . 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: ns_.ew a z ' ¢ � yor a3 the inlon z r o 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.cooherstateonecall.oro 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 -)- e Building Code st be completed within 180 days of permit issuance. ?Ate- i'a"!. 1e x / l..l AI r Applicant's Printed NamAp'scants Signature Page 1 of 3 • . (5C61 S U•e,M5o p{ DO NOT WRITE BELOW THIS LINE 4 I cg' SUB TYPES Foundation Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family — Garage — Porch(4-Season) _ Exterior Alteration(Multi) — Multi 3°_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 $ 2rooc•-- Occupancy 2g4 3 MCES System Plan Review Code Edition jfl/l 2a 1S" SAC Units (25% 100% 2) Zoning P,D City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length / Fire Suppression Required Type of Construction V3 Width r c% REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) ?Cl Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test 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: / b Al i1 r Y-G7f , Building Inspector RESIDENTIAL FEES , /5 O SY , ,f Base Fee Q' Surcharge ,-ni/1'�✓M �e e. it a, Cao . -- Plan Review MCES SAC City SAC Utility Connection Charge SSW Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3