1604 Clemson Dr BCity of Eagan
PERMIT
41' City of Eaa
Permit Type:
Permit Number:
Date Issued:
II Permit Category:
Mechanical
EA105873
08/01/2012
ePermit
Site Address: 1604 Clemson Dr B
Lot: 62 Block: 01 Addition: Thomas Lake Heights 2nd
PID: 10-75951-01-620
Use:
Description:
Sub Type:
Work Type:
Description:
e - Furnace
New
Furnace
Comments:
Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector,
952-445-2840
Andrea Preusse
4145 Sibley Memorial Hwy
Fee Summary:
ME - Permit Fee (Replacements)
Surcharge -Fixed
$55.00
$5.00
0801.4088
9001.2195
Total:
$60.00
Contractor:
Wenzel Heating & Air Conditioning
4145 Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
- Applicant -
Owner:
Lula H Kerrsen
1604 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 OE EAGAN WATER 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:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
I ogres to comply with the City of Eagan Surcharge.
Ordinances, Misc. Charges:
Total:
By Date Paid:
Date of Insp.: �,�f,�
Insp..
CITY Of EAGAN
3830 Pilot Knob Road
P. O. Box 21199
Eagan, MN 55121
Zoning:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
Owner: No. of Units:
Address:
Site Address:
Plumber:
1 ogre* to comply with the City of Eagan Connection Charge:
Ordinances.
Account Deposit:
Permit Fee:
B Surcharge:
Y Misc. Charges:
Dote of Insp.: Total:
Insp.:
Date Paid:
Apr 04 2013 11:42AM HP LASERJET FAXBAC CONST 6127223447 page 4
City•••oE a!'
3030 Pilot Knob Road
Eagan MN 55122
Phone: (661) 075.5676
Fax: (061) 675.5694
Use BLUE or BLACK Ink
For QHioe uor
Permit #: __ U
Permit Fee:
Date Received: __
Staff:
�l 3
X013 COMMERCIAL BUILDING PERMIT APPLICATION
Date: Site Address:--(� ode C (e ms o r� I>
Tenant Name: _ ar► �r1_— (Tenant Is: ___ New I ?_ Existing) Suite 0:
Former Tenant:
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CALL BEFORE VOy DIG. Cell Gopher State One Call at (691) 454.0002 for protection against underground Ut
cell 48 Nouns before you Intend to dig to receive locates of underground utilities. www. aopherstateoneoell.org
I hereby acknowledge that this information Is complete and accurate: that the work will be In conformance with the
codes of the City of Eagan; that I understand this le not a permit, but only an application for a permit, and work Ia not
permit; that the work will be In aboordance with the approved plan In the case of work whlrequires a review end app
Ity damage,
rdinences and
!tart without a
sI of plans:
Applicant's Printed Name Applicant's SI attire
Page 1 of 3
Apr 04 2013 11:44AM HP LASERJET FAXBAC CONST 6127223447 page 6
,UB TYPE4
Foundation
_ Commerolai!Industrial
_ Apartment.
Miscellaneous
L401. /( C(k 3)
DO NOT WRITE BELOW THIS LINE
_ Public Facility
_ Accessory Building
Greenhouse / Tent
Antennae
WORK TYUS
New _ Interior Improvement
w Exterior improvement
Repair
Water Damage
Addition
Alteretlon
Replace
Salon Owner Change
DESCRIPTION
Valuation
Plan Review
(25%____ 100 %__)
Census Code
g of Unita
# of Buildings
Type of Construction
)iEQUIRgp (j1SPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Decking __Insulation ___Ice & Water _Final
Framing
Fireplace: Rough In _Air Test __Final
Insulation
Meter Size'
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Exterior Alteration -Apartments
Exterior Alteration -Commercial
Exterior Alteration -Public Facility
_ Siding
Reroof
Windows
Fire Repair
_ Demolish Building"
Demolish Interior
Demolish Foundation
Retaining Weil
'Demolition of entire building — give PCA handout to applicant
MCES System
BAC Unite
city Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final ! G.O. Required
Final / No C,O, Required
Other:
Pool: _Footings _Air/Gas Tests _Fins'
Siding: __Stucco Leth __Stone Lath Brick
Windows
Retaining Well
Erosion Control
Final CIO Inspection: Sc.Odul. Fire Marshal to be present: ___Yea No
Reviewed By:.
, Building inti<psct:or Reviewed By:
COMMERCIAL EV)
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
S&W Permit & Surcharge
Trrntment Plant
Treatment Plant (Irrigation)
Park Dedication
Trail Dedication
Water Quality
Water Quality
Water Supply & Storage (WAC)
Storm Sewer Trunk
Sewer Trunk
Water Trunk
Street Lateral
Street
Water Lateral
Other:
TOTAL
, Planning
Page 2 of 3
Apr 04 2013 11:42AM
SAL
HP LASERJET FAXBAC CONST 6127223447
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page 2
1 Il
CONSTRUCTION SERVICES LLC•
dbs ion Chimney •
• Banner Rooting • Award Exteriors • Champ
3032 Mlnnehah* Ave. S.., Minneapolis, MN 06400
Phone 4312-721-5E500 Fax 612-722-3447 47 0. www.050015.net
WAVA
ti�rl
Horizon Bills Toliirnlaorne Association
Various Addresses
Bolan, 1ViN
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-IRS BUILDINGS #181804.1606
REMOVAL OF EXISTING ROOFING & REROOFINGNDR, #32 T 1342-1540. CL<:MSON DR:
CLEMSON DR, #261574.1576.C1.EMS
material down to the roof deck, clean up all debris, and ul away
removing tothe lob its
1. Remove existingburoofing in using plywood and tarps as much as possible.
Protect the building and landscaping of the house.
debris from the existing root a dumpster will be put In close proximity
2. Remove roof sheathing as needed to allow insulation contractors access to the attic, Note- This item of
contract price at a rate of $2.04 per square loot.
work will be performed over and above the o4
3. Install new pre -painted, gutter apron or drip edge on all lower edges.
4. Install GAF
Weatherwatch` nderiayment 6' up roof from all lower edges and 9' at upper Main buildings
only.
5. Install an 18" wide strip. of 3F Weatherwatch undertayment 8" up sidewalls and onto roof deck.
therwatoh urideriayment 3' wide, up entire length of all valley areas and a 3'section at all
6. Install GAF Wes 's\vent penetrations.
7. Install and cover the remaining roof areas with GAF Shingle -Mate wrinkle resistant underlayment.
8. Install custom -fabricated, 24- wide, prepainted galvanized metal valley, W-styte•
9. Install a 7 self-starter course with self sealing strip at all eaves to ensure the seal of the first course of
shingles.
10. Supply and install new GAF Tinmbertine HD Lifetime fiberglass shingles. Color
11, Install shingles with tour (4) galvanized roofing nails per shingle.
Install matching hip and ridge shingles using minimum of two (2) galvanized roofing nails.
12.work.
13. Remove the existing siding at all sidewall location and reinstall upon completion of roofing side
metal shingle tins course for course with shingles, at roof to wall transitions (i.e.
14. Install new 26 gauge atm � �[ � r-'�
walls and chimneys).
'II'�71•u w,.7P I �o. .
CO: Bailey Enterprises
1775 Selby Avenue
St. Paul, 1V1N 55104
s'!'M,7�a'%o`:,r..,
Date:
Cep of flftll
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use t^_a
Perm�iit #: I _ jr Ai
Permit Fee: 16 . t 0
Date Received: `' 1141 t2)
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION q
-11-13 Site Address: L.6 4.11 ✓7 3�j 6a 68 .K.. tit 1 8
Name:. 2 '}f ' 7ejAin ±i /S Phone: ‘/.2. 72/- s s-oa
Address / City / Zip:
Applicant is: Owner Contractor
Description of work: Re re r r1 01
Construction Cost+ 2. i 2615
Multi -Family Building: (YesNo
Company: ? 4 ( Con T4UC/T/d'J Contact: 3 ch
Address: 3 0 3 ...Q.. M i ft./leYIA.�'1 City: Minnea cI S
State: ! ► I N Zip: 55 -Yo b Phone: 642 - 7 2.1- 5-506
License #: t3e - 192-04 2- Lead Certificate #: /V.4 %'" 2 V $? - f
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
J
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:
Phone:
Phone:
Sewer & Water Contractor: Phone:
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.000herstateonecali.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
dayss of permit issuance.
x
Applicant's Printed Name
Page 1 of 3
City of Eagan
PERMIT
City of Eaan
Permit Type: Building
Permit Number: EA116088
Date Issued: 10/02/2013
Permit Category: ePermit
Site Address: 1604 Clemson Dr B
Lot: 62 Block: 01 Addition: Thomas Lake Heights 2nd
PID: 10-75951-01-620
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, 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:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
- Applicant -
Owner:
Lula H Kerrsen
1604 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
r For Office Use
i • � ::::e:'
�� 1 (r6?
7;
-1==r4. Date Received: -/9-
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 1
(651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspectionsi cityofeagan.com
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 1 G°7 8 17i 414'07-i i1/W4'l' Unit#:
g 7004 ilrynit ai440-‘44414
�q <. Name: /0711
Phone:
"Owrief t :
' Address/City/Zip:
Applicant is: Owner Contractor
Description of work: Awcy+t' aftil latitee Ofea a#Aeliew.4. 67.1 - MA/lo 0444-
Til Construction Cost: Multi-Family Building: (Yes /No )
/1J � � �/ , Nsr.
Company:/� C O1�577Cl1LTTaVr iAWV) 0, ontact: �U *toff y
C Address: 14-//a 66-t YZg l City: Illy
State:M 1 Zip: {jam/ Phone:G 24 -W ail://air(;✓xvS7`,4of i:ZW.riv ti'y4' ¢._y
License#: • Lead Certificate#:
If the project is exempt from lead certification, please explain why:
.1 , litAridYI /
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: f,
Fire Suppression Contractor: Phone:
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.citvofeaaan.com/subscribe.
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 fans.
xPA
ILL i thApplicant's Printed&tlr* Applicant's Signature
DO NOT WRITE BELOW THIS LINE Ad-I Cinôii U12 . 13 / 6o
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi �0 Deck
_ _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
10 01 of, Pies _ 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 A,41 _
Valuation Z,a.,04). Occupancy -- MCES System
Plan Review Code Edition p7.1 -to i J• SAC Units
(25% 100% 2) Zoning Jap City Water ,
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) 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 I Other:
1
Reviewed By: cYYi f/�%/ 7d- , Building Inspector
RESIDENTIAL FEES 19 , J1/.0
/.0 ' / &a 5y."7-.
Base Fee
4'7`PSurcharge & •t /5-: S b 5p• .47--
Plan
lan Review
MCES SAC In M ;ill ✓ 7". '''r--
City SAC
Utility Connection Charge ,eX,'5 p;^, ryc.e,n q -
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA166772
Date Issued:02/03/2021
Permit Category:ePermit
Site Address: 1604 Clemson Dr B
Lot:62 Block: 01 Addition: Thomas Lake Heights 2nd
PID:10-75951-01-620
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 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 -
Anita Lou Living Trust Kerssen
1604 Clemson Dr Unit B
Eagan MN 55122
Haferman Water Conditioning
12142 12th Ave.
Burnsville MN 55337
(952) 894-4040
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA169791
Date Issued:06/09/2021
Permit Category:ePermit
Site Address: 1604 Clemson Dr B
Lot:62 Block: 01 Addition: Thomas Lake Heights 2nd
PID:10-75951-01-620
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 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 -
Anita Lou Living Trust Kerssen
1604 Clemson Dr Unit B
Eagan MN 55122
(651) 905-3976
Total Comfort Heating & Cooling
8818 7th Ave N
Golden Valley MN 55427
(763) 383-8383
Applicant/Permitee: Signature Issued By: Signature